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Home My WebLink About645 W 25 StEcov CITY OF SANFORD DEC 2 2016 BUILDING & FIRE PREVENTION ` PERMIT APPLICATION �Y' _-�� B ' Application No: w F '(" Documented Construction Value: $ Job Address: Parcel ID: Type of Work: Plan Review Phone: Fax: -� Historic District: Yes ❑ No ❑---' Residential r-1 ❑ Commercial ❑ Use ❑ Move ❑ Title: Email: Prhd.1 ia, d j,9 /,I,{' Property Owner Information Name Phone: Street: esident of property? City, State Zip: Co ractor Information (.� NameAJ0le--is, Phone: G O Street: Fax: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: State License No.: 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. 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: 51" Edition (2014) Florida Building Code Revised. June 30, 2015 Permit Application NOTICE: In addition to the requirements of (his permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and(h}ere maybe 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 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. Signatu a of Owner/Agent Date 1. - - Print Owner/Agent's a e ./ ( L 6 Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of 1D BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[-] Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: 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: Revised June 30, 2015 UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ 'No ❑ WASTE WATER: BUILDING: Q�_ I - F-16 Permit Application r CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVIs10N D 300 N. PARK AVENUE SANFORD, FLORIDA 32772 PHONE: 407.688.5150 FAx: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 16-3385 Date: 01/05/2014 Project Description: Flat roof Contact Name: Job Address: 645 W 25" Street Contact Email: andyland874amsn.com This is a general overview for code compliance in accordance with the minimum plan review required by the Florida Building Code. It is not a complete detailed review. The comments noted in this review must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal — changes in letter form are not permitted. All references to FBC Chapter I are as amended by City of Sanford ordinance viewable on our website at www.sanfordfl.gov. Provide two conies ofaffected plan sheets and/or sumkorental information as requested. Permit submittals will not be accepted without two copies. COMMENTS: 1. Two (2) copies of Florida Product Approval and corresponding installation instructions are required to be provided for the flat roofing product that will be installed. Product data sheets or technical data sheets from the manufacturer are not Florida Product Approval and are not acceptable. Florida Product Approval can be found at www.floridabuilding.org Installation instructions are printed from the specific Florida product approval. If installation instructions include multiple systems (such as Certainteed products), the exact system that will be used needs to be highlighted and only that sheet submitted for review. Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Office meelines with the plans examiner to discuss comments will require an appointment, arranEed by phone or email prior to arrival. Respectfully, Steve Fiorey, CBO Residential Plans Examiner N THIS iArRUM T PR RED B MARYANNE MORSE? SEMINOLE COUNTY Name: CLERK OF CIRCUIT COURT & COMPTROLLER AdcdIrress v SK 8529 P9 246 (1P9s) CLERK'S : 2016132165 S a e o Florida Arm&!COQ RECORDED 12/20/2016 03:00:47 FM RECORDING FEES $11.00 RECORDED BY hdevore NOTICE OF COMMENCEMENTS� �%?�) Permit Number Parcel ID Number (PID) UIQ - 50 —SU — �C CEJ `•' 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 DESCRIPT`I_O�NOF ROTY (Legal ascription oJllety an street address if available) OWNER II Name and CONTRACTOR 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 and address: In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Sectinn 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. 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 IMPROVMENTS 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. STATE OF FLORIDACOON F SEMINOLE OWNM SIGNATURE OWNERS PRINTED NAME "(NOTE: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be orm/ i�tted to sign In his or her stead." The forpqoing instrument was ackncffl~ before me this day of + �7�-�� vel r�' , 20 by C V) V v IA(SN v Ne k Who is personally known to me Namef person king statement OR who gas pr dtfg95k1(ientificati .. l% type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE T THE BEST OF MY KNOWLEDGE AND BELIEF. J� SIGNATURE OF NATURAL PERSON SIGNING ABOVE ^ 4110 Ot TSE C ttl R ANNE MORSE oG'If' CLERK THE CI RT AND— N COMPT OLLER SEMINOL I rrth r` 2 Q ZO16 r BY DEPUTY CLEf✓�( DORIS CASULLO MY COMMISSION # GG 039722 EXPIRES: February 17, 2021 Bonded Tluu Nobly Public Undslwritars State Certified Roofnr� Contractor Vc4 1326590 ,r /AnDy 0 t ' v iL 1LEa�ttg X�ii 3:D�zrk.d iorOver 23 Vtzys Office 407-321-1054 Cell Phone 407-314-0160 Andyland874@msn.com Ki Ht I •li Wi%�i►��j// �► CREW r r r I i LL Q I•' i' . L_ 1, t _. • :lean area of all trash and :stimated Work Completion Date / / within _day(s) from inception (weather permitting) n consideration of the said work and services to be done by the contractor, the homeowner agrees to pay the contractor ie sum of $ on completion of said work. 'erms:S as a deposit; and on completion of said work v e homeowner hereby certifies that t have read and understand this agreement, th t the terms and con tions a e m&ngth,,,"ofhav, been explained to him and that they ly understand them, that there is no understanding between parties verbal or otherwise than that contained in this agreement, and that the owner shall maintain no action on any v substituted contract except the same be in writing, and that no statements, promises, commitments or representations not contained in this agreement have been made by the :tractor, or any of his agents to 0 the same be reduced to writing and be signed by the contractor. It is further agreed that if the homeowner cancels this contract at any time ore commencement of the work, through no fault of the contractor, then the liquidated damages arising from costs and expenses necessarily incident to the business of the tractor in connection with this contract amount to the sum of 25% of the total contract which said sum the homeowner undertakes and agrees to pay forthwith. It is also said the contractor shall not be held liable for readjustment of satellite dishes. It is also said that the contractor shall not be liable for delays caused by strikes, weather conditions, :y in obtaining materials or causes beyond the contractor's control. The contractor hereby assumes no liability for any resultant damage to premises or materials located on nises from work herein contracted. It is also said that the contractor shall not be�liable for material delivery vehicles o� n homeowner's premises. moo 1 (j ,fitness whemoL the homeowner has hereunto signed his name this 2�"-` '�day of AtgerT drew S. ,%ones, Pres 0/ /2014 pied by CONTRACTOR Date Accepted HOMEOWWER Date tice• CONSTRUCTION INDUSTRY RECOVERY FUND. Payment may be available from the construction industries recovery fund if lose money on a project performed under contract, where the loss results from specified violations of Florida law by a State -Licensed Tactor. For information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the wing telephone number and address: 1940 N. Monroe St. Tallahassee, FL. 323990.487 395 sernce ,�• , ., rrzgic 074 East 20th Street, Sanford, AndvionesRoorina. com DORIS 0 MY COMMISSION 0 GG 0397,229 EXPIRES: February 17. 2021 awrdad Thru Nobly Publk Undswrltws Florida Building Code Online RECORD COPY Page 1 of 2 x- 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 155 ASTM D6509 SCIS Home 1 Log In ! User Registration ; Hot Topics i Submit Surcharge i Stats & Facts Publications FBC Staff SCIS Site Map Links FM 4474 Product Approvaldbpr USER: Public User PrOduCl Aooroval Mer�i > Product or A2ID iW i n rr > AMAcation List > Application Detail FL # FL2533 R16 Application Type Revision REVIEWED FOR CODE COMPLIANCE Code Version 2014 1-11 Application Status Approved PLANS EXAMINER —g—tcr Comments DATE Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 (610) 651-5847 mark.d.harner@saint-gobain.com Mark Hamer mark.d.harner@saint-gobain.com Mark D. Harper 18 Moores Road Malvern, PA 19355 (610) 651-5847 Mark. D. Harner@saint-gobain.com Roofing Modified Bitumen Roof System S;om'DINC NO D CAR'(ti #16-3385 Evaluation Report from a Florida Registered Architect or a Licensed Professional Engineer Evaluation Report - Hardcopy Received Robert Nieminen PE -59166 UL LLC 07/03/2017 John W. Knezevich, PE Validation Checklist - Hardcopy Received FL2533 R16 COI 2016 01 COI Nieininen.Ddf Year ASTM D6162 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6509 2009 FM 4470 1992 FM 4474 2004 https://www.floridabuilding.orc/pr/pr app_dtl.aspx?param=wGEVXQwtDgvwe... 1/9/2017 Florida Building Code Online Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Method 1 Option D 02/04/2016 02/15/2016 02/16/2016 04/12/2016 FL # Model, Number or Name Description 2533.1 Flintlastic Modified Bitumen Roof Modified Bitumen Roof Systems Systems Page 2 of 2 Limits of Use Installation Instructions Approved for use in HVHZ: No FL2533 R16 II 2016 02 FINAL Al ER CERTAINTEED MODBIT Approved for use outside HVHZ: Yes R16,Ddf Impact Resistant: N/A Verified By: Robert Nieminen, PE PE -59166 Design Pressure: +N/A/ -630 Created by Independent Third Party: Yes Other: 1.) Refer to ER Section 5 for Limits of Use. 2.) Evaluation Reports The design pressure noted in this application relates to FL2533 R16 AE 2016 02 FINAL ER CERTAINTEED MODBIT FL one specific system. Refer to the ER Appendix for all Rl6.pof systems and max design pressures. Created by Independent Third Party: Yes Back Nex The State of Florida is an WEED employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Stz Under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a public -records request, do electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. •1 Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with a address If they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To deterrr are a licensee under Chapter 455, F.S., please click here_. Product Approval Accepts: J��,pING C(edi. Card SAN�ORO Safe X16 https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDyvwe... 1/9/2017 TABLE 1E-1: WOOD DECKS—NEW CONSTRUCTION oa REROOF (Tw-OFF) SYSTEM TYPE E: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Base Sheet Roof Cover No. 7MDP (See Note i) Base Fasteners Attach Pty Cap (Psi) SElFAONHUrIGYYSi1i1rR: .. Min. 15/32 -Inch plywood at max Min. 1 -inch long, 12 ga. at nsn lapand Grinch N fouro SBS (Optional)SBS-SA W 24 -inch spans Flintlastic SA NaifBase Simplex Metal Cap Nails rW-48(Optional) spaced, staggered center equally P 52.5 rows Min. 19/324nch plywood at max. 32 ga., 1-5/94nch dia, tin &Inch o.c at min. 2 -inch lap and 84nch o.c. (Optional) SBS - W -49 24 Flintlastic SA NailBase caps with 31 ga. annular in three, equally spaced, staggered center SA SBS -SA -52.5 -inch spans ring shank nails rows Min. 19/32 -Inch plywood at max. 32 ga, 1 -5/8 -inch dia. tin 84nch o.c. at min. 24nch lap and 8 -inch o.c. (Optional) SBS - W -SO 24 -inch spans Flintlastic SA NallBase caps with 11 ga. annular in three, equally spaced, staggered center SA SBS -SA -60.0 ring shank nails rows Min. 19/32 -inch plywood at max 32 ga., 1.5/8 -inch dia. tin 64nch o.c. at min. 2 -inch lap and 6 -inch o.c. (Optional) SBS - W -51 W-51 spans Flintlastic SA NailBase caps with 11 ga. annular in four, equally spaced, staggered center SA SBS -SA -75.0 ring shank nails rows Min. 19/32 -inch plywood at max 32 ga., l -5/8 -inch dia. tin 4 -Inch o.c at min. 2 -Inch lap and 4 -inch o.c. (Optional) SBS - W -52 24 -inch scans Flintlastic SA NailBase caps with 11 ga. annular in four, equally spaced, staggered center (O SBS -SA .105.0 ring shank nails rows Hyasito svmms: Glasbase; Flexiglas; Flintlastic 32 ga., 1 -5/8 -Inch dia. tin W-53 Mm. 19/32 -inch exterior grade Base 20: All Weather / Empire caps with ga. annular 9 -inch o.c. at 4 -Inch lap and 12 -inch o.c. in SBS SA•H SBS -AA, SBS -TA 45.0• plywood at max. 24 -inch spans Base: Poly SMS Base; Ultra Poly ring shank nails n two equally spaced, staggered center rows or APP -TA SMS Base Glasbase; Flexiglas; Flintlastic W 54 Min. 25/32 -inch plywood at max Base 20; All Weather/ Empire Min. 1 -inch long, 12 ga. 64nch o.c. at 3 -inch lap and 6 -Inch o.c In SBS -AA, SBS TA 24 -inch spans Base; Poly SMS Base; Ultra Poly Simplex Metal Cap Nails four, equally spaced, staggered center rows SBS SA -H or APP -TA -52.5 SMS Base W -SS Min. 19/32 -inch plywood at max Glasbase: Flexiglas; Flintlastic 32 ga., 1.5/8 -inch dia. tin 84nch o.c at 4 -Inch lap and 8 -Inch o.c. In SBS -AA, SBS -TA 24 inch spans Base 20; Poly SMS Base; Ultra caps with 11 ga. annular three, equally spaced, staggered center rows SBS -SA -H or APP -TA -52.5 Poly SMS Base ring shank nails W-56 Min. 19/32 -inch plywood at max Glasbase; Flexiglas; Flintlastic Base 20; Poly SMS Base; Ultra 32 ga., 1 -5/8 -inch dia. tin caps with 11 ga. annular 84nch o.c. at 4-4nch lap and 8 -Inch o.c. in SBS -AA, SBS -TA 244nch spans p Poly SMS Base ring shank nails three, equally spaced,.staggered center rows SBS -SA -H or APP -TA -60.0 W-57 Min. 19/32 -Inch plywood at max Glasbase; Flexiglas; Flintlastic Base 20; Poly SMS Base; Ultra 32 ga., 2 -5/8 -inch dia. tin caps with 11 annular 6 -Inch o.c. at 4 -inch lap and 64nch o.c. In SBS -AA, SBS -TA 24 -inch spans p Poly SMS Base ga. ring shank nails four, equally spaced, staggered tenter rows SBS H or APP -TA -82.5 Exterior Research and Design, I.I.C. d/b/a Trinity IERD Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE -59166 Evaluation Report 3520.03.04-R17 for F1.2533-1116 Revision 17: 02/04/2016 Appendix 1, Page 13 of 58 1 City of Sanford Roof Permit Application Checklist �r aa Jl All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: O Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. D Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). O A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. O Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). O Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. _eel DEQ 1 U 20. rs CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: f , J U I, hereby acknowledge that I personally inspected 0 Roof deck nailing and/or 0 Secondary water barrier work at W4 and have determined that the work. 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. ,*-�rPAa 7A, Signature of Con a r Date Printed Name ot Contractor License # License Type: 0 General 0 Building 0 Residential U-6-ofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. TATE OF FLORIDA COUNTY OF ,%vorn to (or Wirmed) and subscribes M = of Notary Public Public Dy �l 1 before me this day of CIOQA .20 by who is 0 Personally Known to me or has oduced (type of as identification. (SEAL) W NRLTONA MOLT a me Notary PuNe Stets of Flodtle CommissW FF 908520 W omm. sow Ato 12,20% 3