HomeMy WebLinkAbout122 Pamala CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
NOV 2 2 2016 Application No:
Documented Construction Value: S ti
Job Address: �.a. �(li M aT 0, n t3 YA Historic District: Yes ❑ No
Parcel ID:�(1I Residential E Commercial ❑
11�
Type of Work: New ❑ Addition Alteration l� Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Kp-
Plan Review Contact Person: j11 A r
. �t��QLi i Title: � cQ%rrl��fl
Phone: -321, 71 3 41 Email:(' -h 1 r C(� Q �rna-3r(�A Mp i
Property Owner Information
Name ` { Phone: y C>) - 4 l) - a I q
Street:LOUVA%Resident of property?
City, State Zip: Say Q'r , �- B I
Name
Street:
City, S,
Contractor Information
Phone: 2i a 1- a: 6 a- 4-� 0 y
Fax: 1-1 a� - S� y - 3 S
State License No.: C.CC
formation
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. 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, beaters, 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: 5tb Edition (2014) Florida Building Code
""" Parmit Annfirafinn1�01 ,
NO-TICE: In addition to the requirements of thus 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 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.
l� r
Signature of Owner/Agent Date
�o t��i�� Qrt,7 •QJ�•L
Print Owner/Agent's Name
ON Q 1 -%k -i
Signe or Notary -State of Florida Date
-1''" wYX"t'•.. �_ ALFREDO AEN
MY COMMISSION # FF 974924
•'�'o�-'.A�. DUTIES: May Z 2020
flw ND* ftft undennf M
to Me or
Produced ID; Type of ID V,% fa, �a - k'4 -(04k-0
'm- ° a 11-11-1
Signa of Con etor/Agent Date
P_z Qs ��. ,t•
Print Con or/Agent's Name '\
YO T> :Ko -eh• II -11-16- of No -State of Florida D
--�tiv+w ALFREDOJAENMY COMMISSION
97
4924
EXPIRES: May Z 20; ci9nd
Bondad llru Nolan Pubk undenrrlien
Contractor/Agent is tonally Known to
Produced 1D Type
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: ZONING: UTILITIES:
COMMENTS:
Tinricm- T, -2n )ni S
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
THIS INSTRUMENT PREPgRED BY:
Name: DAY ROOFING INC
Address V
Y V
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number.
MARYANNE MORSE► SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8805 Ps 162171 (11"95 )
CLERK'S Y 2016118716
RECORDED 11/15/2016 11:25:42 AM
RECORDING FEES $10.00
RECORDED BY hdevore
ParcelIDNumber: i*-5U�•-0006-0(a(3,
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.
OF PIPERT.3f: (Legal description 91 the property and street address If available)
GENERAL DESCRIPTION OF IMPROVEMENT: 1 A
Zc� -;� 1<Q0c \ c )h \ n C'.t as :� C-1 S d1
Address: d- 7 r► 1
Fee Simple Title Holder (If other than owner) Name:
Address:
CONTRACTOR:
Name: DAY ROOFING INC
Address: 730 MAITLAND AVENUE ALTAMONTE SPRINGS, FL 32701
Persons within the State of Florida Designated by Owner upori 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 Lienoes 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 appcified)
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.
Under p aloes of perjury, I declare that I have read the fore n that the facts stated in it are true
es of m
yy knowledge and belief.
Owners Slgnsture ars Pdntod Name
Florida Statute 713.13(1)(9):' The owner must sign the notice of common mant and no one else may be permitted to elan In his or her steed'
State of '' County of sacla�:Dljz ,,11
The foregoing Instrument was acknowledged before me this l day oA)0,aQ^ 6aN . 20 (O
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N' by "�\,,A A T1 Ag c 21-0--A K e iro'C Who Is personally known to me p
'o IIIll l l lll1f" t,� Name of person making statement r `,
who has produced Identification type of identification produced:i�L 4J(A,- ��� — ?� 7' - �o�� -0
A1(y ,
• - ALFREDOJAEN
G WCOMMISSION t FF 974924
I U Il t.1 `�i " EXPIRES: May 2. 2020Notary Signature
Bonded TW No* POW Underwriters
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SEMINOLE COUNTY MOLT/%UR/SD/CT/ONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 11/22/2016
I hereby name and appoint: AIIceli Guzman
an agent of: Day Roofing, Inc.
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
❑ All permits and applications submitted by this contractor.
Or
21 The specific permit and application for work located at:
1317 S. Park Ave. Sanford, FL 32771
(Street Address)
Expiration Date for This Limited Power of Attorney:
11/29/2016
License Holder Name: Yenifer M. Panizo Reyes
State License Number: CCC1329833
Signature of License Holder:
STATE OF FL IDA 1
COUNTY OF 1rn to n1 Q•
The foregoing M"*irQ-v-
ment was a n ledged bef me this 4R L- day of (5 VQ-Vh 62 r\ .
20__, by \ QS- who is 0 'personally known to me or
D who has produced as identification
and who did (did not) take an oath.
mpx QA" --�n (-�' VX
Signature of Notary
(Notary Seal)._
ALFREDOJAEN
+:• i ' eoneea
Th, WWRM Wemtm
r � .
lC,QA 4 V) -
P nt or type Notary name
Notary Public - State of 1' 10Y
Commission No. a y
My Commission Expires: \ Y1at a. c' QA0
730 Maitland Avenue Altamonte Springs, FL 32701
Office: (407) 557 - 8533 24 Hr. (407) 810 - 2757 Fax: (407) 574 - 3563
(321) 203 -4704 License 6 CCC 1328833
SALES CONTRACT
Day Roofing, Inc.,agrepp to furrdshtill materials and labor necessary Lo dgthe modernization work at the folldift address:
In accordance with the specifications given below:
ANEW CONSTRUCTION im REROOF REPAIR
PITCHED ROOF _
OLDROOFTOWORKABIESURFACE. �-iILRR U
Pq
ROOF DECKWITH RINGSW WK NAILS.
®REPLLACEANY ROTiENW00DWITHSTANDARDSHEATHING @$5.00PER LINEAL FOOTANDS75.00PER SHEETOFPLYWOOD, IFANY
_INSTALLROOFING UNDERLAYMENT NAILEDTOWOODDECKWITHSIMPLEX NAILS.
eS
TALLSECONDARY WATER BARRIERIPEEL N STICK ROOFING UNDERLAYMENTTOENTIREROOFDECKSURFACE.
TALLNEWVAU.EYMETALINVALLEYSANDREPLACE FLASHINGAS NECESSARY.
TALLNEWLEADBOOTSOVERSOILSTACKSAND REPLACEALLPURPOSEVENTS.
INSTALL PROTECTNECOVERSOVERLEADBOOTS@S50.00EACH.
L�� EAVEDRI AROUNDTHEPEROAETEROF�TQOF � I
LGMST � FOR ATTI�Cb�R�VENTILATION. —�oA,
�CLEANIJPANDHAULAWAYALLRELA DEBRISANDLEAVEJOBSITECLEAN.
LUCONTRACTORWILLCOORDINATETHE REMOVALANDREINSTALLATIONOFROOFRELATEDPERIPHERALSSUCHAS(Bt)TNOTUMITEDTO)
SKYLIGHTS,SOLARUNITS,T.V. DISHES,ANDIORAIRCONDITIONERS, ETC.SUCHCOSTISADDITIONALTOCONTRACTPRICE.
LOWSLOPEDORFLATROOF
_REMOVEOLDROOFTOWORKABLESURFACE.
_RENAILROOFDECKWITH RINGSHANKNAILS.
_REPLACEANYROTTEN WOODWITHSTANDARD SHEATHING @$5.00PERUNEALFOOTAND$75.00 PERSHEETOF PLYWOOD, IFANY.
_INSTALL UNDERLAYMENTHAILEDTOWOODDECKWITHSIMPLEXNAILS.
_INSTALLSWR/PNSUNDERLAYMENTTOENTIREROOFDECKSURFACE.
_INSTALL NEW LEAD BOOTS OVER SOIL STACKS AND REPLACE ALL PURPOSE V ENTS.
INSTALL—PROTECTIVE COVERSOVER LEAD BOOTS @$50.00 EACH.
_INSTALLEAVEDRIPSAROUNDTHEPERIMETEROFTHEROOF.
_INSTALL COLOR:
_CLEMW PAND HAULAWAYALL RELATED DEBRISAND LEAVE JOB SITE CLEAN.
1111 CONTRACTORWILLCOORDINATETHE REMOVALANDREINSTALLATIONOFROOFRELATEDPERIPHERALSSUCHAS(BUTNOTUMITEDTO)
SKYLIGHTS, SOLAR UNITS, T.V. DISHES, AND I OR AIR CONDITIONERS, ETC. SUCH COST IS ADDITIONAL TO CONTRACT PRICE.
I.k:0e1Waoanaettteboamamde@t0b`I Lce�wll.oaMyA�.a' . 11m/."O' I dMrCnnOm"pbem &Wbe
bow I IdeamrboWto �i/YE Ip"Ar�wdrabnrieeOgWOWdaPrbVb�bObbmOtdOoomMh
LibadaaoalendeoeeddtaabmOtaNY W boomebba,aoeoeDerV.bcaoiibAl/ePPomd.rape0.�4r0oi0�brwOb/ee
eaoraeaowofteift.
LYMmbpbOraI bbeaDaaoam�eAmmWiamppmlWltlj .b0em�pMeOee
.11amoddtbeneppbdmdbiesrdae ogeabbMa696sarpdSder.leiOrmdbmiirW eAabpw.eddCodmd
dbor, ,e/oo bbempbJOedbvat0owbdbb oomW
Contract Prke
E ('!3za.37-4
Permit
s leear-TRn
Subtotitl
40% Deposes
BALANCE DUE $ --�RG10.00
(PlusTotalbomwood
repiscedendMand#11 /�
UPON COMPLETION OF ROOF INSTALLATION XM1/�
S"P�iP.r+I.i� �1W-io�'1-e Ir•d.�I��
`-°--"PA-y-
ExXuted Ian duplicate,o Icypy, one copy of which was delivered to, and receipt 1s hereby acknowledged by Buyer, thb�� day of
Approved and Accepted:
NOTICE TO OWNER
a. Do not elan thlb lame Improvement corrtraat In Wank
b, You — Ontrlred to a copy WOW contreot at the time you sign. Keep Rio; your Ap
V,&
Sal n0 Purchaser Sign Here
kv A IR Q��r
Officer's S WnatuPurchaser Sign Here
ypr/01/2212015
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 12a `famtlt. Lw�
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval npmber(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 Podda Approval #
Oescrl tion include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Sin le Hun
Horizontal Slider
Casement
_
Double Hun
Fixed
- -
Awning
Pass Through _� . .. ..... �,_
.,..�.. .. . _ .... _
PT''ected-
Mullions
Wind Breaker
Dual Action
Other
Juno 2014
Catogory / Subcategory
Manufacturer
Product
Description(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
L —
Underla ments
nt 0 1,0 -
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
_
Roofin • 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
Category / Subcategory
'
Manufacturer
Product
Description
Florida Approval #
include decimal
5. 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
Wali
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
-
Applicant's Name
(Please Print)
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I �R — 2:) l 3
I, hereby acknowledge that I personally inspected
Roof deck nailing and/or C' Secondary water barrier work
at10! r.�► ►d'(A 11 LLU(�,1 Y 1" �5 ,' ji (�r01 7c�,) I l 1 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 .S.
° 6
Sign ure Af Contracto Date
r W - Pan i f'�C
P ted Name of Contractor i License #
License Type. D General D Building 0 Residential XRoofing Contractor
D or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF, 1 nnle- •
Sworn to (or of med) an subscribed before my this _� day of J t?nPXYI_ er , 201k p by
who is in
Known to me or has D Produced (type of
ifft. ion) as identification.
d (SEAL)
Signa ure of Notary Public
State f' F(ori
aojQK
Print Type/Stamp Name
of Notary Public : � " ' AVRMJAEN
W COMMISSION 0 FF 974924
EMS: May Z 2020
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