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HomeMy WebLinkAbout919 E 2 StCITY OF SANFORD PERMIT APPLICATION Application #: D n- 3 1 q / �— Job Address: N % ;] ?d SII C Parcel ID: "1 �3 0— Zoning: Submittal Date: Value of Work: $ 1,4114L Historic District: Description of Work: Square Footage: Permit Type: Building(PC Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service – P of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Nott -Residential ❑ Replacement ❑ New ❑ (Duct Layout .& Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial Industrial ❑ 4 of Gas Lines Plumbing Repair –Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: _}— # of Dwelling Units: l`- Flood Zone: (FEMA form required) .................................................. Property Owner • if"i'YI iVl • • • • r"Pr L A t� daff f .►/ •Contractor: • . • lll • • • . Address: � 7� ��y�ltXX'�� �LJ� � Address: 'j� ' FL Phone: �( E-mail: Phone: Spate License Number: Bonding Company: a Mortgage Lender:\� Address Address: Arch itect/Engineer• Phone: Address: Plan Review Contact Person: Phone: Fax: Fax: E-mail: 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 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 n iir " the owner of the property of the requirements of Florida Lien La v, FS 713. 9 14 07 e of Own Date Si ature ontractor/Agent ate ).b 1 sJim mer/Agent's NamePrint an acto A nt's Na e - 44) 1r Notary Public, State of Florida My comm. expires Oct. 4, 2008 No. OD342162 Bonded thru Ashton Agency, Inc. (800)451-4854 Owner/Agent is _ _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or 9-//-d� 9 Z D-1 Date 1 ature o -State of Flo f Date =o"Ay "ue,� Notary Public State of Florida Kristin Joy Zavodney ® c� My Commission DD549683 '� or nps' Expires 05/08/2010 Contractor/Agent is _Personally Produced ID UTIL: FD: ENG: BLDG: ?p Ob LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: q'� a'cpr— I hereby name and appoint:�����\'�� an agent (Name ;f 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): ❑ All permits and applications submitted by this contractor. 0�- The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: A)�-' WkNC STATE OF FLORIDA COUNTY OF. The foregoing 'Pstrument was acknowledged before me this g�day of 200 , by _ who is ers pally known to me or o who has produced as identification and who did (did not take an oath. N Notary Public State of Florida Kristin Joy Zavodney My Commission DD549683 Expires 05/08/2010 (Rev. 3/27/07) Signatore off' Lk4k�0— JIM 4 1 Print ort nameL eftse 'C%,r Notary Public - State of V"O' Commission No. My Commission Expires: ' In 91 �j%'$Orffige Ave, Orlando, WIC �EC FCOM MEN C EM EN7' MARYNK MORSE, CLERK OF CIRCUIT CUT State of Florida MIMILE COLWY County RK 06791 Pg 16451 (Ipg) CLERK'S # 2007119626 RECORDED 08/15/2007 IeWM PH RECORDING M.'G 10.00 I Property regal Desc,ip 11Rium!L�14,5Lilo RECORDED BY H DoYert Su bIJ I t� L.CA- 2. General Description of fm Pr ovem e ni: 3 Properly Owner Name: Mailing Address: and interest in property: Namel'mailing address or f .. .... . ... _....--.--•-__---._._...._.____----.--__._---- fee simple title holder if other than owner: 4. Contractor name:16­51;;I�astcr o �en-VHF76iiL1C, Address. M==eAve. Phone Number: ---------- — 5. If Surely Solid, Name and address of Surety: and amount Of Bond: S Phone Nurnber. 6 Lender name: Address. Phone Number: 7. Persons within the Slate of Florida (naiflV.S and act0n5,se5i I;y C. c. hs or other documents may be 5 d provided Wj Section 11.4.1f 1'-!A 7.. �71c�jcj.i Still,te., Name: Address: Phone Number: Fj 4.7 j:: 8In addition to himself, Owner designates the f0fjo%..,rj(j provided by Section 713 Plorda Statutes Name: Address: Phone Number: 9 Expiration date of this . ...... . Ownersignaturel(hCJ/V &IU&&L Owner s!qnitun2 Printed name: �D -�—. �—r SWORN TO AND Si PS^Ri6EG ber.-,ic Notary signature: Printed name: seal DEBORAH J. BEAIRSTO Notary Public, Slate of Florida lvly comm. expires Oct. 4, 2008 No 00342162 Bonded thru Ashton Agency, Inc. (806)451-454 1 CERTIFIED' CQPY1, 1 WAROYAOE MORSE CLERKOF ciRMUT COURT', - ­ �f, � jNTY,-FLO MV. SEMJ�ALE BY(z;<Ak UW DEP CLERK AA icy ISE P 12 211 7Reium 'CCCrled CIOCUIreill. 1,; -ew ------- Orlando, FL 32909 Book679 1 /Pagel 645 CFN#2007119626 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 http://www.scpafl.org/web/re_web.seminole_county_title?parcel=30193150900000450&c... 9/12/2007 _4_-1 '+Y]+?�-�-LL�.x DAVID JOHNSON.CFJs, ASAI� � � F1 11 � I PROPERTY ErTi '., �' !AMC ' a ""11 L L_ Pf—� APPRAISER � ��� �' 1x } 1x. 'kE• Ff SEMINOLE COUNTY FL. ,� I �E ikjLi L17 1101E. FIRST ST SANFORD, FL32771-1468 407-665 75176 - 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 30-19-31-509-0000-0450 Number of Buildings: 1 Owner: SEMINOLE COMMUNITY MENTAL Depreciated Bldg Value: $1,718,506 Own/Addy: HEALTH CENTER INC Depreciated EXFT Value: $5,200 Mailing Address: 237 FERNWOOD BLVD Land Value (Market): $189,858 City,State,ZipCode: FERN PARK FL 32730 Land Value Ag: $0 Property Address: 919 2ND ST E us Market Value: $1,913,564 Facility Name: SEMINOLE COMMUNITY MENTAL HEALTH Assessed Value (SOH): $1,913,564 Tax District: S1-SANFORD Exempt Value: $1,913,564 Exemptions: 34-CHARITABLE/CIVIC () Taxable Value: $0 Dor: 7502 -REHAB LIVING FACILIT Tax Estimator SALES Deed Date Book Page Amount Vac/Imp Qualified CORRECTIVE 01/2006 06_104 1319 $100 Improved No DEED WARRANTY 10/2005 0_5949 0_495 $2,500,000 Improved No DEED 2006 VALUE SUMMARY TRUSTEE DEED 06/2005 05824 1313 $100 Improved No 2006 Tax Bill Amount: $0 WARRANTY 06/2005 05824 1310 $100 Improved No 2006 Taxable Value: $0 DEED DOES NOT INCLUDE NON -AD VALOREM WARRANTY 06/2003 04897 0416 $1,500,000 Improved No ASSESSMENTS DEED WARRANTY 01/1973 00977 0102 $50,000 Improved Yes DEED WARRANTY 01/1968 00703 0276 $25,000 Improved No DEED Find Sales within this DOR Code LEGAL DESCRIPTION LAND PLATS: Pick... Land Assess Frontage Depth Land Unit Land Method Units Price Value LEG LOTS 45 + 46 (LESS E 100 FT OF N 1/2 SQUARE FEET 0 0 126,572 3.00 $189,858 OF LOT 45' J E PACES SUED PB 1 PG 91 BUILDING INFORMATION Bid Year Gross Est. Cost Bid Class Bit Fixtures SF Stories Ext Wall Bid Value New Num 1 MASONRY 1968 99 35,146 1 CONCRETEBLOCK- $1718,506 $3,014,922 PILAS MASONRY Subsection / Sgft UTILITY FINISHED / 55 Subsection / Sgft OPEN PORCH FINISHED / 891 Subsection / Sgft CARPORT FINISHED / 1536 Permits EXTRA FEATURE http://www.scpafl.org/web/re_web.seminole_county_title?parcel=30193150900000450&c... 9/12/2007 I� THREE (3) PLY BUIIJ UP ROOFING SYSTEM OFFIC65. INSULATED DECK/ �!,A-se GAF BOTTOM SHEET EnergyGuard Non-Isoeyanurate BASE SHEET y� INTERPLY INTERPLY Insulation I -B -3-G MOP TO PERLITE OR FIB.BD #75 BASE SHEET �� PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD #80 ULTIMP BASE SHEET PLY 4 PLY 4 GRAVEL ftt Roofing 2" Side Lap GRAVEL Asphalt PLY 4 PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD FLEXPLY' 6 PLY 4 PLY 4 GRAVEL (South And West Zone) I -B -3-C MOP TO PERLITE OR FIB.BD #75 BASE SHEET PLY 4 PLY 4 COATING MOP TO PERLITE OR FIB.BD #80 ULTIMA BASE SHEET PLY 4 PLY 4 <. Apr11711h." 3931r• tf COATING MOP TO PERLITE OR FIB.BD PLY 4 PLY 4 GAFGLAS® GAFGLAS® Ply Asphalt and Gravel Base Sheet FLEXPLY 6 PLY 4 or Coating GAF MATERIALS CORPORATION GENERAL Safety: Refer to Section Section 1.06. DO NOT BEGIN INSTALLATION UNTIL THIS INFORMATION IS READ, UNDERSTOOD AND IMPLEMENTED. MATERIALS Material Requirements per 100 sq. ft. Insulation (Non- Isocyanu rate) Asphalt (per ply) ........25 lbs. (1.22 kg/m2) Base Sheet ............1 ply Ply Sheet .............2 plies Surfacing 10 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES BOTTOM SHEET � SPEC# ATTACHMENT BASE SHEET y� INTERPLY INTERPLY SURFACING I -B -3-G MOP TO PERLITE OR FIB.BD #75 BASE SHEET �� PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD #80 ULTIMP BASE SHEET PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD MODIFIED BASE SHEET PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD PLY 4 PLY 4 PLY 4 GRAVEL MOP TO PERLITE OR FIB.BD FLEXPLY' 6 PLY 4 PLY 4 GRAVEL (South And West Zone) I -B -3-C MOP TO PERLITE OR FIB.BD #75 BASE SHEET PLY 4 PLY 4 COATING MOP TO PERLITE OR FIB.BD #80 ULTIMA BASE SHEET PLY 4 PLY 4 COATING MOP TO PERLITE OR FIB.BD MODIFIED BASE SHEET PLY 4 PLY 4 COATING MOP TO PERLITE OR FIB.BD PLY 4 PLY 4 PLY 4 COATING MOP TO PERLITE OR FIB.BD FLEXPLY 6 PLY 4 PLY 4 COATING Built-Up Roofing Systems 282 F1131 r� OFFICE B. GAFMC does not approve the practice of "phasing". C. Whenever it is necessary to put a building "in the dry" quickly, a temporary roof covering is recommended; this temporary roof should be removed prior to installation of the roof system. 8.03 Base Sheets — Mechanically Fastened A. After allowing the base sheet to relax, keep sheet taut, fastening at center of sheet and working in opposite directions. Push all wrinkles and buckles ahead as fastening proceeds. The following are minimum fastening patterns that may be used when fastening the base ply. For Factory Mutual Global approved fastening patterns, refer to the current FM Global Approvals and listings. 1. Base sheet (no insulation) on decks of wood, plywood, OSB, lightweight concrete, gypsum, or cementitious wood fiber (Figure 1). A. Lap the base sheet 2'(5.1 cm), and mechanically fasten with three rows of fasteners. The first row (on the seam) will be 1" 1,12.5 cm) from the leading edge and on 9" (22.9 cm) centers. Locate the second row of fasteners 14" (35.6 cm) from the leading edge and on 18" (45.7 cm) centers. The third row of fasteners shall be 26" (66.0 cm) from the leading edge on 18" (45.7 cm) centers. The centers for the second and third rows should be staggered. F B. Plywood or OSB decks only. Lap the base sheet 2" (5.1 cm), and mechanically fasten with four equally spaced rows of Senco Tape and N12 BAB or N12 FAB Staples spaced at 9" (22.9 cm) o.c. centered over the 2" (5.1 cm) wide laps and at 9" (22.9 cm) o.c. in three rows equally spaced in the field of the sheet. D. — - 2. Simultaneous .fastening base sheets with insulation, -with the fasteners haying E $" (7.6. cm) -plate (Figure 2): A. Lap the base sheet 2" (5.1 cm). Screws and plates are then installed in 3 staggered, equally I spaced rows on 24" inch (61.0 cm) maximum centers in each row. One row is in the 2" (5.1 cm) istant from the lap rows approximately 12" - 13" (30.5 - side lap, the other rows are located equid 33.0 cm) from the lap rows. This pattern results in approximately one fastener per 2.1 square feet (0.20 m). Along building perimeters (minimum 4 foot wide) fastening pattern must be increased to 4 staggered, equally spaced rows of fasteners on one fastener per 1.2 square feet (0.11 m), in 18" (45.7 cm) centers. Note: When fastening base sheets using screws and plates without insulation or over DensDeck®, the plate must be of a design that allows it to lie flat on the deck. SBS Hot Mopped Roofing Systems 162 Figure 1 4 39 9/e" I 12"-13" 7� O 10 O i i i O 1 O O k 24" O 10 O Max. k O I O O i i O 10 O i k O 1 O O 8.04 BaseAnterply Sheets — Hot Asphalt Application A. General The following applies to all GAFMC sheets, which may be used as ply sheets or base sheets (exclud- ing Stratavenf$ Eliminator'" Perforated): Foot and machine traffic on freshly applied membranes with asphalt must be kept to a minimum to reduce the possibility of asphalt displacement due to "point applied" pressure. The potential result is the creation of an area where the asphalt quantity may be too light to perform the required waterproofing or bonding function. Workmen must stand on the insulation, or deck side of the system and avoid traffic on the freshly laid membrane system for a long enough time to allow the asphalt to set up. Do not allow equipment over, or store materials on, the freshly laid membrane. Asphalt dispensing equipment must have balloon tires. B. For slopes under 1/2" per foot (4.2 cm per meter), Type III or IV asphalt can be used. Type IV must be used on all slopes 1/2" per foot (4.2 cm per meter) and greater. C. Asphalt shall be applied in a uniform layer, without voids, at a rate of 25 Ib/square (1.2 kg/m2) t 20%. See General Installation Requirements, Part 3 "Asphalt'. D. For mop applications of GAFMC membranes, the mopping stroke will be such that the side lap is covered with asphalt last. E. Apply asphalt so that a small bead of asphalt shows at the edge of the membrane. Do not allow heavy flows of asphalt to extend beyond the membrane edge. Heavy, irregular surface flows of asphalt will make proper application of cap membrane difficult. F. In the event a wrinkle or a "fishmouth" forms during the application of the membrane, do not"walk it down" as the memory of the sheet or felt may cause it to reappear. Fishmouths SBS Hot Mopped Roofing Systems 163