HomeMy WebLinkAbout1215 Randolph StCEIVED
.D, FEB 2 0 2012 CITY OF SANFORD
FplBUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: q0� Documented Construction Value:
Job Address: ��/S— Historic District: Yes ❑ No E
Parcel ID:
Description of Work:
Zoning:
Plan Review Contact Person: `ZOA F (d Title:
�
Phone: �D 7"-3'��Fax:4%�o�—bi'
v
Property Owner Information
Name Phone:
Street: / /.S- ��/� S% : Resident of property?
City, State Zip:,"W��,�
Contractor Information
Name 9-Ok �rll, /? �6 1.y(! . Phone:
Street: '2'QA�� � � / 3 Fax: 461-15.5 �
City, State Zip: La��3 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: /U!X Mortgage Lender:
Address: Address:
PERMIT}INFORM TION
Building Permit '13 �_�
Square Footage: Adm Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical O
New Service — No. of AMPS:
Mechanical 13 (Duct layout required for new systems)
3� aJ
2i Z,
Plumbing 13
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm D No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I eprtify 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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
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 ID
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
UTILITIES:
ENGINEERING: FIRE:
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID?It-e!-p • ),I ') J ► se
WASTE WATER:
-bEBB1E BLAN10N --
;��;ar
Notary Public . State of Florida
•. . •_
My Comm. Expires Feb 25. 2015
=; e:•'
Commission N EE 60182
�'%FOi "dP•,
,/,"„'•
Bonded Through National Notary Assn.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID?It-e!-p • ),I ') J ► se
WASTE WATER:
A F-i :kLicensed State Certified Proud Member Phone: 407-332-0345
Roofing'Oompany n mr-,Fax: 407-332-0243
Lic.#CC-C058308 Cell: 407-383-0338
Specializing in Residential�— johnkeller5@cfl.rrcom
ReRoofs & New Construction www.johnkellerroofing.com
CLIENT
PH. #
DATE
ADDRESS
DAYTIME #
FAX
S
PROPERTY ADDRESS
REMOVE EXISTING ROOF/INSPECT FOR WOOD ROT V1INSTALL NEW ARCHITECTU L S INC LES
V'ZINS LLNEW UNDERLAYMENT
(-?O Ib) ASPHALT COATED FELT
— ( Ib) DOUBLE LAYER OF FELT FOR LOW SLOPE
— (43 Ib) LAYER BASE SHEET FOR MOD BIT
_ SELF ADHERING BASE FOR MODIFIED BITUMEN
TITANIUM SYNTHETIC FOR METAL ROOFS
ZI NS L NEW PIPE FLASHINGS & EXHAUST VENTS
_ PIPE FLASHINGS & EXHAUST VENTS TO BE PAINTED
FLASHINGS AND VENTS SUPPLIED BY OTHERS
-IZINSTALL NEW ANGLE FLASHING WHERE EAVE MEETS
ROOF DECK. (BEHIND FASCIA BOARD/ALUMINUM) SHINGLE COLOR:
-IZ INSTALL NEW EAVE METAL: SIZE: COLOR:
_ INSTALL NEW METAL PANEL ROOF
NEW L�n/1'�l/Ih
_V/INSTALL _L�:�Y ULTRA RIB PANEL
_
ICE & WATER SHIELD Sh IELD—VALLEYS ARE CLOSED
V - CRIMP
CUT —
STANDING SEAM
INSTALL DIVERTER/CRICKETTT BEHIND CHIMNEY
ZSTALLNEW FLASHING/ ✓ANDCOUNTER LASHING -JL 'NSTALLCRANULATEDMODIFIE /
BITTEN LOW SLOPE SYSTE SON
SEAL W/ POLYURETHANE
✓ COLD PROCESS MOP DOWN
— INSTALL( ) NEW SKYLIGHT(S) SIZE: SBS SELF ADHERING
_
_ GLASS TOP ONLY _ PLASTIC DOME ONLY ODIFIED COLOR
FLUSH MOUNTED PLASTIC DOME
_
_ FACTORY SEALED CURB & PLASTIC DOME — ROTTEN WOOD REPLACED AT A SEPARATE
— FACTORY SEALED CURB & GLASS TOP (DOUBLE PANE) RATE OF $5.50 PER LINEAL FT. OF BOARD
REUSE EXISTING SKYLIGHTS/NO WARRANTY AND/OR $60.00 PER SHEET OF PLYWOOD.
NEW ATTIC VENTILATION SYSTEM A HIGHER RATE WILL APPLY FOR CEDAR
-lef"I'NSTALL
_ INSTALL( ) OFF-RIDGE ATTIC VENT(S) OARDS AND NON -STANDARD PLYWOOD.
— INSTALL( ) TURBINE VENTS FOR LOW SLOPE OWNER(S) ARE RESPONSIBLE FOR
_&/PROPERTY
INSTALL SHINGLE OVER ATTIC RIDGE VENTS ON
NTIRE RIDGE ( ) FT/50YR-1 IOMPH TESTED REMOVAL OF SOLAR PANELS, SATELLITE
NSTALL METAL ATTIC RIDGE VENTS (� FT. DISHES, AND GUTTERING.
ALL REROOFS INCLUDE A TOTAL CLEAN UP AND MAGNETIC SWEEP
ALL LABOR WARRANTED AGAINST LEAKS FOR A PERIOD OF: S'V,L>S
-ZV57YFL1—
WE PROPOSE TO FURNISH PERMITS, LABOR, AND MATERIALS IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR
THE AMOUNT OF DOLLARS( )
_ NO DEPOSIT REQUIRED. PAYMENT IS DUE IN FULL UPON COMPLETION.
40% DEPOSIT FOR CUSTOM ORDER MATERIALS. BALANCE DUE IN FULL UPON COMPLETION.
ACCESSTOAND FROM STRUCTURE IS REQUIRED FOR MATERIAL DELIVERY AND DISPOSAL CONTRACTOR IS NOT RESPONSIBLE FOR DAMAGE TO DRIVEWAYS. SIDEWALKS.OR CEILINGS.
ALL LEFTOVER MATERIALSARE PROPERTY OF JOHN KELLER ROOFING INC. PROPERTY OWNER(S) TO CARRY FIRE. TORNADO, AND OTHER NECESSARY INSURANCE. SIGNED CONTRACTS
NOT FULFILLED BY PROPERTY OWNER(S)ARE SUBACTTOA FEE EQUALTO IQ%OF CONTRACT VALUE.ALL INVOICES SUBJECTTO EXPENSES INCURRED IN COLLECTION TO INCLUDE.
onr unrurcnrn •rrnoueve rrrc owueurc unr oeuneoenw•rrno n. ure wru rnuro•rr.rorrurur•ee cioier-r rn.ru.ure ru•enr nrc�ero unuru
ACCEPTANCE OF PROPOSAL— THE ABOVE PRICE, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED.
YOU ARE AUTHORIZED TO DO THE WORK AND PAYMENT WILL BE MADE AS OUTLINED ABOVE.
SIGNATURE DATE
4-0-0
VL. LV• LV1L lV. LL �V. JLL VV11 I 1••1\.1L V1/ V1
N
CORINT'HMN BUILDERS. INC.
14dIng Address Physical Address
P.O. BOX 950850 2175 MARQUETTE AVENUE
LAKE MARY, FL 32795.0850 SANFORD, FL 32773
Phonc (407) 403-5658 CGC 058246 Fax (407) 322-8641
FAX -COVER SHEET
COMPANY: Keller Roofing DATE: Feb. 20 2012
TO: John
FAX: 407~332-0243
FROM: John Corville Number pages (incl. cover sheet): 01
John:
Address is 1215 Randolph St.
Re -roof and back addition low slope roof per original quote.
Color is charcoal black architectural.
Thanks
John
RE: Permit # / *n
City of Sanford
BUILDING DMSION
Inspection Affidavit
I O �/ Z ,licensed as a(n Contractor* ngmeer/Architect,
(pleas print name and circle Lic. Type) ilding Inspector*
License #;_ C6--dOS-23 C9
On or about
(circle one)
time)
w , I did personally inspect the roo
work a ST
(Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
q?��
Signa e
STATE OF FLORIDA
COUNTY OF N rJc9 tR 9
Sworn to and subscribed before me this 23 day of 204 Z
By Ir4(J V-,4�4-
Notary Public, State of Florida
_ �tpr.` Dobry Public State of Florida
bn
8ionkumer G.Ptldel
W Co EE 147180 (Print, type or stamp name)
Expirea 0211312018
Commission No.: d
Personally known or
Produced Identification
Type of identification produced. 'rl_
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.