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Home My WebLink About127 Wornall DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION YY Application No: Documented Construction Value: $ Job AddressdlVog l Lt Ppl yHistoric District: Yes [INo n Parcel ID: 33 -I q - 30.519 .6000 - 0140 Residential N Commercial Type of Work: New Addition ElAlteration Repair D4, Demo Change of Use Move IV Description of Work: IT-QobrrN§oF PRIM8Ry KdE LLM Plan Review Contact Person: Kr l Sh of I,i n-f - Title: 0PA (-f_ Adm I 1 Phone: — , —. i_3 Fax: Email: 1CL+ N wlca2 rnrJFr n tc; Property Owner Information Name & M 1111GHAE L Phone: 221 - ?i (O - 1q 2 $ C Street: _L21 KU(NA LL P P Iy C Resident of property? t5e tT City, State Zip: SANT-OKP R- 3%- m Contractor Information 1J Name Jbnaih" pOYgSl Phone: Street: 5, 1 a q ?Q V.rCON COR Qt— LN Fax: City, State Zip: 69,LAN20rFL -3aT5ag State License No.: CGt 133f 155 Architect/Engineer Information Fame: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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. 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: 5'h Edition (2014) Florida Building Code Revised: June. 30, 2015 Pennit 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 [CC 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 Nricr gent Date f im Print0%vner/Agent's Name' Xq s Signature of Notary -State of Florida Date KRiSTIN7AN ommissiony Commisugusi 2Owner/ n 19-ltawill or Produced ID _ Type of iD r(, PL r ature of Contractor/Agent Date ff,r" Print Contractor/Agent's Name 7-44-1101PW,Lt.^ 7 Signature of Notary -State of Florida Date KRISTINE LAND Commission # G6 20N My Commla§loft Expps 495WFW L— 'f_f '-fersonaily 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDIN Revised: June 30, 2015 Permit Application Nationwide General Contracting 5515 S Orange Avenue Orlando, FL 32809 Phone:407-773-1323 Fax: 888473-2030 Date: I p Contractor's Agreement f Certified Roofing Contractor: CCC1331155 property owner/agent), authorize Nationwide General Contracting, LLC to perform services at my property located at 12% LJ,rAA11 Pr Sn771 2. Assignment of Benefits: I hereby assign any and all insurance rights, benefits, proceeds, and any causes of action under any applicable insurance policies to Nationwide General Contracting LLC, for services rendered or to be rendered by Nationwide General Contracting LLC, By executing this document, 1 intend for all rights, bene- fits, and proceeds for services rendered by Nationwide General Contracting LLC to be irrevocably assigned solely and exclusively to Nationwide General Contracting LLC. In this regard, I waive my privacy rights. I make this as- signment in consideration for Nationwide General Contracting LLC's agreement to perform labor, services, supply materials, and perform its obligations under this contract, including not requiring full payment at the time of service. I hereby unequivocally direct my insurance carrier(s) to release any and all information requested by Nationwide General Contracting LLC, its representative, and/or its attorney for the purpose of obtaining actual benefits to be pail{ by my insurance carrier(s) for services rendered or to be rendered. 3. Authorization to Communicate: Owner hereby gives Owner's written consent to representatives from Con- tractor to speak with Owner's insurance carrier and Mortgage Company. Owner also hereby directs Owner's in- surance carrier(s) & Mortgage Company to release any and all information requested by Contractor or its repre- sentative for the direct purpose of obtaining actual benefits to be paid by Owner's insurance carrier(s) and/or Mortgage Company for Services. In this regards Owner waives Owner's privacy rights. Mortgage Company: R_whm Loan Number: 4. Direct Payment Authorization, I hereby authorize and unequivocally direct payment of any benefits for services rendered by Nationwide Genereal Contracting, LLC to be made payable solely to Nationwide General Contracting, LLC and shall be delivered directly and exclusively to Nationwide General Contracting, LLC. 5. Property Owner's Expense. Owner's aut of pocket expenses will be the deductibleand any upgrades requested by owner or otherwise not covered by owner's insurance. Date of Loss: Q/ I( Ll7 Type of Damage: dr"tLnQ, jojMg, in NJ Manufacturer: Product Line: Color: ; PROPERTY OWNER: micho'd Print d Signature PROP ERTY AG ENT: Printed Signature ADDRESS: — 1Z7_ n 11 D ( Sano-FL 31771 PHONE NUMBER: ( HM) K) EMAIL: 0/ q INSURANCE COMPANY: A Ln t 'L Ll POLICY NUMBER: ( n H 30.3 rt INSURANCE CLAIM NUMBER: G ©— 00 ti`b L TEAM MEMBER: Crn tb Wr Printed ienature THIS INWTRUPENTP RED Y: Name: Addresn. NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: 33 - 11 • W 51 q • oaao' o 1w0 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following iin}formatiton is pprovided in this Notice or Commencement. DLbT N OCPOUN7?2Y( Legal`duc lptiV—A- Sp prope0 rty and 5 stre t addruslablPA DESCRIPTION OF IMPROVEMENT: OWNER INFOJZMATION: Name: OCUALN , 1A10HAfA,, Address: 111 A42VAI-L Dl?- ANEW-2 4 ),R -711 Fee Simple Title Holder (if other than owner) Name: o 12 aS If Address: 'ZI Of 'I 'M K I (,U f V U-)1=• V 'r- L-4 v VtK '-A 1- I .U t" 1. 'Sot is-A 4- 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: In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b). Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is t 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. Under penalties of perjury, 1 decl re that I have read the foregoing and that the facts stated In it are true to the bestof my k dge n belief. f x k CN 2.--• J Y Oxnees six lure Owners Printed Name Florida Slalule 713,13(1)(gl: ' e owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State of r lof lack County of aranc — The foregoing instrument was acknowledged before mAls _ day of ri 20 1-1 by fV I )cn,-i-e 1 6 re ir(A Who is personally known to me Name d person making slatwh I OR who has produced Identification t.id type of identification produced: KRISTINE LAN T Commission a GG 23892 7; MY Commission Expires u° rAugust 23. 2020 GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2017125534 BK 9039 Pg 1134: (1pg) E-RECORDED 12/13/2017 09:06:39 AM 10.00 CITY OF S FORD Buildin & Fire Prevention Divisiong FIRE OEPARTM NT Re -Roof Permit Card PERMIT NO./77" J7"5 ISSUE DATE: 01 2 a to / 7 CONTRACTOR: r)A:A 001 W I • JOB ADDRESS: I & / I TYPE OF WORK: Re zo a, 4, PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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 REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 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: Inspectiong scheduled by 5:00 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 Final Roof Inspection Code Ill 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 s D'# PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOBADDRESS: 10 WNALL Oa 5ANFMY Ft, 3a111 STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNIIOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (N13w ROOF INSTALLED OVER EXISTING ROOF) DICK TYPE (PLEASE SPECIFY): C J__)C 1)-21, k I' EASIE NOTE: ONLY 100 SQUARE FEET OF THE EXIS7ING DECK IS PERA HIED TO BE REPLA(;IED x x ROOD VENTILATION: Q OFF -RIDGE *RIDGE QSOFFIT QPOWERED VI7NT QTURBINES SKYLIGHTS: O YES @ NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 - 4:12 4:12OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA P-RODucr APPROVAL SHINGLE Me FL## O METAL FL# Q MODIFIED BITUMEN FL## O TORCH DOWN FL# Q INSULATED FL## O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCIII•,S, PATIOS, ETC.) "IFAPPLI'CAHLE" ROOF SLOPE: Q LESS TIIAN 2:12 Q 2:12 - 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SH WGLF.. FL## OMETAL FL# Q MODIFIED BITUMEN FL# FORCIi DOWN FL# Q INSULATED FL# OTILE FL# Q 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 pennit 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 (Oft OWNER/BUILDER) SIGNAMRE: `y, _ FIRE INSPECTIONS CITY OF SANFORD 40.7.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . 17-00003757 Date 12/21/17 Property Address . . . . 127 WORNALL DR Parcel Number . . . . . . 33.19.30.514-0000-0140 Application description . ROOFING APPLICATION Subdivision Name . . . . Property Zoning . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1021302 Permit pin number 1021302 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF /_/ City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILIING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: n 3-7 s-1 ADDRESS: i wor YiG I I of I J o a+W) Don' h , 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 C C f 3; I 155 COMPANY / CONTRACTOR: W/ T dN NI p E o F I NO CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICEP A FINAL ROOF INSPECTION IS REOUI.RED: DATE: I //5- g 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 l ,Gl Sworn to and Subscribed before me this 5 day of Janwilu 20 _L by: JV y , G( r 091 . Who is EVPersonally Known to me or has Produced (type of identification) Signature of Notary Public State of Florida Print/ Type/Stamp Name of Notary Public as identification. Commission # GC: 23892 a_ i M. Commission Expires