Loading...
HomeMy WebLinkAbout2229 Brookridge Trl (2)CITY OF SANFORD BUILDING & FIRE PREVENTION JUN 13 2416 PERMIT APPLICATION Application No: Ito -1437 Documented Construction Value: S 34 G/S, o� Job Address: 2 X XCI 13 ro 0 V rid f,.t Trc, , � . So. ,4-a rj Historic District: Yes ❑ No ❑ Parcel ID: /b - ,? . -30 - S 1 y - 0 7 2� U Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: _ _ 1�L c e e N r V u 3- n O., 'h r 1 cc>A c Plan Review Contact Person: c,� 14e�- Title: Phone: yo7'6^7$'05_010 Fax: V0 -678-5_57C-0 Email: ljl IIywJD5,Y, co," Property Owner Information Name MG f*, i o',k f Street: 2;? -19= zr ak c i 4� City, State Zip: mac, �o�-c,P _ FL 3171 3 Phone: Resident of property? : Contractor Information Name Sc, 1c r; o r A h4 vvt, Phone: qV-) - Oq—G S-vy Street: _360S fo r S v k Fax: City, State Zip: GJ I h i-C.r �� r %= . �L ,�Z ? rl Z State License No.:.SC CO S (o -7 ) U Architect/Engineer Information Name: 4 11 A A ,,:d 60014 Phone: Street: Fax: City, St, Zip: Bonding Company: Address: E-mail: Mortgage Lender: Address: 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. I 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, late of application and the code in effect as of that date: 51" Edition (2 114) Florida Building Code Revised: June 30, 2015li i Pg1 it Application 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 1 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 construction and zoning. 0 e & SigriiAure of Owner/Agent Date (1417.1,9 Sym ZAVQ S` Print Owner/Agent's Namc 0=1MES.,& 51-7 G gnature of Notary -State of Florida Date Detteha Ruth Lbdt NOTARY PUBLIC STATE OF FLORIDA *na Cawrill FF947n2��/Wi�res8124/2019Owner/Agent is PDOW Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name 0 IWIC 1, G A6 ignature of otary-State of Florida Date Denehe Ruth Link NOTARY PUBLIC STATE OF FLORIDA PrZeni Cannell FFW222 Expires 8/2412019 Contracis Personally Known to Me or Produced ID �pe of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes[-] No ❑ # of Heads r21cft ._, APPROVALS: ZONINGL'IL.I-I�o sn,�l UTILITIES: COMMENTS: ENGINEERING: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: 5r4, -%5-I(0 Ok to install 8' x 10' screen room on existing concrete slab as shown on plan. Revised: June 30, 2015 I I Permit Application r� r� REQUIRED INSPECTION SEQUENCE BP# -, (4*5 I Address: BUILDING PERMIT Min Max IIns ection Descri tion Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Pre our Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final Solar Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Mobile Home Building Final Pre -Demo Final Demo Final Single Family Residence Final Building Other REVISED: June 2014 (ELECTRICAL PERMIT Min 77am I IInsnDection Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final 7in Max Inspection Description M; Mg Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHANICAL (PERMIT min Max Inspection Description Mechanical Rough Mechanical Final min Max Inspection Description Gas Underground Gas Rough Gas Final THIS INSTRUMENT PREPARED BY: Name: Sv44x-e-o- %�!✓�+�v-+. Address: oos Fors t /Lo( �✓ ��+ 1` e,— .rk . F► 3-L%ti L NOTICE OF COMMENCEMENT Permit Number. I to— I ID J 1 Parcel ID Number: /U -,rttl • _3C1 - S l y -0000•-u7.L0 MARYANNE MORSE► SEMINOLE COUNTY C1. ERI: 01: CIRCUIT' COURT & COMPTROLLER BI4 87115 P9 736 (1P9s) CLERK'S 2016060239 RECORDED 06/10/2016 01:02:',5 P11 10.C(II''DING FEES $10.00 RECORDED BY hde_%1w a 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. 2. GENERAL DESCRIPTION OF IMPROVEMENT: SC r C2. r\ r oU t—\ o" fix' 3 hr�j Go nCr�1� S jN 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: 191tA r,', t., 'z c. „f. Interest in property: 41 t .1 ry,c Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: SUPERIOR ALUMINUM Phone Number: 407-678-0500 Address: 3005 FORSYTH RD. WINTER PARK, FL 32792 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: N�/'r Amount of Bond: 6. LENDER: Name: Phone Number. Address: 7. 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: 4414 Phone Number. Address: 8. In addition. Owner designates 4/0 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. ;F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated In it are true to the best of my knowledge and belief. M-LdCl. A (Signature of Owner or Lessee, or s or ee's (Prim Name and vide Signatory's Tide/Omce) Aua+onzed/Officcer/Dimpor/P er one r) �c,�, n/ State of1oSI/.� t-i� County of (a�Lll/ �W" /� The foregoing instrument was acknowledged before me this to day of �/ � 20 by 1V VVr lG( /_.AM -Y1► ) Name of person making statement who has produced identification- type of Identification produced: Who Is personally known to me 0 OR . AR De+►efta Ruth Link NOTARY PUBLIC Notaryslgnature STA TE OF FLORICr♦- . f 1,1�"FIEDCOPY-MARYANNS1,40 SE �a r IgIO 222 CLERK OF THE CIRCUIT COU tT AND reS 8/24/2019.OMPTP ER t'(�� SEMIN '-ECO f"' F RIDP JUN N 1 0 2016 e EPUTY CLERK 04/15/2016 PRI 13:09 PAX ®001/001 I SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake..Mary, Longwood, Sanford, Seminole County, Winter Springs Date: L41 i S I iko I hereby name and appoint k"" [it'a.dLyV�� an agent RD. 32792 to be my lawful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one optlon): All permits and applications submitted by this contractor. Or D The specific permit and application for work located at: (street Address) Expiratlon Date for This Limited Power of Attorney. ' License Holder Name: State License Number. Signature of License He STATE OF FLDA COUNTY OF _ The foregoing Instrument was acknowledged before me this45ecray of - 20a who is or o has rod d as identification and who did (did not) take an oath. 94 1 "# sig re of N �orW�Wouw e Notary Public -State o17ELMU � JESSIE SANTIAG]Florfida k4 , Notary P�blie - State oCommission No. Errpires SepFF 0MY Commission Expires: INC. SOPA Parcel View. 10.20.30.514-0000.0720 Property Record Card Ply Parcel: 10-20-30-514-0000-0720 19 ROJ S Owner. ZAVAS MARIA 16 ROJAS MICHAEL a�IIOO1fr` A� Property Address: 2229 BROOKRIDGE TRL SANFORD. FL 32773 Parcel Information Value Summary Parcel 10-20-30-514-0000-0720 Owner ZAYAS MARIA I d ROJAS MICHAEL Property Address 2229 BROOKRIDGE TRL SANFORD. FL 32773 Mailing 2229 BROOKRIDGE TRL SANFORD, FL 32773 Subdivision Name RESERVE AT LOCH LAKE Tax District I S1-SANFORD DOR Use Code 0103-TOWNHOME Exemptions I OO-HOMESTEAD(2014) Legal Description 2016 Working Carolled PS 76 PGS 27 - 33 Values 12015 Values Valuation Method Cost/Markel CosLIMarkel Number of Buildings 1 1 Depredated Bldg Value $132,735 $128.066 Depreciated EXFT Value Land Method Frontage Depth Units Units Price Land Value Land Value (Market) $30,000 $30,000 Land Value Ag Description I Year Built Fixtures JustrMarkelValue" $162,735 5158,066 Portability Adj Ext Wall Adj Value Save Our Homes Atli $4,036 $2,239 Amendment 1 Adi $O • $O P&G Ad) $O $O Assessed Value $158,699 $155.827 Tax Amount without SOH: $2,395,52 2015 Tax Bill Amount $2,349.95 Tax Estimator GARAGE 364.00 Save Our Homes Savings: $45.57 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 72 RESERVE AT LOCH LAKE PS 76 PGS 27 - 33 Taxes Taxing Authority Assessment Value Exempt Values I Taxable Value County General Fund $158,699 $50.000 5108,699 - Schools $158,699 $25,000 $133.699 City Sanford $158,699 $50.000 $108.699 SJWM(SainlJohns Water Management) $158,699 $50,000- $108,699 County Bonds $158.699 $50,000 $108,699 Sales Description Date Book Page Amount Oualined MerJbnp QUIT CLAIM DEED 7/1/2013 tt 16W $67,600 No Improved t] SPECIAL WARRANTYDEED 4/1/2013 08153 -A 5169.200 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 $30,000.00 $30,000 Building Information is B /B th n In rr t 7 Clock H r a Description I Year Built Fixtures Bed Bach Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages i ActuallEOective 1 SINGLE 2013 8 693 2.035 1,648 CBISTUCCO $132.735 $134,756 Description Area FAMILY FINISH GARAGE 364.00 FINISHED OPEN PORCH 23.00 FINISHED UPPER STORY 95500 FINISHED Permits Permit a Description Agency Amount CO Date Permit Date 02273 NEW • RESIDENTIAL SANFORD $186,484 2/26/2013 8/20/2012 Extra Features Description I Veer Buhll Units Value New dal IJ No Extra Features i ht1pJ/parce1deWI.scpall arglParceloetail Wo aspx?PID=10203051400000720 f 1/2 4raMI6 SCPA Parcel Mew: 10.20.30.514-0000.0720 hapl/pdrj adeWl.scpall vgIPmeelDelallnfo.aspx7PID=10203051400000720 f I 2/2 Fax: 407-678.5560 MAIN OFFICE Toll Free: 14800.2474768 _3005 Road FL Reg. 6 RX11067027, ® SUPERIOR Winter Park, Floridaori32792 FL Uc. 0 SCC056770 (407) 678.0500 ALUMINUM INSTALLATIONS, INC. „ Sales, Installation, Show Room Order No 2 �ti1 Primary Phone m4r�a 3oS- 551- 3.?.9u Referred By: Date SecondaryPhone 12 ����� i 30 _-4"J This is a contract between Superior Aluminum Installations, Inc. and !Y)a r t h r c - (the Customer), who resides at 2 '1 3 rof.., k r i J !� ,e -r,- \ , �c, h4 c c J , TL Zip 3 7 7 3 As used in this contract, the words seller, we, us, and our refer to Superior Aluminum Installations, Inc. and the words you, your and buyer refer to the Customer. Measurements and dimensions are approximate for purpose of determining price. All dimensions shown are intended to be exterior (outside) dimensions. Final dimensions are subject to modifications to conform to standard factory fabrication, engineering, and building code. We agree to furnish all labor and material necessary to install the following described: TYPE OF WORK TO BE DONE Srru-. ryvri-. JCG , , a J=L ;hPe,t— ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUB- CONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CON- TRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER THIS CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUTTHE RECOVERY FUND AND FILING A CLAIM, CONTACTTHE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Division of Professions - Construction Industry Licensing Board • 1940 North Monroe Street, Tallahassee, FL 32399-1039, Phone: 850487-1395 BUYER'S RIGHT TO CANCEL: Homeowner Three Day Right To Canoe) - If you do not want ft goods and/or services as stipulated on ft signed r n ha r you may cancel this agreement by mailing a notice to the seller (Superior Aluminum Installations, Inc.). The notice must Indicate that you do not want the goods and/or services and must be postmarked before midnight of the third business day after you sign this agreement. TOTAL I 4- J__ 1/1 1 q 1/3 DEPOSIT WITH ORDER P �� L RMS: CASH orCHE 1/3 ON LAYOUT ! " D %. ��.:-_ CREDIT CARD / FINANCING ONE YEAR MATERIAL AND 1/3 ON INSTALLATION TO INSTALLER �. () U �, SD, WORKMANSHIP GUARANTEED If after going through the normal channel of operations, you are dissatisfied or have any unresolved problems, please call and ask for me personally at 407467-0768 Timothy Orie, President / Superior Aluminium Installations, Inc. THE INSTALLATION WILL BE COMPLETE ON OR ABOUT /0 f / Z- L.e- t �S GI-�'+t• LA,) IT IS UNDERSTOOD BY YOU THAT THE FOLLOWING CONTINGENCIES COULD MATERIALLY CHANGE THE ESTIMATED COMPLETION DATE STATED ABOVE: CUSTOMER'S INABILITY TO OBTAIN OR QUALIFY FOR FINANCING; INCLEMENT WEATHER; STRIKES OR OTHER LABOR DISRUPTIONS; NON-AVAILABILITY OF MATERIALS; ENGINEERING; PERMITTING; ACTS OF GOD. BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU OWN THE ABOVE PROPERTY AND THAT YOU AGREE TO ALL TERMS OF THIS CONTRACT. THIS CONTRACT IS SUBJECT TO FINAL APPROVAL OF SUPERIOR ALUMINUM INSTALLATIO, INC. MANAGEMENT AND SUPERIOR ALUMINUM INSTALLATIONS, INC. RESERVES THE RIGHT TO CANCEL THIS CONTRACT AT ANYTIME PRIOR START OF WORK. Date '�- Customer Sales R talive ,1'�•i S �/ o Customer REV 8115 Pape 1 of JUN 13 2016 F U ray: City of Sanford Aluminum Structures Permit Application Checklist n 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: Z-VfBuilding Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. .6 " Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. �opy of applicable contractor's license issued by the State of Florida. �1 �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 otractor. O�/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). �/Aompleted and Signed Owner Builder Statement / Affidavit (if the owner is the applicant). ET . o (2) site plans indicating proposed location. Two (2) copies of the signed and sealed engineered drawings. Wind design data required on drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings OR Two (2) copies of previously mastered filed plans. Indicate all details and options that apply. O Two (2) copies of a site specific layout for the structure with minimum 1/8" per foot scale. ZTw1 elude all framing sizes and types. Include any electrical devices to be added. o (2) copies of Florida Product Approval, including manufacturer installation instructions Vor andd product evaluation reports, for composite or elite roofing systems. (If applicable) Sunrooms — must designate specific Sunroom Category on the signed and sealed plans, in accordance with FBCR R301.2.1.1.2 These guidelines were compiled to assist the applicant in preparing an aluminum structure 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 Lot 77 Serer # .gs8ocialreBInc. L a a d Surveyors 789 Douglas Avenue, Altsmonte Spdngs, flarlda.1z714 x407)788.8808 Afaarberof Iftf Fbr#A► Cangmm an Swmyft0 end Rlap0V t< a0 Map or survey RECORD COPY rindA MU14X 056OMMd 1 �► 'L S 00"48'53" W 1 .00 31.W?R00' ?0.00' 1800' .O 3 B ® ® ® b t C 6 tlnit UMIng i uMi W11RbY. WiRev.. "I tf+trlRE1! �hl6E pk**oo/ tlwM, 4 Rdv. r Lot 781 Lot 75 1 Lot 74 acp _ r.; V IV 00 "48'54' E 321.72 LLI 142. 00 uin a Lot 70 H 1 51.75„ CIL Brook Ridge Trail ( EK 0 V �1Ct I,,';U 1 LEL L. A??ROVE MAUS 1 �. AWE RECEIVED of e, crap c Tract A iris survey. We acknev; le Jae �? �(0711.4_I_(� �1- Multipurpose EasemeOlstence- of any en ;ro_i;ii;c�c-►it C -PT. other adverse maiters shown c " is survey, and undeiy"and t i^ C Ok to install 8' x 10' screen room on existing they will appear as exceptions c L- concrete slab as shown on plan. the I uranee policy. LbVn%r dover1+0toARepw8wealaraaardedN$*samtMaIpr0444027.M By dlAfpuAkxav**f8#m&wft wy, Fbd n0M M 4ZM IATA; 1bf pwmf serosal Aavw ally ►MM &Wane Ir mwdVte+a WRwd ReirAtop ammurdYp rrdmobw vul7ding tS Date: Z(� fbodm+w dalanrarf�rr Masprnbn►adbYO►a{Mteplbltt0 eM.l9bod Ani►ra+K+rRsb4�ty/sgpu.diFA(�l1Ae�elw6��nnob�Jdo�wjf►0 SEARNV084.1�dwA7yrenow►rtsiearfn.nArsKsdlbNs9o►m►elpW► parilnred ay iAb rNn b ewMr►he Oib dhad srma no b A. jrmtro ww a miW a/Jenanr 0 tach tmb m aeAyt a eatie?Tg dHeaiAnodeA►1�b�e TAebndln(ArfnylrndstMlWl Mannl�tA ar m M rogWsegrNdFiud MSItsAas anal lob fu►Arar ro 1�AkaldYay►t b 6tsa0 an wl�torinY � prsYAfad4r ohnt Prpv�ad aY r.rpeRf�iyi6►fdwlllae�q carr�ana Ear B9irrara�, bye hs / �250t. Qenertf Nona: ►.rhbtlaBOUAn4R1'durroypM~Asthtftdon 30 X;.- I 2-- i fYbaarort swAlpaVwOLnI►mOf�0i1f.J11M� ft�ly0W1d071ROYfnl av Q A bM�s�R ad QRR aw 0F4WFMma6aid Aualat =Ver &tasa *x#r 4, to% wsr.h"bd del .A► aufmr 1MOW" SAO" wefoW"INAM Dow aAoddMM& ►0 pworCw"fty 4 GWAN MMMAWMA Ot rwo" P= cA�w*"am Ql Wvg torr Otm psAAfad by 0n riot mAw ahwufts AUK .Adan Am A A�Otiv fGaRa1 ^Vb P r✓. =of lr nrr ao�eoaro nylf adoWNsprgoa:ado/fdidd�MrMC.Ota/fJgmllnAlMIaQllalitdnld ce aCila�AOwwv � &NOMM map T �t ft � � IbAr�s ►moi psioat a r Ao till faaarratt �rv.rAAAa natrAgfana and a �10eo f+vanrs roarer 1�AbdwrarnmrdWhNWdrplawo►nora.dobdea+nraa"IsambOft ELcrU" w.aan�lgrewq =3 AM Powd PuttAsi6 Assbeanand@by#*WeL MAUL- FG. aw 1 Pi /ewerMwMae" a ii►.irq laasorgomn Ar.ensasn. warea�nt q�.rArvor.ud+ �d 7.PArtbdtadarn�►arfdr$1.naptnddd.dhnsantersa+a.wMsaadln+erla...tier AP 6wro r� .o.ea"°" aCAMS of" 8u wawbrowelvftarfttboth" cob"&*. as &Wnr Rano �'AMWw • Osnabi W &M rod No Pb4% CW #M lad {8aP». arjrh" rad me t Nr l+rir► OUM Ams MsPbM alis aarlad "AO+AAs came Win Mvube noort Is �arad., ww IWMn.wrr nor siotewu r w. AAi TY ardr"'rr APdmaCRna a.e)W � obOtAN.oraaaodlrAesrra:AAryAArn,a►ed 40 M'a "a�s.M -FO- hnQeow"9ewa01 X-0 FUMOM famdeeft ism" Cwthd T4 A'r'~• Pdd d ShOK PA Ctlnrnanhae0!►LAW Tft & carona. CUPWRy A *UwRod, r„ Marfa M.lfa Lye: nd,MWWNr an►. rnaao. app* �P•)2b C ANd b!' aP Arspar"r#r M#M1MrHaroi 406MU bon 1140i42 UAW 10.40' Pet pun Pararreed: 07.Of•ts P M bd" SW r. 0"5.12 F@WM*M swver. 164&r7 Fmdswr r► aaaa.ra TOTAL P.01 RECORD COPY City of Sanford Building and Fire Prevention Product Approval S ification Form INC Permit # # 1 6- 1 6 3 7 SANF0RD Project Location Address Z --Ll- Ck Aeza k n .1 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.floridabuildinci.om. 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 Swinging Sliding Sectional Roll U Automatic Other 2. Windows PLANS EXAMINER Single Hun - Horizontal Slider UAIL Casement Double Hun Fixed Awnin Pass Through LICENSE TO PR CEED WITH THE WORK AND NOT AS Projected Mullions CODES, NOR SHj LL ISSUANCE OF A PERMIT PREVENT Wind Breaker IRSECTION 01: ERRORS I'M PI ANS Dual Action - CONSTRUCTI N OR VIOLATIONS OF THIS CODE Other June 2014 . A 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 Underla ments Roofina Fasteners Nonstructural Metal Roofing Wood Shakes and Shin les Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen 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 . +4 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 En ineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name (Please Print) June 2014