HomeMy WebLinkAbout149 Wildwood Drt t1. lrmaa!
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SEP 2 2 2016
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I (.,, , d Co 0 -7
Documented Construction Value: $$6c c2
Job Address: 01 Cv (.fi r 6C C,Historic District: Yes [I No El
Parcel ID: .10- ab -5G - " r' ` Residential []-'Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: et kc"I'uQ_ C6
Plan Review Contact Person:
Phone:
Title:
Fax: Email:
Property Owner Information
Name 6 u_z,:a-X-,a e
Street: \4 1:31 C . t-cx )
City, State Zip:
z.
X=n -V 3-2-2
Phone:
Resident of property? :
Contractor Information
Name
n ` Xv a LL.
Street: Cflkg-' City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
State
License No.: __-?,4_ % 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: 5th 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 constriction 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.
Signatult of Owner/Agent Date
Su- , Kul R o r-NA
Print Owner/Agent's Name
A4*A, eil Ig lt,
Si ture of Notary -State of Florida Date
JUSTIN O'RILEY
VOTARY PUBLIC • STATE OF FLORIDA
COMMISSION # FF081653
EXPIRES 1/8/2018
BONDED TNRU t-9e6-NOTARYI
Owner/Agent is Personally Known to Me or
Produced ID T Type of ID DG,
Signature of Contractor/Agent Date
0—/
Print Contractor/Agent's Namt
Signature of Nota -State of Florida DateSigry
ROSE A SWTHQ. any.°La4.ct'
MY COMMISSION # EES71629
y° EXPIRES March 24, 2017
1 407) 33 00115' FloritlaNctaryservice.com
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
SFRI'/\G ("1 \'lR I1.
k7:t)RMA S1 15
1989
41,11"NIASI.tV M
Y1Adviffidge
nvofiug .
Roofill" Estilll attw: Juslin OTile%
Proposal Submitted i•orItc-rout ddre >
1-11) 1i ilduood Or t
i!\ sanford i ht. l.ip: 327`3 I.
nr:!il dr:un:rsuz n rahoo.com 6903
Partridge Lane t_
lrhmdo. VT 3280? Plimic: -
W 7-862-IMOF Fax -
aft"-(r R 3791 STATE
LIC. ri t (:'(.•11524 " l:
timattri's Cell Phone 1l: 407-415-585' 6-
29-16 i
Ic:tTri tell
407-920-:50011 ti )
1 Ii:'e I'
ll ....... ...... 1tl\:
rnta e itoolillti Inc. is dedicated in cornbinillo its resour es to ensure the Ilirhest (Iuali1% nft\orl:m utship and comtt
ittnc•ril. We ha\e familiarized all per•somicl %%ith project ctrltditions :iltd are t•anailiar »iOl :111 local buildintt ender. !'
lasat4: \t)tt tia)a tits A)pPort u11ity, Iintr:.:altl! aticrltiolt ill }nor pro&ss of chon,inij a gitaIiiicd contractor•. RE -ROOF
PRIi PI: I?.-177U \ Cmer all
plants and shrubtler% kith tarps to elintinatcdanla-ge and catch all loose trash and nails. Y Obtain
and post all neccssar} permit\ in accordance t\ith all local codes. lmol:lN(; :
S Y.v7.1 .t1 i% Itcnur\
a c\istirr' roof: Shin-gle roof Iu a\oo¢ ducking (Roof t\pcl. Single Layer r lte-
nail deck)n 1 per VI.. hurricane Litim-'ation Ri•quire Ill en(s. (2 ly(: -;IlaMh \ \11.N IA I.ltl r,•• I N R.i In."tall nea\:
28 S(T.:Ucltilerturat Shingle Rool•in accordance %%ith tvmmiraclurer's specifications :ald all local codes. If 001) li'(
llili o Replace dcfecled
acond at an Additional curt: $55.00 per sheet ph\iood X S-1.00 per Lin. Ft. plank ho:u'(s and la cia. tiniti:I) Price
Includes I.ahnr & Material. Reno\ a and
replace (1:ursaged sidirt". and Ilashim-, at upper :hle. i NDERL.•I
1•TI VVI)R h-P' A Install3(1»
Deck Protection (shim{Ies)Melt t\pe) throws"flout entire rooft Double hell). Insiall Peel &- `lick
Ic;tk Barrier in the folloaainf-, \ubrer:ab(c areas that apph (\:mvi*s. )'ca:•rr:nim.. X%all, -ilitl t h dirt '.i. EAi'h_• 1)
R1P:4 P FL, -1.S'1-lVV6W c\\ ew.e
dt•ifr - _28 _ Ipieces. Y Install ue\
a lead plumbing, hoots: '' i" I ttlstall rac\a \
altc\ .fuctal o\cr• peel and stick membrane: ill iO Install neaa
n.1shim , and counter Iloshirr!a around ehinat ey. r Install neta
f:dsricated chilnne\ crap. I'EN 11L.•
1I-1U\,('1Pd..1;V1RTER M/1 Y;LLN Y Install llo% shillt-
Ov orer rid'--c vents: btl Lin. 1 t. Y Install Iiip :rnd
ridtte cap shingles. 1110 Lin. ht. Install required sim-ler
shin„ les at esarc- i110 Lin. Ft. W I.in. ht.
Fula
11ced by: waft
111112M 13 =
F=U-- 00Phone: (772) 468-1818
www.SolarEnergyLoanFund.org JOB ('
041PLE17O:\ A ('lean
ill[)site
thnr•onghty rash (lny and rensrrve all job r•clatcrl debris front premises. Ill rb a joh site ftu any loose nails. r—
1{iil ir
t :dl neressar\—permit-incpcetiuns-(t'-Icasr-dn-not-rcasn\_r-anti-county-lser_nrit_tuslil_lival_i(Ieslians hnr r been _ completed). 11`HRKjj.;I:':
1Vl11P
HARR.•I.VT} AS ort:nrau 4aip \\
arr:anted n—ainsl Irat<s :and tiefcel for hi\ a k5) ti r. ar. from atnlr of completion. 1:nufachtrcr's shin
lc \\arranty applies It, nt:uet•iII%till ly.
DVA\"i",1(J" lt(K FIN—C; IN( . hcreh% propose to furnish lablir. ntaleriala. insuramre, pertftil fete•. dump fees, supers ision.
egItipIII ell I. tlualilied installers. and lases -- ctimlrlete ill aecorthItve «it h Ihr,homr sperifrt-Miotts, for the Hunt 01': Roofm
O iron #1 Opti on ion #2 Low Slope Flat Roo( Manufacturer
Warranty: Lifetime Manufacturer Warranty: Manufacturer Warranty: Manufacturer:
CertainTeed ` Manufacturer: Manufacturer: Color:
Style:
Landmark Arch. Shingles Flat
Roof: TOTAL
INVESTMENT: 8,500.00 Color:
Style:
Flat
Roof: $ TOTAL
INVESTMENT: $ 0,000.00 Color:
Style:
TOTAL
INVESTMENT: $ 0,000.00 Initial
t1` ' ! Initial r
Initial _ _
1 n .
r, :,+r:. ..r:, r :nt.!,.,n•..r;r,n, •,isle . 1, , , „ l Shmild
deftltilt Ise rout/,, in purnrrnr it/
Ihi% rurrlrui t. a'hur,d$ should he rrdrlcrrl front the dote' their tit tit a rate ill ! / '-•I perveill per mr.mllt. /8`,: pr'r yeutf n-ith or ntittillror» I'httr;
je It/ S '.r111 per want//, crml it phti ,'d in the !+ands tit trot Wh lrjl,..i js0r t dh'ilir+lr, rill alffirne,l,Jea.. legill rrndlili»",/eea droll be paid Is rvrstr+frre'
r ui re)rlin utill r(tuIt, it 1. PAYN1FVT I)t :
IN FULL AT APPROVAL OF FINAL ('OI'Nl'-1 INSPEUI• ONO ACC 1?I'
T.AIN('1' OF 11RO1't)SAL: Mile \N1 \l
I110HIZIA) tilti\ x rt ills: Justin O'Hilo I).% 1 r:: t,_,v-la I • i tt\
IhR ct(:\ \ I I Rh:: V11ve _1___ 1st - u:\
I I:: FVJ'R:`lti:
Estimate include. first S•t20,00 ttf stood cork. flti, :-,»nren ! wril'
nt., u•+res•Prte•rrt pnr,nemt th,'r,•!n n hilt. -rest i,hvetun;;,• I? .... fitt;.- lost !st•re:irwwr re rswi r! h• a.) tit,, '( er e,r `-t 'antrum " ittief Ow ,»,rest»err, i ,tamed Itereirt
nit the ,ill foe Wl,i,•rr f,, rill alt)'rapristle h1te,. re.vileoi»rre unit r,rdirwiv e, of ill, • to of I lotri!la .nr,f lit[ term, iconI t , :it fiti,s,;,. 1. 1:%"ifflinI:
rot 171-rutt," f wt,tifrrli!!tl f is La I,e( linrr. -/.t. fill l-"/,;• 7-. l7»riob) .17:aure i, tJr„$- - Wirt is it .,rt an I itir pro/rrrrI w-I,rw i!h• mai,'ristI, u,:.I it ,o.•t pw 6t lull have !
h,• rich/ to e•ertr,rrr, file -it rlofut ter prrt'ntvrti ! wiow roar properit. lhi ihriro i, ,(rant ri a, a , om Ntst (i; at tier,. If tnt!r ; nrNrrrr»rr or .uhrnr!p»• r»t tui!. for pits ,tth('
ortrrfit vor,. atb•,fib I ssnrrae7or,• ur ntutc•rinle sulrply ur nr',gire, ! 1f, m:eke• outer re! aiir required pstyn»7tt,, the pearly st' hi, IT I. er,:...I marl', list[ htui, it, or:ut pre,pertt for par
rr1,711. Pl en if t Ott have, paid f •our ,'ruurot'!»r too lull If Pun t,ril.ln ):rot' I •,ur e-mitrnrlor, !„ ur ewrtrwtosr moll a1,n. hate it licit !,n t»urproperit l ;it, I'll I'll
if a Bert i, fihvf I'll re,tir pr,gwrn it t wld he , old'I'(aifug'i nr will its it'll Got I'll ..r. ltrttfvriah, or rrther „•rri::r, It art rrPit r ( witrat mr, or kit hi war,r,'!ur tlw, ha! r• t?iled to
poi. 17r,ritlu , wwrm ri»u lien l,r,,- i, rstnrpte-e and i, reranrnt [,sled that trhw»^ ,er a t1re':'ilre' pr»hleru rtri.,e,. vmt Owold ;,,.ai,tolr sort au»nmt i!1 ( "ntlr , t,1
ar,• strbjer I its aplon,val »/ our ereitit deparinwitr aril ojfi, tUnau ,-,v, "plimr. /7rs` per,»n •'.tie•, lilin;., thi, ttrowl must »hhriu rh,* apprn al r» ;b, jiver rot Ilrrinrnpar+r low
this r»rNrtn'! In he ellt'rtice render arri etrrditiottc. i. 77ri' . mirpitni >Itu// hill":
W, re y,nn.il,7ltfr ,franc drunst re Jrant lire. f miadii, Kina$tnrur, or ether po•rih. a$ h molmall; r,attr'nrpfah'!1 For he a,rte•red h; 11"Ine,ntt o, in,urpnre or rut/r,$
a Specified nvilt'tr a-.oree'nwest he onaile thereftrr' pri„r t, , wwneni emew of iftr' x'nrA. ( ompur,t ,hill +lei 1:,' reliuhlr f ur ladure ,,/ perrnrtnanee, clot,, re, luhor t
aulrn rise, c, errtkr,. fir.,%• tche•rtter, ire ethilin to nhtrriot tr tireeridh.tr!!nr tiara/ ,»im eN. r•/ still wber , ir, toutstunt',', het --id the ;'oni—i hr eanr/atom, tvertih,•t ,
tj st witilrrr r,r di.S,inrifor matire. 147$ of tired rriirl, all +•arrant r , "tIs, "tall Proof be held respwnilele hor rttrlane or/ rrn,/d dmna:•r. 11witilarurrer'% s,•urrimn a) meek 1„
maleria/r. I: t'lumi r will Prior he re,p»q..ihle tir dlire ,nor , ravkS, uth'r., anti t"b" f a»i'h. a, Ill mittertal Jrn, In he
re nrlered to re irvenrd ho'mtse at t'etttiPlirrlitvt hr Ili. ; rnhrftn't titer• will he o rtib?i kitty j ." equtrl 1:: tttenty fire perem i s i •, rr1 tit, ru»trut't pns.; . If lice.
r».uraet is vim, elled litter than three ides', free rasa miter. lh;, <rtihwjer ,hall /=rri !o the I empuas fu cillr lirey,r•r wt i :'..,i o1 th,::.wttu, r prit-e it, liquidated duntu,,e•
S. era aS or penal[:: and the.crruq+,uer »;; see, to, tt, i cpr snrl, rot :•sea„» laid.• roost! jrtN <:-mp.•u,mi„tr 1,11 $;list roomm,, lfuri'm S. MIA I0\7il it I
I t\'I B/. 1-1%(1;1LlY?1/loc i, WtIRKINt7t.tfIll:\(1:1) 1( '/;pl't:)'ttf T1't1 n'1111'71:\ Ir;RUJI1 to ol'77//r 1,7117-11. I h--I+ti'"!Tpre.!•rrnrrhrrr,-
clot/,,/
nrnt.--nr-afhrr.•nrnnnmtrttlu»rnnr-nvith•»-r•!rtlless-a-r:ertrnrrar-»;;rev-to-tile-iit-tuater iaJ:-»»d-+tot-rrfna J-•+n-L,t_e•nhrr'-pans..-arts!-dr.-n,a __—__.__._.___. anvil'" (he e.4', IrRnn o1
thi, ,want/. fit,, ,'tnmttim it tint r'.vpmteildr Ji!r rarrstru, tin? pr„ftlt'rrn rot t 1wr it!gns3
THIS INSTRUMENT PREPARED BY:
Name:
Address: i n
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: I O-Qt3 -- 730- SGc-A
i i tt still 11t{ {{{t Itltl tell Itll
MARYANNE MORSE? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 5772 P9 1537 (11`9s)
CLERK'S s 2 j16099595
RECORDED O9/22/2016 03:25:54 F'I'I
RECORDING FEES $10-00
RECORDED BY ,ieckenro
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 of the property and street lddress if available)
2. G.N ERAL DE IPTION OF IMPROVEMENT:
L -f
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: V'ujA&&u k gw-NjUt 144 W' kj -Wnik brift SWJ-'yri:L F L 32.113
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: <Acx-'--tft`itC L ) 15 L i (Lk-& ILA- &- —Phhlone Number:
Address: Qfl`v t.1i-U i iia n. Q no- 0
5. SURETY (if applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER:
Address:
Phone Number:
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.
nl.,--- Phone Number:
8. In addition, Owner designates 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH .YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
n 1
d4Q'
4..% '• a v
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) 04• 1"'
z <
Authorized Officer/Director/Partner/Manager) 'Cq
Qe a 5FG`
Bntii'C
m
e%
State of t o Jh County of
The foregoing instrument was acknowledged before me this
by j V Z, -A n.4-- k a..r&&
Name of person making statement
who has produced identification Wtype of identification produced:
JUSTIN O'RILEY
VOTARY PUBLIC - STATE OF FLORIDA
COMMISSION # FF081653
EXPIRES 1/8/2018
BONDED THRU 1-SM-NOTARYI
L1J
L
L/)
day of"'" o o , 20 t 4
w F
Who is personally known to me OR Z o
U o
Signature
LUH
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 14q L6 I O—Cr--8- "f- `x=y 'Pk -
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.floridabuilding.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
Description
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
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
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
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"°S
Please Print)
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including 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
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
Other
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: i1 2. ( 0 J
I, hereby acknowledge that I personally inspected
1113 eof"deck nailing and/p_Q--Secondary water barrier work
at L;__)DQCJ >if SliA Qn-v,-_6 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 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
Section 837.06 F.S.
Signature of Contractor
Printed Name of Contractor
Date
License #
License Type: General Building Residential Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OFF 1, tom ._
Sworn to (or affi ed) and subscribed before me this 3 _ day of ---J 20, by
VLV ASS , who is.-8-Personally Known to me or has b Produced (type of
identification) I as identification.
SEAL)
Signature of Notary Public
t;ft_e of Flor' a~;
Print/Type/Stamp Name
of Notary Public
ROSE A SMITH
MY COMMISSION # EE871629
i ysn,. EXPIRES March 24, 2017
407; 39MI53 FloridaMotaryService.com