2404 Laurel Ave - BR17-002617 - ROOFAUG 28 2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: A y/ 1- a rr—
Parcel ID:
c-Co/%
14
Historic District: Yes No
Residential [ Commercialry
Type of Work: New Addition Alteration 4 Repair Demo Change of Use Move
Description of Work:
Rr p
v
F A1-- A(_e01_ eq/)(>X'; QD Sg
Plan Review Contact Person: ff-4r2,
Phone: d-6 E - S'-/ 7 - 00,-rs-Fax:
Title: 0 W W `.r A
Email: F- jai rn ; I Kg :t 9 & n G ." CC_ y
Property
Owner Information Name
irry i'" beb 4 5 -eC- M 67 4Phone: 3 - 5 % C 0-6--3Street: L
a u re I A e- Resident of property? Vif City, State
Zip: Fl :327 7L 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. 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'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 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 1 will notify the owner of the property of the 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 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.
29 -/7NSignat6reof0wner/Agent Date Signature of Contractor/Agent Date
M'
sName
a 6 - 5, 0
ignature Carr --State of Florida Date
EXPIRE"
Bonded TilrU IJG(a: ! 25, 2011)
Owner/Agent is Personally no o Me or
Produced ID Type of ID
92 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: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Flood
Zor%: of
Stories: Plumbing - #
of Fixtures of
Heads Fire Alarm Permit: Yes No UTILITIES:
WASTE WATER: FIRE:
BUILDING: Revised:
June 30, 2015 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
7
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
Sin his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in I year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
S_
I understand that, as the owner -builder, I must provide direct, onsite supervision ofthe construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
T injuries sustained by an unlicensed person or his or her employees while working on my' property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware ofthe limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
S must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, 1 will
I I f abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
C understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
S
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
Sinformation that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
if or employee of ancivilcourt. It is also important for you to understand that, an unlicensed contractor
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: 2_Z 6 f S _ L- ig r-,r- L
1, y . t /i , do hereby state that I am qualified
and capable f performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
of Owner -Builder
Form of Identification
Must be Photo ID)
Date
rl,2- C // ;, -
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
2017 ParcelI DetailI Sheet 36-19-30-538-0000-0270
L[PS Site Date: 10/14/2014
RAI ER 08/28/201710:35 AM Building Date: 02/29/2012
Land Date: 03/15/2017
Parcel: 36-19-30-538-0000-0270
Owner/Address: STEELMAN, HARRY A & DEBORAH E
2421 S MYRTLE AVE
SANFORD, FL32771-4415
Situs: 2404 LAUREL AVE
SANFORD, FL 32771-4428
Facility Code:
Facility Name:
Subdivision: BECKS ADD
Legal: LOTS 27 + 28
BECKS ADD
PB 3 PG 101
Exemption
Code Description Granted
Assessment Information , ;:
Prior Year RE Appraised Addition Total
Land Value. 21,620 25,850 25,850
Extra Features :..' 14,210 13,682 13,682
Building Value =.;;` .:.'. 79,404 84,436 84,436
Cost/Marketlust Value 115,234 123,968 7.6 123,968 7.6
Income,JustValue:: „ •: ;
Correct AsA/Admit"Value
Classified Value
SOH Adjusfinent
P&G Ad ustnient
Total Assesse&.Value -'. , - 115,234 123,968 7.6 123,968 7.6
Extra Feature Information ,>•
Code -`' Description ;` Units'. RCN. :: 0vd Adj Act EffI Cap I ApprVal Bdg
1 0401 0401: POOL 1 1 14,000 06 06107 1 10,150 1
2 0691 0691: PATIO 1 1 500 06 06 06 363 1
3 0942 0942: SCREEN ENCL 2 1 5,000 06 06 07 3,169 1
Total: 19,5001 13,682
Tax District: S4: SANFORD- 17-92 REDVDST
DOR Use Desc: 01: SINGLE FAMILY
CPI: 2.10 CAP: 3.00
Market Area: 01
Nbad Comm:
E&I Num: Pet Num:
Demo:
Income Ind: Income Ltr:
Taxable lnformation
Taxing
Authority Description Miilage
E Values .
a Assessed ;. ' Exempt;=
0100 COUNTY GENERAL FUND 0 123,968 123,968
0400 SCHL SCHOOL 0 123,968 123,968
1000 CITY SANFORD 0 123,968 123,968
1200 jSJWM 01 123,968 123,968
9800 ICOUNTY BONDS 1 01 123,9681 123,968
LandanformaI
Cd_ Ag Mkt Rate Ag Rate Area ": Frnt: D/T Depth Appr:Value Adj Reason.. Just Value;
AF 275 0 100 2 127 25,850 1 25,850
25.856
ales lnformatlon
Code Deed Description Date jBook Page' Amount: - V/1 CtC PCC,
SQ WD IWARRANTY DEED 08/01/2017 08975 1552 139,000 1 01
SU SW SPECIAL WARRANTY DEED 11/01/2011 07675 0801 48,900 1 12
SU WD WARRANTY DEED 07/01/2011 07604 1895 100 1 12
SQ WD WARRANTY DEED 05/01/1992 02440 1029 62,900 1 03
SQ WD WARRANTY DEED 03/01/1988 01943 0775 41,200 1 00
SU QD I QUITCLAIM DEED 03/01/1988 01943 0774 100 1 00
SU CT CERTIFICATE OF TITLE 03/01/1988 01942 0313 100 1 00
SQ WD WARRANTY DEED 03/01/1985 101622 1537 50,0001 I 100,
SQ WD WARRANTY DEED 01/01/1974 01020 0740 1 24,300 I 100
S WD WARRANTY DEED 01/01/1969 00725 1 0386 1 14,5001 I 100
Created By Date Notes
Unknown 08/02/2017 08:54 AM 725-386
Page 1 of 3
D
y • era;
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 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 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)
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 compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: ° 1 ' DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: I U q _ LLB I4 t. - r r 1 A 0 <i
STRUCTURE TYPE: -SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
KRE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): () &C
PLEASE NOTE: ONLY 100 SQUARE'FEET OF THE EXISTING DECK IS PERMITTED TOBE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES IZ NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVALyy
MAIN ROOF AREA
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#
OTHER: f 1 A i IF( t 4 J2<,,c&4j
c
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#
OMODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
A
F D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: /C/ ''' ADDRESS: °7 46) -% 5, L a (,( r(- 1 / 14 1/ e—.
vr`d FI 3a /
I 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. IWADDITION 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: %y0.
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDE10,
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 NUMBE'' ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING11jEVICE'.TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE=]200F POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. "'` ' `' .4.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED'INS-PECTION, 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.
SEAT Ne LC- STATE OF FLORIDA COUNTY OF
n Q ,L
Sworn to and Subscribed before me this d J ' da ofu E SrTY9 by:
Who is Personally Known tome or has Produced (type of
identi catio) F" QI IS (,jas identification. CMEPCION
1. SUENCAMINO Si
a e of Notary Public Notalr Pt ie - 6talh 01 FIor1Aa Sta
a of Florida CClowgiou. 0 0 96073P ) CAMFlli
tS. 2020 Print/
Type/Stamp Name r
of
Notary Public