HomeMy WebLinkAbout120 N Park AveIECIEIVN
�t DDECr 2016
1 �
1 1 tt =_61,
Job Address: G O N t
Parcel ID:
Type of Work: New ❑
Description of Wor�_
Plan Review Contact Person_ /�
Phone: m=_ Z • -z2 Fax:
CITY OF SANFORD
3 & FIRE PREVENTION
PERMIT APPLICATION
pp 1111 cation No: �D 3�
Construction Value: $
Alteration ❑ Repair
Historic District: Yes YNo ❑
Residential ❑ Commercial
Demo ❑ Change of Use ❑ Move ❑
a 1>J
Property Owner Information
—Title: e• o OJ `- d_
C-0. C„pM .
Name -;2� V `" Phone: u ul (av1 7-3
Street: cl, IL Resident of perry? : y
City, State Zip: 4 L- Z't'i!
Name
Street:
City, State Zip:
Contractor I
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name:
Street: "� t V4
City, St, Zip: !s A -%J
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAX 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: 516 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application V 0
NOTICE: In addition to the requirements of this permit, there�mg` be'addiiional 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 ownereof the property of the requirements of Floridafteh Law, FS 713.
t. J
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executicontract 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 ,c pHance with all applicable laws regulating construction and zoning.
4 .'A��1..,,.;'f;
Signature f er/Agent 6ate Signature of Contractor/Agent Date
Print Owner/Agent's tame Print Contractor/Agent's Name
Signature 01 11 BIE BLANTON Signature of Notary -State of Florida Date
= MY COMMISSION 6 FF 178648
_-..ki EXPIRES: February 25, 2019
Bonded TAN Notary Pubk Undernritem
Owner/Agent is %—Ps' o ally Known to Me or Contractor/Agent is Personally Known to Me or
Produced 1D Type of 1D Produced ID 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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: IONING: UTILITIES:
ENGINEERING:
FIRE:
WASTE WATER:
BUILDING: �Z
COMMEN4��tr��'C
Revised- June 30, 2015 Permit Application
r:
ri
114
r%ls
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Rev. 9.14.2009
1 understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though 1 do not have a
ense.
1 understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
1 understand that, as an owner -builder, 1 am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that 1 may build or improve a one -family or two-family residence or a farm outbuilding. 1
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. if a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
AN
understand that, as the owner -builder, l must provide direct, onsite supervision of the construction.
1 understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
d materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. 1 am willfully acting as an owner -
V
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
1 understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
u
1
Lf
Property Add
1, 640.
and capabl
conditions
r?NJ , do hereby state that I am qualified
pvdn"g the requested construction involved with the permit application filed and agree to the
above.
-Builder
Form of Identification
(Must be Photo ID)
Date 171� (I
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
1 agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning re ulations.
1 am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. 1 also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.mytlorida.com/dbpr/pro/cilb/ for
re information about licensed contractors.
1 am aware of, and consent to, an owner -builder building permit applied for in my name and understand
.that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
1 agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that 1 haye`jirpyided on this disclosure or in the permit application package.
Licensed contractors'ari; regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result -of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Add
1, 640.
and capabl
conditions
r?NJ , do hereby state that I am qualified
pvdn"g the requested construction involved with the permit application filed and agree to the
above.
-Builder
Form of Identification
(Must be Photo ID)
Date 171� (I
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
A IVREW KUTZ
ARCHITECT
AR0006491
2019f PARK AVE
JAMORD FLORIDA 52771
(407) 415-6554
AKUR®GFLRRGOM
November 16, 2016
Building Department artment PERMIT #
City of Sanford
Sanford, Florida
�� rG
RE: Roof Repair i
120 North Park Ave
Sanford, Florida
for: A Bart Peterson
407 415 2121
Dear Sirs
I have inspected the roof repair at 201 Park Avenue and reviewed the roofing manufacturers
"Technical Product Data" ( copy attached). Approximately 250 sft. of the flat roofing on the building
was deteriorated and has been replaced. Where the roofing abuts walls, metal "L" flashing has been
installed, sealed to the walls and capped on the roof deck with the new roofing. The non corrosive
flashing extends over 8" up the walls and well under the new roofing. The flashing is sealed to all
abutting surfaces. Roofing edges not at walls have new eave flashing capped by the new roofing. The
roofing appears to be properly done and in accord with the manufacturers specifications.
An air conditioning unit has been installed with a new stand-off stand on the roofing and appears to
be adequately sealed and properly installed. The air conditioning unit wiring and refrigerant line
installation is incomplete and is temporarily held off of the roof pending permission to proceed. The
ac stand is missing some screws into the roof deck.
In my opinion, the self -adhering Certainteed SA roofing and air -conditioner installation appears to be
correct and code compliant, with the air conditioner installation incomplete.
OFFICE
Andrew Kutz, Architect
AR0006491
attached — Certainteed technical product data 3p, Certificate of appropriateness 2p, Photoprints 2p
A
X 61;t!eoIt
vej"�01'1 Product
Information
FA
FLINTLASTIC® SA NAILBASE
SBS MODIFIED BITUMEN NAILBASE SHEET FOR SA ROOF SYSTEMS.
Product Use. FLINTLASTIC SA roofing membrane is a premium, self -adhering SBS modified
bitumen roll roofing material suitable for use in accordance with CertainTeed specifications
for most low slope roof system applications. Refer to the CertainTeed Commercial. Roof
Systems Manual for complete self -adhered roof system specifications and application
requirements.
The FLINTLASTIC SA line of products is more than a single membrane, it is a complete roof
system designed for base and cap or base, mid -ply and cap roof system configurations. Use of
FLINTLASTIC SA NailBase permits complete mechanical attachment to nailable substrates,
preserving the integrity of the substrate for future tear -offs and adding additional waterproofing
performance capabilities to the overall system. FLINTLASTIC SA PlyBase is designed for direct
attachment to non-nailable substrates without fasteners. For larger industrial/institutional
applications, FLINTLASTIC SA NailBase or PlyBase, Mid Ply and Cap in combination represent
a premium roof system capable of meeting the performance criteria of a larger roof. Use of
FLINTLASTIC SA NailBase also adds to the fire resistance of the roof system, enabling UL
Listing of the roof system.
When using self -adhering roofing products, particular attention must be paid to storage
and handling, deck preparation, slope and drainage, and application requirements to assure a
successful installation and long-term performance.
Compliances FLINTLASTIC SA roofing membranes are manufactured on state of the art, dedicated roofing
lines specifically designed for the production of modified bitumen roofing membrane.
FLINTLASTIC SA NailBase meets or exceeds ASTM D4601, Type II Standard and
is UL 2218 Class 4 impact resistant when used in UL listed systems.
Refer to the current UL Roof Systems Directory, or UL's web site, www.ul.comClassified by
tars
g ' As to aUnaen Edemal
for the most current information on UL listin for FLINTLASTIC SA Products. Laeoralones. Inc.
Are Exposure OrdY
R 11 o D' • 39'6° , x 66'6' 62P3
�mens�ons.
Thickness. 1.5 mm
Weight.
84 lbs.
Coverage.
Two squares
Top Surface.
Permanent Film
Bottom Surface.
Sand
Reinforcement.
Fiberglass Mat
Tensile OVIN.
65/40 (MD/CD)
Elongation (%).
6/5 (MD/CD)
Packaging.
Palletized, Bands (20 rolls per pallet)
Applicable Standards. FLINTLASTIC SA NailBase is approved by Underwriters Laboratories
for use in various Class A, B, and C roof assemblies, ICC -ES (ESR -1388), Florida Building
Code Statewide Approval (FL 479), and Texas Department of Insurance (RC -47). Consult
www.certainteed.com/lowslopetechinfo for details. Meets ASTM D4601, Type Il. Certain SA
Systems are UL Classified as to impact resistance as described in the UL Roofing Materials
& Systems Directory (TGFU).
Installation Refer to the CertainTeed Commercial Roof Systems Manual for complete product installation
details and requirements. Below is a general guideline:
FUNTLASTIC® SA CAP SHEET
SELF -ADHERING SBS MODIFIED BITUMEN CAP SHEET FOR SA ROOF SYSTEMS.
ProdUCf Product Use: FLINTLASTIC SA roofing membrane is a premium, self -adhering SBS modified
Information bitumen roll roofing material suitable for use in accordance with CertainTeed specifications
for most low slope roof system applications. Refer to the CertainTeed Commercial Roof
Systems Manual for complete self -adhered roof system specifications and application
requirements.
The FLINTLASTIC SA line of products is more than a single membrane, it is a complete roof
system designed for base and cap or base, mid -ply and cap roof system configurations. Use of
FLINTLASTIC SA NailBase permits complete mechanical attachment to nailable substrates,
preserving the integrity of the substrate for future tear -offs and adding additional waterproofing
performance capabilities to the overall system. FLINTLASTIC SA PlyBase is designed for direct
attachment to non-nailable substrates without fasteners. For larger industrial/institutional
applications, FLINTLASTIC SA NailBase or PlyBase, Mid Ply and Cap in combination represent
a premium roof system capable of meeting the performance criteria of a larger roof. Use of
FLINTLASTIC SA NailBase also adds to the fire resistance of the roof system, enabling UL
Listing of the roof system.
When using self -adhering roofing products, particular attention must be paid to storage
and handling, deck preparation, slope and drainage, and application requirements to assure a
successful installation and long-term performance.
Compliances FLINTLASTIC SA roofing membranes are manufactured on state of the art, dedicated roofing lines
specifically designed for the production of modified bitumen roofing membrane:-
FLINTLASTIC SA Cap Sheet meets or exceeds ASTM D6164, Grade G, Type I.
Refer to the current UL Roof Systems Directory, or UL's web site, www.ul.com for the most
current information on UL listing for FLINTLASTIC SA Products,
Roll Dimensions: 3 9 W x 33'11'
Thickness: 4.0 mm
Weight:
97 lbs.
Coverage:
One square
Top Surface:
Mineral -Variety of Colors
Bottom Surface:
Removable Release Film
Reinforcement.
Polyester/Fiberglass Scrim Combination Mat
Tensile Win).
80/55 (MD/CD)
Elongation MO.
50/55 (MD/CD)
Packaging:
Individual Cartons (20 rolls per pallet)
Appncao/e stanaaros: ruN i t.AJ i it; sA t;ap is
approved by Florida Building Code Statewide
Approval (FL479), and Texas Department
of Insurance (RC -47).
Consult www.certainteed.com/lowslopetechinfo
for details. Meets ASTM D6164, Grade G,
Type I. FLINTLASTIC SA Cap White is an
approved ENERGY STAR' product for slopes
greater than 2"/12". Initial Solar Reflectance:
��►'
hLW&I WeathereWard
Ther al Emance 0.89 0.24
Thermal Emitlancc U.89 0.89
89
101co 11n41r111) Ip116
I u�an..al bluml4numr IU l,ry.,y
t o°u�il•ax ®
Cl ... ilifmim Irnvhuli,n IAm
fNRwfMa,n{fwnnl,u,sa "r Jnh,.w J,u .4u".n .�nwlWu d••A MNMP4su••
. Jn.r ,n Wl M�.,.. :...Mhr lh ,"i.l •h Aniu .. )ttl�•,..4 •'ra.l ,...ns.
0.27; Aged Solar Reflectance: 0.24;
Thermal Emittance: 0.89. Solar Reflectance Index (SRI) per ASTM E1980: 28.
•
Installation Deck Preparation: CertainTeed recommends the use of FLINTLASTIC SA NailBase in conjunction
ASK. ABOUT OUR OTHER CERTAINTEED PRODUCTS AND SYSTEMS:
EXTERIOR: ROOFING SIDING • WINDOWS • FENCE • RAILING • TRIM • DECKING • FOUNDATIONS • PIPE
INTERIOR: INSULATION • GYPSUM • CEILINGS
Unain red Corporation rrofcs;ional: 800-233•,,990
Ctil Boy rsnU .vww.ccnuinteed. curr> Certain ,Teed 0l
��all,•�• rc.l•?r. PA 191S2 �j i �,p
• ?1�•�.+ r.•r ; I i•; n.m-r-• ! f ... po mkn P. me,l .n ; 4 %. Cmir No 01%R1.11M
with all self -adhering membrane rocf installations on nailable substrates. Non-nailable roof
decks may receive direct application of FLINTLASTIC SA PlyBase or FLINTLASTIC SA Mid Ply
followed by FLINTLASTIC SA Cap provided the deck is thoroughly primed using FLINTLASTIC
SA Primer. It should be noted without the use of a nailable base sheet the membrane may be
difficult to remove if removal is ever warranted, and certain UL listings for the product may
not apply.
Product
Apply to Flintlastic SA NailBase, PlyBase and/or FLINTLASTIC SA Mid Ply working with lengths
Application
of membrane appropriate for proper handling and the same installation procedure as described
for FLINTLASTIC SA Mid Ply. Overlap sidelaps 4" and endlaps 6'. Selvage edge with release
strip is provided on Flintlastic SA Cap; position roll with selvage edge at the high side of the
roof. Once the first cap sheet membrane length is in place remove the top, sidelap release film
before overlapping the second length of FLINTLASTIC SA Cap Sheet. Stagger sidelaps of
FLINTLASTIC SA Cap a minimum of 8' from those of the underlying FLINTLASTIC SA Mid
Ply, and be certain endlaps are also staggered minimum 36'. At endlaps (or any overlap onto
mineral surface), use trowel grade FlintBond modified bitumen adhesive uniformly in a 06'
to 1/8" layer wherever an overlap exists to ensure an adequate bond. Cut opposing corners
of endlaps diagonally to avoid "T" seam joints. Use a heavy, weighted roller to smooth and
secure the membrane.
Warranties
CertainTeed offers a limited material Roof Membrane Warranty on FLINTLASTIC SA
roof membrane. Contact your nearest CertainTeed office for additional information
and requirements.
Technical
CertainTeed provides technical assistance in the design, selection, specification and application
Assistance
guidelines for all CertainTeed Commercial Systems. Architectural and field representatives are
available for consultation within each region.
Precautions
Do not attempt application if ice, snow. moisture or dew are present. Surface to be bonded to
must be clean, dry and free from any dust or deterrent to adhesion. Ambient temperature must
be 50°F or above. Do not attempt installation on roofs without adequate slope and drainage.
Storage and
SA rolls must be stored above ground, indoors, protected from the elements. Rolls that are
Handling
improperly stored or have been on hand for prolonged periods of time may lose their tack.
Do not attempt to install rolls that do not exhibit an adequate bond.
ASK. ABOUT OUR OTHER CERTAINTEED PRODUCTS AND SYSTEMS:
EXTERIOR: ROOFING SIDING • WINDOWS • FENCE • RAILING • TRIM • DECKING • FOUNDATIONS • PIPE
INTERIOR: INSULATION • GYPSUM • CEILINGS
Unain red Corporation rrofcs;ional: 800-233•,,990
Ctil Boy rsnU .vww.ccnuinteed. curr> Certain ,Teed 0l
��all,•�• rc.l•?r. PA 191S2 �j i �,p
• ?1�•�.+ r.•r ; I i•; n.m-r-• ! f ... po mkn P. me,l .n ; 4 %. Cmir No 01%R1.11M
CERTI:FICATE SOF APPR�OPRifA� ,,�ti," .ESS
�P RES R^ ��A. 'COaN 'B,,A�R"�
CSI � ; OAF `SASOFO10VP
3.00SK Pairk A ewnu.e'
JamvorCqa sv //%,;
.lT;
407-16.9-4-55,114'5 w�w�aatnf oar f I�.{o�u� r_HIP
�.� H!IS 1D�OC ,,,;M ENT M'US ; ;B,E, ,POSE NEPD' AT A,L'.L. TII , �..' U�NT-1;
-;L'NIM
ISSUED; TO DATE ISSUED;
B.artPeterson to 10; 2M
For
120', N: ParkAvenue
Sanford, FL: 32771
,P,#1v6-21,0S
IOAAOTE -EXPIRES:
Aprif 10; 2017
After th:e, fact :a.pproual; it re -roof approximately 224 square feet of flat !ro'of with n-ew
:bit
ec covering. Nod changes to' Abe : a.cle' to -any architectural details, an`d work, is, not
u sib:Ce fro I
he right oO way: pl:eted work are' altta,che,
l
Gh'nistine!D'OIton;, '41.CP
iHisto'nic'Preseruat�ion'Officers/,�Com'munifyy IPla,nn:er
Pleas e'be'_ advised? if is tFie owne'_r and/or agent's !responsiliility�to; notify staff, ofr any, potential' ch ges-frim,
NO, approved, CO -A, that -arise and .obtain. apprgval' Iprior to commencingf ,the cfianges, This Certificate of
/Appropriateness does -not ,constitute f nall development approval: The ;applicant is, ;responsilil_e�,f_or obtainings
all; necessaray/�permifs;,andi,approval's from appli_cabl'e�:departments_ before�initiating,:d`' :t!r pment:.
IS A�BUIL-DING'PERMITREQUIR._ED�FO :THE'iA � !11/,I� r, �'LIS�TE�ABO�UE??;AYES>O NO,
:Buildings Depart�m=n.� Representat�iue
APPLICATION # & 079
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If you have questions about application requirements contact the Historic Preservation Officer
at 407.688.5145 to ensure your application is complete.
General Information
VV 1 v 11 VVI III I IG VIC3 1 l 11 ✓IJII II.I CJI C 1 IQ IJl 1 V IJ 1 IJ IIID Cll d IVC C CJ CJ IV
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? []Yes [:]No
Proposed improvements will affect the following elevations: ❑✓ North ❑ South ❑ East ❑ West
Property Address: 120 North Park Avenue, Sanford, FL 32771
Property Owner Information
Print Name: A. Bart Peterson
Mailing Address: P.O. Box 1776, Sanford, FL 32772
Phone: 407-322-6123
Email: abart@stjohnsrealtyco.com Signature: A Bart Peterson
Applicant/Agent Information
Print Name: A. Bart Peterson
Mailing Address: P.O. Box 1776, Sanford, FL 32772
Phone: 407-322-6123
Email: abart@stjohnsrealtyco.com Signature: A Bart Peterson_
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT • THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN_A BUILDING PERMIT OR
DEVIATION FROM AN APPROVED CERTIFICATE OF APPROPRIATENESS WILL RESULT IN A STOP
WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO
ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND
ACCURATE TO THE BEST OF YOUR KNOWLEDGE.
A Bart Peterson October 4th 2016
Signature: Date:
❑ Yes, I would you like to receive emails regarding Historic Preservation and Community Planning within your community.
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used
to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
Re -roof approximately 224 square feet of flat roof with new bitec covering. No changes were made.
HISTORIC PRESERVATION BOARD - 300 N. Park Avenue - Sanford, Florida 32771 -407.688.5145 - www.sanfordfl.gov/HP
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INSPECTION SEQUENCE
BP# 16-3255
ADDRESS: 120 North Park Ave.
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Ins ection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
1000 Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
REVISED: June 2014
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
�• G R
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2"d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
SCPA Parcel View: 25-19-30-5AG-0204-0010 Page I of 2
eo Property Record Card
Vp� Parcel: 25-19-30.5AG•0204-0010 ]lFJJ_CC Owner: PETERSON A B III
�s+rxi,00uNrr.n�as Property Address: 120 N PARK AVE SANFORD, FL 32771
Parcel Information I I Value Summary
Parcel
25.19 -30 -SAG -0204.0010
Owner PETERSON A B III
Property Address
120 N PARK AVE SANFORD, FL 32771
Mailing
PO BOX 1954 SANFORD, FL 32772-1954
Subdivision Name
SANFORD TOWN OF
Tax District
S3-SANFORD-WATERFRONT REDVDST
DOR Use Code
17 -ONE STORY OFFICE NON -PROF
Exemptions
$600
Legal Description
E 56 FT OF LOT 1 BLK 2
TR 4
TOWN OF SANFORD
PB 1 PG 58
Taxes
Tax Amount without SOH: $2,172.07
2016 Tax Bill Amount $2,172.07
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2017 Working
Values
2016 Certified
Values
Valuation Method
Cosl/Market
CosUMarket
Number of Buildings
3
3
Depreciated Bldg Value
$91,881
$93,166
Depreciated EXFT Value
$600
$600
Land Value (Market)
$14,590
$14,590
Land Value Ag
$107,071
County General Fund
JusUMarket Value "
$107,071
$108,356
Portability Adj
$50,000
No
Save Our Homes Adj
s0
$0
Amendment 1 Adj
$0
$0
P&G Adj
$0
$0
Assessed Value
$107,071
$108,356
Tax Amount without SOH: $2,172.07
2016 Tax Bill Amount $2,172.07
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
Schools
$107,071
$0
$107,071
City Sanford
$107,071
s0
$107,071
SJWM(Saint Johns Water Management)
$107,071
$0
$107,071
County Bonds
$107,071
$0
$107,071
County General Fund
$107,071
s0
$107,071
Sales
Description
Date
Book
Page
Amount
Qualified
Vacamp
QUIT CLAIM DEED
8/1/2002
04508
0800
$12,500
No
Improved
PROBATE RECORDS
8/1/1991
02332
1452
$100
No
Improved
WARRANTY DEED
7/1/1980
01288
1899
$50,000
No
Improved
Find Comparable Sales
Land
ISQUARE FEET � 0 � Frontage 0 Depth Units 2918 $SS � Units Price Land Value 614,590
Building Information
#
Description
Year BuiltStories
Actual/Effective
Total SF
Ext Wall
Adj Value
Repl Value
Appendages
1
MASONRY PILASTER.
1948/1992
1
576
NO WALLS
$38.776
$54,232
Description I Area
No Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGO2040010
12/6/2016
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1(Q — 3 Z SS
ADDRESS: I'2 -w7 T+ 0*'V } P"—V. 04LVOJG
6&A� , IFL 3 -2--7-7
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: O W Aj `-vL
COMPANY / CONTRACTOR:
CONTRACTOR SIGNA'
(MUST BE SIGNED BY
A FINAL ROOF INSPECTION IS REOUIRED:
DATE:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF Q , C=1 00 I P
Sworn to and Subscribed before me this hday of oj-C 2017 by:
Aigi, S4? —&,4 h61 d; Who is 0 Personally Known to me or has D Produced (type of
identification) ���� i as identification.
44 OL6 61WO vild
gnature of Notary Public , `�,,,,,,,��
State of Florida r ANNETIE gip•'' )
' Nogry PIIIMC • ilhto of %worlds
Oo�Ilbtlon 0 60 OW23
PrintiType/Stamp Name MY O"M• Expire$ JIM If, 2011
of Notary Public