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HomeMy WebLinkAbout127 Pine Isle Dr (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No Documented Construction Value: $ �! i 1A,,I)2 Job Address: 2� p ��P� \�\ 1)c 50, \Qp(,6 �' ;L ?y2.1-13 Historic District: Yes ❑ No W1 Parcel ID:=\C)-9?0-'o- 6\\- OOM a,pSgp Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Ae - rmC4 b a ":�qtipx 'awl t i e,--) Plan Review Contact Person: AC40 \ 19Ann6" Title: Ve(,�h- ker,y, Phone: ®`i-'Zq j-iLIC? Fax: A01-24!6-6.2819 Email:_ .t'd41�-t(1fA@�a�%►��tSR.t COII/t Property Owner Information Name VMS& %- V�,&stA % MM� ,Z Phone: tv` \ - g174 - (PS&2_ Street "( 00c Resident of property? UPS City, State Zip:, \© Contractor Information Name JtKWe'C,-%A QrnAki'�Phone: _ 691 �2.G6 ---1403 Street: V'�(665 aA-&r 42.6 . Fax: LAo`1- 24's - INZ9 City, State Zip: by\(�.4 7-1. State License No.: CGCO �`l l Cod Architect/Engineer Information Name: Street` City, St, Zip: Bonding Company: Address: 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, healers, 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: 5t6 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 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'onthe 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 regtilating-construction and zoning. Iw l�I ed 11 lan l m Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's.Name Print Contractor/Agen 's,Name _IWAA k Awkt . u1)v7I r1 Signature of Notary -State of Florida Date Signaturl ofNotary-State -of Florid Z H Megan R. Monday NOTARY PUBLIC STATE OF FLORIDA J Can*GG156222 Expires 10/30/2021 Owner/Agent's Personally Known to Vie or Contractor/Agent,is (� Personally�Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing- # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application CONTRACT Name:%Z's'u��/t9�'S%2� Address: Zi City, State,, Zip: 3 'a.4 1 6 Z % % / This Contract is entered into and effective on; / /. Ch and is by and between (iX (the "Owner") and UNIVERSAL OOFING GROUP, INC. (`Universal Roof & Contracting"). FLORIDWS 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 1S 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 MAYLOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY' PAID YOUR CONTRACTOR IN FULL. IF- YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE ALIEN ON YOURPROPERTY, THIS MEANS IF A LIEN `IS 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. TOPROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENTdS MADE, YOUR CONTRACTOR "IS RECtUIRED 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. 9:3-CM9AHOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' 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 CONSTRUCTIONINDUSTRY LICENSING BOARD ATTHE,FOLLOWING TELEPHONE NUMBER AND ADDRESS: 1940 N MONROE ST. TALLAHAS'SEE, FL. 32399= P: 850.487.1395. PREPARATION: Remove existing roofing shingles down to original roofing deck. The following proposal does not include any replacement of any roof deck that .may be uncovered when the shingles are removed. In the event that water -damaged, broken, deteriorated or rotted decking is discovered, wood will be replaced at a cost of $85.00 per 48 sheet of plywood, and board decking will be at the following cost per lineal foot (1x6 - $3.10, 1x8- $3.50, 1x10 $3.80, 1xl2 $4.40) the event that the homeowner is not available to approve, or if the homeowner refuses the additional work, a stop work order will be put in place and the homeowner Will be responsible for a re -mobilization fee. SHINGLE INSTALLATION: Qns%, 11 lbEbw sled ii rr.©a(firo s!hirgles as peT the manufacturer's work to be installed by closely supervised insured installers. SHINGLES: z� j0_ nailing and exposure specifications. All ot SQ� oumer�`t- ' Universal: 111mms 11i W=133D747 #CJW 13213705 O umvm al Roof `e'r ,vnt actxng Page 2 of 6 SCOPE OF WORK: Pitch 1. Tear off existing roof. 2. Inspect decking. Water damaged, broken, deteriorated or rotted decking will be replaced and charged according to previously list pricing. 3. Re -nail roof deck with 8b round head, ring shank nails. 4. Provide and install. lineal feet of new drip edge. Color '5. Provide and install all ne uBet* oots (a -1 Y.' & _J_-2" & _L-3"). Color } 8. Provide and install all new gooseneck's (J_-4" & -14"). Color t+ f 11 9. Ventilation Type: Color: 10. Provide and install new valleys, using 8 step closed valley system. 11. Provide and mechanically fasten Rhino` Roof synthetic underlayment. 12. Provide and install Fungus resistant shingles; according to manufacturer's specifications: 14. Universal to provide a seven year written roofing guarantee and one year workmanship warranty on non -roof work. , 1.5. Universal to furnish a building permit. iversal Roofing Grou not r le for rece tion clear after resetting 17. SKYLIGHT OPTION: 18. SOLAR OPTION: 19. SCREEN ENCLOSURE OPTION. 20. 21.. 22. 23. Unive I I -liva-sal Roof e7 Contracting Page 3 of 6 INVESTMENT: Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the ?'Mve s0edfitati6ns, . and subject to conditions found.on both sides of this agreement, for the sum of: ,shingles with a 25-year Warranty fungus -resistant, Architectural shingles VENTILATION SYSTEM qa4d eandinstallallnew(AAW& ) -20& 1 -3')I3uIldtBoots sA) $ ADD $ ADD 6 ADD $ ADD $ ADD $ Total TERMS: Standard Industry cash terms; ns; one-third with the order, one-third due upon delivery of materials, balance due upon completion. Building Permit is included. Job related debris'to be removed- fro from job site. Universal Roof & Contracting will submit the priceand 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 a I ny polential'additional work I orders - including,I but not limited to wood, stucco, siding and wall flashing. Additional work orders must be paid by the homeowner at the time the ,AWO ispresented, before the work is done, but 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 insura'aceon behaff of this claim, including overhead and profit, will be owed upon approval. I . 9�f I The final paymerit of each Item should be paid at the and of that item. (i.e. the final payment of the roof is paid when the roof is completed, gutters, screen, interior etc. Total Order PrInt,Name:r,eA,VK 61(ff735'J-1C Contract Signing Due on Start Date De u6tible, nd rades) t -411.lpon CQmpletlon.of oof'* )m insurance and Hidden Damage not fActored into !1s,payment money from Insurance: Depreciation, Supplementipayout) By: Print Name: Date:. /0 -ZO - / - 7 4 Date: By: Z��v Universal Roof & Contracting Universal: 1 I11®i91 li1Bi [Jill 1111111111111 golfs fill I@al GRANT NALOYy SEMINOLE COUNTY THIS INSTRUMENT PREPARED BY: ' LER OF C1RCUIT COURT & CONTROLLER Name: 2-K 2i t 1 1-12 110111 Address: 1j 66 61p; +rh2t` AC-N- CLERK'S A 2017111502 \Galt ..`-L S2-gkD RU.-ORDEO 11/6/201.7 11:20:08 AN REC;ORDIK FEES $1.0.00 RECORDED L?Y hd,�,vorfz NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: C ` %0 - �1)0 ' `Sl\ - 0000-O4''0 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 property and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: IZ,z- - rw—o- Ja 4,Uo, t 6 E�i t:J\rn lea 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Ymd\\), ► yt&yQY1 0\emell P, U-1 Vow- \s18 7r . gCun FOCci . SL ?)2-T-T3 Interest in property: 001\e(" i Fee Simple Title Holder (if other than owner listed above) Name: ,AAddress: 4, CONTRACTOR: Name: UNnJe(--%A iZDO�-' + it Nkkl)-O�ANV>�_ Phone Number:; . J401-0-0I S" 'TAOS Address: 12CA ,.1\60 r 5G1- �2 4310 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: Address: 8. In addition, Owner designates of to receive a copy ofthe'Uenor'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 REC YOUR NICE OF COMMENCEMENT. c—ir or Owners of Lessee's '(Print Name and provide Signatary'a TmeAlfioe) Au onzed Offcer/DirectorlPartner/Manager) State ofCounty of p5wj� Y\0 �E The foregoing Instrument was, acknowledged before me this by ): YV VA. Name of person making statement who has produced identification 0( type of identification produced: Jade Smith le1w oNOTARY PUBLIC STATE OF FLORIDA vComm# GG067937 Et9ti° Expires 1/30/2021 CITY OF Sjki4n Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: 1 _-i I &Oka' y , AS.A(N) GENERAL, BUILDING, RESIDENTIAL, OR. ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF TFIE FOREGOING INFORMATION IS TRUE AND ACCURATE AND TI{AT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN'INS7ALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLIC'ABLE.CODE REQUIREMENTS -SPECIFICALLY FLORTDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OP THE" ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: COMPANY / CONTRACTOR: N CT CONTRACTOR SIGNATURE: DATE: Wx'lm (MUST BE SIGNED BY LICENSE HOL ER R OWNFR/BUILDER) A FINAL ROOF INSPECTION 1S REOUIRED: THIS SIGN.EI) ANDN01 ARIZED AFFIDAVIT MUST B 'PROV1DED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG W]ITH_DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAh, 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 MFASURING DEVICE TO CONFIRN4 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 ALI, REQUIREMENTS. * *FAILU.RE 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 C3C,ti cL Sworn to an'dj Subscribed before me this 0(14' day of ��i{i7kl+�'X 20 Eby: &0 �tl t,1 ^ �c Who is W Personally Known to me or has ❑ Produced (type of identification) as identification. Signatfdre of Notary Publi IR Megan R. Monday State of Florida VVv NOTARY PUBLIC dSTATE OF FLORIDA, y 2 Corn l hif' GG1 56222 Print/, ype/Stamp Name !Nc 19�0 Expires 10/30/2021 of Notary Public CITY O NAN;FORD FIRE DEPARTMENT TYPE OF WORK: OW in - Building & Fire Prevention Division Re -Roof Permit Card 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 NSPECTION TYPE APPROVED REJECTED INSPECTOR {INAL ROOF 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 Building & Fire Prevention, Division NANFORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEMATMENT PERMITTING REQUIREMENTS -NO PLAN REVIEW REQUIRED, THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIALRE-ROOF SCOPE OF WORK ARE REQUIRED TO BE, SUBMITTED AS PARTOF 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 THEJOB 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 SPECTION 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 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 ISON THE SCOPE OF WORK) a DIGI TAIL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER -OR ADDRESS IN EACH PICTURE) • EACH PLANE -OF THE, ROOF, SHOWING THE UNDERLAYM ENTTN STALLED • ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) • ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) • UNDERLAYMENT PATTERN & SPACING (INCLUDING. A MEASURING DEVICE OR RULER) • DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURNGIDEVICE OR RULER) • SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS 6 SKYLIGHTS (.IF APPLICABLE) • DIGITAL PHOTOGRAPHSSHOWINGALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL • D161TAL'PHOTOGR-APHS 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: CITY OF PERMIT; # X it�4A'�ORD Building & Fire Prevention Division f 1 R E DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS:' STRUCTURE TYPE: % SINGLE FAMILY RESIDENCE./TOWNHOUSE. 0 MOBILE HOME o APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) o RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY):_ QA {OCO **PLEASE NOTE: OA'L-VlOO S(?LIARE) EET OF 71iK EX/STING DECK IS PERAIITTGD' TO 6E REPLACED ** ROOF NTNTILATION'I D OFF -RIDGE 0 RIDGE o SOFFIT OPOWERED VENTTURBINES SKYLIGHTS: OYES NO` IF YES, PLEASE PROVIDEFLORIDA PRODUCTAPPROVAL##.: MAI\' ROOF AREA 'ROOF 'SLOPE: .0 LESS THAN 2:12 0 2:12 412; 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA P,R`ODUy�CT' APPROVAL SHINGLE FL# 0 METAIL FL# 0MODIFIED BITUMEN FL# OTORCII DOWN FL# OINSULATED FL# 0 TILE FL# OTOER: W &lrcli , - FL# 1 (G L ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABiE** ROOF,SLOPE: 0 LESS`THAN 2`.-12 0 2:12-4:12 0 4:12 OR GREATER TYPE OF ROOF MANEIFACTURER FLORIDA PRODUCT APPROVAL o SI-I1NGL FL#' o METAL FL# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# oINSULATED FL# 0TILE FL# 0 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 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000248 Date 1/02/18 ' Property Address . . . . . . 127 PINE ISLE DR Parcel Number . . 10.20.30.511-0000-0880 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1022235 Permit pin number 1022235 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 EL03 FINAL ROOF / / City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �� ' ,��$ ADDRESS: 1�l PQ; ot j llOAA00. , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR JGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE 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 (((�B((A��S//EED ON F.S. CHAPTER 553.844). LICENSE #: C.y��J6_ 1 VoGj COMPANY / CONTRACTOR: �� 'gdl CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOLDER 6R 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-_iW\(\p\b Sworn to and Subscribed before me this �day of 20 \Oo by: �iP.�ua Who is K Personally Known to me or has ❑ Produced (type of identification) Signatire of Notary Public State of Florida L Print/ a/Stamp Name of Notary Public as identification. Megan R. Monday A NOTARY PUBLIC _STATE OF FLORIDA Comm# GG156222 �HC a Expires 10/30/2021