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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 W cc 0 z z s o: i r ii 0 0 w at at P173 owi OtJ21Z-'- 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 r- F 1 co lr • A N I* O Z 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 Rw Wary Ptdlt IMdawlte� 0 3