HomeMy WebLinkAbout217 W 12 St (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: l-0)q -0111,
Documented Construction Value: $ .. _. 5 9(%C)
Job Address: dI 1 Z0 a s'ta-, Historic District: Yes No
Parcel ID: , , g A 6- - I y 0 Et 4 L) k a Residential []"' Commercial
Type of Work: NewBI Addition Alteration Repair Demo Change of Use Move
Description of Work: f-roeF
t-i el -3 93 2 9 2i i .M • C.Ll-P (
Plan Review Contact Person: Y)Ci lL Ut/S,4G'1 cJ Title:
Phone: 5i9l yFax: Email: =ri cPuf_ur-U Kcynto,lLLC_ Property Owner
Information Name 1'
u i,t• t_ Foe .} l L[. Phone CO114i 5-(
p( -
1400 6 d-7S- Street:Ave-,
Resident of property? City, State
Zip: S GLv''J,A : r fn 3 2 '7 Contractor Information
Name ` Q
A i y R001_, hel Street: City,
State
Zip: t i0 ct, Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
4
d - cf 3 °- d'd cfdC Fax: State License
No.:
t; CC.l 3 Z (o f0 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
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.
I 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: 51h 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. ,,y
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is ac V-p,,6fe and that all work will
be done in compliance with all applicable laws regulating construction andnng
WA
Signtit t cr Notary=Slate .. (cli ie (2ueeada Date
NOTARY PUBLIC
STATE OF FLORIDA
Carat# FF966440
E1 $ Expires 3/112020
Owner/Agent is ersom,iIlly Known to ,Me or
Produced ID Type of
Signature Date
l4
NOTARY PUBLIC
STATE OF FLORIDA
Canis FF966440
I Expires 3/1r2020
Contractor/Agent is ersonally Known to Me or
Produced ID Typ' of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Flood Zone:
of Stories:
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES:_ WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • uvww.sanfordfl.Rov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Future First LLC/Mark Wysong August 30, 2015
for
1201-1203 Myrtle DATE EXPIRES:
Sanford, FL 32771 February 30, 2016
BP#16-2434
Approved to re -roof with architectural shingles in "Sunrise `Cedar" color.
Approved for limited wood repair/replacement related to re -roof. All pitched
roof surfaces and wood repair/replacement must match in dimension, color,
texture, profile, and other visual qualities. Repair/replacement must be keyed in
so repair area is not visible when work is completed.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? El-VES NO
k -mg" 17— /5 ),F u/. 0—
Building Department Representative
APPLICATION # _ f _ A 34
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not be
reviewed. if you have questions about application requirements contact the Historic Preservation Officer at
407.688.5146 to ensure your application is complete.
General Information
Downtown Commercial Historic District Residential Historic District' Is this a retroactive request? Yes[] No
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] No
Proposed improvements will affect the following elevations: North South East West
Property Address: Z,2fia l I Z_613 i1?VW rG -5-r
Property Owner Information
Print Name:
Mailing Address: ;71? c;L 3Z? " /
Phone:Email Signature:
Applicant/Agent Infor
Print Name:
Mailing Address:
Phone: Email: Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS
TRUE AND "RATE TO TH BEST OF YOUR KNOWLEDGE.
Signatur f Date: 971_7ell
v
Would you like to receive emails regarding Historic Preservation and Community Planning within your community?
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accom ish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 -www.sanfordfl.gov/HP
Century Roofing Specialists LLC
424 East Central Boulevard #503
Orlando, FL 32801
PH,: 407=393-8888
FAX:386-7539285
CELL:407-757-3752
Email: infoCaDcenturyroofinglic.com
MarkC iicenturyroofinglc.com
ame:Mark Wysong
Proposal .
Address :217 W. 1
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: SHINGLE REROOF
Permitting:
Apply for any applicable permits
Apply for inspections per local building codes
Remove:
Existing shingles
Underlayment
Drip Edge
Pipe Flashing
Kitchen Vents
Repair: -
Replacement of any damaged or deteriorated decking
Replace damage fascia on right side.
Shingle Roof Installation of:
State License #: CCC1326969
Proud Member of the BBB
gust
11,2016
MH165
Flashing materials, if applicable: L- flashings, kitchen vents, and pipe jacks. Drip edge color to be chosen byowner. All materials to meet or exceed manufacturer's requirements and to be installed in accordance with the
local building codes.
One layer of'self -sealing ice and water protection membrane shall be installed in all valleys.
Installation of one layer of Atlas #30 asphalt saturated roofing underlayment on deck surface. Felt will be
fastened using 1 inch plastic -capped nails with a 1 inch diameter head.
Certainteed Starter Shingle
Certainteed architectural -style algae -resistant shingles with lifetime warranty. Shingles will be installed in strict
accordance with the manufacturer's specifications and shall be fastened using 6 nails per shingle. Paint all vent
flashings and roof penetrations.
Install Certainteed Hip & Ridge Shingles.
A Install 2 Ridge vents for hea0;k ape
Removal of:
Nails and other metallic debris using a magnetic nail sweeper.
All trash and debris from site.
Page 1
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City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. I ` ISSUE DATE:
CONTRACTOR: 41
JOB ADDRESS:'
Re'
f
TYPE OF WORK: — r r
Post this Permit in a conspicuous place outside PROTECT FROM WEATHER
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected
Permit expires 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 suffice as an alternative to receiving a dry -in inspection.
FROOF N TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED INSPECTOR
RY-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 PUBLICRECORDSOFTHISCOUNTY, 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
We propose hereby to`fumish material and labor, complete in accordance with above specifications for $5,800.00
the sum of, five -thousand eight hundred dollars
All material is guaranteed to be as specified. All work is to be completed in
a workmanlike manner according to standard practices. Any alteration or Contractor's Signaturedeviationfromtheabovespecificationsinvolvingextracostswillbe
charged accordingly. Not responsible for roof leaks in areas other than
those worked on, Century Roofing Specialists LLC is fully insured with —
Workman's Compensation as well as liability insurance.
Acceptance of Proposal - The above prices, specifications and conditions ---------------------
are satisfactory and are hereby accepted. You are authorized to do the
work as specified. Payment will be made upon completion of project. Past
due accounts will accrue an interest charge of'1.5% per month until Signature
bbalance is paid in full. This proposal shall be attached to all contracts
and/or purchase orders as an addendumhider/exhibk to same or contents Date of Acceptanj:/ lofthisproposalwrittenintoContractand/or purchase order. Price is valid
fior 30 days from the date of the proposal.
GUARANTEE: 30 Year Manufacturer's shingle warranty and 5 year workmanship warranty under normal weather
conditions from completion date.
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Pv
THIS INSTRUMENT PREPARED BY:
Name: Century 9'6bfing"Specialist
Address: 881 S Hwy 17-92 Suite C-104
DebarV, FL 32713
NOTICE OF C®M EIUC.EIV9ENT
i 01111111111111! 1111111111 All 1111 1w E I'
IAV6i')1%IHE NOR:: Fr S1::11:1:H I,.E_ i. (.)l,ll'ITi I,
I i t. (il Eltt''i.li { a?l)I,'{ ,{BK
1,::: / CLERK-
6 ' 20160873-1.2 IE::
r )f l+i:a; irf J. r' i i.i.t', (! Permit
Number: Parcel
ID Number wl 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 f the property and street address If avariablei) L
11-61 t 1 W I 0 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Rer4c)
f 3.
OWNER INFORMATION 611 LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: 5
Z 7` Nameandaddress: Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name:, Address:
881 S Hwy 17-92 Suite C-104 Debary, FL 32713 Phone
Number: 407.393.8888 5.
SURETY (If applicable, a copy of the payment bond is attached): Nama-: Address:
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:
Century Roofing Specialist Phone Number: 407,393.8888 Address:
881 S Hwy _17.92 Suite C-104 Debary.FL 32713 8.
In addition, owner designates Sergey Orloy of Century Roofing to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 407.393.8888 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. lo
Signature
of Gwr3or or Lessee Sri oyyf &r sior Les vi Print Name and Provide Signatory's fii{e/Offce tt,
ift oPinzedr43,Ri riLl'veCtr r'itrieertyl na e,j _ A
State
of County of-'— The
foregoing Instrument was acknowledged before me this (C(- day of ft/t I„ - 20 by
L.. C'r C ° Who Is personally known to me O OR Name
of peron making 'slatom t who
has r''
I" k 4 M., t.,PPi P i e 3° .. 1 iEwiINDLI
BY
9
2916 I
CITY OF SANFORD BUJLDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 6 - 2 wl l
I, (z3y hereby acknowledge that I personally inspected
oof deck nailing and/or Secondary water barrier work
W ' at 2 CV L 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 stater understand
that making performance
of his or h, Section
837.06 F.S. /, Signature
of herein
are true and accurate to the best of my belief and that I fully false
statements in writing with the intent to mislead a public servant in the ficial
duty shall constitute a misdemeanor of the second degree pursuant to 9(
Ti( Date LC
C
2C9 Printed Name
f Contractor License # License Type:
General Building Residential'i_oofing Contractor ' or any
individual certified in accordance with F.S. 468 to make such an inspection. STATE OF
FLORIDA COUNTY OFF Sworn to (
or affirmed) and subscribed before me this :% day of p l , 20 by c l ,
who !s ally Known to me or has Produced (type of ; identifilb entification.
SEAL) Signat
re
of Notary Public State 7,'
Mt Print jype/
Stamp Name of Notkry
Public Michelle Quesada
NOTARY PUBLIC
STATE OF
FLORIDA Canm# FF966440
Expires 3/
1/2020 3 i