Loading...
128 Krider Rd 17-426; ROOFP,q/% / Vi- 1 -I 3_4_ FEB 1410T9 l CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: -1 - t+ a(.0 osa Documented Construction Value: $ Job Address: 12-8 k-RibER" POAD Historic District: Yes No Parcel ID: 0% -20-3J -505- OB00- n I to Residential Commercial Type of Work: New Addition Alteration Repair DemoEl Change of Use Move Description of Work: RE - RCDE Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name _)D OL Phone: J 2 - 2g —7g1q Resident ofpro rt'Street: N City,State ZiZip: SANFvrb FL 37-373 Contractor Information Name Phone: Street: Fax: . City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application ter-• ._ ___ . NOTICE: In addition to the requirements of this permit, there may be additional'restfictions 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. s 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. S t,6; ., -2 Signature of Owner/Agent Date Scrolt CLE -C Print Owner/Agent's Name Signature of Notary -State of Florida Date oar, F DEBBIE BLANTON MY COMMISSION # FF 178848 EXPIRES: February 25, 2019 se eF ,,• Bonded Thru Notary Pupllc Underxriters Owner/Agent is Personally,Known to Me or Produced ID Type of ID f:J\ L_ Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 1' Property Address: I Z kAb 56-NrOk b 32 77 3 I, cofj 604tc do hereby state that I am qualified and capable of performing the requested construction involved with the permit application fled and agree to the conditions specified above. ignature of Owner -Builder Form of Identification Must be Photo ID) Date 2 Z Z 2 - A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires, licensure under the permit issued. Rev. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that 1 may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing. Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for r` V more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address 7 listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that 1 have provided on this disclosure or in the permit application package.. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license,, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint.; Your only remedy against an unlicensed contractor may .be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish.to hire a licensed contractor, you will be responsible for verifying J whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: I Z kAb 56-NrOk b 32 77 3 I, cofj 604tc do hereby state that I am qualified and capable of performing the requested construction involved with the permit application fled and agree to the conditions specified above. ignature of Owner -Builder Form of Identification Must be Photo ID) Date 2 Z Z 2 - A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires, licensure under the permit issued. Rev. 9.14.2009 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Rev. 9.14.2009, I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of 6b( the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers onall permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or rte lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform' the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009, a FASO= THIS INSTRUM!NT PREPARED Y: _ Name: r . K OL - C- Address: <' 3 7 J0 NOTICE OF COMMENCEMENT j.–. n State of Florida County of Seminole i i4 3tomantzermiENumber: n C, ryl 0 ;t _. n, NARW)VIII. 1101"!lEr SEMINOLE COUNTY CLERK OF' CIRCUIT COURT & CONI"TE;:OL.I...ER. BK '33,7:'.1. F' a ;':L CLERK'S Y 21)160171291 RECORDED 1.17/11/21116- 10"2Z: II RIECORDING FEES $1.01ilo RECORDE".D BY Parcel ID Number: 0'7 - d J 3 (- S U , CA -V U(/ (J L r IIWj06'signed hereby gives notice that improvement will be made to certain real property, and in accordance with W ~U11 -_n Ri tg5 7A 3, Florida Statutes, the following information is provided in this Notice of Commencement. t ••u D'ES.CR,IftION OF PROPERTY: (Legal descriptioi J t_ r 'u s o cc it e tc n c_:, G•J EEELr `at GEf A'4 DISCRJPTION OF IMPROVEMENT: LG _I Y = cx l• l t e S OWNER INFORMATION: a Name: S' CQ firLU ZE z a Address:{:O t^; Fee Simple Title Holder (if other than owner) Name: u Address: v CONTRACTOR: p "_'_ o Name: L i— G Address' r -'c 0. C :? i= r_ . _ Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served r u as provided by Section 713.13(1)(b), Florida Statutes. cam Name: RV Addres : I In additi imself, Owner Designates of 1 To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. w Coa` Oq opt Owner's Printed Name = 4• —. ^' '' Own r'sSignature - %r?•1'i`+.''.i; c? •' Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." oc.. 1 State of County of )Civil, U W The foregoing instrument was acknowledged before me this I I day of ' 120 y by y, G1 CU Who is personally known to me 4 Name of, rson making statement r\ + 'A i OR who hasroduced identification)C type of identification produced: p Y s o -t- a . DEBBIE BLAtJTGM MY COMMISSION # FF 178R48 EXPIRES: February 25,2 1 U; L` z t\.• Bonded ThruNolaiypblicUndewriters NoJarySignature of the property and street address if available) Df City of Sanford Building Division f Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford. Historic Preservation Board INSPECTION POLICY chit PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: a 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 components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. DATE: CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: < A k PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 17-5 W I bEr , Rdpb Smrne b 3 277 3 STRUCTURE TYPE:5SINGLEFAmiLYREsIDENcE/TOWNHOUSE O MOBILE HOME APARTMENT/CONDOMINIUM RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY):_ ?I-yu ob PLEASE NOTE: ONLY 100 S ARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION:; No0FF- IDGE O RIDGE O SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 02:12-4:12(2412 OR GREATER TYPE OF ROOF MANUFACTURERMAN// FLORIDA PRODUCT APPROVAL SHINGLE n/ T/ " I Pl FL# /95(0 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 02:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# b City of Sanforde Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 177 - 4ZG ADDRESS: 128 KRIb(ER 90n S:rNf; R 'PL 3277,3 I AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, RCHITECT, 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 COMPANY / CONTRACTOR: SQl-r- CONTRACTOR SIGNATURE: .56'oce DATE: L Zd MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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 ©, `) N o k Sworn to and Subscribed before me this day of Z L 20 12 by: Aiakl' . Who is Personally Known to me or has roduced (type of e ifi ation) TL as identification. MAAkAa Signatur f Notary ublic State of Flbrida LYSHA HOLT F- 90, 47% ublic, State of Florida ission# FF 908920 Print ype/Stamp Name . expiresAug. 12,2019 of Notary Public