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816 W 3 St - BR17-003121 - ROOFCITY OF SANFORD BUILDING & FIRE PREVENTIONOCT2017PERMITAPPLICATION Application No: Documented Construction Value: $ 1 Job Address: to _T_i1i{Zn S-f -. Historic District: Yes NoX Parcel ID: oZS 30 - 5AG - 6 q 1) - 00 7A Residential' Commercial Type of Work: New Addition Alteration RepairX Demo Change of Use Move Description of Work: E - Rbo F A S rJ' y 25 6 Q 6L Plan Review Contact Person: KC- ITHTitle: O Ii3E S&= Phone: 0D l- 6A - 1 q 3 9 Fax: ff))q Email: (' U i' t) 6 c.d 1 b© Csnr,k II Property Owner Information 44 NameACcTa -o P Phone: Y617 13 Street: 1616 W . 3 1?-b S+ . Resident of property? City, State Zip: A 1\i ri Contractor Information Name l)SSIW DTo EP-5 1 (L Phone: Street: 7,?6 50?i5 Iw Fax: tJ( ) q City, State Zip:p ( . FL r! f7? / State License No.: Architect/ Engineer Information Name: dt l A Phone: Street: City, St, Zip: Bonding Company: Al / P Address: Fax: E- mail: Mortgage Lender: AJ / f. T 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: 5tb Edition (2014) Florida Building Code Revigp& hme 10 101 S Permit Annlirtatinn 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 ofpermit 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 Print Owner/Agent's Name Signature ofNotary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 1 ' l'7 Signature ofContractor/Agent Date 4 UTN A iN ,RUSS I Print Contractor/Agent's NALnc Signature N to of F orida Date ANNETTE BLAND e Notary Public - State of Florida y Commission # GG 060623 post I •', My Comm. Expires Jan 16, 2018 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 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: R—i—d- Time 10 ')01 S PP.rmit Annlinatinn 1CITY OF SkNFORD DEPARTMENTFIRE JOB ADDRESS: 5 1 to W - -3L4 S+ . PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: XSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 1 i l ayEA4kk Olj lW 060 bb A p-os PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: XOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 X4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL X, SHINGLEFL# d O METAL 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 O 2:12 - 4:12 X4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# THIS INS RUMENT P PARED Name: !— 5S Address: 2 sv S GRANT NALOY r SE11INOLE COUNTY 7° CLEW. OF CIRCUIT COURT & COMPTROLLER BK 9012 Ps 1033 (1Pgs) NOTICE OF COMMENCEMENT C:LERI", 4 1]17117017RECORDEDD1tt/24/'?Ct17 12:38°°=28 PI1 State of Florida R.EMRDING FEES $10.00 RECORDED BY apc(tenro County of Seminole ,\ Permit Number: 1 - r 3 I r t Parcel ID Number: ` - 36 - 5AG -yq 11- 6b 9A 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 PROP RTY: (Legal descrriptipn of the property and street address if available) 156' )--T D L6 i5 cl A 10 F34 N -FfRJL Towls of P6 9) 1 GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION:._..,_ __ _ ----- /.._..-_ Address: Fee Simple Title Holder (if other than owner) Name: fU /Ll F Address: CONTRACTOR: ` I ` Name:05,S911 &8,2-riJ EtS Address: 'V-L 5 0 P-'.s A Don,lJh , -6: 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 _*4 1. To receive a copy of -the Lienor's Notice as Provided Section 713.13(1)(b), Florida Statutes. pJ r— Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a d different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICEbP5 COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.?3 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY --Pr 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 ATTORN ,- BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. '_J C Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are trneu to the best of my knowledge and belief. u Z Florida Statute 713.13(1)(g):' The owner must sign the notice of commencement and no one else may be permitted to sign in his orher stead' State of v`{ County of Lzil")\_ The foregoing instrument was acknowledged before me this day of j_ , ........., ',.. by `7 V — Uv'c U! ze L `' Who is personally known to me `.•'' Name ofperson making statement OR who has produced Identification® type of identification prod uced0t!Q%/) G . AXEL VARGAS NOTARY PUBLIC - STATE OF FLORIDA r .•'C COMMISSION # GG 107921 Ndljignatuw-A 0- EXPIRES June 29, 2021 / "• < rc BONDED THRU Notary Public Underwriters ''•. SY h PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: _ STRUCTURE TYPE: XSINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM RE-ROOF_TYPE•kREPLACEMENT (TEAR OFF EXISTING ROOF_AND_REPLACE.WITH-NEW.COMPONENTS COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) U DECK TYPE (PLEASE SPECIFY): I LO(m n <'L'F- A TN j dui C, ( r4.(2 S PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"* ROOF VENTILATION: XOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES XNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 K4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE tT FL# 6 - DU` . O METAL 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 O 2:12-4:12 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# O TILE FL# 0 OTHER: FL# 17 ., C 9- 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 theproject: 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), yi BC co a EomDpl ce by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:_ I l