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HomeMy WebLinkAbout124 Mayfield DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: g - (.00� Documented Construction Value: S l qt a 0o Job Address: M ct4 I1'1d F-U Z"111 Historic District: Yes ❑ No Q Parcel ID: _3Z - I q - i ' 5 1 (P 0000 " 011 U Residential g Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: 9h t,ng1C oi=�IC'cgmen� Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name t"?af1110 �J` . K Oda, Phone; 3,71 Street: 41 OU k�1t.SNiAm i7,r . Resident of property? Nc� City, State Zip: (}ran I 3z $2 (l _ Contractor Information Name Performance Roofing LLC Phone: 407 210-1503 Street: 2784 Wrights Rd Suite 1012 Fax: 321 239-1973 City, State Zip: , Oviedo FL 32765 State License No.: CCC1329979 Arch itect/Eng I nee r Information Name: Street: City, St, Zip: Bonding Company: Phone: Fax: E-mail: 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 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 he 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: 51' Edition (2014) Florida Building Code Revised' June 30, 2015 Pernit 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 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 [3<-,,i J\,Jei,v Print Owner/Agent's Name of MARIELS D. ACEVEDO MY COMMISSION # GG 048628 EXPIRES. December 9, 2020 Bonded Thru Notary Public Underwriters to 7 o Signature of Contractor/Agent Date Andrew M. Kelly Print Contractor/Agent's Name 119 /lp Si ature of Notary -State of Florida Date °,;:k•P:'evo CYNTHIA M. LINHART F * MY COMMISSION f FF 91=1 EXPIRES: September 22, 2019 �''r "oe Bonded ThruBudgetNotarySetvlce! Owner/Agent is Personally Known to Me or Contractor/Agent is ✓ Personally Known to Me or Produced ID %- Type of ID FLU) , Produced ID Type of ID N(oOD•O�'7 • QD. IcF3 • O Loc,P cF�2a � 20 t 8 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: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Ak fADWR sxaes�x,c caix+rv, rz.czvM. Parcel Information Property Record Card Parcel: 32-19-31-516-0000-0710 Owner: NERI BENJAMIN S & RANA R Property Address: 124 MAYFIELD DR SANFORD, FL 32771 Parcel 32-19-31-516-0000-0710 — Owner NERI BENJAMIN S & RANA R _ Property Address 124 MAYFIELD DR SANFORD, FL 32771 Mailing 4706 EAGLESHAM DR ORLANDO, FL 32826-4019 Subdivision Name r-- CELERY LAKES PHASE 2 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings ; 1 1 Depreciated Bldg Value $156,103� $147,131 Depreciated EXFT Value m $1,225 $1,272 rLand Value (Market) I $30,000 $30,000 Land Value Ag�_ �Just/Market Value — ' $187,328 $178,403 Portability Adj Save Our Homes Adj $0 I $0 Amendment 1 Adj I $4,125 $11,855 1.._ P&GAd Assessed Value $183,203 j $166,548 Tax Amount without SOH: $3,249.20 2017 Tax Bill Amount $3,249.20 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 71 — j CELERY LAKES PHASE 2 PB 65 PGS 29 & 30 Taxes s Sales Land — -- ——� Method Frontage Depth Units Units Price Land Value LOT j 1 ! $30,000 00 $30,000 Building Information Is Bed/Bath count incorrect? Click Here. �B.se iYear Built#Description YearActuuilt ive Fixtures Bed Bathea Tota�SF Living SF Ext Wall Adj Value Repl Value Appendages 1 i SINGLE 2005 ? 13 4 ! 3.5 j 1,364 3 3,540 i 3,012 j CB/STUCCO [ $156,103 1 $163,459 J Description Area FAMILY ! i FINISH GARAGE s FINISHED i 396.00 F ! I OPEN r PORCH 132.00 i FINISHED i $ —I I _ = UPPER f STORY i 1648.00 FINISHED --- Permits C Permit # Description — Agency LAmount CO Date Permit Date L_ 00642 FENCE ;SANFORD i $1,000 11/7/2005 NEW -RESIDENTIAL SANFORD $130,576 2/2/2005 Extra Features — ROOFING PERFORMANCE DRIVES SUCCESS 2784 Wrights Road, Ste 1012 • Oviedo, FL 32765 • Office (407) 210-1503 • Fax (321) 239-1973 CCC #1329979 STATE CERTIFIED ROOFING CONTRACTOR PROPOSAL FOR ROOFING SERVICES: REVISED 1/1812018 PROJECT: Neri Rental Property TO: Homeowner 124 Mayfield Drive ATTN: Ben Neri LOCATION: Sanford, FL 32771 PHONE: 321-277-6482 JOB NO: RFM17-1-8069 ORIGIN: Paul Hickey E-MAIL: bennneri@aim.com PERFORMANCE ROOFING WILL PROVIDE ALL SUPERVISION, LABOR, MATERIAL, AND EQUIPMENT TO COMPLETE THE FOLLOWING SCOPE OF WORK: GAF "Systems" Shingle Roof Replacement: Tenant: Billy 407-924-5589 Coovc)*'v C, � Qc yes s u,/ 1. Prior to mobilization, perform on -site pre -construction meeting with homeowner / occupant / agent to determine general guidelines for working times to start and end work day. 2. Establish staging area to locate dumpster container or (trailer on wheels) and surplus materials (in the driveway as close to the home as possible). 3. Performance Roofing will provide supervision for your reroofing project. 4. Remove existing single layer of shingle roofing and all accessories from roof. Remove all existing shingle fasteners from decking. 5. Inspect decking for deterioration and "include" re -fastening deck to ensure that it meets Hurricane Mitigation Retro-fits (Florida Building Code). Rotten or deteriorated decking will be replaced on additional change order basis (See pricing below regarding the replacement of deck sheathing). 6. Clean and inspect flashing along walls to prepare for new roofing system (Flashing that is secured behind siding or stucco will be cleaned and reused. Any damaged flashing will be replaced on a change order basis). 7. Mechanically fasten new GAF Felt Buster high -traction synthetic roofing felt over the entire roof area to properly dry -in roofing system.�� Ned Rental Property (Sanford) RFM 17-1-8069 Page 2 8. Install new GAF WeatherWatch S.A. (self adhered underlayment) to properly flash and for warranty applications. ALSO install GAF WeatherWatch around all penetrations including plumbing flashings and along walls. 9. Install new lead boots, new painted galvanized gooseneck vents, and new painted galvanized eave drip to perimeter of roof in owner's choice of available colors. 10. Install new GAF Prostart Starter Strips along eaves per manufactures specifications for proper wind lift and warranty applications. 11. Install new GAF shingles (options provided for available shingle types and warranty applications) over the entire roof area in owner's choice of available colors. 12. Install (3) new 4' off -ridge roof vents in existing locations to provide proper ventilation. 13. Complete "GAF" roofing system by installing manufacturers specified ridge cap per manufacturer's specifications for proper wind lifts and warranty applications. 14. Clean out gutters free and clear of debris. 15. Run large yard magnet to ensure no nails left behind that may have possibly fell off the roof during shingle removal. 16. Includes obtaining necessary permit to complete scope. 17. Provide wind mitigation roofing inspection with pictures for you, to provide to your insurance company for possible discounts on your policy. 18. Performance Roofing will lawfully remove and dispose of all debris and rubbish created by the above proposed scope of work. WAR ANTY INCLUDES GAF'S SYSTEM PLUS NON -PRORATED MATERIAL AND LABOR WARRANTY FOR MATERIAL DEFECTS • Increases manufacturers non -prorated up front coverage for Material and Labor replacement from 10-years to 50-years on GAF Timberline HD LIFETIME Dimensional shingles, in the event of a manufacturer's defect, (i.e. Shingles blistering, premature granule loss). • Fully Transferable for no charge. • Performance Roofing wilt provide a five (5) year workmanship warranty. • Warranty is backed by the Good Housekeeping seal of approval.. EXCLUSIONS: 1. Any item not specifically stated in the scope. Bid includes no bond. 2. Replacement of any damaged plywood will be an additional charge of $2.00 per square foot. 3. Replacement of any damaged 1x6 decking will be an additional charge of $5.00 per linear foot and increases by $ 1.00 per linear foot for every 2" increments in widths. 4. Replacement of any damaged 1x6 fascia will be an additional charge of $8.00 per linear foot and increases by $ 1.00 per linear foot for every 2" increments in widths. 5. Replacement of any damaged 2x6 fascia will be an additional charge of $9.00 per linear foot and increases by $ 1.00 per linear foot for every 2" increments in widths. 6. Strengthening or improving the nailing surface of any existing trusses with new 2x4 framing will be an additional charge of $5.00 per linear foot. And increases by $ 1.00 per linear foot for every 2" increments in widths. 7. Removal of any additional layers of shingles or undertayment will be an additional charge. CLARIFICATIONS/ASSUMPTIONS: 1. Due to the ever increasing cost of supplies, this proposal is only good for 10 days. Proposal will be re- calculated after 10 days to reflect appropriate material escalation. Ned Rental Property (Sanford) RFM 17-1-8069 Page 3 2. To property facilitate waste and debris removal for the re -roofing process, tarps, trash trailers, and/or roll -off dumpsters will need to be placed as closely to the structure as possible for safety of property. Performance Roofing will make every effort to avoid damage, but cannot be held responsible for minor peripheral damage to grass, shrubs, small sections of sidewalk, driveways, etc. INVESTMENT- GAF Timberline HD Lifetime Dimensional Shingles (130 mph wind lift warranty): $ 9,200.00 1 Nine Thousand, Two Hundred Dollars. If you have any questions or need any additional information please contact Performance Roofing, LLC at (407) 210-1503. Presented by: (Pau10icl�ley Paul Hickey, Sales/Estimator H,iagCer tifiedIn, ue<: to(.cwn Paul Hickey, #201606117 1/18/2018 Date Acceptance of proposal: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are hereby authorized to do the work as specified. Payment will be made upon terms of invoice. By signing below you also agree that you have read and understand the terms stated on the attached "Exhibit A". Authorized Signature i3t v, K)jc (\ �� Printed Name and Title Signing as Agent for Above BILLING INFORMATION (Where invoice should be sent. Please complete information bel when signing proposal) Check one ❑ To the property ❑ To the Management Company To the Owner Please provide Management Co. / Owner Information even if the invoice goes to the property. Management Co/Owner: Attn: Address: Phone# Fax # Email: City, State, Zip: (Check one) Send by: ❑ email ❑ Fax ❑ mail THIS INSTRUMENT PREPARED BY: Name: Marieis D. Acevedo GRANT 11ALOY f SENINOLE COUNTY Address: CLERK OF CIRCUIT COURT & COMPTROLLER vl a, BK 065 Ps 502 (j Pos ) CLERK'S s 2►f18010156 NOTICE OF COMMENCEMENT RECORDED Ol 26/2018 02.39:13 PM RECORDING F£EO $10.00 State of Florida RECORDED BY hdevore County of Seminole Permit Number: Parcel ID Number: 32-19-31-516-0000-0710 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 77113, Florida gStatutes, the following information is provided �,in0.this t�Notice olf CComfinencemeent. DL� ! ll(.I=LF�KY LAKE 1-'11�S ttlLnr-LJ Y JaL�sik ��dlL iMall ielh Drive rMingle KOOC]Pl�eplaCernentR OF vEMENT: OWNER INFORMATION: Name: NERI BENJAMIN S. & RANA R. Address: 4706 Eaglesham Drive, Sanford, FL 32826-4019 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: /j Name: Performance Roofing, LLC - CCC1329979 ( 7�� Address: 2784 Wrights Rd. Ste. 1012, Oviedo, FL 32765 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: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Owners Signature Owners Printed Name 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 or her stead." State of C— Countyof The foregoing instrument was acknowledged before me this day of ,r�J 20L by n�02M%n 0—ky -4- U 3e v-� Who is personally known to me ❑ Name of person making statement T%—/01-, OR who has produced identification L1 type of identification produced: _jam) (oO a • V-7-7 • $ O 1 %4 16 ' U exe K122/20lf :i� "•.,• MARIELS D.ACEVEDO e . CERTIF! !?� Py i�^.PJT h'r}!.;iY MY COMMISSION # GG 048628 CI.ER!( L} 'I EXPIRES: December9, 2020 r +1!Lr_.CU RT A Not nature'4L „of Bonded.Thru Notary Public Underwriters �' Si g _ t r4n. City of Sanford yV � Building Product Approval Specification Form Permit # Project Location Address 12- 4 �-A cw fi P,( ►�J � � Sang-c� r d ► �l 32� "1 I As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles S jczb �1, Q►d e. � Shy 10 t ZL+, 12ZO Underla ments C)0 Ur,d 1 mefrl 1 c) G . IZ Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors ! Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name AmX«w M (Please Print) June 2014 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary,, Longwood, Sanford, Seminole County, Winter Springs Date: rI: pd. Q . W I I hereby name and appoint: i-Aakntk b Ac"e-rl o an agent of - Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: IZLA MO'd P W Driv e SO,rnwYCL r-u 3z 11 I (Street Add ess) Expiration Date for This Limited Power of Attorney: D eC . 31. 2015 License Holder Name: -An&(ew m - cow State License Number: Signature of License H STATE OF FLORIDA COUNTY OF to The foregoing instrument was acknowledged before me this 2048 , by 4\r\,& r4 L5 t,, - to me or ❑ who has produced identification and who did (did -not) take an oath. Si ature CWMA M, LINHART �1 y 1� MMISSION A FF W88 l Yt t,� lG �_�t t1 �Cl r4 EXPI ES: September 22, 2019 Prmt or type name BoM Nu Budget NotarySenire4 (Rev. 08.12) a� day of,gn a , who is personally [mown Notary Public -State of 1 lood4 Commission No. 4f!qnn2Rjt My Commission Expires: ql.Aa I1 as CITY S 1, s ORD DEPARTMENTFIRE Building & Fire Prevention Division RESIDENTIAL RE -ROOF 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: 0 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: ( zoa b CITY OF DEPARTMENTFIRE PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: MaU�i�1 U(1�P i �G'1'�P('�� �2 3ZT- l STRUCTURE TYPE: © SINGLE 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): \kj OoC , 'C>eGtL ((>11r.4 „.,rt v(D44- , c.,awcd cS fct y� %A coLA 11 lame- vlwi 1 **PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTINL,DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: Q/OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES aNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (3'4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA APPROVAL (0 SHINGLE QrA ` (PRODUCT FL# 10 1 Z 4. t Z. Q O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED 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# O INSULATED FL# O TILE FL# 0 OTHER: FL# ar t4 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: - O ADDRESS: 1 2. y M OLc1 6j-e't A D r \.c I �-k - oukq , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITJCT, 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 #: CQ CA3 2'19 1 COMPANY/CONTRA CONTRACTOR SIGNA (MUST BE SIGNED BY A FINAL ROOF INSPECTION IS REQUIRED: DATE: Z (o /'r 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 Sim Sworn to and Subscribed before me this Ca day oft 6 ✓v arm 20 i 0 by: tom( Who is personally Known to me or has ❑ Produced (type of identification) A as identification. Sign e o otary Pubic SUeo Floda / F=otrSl:ya;cf ..MARIELS D. ACEVEDoMY COMMISSION # GG 048628, 1 •;o EXPIRES: December 9, 2020 Bonded Thru Notary Public Underwriters Prttary /Type/Stamp Name of Public