2523 Georgia Ave - BR18-2522 - ReRoofCITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 - a_';
Documented Construction Value: $ Ir?yo.v
Job Address: Q)SI'S &e -o cc to.. Historic District: Yes No
Parcel ID: 01 -al U — 30 - S O 4 • 3S dU — O O Residential 12 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: DA-VkP Title: M'Cx,#L ir ePhone
6 73 y ( b Fax: Email:ru t° J m b c- F• L (3,, Property
Owner Information Name
OP-%- r+lO() 43 M "k&4=Meh7 P F— t—L—c.- Phone: Street:
34 0 9 3 fwV (t/t s Res dent -of }pR operty.? a: ::I¢ a • ! .:_ate ; City,
State Zip: Ls (o d S >, -,c v CO =
p:.
Contractor
Information Name
Phone: Street:
City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
State
License No.: 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. 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: 611 Edition (2017) Florida Building Code Revised:
August 1.2017 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. 01
Acceptance of permit is verification that 1 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 1CC 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 i mpliance with all applicable laws regulating construction and zoning.
J21 f
Sign ure ofOwner/Agent Date Signature of Contractor/Agent Date
4V*5 , R!L^ Odn,
Print Owner/Agent's Name
Signature of Notary-S - o .aMY COMMISMN06929M EXPIRES
Oc"v 21. 2019 t
or i9ao sa mn Owner/
Agent is Personally Known to Me or Produced
ID Type of ID 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: 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
s. ass
G!*
value 1060 E. Industrial Dr. Suite-K Orange City, FI. 32763
Attn: Dave McRainy
Re: Orlando 43 Management LLC
Property Address: 2523 Georgia St. Sanford, FI.
Permit # 05-441
Toll Free: 1-866-350-4050
Office: (386) 774-4950
Fax: (386) 775-3338
email: info@senezroofing.com
website: senezroofing.com
The following property was inspected on May 31, 2018. This architectural shingle roofing
system appears to have met all of the 2005 Florida Building Code requirements at the time of
installation.
Feel free to contact me with -any questions regarding this roof.
Thank Y u,
U41
Thank
Beery
Ed Senez Roofing Specialist, LLC
CCC 1325677
386-774-4950 office
386-717-1394 cell