HomeMy WebLinkAbout315 Appaloose CtR-I
CITY OF SANFORD
2n16
BUILDING & FIRE PREVENTION
AUG 4 PERMIT APPLICATION
AD Application No:
Documented Construction Value: $
Job Address: (31 + WPO !X5C4 (f, 50 nfMd 0 31ahstoric District: Yes No
Parcel ID: '2-3 - 5zxv-ooCo.- I nl!:') Residential Commercial
Type of Work: New Addition Alteration Repair Dem Change of Use Move
Description of Work:
Plan Review Contact Person:
1' Pbone: 6 A 19 Fax:
n
Property Owner Information
4NameJaf: tr l ! Y l.r Phone: T"
Street: -3 l T a (* o l o o5i 4- Resident of property? : zU f ))w/
City, State Zip: S C1 i rd P
i
Contractor Information
Name JQS 1r u. v Phone:(4 6)J\ 300
Street:. FQ(.PS4 P) t D r Fax: Cy' dQ o4 t;G- -
City, State Zip: 1a 17\ J State License No.: ('C G 12,30(4SI
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Faz:
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: 51 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 befoundinthepublicrecordsofthiscounty, 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 requiredinordertocalculateapianreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 AFF E DAVIT: I certify that all of the foregoing information is accurate and that all work will
be dons in compliance with all applicable laws regulating construction and zoning.
signatureofowneriAgent Date igna ofCo act gent Date
M LCA
Print (wner/Agent's Name
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is
Produced ID
Permits Required:
Personally Known to Me or
Type of ID
l -
Signature of Notary -State of Florida Date
CLIFFORD S SNYDER
MY COMMISSION # FF -931019
EXplRes octot)ar 26.2019
Mat' 26 ilk RItvI N4rc BarvEon,tam
on cor gent 'isaily Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Building F Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Futures
Fire Sprinkler Permit: Yes C1 No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Permit Application
Revised: June 30, 2015
r
Sanford
Building and Fire Preventiom
Product Approval Specification Form
Permit #
I II /
Project Location Address ! i 1 C :SoOfGrd a 32-f,
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.floridabuildinq 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 rionoa Hpprovai +F
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 _
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
As halt Shin les L&LC - g
Underla meets
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 1
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Catejoryl-Subcategory Manufacturer Product
Descri t' n
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Com onents
Wood Connectors t
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 Ij 05
Please Print)
June 2014
Advanced Home solution
Construction Flim
i 121 S. orange Ave. 01526
RC -ROOF WORK Orlanac, Florida 341101
00IMli1il.1D"I" omplam AGREEMENT (Fax)
a)407-80.2577Fax] 4a7-7D4-ZS77
XPA CerdfW (tenavatar
WrWa State LktouN CRC6W97
I(GRC 0'210776
Advanced Home Solutions (the "Contractor") agrees to furnish all materials and subcontract its labor for the Below Im-
provements at the following address: 312
Cli<q , FL 373
for the Owners) ')c." -
Homeowners Phone v 11{ - J -S Owners Email "WsIr k h
Insurance CompanyClaim # .ST i CDS Sr<6
in AWELAnce with s s "ven w (Re-Roaf) t elte°a: •Rkr - Rer{ar • R- Replaet N- ar' D - neiue ' Cts' awN
1. Remove 1 layers of: -- & uttdeilayment. 1/addJNana! ro°jing tayers an faaerd ad Ydonv(c»ar+w fU aPPiY
2. Number of Stories & predomi itch
3. Provide permits, ices Rdce of Commencenment filin umpster fees and all applicable taxes• Do Noi Move l'bs0.M >Pg'`
4. Provide OSHA required safety & supervision.
S. Protect the surrounding Structure, tear -off & remove old roof to workable surface & re -nail roof deck with eight penny ring
shank trails. AA d anfiW= irm SMX0i by 1n araga k 0, mmWo-In alrht hatneowmL (flR1ai
T. Owner required to pay all rotten plywood at S 60.00/Shed. !x6 at 6.006 .F., f x8 or T&G at 5$.00IL.F.lrtaau twA
If rotten fascia is replaced & exxisting soffit is to be re -installed additional cost of $S.OQILY will apply.
Remove existing underlayment_l / S and instal) AA / 110 44 -
Initial
9. Remove ' ' & ittstall new I-112" or JZ 12" eave drip. Color: _ aA11e - Aw"", ff
10. RM & R .imney Flashing, Counter Flashing &Caulk L.F.
11. RM & R Valley.Metal or tee & Water Shield Product as requited by Florida Building Code. Install L.F.
12. RM & R pipe jacks &reseal: 1-112" x ?-.Y' x - & 3" x -,Z_ & 4" x -
13. Install 20 yr. 1 30 yr. / 50 r. Limited Life Time year fiberglass shingle. Qparade ro- 130 MPH W ad
initialColor,6.4• *fir c[__,___Manufacturer: Rm-v- ' 'l`
14. R new
15. &job site of llwork debris. P&ase be
awae
ventilation X -/ or
raution whim on Job site
ventilation
al"J's m 'l07-889.1224for any addrliowd clean W aesdtd
16. D & R existing nailed -or screwed --gutters - ". Total - L.F. with -•--• D.S. gutters will DgIbe guaranteed
against leaking or damage. The customer requests install of new drip edge over existing gutters? Yes _ or No
Customer request install of new dripedge at pool super gutters requiring D & R of screen enclosure? Yes or?Jo-
17. RM & R all dead valleys with: Granulated peel & stick.
18. RM & RS lighting rods L. F_ A separme estimare will be provided
14. RM & R ofall kitchen vents & goose necks with 8' L- or l0"- -
20. All existing static exhaust fans will be cleaned & resealed. Solar ---- Electric -- Gas , Fire . ^ Other: - - ---'
21. RM & R solar parols- pool panels ` water beater ---'-electric panels
22. Skylights: 2' x 2' e,• r 2' x 4'- Caps: poly --glass- Mounts: curb--41ush- .. Skylight Package: cap only -cap &curb -
23. LFlaslu , will be reused unlcas.it is required to be replacement. Addriinxat o:rwrtrapyty
24. The Contractor will coordinate by subcontracting the removal and reinstallation of roof related peripherals. The awnrr is mf r° atfattewrpi to centrad or caordiaare with any the sabwa"ctor ra do work mated 10 Ihh tonnaat
25. Owners responsibility to contact their cable or satellite provider to re -install equipment, Werk°tam coarser' *oidedijinstalted an rngj
27. _ - Year Workmanship Warranty is in effect upon completion, .Alarerial waPW'WP?PW--*dbP Mana£ari°nr
28. Emhanced Manufactured Warranty: 'Cer(AnTeed 3-8,tar (20yrs) .-$20/s.q. 4 -Star (50yrs) _ S25/s.q. tsetw.a.ay)
29. owner will be contacted several days prior to the dumpster delivery. LOCATION ..
30. al lYnn lnsnraflee Enttx eA W r requires advance payment prior to start.
After hours
Emergency tarping or board -up. Number - Size -^'-'`^ Cost
31. All Upgrades & Other Work to be requested must be in writing and request O1VlY through your Account Maoager
initial
32. Pre Coastructian Inspex tion completed on
Addendum Exhibit: "' or also see Xwfimau for Scop_:" Demo. Drywall Insulation lPaiWindgows, Screns.
I WAC ,=Plumb.;Restoration,;IGP,- Remediation. Work,_, Flooring_ _ ---Doors,- -
Zia l :6.1
A.) AILS 1-0k' (F'w44ed et A4Untmeat)
lmannte RCVS y, ` %xfrb ok4
S f 7 Q 1 r.) ordiwntt & tr.r 1, Paid wkea Incurred (M) t)
SnaurM reyutmd to pay tf rot in covets& Conea:ted YES
C.) Tad) Balaate Dun Gam RCV t d, C. A. E, F )
owed daductibte to be pard. cords wlkcled YES
Unpaid Amount by lnaurcr S
Iaaatedt aq - - """ "'"""""" nc. nnna aerratATr l
C-) Ist rtsar m Cb -1,
Paid by tta+aer wlk-lcd YES _.
D.) lasaraaa Depretlaaoe
s
Pahlbyim weaaededYES-
E.) Banraaa Seppte- s -
S
Paid by taws cotkctcd YES
s _
S
S _ St W. Dpori[S wlkctal YES-
2.) t) & t, CA, Rotten Wood & Addtnoea{ Werk s _
Paid ay Client of lnsusd.f and coD.W YES,
Pald by Company Yes.
S
TO OWNER: ADDITIONAL TERMS ARJE ON THF BACK. You arc entitled to a copy ofthe contract At the time you sign. Keep ieto protect your
rights. F.xeCltted in triplicate, one co which was delivered to, and receipt is herebyacknowledge.by Owner(s) on SI C 120 X
x)
G - I 1 (x)
Owner Stamture-F- Owner:Signature
x) ---
Contractors Agent Signature
Scann e iy-C-a mScann rr
Account Manager E aiS r
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 0V I.._
I hereby name and appoint: V eS w i G SO )M N W4061D.
an agent o£ A dvo n a- ttmc 010fiOn
Name of Company)
to be my lawful attorney-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 option):
p The specific permit and d at:.
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License 1
MA
STATE OF FLOKIUA
COT TNTY OF
The foregoing instrument was acknowledged before me this day of
200 , by who is o personally known
to me or o who has produced
identification and who did (did not) take an oath.
Notary Seal)
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
as
MY OOMM{SSION # FF931019
EXPIEti=S October 26.2019
I' `
0°`` ,`
1407) 39&0 53
FiWykSAo:e awice.ra'
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
as
1'i f 'i t`!??P I 3 hi`(r ',%:i11;i}ii i< t-tdi•i.
CI f;K E -T 2ri1'Ai I 'i`,6 -
This instrtpnxnt'pr` arcd by
hi t tIl -J,)tr, t l, f ill;: iii^
Name: Mon M h
Address;__ 115 r- "S4-, (-_: ll
NOTICE OF COMMENCEMENT
STATE OP FLO DA Peimit n: _ { /
Caurm aF -t;° 't., PARCU lD ti
Tilt Gilk'6ERSiGNED hereby gives notice that Improvements will be made to certain real property, and In
accordance with Chapter 713, Florida Solutes, the, NINNYIng Informa ion 13 provided In this Nollre of caulnu nconeat
1 Description of Property: (Legal dcscriptan afthc property
I General Description of Improvements:
3 Owner Name. L' i E i VN A, I 'J 8- L. f"" _
Address 3 r
interest in property:
Name Ar Address a(fee simple titleholder: (ifollier'than owner)
4 Contractor's Name: jC-j. l
Address: J`
r
5' Surety Name:
acknawtc¢ycd
Address:
6 Gender Name:
name of party on bcli3if of v ( L;pStrutncnt urs excett(ed) `'`
Address:
SEAT.)
Signature ftf 1sl Teary l'ublit:} S,tatry.tal viorida
n
I
7 Persons svithln the State of Florida designated 6Y'Owner upon w`ho
713.130)(a) 7. Florida Statues: Name-,
Address:
8 In addition to himself or herself, Owner designates
Florida Statutes: names
Andress:
9 Expiration Date of Natice ofCommencement
the expie'i m chic is I year f of date ofrccording unless a diffcrciil,kuc 11 NpcclhcUJ
I'llorle:
t'itantt:
Amount of Dond: S
Picone!
other documents may he served as provided by Section
I'liane,
to receive a -copy of She t.lenor's Notice as provided in +e.0lon
I`hone:
TO'O"',NER: ANY PAYMENTS Y THE OWNER A,rTGR Tilt's L•Xi'IRArt()N OF Tilli NOtICt: ()1' COMMI;NCEMI:NT ARF
Ft 713. PARTI, SECT 713x3, l'LUKiUA S7A'i`U'i`l S.-ANq'('AN RhsUt'i' 1N YOUIt PAYIN(i
A NOTICE. OF COMMENCE MEN1" MUST Itl RECIORDi"st) AND VOSTlir) ON Tur, 1013 SiTi?
TO OBTAIN VINANCINQ CONSULT WITH YOUR LIINUER Olt ANATTORNEY 1IFFORr
Ui° CUMMGNCI:Mi%N'i.
Under: penalties'pf per)aryrl declare that I have read the foregoing and thatthv facts stated in it are iruC to the best o(my knuwlWge and belief.
t
z-
Si stn a TiticJ(a(lit4SignatureofOiAuerora'vsti 's uii3nrizo i 6 rY _ .
OfTicct' t Director t Partner t ana(er ff ,
bcfitre me tt,ts t;, :lay of t %t J 2tt , bylieforegoinginstrumentwisacknawtc¢ycd
namcafparsnn)as,.. type.afauthority,,.,e,g.of ecr,tratce,attorneyinfaclyft+r g'
name of party on bcli3if of v ( L;pStrutncnt urs excett(ed) `'`
SEAT.)
Signature ftf 1sl Teary l'ublit:} S,tatry.tal viorida
n
I
Rrint, Typc or Stomp Cgnunisaionctl`'Nainc or Notary Public! 6
FERNANDO ROSARi4 I"crs<±noisy Known L or produced Idcntifit.ai6Stcii
MY COMMiSSiON # GG005135
EXPIRES June 22. 2020 a
40'1) 3913-0163 Elorid,111-1y'0rvlca,00m
Scpltmbcr 2014
9
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. U301 ISSUE DATE: ® ?4 am 1 140
CONTRACTOR:MOM me
JOB ADDRESS: i 15
TYPE OF WORK:
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 ROOF 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 Miti ate ion Affidavit will not suffice as an alternative to receivin3z a dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE 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