HomeMy WebLinkAbout129 Pine Isle Dr (8)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
.�' Application No:
Documented Construction Value:
Job Address: A aq PIM kk 0. a , �L Historic District: Yes ❑ No
,Parcel ID: 1 p - ; _ .,t� _ ,per pg-l� Residential IN Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Kb -gyp' °fit, g�udlotAt:�
Plan Review'Contact Person: & &AM Title: � y4k �1'%
Phone: A01- 2q5 -'1u03 Fax: Abl-246-491849 Email: gyp, ,at�,�y� Cots
Property Owner Information
Name RSI J 50A Phone: A&I - -vb4
Street: 12.0t Resident of property? :5
City, State Zip: �t fi`t , T-L ."1-►1
ContractorInformation
Name J`"UCt' r A aftp - 0� ., Gi-idol Phone: 16fS i-2��i-'1�1®�
Street: in C&1(1&(-' 9.6 Fax: ,-4@`1- 26a -og.ad
City, State Zip: E'I�`1t �p , r-L '�Sa9lko State License No.: ('C.C,606'114 y_�
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 STTE 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: 5th Edition (2014) Florida Building Code
Revised: June 30,2015 Penn it 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, stateagencies, or federal agencies.
Acceptance of permit is verification that Iwill 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
Print Owner/Agent'sName
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or,
Produced .ID Type of ID
Ali 01 #
e&"
`i
Signature of Contractor/Agent Date'
A tk
Print Contractor/Agent's Naine
Signatt of Notary -State of Plori Date<
� gpgY Megan R. Monday
r NOTARY PUBLIC:
c _STATE.OF FLORIDA,
Comm# GG156222
e 19�0 E pi 10/3012021
CotitractortAgent is Personally_Knownlo We or
Produced;iD Type of ID
i ®E• ®:i V
Permits Required; Building❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: 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: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
CONTRACT
NameCi�l3s
Address:lp`%
City,, State, Zip:
i
This Contract is entered into and effective on, ,C and is by and between
(the 'Owner") and UNIVERSAL
ROOFING GROUP, INC. ("Universal Roof & Contracting").
FLORIDA'S LIEN LAW
BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR','MATERIALs, OR OTHER SERVICES THAT YOUR CONTi
A SUBCONTRACTOR MAY HAVE FAILED TO"PAY-TO -PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS
THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTORIS REQUIRED TO PROVIDE YOU WITH A WRITTE
OF LIEN FROM ANY PERSON OR :COMPANY THAT HAS PROVIDED TO` YOU A ".NOTICE TO .OWNER."
CONSTRUCTION LIEN LAW IS COMPLEX',: AND IT'IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
FLORIDA lIOMEO1Pi RERS' CONSTRUCTION RECOVERY FUND
OU LOSE
ILATIONS
A,CLAIM,
BER AND
PREPARATION:
Remove existing roofing shingles -down to original roofing deck.. The following proposal does not include
any replacement of any roof deck thatmay be uncovered when the shingles -are removed. In the event that
water -damaged, broken, deteriorated orrotted decking is discovered, wood will be replaced at a cost of
$86.00, per 48 sheet of plywood, and board decking will be at<the following cost per lineal foot (1x6 43.10,
1x8- $3.50, 1x10 $3.80, 1x12 $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 Out 'in` place and the homeowner will be
responsible for a re -mobilization fee. In
SHINGLE INSTALLATION:
Instatl below seed mofrrsg sWir4es as par.thre maanufacturees nailing and exposure specifications. All
work to be installed, by closely supervised insured installers.
Owner.
Universal:
1330747 #CRC 1328705
I , Tear Q# existing roof.
2. Inspect decking. Water damaged, broken, deteriorated or totted decking will be replaced and charged
according to preViously!ist'pricing,
3. Re -nail roof deck with ,8D,round head, ring shank.nalls.
4, Provide'and install _71lineal feet of new drip edge. Color g
5. Provide and install all new Hot'. oots -1 -2- & 3'). Color
but, Oct
6. Provide and install I new power pole flashing.
8. Provide and install all new goosenecks (_L-4-&,_-10'). Color
9. OPTION : Ventilation TypeColor:
TO., Provide land install new valleys, using 8 step closed voilev,systern.
11. Provide and mechanically fasten Rhino Roof synthetic underlayment.
12.1 Provide and install Fungus resistant shingles, according to manufacturer's specifications.
GUTTER OPTION: Color
14. Universal to "provide P seven year written roofing guarantee and one year workmanship warranty on
non -roof work.
15. Universal to furnish a building permit.
17. SKYLIGHT OPTION:
18. SOLAR OPTION;
IQ qr.RFFNFIVCIn_CZIJRF()PTIe)M- 1/9C �n
20.
21.
22.
23.
univenal
Rt,of & Cvntwting Hzbsp 3 mf'
INVESTMENT:
Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the
'ab ve specifications, and subject to conditions found on both sides of this agreement, for the sum of:
3=Tab shingles "with a 25-year warranty
us resistant, Architectural shingles
PGRADE VENTILATION SYSTEM ADD
Afistall qq lineal feet of new seamless gutter and L�l new downspout. ADD
m
/2- oxide and install :all new { -1 1W & -2- & I -3°) B.Het Book ADD � �✓`
ADD
ADD $
Total,
TERMS:
Standard industry cash terms; 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 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 do/tar 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 theYime the AWO is presented,, before the work
is done, but will be submitted as supplemental requests to,the,insurance company b ;`Universal Roof and contracting for the
homeowner's reimbursement. Any additional items submitted to, the insurance r 1f01ilhi&cibiml,in¢ladliagioverAeadamd'prorrt,
will be owed upon approval.
The final payment.of each item should be paid at the end of that item. (i.e. the final payment of the roof is paid
when the roof is completed, gutters, screen, iinntefrior etc')
$fp� (lmi6f, c Total Order
YJ Oil
�� r.4 o�ritract Signing
Due on Start Date Deductib e n Up rade )
s 7-3 Due Upon Completion o Roof*
("Remaining money ec ived from Insurance end,Nidden'Damage not factored into this payment
�vVt,
nal P ant (Any additional money from insurance: Depreciation, Supplement/payout)
By: fl ,•`i?' �' t� By:
Print Name: J"' { f`t ri Print Name:
Date: f (jr 2,0 . 'U, 1 _
Universal Roof & Contracting
Date:
�V
Owner:
Universal:
THIS INSTRUMENT PREPARED,,BY:
Name: M.e%C'Ay\ MO(\AP�
Address:, RA.
L SENHOLE COW-11",' 0 j
HIT 11 ""11 1, V
OF C RC 'i PT R Q L L E a
1 U IT C '0UFT & CV
CLERK'S u 2017109924.
02'23-15 P
R-CORD D 1A/31 '2j.1'
Permit Number:
Parcel ID Number: M-t 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. D�CRIPTION OF PROPERTY:. (Legal description, of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENTS
3. 'OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Nameand address: ky-q y"A t, v7,1,-o--
Interest in, property: OLane.('
.Fee Simple Title Holder (if 'other than owner listed above) Name:
Address:
4. CONTRACTOR; Name: 'WgeCb&l P40P4. QQY4MVAAf\Q PhoneNumber:
Address: F-',Gf;5, av-6e-i-
'S. 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 of the Uenor's Notice as provided in, Section 713.13(l)(b), Florida Statutes. Phone number:
91. 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
CONSIDERED IMPROPER PAYMENTS UNDER C
PAYING TWICE FOR IMPROVEMENTS TO;YOUR
JOB SITE BEFORE THE FIRST INSPECTION. IF'
BEFORE'COMMENCING WORK ORRECORDING'
I. 1h =101M e"rlr V11 mre cot'b"r'[Pwa'rtn'eri�Mana"rgLer)'"�
:XPIRATION OF THE NOTICE OF COMMENCEMENT ARE
71,3.13, FLORIDA STATUTES, ANDCANRESULT IN YOUR
AENCEMENT MUST BE RECORDED AND POSTED ON THE
CING, CONSULT I WITH YOUR LENDER OR AN ATTORNEY
OVA Nw-,;ro RwAftsIgnatorfs T061OM-)
State of E\61S&- County of..-LbekWMe-
The foregoing instrument was acknowledged, before me'this :26*" day of 00k0)01?,f- .20 t-f
Who is personally known to me 0 OR
'who'has produced identification 10 type of identification produced
Y, Jade Smith
NOTARY PUBLIC
STATE OF FLORIDA
'COMM# GG067937
Expires 1130/2021,
CITY OF
Building,& Fire, Prevention Division
ORD RESIDENTIAL RE -ROOF AFFIDAVIT
(IRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-IN,'FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ADDRESS: \'L O� ��Nb lid ,
I r �1 Siicr�A,\( i AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT; OF'F.S. CHAPTER 468 BUILDING INSPECTOR, I.IIEREBY AFFIRM; THAT ALL OF THE
FOREGOING INFORMATION iS TRur 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 CEWIIIFY THE INSTALLATION MEETS ALL
REQUiRI:MENTS FOR SECONDARY WATER BARRIER AND'NAILING OF" I'HE ROOF DECK; IN ACCORDANCE- WITH THE -HURRICANE RETROFIT
MANUAL, REQUIREMENTS (BASED ON F.S. CHAPTER'553.844).;
LICENSE #:'1010,c o! -(
COMPANY / CONTRACTOR: �J� 4' �
CONTRACTOR SIGNATURE: ilt DATE:
(MUST BE SIGNED BY LICENSE'! LDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS;SIGNED AND, NOTARIZED AFFIDAVIT' MUSTJ31i PI20VI,DED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE "OF THE ROOF SHONVING IN DETAIL ALL COMPONENTS (DECKING,.
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH ]'HE 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 REFERTO THE RE-k0oF POLICY AND INSPECT1 N 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 {) �C�;
Sworn to and Subscribed before me this day of K"20 1 _ by
b y1 .U�� L' V.. . Who is � Personally Known to me or has 0 Produced (type of
identification)
Signa _re of Notary Publi
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
�y a� Megan R Monday
NOTARY PUBLIC
ESTATE OF,FLORIDA
Comm* GG156222.
.SIN j9�� Expires 1'0/3012021
9
CITY t
SJkNF0RD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. , ISSUE DATE:
_01.o3v /W
.dh
CONTRACTOR: UA i'versa
/J.60k •
JOB ADDRESS: cf- P-1
TYPE OF WORK:
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
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
i4FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FATE 0EPARTMfNT
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 WORKMUST 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 TOTOST 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 CONDOmwilUM) 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'INSPE,CTION 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 UNDERLAY,MENT 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 UNDER.LAYMENT 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
DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLONV THESESPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCIIITECTOR ENGINEER); CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
e ` y
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
SANFORD
PERMIT #
Building & Fire PreventionlDivisi.on
F I R I DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:2-gr�\P, �t` •arti .mil a?tylyln
STRUCTURF TYPE: :SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBIL.E HOME O APARTMENTZCONDOMINIIJM
RE -ROOF TYPE': 0 REPLACEMENT (TEAR OFF'EXISTINGsROOF AND REPLACE WITH NEW COMPONENTS)
0-Ft-COVER (NEW ROOF INSTALLED OVER UXISTING ROOF)
D( EYQ)— 0w
c6
PLE SFNOTEpNL100SQDART• EI'OCTIG EXITING I6CKIS PERA9ITf'EU TO BE REPL'ACEn
ROOF VENTILATION: 0OFF-RIDGE- O RIDGE OSOFFIT OPOWERED VENT 0TURBINES
SKVL.IGIITS: O YES Q NO IF YES, PLEASE PR6VIDL; FLORIDA PRODUCT APPROVAL. #:
MAIN ROOF AREA
ROOF SLOPE; O LESS TI[AN,2:12 0,2:12 -4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA 'PRODUCT.APPRO-%W.:
SHINGLE
IAA "\6f}.(%l
FL# 6iALVA ' P`r.
O METAL
FL#'
0 MODIFIED B ITUMEN'
FL#
0 TORCH DOWN
FL#
0 INSULATED
FL#
O TILE
FL#
IWOTFIER: �r�' i s
�A lkalO \ft. ' 11 �M �W 4-)
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE'*
ROOF SLOPE: 0 LESS 'PRAN 2:12' 0 2:12 —4::12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA, PRODUCT APPROVAL;
O SHINGLE
FL#
O METAL
FL#
0MODIVIED, BITUMEN
FL#
0 TORCII DOWN
FL#
OINSULATED
FL#
0 TILE
FL#
0 QTIIER'
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 . . .
. . 18-00000251
Date 1/02/18
Property Address . . . .
. . 129 PINE ISLE DR
Parcel Number . . . . . .
. . 10.20.30.511-0006-0870
Application description .
. . ROOFING APPLICATION
Subdivision Name . . . .
. .
Property Zoning . . . . .
. . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1022276
Permit pin number 1022276
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 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#: ,60 2 \ ADDRESS: `%.a QNAt Vy\(Z, Z!C -
I __ YYV\ Mk_kk\0jX , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING , 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. 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 #: C u,DP':�l \ 66 1
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: ��-�N/r���! l� DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR 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 'wy)\it,
Sworn to and Subscribed before me this �� day of �QC�. C _ 20 \S by:
V\9-1A N&QXk . Who is [,Personally Known to me or has ❑ Produced (type of
identification)
woda.
Signatu a of Notary Public
State of Florida
Print/T a/Stamp Name
of Notary Public
as identification.
�Wy Me k.,'Monday
Q NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG156222
• Expires 10/30/2021