HomeMy WebLinkAbout312 Fairfield Drh
l
t1o'ti 5 7-
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I T3 "1 G 8 Documented
Construction Value: $ 161 tQ S0Q OQ — Job
Address: IZ (2A;4+; J Qa.yo 594 E, &, 3V7!Historic District: Yes NVC Parcel
ID: Residential Commercial Type
of Work: New Addition Alteratio.4 Repair Demo Change of Use Move Description
of Work: K — k 0 o F Plan
Review Contact Person: To- cYl 1'Jti V&, LIE Title: o Rlc Phone: `rL'
t, O,S'Gz Fax: Email: 6 n Q SiV tUCl n v , UM Property Owner
Information Name Phone:
ff Street:?.,
ali
T lcZ ten! 2 Resident of property? City, State
Zip: I nlf
3Z-7 7 { a I
Contractor Information
Name `/1
nn 1'
okl1 'vyLJ Mgq, Idol t(S XVG' v i
Phone:
lC) iiZ 0_o'l_1 Street: I
I 004 T b6 W Dtc\l G Fax: City, State
Zip: o r 1 WA J% V. S1:l f!, State License No.: t.l 1 J2 603 3 Name: Street:
City,
St,
Zip: Bonding Company:
Address: N
R 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. 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 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of 1D
Sig ture of Con tr nt
01— Dat4*f;l
32> I g r
Print ntractor/Agents Name
r ?-- c
Signature of Notary -State of Florida Date
auur.
oolr" °oaANNETTE BLAND Notary
Public - State of Florida Commission #
GG 060623 rF
OF F M Comm. Expir s Jan 16, 2018 onfYac7tbY/
Agent is Personall own to Me or Produce
Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDING: . COMMENTS:
Revised:
June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: \ 2' 2a' `7
I hereby name and appoint: :5;6na rye 7 .
an agent of: \ V 1LSi {'S10 C A <3
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and
rapplication
for work located Sl2,
o Street
Address) Expiration
Date for This Limited Power of Attorney: License
Holder State
License Number: C-C c. V6&'7C) Signature
of License Holder: STATE
OF FL RIDA COUNTY
OF Din\-e The
foregoing instrument was acknowledged before me this `b day of e(Ym , 206
n, by cZZA - who is kersonally known to
me or who has produced identification
and who did (did not) take an oath. / n Notary
Seal) Y
Notary Public State of Florida Beth
E FishelMy CommissionGG153047Expires
10/18/2021 Rev.
08.12) Signature
r'
G1---7V "A Print
or type name Notary
Public - State of Commission
No.y5? 0M My
Commission Expires: 1 C) - L8. 2. as
Permit Number.
Folio/Parcel ID #
Prepared by: John(me
Da
Return to: 3715 Pe broo DriveOrlandoFL32810
1 111111111111111111111111111111111111111
GRf1NT t1ALOY, SENINOLE COUNTYCLERKOFCIRCUITCOURT & CONPTROLLERBK9026Ps729 (1F'ss )
CLERK'S 0 2017116947
RECORDED 11/2012017 10-59:1-13 ANRECORDINGFEES $11:.00RECORDEDBYhdevars
NOTICE OF COMMENCEMENTStateofFlorida, County of -
The undersigned hereby gives notice that improvement will be made to certain real gropewithChapter713, Florida Statutes, the foil wing information Is provided in this Notice of Commencement. 1. D on of roe Property, and in accordancerope
legal desert tion of the property, and street address if available) 2. Genera description of mprovement
3. Owner in ormation or LesseeInfor natl Name 4 ; 9 M `1 l won if the Lessee contracted for the IM12MWAMAmf Interest
in Property Nameandaddressof4.
Contractor 5.
Su (i-...vnan Name
fapPlIcalea copy of the pa Address
6.
Lender Name
Address
7.
Persons within the State of Florl a beservedasprovidedby §713.13(1 NameTelephone
Number 407922050) Telephone
Number Amount
of Bond $ Telephone
Number rated
by Owner, upon who notices or other doc FloridaStatutes. uments may 8.
In addition to himself or herself, O n11 ordesignates the NoticeasprovidedIn §713.13(1)(b), Florida Statutes_ NameTelephone
Number to
receive a copy haaress
IIIIIIlIIIIIIIIIIIIIIIIIIIIIll
Telephone Number 9. Expiration date d
notice of commencement (the expiration date will be 1 year from the date of reco unlessadifferentdateIsspecified) rding WARNING
ID
RED IMPROPER ANYPAYMENTSMADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULTE
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSJTEBEFORETHEFIRSTINSPECTION. IF YOU INTEND To OSTAIN FINANCING, CONSUL TEz*! AT T ORNFORE COMMENCING. WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The
foregoing Instrument was as
u %
J'J'L;anulreccodPartner/Manager acknowledged
before me this 20 dayof i i 111
ear Type
of authority, e.g., of8 er, trustee, attorney in fact fOr
store
of Notary Public — State of Florlda Personally
Known — OR Produced ID V TypeofIDProduced — , d lr uf c l Lro rug. a T
Form
content revised: 01/23/14 I i 0
WjAQ,-- Signatogr'
s Iltie/UMCe by
CI I,;, 1',
IIPc ram
of person Name
of party on behalf of whom instrument was executed Print;
type, or stamp commissioned name of Notary public ip
Notary Public State of Florida BethEFishelyj
ry W Commission GG 153047 Expires10/18/2021
Masimo Construction, Inc.
3715 Pembrook Drive
Orlando, Florida 32810
PROPOSAL SUBMITTED TO:
Cynthia M',k tc
ADDRESS
312 Fairfield Dr
Sanford,FI 32771
PHONE
asi ® Construction, Inc.
Roofing — General Contracting
www.MasimoConstruction.com] Office (407)922-0500
State Certified General Contractor CGC 1509548
State Certified Roofing Contractor CCC 1328033
Proposal Prepared by
James Norris - Sales Consultant / (407)-394-2585
WORK TO BE PERFORMED AT:
Coo, M
ADDITIONAL NOTES
Community(Celery Lakes
PROPOSAL
PAGE
Page 1 of 2
DATE
10/31/2017
Q 4t+. -et_ i
SPECIFICATIONS:
Remove shingled roof to existing deck
Replace any rotted decking — 3 sheets of plywood included ($70 per additional sheet)
Re -nail existing deck to meet uplift codes
Install 6" metal drip edge around perimeter of roof
Install lead boots to pipes
Apply Rhino Guard synthetic felt paper
Install approximately 38 SQ of shingles
Apply ASTM 35# glass base to plywood deck
Color: To be determined
Upgrade from 3 Tab Shingle to Architectural Shingle
Manufacturer of roofing system: GAF
5 Year Workmanship Warranty
Lifetime Manufacturer's Warranty
Remove all debris from job site
Obtain all necessary permits
Masimo Construction, Inc.
3715 Pembrook Drive
Orlando, Florida 32810
IRVAlasimo Construction, Inc®
Roofing — General Contracting
www.MasimoConstruction.com / Office (407)922-0500
State Certified General Contractor CGC 1509548
State Certified Roofing Contractor CCC 1328033
Proposal Prepared by
James Norris - Sales Consultant / (407)-394-2585
We Propose hereby to furnish material and labor in accordance with specifications above, for the sum of:
Ten thousand and forty one dollars
Payment Plan as follows:
PROPOSAL
PAGE
Page 2 of 2
DATE
10/31/2017
10 041.00
Balance Due upon Completion of Work
All material is to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above
specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent
upon strikes, accidents, or delays beyond our control. This proposal maybe withdrawn if not accepted within 30 dovs.
PRICE INCLUDES ONLY THE ABOVE
All work to be completed during normal business hours: 7:30am to 5:30pm, Monday -Friday, unless specified otherwise. Masimo Construction, Inc is not responsible
for latent defects or concealed conditions found in existing system, structure, grounds, or equipment due to original installation or otherwise. The above prices,
specifications and conditions are satisfactory and hereby. accepted.
You are authorized to do the work as specified. Payments will be made as outlined above.
of Client Signature
THREE DAY RIGHT OF RESCISSION
This written agreement hereby serves as notice that I may cancel this agreement at any time prior to midnight of the third business day after the date of acceptance
of this agreement.
P.O.
masimo'cimstrruction,111C.
Address: 3715 Pembrook Drive
Orlando, FL 32810
Masimo Construction, Inc.
Roofing Contract/Proposal
Phone: (407) 922.0500
9tato-Certifies! Roofing Contractor - CCC1328033
Stato-Cortified Genera! Contractor - CGC1509548
Brad Pollack, Contractor
Customer Name,
Address:
Home Phone:
SPECIFICATIONS
Cal
00 Remove roof to existing (lack layers.
Each addlilonal ayer $ rgq, (100 Sq. Ft.)
1w,"841eJI oxlsting dock to moot uplift codes.
U Install —.-- . metal drip edge around grlineter of roof.
Ell Install lead boots to pipes 1'/a" x„ ",
C] lesiall Gooseneck vents 1"
D Nunicane Mitigation Retrofit
D ApplyASTPA 30# Felt Pnpor to plywood dock.
D APPLY Sq. FL of METAUSI_ 4V(3i.RSIriLE/SHAI<E.alrl.AT
tyloofroofiobeins Ileti (- `"'
Color:.- 5 __6 __ Pitch I' _
tA.f Manufocturgr of roofing system: _ ezi'
D Install ridge vent along peak of roof: Addt'I.
Q ice/lIVator S
fxlsting•Wr
O Existing Prl
Q Skylights:
Q Looks: _
Intorfor Dan
0 Erngrgeney
0 Tapered Ins
WORK INCLU
Remove Its
Protect tan(
R611 yard w!
Furnish per
2yoorwarn
insurance Co.r
Adjuster:
C101111 M.
Phone:
Date:
City/StatelziP:1S. 0_4Sd
ss, .PL 32J
Work Phone:
ER PROPERTY CONDITIONS
d—Yes No
Dantnge —Ybe No
layDowngo you No
from roof, putters and yard.
aphtg whore applicable.
Inagnotic rollor.
yes No
Yos No
Additional charges of $70 per shoot -If dockinp.replacement Is needed which Is only visiblo upon tear -off existing roofing matorlhis.
WE PROPOSE
To furnish material and labor Conti>teto in accordance with sneciticatlons above fnr the morn nf $
SPECIAL INSTRUCTIONS: PAY—ME,NT SCHEDULE
50% DOWN PAYMENT PMOR TO ORUI;RING MA17RIALS
PAYMENT il•N FULL UPON COMPLrs- 'ION
EAILNI' S I' DI<,1'OSl('X'; O $500.00 U v 000.00 Ci S._ —
DO'WN PAYMENT'
5
i1-CC.Rt,P JI..['AN ` _Jrj, 0JI.i AGI
This agroomenris subject to insurance company approval and does not oblicdala the
it is lnpnrovod by the insurance company and accepted by Mashno Construction, h
the repair:; at a price agreeable to the insurance company. and Masimo Construction
and Masirno Construction, Inc. shall become the final contract price and Masirno I
work completed by Mosimo Construction, Inc.
THREE DAY RIGHT OF RE
THIS WRITTEN AGREEMENT HEREBY SERVES AS
AGREEMENT AT ANY TIM - PRIOR TWAIDNIGHT OF THE
OF THIS AGREEME
Owner Signature _.. ! _..._ pate J_tAecnptodbyMasirnoConstruction, McdRepresentative X ..._.
Insuranco Carrier Claim No.
E 1,M.f 'Ll' '1'
omnownor or Musirno Construction, Inc. in any way unloss
By signing this agrooment you authorize us to negotiate
Inc. at jVQ P IDjLQN&L CQST TO YQU• FXCI=Pj_LQR THE
he final price agreed on between the insurance company
nstruction, Inc. will recoive all insuronro procoods for the
CISSION
O`I'ICE THAT I MAY CANCEL,. THIS
HIRD RIJSINESS DAY AFTER THE DATE
T.
20017 Salon
Lvents boyond tho control of Masimo Construction, inc. may miuso do)ays to the projticted start date or estimated tlme of rotnpletion. Such delays
do not constitute abandonment and are not included in calculating fimo frames for naymont or performance. THE TERMS AND CONDI'rIONS ON
THE REVERSE SIDE; Oi; THIS PAGE AIRE? A PART OF'1'IIIS AGREEMENT.
W011TE . HOMEOWNI"RP, COP`! YE LI_OW - SAL.I.:SMANS COPY PINK - OFFICE COPY
CITY OF Building & Fire Prevention Division
FORD RESIDENTIALRE RC'EDUOOFPOLICY& PROESTSANFIREDEPARTMENT '
PERMITTING
REQUIREMENTS — NO•
PLAN REVIEW REQUIRED HIS DOCUMENT (SIGNED)
ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE ROOF SCOPE OFWORK ARE EQUIRED TO BESUBMITTEDASPARTOFYOURPERMITAPPLICATION. SHE SCOPE OF
WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF OMPONENTS THAT WILL
BE INSTALLED ON THE PROJECT. k PERMIT WILL
NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. YPROJECTS LOCATED IN
THE SANFORD HISTORIC DISTRICT WILL It PLAN REVIEW AND APPROVAL BY THE 3ANFORD HISTORIC PRESERVATION
BOARD INSPECTION POLICY & PROCEDURES
A FINAL ROOF
INSPECTION IS THE ONLY INSPECTION REQUIR ED P TSENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT
AND/OR CONDOMINIUM) F 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 CONIPONENTS,-PERFL PRODUCT-APPROV _-________ o DIGITAL PHOTOGRAPHS
SHOWING ALL REQUIRED FLASHING, PERIL PRODUCT APPROVAL FAILURE TO FOLLOW
THESE SPECIFIC GUIDELINES WILL RESULTCODE CO AFFIDAVIT CE-BY
PERSONAL
IN PECTION.IGN PROFESSIONAL (ARCHITECT
OR
ENGINEER), CERTIFYING FB ^ CO DATE: - -21- v
CONTRACTOR (OR OWNER/
BUILDER) SIGNATURE:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I I _ q b ADDRESS: 3 Z c( +cam\ QAJ b ,,I Q.
I R iJ Pn I I at-! \ '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 #: l' ,c C — ( 31,76
COMPANY / CONTRACTOR: Q I IM 6 t 1
c
CONTRACTOR SIGNATURE: DATE: r Opl-kAdA
MUST BE SIGNED BY LICENSE HOLDER OR OWNE 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 3e" \ c1G t
Sworn to and Subscribed before me this day of 0-f1 201& by:
DI QC Who is)<Personally Known to me or has Produced (type of
identification) /
U
as identification.
Signature of Notary Public
State of Florida Not'a'r<j,public State of Florida
Beth E Fishel
My Commission 1
153047
C Expir010s1011912021Print/Type/Stamp Name
05F` of Notary Public