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