HomeMy WebLinkAbout1406 Bel Air Blvd (3)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 14. 3 c)E 3
Documented Construction Value: $ 'Dq D D- (Do
Job Address: 1 L40(i 66 Kir .8 V d • Historic District: Yes ❑ N O
Parcel ID: , Jk ",O1" , )1 -5)4"1 ODD— V11D Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: a -
Plan Review Contact Person: Q., j Ade cc Title: cofif f )c, Or
Phone: 901 _9W _ M Fax: Email:%G FC W*aA6PA, -Q0ft 1
Property Owner Information
2
Name .�� Phone:
Street: 1 Lnlo KA A C)NVO Resident of property?
City, State Zip: c��ro
Contractor Information ; L J
Name Phone:` 6-i to - 9qLA
w
Street: t "S' , d Y Fax: � 2
City, State Zip: 1 � I� . 2-- State License No.: C(I VJ J DL
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
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, heaters, tanks, and air conditioners, etc.
RBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51° Edition (2014) Florida Building Code '0J
Revised: Dime 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 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.
signature of Owncr/Agent Date Sign&m of Co tractor/Agent Date
Print U Agent's Name int /Agent's Name
UL6
SignaR6 ofWolaDy tate of Florida Date signature oft -State of Florida Datc
& ,;..aG�.,,, Leigh Wi�lick ,, � ¢��,,, w;h IIV'616
yrfv COMMISSION I FFU6539 �.
=�' 'yam= COMMISSION 1. FF146539
_+"'. "= CORES' Ju1Y 30�Y OM +� t EXPIRES' July► 30, 2018
Owner/Agent is P� ow�t�6►. � Contractor/Agent is KnVffl. "0URy-00V
Produced ID Type Produced ID Type t
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes[] No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
A k roo
dcoc fang
1405 S. Riverside Dr.
Edgewater, FL 32132
(407) 416-8405
Cavta'�ravadcockroofina.com
To: Email:
Wanda Middleton sweeter1032(ftmail.com
1406 Bel -Aire Blvd.
Sanford, FL 32771 Phone:
(407) 314-8079
JOB ESTIMATE
Date
11/3/16
JOB DESCRIPTION
Removal of all existing shingles to the deck surface.
Replacement of any damaged or deteriorated decking, trusses, facial, etc. and flashings at additional cost.
Renail decking with 8 penny ring shank as per code.
Install new Rhino Roof U20 synthetic underlayment fastened with plastic cap simplex.
Install new Tamko Heritage Series 30 yr. Architectural Laminated Asphalt Shingles fastened with 6 nails per shingle.
Install new 26 gauge painted drip edge.
Replace all plumbing.pipes with new lead boots.
Replace all kitchen and bath vents and ventilation vents.
Clean up all grounds and haul away all debris.
ITEMIZED ESTIMATE: LABOR AND MATERIALS AMOUNT
re -roof (apartment back of house) $ 2,980.00
Total $ 2,980.00
EXTRA COSTS
Bad Wood: $70.00 per sheet plywood
$5.50 per ft. 1X, 2X, facial, sub -facial, scab trusses, etc.
Bad Flashings: $5.00 per foot 4X5 L -flashing
PAYMENT SCHEDULE
Payment due upon completion.
WARRANTY
5 yrs. on workmanship
30 yrs. on shingle materials.
OTHER
Homeowner Name Contraddi Name
vv'&\�� I We-ft)N"'WILP 1�
Homeowner Signature Date Contract Signature Date
1 111111 11911 Nil 10111111111111411 ruili 1101
THIS INSTRUMENT PREPARED BY:
Name: Re Adcock 11;RYPiHNE MOF'SE7 SENTHOLE COUNTY
Address: 1405 S. Rtversde Dr.. Edgewater. f 32132 ::.£ftli O IRCUIT COURT %:::1]i1F'7'ROi_LER
GK 3803 P�; 60., i ."g-.}
CLERK'S v 2016117145
NOTICE OF COMMENCEMENT �:i:ol"tD4� 11/09121.116 11-2:10:40 AM
=':_CORV."i'S FEES %:40.17:0
State of Florida RECORDI.D 07 hdevore
County of Seminole
Permit Number. Parcel ID Number. 31-19-31-504-1000-0110
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
_(1406 Bel -Air Blvd.. Sanford, FL 32711) LOTS 11 + 12 BLK 10 BEL AIR PB 3 PG 79
& 79A
GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
OWNER INFORMATION:
Name: _WANDA MIDDLETON
Address: 1406 BEL -AIR, SANFORD, FL 32711
Fee Simple Title Holder (f other than owner) Name. N/A
Address:
CONTRACTOR:
Name: RAY ADCOCK
Address: 1405 S. RIVERSIDE DR., EDGEWATER, FL 32132
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)(b), Florida Statutes.
Name: N/A
Address:
In addition to himself. Owner Designates N/A of
To receive a copy of the Lienors 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 specified) 12/31/16
WARN)NG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, 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.
co
--ft
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
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O
to the best of my knowledge and belief.
cy
r,✓((,� %y��,/��,�r WANDA MIDDLETON
t•^�;`r++�
owners Signature owners Printed Nam
Florida Statute 713.13(1)(9): • The owner must sign the notice of commencement and no one else may be pemnitted to sign in his or her stead'
'; • � • r' � .` ,
State of 1-- County of
ii
The foregoing instrum nt was acknowled ed befor me this day of �n11�e r 0 l
�-
by \ Jv \lv��+�, j� f.Ql / Who is personally known to me
Name or person making statement
OR who has produced Identification
p ❑type of identification produced:
r
Signature
' Leigh Rd,
x= COMMISSION 0 FF146539
''�a°f
-
EXPIRES: July 30, 201r
v/ww,AARDNNo7ARY.Cotit
- I�li�v City of Sanford
Building &Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. , OUT %I ISSUED TE:
CONTRACTOR:_
.,A o�co a
JOB ADDRESS:
TYPE OF WORK:
• Post this Permit in a conspicuous place outside
• 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 a
ptj
PROTECT FROM WEATHER
* * * 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 Miti ation Affidavit will not suffice as an alternative to receivinQ a dry in inspection.
ROOF
INSPECTION TYPE. APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED 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 REOUIRED 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 Affadavit 129
Final Roof III
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
CITY OF SANFORD BUILDING SERVICES
• Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I b- *3c>
I, 1 hereby acknowledge that I personally inspected
U/ Roof deck nailing and/or Secondary water barrier work
at )qM fel -Air %nFord Q 3C, I I 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
Signa a of Coffmctor Date
o� C�CI� ► ���a��
Printed a of Contractor License #
License Type: 0 General 0 Building 0 Residential C Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COU F
Swgirn to (o of u�me ) and subscribed before� mff this J ti day of NeUr�N �t r , 20 �jo , by
who isX'Personally Known to me or has 0 Produced (type of
ide ti ion Al I as identification.
(SEAL)
Sign o otary Public
Sta of, !dm i
Printfl'y' Stamp Name
of Notary Public
1gUigh Wdck
= ;�= COMMISSION t FF14M
EXPIRES: July 30, 2018
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