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HomeMy WebLinkAbout131 Wornall DrCITY OF,SANFORD k BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: , (� ✓ Documented Construction Value: $ 111 Job Address: 1 51 (, O'QNDX\ 'Dc . ayNk t ; J_ Z2`1`l historic District: Yes ❑ No Parcel ID: \Q- ZU - tU MOO - ()1O() Residential X Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Ilse ❑ Move ❑ Description of Work: VG- (W4�- 2 •Z5 S4A x 6 Q25 Plan Review Contact,Person: AW&AA, Title: PZALAk -kwK Phone:Fax: L UJ-2q `,-6243 Email- i7�{+�twu N�LiCd,C?UN Cytwo�' Owl Property Owner Information Name 1,s;VI L&Z"20-A` Phone: 'AU`I-k0 Street: 1!i t`)X`{a\ C`r. . Resident of property? : S1 City, State Zip &S-A' a Contractor Information Name 17\�Mna\ (itltyV1, Phone: Street: ''ice C`G> ,Ae,C` A -A,, (J Fax: - Ain— G25q City, State Zip: kG State License No.: OCW61t6S 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 perfonned 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: 51" Edition (2014) Florida Building Code U "'- Revised: June 30, 2015 Pennit Application \ 1 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 pennits 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 Signature of Contractor/Agent Date ro T-a) L& M L-7L _ to g Print Owner/Agent's Name Print Contractor/Agent's Name i. ,2 h'1 AQ#d1WdW 12i1yki Signature f Notary -State of Florida Date Signatuni of Notary -State of Florid Date j� Megan R. Monday My Megan R. Monday NOTARY PUBLIC 'Vv NOTARY PUBLIC -�STATEOF FLORIDA STATE OF FLORIDA Comm# GG156222 Comm#GG156222 Owner/Agent is Personally Knov, e4pires 10/30/202'Contractor/Agent is PersoExpires, o01330/2021 Produced ID _ Type of ID Y— — 1)4. Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Bui ding ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June A 2015 Permit Application th itM Sal Roofer Contracting November 30, 2017 Fred Latimer 131 WornaIf Drive Sanford, FL 5655 Carder Road, Orlando, FL 32810 Office 407-295 7403 Fax 407-29"288 www.Universa[Roof.com CONTRACT This Contract is entered into and effective on, S''} and is by and between AA, �6. ! / (the "Owner") and UNIVERSAL ROOFING GROUP, INC�.Universal Roof & Contracting'). 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 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 A LIEN ON YOUR PROPERTY. 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. 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 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 CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS:1940 N MONROE ST. TALLAHASSEE, FL. 32399 P: 850.487.1395. Omer, Universal: Licenses #CGC 1523333 #CCC 1330747 #CRC 1328705 IuniNusal Roof & Contracting. Page 6 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: S C.*AairiT-ee des-resfstan , shingles with a 25-year warranty $8,197;99 Zz=Ceetain Fee AOwens Coming Duration With Sure Nail Technology ADD 1608,25 Upgrade: Ventilation System ADD $ Q. / Install lineal feet of new seamless gutter and new downspout. ADD $ UQ' Provide and install all new (2-2° & 2-3') Bullet Boots AD $260.00 Tota %,d 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 contact' 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 most be paid by the homeowner at the time the AWO is presented and before the work is done. A WO's will be submitted as supplemental requests to the insurance company by Universal Roof arid c ntracting for the homeowners reimbursement. Any additional items submitted to the insurance on behalf of laim, including overhead and profit, will be owed upon approval. The final payment of each trade should be paid at the time of completion. (i.e. roof, gutters) $ v Total Order $ Contract Signing Due on Start Date (Deductible and Upgrades) $� Due Upon Completion of Roof ('Remaining monies received from Insurance and Hidden Damage not factored into this payment) Firkal Payment (any additional monies from insurance: depreciation, supplement/payout) aye fy /q�,. By. Print Name: �� �l� I 1 t�'tPrint Name: Date: _ I Z- _ �7 Date: By: Universal Roof & Contracting Owner. Universal: THIS INSTRUMENT PREPARED BY: Name: iAIDA&M Address: F: (p`,l_ Permit Number: 111111111111111111,111111111111111 fill I%!I GRANT MALOY9 SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 9038 P3 1tj99(1rq .`s CLERK'S 2017124910 REC-ORDED 12/12/2017 08:22:55 All RECORDING FEES 1,10.00 RECORDED BY hrdevork! Parcel ID Number: J;s-\q ')Q-'jii1 -fm0- o11CC1 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 availnhlPl 2.­­­ wwQ .rcrr r wry yr rmrmuvtmtry i : 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address:a Interest in property: t1LJti1p S Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Phone Number: )105 Address: P_� 4 yA_e (— Ra , Cock cj0 , L i2 1Y� 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,uponwhom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes,. Phone Number: 8. In addition, Owner designates of 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, 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. (Si gnature:ofOwner or lessee, or Owner sor Lessee's AuthoJized Officer/Director/PartnerlManager) State of Poci&,,_ County of _ r',k>> AoO e (Print Name and Provide Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of 1i'CtTd uh?(` 20 by iI UO , ;.WA ax­ . Who is personally known'to me 0 OR Name of person making statement who has produced identification N_ type of Identification produced: J,3) -,4 L:5v�q ,, -1 Megan R. Monday NOTARY PUBLIC t ¢a oeo -STATE OF FLORIDAI b No Comtn# G.G156222: Expires 10/30/202. , CITY`OF ORD Building & Fire Prevention_ Division RESIDENTIAL RE -ROOF AFIFIDAVIT TIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, TRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT # ADDRESS 1'b\ TDC . I W�l , AS,A(N) GENERAL, BUILDING, RESIDENTIAL, OR, CT OOF19E CONTRAENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR,I HEREBY AFFIRM; THAT ALL OF THE FOREGOING INFORMATION I5 TRUE AND ACCURATE AND THAT ALLAOOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED.ADDRESS HAVE.BEEN IN 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 OI?THE ROOF DECK,;IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUALREQUIREMENTS (BASED ON F.S. CHAPTER 553:844). LICENSE #ZI`11(, COMPANY CONTRACTOR SIGNATURE: j�(P� �It/t(II/Lltfy DATE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDF.R A FINAL ROOF INSPECTION IS RFOUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THETINAL ROOJNSPFCTION, ALONG WITH DIGITAL PHOTOGRAPIIS OF EACH PLANE OF THE. ROOF SHOWING IN,DETAIL ALL COMPONENTS (DECKING; UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE. PERNUT 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 FURT1 FR EXPLANATION OF ALI, REQUIREMENTS: *'FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL ASREQUIRIING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER TO C> RTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF O 'Sworn 'to and Subscribed before me this IIIday of c �lI 20 1-1 by: Wwa\ Who is RPersonally Known to me or has 0 Produced (type of identification) as identification. Sigaa re of Notary Public State of Florida Print `ype/Stamp Name of Notary Public o Wy Megan R. Monday NOTARY PUBLIC STATE OF FLORIDA Comm#'GG156222 ycE �� Expires 10/30/2021 Building & Fire prevention Division CITY OF SkN'FORD FIRE DEPARTMENT 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 Pequested 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 and - 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 Building &, Fire Prevention Division 6ANFORD 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 COMPONENTS THAT WILL BE'INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ONTHE JOB SITE. **PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEWAND APPROVAL BV THE SANFORID:141STIORIC PRESERVATION BOARD INSPECTION POLICY &PROCEDURES A FINALRoOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLETAMILY, TOWNHOUSE, ,MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THETOLLOWING 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 0 ALL FLORIDA PRODUCT APPROVAL ,AN'D'CORRESPONDrNG 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) • EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED • 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 MEASURING DEVICE OR RULER) 0 SHINGLES INSTALLED, NAILPATTERN AND LOCATION OF NAILS 0 SKYLIGHTS (IF APPLICABLE) • DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL • 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. PERMIT #' Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF 1FORK JoB ADDRESS: h' a\wys STRUCTURE TYPE: a SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE; IS REPLACEMENT (TEAR OFF EEXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PL.EASF SPECIFY): *PLEA SE -NOTE: OAI:Y 100 SQUARE FEET OF THE EXISTING DECK 1S FERAT/TTED TO BE REPLACED ROOF VENTILATION: D OFF -RIDGE Q RIDGE, OSOFFIT OPOWERED VENT OTURB FF'S SKYLIGHTS: O YES NO IF YES, PLEASE;; PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF, SLOPE: 0 LESS "THAN 2c 12 0 2:12 - 4:12 4:12 OR GREATER TYPE OF ROOT MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL#VJ�" DUAL FL#' MODIFIED BITUMEN FL#` _0 O.TORCH DOWN FL# OI,NSULATED FL# O TILE FL# OTHER: �ky FL#' t 1 ROOF EXTENSIONS (PORCHES, PATIOS, FTC.) **IF APPLICABLE** ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR: GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# OMETAL FL# OMODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# 0 TILE FL# O OTI IER 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 . . . . . 18-00000237 Date 1/02/18 * Property Address . . . . . . 131 WORNALL DR Parcel Number . . 33.19.30.514-0000-0160 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1022128 Permit pin number 1022128 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / r City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -INS FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #:—'J� ADDRESS: 13, Uk AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFIRG1231 R, 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 #: V�lj© ��� G COMPANY/CONTRACTOR: > CONTRACTOR SIGNATURE: DATE: L I I (P f A (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 OFQ�p� Sworn to "and Subscribed before me this day of � 20 by: tl ft \ Q,Q,� � Who is Personally Known to me or has ❑ Produced (type of identification) �" I k969 Signs ure of Notary Pu 'c State of Florida Tj Print/T a/Stamp Name of Notary Public as identification. itMegan R. Monday NOTARY PUBLIC �I 'STATE OF FLORIDA Com1�# GG156222 x� Expires 10/3012021