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HomeMy WebLinkAbout1215 W 9 StD 1� FEB 2 7 2012 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ a -0 Job Address: 1 �( S 6✓ I 'fHistoric District: Yes ❑ No Lel Parcel ID• Zoning: Description of Work: eW (,, `E rL^--7 eeme s F' S Plan Review Contact Person: SVL>�'3CX-'1 Title: Phone: *W- Z-11- 90'5 Fax: E-mail: Property Owner Information Name r. me -P, 1AAye ICA S Street: ('L (!5 U/. °1eto5l- City, State Zip: S %ir✓l�O&Q IAC Z f% Phone: Resident of property?: 6Y( Contractor Information Name Phone: Street: 11/1 i6 14 0ALl.KV'r :5 "1 It Orl. City, State Zip: /. 4 �2 "71Z - Fax: State License No.: r-13 G f Z,474' Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E- ail: Bonding Company: Mortgage Len Address: -7Address: PERMIT INFORMATION Building Permit O Square Footage: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Construction Type: No. of Stories: Flood Zone: Mechanical IJ (Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: 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. 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 I4AY 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 YOU, R 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 Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced I D Type of I D APPROVALS: ZONING: 4NA UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: r- IL-7 Sig a of Contractor/Agent Date Print Contractor/Aient's Name A z/z-7 Date `,��.��o�;..::�••� "iib <01 Z Cr/A ' ; 1:N4c'Personall Pro • ..:d••'• 5,gpe of ID WASTE WATER: or BUILDING: Z&e//4 SCPA Parcel View: 25-19-30-508-1115-0070 CMrNo ,Johrraorn, CPA Parcel: 25-19-30-508-1115-0070 w�A Me A■rC� Owner: HARRIS EDNA M BCJse�OLB001J►�1�, W OriR Property Address: 1215 W 9TH ST SANFORD, FL 32771 < Back I < Previous Parcel I Next Parcel > I Save Layout I Reset Layout I New Search Parcel: 25.19.30.508-1115.0070 1 Value Summary Property Address: 1215 W 9TH ST Owner: HARRIS EDNA M Mailing: 1215 W 9TH ST SANFORD. FL 32771 - 2341 Subdivision Name: C R W M Tax District: -SANFORD Exemptions:0 (1994) DOR Use Code: 01 -SINGLE FAMILY �1 op b �: o LTJ o ! W ._.,� W 9TH ST � ........ W > 8' 4 r W 10TH ST Map Aerial Both Footprint + Extents Center Larger Map I Dual Map View - External Legal Description LEG LOT 7 BLK 11 TR 15 W M CLARKS SUBD PB 1 PG 108 Tax Details Tex Amount without SOH: $521 2011 Tax Bill Amount $238 Tax Estimator Save Our Homes Savings. $283 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Method Cost/Market Cost/Market Number of $25.500 $13,070 Buildings 1 1 Depreciated Bldg $42,016 $44,433 Value $13.070 County Bonds Depreciated EXFT $25.500 $13.070 Value 1.516.00 CONC Land Value $9.765 $9,765 (Market) Land Value Ag Jusl/MarketValue $51,761 $54,198 Portability Adj Save Our Homes $13,211 $16,751 Adj Amendment 1 Adj Assessed Valuel $38,570 $37,447 Tex Amount without SOH: $521 2011 Tax Bill Amount $238 Tax Estimator Save Our Homes Savings. $283 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $38,570 $25.500 $13.070 Schools $38,570 $25.500 $13,070 City Sanford $38,570 $25.500 $13,070 SJWM(Saint Johns Water Management) $38,570 $25,500 $13.070 County Bonds $38.570 $25.500 $13.070 Sales Deed I Date I Book I Page I Amount I VadImp I Ouatified QUIT CLAIM DEED 08/19911 023621 0614 $1001 Improved Nr WARRANTY DEED 01/19721 00913 0630 $17.6001 Improvedl Yet Ind Comparable Sales within this Subdivision Land Method I Frontage I Depth I Units I Unit Price I Land Value FRONT FOOT d DEPTHI 501 1251 0001 210.001 $9.765 Building Information Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-508-11 l 5-0070 2/9/2012 Year Base Total Heated Adj Rept 0 Description Built Flxtures 1 Area SF SF Ext Wall Value Value Appendages 1 SINGLE 1972 8 1,180.001,568.00 1.516.00 CONC $42.016 $52.520 FAMILY BLOCK Description Area • I Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-508-11 l 5-0070 2/9/2012 Mals O/lr may.- , fawELS�� Work Write Up for Weatherization Program To Contactor: Items listed on the work write up may not pertain to your core business function. These items should be bid under the umbrella of your company through licensed contractors such as Plumbing, Electrical, HVAC, Roofing Etc. It is your responsibility to pull permits and provide results pertaining to your business function according to Local Municipality and Code and or provide the same from licensed contractors pertaining to Plumbing, Electrical, HVAC, Roofing Etc. You are required to provided Certified Payroll for all work performed on residence, for your company and all sub -contractors hired by you. Any house or bailer built pre 1978 will require EPA Lead -Safe Work Practice or Lead Testing to be performed by a EPA Lead -Safe Certified Firm. Photos of EPA Lead -Safe Work Practice or Documentation Supporting Negative Test Results are required for agency documentation d client file. If additional items are needed in conjunction with a Work Write Up Item, you must provide an addendum explaining repair. In order for payment to be processed you must provide the Payment Request Form. Signed Invoice Release of Lien, Passed Permits, LSW Documentation for pre -1978 homes 8 Davis Bacon Compliance.Additional info may be required. All Work and Punch List Items must be 100% complete. Prices 8 items may be subject to change, to meet budget requirements. If so, price and item changes will be agreed upon verbally. The bid will then be adjusted, signed by MOW as (Addendum to Bid), and sent back to you. You are required to sign as (Acceptance of Addendum to Bid) and send back to MOW. MOW will then sign as (Acceptance of Bid) and send back to you. Work may begin. Ag specifications, terms and conditions shag be as described in the OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS, INSTALLATION and WORKMANSHIP STANDARDS. Item # Description of Materials/Services Required Priority # Material Labor Total 1 replace front door with New metal prehung $ 150.00 $ 200.00 $ 350.00 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Edna Gordon DATE: $ 350.00 JOB S e ordon 2-12 ADDRESS: 11215 W 9th Street Sanford, Florida 32771 PHONE: 407424-4927 Notice to Bid Please inspect the property and submit the work -write up with your cost to me PO LATER THAN . If your bid meets the criteria, you will be contacted with the Notice To Proceed With Work, Signed, with a time frame work to be completed in. Contractor. _ L" s^� �`'�7rc�C�+ =-' I �ti(. Signat Date -G Addendum to Bid: Date: MOW Notice To Proceed With Work Your contract and proposal for homeowner repairs and upgrades at the above mentioned address. Owners have been examined and accepted by the Weatherization Program staff. Items have meet the approval of the client. Items mentioned above are to be completed within the specified time frame. You may begin work on XX -XX -2011. You shall complete all work on or before XX -XX -2011. Acceptance of Bid: Date: Jay Curbow / Weatherization Manger MOW (may proceed) Meals on Wheels Etc. Acceptance of 2801 S. Financial CL Sanford FL, 32773 Addendum to Bid: Date: Office: 407333-8877 ext -114 / Fax 407-829-2468 CONTRACTOR (sign & send back Cell: 3213883829 Florida Building Code OnlineOFFICE Page 1 of 4 •. - PERMIT # r Business & Professional Regulation 1iw ' . MON. r�r�m�r�l Ronda CeparMWtC eas Home I w to I user Registration I Hot Topes submit Surcharge I stats a Facts Publications I Fac scan I Bas site Map I units I search Business/' ProfessionalaProduct � proval Regulation Produd Aooroval Menu > Product or AopliaUtin Search > Application List > Appikatim Debi) FL # FL11136 Application Type New Code Version 2007 Application Status Approved Comments Archived Product Manufacturer JELD-WEN Address/Phone/Email 3737 Lakeport Blvd Klamath Falls, OR 97601 (800)535-3936 fbc@jeld-wen.com Authorized Signature Janet Gerard fbc@jeld-wen.com Technical Representative Steve Saffell Address/Phone/Email 3737 Lakeport Blvd Klamath Falls, OR 97601 (541)882-3451 Ext 2900 stevesa@jeld-wen.com Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Miami -Dade BCCO - CER Validated By Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard TAS -201 TAS -202 TAS -203 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Year 1994 1994 1994 httn-//www flnridahllildino.nry/m/nr ann dtl.a-,nx?naram=wC-wF.VXOwtT)atta(;.Tn3C:vlri... 10/1 R/9.0I I Florida Building Code Online C Date Submitted 07/21/2008 Date Validated 07/23/2008 Date Pending FBC Approval 07/28/2008 Date Approved 09/15/2008 Page 2 of 4 `S nary of Products FL # IlModej, Number or Name Description 11136.1 ISteellSteel Edge In Wood Frame 3'-0" x 6'-8", 0 a ue, Sin le Door, In -swing Limits of U F Certification Agency Certificate Approved for use in H Z: Yes FL11136 RO C CAC 08-0208.06.pdf Approved for use oujalde HVHZ: Yes FLi1136 RO C CAC 2007 Compliance Letter for NOA 08-0208.06. df Impact Resistant: esign Pressu +80/-80 Quality Assurance Contrail Expiration Date r: Pro ust be Installed per manufactures 02/11/2013 Instru ons as stated on NOA Installation Instructions FL11136 RO 11 08-0208.06.odf Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports 11 Created by independent Third Party: 11136.2 ISteel, Steel Edge In Wood Frame 3'-0" x 6'-8" Opaque, Sin le Door Out -swing Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL11136 RO C CAC 08-0208.07.pdf Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Compliance Letter for NOA 08-0208.07.pdf Impact Resistant: Yes Design Pressure: +80/-80 Quality Assurance Contract Expiration Date Other: Product must be Installed per manufactures 02/11/2013 instructions as stated on NOA Installation Instructions FL11136 RO 11 08-0208.07.pdf Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports ii Created by Independent Third Pa 11136.3 Steel, Steel Edge In Wood Frame 5'-4" x 6'-8", Opaque, Single Door, With or Without Side - Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL11136 RO C CAC 07-0709.03.pdf Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Compliance Letter S. TAS - 2 1 2 3.PDF Impact Resistant: Yes Design Pressure: +60/-60 Quality Assurance Contract Expiration Date Other: Product must be Installed per manufactures 08/08/2012 instructions as stated on NOA. Side-lites are not Impact Installation Instructions Rated and Require Miami -Dade HVHZ Approved Shutters. FL11136 RO II 07-0709.03.pdf Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 11136.4 Steel, Steel Edge In Wood Frame 8'-4" x 6'-8", Opaque, Single or Double Door, With or Without Side-lites, Out -swing Limits of Use Certification Agency Certificate Approved for use In HVHZ: Yes FL11136 RO C CAC 07-0618.10.pdf Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Compliance Letter S. TAS - 2 . DF Impact Resistant: Yes Design Pressure: +60/-60 Quality Assurance Contract Expiration Date Other: Product must be Installed per manufactures 07/03/2012 Instructions as stated on NOA. Side -liter are not Impact Installation Instructions Rated and Require Miami -Dade HVHZ Approved Shutters. FL11136 RO 11 07-0618.10.pdf Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports Created by Independent Third Pa 11136.5 Steel, Steel Edge In Wood Frame 12'-0" x 6'-8", Opaque, Single or Double Door, With or 11 Without Side -liter Out-swin Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FLIX136 RO C CAC 07-0820.08.pdf Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Compliance Letter S. TAS - 201.2.3.PDF Impact Resistant: Yes Design Pressure: +61/-61 Quality Assurance Contract Expiration Date Other. Product must be installed per manufactures 08/22/2012 Instructions as stated on NOA. Side-IlteS are not Impact Installation Instructions Rated and Require Miami -Dade HVHZ Approved Shutters.1 FL11136 RO fl 07-0820.08.odf Verified By: Miami -Dade BCCO - CER >,--ii.,..,,,,, nro/nr/nr ann rltl.a-,nx?naram=wGEVXOwtDcittaGsIu3Gvui... 10/18/2011 MIAMFgom QADE MIAMI -DARE COUNTY, FLORIDA MFIRO-DADS FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLACLER STREET, SUITE 1603 PRODUCT CONTROL DMSION MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) www.buildingcodoonline.com Jeld Wen Inc. 3737 Lakeport Blvd. Kalamath Falls, OR 97601 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "6'-8" & 8'-0"" Single Inswing opaque Steel Doors APPROVAL DOCUMENT: Drawing No "DC9970-1", titled 'W-8" & 8'-0 Single Inswing Opaque Steel Edge", sheets 1 through 5 of 5, dated 12-07-07 and last revised on 02-05-08, prepared by the manufacturer, signed and sealed by Nimesh Bhaysar, P.E., bearing the Miami -Dade County Product Control renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large Missile Impact Resistant Limitation: Units are not rated where water infiltration is needed, unless complies with exception per FBC. LABELING: Each unit shall bear a permanent label with the manufacturers name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. T NIINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Oficial. This NOA renews NOA # 02-1211.11 and consists of this page 1 and evidence page, as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. Chanda, P.E. NOA No 084208.06 Mwr+roane couNrr Expiration Date: February 11, 2013 Approval Date: March 20, 2008 ���rp Page 1 Jcld Wen Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's parts and sections drawings. 2. Drawing No "DC9970-1", titled "6'-8" & 8'-0 Single Inswing Opaque Steel Edge", sheets 1 through 5 of 5, dated 12-07-07 and last revised on 02-05-08, prepared by the manufacturer, signed and sealed by Nimesh Bhaysar, P.E. B. TESTS (Photo copies from files # 02-1211.11), original test report conducted per SFBC, 201, 202 and 203-94, now termed as FBC, TAS 201, 202 and 203-94. 1. Test report on 1) Air Infiltration Test, per TAS 202-94 2) Uniform Static Air Pressure Test, Loading per TAS 202-94 3) No Water Resistance Test performed. 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per PA 202-94 along with marked -up drawings and installation diagram of single outswing and inswing residential insulated steel doors, prepared by Certified Testing Laboratories, Test Report No(s) Test Report No. CTLA455W, dated October 11, 1999 and CTLA650W, dated January 03, 2001 and, both signed and sealed by Ramesh Patel, P.E. C. CALCULATIONS: 1. Anchor calculations prepared by O.M. Engineering Services Inc., dated 02-06-08, signed and sealed by Nimesh Bhaysar, P. E. D. QUALITY ASSURANCE BY; 1. Miami -Dade County Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS (Photo copies from files # 02-1211.11) 1. Tensile Test prepared by Certified Testing Laboratories, Test Report.No. CTLA455W, dated October 11, 1999, for steel samples, tested per ASTM E8 -93a, signed and sealed by signed and sealed by Ramesh Patel, P.E. 2. Test Report No. ITS -J99006660-001, prepared by Intertek Testing Services NA, Inc., issued to Jeld-Wen Research and Development, dated April 8, 1999, for samples of foam, tested per ASTM E 84-94 "Standard Test Methods for Surface Burning Characteristics of Building Materials" and ASTM D 1929-91A "Standard Test Method for Ignition Properties of Plastics"; signed and sealed by Douglas Keith Tucker, P.E. F. STATEMENTS 1. -Letter of conformance & "No financial interest" dated February 01, 2008, signed and sealed by Nimesh Bhaysar, P.E. 2. Laboratory Statement of compliance, part of the test report CTILA455W & CTLA650W, signed and sealed by Ramesh Patel, P.E. F. OTHER 1. This NOA renews NOA # 02-1211.11, expiring February 11, 2008. is �m I. U4.4A. shaq I Chanda, P.E. Product Control Examiner NOA No 08-0208.06 Expiration Date: February 11, 2013 Approval Date: March 20, 2008 E-1