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Home My WebLink About103 Holloway CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: fo- 5(DO 6 Documented Construction Value: $ y.(ogS • QQ Job Address: p3 \4bAcN, 4,4 Cr. 454,kP-ons ,F! 3'd'7'll Historic District: Yes ❑ No ❑ Parcel ID: 33-%ci -30 •- SI5- OCOO -- t7a S a Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: �2-L`'s�p�t,�-ft�aL. RGA00y Plan Review Contact Person: `- C ,, M, -Z) Title: OtJ %-x is t2_ Phone:Llto'l Fax: %1iCSl, 8'A- t4w3 Emai1:C� i 1,i,.DW6s QMCM Property Owner Information Name �b-'SO s �-'t-�^►•�stA— �v Iw►o t..s�s Phone: g -• 9'5 t1" g % %9 Street: 1 01b 1&e\\0 Resident of property?: d W w4E f— City, State zip:gA--►C=o" �t'-L• �''a'�r1 j Contractor Information Name dftG -S;L-LC- Phone: "40-1 -•'I 3a - i?A(0Gk Street: 1 uU S 'i1 r�L6 91. 4A-, QkI Fax: Up-) - $1 &- Lk V-+3 City, State Zip 50*KV ottfl , S -1-32X-772 I State License No.: =C V5 501P ra Architect/Engineer Information Name: Street: Phone: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: .f Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME\'TS 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. 1 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 105.3 Sball be Inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Q� 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a pian 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 OwnedAgent Date 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 • %' �b Sigliaturc of Co lor/Agem Date Print Contracw Ateot's Name It 4k lv Signature of Notary- c of F RM FW 0 FFM Eltpitet ; diiuDiilly 11,10 am" onAM Contractor/Agent is - Personally Known to Me or Produced 1D Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures. Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: COMMENTS: Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: ReviwJ: lunc 30.2013 Pennit Application Central Homes Work Authorization for Property Repairs Instrtictions anti authorization for• the restoration of }your propert y I �n G �, (�IVeli QV)✓ 0,6 hereby hire and authorize Central Homes, LLC. To perform repairs on my property located at, /03Y�I✓ City ��✓1�� rd State zip per the scope of repairs provided to my insurance company I'm- Policy F11140 4x5991, Date of Loss and Claim S i' 01-0000 I further authorize my insurance company to release payment direct to Central Homes, LLC. for the services that are performed in conjunction with the above insurance claim. Should the insurance company require direct payment to me, I hereby request that the name, Central Homes, LLC. be added to the draft that will be sent to me in payment of said claim. Assignment of Benefit Form I hereby assign any and all insurance rights, benefits, and proceeds under the above reference policy to my repair facility Central Homes, LLC. I hereby authorize direct payment of -any benel'its or proceeds to my repair facility, Central Homes, LLC. as consideration for any repairs mde by Central Homes, LLC. I hereby direct my insurance carrier 5 r. to release any and%II information requested by my reapir facility, Central Homes, LLC., its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurance carrier to my repair facility for services rendered or to be rendered for my appropriate property damage. In this regard. I waive my privacy rights. Dated this -f� Day of .fie %, 20i -j-, in City SQ4n Ford , State In signing this document I acknowledge that the scope of work to be performed and all contracts signed have been explained to me and I am in agreement with. Print Name:Xlnol- R%1jR.1f & lam1 `� tr-ti.o Date: /o _ 4 `Zo `b Signature: Date: l0 -g-Zo�6 State License CCCC-1330609 pacoda133@yahoo.com 144Dolgner PI. tl l9. Sanford. 1=L. 32771 407.212.6372 THIS INSTRUMENT PREPARED BY: Name: Etch-%%jrc- kf2- Address:,Lu1uS `Dotcac& L•46 Gt4- S.a.swntD 1, Ft- -e9-1t NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: 33' %9-'S0 -S 1 S -OCC N- 017 Sb MARYANNE MORSEr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8804 Ps 454 (iP9s) CLERK'S : 2016117671 RECORDED 11/10/2016 02:45:01 PM RECORDING FEES $10.00 RECORDED BY hdevore 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 O PROPERTY: (Legal description of the property and street address if available) L••DT Q S- �Aw►�L.,e. A VLV.,S - 9%4-a' -P Sb S 1 Pfv l5 2. GENERAL DESCRIPTION OF IMPROVEMENT: �EStO�si� u4` CLt: �tJOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: J E s V S *- {.�Nv�1v4- n V i w.0 W CS t \03 !kO \\'0W %A!.} Interest in property: OWv-LEtL Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: CE �T�iL1LtL ��vl t tcsLL-c- Phone Number. �-k 0-1''l "'y'o1 —1 a L., •a. Address: 1 LkUS o v.aE �L Q l • ddr-,A u 5,�V o- " , c L. S. SURETY (If applicable, a copy of the payment bond Is attached): Name: 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: Phone Number. Address, 8. In addition, Owner designates to receive a copy of the Lienors 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. G2�% ' - cJeSC1Sy � ►Z o n � (Soatm or Owner or Losseo.ars or Los"*'$ (Print a e ono o Sipnatorys TticlUMM) Auftdzed 0ff1cv r=WMannorfMaropor) State of IF L County of S 1SY11L a�►O 1 E The foregoing instrument was acknowledged before me this g day of � t1\) • . 20 b by LSVS I r ►- OVI WU WES Who is personally known to me 0 OR Norco or person making statement _ who has produced Identification typo of identification produced: y "T Dod 14wa? On R: r Notary slpnowro n It City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 1'03idle\\ow ,r T+ `3 Av kF-c)W E IXA-111 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.oro. 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 Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Desai tion(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 ID L L s �}y Underla ments S �n- Roofina 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 / Coatin Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 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 4:b -W�- � Applicant's Name "� tZyi..�C-x-Y►'��g-J (Please Print) June 2014 City of Sanford Building & Fire Prevention Division Re -Roof Permit Card OR PERMIT NO. /& 4* #1W ISSUE DATE: / !• / • / CONTRACTOR: C JOB ADDRESS: TYPE OF WORK: /013 ft /low • 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 Milijealion A,f idavit will not suffice as an alternative to receiving, -in inspection. ROOF INSPECTION7YPE APPROVED RFJEC'%En INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVF.I) REHiCTF.I) 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 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Roof Dry In 116 Mitigation Affidavit 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 . . . . . 16-00003000 Date 11/14/16 Property Address . . . . . . 103 HOLLOWAY CT Parcel Number . . . . . . . . 33.19.30.515-0000-0250 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 961276 Permit pin number 961276 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 10-1000 129 EL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / / CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: - t6 —3000 I, 12 �A y.r c �sc�� Lvn✓�J hereby acknowledge that I personally inspected X Roof deck nailing and/or 0 Secondary water barrier work at LO -3 \4D j`'D L) v4u CTS �4�a�oRda. G- �.-•3a "I-71 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. 57 Signature of Contractor Date cc (3 3E)� Oq Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential XRoofng Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF SE m % w.o (-t' Sworn to (or affirmed) and subscribed before me this QL I_ day of SOV 20 l G , by who is X Personally Known to me or has 0 Produced (type of idea ' c 'on) as identification. (SEAL) Signa f Notary Public State of Florida 0'�{ Davidt scan ue. 1� A -vi 0 �'1,t) rv�p Z "` ;►_ Commission 0 Fp949501 Print/Type/Stamp Name ry Public ,Fires: Jan ti of Nota Pu ti ....• Bonin thru 3