117 Hazel Blvd; 14-260; REHAB OF HOME7Xn72u Ale)
F D f I CITY OF SANFOWD
NOV 0 6 2013 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ioo Documented Construction Value: $ 37,321
Job Address: 117 Hazel Blvd. Sanford, Florida 32771 Historic District: Yes No
Parcel ID: 10-20-30-509-0000-0130 Zoning:
Description of Work: Rehabilitation of Home
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information NJ - t1- 7 _(j —19
Name SEMINOLE B C C Phone: 407-665-8000
Street: 1101E 1ST ST Resident of property? : No
City, State Zip: Sanford, Florida 32771
Contractor Information
Name Blackstreet Enterprises Phone: 407-388-5820
Street: 13245 Daniels Landing Circle Fax: 866-674 -;1239
City, State Zip: Winter Garden, Florida 34787 State License No.: CGC-1509119
Architect/Engineer Information
Name: N/A Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: N/A
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ED
Square Footage: 1807 Construction Type: Rehab
No. of Dwelling Units: Flood Zone:
Electrical 121
New Service — No. of AMPS:
Mechanical ® (Duct layout required for new systems)
No. of Stories: 1
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 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 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.
l l 3
Signature of w erMgeof D to
Q o n 17
Perin er/Agent's me
A/i3
i:'r' SHARON D. PETERS
Commission # EE 125474
Expires September 15, 2015
ile" :.`' Borded Thru T oe 8"11FainInww 5.7019
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONIN it •S'• 1 UTILITIES:
ENGINEERING: Acw-
COMMENTS:
t.<_`
ignature of Contractor/Agent Date
Signature
Keith Owens
f/0/i3
0056131E BLACKWELL
MY COMMISSION # EE044409
EXPIRES November. 22, 2014
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
FIRE: BUILDING: - 17
Rev 11.08
EXHIBIT" B'
Bid Form (revised 9-16-13)
NSP 1 Rehab at 117 Hazel Ave., Sanford, FL - Line Item Pricing
Price
Remove and replace vinyl siding,_ wood framing and sheathing at water damaged areas.
Replace existing roof covering with new shingles. Include renailing of roof sheathing, replacing
up to 64 Sf of roof sheathing and 32 LF of fascia and 30 year antifungal architectural shingles.
Provide OIR 1802 wind mitigation to end user upon completion.
Pressure clean and re -paint complete exterior, including inside walls of carport. Seal and caulk all wall
openings, penetrations, window and door trim, disimilar materials prior to painting. +/- 2200 SF
Remove and replace all windows with new low-e, insulated, tinted windows sized to match existing
openings. Include caulking and/or stucco returns on all windows to prevent potential water infitlration at
openings.
Replace garage door opener.
Seal all soffit areas to prevent pest entry into attic space.
Replace chimney cap with new model. Prime and paint new metal cap to prevent rust.
Install additional insulation to provide a minimum R-30 unifirm value.
Patch and repair drywall near water heater and all interior surfaces for a uniform finish.
Replace exterior french door at rear of house._ -
Clean fireplace and chimney flue. Service all mechanical dampers for smooth operation.
Replace shut off valves to all water supplied fixtures within the home. Replace both toilets and
faucet fixtures in both baths, replace shower valve cartridges in both showers. Replace hot water
heater.
Replace disposal with new model.
Install vacuum breakers on all exterior faucets.
Refinish existing tubs -to remove all nicks, scrapes and blemishes.
Complete new HVAC system needs to be installed. Include new distribution ducts, minimum 15
SEER heat pump model sized per Manual J calculations. Include sealing all duct systemsand a
7 day programmable thermostat. Provide 12 filters and proper maintenance training for
homeowner upon completion. Include replacing line set with new materials. Recommend positive
pressure air handler, Trane or equal. Submit equipment specs and duct design to Seminole
County project Manager within 7 days after Notice to Proceed.
Upgrade existing electrical system with arc -fault devices, new GFI devices, new smoke
detectors. Install any missing coverplates, and new batteries in all smoke detectors.
Delete secondary set of washer machine water supply and drain line pipes installed not to building code.
Patch and repair wall as needed.
Remove wood frame structure from within garage location, structure has no apparent use.
Replace tile floor in main living area and closets, unable to match existing tile. Areas within the
room are missing tiles, have broken tiles and or have poorly installed uneven grout line spacing.
Terminate new tile installation at all surrounding border locations kitchen, bedrooms, bathrooms
etc.
Replace broken and or poorly installed tiles surrounding toilet and doorjamb in master bath.
Replace mosaic style doorjamb borders with standard tile border materials.
Repair mortar joints in block wall exterior garage side of home visible day light penetration.
Replace front porch support post with visible cracks to match remaining posts would species.
Repair front entry porch ceiling joint line seperating and sagging.
Fasten exterior hose bib to block wall on garage side of home.
Contractor to provide termite inspection and or treatment/repairs as necessary
Contractor overhead, fees, permitting, general conditions and supervision
Total Bid Price:
Page 4 of 4
F-:RMI r # i--a6o
N BUILDING DROPS
A Perfect Solution in Every Drop
Certificate of Authorization: 29578
127 W. Fairbanks Ave.
Suite 438
Winter Park, FL 32789
407.644.6957 PH0ncE407.644.2366 FX
contact@buildingdrops.com
Product (Evaluation Report
Of
Eastern Architectural Systems, Inc.
1431 Single Hung Window
Non -Impact)
for
Florida Product Approval
F L# FL14604
Report No. 1673
Florida Building Code 2007 & 2010
Per Rule 9N-3
Method:
Category:
Sub — Category:
Product:
Material:
Product Dimensions:
1— A (Certificate)
Windows
Single Hung
1431 Single Hung Window
Rigid PVC
48" x 72"
Prepared For:
Eastern Architectural Systems, Inc.
10030 Bavaria Road
Ft. Myers, FL 33913
Prepared by:
Alexis Spyrou, P.E.
Florida Professional Engineer # 68101
Date: 12/27/2011
Contents:
Evaluation Report Pages 1 — 4
Installation Details Pages 5
BUILDING DROPS
A Perfect Solution in Every Drop
Certificate of Authorization: 29578
Manufacturer: Eastern Architectural Systems, Inc.
Product Category: Windows
Product Sub -Category: Single Hung
Compliance Method: State Product Approval Rule 9N-3.005 (1)(a)
Product Name: 1431 Single Hung Window
Non -Impact)
FL#:14604
Date: 12/27/2011
Report No: 1673
Scope: This is a Product Evaluation Report issued by Alexis Spyrou, P.E. (FL # 68101) for Eastern
Architectural Systems, Inc. based on Rule Chapter No. 9N-3.005, Method 1a of the State of Florida
Product Approval, Department of Community Affairs - Florida Building Commission.
Alexis Spyrou, P.E. does not have nor will acquire financial interest in the company manufacturing or
distributing the product or in any other entity involved in the approval process of the product named
herein.
This product has been evaluated for use in locations adhering to the 2007 & 2010 Florida Building
Code.
See Installation Instructions EAS036, signed and sealed by Alexis Spyrou, P.E. (FL # 68101) for specific
use parameters.
Limits of Use:
1. This product has been evaluated and is in compliance with the 2007 & 2010 Florida Building
Code, excluding the "High Velocity Hurricane Zone" (HVHZ).
2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment into
substrate material shall be beyond wall dressing or stucco.
3. When used in areas requiring wind borne debris protection this product complies with
Section 1609.1.2 of the 2007 & 2010 Florida Building Code and does require an impact
resistant covering.
4. Site conditions that deviate from the details of drawing EAS036 require further engineering
analysis by a licensed engineer or registered architect.
S. See Installation Instructions EAS036 for size and design pressure limitations.
Alexis Spyrou, P.E.
Florida No. 68101
Page 2 of 5
BUILDING DROPS FL#:14604
A Perfect Solution in Every Drop
Date: 12/27/2011
Certificate of Authorization: 29578
Report No: 1673
Quality Assurance: The manufacturer has demonstrated compliance of door products in Accordance
with the Florida Building Code and Rule 9N-3.005 (3) for manufacturing under a
quality assurance program audited by an approved quality assurance entity through
National Accreditation & Management Institute, Inc. (FBC Organization #QUA1789)
Performance Standards: The product described herein has been tested per:
AAMA/WDMA/CSA 101/I.S.2/A440-05
Referenced Data: 1. Product Testing performed by Architectural Testing, Inc
FBC Organization #TST1558)
Report #: ATI-66892.07-109-47, Report Date: 4/14/11
2. Product Testing performed by Architectural Testing, Inc
FBC Organization #TST1558)
Report #: ATI-66896.07-109-47, Report Date: 4/14/11
3. Quality Assurance
National Accreditation & Management Institute
FBC Organization #: QUA1789)
Certificate #: N1010607-R1
4. PVC profiles certified by AAMA Deceunick North America DEP-1 and VBP-2
Alexis Spyrou, P.E.
Florida No. 68101
Page 3 of 5
BUILDING DROPS
A Perfect Solution in Every Drop
Certificate of Authorization: 29578
Installation: 1. Approved anchor types and substrates areas follows:
Nail Fin Installation:
FL#:14604
Date: 12/27/2011
Report No: 1673
A. For two by (2X) wood frame substrate, use #8 Wood Screws type wood frame anchors of
sufficient length to achieve minimum embedment of 1.50" into wood framing.
Refer to Installation Instructions (EAS036) for anchor spacing and more details of the installation
requirements.
Design Pressure:
Design Pressure
Size DP
48" x 72" +/- 50 PSF
Alexis Spyrou, P.E.
Florida No. 68101
Page 4 of 5
f
BUILDING DROPS
j \ A Perfect Solution in Every Drop
Certificate of Authorization: 29578
Installation Method
Eastern Architectural Systems, Inc.
1431 Single Hung Window
P_oo, 0OOaL VAX- ox- 150-., hA k i
32,:
ZV MAX.
D-
LO. 42.
41 72=
17 bom
L
Wn iKv- HT FL#:
14604 Date:
12/27/2011 Report
No: 1673 Alexis
Spyrou, P.E. Florida
No. 68101 Page
5 of 5
NOTICE OF PRODUCT CERTIFICATION
PERMIT#
CER-FIFICA'HON No: N1010607-RI
DA'FE: 05/09/2011
CER11FICA'FRON PROGRAM: Structural
CO INI P.A, N Y: Eastern
CODE: 1783-1
OFRCEREVISION
DA'l,!--,: 05/19,112011
The "Notice' o'lPI-OdUCI C 1-WIC3t1011" iS % -did onl,, W-m-i t,)LhC lCtf filth,
porilim of this f,!-m and a CCIlificalion labd :s zipplicd to the produiz!. 'I his cenif-c-111011 SCL11 T,cpFcScwks pivch.ci
to the npphcah je pC:fljCatjj.)jj :,,,(j tj,, I adl c:-r1i11c;1iion --rilcl'a has
The product dcScribed bdarx i. applwckf I-,,)[ 1i,,t1m,- in, 01c Plc,-Ju,:;s at
w- rel ic-,%.
Ci n.vc1ions.
D1-`SCR1P'fl0NCONIPANYNANIEAND :1.1)DRESS PRODU
Eastern Architectural Systems
10030 Bavaria Road
Ft. Myers, 11 L 33913
Merles - 1431 " 't"inYl
Sillule 1-jung Vk!indom: w/Nailint, Fin
0A
Sash: W- 1 12 nnnt(44-3
STP: Pos p s I
SPECIFIC A'TION PjZ0l)['(A'RA-1"l.N(,
AA,N-lA/\VDN,1A/(.'SA l01/1.S.2/A41M)-(J; 12-1-1",150 1207 x 1816 (48 x 72)
Pn)duk.-I -1-csied 11": Ai-i,h)[WLH-clj 1111C.
Repoi-i No.- (-,,6802-01-7- 1 0Q-47,,'()0S()6.';'7--j
Expit-Won Daic: Decem her 3L 2014
Administratm-'s Slunatul-c:
NATIONAL AC EDITATION ANI) N
I
MANACEME',NT"INS-l'I'I't.l,f'l, 1, INC
4794 George Washimyton memorial 11i4-41i a.v
I i a v s s, V' -' 2 3 1 D 77 2
Tel: (804) 684-55124
Fax: (804) 684-5122
SCPA Parcel View: 10-20-30-509-0000-0130 Page 1 of 2
Or'-wicl Or-^ Property Record Card
7PFROPERYYAParcel: 10-20-30-509-0000-0130
APPRAISER Owner: SEMINOLE B C C
4AUNOt.0C04h-,rrY.FLOAMA Property Address: 117 HAZEL BLVD SANFORD, FL 32771
F_<_Bac_k_1 I < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Parcel: 10-20-30-509-0000-0130 1 Value Summary
Property Address: 1 1 7 HAZEL BLVD
Owner: SEMINOLE B C C
Mailing: 1 101 E 1 ST ST
SANFORD, FL 32771
Subdivision Name: HAZEL GLEN
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
I
I
Map Aerial Both LExtents Center
Larger Map I I Advanced Map Dual Map View - External
2014 Working 2013 Certified
Values Values
Valuation
Cost/Market Cost/Marke
Method
Number of
1
Buildings
Depreciated
65,688 61,50(
Bldg Value
Depreciated
600 60(
EXFT Value
Land Value
12,000 12,00(
Market)
Land Value Ag
lust/Market
78,288 74,10(
Value **
Portability Adj
Save Our Homes
o
Adj
Amendment 1
S0
Adj
Assessed Valuel 78,288 74,10(
Tax Amount without SOH: $1 ,511
2013 Tax Bill Amount $1,511
Tax Estimator
Save Our Homes Savings: $(
Does NOT INCLUDE Non Ad Valorem
Assessments
L-- - - --- — - - - - -- --
Legal Description
LEG LOT 13 HAZEL GLEN PB 33 PG 63
Tax Details
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 78,288 0 78,2&
Schools 78,288 0 78,28E
City Sanford 78,288 0 78,28E
i
SJWM(Saint Johns Water Management) 78,288 SO 78,2K
County Bondsi 78,2881 0 78,2K
Sales
Deed Date Book Page Amount Vac/Imp Qualified
SPECIAL WARRANTY DEED 02/2013 07990 1333 100 Improved Nc
i
CERTIFICATE OF TITLE 08/201 2 07830 1485 100 Improved Nc
I WARRANTY DEED 08/2005 06011 0036 180,000 Improved Yes
WARRANTY DEED 06/1997 03259 1 521 81,500 Improved Ye!
http://www.scpafl.org/ParcelDetails.aspx?PID=10-20-30-509-0000-0130 11/6/2013
THIS INSTRUMEN PREPARED BY -
Name: `W tyts
Address: t, r
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: Parcel: 10-20-30-509-0000-013
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
DK 08157 PP AC 680; (1 pp )
CLtRi;' S #1 2 Q7131It 11+,k9 RE
CORDLD ii/05/2013 03;01;15 PM RECURDINS
FEES 10.00 RECORDED
BY H DeVore The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. 1.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LEG
LOT 13 HAZEL GLEN PB 33 PG 63 117 Hazel Blvd. Sanford, Florida 32771 2.
GENERAL DESCRIPTION OF IMPROVEMENT: HOME
Program Residential Rehabilitation CC-8646-13/AMM 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: 1101 E. 1st Street Sanford, Florida 32771 Seminole BCC Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Address:
CONTRACTOR:
dame:
Blackstreet
Enterprises Phone Number: 407-388-5820 Address:
535 NW Mercantile Place #107 Port St. Lucie Florida 34986 5.
SURETY (If applicable, a copy of the payment bond is attached): Name:
Phone Number: Address:
6.
LENDER: Name:
Address:
Phone
Number: Amount
of Bond: 7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(a)7., Florida Statutes. Phone
Number: 8.
In addition to himself or herself, Owner designates Keith Owens of 13245 Daniels Landing Q Winter
Garden, Fl 34787 to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone
number of person or entity designated by owner: 407-388-5820 9.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different
date is specified) t-*
s t.
WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF t 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. ett+ BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r e Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are ?,64- toTest
f owledge and belief. j'
Jim Hartmann, CountyZI 711,,'
hroriold aueOwner
or Lessee, or OwnersorLesse ' (Print Name and Provide Signatory's Title/Office) i:3 Officer/
Director/Partner/Manager) J f
7 / State
of y
a `
t r ( County of % (d%C)( r
Theforegoinginstrumentwaacknowledgedbeforemethisz` day of i ' C ?7%1C `- 20 by
1 - iG f /! / 7/) Who is personally known to me LV f r Name
of person making statement F_ `Y OR
who has produced identification p type of identification produced: ,.. SHARON
D. PETERS ' ' cy Commission #
EE 125474 d`
Fifes September 15, 20i5 oyFalnlnuroncegpp0t9 / Notary Signature
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, fake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 9-25-2013
I hereby name and appoint: Keith Owens
an agent of. Blackstreet Enterprises LLC.
Name of 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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: wL01'
License Holder Name: Lionel J Dunbar
State License Number: CGC-1509119
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acluiowledged before me this day of
f
Jx-r
2-40 b / nyj,(n who is personally known
to me or 2who has produced_ j2 . L C) as
identification and who sladTdid notl n oalth.
Notary Sea])
a^= BOBBIE BLACKWELL
Ay COMMISSION # EE044409
drc EXPIRES November 22, 2014
tau"r,..d8-G15:: ftorldallot SONiGB•COm
Rev. 08.12)
G.1> / e—)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
LIMITED POWER OIL ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole Comity, Minter SprinIDgs
Date: 9-25-2013
I hereby name and appoint: Keith Owens
an agent of: Blacicstreet Enterprises LLC.
1Namc of compam')
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sion for and clo till things
necessary to this appointment for (check only one option):
O The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 1,04 2cal
License Holder Name
State License Number:
Lionel J Dunbar
CGC-1509119
Signature of License Holder:
STATl OF F L 0 R I D A
COUNTY OF
The foreping instrument was acknowledged before me this clay oi-
HHOasby / ., nV r who is personally known
to me or rd who has produced f7_L-_.:.a2 . Lt C as
identification and who.did (did not) t rt:e innaih.
Signature
Notary Seal)
Print or type name
a, ;s BOB7-7BLAWF-
LL
My CSION 044409EXPIovemb2, 2014om
Rev. 08.12 )
Notary Public - State of —
Commission No.
Nly Commission Expires:
r
u
Nov 0 6 2013 City of Sanford
D Residential Permit Application Guidelines
All permit application packages must be complete prior to acceptance. You must check
each box to the left or indicate n/a on this submittal. A complete application package shall
include the following:
ZBuilding Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Completed and signed Right -of -Way Utilization Type I Permit Application.
V Copy of the contractor's 1 icense issued by the State of Florida (if contractor is applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if owner is applicant).
Approval letter from sanitary sewer provider (if other than the City of Sanford).
Copy of the onsite sewage disposal system construction permit issued by Seminole County Health
Department (if applicable).
Seminole County Impact Fee Statement (multi -family only). Nf
Five (5) sets signed and sealed building construction plans. N f (
Two (2) signed and sealed site / plot plans. lQ I A-
Two (2) sets signed and sealed floor and roof truss engineering. lv pr
C- Two (2) copies of completed and signed Statewide Product Approval Specification Form.
L/ Two (2) copies of the manufacturer's installation instructions for the following products: windows,
doors, roofing materials, engineered lumber products, glass blocks, soffit materials and siding.
Two (2) copies of completed and signed energy and equipment sizing calculations. to O kk
THE CONSTRUCTION DOCUMENTS MUST INCLUDE, AT A MINIMUM, THE FOLLOWING:
SITE PL: / PLOT PLAN
COY Lot n ber
pi Address Legal Description
Setback lin from principle structure and any accessory structures to property boundary (minimum of
eight; two on e h side)
ElPrimary building s back lines/envelope
El A/C unit locations wit etback from property line
Survey type
Existing easements: drainage, 'lity, etc.
Building separations, if applicable
Location of septic systems
Flood zone reflecting current FEMA map vision date
Lot grading type (A,B,C, etc.)
Elevations showing crown of the adjacent street o gh
type A and B lots)
Lot corner elevations and break point elevations
Drainage swales (if applicable) with profile view
Proposed finished floor elevation
N Ik
of-way upon which the structure fronts (for
BUILDING PLAN
Construction documents shall indicate code edition being applied
Revised: November 2013 Page I of 5 Residential Permit Application,-Checklisi
0"
Construction type
Plans to *nimum 1 /8" scale
Designer in rmation: name, address, registration #, seal and signature on all pages
Page size min' um 22" x 34"
All pages numb d and labeled
Wind design data r uired on drawings per FBC 1603.1.4 to meet 139 mph ultimate design wind speed
for risk category II bu' dings (residential)
Ultimate design ' d speed (Vult)
Nominal design win eed (Vasd) /
Risk category \
Exposure category
Enclosure classification
Internal pressure coefficient
Component and cladding design win essures in terms of psf
Structural Calculations, if necessary
FLOOR PLAN
C>' Building area tabulation
Cl/ Room size
Co 'dors Stair
cation/guardrails Safety
ass locations Egress
do and emergency escape windows sizes and location Stairs
const ction requirements Special
colu post anchorage Interior
load be 'ng wall locations Shear
walls Down
cells ( Lintel
schedule Attic
access El
Accessibility restroom (door ocation El
Fire resistant assemblies Identify
options to be used FOUN
TION / SLAB Fil
d cells with reinforcement locations Foote
enotation/details Footers
inimum 12" below grade Interior
be 'ng walls/pads Porch
pads/f\above
Brick
ledge I
Slab
thicknefiber mesh Vapor
barrieatment type Reinforcing r
la Relieving art
pipe netrations All wood
mi" above b de Crawl spacen
Termite shields
ELECTRICAL Service
riser
dWgr C Electrical load
calculat s Revised: November
2013 Page 2 of 5 Residential Permit Application Checklist
to foundation steel
Service cation
Panelloc 'ons
Receptacle out
GFCI protectio
AFCI protection
Tamper resistant ou is
Ceiling fans
Outdoor receptacles
Disconnecting means
Switches/lights
Smoke/CO alarm locations hard
ELEVATION (fron , ear and side views)
Attic ventilation
Roof pitch
Roofing material
Exterior finish/stucco thickne
Height/bearing elevations
Window and door opening locations
Chimney location/height
3 / N-
interconnected and battery backup
MECHANICAL
Eq ' ment location
nchorage for condenser
tection in garage locations
Clea nces at equipment
Structu 1 detail for air handler in attic
ro"O\,
C- w ( Surlc'
Room ventilation
Duct layout ( ally in energy calculations)
R-value of ducts
CFM's
Balanced return/ducted, nsfer ducts or grilles
Exhaust
Bath exhausts size and terminat'
Dryer exhaust discharge/make up al
Energy calculations with equipment sizing calc tions
Skylights
Plum waste riser diagram
h / Water heateTiscation C
Fixture location
FUEL GAS
BTUs eac outlet and total BTUs
Pipe type an otal length
LP regulator an odel type
Combustion air ven
Location of equipment
Venting
Gas Type
Revised: November 2013 Page 3 of 5 Residential Permit Application Checklist
Window and mullion installation instructions
Garage door, sliding glass door and swing door installation instructions \v
Siding installation instructions f
Soffit installation instructions \v
Glass block installation instructions N
Engineered lumber products installation instructions
PRODUCT APPROVAL
Completed Product Approval specification sheet , ,, 9 k
FS 553.842, FAC 61G20-3
These guidelines were compiled to assist the applicant in preparing a residential permit application submittal
and may not be complete. The applicant is required to meet all city of Sanford, state, and federal requirements.
Revised: November 2013 Page 5 of 5 Residential Permit Application Checklist
Gas ressure
El Gas pr ing riser
ROOF TRUS AY OUT
Truss I. D. s
Layo
Signed/ led truss engineering package
Strapping/fasteners
DETAIL SHE t TS OR NOTES
Footing
Beam to all and/or post attachments
Post/colu and beam construction
Interior be ring walls
Stairs secti
Chimney co truction
Dormer const ction
Floor framing
Entry constructi
Arched windows
Bay windows
Frame to block con ctions
Knee wall constructio
Sky light framing
Top plate splicing requi ments
Steel requirements (foote lintel, vertical pour)
Grade
Over lap
Veneer
Shear wall locations and const tion
Connectors
Fasteners
Roof sheathing & diaphragms
Fasteners
Blocking
Wall and gable sheathing fastening
Gable end, frame and block, vaulted and t
Conventionally framed roof members
Glass block
Bearing opening strapping/anchorage
Bearing/non-bearing wall detail
Typical wall section detail, one and two story, b
Connectors
Anchorage bolts
Materials and assembly
Garage and swing door buck fastening
Ceiling diaphragms
Blocking
Any conventional framing
k.
and frame, for all scenarios
MANUFACTURER'S PRODUCT INSTALLATION INSTRUCTIONS
Roofing installation instructions & compliance with ASTM standards
Revised: November 2013 Page 4 of 5 Residential Permit Application Checklist
i
DEC 1 7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I L —G-6 Documented Construction Value: $ 6110
Job Address: 117 Hazel Blvd Sanford, Florida 32771 Historic District: Yes No
Parcel ID: 10-20-30-509-0000-0130 Zoning:
Description of Work: Remove and replace Home HVAC System
Plan Review Contact Person: John Dorton Title: President
Phone: 352-253-0270 Fax: 352-253-0272 E-mail: dona@dortonairconcepts.com
Property Owner Information
Name Seminole BCC Phone: 407-
Street: 1101 E. 1st Street Resident of property? : No
City, State Zip: Sanford, Florida 32771
Contractor Information
Name Dorton Air Concepts Phone: 352-253-0270
Street: 1069 Lake Idamere Blvd Fax: 352-253-0272
City, State Zip: Tavares, Florida 32778 State License No.: CAC058638
Architect/Engineer Information
Name: N/A Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: N/A
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 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 MAY
RESULT IN YOUR PAYING TWICE FOR 11WROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMnIENCEMENT::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.
si o Owner/Agent Date &Viaiure of contractor/Agent Date
t(
SHARON D. PETERS
Commission # EE 125474
EVres
01WWnMT Farhfn
tember5 ,
3 A
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
BOBBIE BLACKWELL
MY COMMISSION # EE044409
EXPIRES November 22, 2014
407)398-0153 Florldallo Servioe.com
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER -
BUILDING.,
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: (Z - 13, 7 l3
I hereby name and appoint: Ke,01-) oI ey) 5
an agent of-
Name of 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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney
License Holder Name: JphY1 W . -06rton
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF LaKe
1.0 - 30 - ,Z,O 14
The foregoing instrument w acknowledged before me this day of k
G, 200 (3 , by cJi] / ( who is personally known
to me or o who has produced as
identification and who did (did not) tajcQ an oaths
Notary Seal)
TRACY MCGRAW DURRANCE
Notary Public - State of Florida
N • : My Comm. Expires Apr 21. 2017
ems° Commission # FF 001045Oc "••'
Bonded Through National Nota y Assn.
Rev.08.12)
Signature
RIO
Print or
Notary Public - State of -:-16Yi '11t a
Commission No.
My Commission Expires: 4nvl` Z 7
Y\
t
h,
DORTON AIR CONCEPTS, INC.
13100 Long Pine Trail
Clermont, FL. 34711
Phone: 1-(352) 394-0270
rA1RC ®n C p S y Inc. License #CAC058638
Sales - Service - Installation
Sales Contract
To: Blackstreet Ent.
Job: 117 Hazel Blvd f{.
ry E:O
Address: Sanford, FL.
Phone: 407-388-5820 DUJ-E-:R
Date:
Quote good through: 12/31/2013 urn ro the 7_.xperrs
Contract Price: 6,100.00
Prices include:
Quantity 1 3 Ton 15 SR Comfortmaker H/P
Includes:
Remove existing system and duct work
Install 3 Ton Comfortmaker H/P system
Thermostat wiring
A/H stand
Condenserpad
7 Day programmable, digital thermostat
All new flexible duct suppy and return air
Stamped steel grills and return
1) 50cfm bath fan
Copper lines and new pvc drain
Condeser feet per hurrican tie down regulations
Float trip switch
12) Filters
Permitting
Manual J
All labor and materials to complete installation
1 year labor warranty
10 year parts per manufacturer when homeowner registers within 90 days
Only 5 year parts per manufacturer if not registered within 90 days)
Signature Date
JAN 15 Z014
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ y'a o
Job Address: k Z Vr=-7 cA Historic District: Yes No**k
Parcel ID: bJdo- o . 0 CS O Zoning:
Description of Work: V kcpaccw.r.&t.A— Plan
Review Contact Person: Title: Phone:
Fax: E-mail: Property
Owner Information Name &
LC CC_ Phone: " i -G`'C- Street: ((
y Resident of property? City,
State Zip jo t•-,., l L `31' r Contractor
Information Name (
7;
kl _ u W-a ke_ Phone: Street:
6e:i-4'a fnr 6k n Dr'L'C_ Fax: Zo Ce City,
State Zip:,-"rjccmxer _ 3(-7 _ State License No.: c
Architect/
Engineer Information Name: (
J/ Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Square
Footage: No.
of Dwelling Units: Electrical
New
Service - No. of AMPS: Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type Flood
Zone: Mechanical (
Duct layout required for new systems) No.
of Stories: Plumbing ,'
U New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads: o ,,
dYt-c' o"'L 4 L.Jo Ac-- aim v
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 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:
ENGINEERING:
COMMENTS:
Kgnature of Contractor/Agent Date
P Contractor/Agent's me
r Bill S/ `
Si ere @i t 5)jate of Florida Date
ti,MISQSQ
Qpuary
D •
a 9 ; D 94?05
is Personally Know to Me or
Typ
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake .Marv, Longwood, Sanford,
Seminole County, Winter Springs
Date: 12-18-2013
I hereby name and appoint:
Tie h Owens
an agent of: Rite Angle Pluinbina
Name of 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):
The specific permit anapplication or work located at: Address)
Expiration
Date for This Limited Power of Attorney: License
Holder Name: Rite Angle Plumbing State
License Number: Sionatttre
of License .Holder: STATE;
OF FLORIDA COUNTY
OF Seminole CPC
1427530 12-
18-2014 The
foregoing instrument was acknowledged before me this ltday o1—DeC. . 20013 who
is personally known to me
or who has produced --::FL.`Z;vzI . C-.ic.. as identification and
who did (did not) take °an oath. Sienature Notary
Seal)
BOBBIE BLACKWELL
MY COMMISSION #
EE044409 EXPIRES November
22, 2014 407):s09-
0153 FloridallotarySerAcexarn 1 l
Rev.
08.
12) Print or
type name Notary Public -
State of Commission No.
My Commission
Expires: Voy 2Z 0/ 1