207 E 11 St - BR17-002987 - ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: _eQ Of ?7
Documented Construction Value: S
Job Address: c (17 4-;; Z- 0-sr,. tff1k J Historic District: Yes E No
Parcel ID: / 9 - . -I&A .601 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: P--Q —V^O() f
Plan Review Contact Person: S'IfVPo Title:
Phone: q0-7 _ Q-2 ' c9OR Fax: Email::
Property Owner Information
Name PA C- 6,1 C ? C(_
Street: qo `7 /1-d- S7' -
City, State Zip:olj
Name ,sweh
City, State Zip: QSSp N et/' V
Phone:
Resident of property? :
Contractor Information
Phone• ` a -Z- %?S---aQ'o2 ' -
Fax:
State License No.:C6:C09'7-S0, Arch
itectlEng ineer Information Name:
Phone: Street: _ (
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
Mortgage
Lender: NA 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 dote: 5'h 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 ofthis county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance ofpermit is verification that I will notify the owner ofthe property ofthe requirements ofFlorida 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 ofthe job at the time ofsubmittal.
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.
4Signature ofOwner/Agent Date
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Of ' 0- ; i Signature
of Contractor/ gent Date Print
Cont r/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: Min.
Occupancy Load: New
Construction: Electric - # of Amps Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING I d' 1dt Q UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:
Revised:
June 30, 2015 Permit Application
T
Y i
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:
Steven Miller
for
207 E. 11t" Street
Sanford, FL 32771
I: ' ; ; / /
DATE ISSUED:
October 11, 2017
DATE EXPIRES:
April 12, 2018
Approved to remove and replace 30 year architectural shingles "Weathered
Wood" color. Repair/replacement of wood underlayment allowed; a separate
CofA is required for any repair/replacement of visible features such as (but not
limited to), eaves, soffi s, fascia, rafter tails, brackets, etc.
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? DPI YES NO
Building Department Representative
Ye-
APPLICATION # l OCT - 3 2017
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete appl!cations will not be
reviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.6145 to ensure your application is complete.
General Information
Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes[] NoEK
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes Noe" —
Proposed improvements will affect the following elevations: North South East West
Property
Property Owner Information
Print Name: itr kejr [n Ca Ok Mailing
Address:o o Phone:
Email: Applicant/
Agent Information Print
Name: Mailing
Addr Phone:
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: /,
Date: Od-Cl 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. P6
nq 4P _ Zo LA n ago J, HISTORIC
PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
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THIS INST T_PREPAR Y:
Name. e rl l
Address:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
i l;rahli Ilr1_.i's: i OLE- iillhdl"r`
i I E-I'T i:)i= G1RC:1-1111" ":OURT & CONFTROLLER
BK {i
CLERK'S x 211171ID1231
RECORDED i.firll?;';?f)I lj4QI_;y:;1:r 1-'j'i
DThari FEEc S1000 I;:
Es:OI;GEI:i BY Ilr1 .lr:ii':= Parcel
ID Number: 2-5 -(gf30 " 5-0-P ^ I3o.2— Coto 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 d ription of the prope nd stre ddr s if available GE—
N DESCRIPTIj I OF IMPROVEMENT: Fee
Simple Title Holder (if other than owner) Name: CONTRACTOR: /
J Name:
o Address: —
Q L SS g . [ C7 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)(b), Florida Statutes. Name:
In
addition to himself, Owner Designates of 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 o y knowledge and belief. Owners
Signature Owners Printed Name Florida
Statute 713.13(1)(g): " The owner must sign the notice of commencementand no one else may be permitted to sign in his or her stead." State
of Q County of Jern The
foregoing instrument was acknowledged before n• by
T) aGh,P, I o he, e i,- Name
of person making statement OR
who has produced identification type of identil MINRAEI
KEIIER JR. xs
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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 in -stalled -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 ofthe 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 OWNER/BUILDER) SIGNATURE: , DATE:
i
CITY OF
SkNFORD
DEPARTMENTFIRE
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: kSINGLE FAMILY RESIDENCE/TOWNHOUSE 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: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
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
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 r .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#
OTILE FL#
O OTHER: FL#
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