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207 E 11 St - BR18-002706 - REROOFCITY OF aTWS,.kNFORD Building &Fire Prevention Division PERMIT APPLICATION FIRE DEPARTMENT k ) N0. ` Application 7 Documented Construction Value: S Job Address: ' o / ! " /` Historic District: Yes jKoEl Parcel ID: c2T— to - 30 C' ' /90Q - Gal d Residential Commercial Type of Work: New Addition AlteratipikEl Repair Demo Change of Use Move Description of Work:e'X^100:5kh Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Named" P 1 CV Phone: Street: Resident of property? City, State Zip: r j Contractor Information `/ QName (r 4'i YnI I r Phone: TD 7G 1 Street: Fax City, State Zip: State License No.;(Q:Q Sd S7 Arc Itect/Engineer Information Name: Phone: -qa Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: J/74; 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. 1 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: 61" Edition (2017) Florida Building Code Revised: August I, 2017 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions'' applicable to this property t1fat.may be found in the public records of this county, and there may be additional permits required from other governmental entities such as wailer 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 ofOwner/Agent Print Owner/Agent's Name Date Signature ofNotary -State ofFlorida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID d Signature of Contractor/AIt ate Print Contractor/Agent's Name D(A. /(4. / Signature of NotaryState of Florida Date FloridaDateDEBBIEBIVITON MY cOMMISSION it FF 178648 EXPIRES: February 25. 2019 i'..: R" Bonded mro tDim Pubic ut denvritem8...`r 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: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: August 1, 2017 Permit Application CE Rs I FI,CA, 'E OF APPR©PRaI'A ENESS If S : !ORIC PR ES`iE.RtU- 'C;N 'Bf -.yA'RED CfTY OF SvANiFO;RD 3::0-'S..'Paork Ave.n er 1,17- 71 6ti88:'S145 wwlw aam fo:rdfl+:o1i/H+ THIS DO : !'M ENT' S BE P;OSTE D Ai T ALL, TIs iES 'UaN II t I?R ' E'CT IAS;'COM!P11LE.TE1,DX I•SSUED TO: OU TE 11$S ,E-D : Steuen),Mil.ler 1Ver11,, 20 17) for IExtendewd:, June 114;, 2018 200/it..11'th"Street 100-A IE-EXPIRES - Sanford F,L_- ZZ2V/71 Aprill 12; 201Y8 BP#18=4,'4 0-o-ambe'r Is 2018f App:roved toy remove anwdvre;p:l'a.ce 30 year archtectura~I: shingles "weathered Wood" ' col'or.. Repair/rep'lacerne.nt of wood! und'erl'a,yrnentall'o-wed.; a)se-.partite CofA, is, required, fO.r any repair,%re;p lacement of v sable' features such as tb.ut,'n:ot limited; top,, eaves, .sa'ffits, )fascia),-raIfter ta i.ls;,'bra:ckets; etc. Christine Dalton,AIC Historic Poeservation, Officer/C_Or. 0 munity Pt'ahnerPlease beiidVlsod; it is, the owner, and/or agent's responsibility, to;motify, staff of any, •potential changes from the approved COA that axis_-e andokttain approval prior fog commencing; the changes. This; Certificate of Appropriateness does, not •constitute final development approval., The> app,'licarit is iresponsiple fo_r .obtaining; net: and' approv#l$ from,applicable departments:befoge;iinitiating{development.. IS;A' BU,ILDING•PERMIT;ItEIQUIRE FO;It THE ACTIVITY/'LISTED' NOOM-0, ES.'i NO; Buil'ding,',, E, aQent. ,R'epresentatiue- THIS INST T PeREPARF fi1 :l fae Address: 11''! C tle CA+ v7 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number. 1 l tlll 11 1119i11 IIBII 11i11 lilil liil Itll GRANT MALOYr SEMINOLE COUNTY CLERI, OF CIRCUIT COURT COMPTROLLER BY, 9002 P9 1505 (1p9s) CLERK' S : 2017101231 RECORDED 10/09/2017 04:04:14 PM RECOQDING FEES 'b10.00 RECORDED BY hil gore Parcel ID Number: 2ir—I ci•36 " 5V ^ t 3OA-- 00 0 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. DESCRIPTION OF PROPERTY: (Leg I iption of the prop" nd stre ddr s if avail Ie GENEDESCRIPTIptJ OF IMPROVEMENT: e Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: c Address — CA O L SS' P-PW7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served asprovidedbySection713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates Of To receive a copy of the Lienors 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 differentdateIsspecified) 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 tothebestoyknowledgeandbelief. Owner' s signature Owner's Printed Name Florida Statute 713.13(1)(9):' The owner must sign the notice of commencementand no one else may be permitted to sign in Nsor her steed.' State of f16 r Q County of Sern 1-aoJ e The foregoing Instrument was acknowledged before me this Z 2 day of p M 2p Name of person making statement OR who has produced Identification type of identification produced: MINEI KELLER JR. K „_ COMIMSSION d fF14251s EXPIRES: , luly'16;° 2018 W1Mr.+ A+111WWAW 01t CV F D' City of Sanford Building Divisionmot: 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 iiistalled'oii the'projecf.'" "' "'" "' 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 weatherprooflocation Completed Residential Re -Roof Scope ofWork 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 compliange by personal inspection. CONTRACTOR (OR OWNEWBUILDER) SIGNATURE: DATE: 017 f CITY OF CIO SkNFORD FIRE DEPARTMENT JOB ADDRESS: PERMIT # Building & Fire Prevention Division RESIDENTUL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: SINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): PLEASE NOTE: ONLYIOO SQUARE FEETOF THE EXISTING DECK ISPERMITTED TO BEREPLACED** ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFrr OPOWERED VENT SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _ MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 2:12 — 4:12 O 4:12 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# "'' i'EI O METAL FL# OMODIFMD BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# OTILE FL# 0OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IPAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 .12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL,# OMETAL FL# OMODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# OTILE FL# 0OTHER: FL# 7 x City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 02 fl ADDRESS: 1173- Sd I J t_aw, ' / 1 J W , 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 #: COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER A FINAL ROOF INSPECTION 1S REQUIRED: DATE: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME. OF THE FINAL ROOF INSPECTION, ALONGWITH DIGITAL PHOTOGRAPHS OF EACH PLANE OFTHE 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 fit. Ito Ile Sworn to and Subscribed before me this /% day of / ,,,.t 20 -J&-by: 5AVc.4— XA, C.4 Who is VA ersonally Known to me or has 0 Produced (type of identification) Signature of Notary Public State of Florida Print/Type/ Stamp Name of Notary Public as identification. RACHEL FRE MAM STATEOF ' FLORIDA 1 NUFFfZ