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1115 Palmetto Ave; 17-2202; ROOFS~ A r79- CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ zoo Job Address: ///.<— S Amzno ly Historic District: Yes X No Parcel ID: Z,5'r / 9-J0 - / / e)/1 06FO Residential Commercial Type of Work: New Addition Alteration Repair —Demo , Change of Use Move Description of Work: Plan Review CC ntact Peers/one: 14W Title: Phone: `//Y Fax: Email: Property Owner Information Name / CA E Phone: _5_6S—` rC 910 ` SYcl ao Street: //// Resident of property? : Ln_zjaJe City, State Zip: -5 G, . >" 77/ Contractor Information !/ Name g/`C_4C /le AZWs4 Phone: Z `f F / z / Y 7 _ P/1_6 Street: /zZ e/ S Occ,)xl _/ 7— Fax: p City, State Zip: C ZGZZV' State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: — Mortgage Lender: 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 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. Signature of Owner/Agent Date Signature of Co for/Agent Date Print Owner/Agent's Name ontractor/Agent' e l- 7 Signature of Notary -State of Florida Date Signature of Notary -State oi Florida D e t4 ANNETTE BLAND' o r Notary Public • SUAe_ol.9011", Commission I GG 060823 aF d My Comm. Expires Jan 16, 201® Owner/Agent is Personally Known to Me or CoMe or Produced ID Type of ID Produced Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: FloodZone:. Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application AI Aeticj) A(I,) W o 0 4 l'a ')a00Q / DATE / ENO.ARCHITECT TO d WORK TO BE PERFORMED AT: ADDRESS f / ADDRESS i CITY, STATE CITY, STATE PHONE NO. DATE OF PLANS All material is guaranteed to be as specified, and the above work to be performed in accordance with'the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ — ) with payments to be made as follows. Any alteration or deviation from above specifications involving extra costs Respectfully submitted will he executed only upon written order, and will become an extra charge Over and above the estimate. All agreements contingent upon strikes. Per accidents, or delays beyond our control. Note - This proposal may be withdravmn by us if not accepted within day J ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature_=— Date — E3 edams Signature 12 I t ttt Ifllf f t11111111111111111 fill fill s:rii *' -, F r: )•tUI { ,r This Instrument Pry red I__ 'ai ;lf.:il_}I'{' "f}!_}f?T r.- clone %LBy. B : i i i. t Address -_sr G; TG-s1`%t l."v ; L_EfiVS 20171:1 027 r_C,- /./vi. /=G-% l k{..i}'s{.'_I'J 11•!':'.}.2,•`UJ).7 1{t''1!'`e'.=r11 ' PermA No. R' I t'.: ej LTar, ill id{t NOTICE OF COMMENCEMENT:i:; r , ... STATE OF COUNTY OF < THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the foitav'.ing information is provided in this Notice of Commencement- 1. Description of property. (legal description of property, and street address if available) S / ) • `I/`y C/ J i j 2, General descriptionofimprovement -S/J G:•lr,, 7 7/ AL 3. Owner infomation or Lessee ' anion if the Lessee contracted fur the improvemen a Name and address: 1 "EU JGJF b. Interest in property: c. Name and address of fee simple titleholder (if different from owner fisted above): J 4. Contractor. / a. Name and address: b_ Phone number L/ Gi.% G-S ! 1 _ C/ i/ f"L - Ci.%' 5. Surely (if applicable, a copy ofthe payment bond is afYacher): a. Name and address b, Phone number, C. Amount of bond $ 8. Lender a_ Name and address: b_ Phone number. 7. Persons within the State of Rorida designated by Owner upon whom notices; or other documents may be served as provided by Section 713.13(1)(6)7_, Florida Statutes a. Name and address Al- b. Phone numbers of designated persons: 8. In addition to herseif1himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: /Z b. Phone number of person or entity designated by Owner. 1l 9. Expiration date of notice of commencement (the expiration date wrlei year from the date of recording unless a different date is specified): A// WARNING TO OWNER: ANY PAYMENTS FADE 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. QP' LE QV' SignaWre, of Owner o or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory' s Title/Office e, foregoing instrui was acknow{edged before me this day of 20 1 (year) by UE? T'Sl P(}g/L (name of person) as UT (.jrncir (type of authority, e.g. officer, trustee, attomey in fact) for (name of party on behalf of whom instrument was executed). dertxtte A Schw 'mature of Notary Public State of Florida ONOTARYPUBUC rint, Type, or Stamp Commissioned Name of Notary Public STAAtE OF FLORIDA Commission Number Ctmin* FF911625 Personally Known or Produced IdentifiicationyG Expirw 9/ 11/2019 — <. A ail .< c••. r`:". NOTE: This staU t ry form was revised by the 2012 Florida Legisl and has are effective ive dateof October 1, 2012 x d S4 :4 [Nk t f, R ry 72. CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfkordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Necole Allen for 1115 S. Palmetto Avenue Sanford, FL 32771 BP#17-2232 DATE ISSUED: July 20, 2017 DATE EXPIRES: January 20, 2018 Approved to re -roof front part of house (west elevation, currently 3-tab shingles) to match east elevation. Shingles must be architectural and must match in size, color, dimension, profile, texture, and other visual qualities. All pitched roof surfaces including but not limited to porches and additions) must match. 4 - - I Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? YES NO Building Department Representative P-1877-4 APPLICATION # l7 - a 3 " FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information , Downtown Commercial Historic District Residential Historic District Is this a retroactive request? Yes[] No[A"' Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yell No Proposed improvements will affect the following elevations: North South East West Property Address: —)a7 Property Owner Information Print Name: ry Q—( o e JV Mailing Address: I N2=1 fsx-/l Phone: Ss--, J99.—23a(jEmail: NWR , r) Signature: Applicant/Agent Information Print Name: Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE, SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Lq _ t" . — Date: '—I Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. Vim— V V-V\ 6 r HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP 1145 S Palmetto Ave - Google Maps Page 1 of 1 5 pai&uttc QW, t000gle Maps 1145 S Palmetto Ave Sanford, Florida Street View - Jun 2013 St ianford 1' 12th St Pa St ? Its) Si Image capture: Jun 2013 © 2017 Google United States https://www.google.com/maps/place/l 115+S+Palmetto+Ave,+Sanford,+FL+32771/@28.8... 7/20/2017 CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Necole Allen for 1115 S. Palmetto Avenue Sanford, FL 32771 BP#17-2232 DATE ISSUED: July 20, 2017 DATE EXPIRES: January 20, 2018 Approved to re -roof front part of house (west elevation, currently 3-tab shingles) to match east elevation. Shingles must be architectural and must match in size, color, dimension, profile, texture, and other visual qualities. All pitched roof surfaces including but not limited to orches and additions) must match. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? YES NO Building Department Representative o I APPLICATION # 17 FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. . General Information Downtown Commercial Historic District[] Residential Historic District© Is this a retroactive request? Yes Nog--, Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes Non Proposed improvements will affect the following elevations: North South East West Property Address: _ )I I s "Q Al Cab % Ct' 5 c 7 t L- ::S;27 %. Property Owner Information Print Name: 0 Mailing Address: Phone: S oq. g3af€mail:lQ , rl 21' _(ten `Lc` Signature: Applicant/Agent Information Print Name: _ 5 Mom_ Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: 've . P . Date: —7 — -'o 40\ —) Would you like to receive emails regarding Historic Preservation and Community Planning within your community? escription of proposed work ompletely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. n^C .`.R c ,A.r-ems. 1n \\/K `"' IISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP 1145 S Palmetto Ave - Google Maps Page 1 of 1 1115 p aW - Gococgle Maps 1145 S Palmetto Ave Sanford, Florida Street View - Jun 2013 St anford 12th St Pt St E 13th St U, En J e+ c1! cc 0 Image capture: Jun 2013 © 2017 Google United States https://www.google.com/maps/place/1115+S+Palmetto+Ave,+Sanford,+FL+32771 /@28.8... 7/20/2017 City of Sanford Building Division 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 & 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: 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: /ll STRUCTURE TYPE: WsiNGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT CTEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY): r PLEASE NOTE: ONLY100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BEREPLACED ROOF VENTILATION: D OFF -RIDGE RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 :12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE r, p FL# O Xl TAL 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 :12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE O METAL FIX O MODIFIED BITUMEN FL# TORCH DOWN FL# OINSULATED FL# O Tn.E FL# 0 OTHER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS. PERMIT ##: ADDRESS: // /75 I AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, 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 #: cl s ` < COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE`. DATE: MUST BE SIGNED BY LICENSE HOLDER OR WNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: 71z3l 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 Sworn to and Subscribed before me this2 ` day of 04 20 ` by: 16kor MAOK' . Who is 0 Personally Known to me or has 6 Produced (type of It tification) sig* ii6ture of Notary Public State of Florida Print/ Type/Stamp Name of Notary Public as identification. o` Yp°e`•: ARIANNEKATO Notary Public - State of Florida Commission 4 GG 067344 My Comm. Expires Jan 30,2021