HomeMy WebLinkAbout2420 Lake Ave3;
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CITY OF SANFORDDEC1720VBUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY: -
Application No:
Documented Construction Value: $ 7
Job Address: / ,(, , -144tcL=j (:::' Historic District: Yes No`
Parcel ID: ResidentialD• Commercial
Type of Work: New Addition Alteration Repair ®; Demo Change of Use Move
a
Description of Work: k All=
o
Plan Review Contact Person: , , '2 1 / Title: Q-u1 NJ"
Phone: t/CV14 0364 Fax: Email:
n
Property Owner Information `
Name A - S L LL Phone: hy2LZ !Z.
Street: Q 1, ;2-1 z0L Resident of property? : D
City, State Zip:
v tcJ0 /f P -7 62—
Contractor Information
Name Phone:
Street:
36
Street: 4310 iozc 4 0 Fax:
City, State Zip: 6)'t-0 State License No.: CC l O
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.
Signature of Owner/Agent Date Signature o Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Print Contractor/Agent's Name
jz-S l7
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is D-Personally Known to Me or
Produced ID _Y Type of ID Produced ID Type of ID
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:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
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 OWNER/BUILDER) SIGNATURE: zo'.11 4.`-- DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: , 'zo A ' `T A 'k-"
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (P REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
rr ^
DECK TYPE (PLEASE SPECIFYj : /
L
4 PLEASE
NOTE: ONL Y IOO SQUARE FEET OFTH EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: 40OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS:
O YES e NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12-4:12 40 4:12 OR GREATER O
TURBINES TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
C %. 1,A i A P-% FL# !Uq__ 'l -16 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#
SCPA Parcel View: 36-19-30-524-0800-0110 Page 1 of 2
Property Record Card
pa o Psa,tEA I
Ht {
1 Parcel: 36-19-30-52-0800-0110
Owner: SASSO PROPERTIES LLC
cw rxx.ci7c,rw'rt t>I7n
Property Address: 2420 LAKE AVE SANFORD, FL 32771
Parcel Information I 1 Value Summary
neSA._.... Parcel
36-19-30 524-0800 0110 - 2018 Working 2017 Certified j
Values Values SSO
PROPE OwrRTIESLLC — Val_ m.. ,.--__-
uation
Method
Cost/Market I Cost/Market Property Address
2420 LAKE AVE SANFORD, FL 32771 Number of
Buildings 1 1 i 1 Mailing P
0 BOX 621202 OVIEDO, FL 32762 .-- -a- -- ,. I Depreciated Bldg
Value l $68,169 $63 655 I Subdivision Name
DREAMWOLD 3RD SEC -. - ---- _. ._. Depreciated EXFT Value Tax District
S1-SANFORD Land Value (Market) $14,700 $14 700 DOR Use
Code 0802-MULTI FAMILY 2 UNITS i Land Value
Ag I Exemptions Just/
Market Value $82,869 $78,355 135. Portability
Adj
Save Our
Homes Adj ; $0 $0 Amendment 1
Ad/ i $4,332_---1 $6,958- P&G
Ad/ $0 1 $0 Assessed Value $
78,537 F $71,397 1PIO ti
sr ` Tax
Amount without SOH: $1,405.21 2017 Tax
Bill Amount $1,405.21 Tax Estimator
Save Our
Homes Savings: $0.00 Does NOT
INCLUDE Non Ad Valorem Assessments County GIS
is oeatinain
coum incuiieur U—N naia. _ .— Year Built__
Description Fixtures
Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective
1 ` 1981
6 j 4 2_0 1,748 2,128 ( 2,128 $68,169$82,131 Description Area http://parceldetail.
scpafl.org/ParcelDetaillnfo.aspx?PID=36193052408000110 12/27/2017
Per mt Nu berg ,
Folio/Parcel ID #: _j 9' • 3c> 4;7,6 D//o
Prepared by:
Return tos ,3iy i }Zn1
2FS7'7
f.i:'ri? 71.f1(_j_j_('i
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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 (escr ptiuonofP party (legal description ofte prroperty, a d str et address if available)
14
3.
J
Name and address of fee simple titleholder (if different from Owner listed above)
Name
4 Contractors
Naeahone Number+ L 7 (1`6G 5.
Surety (if applicable, a copy of the payment bond is attached) Name
Telephone Number Address
Amount of Bond $ 6.
Lender Name
Telephone Number Address
7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by §713.13(1)(a)7, Florida Statutes. Name
Telephone Number Address
8.
In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice
as provided in §713.13(1)(b), Florida Statutes. Name
Telephone Number Address
9.
Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording M
nless 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 L 1DER O @R1Vfv BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENC MEN re
s;t dew Srgnature
of Owner or'`Lessee*xo' p N Lessee s Auihonzed Office lD ecto/Partner/Managers Sign tory sTi e/OfficerThe
foregoing instrument was acknowled ed before me this ;Z` day of J21---7
by
for
mont—
i/ name of person Type
of authcwA Aignature
Personally
Known Type
of ID Produc g.,
officeEJcustee? attorney in fact Name of party on behalf of whom instrument was executed SHIRE
UtiA.i'S1 41i i yyF Print,
type, or stamp rn$d(nafdeibNoty Pbliq l*''
ZIAG5 30,2021 Mkt) E itiv
ts 11`f} LO €pia i
3y
D
fAiTY rLEft pt
117 Form
content revised: 01/23/14
Roger Facemire
4310 Piermont Ct.
Orlando, FL 3281.7
407--657-9524. 407-416-0306
I esiGentral t_orrtiraczor
CRC 026344
Roofing Contractor
CCC1.326094
Name:
S,4s P
Street:
Clty, State, Zip:
Proposal
Phone:
Job Name: .._.
Address:
We hereby submit specifications and estimates for:
Date:
I-A4
C .A 0 n !0 -1I v -//
I P L] 1 t / — J I
I
We hereby propose to furnish labor and material to complete in accordance with the
above specifications for the sum of dollars7S ) with payment to be made as follows:
5-0 9 Slf sue% 0W- k17a
Date: C'Z'S/
hL
Authorized Signature
Acceptance Of Proposal Signature
y } R
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ADDRESS:
I IRoct-c-p-_ Fit l 12;. , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFIN ONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
G9 GOING INFORMATION IS TRU4 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 #: 1 7
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: _
MUST BE SIGNED BY LICENSE
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: ` "3--,12-
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/
Sworn to and Subscribed before me this day of iL(L 20 ($ by:
R c) 01 / Who is rsonally Known to me or has Produced (type of
ide 'fication) as identification.
4"44nG' l
Ig ature of No ry Public
Sta of Floridan4 9&_ LaZlrN (/
Pri ype/Stamp Name
of Notary Public
VA44- IxDGAR LOZANO
MY COMMISSION # G0002212
EXPIRES June 14, 2020
407) 396-0153 FbridaN Sorvimcom