HomeMy WebLinkAbout214 Lakeview AveL�
2016
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
I(0 - /cosL
13Ig49, Vo
Job Address: L4keV��%d Awe Sa^Tdr,� i F(- 37771 Historic District: Yes ❑ No M
Parcel ID: 30—t°1- ,1-X10 " tKoov ` 0190 Residential 4 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re - W.
Plan Review Contact Person: Ti M LO L\-3 Title: P/oJ 0 [f ✓Vi -AA y(►f
Phone: '407-ql 0 '`IS Iq Fax: yV- *%o- " :l Email: J iM d Co M
Property Owner Information
Name Po.+6 6 C AQMP�e
Street: a1y Lak& iet.w AJC, So.�61-d FL 3 771
City, State Zip:
Phone: y07 -31V - � 9 0s
Resident of property? : e's
Contractor Information
Name v\1-0 k. N210
Street: -%UX SatnGf
City, State Zip: S i ICL 3a 750
Phone: q07 -3153-57(;0q
Fax: 907-Ct0- LN59
State License No.: CCS 13 1 q 6? o
Architect/Engineer Information
Name: I A Phone:
Street: Fax:
City, St, Zip: E-mail.
Bonding Company: A Mortgage Lender:
— A 1A
Address: Address: z r]
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51b Edition (2014) Florida Building Code
Revised: June 30, 2015 Pcnnit Application
�1 1
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating constructiop*d zoning.
IFM
Date
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Si atur of otary-State of Floridan A. DOPW Date
Julb
HMARY PUBM
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104mbFFOW1
Owner/Agent is ✓Personally Known to Me or
Produced ID Type of ID
Print
a!
Name
Contractor/Agent is Persona
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
)6 '3-110
Date
Ru
�.016
4ar Assn.
or
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: W `' 15 • f (o
Revised: June 30, 2015 Pcrmit Application
THID INSTRUMENT PREPARED BY:
Name: lydw�. n roc '.n 1/1C,
Address: 7U I
`
NOTICE OF COMMENCEMENT
Permit Number. 1 IV — I tog 2k
Parcel ID Number:30 - Iq --U" S10 - 0000 - 0140
MARYANNE MORSEr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY. 8707 Ps 1382 (1Pas)
CLERK'S : 2016061555
RECORDED 06/14/2016 04:02:48 PM
RECORDING FEES 810.00
RECORDED BY ,ier_kenro
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and sir t address if available) /"
IN -t i5 + All
L)alr�, UcLllaY �i)n1 iw) �I\rn�Mr:n•/ Saut.r� rLPP� 3 Pl 1
1y 64-ej, t;„j A \I -x- , c,,,,.r,rA F L :Ka -27 i
2. GENERAL DESCRIPTION OF IMPROVEMENT:
NJ
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: PaA-r,'0, �`�nc.fHQG.q!1Q % ���� L V I LAj A v k,
Interest in property: Du.m-r
P rtY�
Fee Simple Title Holder (if other than owner listed above) Name: N/
Address:/ % /4
4. CONTRACTOR: Name: SD t t a w �y CCJ /� +!`� C i +� t� //1 C Phone Number. quL 33 3 -- SG 0 9
7Sc��OQAddress: � I onw vo t iGL 3 vt 7 5-0
5. SURETY (If applicable, a copy of the payment bond is attached): Name: A1/A
Address: All A Amount of Bond: iy 114
6. LENDER:
Address:
Phone Number 'AIM
T. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes. !
Name: Al A Phone Number. N F�
8. In addition, Owner designates VIA— of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature o1 OvYner or Lesse , or %ror Lessee's �— (Print Name and Profit
Authorized Officer/Director/Panner/Manager)
1
State of County of ��- 1 Ufa l the
The foregoing instrument was acknowledged before me thisy day of
by \ IQ�V i UIQ aI 0A) Who is personally
Na of persT making statement
who has produced identification O type of identification produced:
JubA. DOploo
AMINOTARY PUBLIC
/$TATE OFFLORIDAFeLtO�RIDA Nota Signature
• 1wPOIrk r�
E*k tt U24/2020
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AOLIDWA
construction
ROOFING DIVISION
Please Print
P. 407-383-5609
CONTRACT F. 407-960-4459
RESIDENTIAL AND COMMERCIAL 702 Savage Court
License No. CCC1329630 Longwood, FL 32750
www.solidwayroofing.com
NAME �+CVC:j
PHONE - 3I -
DATE V�7-1D
^^
ADDRESS �l `01V�`� GlV CITY 5+ 1"0 ZIP CODE %%/
SALESPERSON <1 N\�.Or�- CONTACT PHONE C)7 lO -4S1(4
M. HOME HOUSE
OTHER COMMERCIAL
JOB #
BRAND AND DESCRIPTION
OF PRODUCT QLJA^ S CCf \r M SJ NAA L ->f fl;A414T 17,C
COLOR
PITCH 07// i
1. PULL A CITY OR COUNTY PERMIT SO, RENAIL WOOD
2. TEAR OFF: SQ. OF OLD SHINGLES S4 OF FLAT ROOF SQ OF OLD TILE
3. DRY IN: REINFORCED FIBERGLASS UNDERLAYMENT --1 LAYER 2 LAYERS PEEL & SEAL
4. INSTALL: LF GALV. VALLEY M.ETTALL S LF SELF ADHERING VALLEY LINER — LF METAL OVER RIDGE
S. INSTALL: = LF ALUM. DRIP EDGE Z�[LF STEEL DRIP EDGE COLOR LF PAN FLASHINGF L FLASHING
6. INSTALL/REPLACE: =LF OF R.V. r PLUGS 3--4Fr— 6FT OFF R.V. COLOR ' —LF VENT SURE
7. REPLACE: L 11/2 IN. 2 IN. 3 IN. =41N. LEAD BOOTS 41N. GRV'S i101N. GRV'S i ELEC. RISER
8. STARTER ROLL STARTER STRIPS CIRCLE ONE
9. LAY SQUARE OF 5 EW FIBERGLASS SHINGLES BUNDLES OF CAP 3 -TAB / PERF / HIP & RIDGE
rO'INSTALL: -- SM. DEAD VALLEY LG. DEAD VALLEY 14f5j FLINTLASTIC -- LIBERTY
❑ Ill. INSTALL: --TPO � LAYER OF INSULATION LF TBAR /SEAM TAPE
❑ 12. INSTALL/REPLACE: = 2X2 =2 X 4 =4X4 — SKYLIGHTS - ACRYUC— SFA — FIXED GLASS
nnRAee 9 -RA rh Aeor
HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
14. ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL
15. SOLIDWAY CONSTRUCTIONS HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO
CONDUCT ANY OR ALL INSPECTIONS THAT MAYBE REQUIRED UNDER LOCAL OR STATE LAW
16. SPECIAL INSTRUCTIONS: A%- . _ tnn S . _ Sfi I _ d9-1 % n_ r
TOTAL CONTRACT AMOUNT 113 q By • . I S6 I
PRICE IS GOOD FOR 30 DAYS DEPOSIT )-K o . Oo
ACCE89: Customer agrees to allow access to On property and realizes that heavy equipment is being used.
Contractor shag not be liable for. without limitation. damage Io driveways, WWaas, lawns. sprinkler systems. gardens. septic system and any
other sbucdaes thereol, as a result of rooftop or job derwedes. BALANCE DUE UPON
DAMAGE ETC.: damage to propertyby Contractor. his eg-Is or m during the 6ulanainstallation and �n of ureemot. damage snag be brought to gdishes. should vistom bocome �attentnti , COMPLETION
of the Contractor prior to the time of payment for the roof in question. SoMmy Construction has fust right to cure any damage. It Customer raisins
Me services of another Contractor to repair said damages. a Is at the Customer's own expense. It Customer laths to notify Contractor of said damage wWb 5 waling days of occurrence. Oen Customer waives erg rights
against Contractor carceming said damage. SoMmy Consbudion Is not responsible for mofmg nalls penetraftA/C andfor plumbing liras In the attic Customer agrees to seam and protect Bair assets Including shelves,
ceiling fans, tools and other valuabtes to avoid damage from vibration. breakage andror detachment of parts. etc.
DELAYS. ETC.: Customer hereby atknoMedges that Contractor may be subject to delays occasioned by inclement weatW labor disputes, and material supply shortages or other awes which are beyond Ne am" of
the Contractor and hereby accepts delays occasioned by one or all of ton ciraanslances in the instsfiabon of Ole roof.
PAYMENT OF CONTRACT. Customer hereby agrees that all amounts dun for Ods work shall be paid upon completion of bhstslbtion. Any amamb unpaid will bear interest at a rate of t M per month. Contractor shall be
entitled to all costs of collection Including attorneys! fees.
RIGHT TO CANCEL: O this is a Home Solicitation Sob, and it you do not want the goods or services, you may canal this agreement by providmi; written notice to the sella in person, by email, or by U.S. mail. This notice
must Inflate that you do not want the goods at service and mat be defend or postmarked before midnight of the third business day after you sign this agreement. 11 you andel Ods agreement the seller may root keep all
or part of any ash down payment
IF THIS 19 NOT A HOME SOLICITATION CONTRACT: Once this anbad Is signed, you are bound to d by the laws of to State of Florida. II in the event you breach or attempt to cancel tlm cw&ad, Oe Conbador shall
be entitled to all lost profits from the contract.
ACCEPTANCE PROPOSAL: The above prices, specifications and conditions am satisfactory and hereby accepted.
AD contracts are subject to Southway Consbuctioh, Inc. management approval. Customer agrees to allow Sol dway SALESPERSON SIGNATURE
Construction, Inc. to use phobo. letters of redcoommendation. satisfaction forms, etc. to be used for arlmlisinp � �- p'urpo'se
-s. J
CUSTOMER SIGNATURE N a , � ' ek d DATE �'L I&AGEMENT APPROVAL
Construction Industries Recovery Fund: Payment may be available from the construction industries recovery fund it you lose money on a project performed under contract where the loss
results from specified violations of Florida Law by a Stale Licensed Contractor. For information about the Recovery Fund and filing a daim, contact the Florida CILB at the following tele-
phone number and address: 850487.1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399.15-06
61
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address a -%'A Lc,l-Oy`e.�,v Ave -0 Scv �� F�• 3� �7 I
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.ora.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
1. Exterior Doors
Swin in
Sliding
Sectional
Roll Up NI -I
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
04AP5 CorflortQ
FZ to ) - 1
Underla ments
to Rrmo(
L y ao - R a
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Ce(A�^A--20
r \as c
fL
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coatinci
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
71,
p� c
/ \,Q►pplicant's Signature
Applicant's Name '✓ f L�
(Please Print)
June 2014
City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
C4Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
kCopy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
�j Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the 'City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
For Re -Roof Permits other than asphalt shingle, wood shake or wood shingle, please provide two (2)
copies of Florida Product Approval and Manufacturer Installation Instructions for the roof covering
product and the underlayment.
Contact person information entered in Naviline?
Application forms stamped received and initialed?
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised.• February 2015
City of Sanford
Residential Re -Roof
F - D Hurricane Mitigation Inspection Process
,
sa.
1. Roofing contractor shall be responsible for the .protection of contents and structure at all
times.
2. An in -progress inspection shall be scheduled after the old roof has been removed and
the dry -in is complete. All components of the dry -in must be in place. To schedule an
inspection, call 855.541.2112.
3. For roofs using an entire peel and stick dry -in, a nailing affidavit shall be required to be
posted on jobsite at time of in -progress inspection.
4. A minimum of one hundred (100) square feet of the new roof component shall be installed
at time of inspection. Up to fifty percent (50%) of the new roof may be installed, but all
flashing and valley metal shall remain exposed for inspection.
5. The contractor shall contact the inspector the day of the scheduled inspection between
7:30 a.m. and 8:30 a.m. to coordinate the inspection time. Please call 407.688.5061 or
5063
6. At time of inspection the inspector shall, at his or her discretion, select location(s) for
inspection.
7. A representative of the contractor shall be on job site to facilitate any necessary repairs.
8. After the inspection is conducted, the contractor will make any necessary repairs and
proceed as directed by the inspector.
9. For approved inspections, the inspector shall collect the required affidavit for filing with the
permit application.
The above shall serve as the inspection process to meet requirements per Florida Statute. Any and all
suggestions to better serve the contractor needs will be considered.
�a
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
I, hereby acknowledge that I personally inspected
0 Roof deck nailing and/or 0 Secondary water barrier work
at and have determined that the work
(Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Signature of Contractor Date
Printed Name of Contractor License #
License Type: 0 General 0 Building 0 Residential D Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me this day of , 20 , by
who is 0 Personally Known to me or has 0 Produced (type of
identification) as identification.
(SEAL)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
0
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16 r« ox
A hereby acknowledge that I personally inspected
IR/Roof deck nailing and/or gr�econdary water barrier work
at a I q C a ke k;e_,,j A Ue 'S� 17 t and have determined that the work
(Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my atements herein are true and accurate to the best of my belief and that I fully
understand that king any false statements in writing with the intent to mislead a public servant in the
performance of i or her official duty shall constitute a misdemeanor of the second degree pursuant to
of
1,-A i o &WOP C o
Printed Name of Contractor
06 -?8-a01
Date
CCC /3214SC)
License #
License Type: 0 General 0 Building 0 Residential VRoofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 'Wirdtj
Sworn to (or affirmed) and subscribed be ore me this �Iy day of , 2016 , by
11 , who is 0 Personally Known to me or has Produced (type of
entifi tion) I2 2 - -Z'I -0 as identification.
(SEAL)
ignat re of Notary Public
State of Florida
DMMIM
Print/Type/Stamp Name
of Notary Public
Diem Romero
NOTARYPUBUC
STATE OF FLORIDA
Cam* FF951849
Expires W%2020