HomeMy WebLinkAbout113 Wornall Drti1 4tc'y S79
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Job Address:
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F DEC 2 7 2017
Documented Construction Value: $
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:/ ")' -J -) (.,eq qa
1 i S WM\A\A - TYY. SCW\ , —j 31-_JMistoric District: Yes No R
Residential N Commercial
Type of Work: New Addition Alteration Repair IJ Demo Change of Use Move
Description of Work: U-f -_ o o'c , p tt,e.. + 1
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name kJ' CTO'Y TO-rceS Phone: 00-4) 6 5r2 2-
Street: 113 PY• Resident of property?
City, State Zip: EL 3 2_-'Ll
Contractor Information
Name (!0)en12[e+e Phone: (" :2\) 3 3 7 — 33 1 Z
Street: 'Z.$ S 0?tC "k fAe G(VC 4- 50' — SlS Fax:
City, State Zip: 01\n vk o , 3 2 $OG State License No.: C—C C- _L $ 3 e
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'!' Edition (2014) Florida Building Code
Revised: June 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.
2,2/1q
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
Signature of Notary -State of Florida —_—r
DEBBIE BLANT N
I M' C041'115SIODJ A F"r 178648
EXPIRES: February 25, 2019
rv'4y. ionded Thru No!zry Public Undenvn.2rs
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID FT) L
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
FLORIDA LIMITED POWER OF ATTORNEY
BE IT KNOWN, that
Luis F. Quevedo with Complete Quality Roofing, CO (OBA:Revildor) has made and
appointed, and by these presents does make and appoint
Milton Valderrama true and lawful attorney
for him/her and in his/her name, place and stead, for the
following specific and limited purposes only:
To be my lawful attorney -in -fact to act for me, sign, and apply for building permitting with any cities and counties
In Orange, Osceola, Seminole, Volusia, Lake, Sumter and Polk.
To sign my name and do all things necessary so we can pull permits for
re -roofs as indicated in Notices of Commencement provided to this appointment and as Indicated below.
Giving and granting said attorney, full power and authority
to do and perform all and every act and thing whatsoever
necessary to be done in and about the specific and limited
premises (set out herein) as fully, to all intents and
purposes, as might or could be done if personally present,
with full power of substitution and revocation, hereby
ratifying and confirming all that said attorney shall
lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal
this _ D day of
Signed,/§ealed and delivered in the presence of:
r
Ofl,t•. YI C
Witness
Witness
State of Florida
ss.
County of u)
Ir
The foregoing instrument was acknowledged by me this
day ofI"
by = i t r i' c Q u v-<-o dc)
who islare personally known by me or who has/have
produced: 8L (3!(,r ( as identification and
who did not take an oath.
IPILY D^lPJSO l
K.- MY COMMISSION-FF103243
EXPIRES March 17, 2018
007) 396-0153 FlcridallotrySeRlce.com
My Commission Expires:
61) k
c l7x4Jvj// CIA. `L. -Px—
Notary Public {
Stat :OfvGt--
PERMIT #
City of Sanford Building Division
s' Residential Re -Roof Scope of Work
JOB ADDRESS: cry S a v\
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 4PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): W 06A
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OOFF-RIDGE (GE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:I2 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
S;GLE C`.F` l E FL# :5—L! 4 4 - Rt2
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS _-No PLAN REVIEw REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that
will be installed on the project.
A permit will not be issued without these documents. Copies will be made to post on the job site.
Projects located in the Sanford Historic District will require plan review and approval by the Sanford
Historic Preservation Board
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNERBUILDER) SIGNATURE: DATE: 12 L I
2875 S. ORANGE AVE
STE. 500-1515
ORLANDO, FL 32806
113WORNALLDR
Room: Roof .
DESCRIPTION QNTY REMOVE REPLACE TOTAL
1. Remove Tear off, haul and dispose of 26.46 SQ 50.79 0.00 1,343.90
comp. shingles - 3 tab
2. Re -nailing of roof sheathing - complete re- 2,646.00 SF 0.00 023 608.58
nail
Note: Damaged decking to be removed and replaced at a rate of $75.00 per sheet of plywood, or $5.00 per linear board foot).
This amount is NOT included in final total.
3. Roofing felt - synthetic underlayment 26.46 SQ 0.00 38.91 1,029.56
4. R&R Drip edge 300.00 LF 0.31 2.20 753.00
5. R&R Flashing - pipe jack - lead 4.00 EA 6.69 62.54 276.92
9. Flat roof exhaust vent / cap - gooseneck 3.00 EA 0.00 75.86 227.58
8"
6. Laminated - comp. shingle rfg. - w/out 30.67 SQ 0.00 202.12 6,199.02
felt
Lifetime Warranty - Certainteed Landmark
7. R&R Continuous ridge vent - aluminum 30.00 LF 0.80 8.03 264.90
5-year labor warranty
10,703.46
Room Totals: Roof
Line Item Totals: 113WORNALLDR
10,703.46
CLL
113WORNALLDR
12/18/2017 Page: 2
N 1111111111111111# 4111111111111111111111
THIS INSTRUMENT PREPARED BY:
Name: Luis Quevedo, Complete Quality Roofing,Co. l":I"If''i I I ll'T1._4.1 1 1Ef'li'il i_!: Gi3iJi l''
Address: 2875 S. Orange ave #500-1515 Orlando, FL 32806 i..;:-„°i'`. O ::iitGi..1.T.i' t::i)i..l(,'i CrMIF'TROLLER
i= ;; ''
CLERK I S „• 201 T12S7a7
r t. iJiii.:`i.: i.:'.-.
NOTICE OF COMMENCEMENT { ` ft ` `;'EI -+11,P '"'
Permit Number:
Parcel ID Number: 33-19-30-514-0000-0070
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 7 COUNTRY CLUB PARK PB 50 PGS 63 THRU 66 - 113 WORNALL DR SANFORD, FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: TORRES VICTOR & MARIA
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name: N/A
4. CONTRACTOR: Name: COMPLETE QUALITY ROOFING, CO. Phone Number: 321-332-3392
Address: 2875 S. ORANGE AVE #500-1515 ORLANDO, FL 32806
5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A
6. LENDER: Name: N/A
Address:
Phone Number:
Amount of Bond:
7. 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)(a)7., Florida Statutes.
Name: Phone Number:
Adrtress. N/A
8. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration 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 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.
I_ OWNER
wner or Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office)
Officer/Director/Partner/Manager)
State of:41ton k County of J
The fore oing Instrument was acknowledged before me this / day of , 20 1117
1 /
Who is personally known to me ORby j p Y _ ... r•
Name of person making statement y•t
who has produced identification type of identification produced:
HAMON NAVARRO l
Notary Public - State of Florida
Commission # GG 036705
6, My Comm. Expires Oct 6, 2020 Notary Signatu
1:
Bonded throe ph Natbnal Notary Assn' 4c
CITY OF
TgJ Building & Fire Prevention Division
RESIDEN77AL RE-R OOF A FFIDA VIT
RESIDENTIAL RE -ROOF ILNSPECTION AFFIDAVIT
NAILING.) SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: i 1 — 31 ADDRESS: l 3 U3oILN Alt . 2
I _ u i S 0 U CUC7 0 , 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 #: C-4 f 3 3 g
COMPANY / CONTRACTOR: C—CyM L 1 , C C7
1)91
CONTRACTOR SIGNATURE: DATE: 3 I 1 3
MUST BE SIGNED BY LICENSE HOL ER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
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 O QY Co
Sworn to and Subscribed before me this 14 day of " "C Plil 20 k?D by:
Antif"
v cDU Who is rsonally Known to me or has aroduced (type of
as identification.
SignatureoNotary Public
State of Florida
Notary Public State of Florida
li(di C'(1ea-L- b l Marco Aurelio Palacio Print/
Type/Stamp Name .per My Commission GG 174311 of
Notary Public a»dam Expires 01114/2022