HomeMy WebLinkAbout141 Adoncia Way (2)H
Documented Construction Value: $ 9988,43
5 oJob Address: I f11 Adoncia Way
Parcel ID: Law Enforcement
Type of Work: New ❑ Addition ❑
Description of Work: Arch shin
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: l� (" I
Alteration N Repair ❑
g le re -roof k
Historic District: Yes ❑ No
Residential 12 Commercial ❑
❑ Change of Use ❑ Move ❑
PIan Review Contact Person: Kristen Marion Title: i
Phone: _"�-ay�� nail•
Property Owner Information e
Name Jusintine Matherly
Street: 141 Adoncia Way
City, State Zip: Sanford 32771
Name Oviedo ROofl
Street: 404 E. SR 434
Phone: 4073657663
Resident of property? :
Contractor Information
Ent Inc Phone: 407-365-7663
Fax:
City, State Zip: Winter Springs Fl 32708 State License No.: CCC1326813
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 GENDER 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 he inscribed with the date of application and the code In effect as of that date: 5111 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 govermnental 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 pennit 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 Omner/Agent Date
Print O%Nmer/Agent's Name
Signature of Notary -State of Florida bate
Sign�I L-� I I I I�,
ofContra—ctor/Agent Dat
-P� Sc 04
Print Contractor/Agent's Nat
A1111
Signature of Notary -State o alert ate
Owner/Agent is Personally Known to Me or Contractor/Agent Fs ,PersgQRWil0l)Wj1 tl 'for
Produced ID Type of ID Produced ID ;' a I7�
Q�} t,r�!.4t13ISSlON O FF92bfrtk
�.F9t'r EXPIRESt�rtot,or05.2019
(407f139°.oti's FWreihoW rySax'sca cam ,�
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps_
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
To, Iustine Matherly
141 Adoncla Way
Sanford, A 32771
Oviedo Roofing Enterprises. Inc.
404 E. State Road 434
Winter Springs, FI.32708
Ph: 407-365-ROOF (7663)
�r
Fax: 352-241-0854
` ,-
License. # CCC1326813
Oviedoroefing.com
Job Address:141Adoncia Way Sanford, F132171
Sept28,2017
Ph.941-716-4429
Description
Amount
Roof i)lagnosjs . Wind dam..age due oo Nurrica»e Irma an.Sepiembe 30 it 2017 ;;
aapf aiagnosEs
NOfJEFOSITand,NOPAYMfNTSarerequited{rntdworkhasbeencgmpteted
�sss+tss«rig .:
Five-year written workmanship warranty on shingle roof. The workmanship warranty Is transferable."Included"
All Employees are fully Insured on our workman's compensation policy, and have been background checked.
•'Included•'
Scope of Work to be Performed:
1. Remove and replace one layer of roof.
2. Remove roof down to decking and re-nall decking 6" an center per building code.
3. Inspect all decking for rotten, damaged or deteriorated wood. All deteriorated wood will be replaced
at an additional charge of $55.00 per sheet of plywood installed, and $5.75 per Rnear foot of deck
boards, siding boards, rafters, rafter tails, joists, fascia and sub fascia board Installed. All metal L-
flashing and metal counter flashing will be installed at an additional charge of $10.75 per linear foot.
4. Furnish and Install new lead boots and neck vents to replace existing. All vents will be 2&gauge
factory painted metal. Color. {e-e
S. Furnish and Install new ventilation to replace existing and establish proper ventilation.
6. Remove existing valley metal then furnish and install 26 gauge IV new factory finished valley metal
and peel and stick undedayment. Furnish and install flashing at the bottom of each valley, seal
valleys and flashing wilt flashing grade cement.
7. Clean and inspect wall flashing. Homeowner will be notified of any wall flashing deficiencies and
additional cost and scope of work to repair.
8. Furnish and Install 30 lb. D-226 asphalt felt underlayment over entire roof and nail all dry -in to meet
state and county high wind code.
9. Furnish and install Certainteed shingle starters,
10. Furnish and Install Certainteed Hip and Ridge cap,
r
r`
it. Furnish and install 26-gauge 2 Y. Inch factory painted metal drip edge. Color:.:
12. Seal all eves and rakes with flashing grade cement per code.
13. Furnish and install Certainteed landmark 130 MPH Architectural shingles on shingled area of building.
Color to be. chosen by custow er. Six nail all shingles per state high wind code. All shingles will be
$1988.43
fungus guard. Color:r�Y��'t`�
14. All work will be performed per manufacturer's speufitatio" and local building codes.
Oviedo Roofing Is not responsible for any stucco work needed.
Disclosure
Removal of all solar panels and relating piping will be the responsibility of the owner or agent
Disclosure
All roof colors must be selected by owner and or owner's agent and agreed to at time of contract signing.
**Inc luded"
Oviedo Roofing will remove satellite.dish If needed, however customer Is responsible for reinstalling and
"included"
calibrating satellite dish`through satellite company.
clean up and haul away all debris.. Sweep ground with magnet for nails as roof is replaced. Trim bushes and trees
"included"
branches as needed.
Manufacturer's warranty on shingles
"Included"
BALANCE DUi: UPON COMPLETION Total
$g888,43
All staged dump trailers and roofing materials will remain on the job site until the project Is completed
Disclosure
Property owner or agent will provide Oviedo Roofing and any vendor with access to job site. to facilitate trucks
and equipment. This price is based on our trucks or having direct access to the building. we are not responsible
Disclosure
for any crocks or damage to the driveway or sidewalks. Oviedo Roofing is not responsible for gutter or soffit
Owners
repair. Oviedo Roofing is not responsible for ai y damages to any vehicles left floss to our work area. in
I Ha
addition we are not responsible for damage caused by failing debris. Oviedo Roofing will not be responsible for
Roof Cstimate —
Page 1 of
T`
- ---. -- - • .- ^ •.aa...., r.wanumr,,+anoscape.or stPVc systems,
Oviedo Roofing will not be responsible for any Interior damage or environmental issues discovered during or as
part of roof replacement. Any damages
Disclosure
sustained due to Acts of God (such as micro -bursts, wind events, or rain)
during the project are the responsibility of the homeowner
Own I itials
and their homeowners insurance.
Price based on one layer of roofing, If additional layers are found each layer will be $45.00
removed at per
hundred square feet
Dis su e
Oviedo Roofing will obtain all permits and post at the Job site. Permits must remain posted until final inspectlon
Is completed. finalized permits will remain with homenwnerfor their records.
Disclosure
Finance charges of 1,59t er month will aarue on accounts not paid within 10 da of Mvolce.
Disclosure
Contractor's work wip 6e wa{ranted by Contractor in accordance with Its standard warranty. Contractor shall
oat liable torsPecial, punitive, Incidental,
consequential damages orsubrogatlon. The acceptance of this
Proposal
o the customer signifies their agreement that this
warranty shall be and k the exclusive remedy
n
against[ontrattorpertalningtotherooflnsta..Nation.[ustomeracknowiedgesthatNOwarranrywiilbe
rovided if payment In full Is not made in accordance with the terms of this Contract.
If a dispute shall arise between Contractor and Customer
Disclosure
with respect to any matters or questions arising out of
or relating to this Agreement or the breach thereof, such dispute, other than collection matters which maybe
handled through arbitration or normal collection, procedures, shall be decided by arbitration administered by
and in accordance with the Construction industry Arbitration Rules of
the American Arbitration Association and
must be initiated within the. applicable statute of ilmitations. This Agreementto arbitrate shall be specifically
enforceable under the prevailing arbitration law.' The award rendered by the arbitrators shall be final, and
judgment May be entered upon it in any Court having Jurisdiction thereof. Any award shall Include court costs
and reasonable attorne s fees to the revailing party plus interest at the legal rate.
All additional expenses Incurred during the project are the
Disclosure
sole responsibility of the property owner or their
agent. This may Include costs to repair defects discovered after removal of existing roof that were unable to be
detected during visual ex@rtiinatign,and/or costs for additional materials needed to correct deficiency or to
bring deficient dtsmvered items to Current buildin
code re ulred by local urisdictfons.
J
Oviedo Roofing reserves the r1 ht to withdraw this Proposal if customer does not accept it within 30 days.
Disclosure
Disclosure
Notice tO Hoineownet: Florida: Residential Building Code requires the roof deck to be re naffed every six inches
on center during all re roof proJeFts, If a house
Disclosure
or. structure has been re -piped and the pipes are not installed
per Florida BuildingJPluTo _g Code, there is a possibility of damage to the piping during re-na111ng process. It is
Owner's
the sole responsibility of the homeowner to insure plumbing and HVAClines are installed properly before
Initials
commencement of re roof project. Roofing tontractor is not responsible for any damages to piping or Interior
due to Improperly Installed piping.
This estimate price is based on a cash or check payment_ .Visa, MasterCard, and Discover cards are accepted for
payment also. All bank merchant fees convenience
Owne 1 ats
fee will he added to all credit card payments.
read
have completely d and understand the terms of thls contract in full, and have agreed to all terms stated In
Total rice
this contract.
Owner/Agent Please sign, print, and date here.
S99g8.43
Print Name X
Signature r
/ 17
According to Florid ' Construction lien law c on 713.001-71337, lorida Statutes), those who work on
your propertyor p v e materials and services and are not in
paid fu ave a right to enforce their claim for
payment against y ur toperty. This claim is k00%6 as a constructtan n. If contractor or
Disclosure
your a subcontractor
falls to pay subcont rs, svb-subcontractors, or material suppliers, those people who are awed money may
took to your property for payment, even if you have
Florida
already paid your contractor In full. If you fail to pay your
contractor,your contractor may also have a Ilen on your property. This means If a lien is filed your property
Construction Lien
law
could be sold against your will to pay for labor, materials, or other services that your contractor Ora
subcontractor may have faitel to pay. To protect yourself,
Please read
You should stipulate In this contract that before any
payment is made, your contractor Is iequEred to povide you with a written release of lien from any person or
Owner Initial
company that has provided to you a "notice to owner." Florida's Construction Uen taw Is complex and It is
recommended that you consult an aftorneAl
y.
Roof Estimate —
Page 2 of 2
THIS INSTRUMENT PREPARED BY:
Name: OVEiDO ROOFING ENTERPRISES, INC.
Address: 404 E. STATE ROAD 434
WINTER SPRINS, FL 32708
Permit Number:
1 III 111 ll�l II1! II Ills III {I
GRANT IIALOY7 SEtiIHOLE COUNTY
CLERK OF CIRCUIT COURT & CONPTROLLER
BK ?032 P9 1554 (1Pes)
CLERK'S r 2017121425
RECORDED 12/0172017 12:00:02 PH
RECORDING FEES $10. 00
RECORDED BY hdevore
Parcel ID Number. LAW ENFORCEMENT
The undersigned hereby gives notice that improvement will be made to certain neat 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)
LAW ENFORCEMENT
2. GENERAL DESCRIPTION OF IMPROVEMENT:
SHINGLE RE ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: JUSTINE MATHERLY 141 ADONCIA WAY SANFORD FL 32771
Interest in property: OWNER
Feo Simple Title Holder (if other than owner listed above) Name:.
4. CONTRACTOR: Name: OVIEDO ROOFING ENETERPRISE, INC. Phone Number. 352-241-7663
Address: 404 E. STATE ROAD 434 WINTER SPRINGS, FL 32771
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 ma t I
y,i�,9, tSelre. ;`t
713.13(1)(a)7.,Florida Statutes. �,,,,,,,;;;, ,a;s.`-4
Name: Phone Number.
Address: t
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 1, 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 ATT¢RNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
.a0%0 mu(-
tnatUre of n e e , or DwWs or Lessee• (Print Name and Provide Signatory's TWOOfice)
Authorized OfficerAxrectorrPartnerrManager)
State of./ �,_ County of
The foregoing instrument was acknowledged before me thls'k,- day of _I \� C J V ��� 20
by produced: Name or parson Who is personally known to me ❑ OR
statemen� � �
who has produced identification typking t e of identification P
;Ft ;'' I : KRIS N IV,�VAN���
Ei)
�r MY COMMISSION r, Fi 9F4674
'"?io , , EXPIRES Octobor 05, ?p,1) Notary signature
�OP1j48C�_ go�'_�kfi.UttotarySorvic,� ^cMr�...
"IICity of Sanford
Building and Fire Prevention
Permit #
Project Location Address
CK
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 1714.6. 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 U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Pro
jected
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
Certainteed
Landmark
FI 5444-R1
Underla ments
Certainteed
Roofer's Select
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
Lomanco Inc.
Omni Roll
FI 2847
Other
June 2014
Category/Subcategory
5. Shutters
Manufacturer
Product
Description
Florida Approval #
include decimal
Accordion
Bahama
Colonial
Roll up
Equipment
Other
G. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
—.Engineered Lumber
Railin
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
r ;TI
Applicant's Na !C_. I G
(Please Print)
June 2014
vCITY OF
SjkNFORD
» DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 113r 60(0 ISSUE DATE: 0010 ® J'0 /4?
CONTRACTOR:y ;4e OLO 4004• n 9
JOB ADDRESS: ! ado 4 C. I •Q
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:
0 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.nf. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
Inspection Policy & Procedures
A Final Roof Inspection is the only inspection required for Residential
(Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
• Permit Card, posted in a conspicuous and weatherproof location
• Completed Residential Re -Roof Scope of Work
• Completed and Notarized Inspection Affidavit
• All Florida Product Approval and Corresponding Installation Instructions
• (Product Approval shall match what is on the scope of work)
• Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
• Skylights (if applicable)
o Digital photographs showing all installation components, per -FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida
Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
City of Sanford Building Division
.t= Residential Re -Roof Inspection Policy & Procedures
�r
PERRIITTING 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:
® Permit Card, posted in a conspicuous and weatherproof location
® Completed Residential Re -Roof Scope of Work
® Completed and Notarized Inspection Affidavit
e All Florida Product Approval and Corresponding Installation Instructions
® (Product Approval shall match what is on the scope of work)
• 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: l
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
v
STRUCTURE TYPE: ,SINGLE FAMILY RESIDF.NCE/To%krNHOUSE Q MOBILE HOME O APAR114ENT/CONDOMINIUNI
RE -ROOF TYPE; gRFPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
""PLEASE ]VOTE: ONL I' 100 SQUARE FEET OF THE EXISTING DECK IS PERAfITTED TO BE REPLACER"
ROOF VENTILATIONXOFF-RIDGE Q RIDGE Q SOFFTF QPOWERED VENT QTURBINES
SKYLIGHTS: O YES kA0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
--------------------------------------------------------------------------------------------------------------------- -------------------------------------
MAIN ROOF AR EA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12-4: l2 �4:12 OR GREATER
TYPE 9F ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL,
HINGLE
FL#
Q METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "LFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
0 METAL
FL#
O MODIFIED Bi1UMEN
FLY
O TORCH DOWN
FL#
QINSULATED.
FL#
O TILE
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
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Page 2
Application Number . . . .
. 18-00000669
Date 2/01/18
Property Address . . . . .
. 141 ADONCIA WAY
Parcel Number . . . . . . .
. 29.19.31.502-0000-0850
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1029230
Permit pin number 1029230
----------------------------------------------------------------------------
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
NjiAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I� J l ,x Q G ADDRESS: 1
3'-- U L 4 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
4GINEER, 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 (BASED ON F.S. CHAPTER 553.844).
LICENSE #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: - DATE:
(MUST BE SIGNED BY LICEN4 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 INSP ION,
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 �AND
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING
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 REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON
,TION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
worn to and Subscribed before me this . J day of 20 Lz by:
Who is
,Personally Known to me or has ❑ Produced (type of
identification) as identification.
Sig a ure of u ; ,d+y; KRISM M NANEK
State of Florida -.*-.my COMMISSION # FF924614
Print/Type/Stamp Name
of Notary Public
k EXPIRES 000W 05, 2019
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