HomeMy WebLinkAbout1204 S Oak AveOCT 2 0 2016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No: 8
Documented Construction Value: $ 91:
5
Job Address: Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair ® Demo Change of Use Move
Description of Work:
Plan Review Contact Person:
Phone: Y67 L-I& G 3o1- Fax:
Title: Q J OJ -
Email: % L-a r" P S /. r). <cuj
Property Owner Information
Name S//C.4
Street: Sc DA (-- 5t_
City, State Zip: V4
Phone:
Resident of property? :
Contractor Information
Name ss I OD 1 y`i
Street:3/
City, State Zip: OW mil. i -'29/7'
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.-
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: 5" 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 maybe
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
Print Owner/Agent's Name
Signature of Notary -State of Florida
Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID _
fG//rz
Signature of on ractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type 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
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: - UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Name:
Street:
Roger Facemire
4310 Pierniont Ct.
Orlando, FL 32817
407-657-9524 407-416-0306
Proposal
Phone:
929 qav 1
Job Name:
2,0 L/ k s-op-
City, State, Zip: Address:
q "J CQ
We harPhv riihmit .,,,A
Residential t-ontractor
CRC 0:_16344
Roofing Contractor
CCC 1326094
Date:
0Jy
We hereby propose to furnish labor and material to complete in accordance with the
above specifications for the sum of dollars
with payment to be made as follows:
Date:
Authorized Signature
Acceptance Of Proposal Signature
THIS INSTRUMENT P BARED BY:
Name: qgjs Q1YI
Address:
ff FF++
MARYANNE MORSE? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
NOTICE OF COMMENCEMENT RE ORDEI)vlO/20/2016 01:50:54 PM
RECORDING FEES $10.00
State of Florida RECORDED BY hdevore
County of Seminole
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Permit Number: Parcel ID Number L./^r1 ' M -'54& ' / `cozo
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 available)
GENE L DESCRIPTION OF IMPROVEMENT:
C , zy---
OWNER INHORMATiON:
Address: ef-01 y
1 4- /&,L zzx" 11-zft
Fee Simple Title Holder (if other than owner) Name:
CON
Nam
Addr
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 + TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR ECORDING YOUR NOTICE OF COMMENCEMENT.
Under pen" Itie f p ry, d fare that I have read the foregoing and that the facts stated in it are true
tot y byes k owledg d belief., ^
Owner's ig t re Owner's Printed Name
Flori tatule 713.13(1)(g * The owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead."
690,4
State of Ra County of U l Z4
The foregoing instrument was acknowledged before me this :7-d-3 day of ` 20 So
by / A SJ (21 CX Who is personally known to me
Name of person making statement % 1
OR who has produced identification type of identification produced: -
001ky pua, GRETCiiEN LEGENDRE
MY COMMISSION i) FF 165525
u EXPIRES: Ootobor 2, 2018
Bonded Thru Budget Notary ServicesAlFOfFp
OCT 2 0 2016
P187IR7-
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 ® www.sanfordfl.gov/HP
THIS DOCUMENT MUST RE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Anthony Sirica
for
1204 S. Oak Avenue
Sanford, FL 32771
BP#16-2841
DATE ISSUED:
October 24, 2016
DATE EXPIRES:
April 24, 2017
Approved to reroof house with Architectural Shingles — charcoal black.
Russ L. Gibson, AICP
Director of Planning and Development Services
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.
MISABUILDINGPERMITREQUIREDFORTHEACTIVITYLISTEDABOVE? YES NO
Building Departmeht Representative
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
n s:
I, t 4R)14 J 94, hereby acknowledge that I personally inspected
Roof deck nailing and/or VSecondary water barrier work
at .
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual
and have determined that the work
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
Sectio 7.06 F.S.
7
Signature o Contractor Date
Printed Name of Contractor License #
License Type: 0 General Building Residential !/Roofing Contractor
E or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sw to (or a med) and subscribed before me his 2,r7 day of 20 Z , by
who is >'-ersonally Known to me or has Produced (type of
identi rcati n) - as identification.
SEAL)
Signature of Notary Public
tate of Florida
P GRETCHEN LEGENDRE
Print/Type/Stamp Name * * MY COMMISSION # FF 165525
of Notary Public 1,,
EXPIRES: October 2, 2018
1 IOF F1.O\ Bonded Thru Budget Notary Services