permit and licensing division 2014 fbc 5th edition city
TRANSCRIPT
CITY OF DAYTONA BEACH.PERMITS & LICENSING DIVISION
07
Permit and Licensing DivisionCity of Daytona Beach
Post Office Box 311, Daytona Beach, Florida 32115
BUILDING PERMIT APPLICATION
Date 6-3-2016 Parcel No. 5322-01-00-0058 Permit No.
Job Address 144 LINDLEY ROAD Job Name
Owner BARBARA MASON Phone Fax
2014 FBC 5th Edition
NEC 2011
Phone (386) 671-8140
Fax (386) 671-8149
Address 144 LINDLEY ROAD _City DAYTONA BEACH State FL Zip 32118
Contractor CBC ROOFING COMPANY Phone 3866779265 Fax NA
City _OB State FL. Zip 32173 License No. CCC1328252Address P.O.B. 731266
Contact Email Address (enter only one) [email protected] Simple Title Holder NA
Architect/Engineer NA
Address NA
Address _£}&_
Improvement Type I [New I lAddition [""[Repair I [Renovation [^Replacement
Value ofWork: Electrical Plumbing Mechanical
Total Value of Work 6.800 Total Sq. Ft.Building
Construction TypeDescription ofWork:REROOF
CONTRACTOR INFORMATION
ELECTRIC CONTRACTOR
PLUMBING CONTRACTOR
MECHANICAL CONTRACTOR
CBC ROOFING COMPANY
ROOFING CONTRACTOR
SIGN CONTRACTOR
POOL CONTRACTOR
OTHER CONTRACTOR
Occupancy
STATE/COUNTY LICENSE NO.
CCC1328252
| [Commercial ["•[Residential
(Other)
Units Floors
Flood Zone
CONTACT EMAIL
CBCROOFING(g>YAHOO.CO
ROOFING INFORMATION: Valuation 6800Job Type: Commercial! 1 Residential! | Work Type: New Roof] | Re-roof0 Repair! |
: Total SquaresType ofRoof SHINGLE Sloped Squares 15 FlatSquares***************************************************************************
ELECTRICAL INFORMATION: Valuation
Existing Main ServiceNew Main ServiceService if Increased
Number of circuits altered or added
| "2 Low Voltage
Amps VoltageAmps VoltageBy How Many Amps9
Phase
Phase
No. of Meters
No. of Meters
D&R? [t]Yes TUG? • Yes Power Release? • Yes (at final)
******************************************************************************************************
PLUMBING INFORMATION: ValuationLavatory Dishwasher
Water Closet DisposalSink Hose Bibbs
Bathtub Wash. Machine
Shower Laundry TrayOther
installed:
**********
)RMATIC
Gas Appliances, etc.Vents for:
************************
MECHANICAL INF(
Stove
Stove
******************H
>N: Valuation
SprinklersWater Heater
Slop SinkBar Drain
Urinal
Other
Water Heater
Water Heater
Ice Maker
Grease TrapSeptic TankDrink Fountain
Sand Trap
Dental
Roof Leader
Floor Drain
Sewer
Total
Fixtures
Furnace
Furnace
RefrigeratorRefrigerator
Improvement(s) Consist(s) of: QaC •Heat •Refrigeration •Ventilation •Duct WorkInstallation Location: •Ground •Attic •Garage •Utility Closet • OtherNumber of Systems: Seer Rating Duct R-ValueCompressor Mfg. & Model No.Air Handler Mfg. & Model No. _
************************************************************************************************************
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatingconstruction in this jurisdiction.OWNER'S AFFIDAVIT: I certifythat all the foregoing information is accurate and that all work will be done in compliance with allapplicable laws regulating construction and zoning.WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
I hereby affirm that I have complied with the provisions ofChapter 469 ofthe^State Statutes, and I have notified the Dept ofEnvironmentalProtection of my intention to remove asbestos, if applicable^
SIGNATURE OF APPLICANT
State of Florida, County of_Affirmed and subscribed .before me th
Personally known ^_ |_or Produced IdentificationType of Identification Produced
Date £ ' f- tfo
Check one: | |Owner/Builder (must personally appear in office and sign) | |Contractor (license holder)
\MkSht>n -r- , ^\/- \\ Ilis / dayofdli-ru?^ 2Qf& by nU fit INCuMl/JA
Signature ofNotary Public State of Florida
4*0fei PATRICIA K, CHEESBROA gj Commission #FF 197288
Print, p^^^ai6f)DiM£iM '̂31, 2019'''''?M,fr°°' Bc,ldadThnjTroyFainlnsurance800-385-7019
vto—
L
ROOF SUPPLEMENTAL FORMCity of Daytona Beach
Jobsite Address 144 LINDLEY Contractor CBC ROOFING COMPANY(as listed on permit application)
1) Job Type: Commercial l~| Residential R 2) Work Type: NewRoofQ Re-Roof R Repair •
3) Roof Deck Type: YT Plywood R V2" OSB |~| 5/8" Plywood f] 5/8" OSB|~| 1"Bv6. 8. 10. 12" IH
Metal |~| Concrete |~| Lightweight Concrete • (other) £]
(Provide information below in"SQUARES" example: 1,200 square feet divided by 100 =12 squares) (1 square=10'x 10')
4) Sloped Area Total Squares 15 + Flat Area Total Squares = Total Squares
Sloped Roof Information Flat Roof Information
Slope 6 /12"Positive Drainage?IfNo, how will it beachieved? ->
• Yes •No
Deck Nailing I | N/A|y | Approx.6" on center Deck Nailing 1 1N/A LJ Approx. 6" on centerSecondaryWater Barrier
(if applicable)
• N/A • Approved Tape0 Peel-N-Stick• See Below
SecondaryWater Barrier
(ifapplicable) EN/A Q Approved TapePeel-N-Stick [_} See Below
Dry In Material/Underlayment
15#Felt Q Peel-N-Stick30# Felt
(Other)
Base
Sheet/UnderlaymentHow Many Layers?
Base
Sheet/Underlayment FLApproval Method orASTM#
Layers of Dry InMaterial
• 1Layer [J N/A2 Layers
Roof CoveringManufacturer
CERTAINTEED Roof CoveringManufacturer
Roof CoveringProduct
LANDMARK/SHINGLERoof Covering Product
Roof Covering FLApproval Method orASTM#
FL5444 Roof Covering FLApproval Method orASTM#
Insured or Appraised (Just) Value of Single Family Site B(Attach Property Appraiser Assessment) $
•uilt Residential Building Structure (ifrequired)
Explain Work: REROOF(Please Print)
It is up to the contractor to use products which comply with the Florida Building Code 5th Edition. Theseproducts include such items as drip edge, flashing, valley material, skylights,vents, fasteners, etc.
Submit 2 COMPLETED COPIES of this sheet