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232 Clydesdale Cir - BR17-003237 - ROOFgY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 11 -3Z6 % Documented Construction Value: $ It , ® e Jn ob Address: d A .7 t Q. :Historic District: Yes Na Parcel ID: lIPS -Z r3 506 `Occ)C) -moo 80 Residential [Commercial Type of Work: New tAddition Alteration Repair Demo Change of Use Move Description of Work: Plan . Review Contact .Person: C - Title: Phone: 0-1"1 o ax: Email: r jQ rn ` pC( 1-\, Property Owner Information vl- Name c e casr S Street: 0.1Q- ( , City, State Zip: ck-n s j'S 1 0 Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Phone: C)--7 (Ar. ( - co(C) Resident of property-? : mation Phone:` A6rt—(20 - 4Q6 D P4 Fax: NC, C b:1 —cob © . State License No.:ccc C-)S(D9 Architect/ Engineer Information Phone: Fax: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAII_,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN VO[`R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COVINIENCEiMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TI-IE FIRST INSPECTION. .IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE., IIECORDING 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: 5" Edition (2014),Florida Building Code Revised: June ;0, 201S 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 ofpermit 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 [CC 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. Sj nature ofOwner/Agent Date Print ()Nvner/.APent 's Name. Signature of Notary -State of Florida Date Owner/ Agent is _ Personally Known to Me or Produced ID Type of ID Sig lure of Contracior/Arent Date P t {' ntractcx; A cnt's Name ofNotarv- State of Florida Date GARRETT A MILLER NOTARY COMMISSION # GG50450 PUBLIC STATE OF EXPIRES November 28, 2020 FLORIDA BONDED THROUGH Rld? NSURANCE COMPANY Produced ID Type of ID Me or Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Ise: Flood Zone: 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 Pennit Application 1111111111111111111.111111 1 11111111111111 NOTICE OF COMMENCEMENT Permit Number. GRANT MALOYY SEMINOLE COUNTY CLERK OF C:IRC:UIT COURT h CONF'TROLLER BK 9017 Ps 1743 (11`9s) CLERK'S z 2017111130 RECORDED 11/02/2017 03:02:22 Pp RE.C:ORDING FEES $10.00 RECORDED BY hdevure Parcel ID Number. The undersigned hereby gives notice that improvement will be maS to certain realilprope nd in a ordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1-Y1CD1JJ 1. DESCRIPTION OF PROP RTY: (Lege description of the pperty and street a ress if available) / ( c p lob ' n c ( ,c5aln,. 1nASP 7 b C49' l =1 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER Il Name and INFORMATION IF THE Interest in property: V w' _ `i " 3 a t t t - Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR Name.D - i C Phoney Number O ff60 Address: $0 1 i D L .10SAY 5. SURETY (If applicable, a copy of the 6. LENDER: Address: bond is attached): Name: Phone Number: Amount of Bond: 7. 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)(a)7., Florida Statutes. 8. In addition, Owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration 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. SignatureofOwner orLessee, or Owner's or Lessee's Authorized officeNDirector/PartnertManager) State of The foregoing instrument by I c7 Y , fe '' `- _ .. •fit . A' rint Name and Provide Signatory'a\Tttlgl 10, tL k County of C./ V—A N U-( acknowledged before me this a o tA day of GZt23t Name of person making statement who has produced identificationtype of identification produced: GARRETT A MILLER RY COMMISSION # GG50450 CEXPIRESOF. LORIDA November 28, 2020 BONDED THROUGH RLI INSURANCE COMPANY Who is personally known to 20 - — 317-(r 1 -`7SG -o v( 1b Notary Signature m1w The, Below pragraph is required by Flaride law) ri of Claiml I enef4s, and pr&eeds under any applitabte ered or to be, rendered, fmake this assignment ihd/br sup*,m tennis and . othOrwisepetforM ui!Ing. pa ',ept,&t,thp, -;,Ifoymeofservice n I V,;auses of action w6lch exist or may: exWln rendered or tc berendered by SDP and shall' WiAment isnots'nassignment of my 4060ft reWod to only the senfkes OF Wi SCPA Parcel Vim18-20-3 1 -506-0000-0680 ftu- ady Re-rw rd.-C.ar-d- Parcel: 1 20 506 C000 801 PP06Owner: ADAMSTONIM Property Address: 232CYD;:4i;Az..ECiRS6aNFORD,F4k..3271 Parcel 18-20- 31-506-0000-0680 Owner ADAMS TONI M Property Address 232 CLYDESDALE CIR SANFORD, FL 32771 Mailing 232 CLYDESDALE CIR SANFORD, FL 32773 Subdivision Name. P. LZv Ef 2Tax District. Sl- SANFORD DOR Use Code I 01-SINGLE FAMILY Exemptions 00-HOMESTEAD( 2006) 60 Me 8Z50 co 57. 64 Values Valuation Method Cost/ Market Cost "Market Number of Buildings Depreciated Bldg Value 136,251 $128,406 Depreciated EXFT Value Land Value (Market) 34,000 i $34,000 Land Value Ag jq_ Njar`Ket.- VA!ke170,251 $162,406 Portability Adj Save Our Homes Adj 60,707 $ 55,115 Amendment I Adj 0 P&G Adj 0 $0 Assessed Value 1W544 $ 107,291 Tax Amount without SOH: $2,295.08 20171'ax Dfl! Amount $1,245,61 Save Our Homes Savings: $1,049,47 Serni nole. County GIS R, httlz.;!;pi t cel detail. scliall. ort!'J'arcel Detai I I rtfo. asp\? N D- 182031506(iO(,)0068()[I(i.:24;2017 AM] SCPA Parcel 4il W: 18-20 :",-506-0600-0680 FAMILY 00045 I NEW -RESIDENTIAL SANFORD 82,366 3/25(2004 1017l2003 htgr parceldetail.scpatl.org%Parcel Detaillnfii.xup"P1D = I S<^.0315060Ct000(iSOj 10IJ.dr1017 S:OR:22 ;1M JOB ADDRESS: PERMIT # 1-1 - 3 z 3-7 City of Sanford Building Division Residential Re -Roof Scope of Work 2 77-5 u STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE-ROOFTYPE: .. ! . ii PLACEMENT.(TEAR.OFFEXISTING ROOF AND, REPLACE.WITH-NEW_COMPONENTS) O RE-COVER (NEW ROOtF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): _ (::) PLEASE NOTE: ONLY 100 S ARE FEET O TH EXISTI C DECK IS SOFFIT PERMITTED POWERED TO BE REPLACED"" VROOFVENTILATION: OFF -RIDGE Q RIDGE O ENT QTURSINES SKYLIGHTS: 0 YES G10 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 — 4:12 01.12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL INGLE QMETAL FL# O MODIFIED BITUMEN FL# Q TORCH DOWN FL# QINSULATED FL# Q TILE FL# 0 OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 Q 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# Q METAL FL# p MODIFIED BITUMEN FL# Q TORCH DOWN FL# QINSULATED FL# Q TILE FL# 0 OTHER: FL# 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 a installed on t e protect. - 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 Professional (architect or engineer), certifying FBC'11 0 CONTRACTOR (OR OwNER/BUILDER) SIGNATURE: vit provided by a Florida Design iance by personal inspection. DATE: / CITY OF fi. SkNFORD Building & Fire Prevention Division AIRESIDENTIAL RE ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERING` S PERMIT #: 1 ADDRESS: JQ cll I Lcnaw c4cx \ _ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR E G CONTRA 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#: C-CC \?s arz) COMPANY / CONTRACTOR: J_ z' / Czv-Nczr- Q`I CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: 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 N C6- Sworn to and Subscribed before me this QD day of `1)0 -- 0 1-7 by: c3o -laIR AhJ I V tGE Who is'5 ersonally Known to me or has Produced (type of identification) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. GARRETT A MILLER OTARYI 1p, rCOMMISSION # GG50450 CUBLIATE FLORIDA EXPIRES November 28, 2020STATEOF BONDEDTHROUGH RLI INSURANCE COMPANY l CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit herebv acknowledoe that I porsonally inspected v water barrIer work, ROwt' sccondai and have dewrtnined that the work 101) siC was done according to the Iturricmic Mitioation Retrofit klannal, (based on 553,944 F,S) I ccrtify that niv statements he rein are true and accurate to the best of my belief and, that I fully understand that making any false statements in writing with I the intent to inistead a public servant in the performance of his or her official duty shall constitute a inisdemeanor of the second degree pursuant to Section 837.06 F.S. reJfr —r;u Date j3C,71itnued. laim, ofContractor 1,iccnse Type: (Jencral Building Reside,.ntial-, oot Contractor174InaContrtorQr alit/ individual certihed In accordance with F,S. 468 io make SUCII an inspection. S' I'ATE OF Fl.,()R.[.[)A COUN'rV OF Eli t-j Sworn to (or affirmed) and subscribed before me (hi av of Po 20 1-7 by t-) A-644k) Nicca who is ersonally Known to ire or- has Produced (type of identification) as identification. S VA, L) Notary Public ti ( AtC of Florida GARRETT A MILLER NOTARY COMMISSION # GG50450 Print/ Typel/Stamp Name PUBLIC STA) TEOF EXPIRES November 28, 2020 of Notary Public FLORIDA BONDED THROUGH RLI INSURANCE COMPANY 3