HomeMy WebLinkAbout111 Wornall DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
` PERMIT APPLICATION
F D
Application No: / (D' 3 3y(000
Documented Construction Value: $ 12159.53
Job Address: 111 Wornall Dr. Historic District: Yes ❑ No M
Parcel ID: 33193051400000060 Residential x❑ Commercial ❑
Type of Work: New ® Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: remove existing shingles & felt. renail deck per code. install rhino underlayment
& OC Duration 30 yr shingles per manufacturer's specifications and code.
Plan Review Contact Person: Debra Dean Title:License Holder
Phone: 407-330-7663 Fax: 407-330-7661 Email: ddean@proguardrestoration.com
Property Owner Information
Name Jason & Sara Vanmeter Phone: 407-810-5249
Street: 111 Wornall Dr. Resident of property?
City, State Zip: Sanford, FL. 32771
Contractor Information
Name Proguard Restoration Phone: 407-330-7663
Street:641 Monroe Rd. Fax: 407-330-7661
City, State Zip: Sanford, FL. 32771 State License No.: CCC1330234
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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. 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. 1 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 thiopermire t, themay be additional restrictions applicable to this property tho may be
found in the public records of this county, and there may be additional permits required from other governmental entities suct as water
management districts, state agencies, or federal agencies.
i
Acceptance of pcnnit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 7 3.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract i required
in order to calculate a plan review ebarge dnd will be considered the estimated construction value of the job at the time of i ubmitial.
The actual construction value will be figuied based on the currant ICC Valuation Table in effect at the time the permit issued, in
accordance with local ordinance. Should talculated charges figured off the executed contract exceed the actual consmucd n value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that On of the foregoing information Is accurate and that all work will
be -done incompliance with all applio* koys rnulnift �can.strpctlol):ond.zO]ging.
lab %b'p
Signobve of Owner/Agent i Date Signature of ContractodAgent Date
AMANDA THOMAS
MY COMMISSION 0 FF924613
EXPIRES October 05.2010
Aymt;r�A�entis personally iczlowrn So Me ,err
Produced IU Type of ID
P at atrnct / $ um
Sign h m of Notnry-State of Florida Date
AMANDA THOMAS
•,• • ' MY COMMISSION It FFM613
EXPIRES Octobor 05. 2019
��o�►�oso�a� I�nb .can
Conftu�lAl�Agei�t isftrson4IlyKr.ow to
Produced M Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical(D Plumbing❑ Gas❑ Roof ❑
Construction Type: I Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: i Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes.0 NO ❑ V of Heads Fire Alarm Permit: Yes ❑ No
APPROVALS: ZONING: ! UTILITIES:
I i
ENGINEERING: FIRE:
I
COMMENTS:
WASTE WATER:
Revtaed: June 30.2015 j Permit Application
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PROG, UARD RESTORATIOA
'v/tere %tafity Caines Tirse
1220 Central Park Drive, Sanford FL. 32771
Ph: 407-330-7663 • Fax: 407-330-7661
PROPOSAL/CONTRACT
Staid, Certified # CCC1330234
www.!proguardrestoration.com
Date
I
Submitted To J G SO A"i'
I J�
/�
Address 1// W0 r C111 Dr J;. City lc t- State! L Zip
7 7
Phi# L107 fi/0 1 I Email
i
Job Address
We Here y Sutlmit Specifications And Estimates For.
t emove existingroof to deck:_ �� f 1 Replace roof valley liner: t o
( eReplace all rotten or damaged wood Obi roo.� deck ( ) Replace roof soil stacks: o
(--'y x per LF: $ plywood sheet: ) Replace roof vents:- e—
1 %Replace roof underlay ent: lvo (1 Replace dr' edge, cplor: j,�
( 1 Replace roof. G e r r G _ Color. �t . woad X ,
ADDITIONAL WORK SCOPE / INFORMATION
C . , u ftp.: r, „ L : e nr%.e .,7 f ra
v
-A U } r e.'c 2t
ry + eg '
( )INSURANCE CLAIMS ONLY Ximy_q, rsod
Contract Amount:
I
All work scopo andlor costs specified In this contract agrecinem
to subject to or contingent upon the approval of Itto eustomors
insurance company. The undersigned furthor appoints PROGUARD
RESTORATION (hereinaller retorted to as *PROGUARD') no its
representative and permits PROGUARD to nogotiato with the Insurance
company for settlement of the Insurance clntm, it titeoo to a difference of
work scope and/or coats, PROGUARD rnny negotiate a reasonable
replacement and/or replacement coat mutually agrood between PROGUARD
A f3
V.S. Dollars (S
Payment to bo made upon completion or as follows:
and the insurance company. PROGUARD will not start until work to
approved by the insurance company.
INSURANCE COMPANY
All psymonts to be mado payablo to PROGUARD RESTOP
ATION only
{ACCEPTANCE OF PROPOSAL
Ttio abovo prices, spocillcntions anti condillons of this ontraci are Satisfactory and aro hereby accepted. I / wo have read And ur
erms and conditions located ort Ute back of I is doFumont / contract agreement. PROGUARO RESTORATION
(he after reforred to as " PROGUARO') audio tco tP do the work as specified and in accordance with the forms and condition
►latr"orts of this contract a r meat. yme 'vii made as stated abovo.
derstand
and
uthorized Sign ture
Print Na e - S
Title l omf w Atr Sales U%
0
Permit Number.
Fotio/Parcel ID #:—'Iii • 1 •00 o 444 LtM- CA:; itARYAiINE MRSEr SEIIINOLE COUR
Prepared by: Proouard Restoration CLERK OF CIRCUIT COURT d CO"P
1220 Central Park Dr. 8K 8822 Ps 1674 (1P9s)
Sanford. FL. 32771 CLERK'S 0 3016128489
Return to: Proouard Restoration RECORDED 12/12/2016 12:49:43
10-00
1220 Central Par Dr. ; RECORDING FEES
RECORDED BY hdevocevnre
cM Van 19e1WNO CE OF COMMENCEMENT
State of Florida, County oiup-ml J'1otetim
i
The undersigned hereby gives notice!thprovement will be made to certain real property, and In accordance
with Chapter 713. Florida Statutes, the following Int oration is provided In this Notice of Commencement.
1. Dp lonyjgoperty/tr I d jVj Utl l of tl e rt y, t treeettaaddr f/4�va3b )
2. General description of im Dvomont
RE -ROOF
3. Ownr i r atlon o L oo Inforn on It the essee contracted f�thomprovement
Nam
Address
Interest to Property
Name and address of foe simple titloh'older (if different from Owner listed above)
Name
Address I
4. Contractor
Name Proouard Restoration. Inc. Telephone Number407-330.7663
Address 1220 Central Park Dr. Sanford, FL. 32771
5. Surety (if applicable, a copy of th0 payment bond is attached)
Name I i Telephone Number
Address Amount or Bond 5
6. Lender I i
Name elephono Numbor
Address i
7. Persons within the Stato of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713:13(1)(0)7, Florida Statutes.
Name i Tolephone Number
Address I
8. In addition to himself or horsolf, Ownbr dosignates the following to rocolvo a copy of the Lienor's
Notice as provided In §713.13(1)(b), Florida Statutes.
Name i Tolephone Number
Address'
9. Expiration data of notice of com' mencomont (the expiration date may not be beforo the completion of
construction and final payment to the contractor, but vAl be 1 year from the dote of recording unless a
different date Is specified) i
WARNING TO OWNER: ANY PAYMENTS MINDE BY THE OWNER AFTER THE EXPIRATION'OF THE NOTICE OF COWIMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER.CHAPTER 713, PART I, SECTION MAJ. FLORIDA STATUTES. AND CAN
RESULT 1.4 YOUR PAYING TWICE FOR 114P,ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTVD 0 THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y'JUN LENDE50 f AN pr BEFORE COMPAENCING YORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
as
tr Or Lo@Beo, or Own00'@ Or 1.03600's AUihorl:ed OlflcorlDiraclONPoni
Instrument was acknoyvledped before me this q_ day
u,9.,
parry on
vas
Signature Of Notary Public -Slate of Florida I Print, typo, or @tamp oommlasioned namo of Notary Public
Personally Known �R Produced ID ,�;:tt%'6 Debra A, -bean eE b L
Type of ID Produced T 4 Y#Catgl153'rtNitEE070)96
+�e6►� t7PtF:5, FEB. 09, 2017 �� �� ►''�..� �`
o,�,M1ao tYrYW.ApI,lft•0 Cr°�L a
- .0
Form eonterlt revis6d;10/t7112 ����
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: I ot • 140 / (0
• 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 REQUIRED * * *
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.
ROOF
INSPECTION TYPE APPROVED RF-IF.CTF.D INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED RPJECTFD INSPECTOR
ROOF DRY -1N
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 Miscellaneous
Roof Dry In 116 Sheathing - Roof 106
Mitigation Affadavit 129 Insulation - Roof 119
Final Roof 111
Miscellaneous Notes:
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
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Page 2
Application Number . . . . . 16-00003306 Date 12/12/16
Property Address . . . . . . 111 WORNALL DR
Parcel Number . . 33.19.30.514-0000-0060
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 965509
Permit pin number 965509
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Required Inspections
Phone Insp
Seq Insp# Code Description initials Date
----------------------------------------------------------------------------
10-1000 129 BL29 MITIGATION AFFIDAVIT
10 116 BL15 ROOF DRY -IN
1000 111 BL03 FINAL ROOF / /
.N.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I �p — a sc p
i, Aej&o hereby acknowledge that I personally inspected
e oof deck nailing and/or T�econdary water barrier work
at I I I Wornw i r' 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:
ate.. .,4:D�
Signature of Contractor
ae6mL .A Sea N
Printed Name of Contractor
Date
License #
License Type: 0 General 0 Building 0 Residential 'B400fing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
-STATE OF FLORIDA COUNTY OF m 1 no I e
von to (or fi ed) and subscribed before me this day of"has
, 20 �_, by
f7L ed11 , who.is ✓personalK�r own to mroduced'(type of
id atio) as identification.
(SEAL)
Signat re of Motary Public
State of Florida
P-rint/Type/Stamp Name
of Notary Public
Revised: February 2015
UMAH�J
� LER FORTSOH
t�tc �° •' COMMISSION 0 FF 17037
' �}!,!►, L' 'F-'RF9 November 30, 20/8