HomeMy WebLinkAbout124 Holloway Ct•
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Building & Fire Prevention Division.
PERMIT APPLICATI
Application No 01 7 `�
Documented Construction Value: $
Job -Address: 1,2iA kAt�_\\ tyslVl t c x d , ri_ 2`1`1 l Historic District: Yes ❑ No
ParcelID-
Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration g Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: % ,- CfIC ;'�(, < „2 e, e, it .tt
Plan Review Contact Person: u&,(\ Title: A
Phone,fl"t2gr-1d Faa-1Q t2qS'`c�` Email: ,�tei(Y�iG�aykl`Sctki`.t
Property Owner Information
Name C r \l '` WQ 1 � ' ofo , Phone: 401 �)%2 &L4
Street: 60(v k�*cth L^w Resident of property? : {}
City, State Zip: l%\ Cii U-)-) \1t'r "D 2.06C
Contractor' Information
Name � � Qknm) � Phone:
Street: 6c,, J.N. Fax: j161
City, State Zip: Q `,\No \cal , L � g \c State License No.: -1t c'6
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, $t, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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 RECORDINGYOUR 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 is 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.
W
FBC 105.3 Shall be inscribed with the date of application and the codein effect as of that date: 51a Edition (2014) Florida Building Code
Revised: August 1, 201,E Permit Application \�
NOTICE In addition to the requirements of this permit, there may beadditionalrestrictions applicable to this propertythat inay be
found in the public records of this county, and there may 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 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. Shouldcalculated 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 OwnerlAgent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date;
Owner/Agent is: Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's "Ndt ie
Signatu a of Notary-State'of FI da Date
SRRYA Megan R. Monday
Q NOTARY PUBLIC;
_STATE OF FLORIDA
' COr inn# GG156222
• ONCE 1'J" Expires 10/30/2021
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
Permits Required: Building,❑ Electrical ❑ Mechanical ❑
Construction Type:
Occupancy Use:
Plumbing❑ Gas[:] Roof ❑
Flood Zone
Total Sq Ft of $ldg: Min..Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures.
# of Heads Fire Alarm Permit: Yes ❑ NoEl
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: August 1, 20'17 PermitApplication
mimenal
--v
am&
Roof c' Contracting
November 20, 2017
Tricia Carroll
124 Halloway Court
Sanford, FL 32771
5£55 Carder Road,;Orlando, FL 32810
Office 407:295-7403 Fax 407-295-13288
www.UniversalRoof.eom
This Gontract`is entered into and effective on, and is
y b �j�` � I � Y and between.
6,`c 1 (the "Owner") and UNIVERSAL
ROOFING GROUP, INC. ("Univ sao f&f ontracting").
FLORIDA'S LIEN LAW
ACCORDING, TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001.713.37,.
FLORIDA STATUTES), THOSE WHO ' WORK ON YOUR PROPERTY OR PROVIDE
MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY: THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY
SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTYFOR PAYMENT,
EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL, IF YOU FAIL TO PAY
YOUR; CONTRACTOR, YOUR -CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS IF A LIEN 1S FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR,; MATERIALS, OR OTHER SERVICES THAT
YOUR CONTRACTOR OR;A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT
IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN
,RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A
NOTICE TO OWNER," FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS
RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND
PAYMENT MAY BE AVAILABLE FROM THE 'FLORIDA HEOINERS' CONSTRUCTION
RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER
CONTRACT„ WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA
LAW BY LICENSED CONTRACTOR. FOR INFORMATION ABOUT' THE RECOVERY FUND
AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING
BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: 1940 N MONROE ST.
TALLAHASSEE, FL. 32399 — P: 850.487.1395.
Owner
al.
Univers�
Licenses #CGC 1523333 #CCC 1330747 #CRC 1328705
u erssal
niv
koof'd Contracting ng
Page 5 of 1
SCOPE OF WORK:
1. Tear off existing roof.
Pitch 6112
2. inspect decking. Water damaged, broken, deteriorated or rotted decking will be replaced and charged
according to Xactimate pricing.
3. Re -nail roof deck with 8D round head,, ring shank nails.
4. Provide and install 259 lineal feet of new drip edge. ColorT t=✓
5. Provide and install all new lead or bullet* boots .(1-1 %" & 2-2" & 1-31. Color l
6. OPTION 9: t7 Provide,andinstall 3 ne 4' off ridge vents. Color
OPTION 2:'X rovide and install,SLalineal feet of new Shingle -Over Ridge Vent.
7. Provide and install all new goosenecks (1-4"). Color
8. Provide and install new, valleys, using step closed valley system.
'9. Provide and mechanically fasten "Rhino Roof synthetic underlayment in valley areas.
I'0. Provide and install Self Adhering, Polymer modified underlayment in valley areas.
11, Provide and install fungus resistant shingles, according to manufacturer's specifications.
1.2. Detach and dispose existing gutter.
13. Provide. nd .1 to 1 96.lineal feet of new seamless gutter and 5 new downspout.
Color: - See diagram for placement ofgutter and downspout.
14. Universal to provide a seven year written roofing guarantee and one year workmanship warranty on
non -roof work.
15. Universal to furnish material and labor.
16. Universal to furnish a building permit.
17. ;,Clean up and`haul off all roofing debris from property,
18. Protect landscaping.
19. Roll yard with magnetic nail bar to ensure removal of nails.
20. Detach and 'reset 1 satellite dish. universal Roofing Group not responsible for reception clearance after resetting
f
Owner. ' r%
Universal: J,
0
ve.
mu;� Roofs Gal.twaing
Pageti of 11
INVESTMENT:
Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the
above specifications, and subject to conditions found on both sides of this agreement, for the sum of:
_ Owens Coming_ Duration With Sure Nail Technology $16,357.61
Upgrade: Ventilation System ADD $ 11110d 00
_ Provide and install all new (1-1 %" &; 2-2" & 1-3") Bullet Boots ADD $ d A060
61
Total ~—
TERMS:
Standard industry cash terms, one-third with the order, one-third due upon delivery of materials; balance due upon
completion. Building Permits included. Job related debris to be removed from job site.
Universal Roof & Contracting will submit the price and scope of this contract with the insurance company and agrees
to do the roof for scope and final dollar amount submitted to the insurance company. The cost to the homeowner,
which will be paid to Universal Roof & Contracting, is the deductible, upgrades, and any potential additional work
orders including, but -,not limited to wood,. stucco, siding and wall flashing. Additional work orders must be paid by the
homeowner at the time the A WO'is presented and b"afore the work is done. AWO'S will be submitted as supplemental
requests to the.insurance company by Universal Roof and contracting for -the homeowner's reimbursement. Any
additional items submitted to the insurance on behalf of this claim, including overhead and profit, will be owed upon
approval.. [,
The final payment of each trade should be paid at i
I / e*,r-r•ti 6
$��"'3 _ Due
time of completion. (i.e. roof, gutters)
,� *��h,� 31�/z
lklwoCYy
t Si n��
1 I--
Start Date
(Deductible and Upgrades)
>n Compleii n of Roof`
('Remaining monies received from Insurance and Hidden Damage not factored into this payment)
Final Payment (any additional monies from insurance: depreciation, supplement/payout)
Print Name
Date: a
f
Universal Roof & Contracting
By:
Print Name:
Date:
Owner.]
Universal
1fulfil 11111111111111111111111111111 fill fill
THIS INSTRUMENT PREPARED BY:
Name:
Address
1M61\6n (, L 151xo
1 k� o I __ s i 71 r` i
Permit Number:
Parcel ID Number:
GRf-INT 11ALOYP SEMINOLE COUNTY
f.I,ERKi OF CIRCUIT COURT % COMPTROLLER
BK, 91.13CI P5 531 (1P9-5)
CLERK'S T 2017119470
RECORDED 11. /28 J20 AN
RECORDIN(1 EEEv $10.00
hECORDEi, I'Y hdavore
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the Drooertv and street address if availahiet
UtNERAL DES_CRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORM
Name and address:
Interest in property:
IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: M .9- C13a ' Phone Number: �1Di 2�d °5 7uD�
Address: r 61"S6 t jL , eta C (` 1 f\L�n r r 3 1Q
5. SURETY (if applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
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.
Name: Phone Number:
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, PART1, 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.
.....-J GL- ': �`tt��,,,_ .,X-�G7�fiti''.'`' � ' C`�'i ���► C (�"� �� L C( lair �� � i I (Signature of Owner or Ln;see, or Owner's or Lessee's (Print Name and Provide Signatory's Tide/Office)
Authorized Officer/Director/Partner/Manager)
State of YIC) o" County of 2)t M f� Q 1 k,
The foregoing Instrument was acknowledged before me this o?. SY day of NA10-11e C , 20 -1
by t 2Lo� &pm 1\ Who is personally known to me � OR
Name of person making statement
who has produced identification ❑ type of identification produced:
Warren Douglas Mellick
NOTARYPUBUC
CRP'y;
"� GOr �t1ta k��
STATE OF FLORIDA�
/Ip
Cornttg FF2039511
Expires 2/26/201.9
otarySignafurLL�{:( L?t r { )t I
s ; tl l X £ y9
t C, {,� t b ttr;*
nm
CITY OF
Ski4FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEI)ARtMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS; `CLIA (, pg� k
PckkoA AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
RTRACTOR : NGINEER, ARCHITECT; OF F.S. CHAPTER 468 BUILDING INSPECTOR; I HEREBY AFFIRM, THAT ALL OF THE
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, APPLICABLECODE
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 R'ITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS(BASED ON F.S. CHAPTER,553.8,44).
INCENSE:#; ° Z' fs" 6- \(p6
COMPANY / CONTRACTOR:
11
CONTRACTOR SIGNATURE!
(MUST BE SIGNED: BY LICENSE HOLDER OR OWNER/BUILDER
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED ANDNOTARIZED AFFIDAVIT MUST BE PROVIDED ATTHE 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 (DECKIN(;,
UNDERLAY MENT, 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''rnE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXf LANA7'IQN OF ALI, REQUIREMENTS.
**FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN AFAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT ORE TO CERTIFY; BASED ON PERSONAL
INSPECTION,"THE INSTALLATION' OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF fly,,
Sworn, to and Subscribed before me this v"- day of } C 20 \1 bye:
I';l1 1 (Q,wa,Who isPerconallvKnown So me or has 0 Produced (type of
identification) as identification.
i % L, d
Signature of Notary Pub 'c S4,c
yMegan R. Monday
State of Florida NOTARY PUBLIC'
�t STATE OF FLORIDA
_(1 4 li l�?fYSi�IA Comm# GG156222
Print ype/Stamp Name E 19 Expires 10/30/2021
of Notary Public
CITY
OFIRE DEPARTMEN
k
Building & Fire Prevention Division
PERMIT NO. ISSUE DATE:
if O
CONTRACTOR: '•ld�
JOB ADDRESS: ,� V
TYPE OF WORK: rw
PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF F I I
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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), certifying FBC code compliance by personal inspection
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
CITY OF
SANFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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
COMPONENTSTHAT 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 FAMILYY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BEPROVIDE 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
e ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
e 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 RULERSHOWINGSIZE 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 COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR O\vNFR/BUiLDER) SIGNATURE: xa_ll "�� DATE;
ClTy'0F
i
I aPORD
FIRE Of-PARTMENT
JoB ADDRESS:" _ /� by)\�.c (%iJ�,,C& FkAnPQ C(
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPES * SINGLE FAMILY RESIDE'NCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 00 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (N
)�EW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):;__S!1�, WA
**PLEASE No ONLI' 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE, REPLACEn **
ROOF VENTILATION: OOI`F-RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBIN$S
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:1.2 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
♦! \ w
FL# 0(-,l' - k\2-
Q METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
}}�
'(g)OTHER: V1�I�✓ 1(��i,
�9 y,i�(�-
FL# j2 1lti " 2
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLB**
,ROOF SLOPES 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#
0 METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
0TILE
FL#
OTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . . . 18-00000245 Date 1/02/18
Property Address . . . . . . 124 HOLLOWAY CT
Parcel Number . . 33.19.30.515-0000-0130
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1022193
Permit pin number 1022193
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 111 BL03 FINAL ROOF / /