HomeMy WebLinkAbout2401 S Myrtle Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
` PERMIT APPLICATION
Application No:
Documented Construction Value: S 23 5-0, 00
Job Address: L(O L S M!4 r � j f— ftv e-- Historic District: Yes ❑ No [
Parcel ID: 3 LIP1 �NC1 5 3cl 0 000 04 9 O Residential [Commercial ❑
Type of Work: New L� Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: }`RMO V e f 04 y e.f v w
n -S L1 f) e %'o a- ch t ecku v" ed
Plan Review Contact Person: S 0e_ 4;A -e -S Title:'
Cof NAA rCA-CiD(L
Phone: 3%(o 14sI 01-1 a Fax: Email: h4i eS ► o ma; 1. C om
Property Owner Information
Name --0.0 f) Ch 9 f 0 Qe r 4,-A l -r n1,Ul) 1-n Phone:
Street: i P g W 2 S t- vd Resident of property?
City, State Zip:
Contractor Information
Name JO ec ,IPS
Street: I'--) (D 3 '(`jl 06 1 e PN
State Zip: u, L 3
Name:
Street.
City, St, Zip:
Bonding Company:
Address:
Phone: 3 0-(.e 4 S 10 q(-.�,
Fax:
State License No.: CCC k 3 a a q 5-5
Architect/Engineer Information
Phone:
Fax -
E -mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IIVIPROVEMENTS 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. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, tanks, and air conditioners, etc.
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5tb Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit 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 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 construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
6fi -
Signature of ContrwWr Agent Date
JOG 9 tag
Print Contractor/Agent's Name
of Notary -State of FICU
,,•.�;•►"� "'�;; CHRISTOPHER K. L. DICK
Notary Pudic - SIX o of Florida
My Comm. Expires Nov 25, 2016
Commission // EE 853568
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally own to Me or
Produced ID Type of ID Produced ID J Type of 19) � tJ F lofrik, Or;dQfy
Lt'C'"Sr
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[-] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Rr%ised: June 30, 2015 Permit Appiicaim
NKES IR�M.
eX7-���
336-451-0412+
LAU-n Lir? ?r 0 0 A r A-�. A -r o L D
Page / o —L
P.O. Box 250742
Holly Hill, FL 32125-0742
CCC1329955
Pro"sal =7T
t
,
ate ZU j (p
t t'1t'1�SS
Address r
2
Phoned
Email
�.Cc z)n
We hereby submit specifications and estimates for the following:
New Roof. Remove existing roof covering to expose decking. Inspect decking for rot damage. Replace up to
64 square feet of decking. Re -nail the deck using number 8 ring shank nails, spaced per code.
Blow the roof deck clean of all debris.
Install Atlas Gorilla Guard Underlayment to code. Install peel -and -stick to any valleys to code. Install new lead vent
flashings to code. Install new large profile drip edge nailed to code and overlapped to code. Apply tar sealer to all
edges and everywhere applicable to code. Install starter shingles to code.
Install Certainteed Landmark Architectural Shingles to code. Clean ground of debris and use a magnet for stray
nails. Haul away all debris. Includes permit and all inspections fees.
No—16 s t-WitQM f dPc .b r l I (0' 'A9.Q Qa r
Ten (10) year warranty on workmanship.
Accept credit cards for payment. There is a 4% processing fee.
in accordance with the above specifications for the sum of: A / �7
We propose hereby to furnish material and labor 35D, UD
(`—complete
s S; Ye nA-u �,c hu,rA red `Y1� 11 �1 Dollars With payments to be made as follows:
5 J o 35% r & n e, 'Dr\ QD Etc-i,o
Make dtedes payable to: Hiles Roofing
Airy alterdtion or devlatlon from abovespedficatom tnvotuMgexba mats ResReelful
arPJ be exearted only upon urritten order, and v�fll become an extra charge Su- bMwl
over and above the estimate All agreements contingent upon strikes,
a ciderft, or delays beyond our control. Note—this proposal may be vi 1hdraum by us if not accepted in — days.
Acceptance of Prop o I
The above prices, specifications and conditions are satisfactoryand are
hereby accepted. You are authorized to do the work as specified. Signature
Pa m*ns vnll made as outlinedbove.
Date of Acceptance 4�?2 ���� signature
r understand upon inspection approval, if payments are not paid as agreed, Hues Roofing vAlltake any necessary legal action to collect payment l vn11 be responsible for
arty legal fees.
THIS INSTRUMENT PREPARED BY: State of i �i'iC
Name: R r c n IL S 1. v 'yo r1 County of -qx <el
Address: i1 5 N Wood W(,,rd 10k! e On this •` J'' Of J' 1 ��
X r,ll . )N r. <S e e f`L -g 'Z -413 More meperson, ` y p� P
NOTICE O F CON C E'MeNCPER to me known to Person who tier
foregoing irutru and acbwu%iedged t We MY COW41SSICN , EE80546 executed the as h M ar
= EXPIRES March 13, 2017
State of Florida SEAL (signed)
tacn3sso'ss "°�J�"''�"`�'`� PtOTARY PUBLIC
County of Seminole
Permit Number: Parcel ID Number: N:> i" — ?0 —E 0Oc-0 -C'
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if availablPG7Z-
-a,tf
L-o+S 49fSQ 15-1 4-G Z Frk.•klc.� lerrac.� P63
o1 S. (1) y-i1e Ave FL II II flI ` I gi
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION: CLERK'S 4 2016050448 -
RECORDED 05/17!2016 11:34 .' , :)hi
Name: li A U N Cd P2 o P S P f y (S-A tib' l N L RE(MRDING FEES `F10.00
'= C EY i�devur:�
Address: � Z CI W e -v ri 63a�-A? i v 4 —Qc e �c _ F L �i 4C01'%6
Fee Simple Title Holder (if other than
CONTRACTOR:
Name: Tv E 14 t Le: S
Address: 15 0 3 N1 DBI itr
Name:
LFR
EZ o D F I 6- L- L- C
1 -to L04 tj I t_ L, 1= L 3 2.1 I —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)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
�� �jr•ev �S � kY�`'1
Owner's ignature Owner's Printed Name
Florida Statute 713.13(1)(9): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.'
a
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
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.floridabuildin-g.org.
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
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mu#ions
! Wind Breaker
t Dual Action
Other
i®e 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
`
Underla ments
2-0
15 a t (e — ft's,
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
TZ iGl z Ven
a07s, I
I Other
I
lace 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
S. 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
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
PERMIT NO. A0 VD
CONTRACTOR:
f[eT:1:�e�eTT�C��l
TYPE OF WORK:
/es
City of Sanford
Building & Fire Prevention Division
P,
Re -Roof Permit Card
DA : Re Av
f7ir4
• Post this Permit in a conspicuous pla a outside PROTECT FROM WEATHER
• Approved plans must be posted with permit for inspection
• Leave all work uncovered until inspected
• Permit exDires six (6) months from date of issue or last approved inspection
* * * A R OOF DR Y -IN INSPECTION IS REQ UIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit will not suice as an alternative to receiving a dr -in inspection.
ROOF
INSPEC77ONTYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPF.CTION7TPE APPROVED REJECTED INSPECTOR
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF
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.
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. FBC 105.3.3
REVISED: October 2014 Inspection Line 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
I. Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ROOF
Roof Dry In 116
Mitigation Affadavit 129
Final Roof 111
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 16-00001404 Date 5/17/16
Property Address . . . . . . 2401 MYRTLE AVE
Parcel Number . . . . . . . . 36.19.30.539-0000-0490
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . FRANKLIN TERRACE
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 938951
Permit pin number 938951
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
10-1000 129 BL29 MITIGATION AFFIDAVIT
10 116 BL15 ROOF DRY -IN
1000 111 BL03 FINAL ROOF / /