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HomeMy WebLinkAbout142 Pinefield DrCITY OF SANFORD °r BUILDING & FIRE PREVENTION r PERMIT APPLICATION �Application No: Documented Construction Value: Job Address: i — ,Cj(A� Historic D,'stric : Yes ❑ No E Parcel ID: 32 • .; � rJ ! ' ftb- NJ D Residential Commercial ❑ Type of Work: New 0 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: _1 - 4�-� ra Plan Review .Contact Person: " (A-4j Ido Title: O"r- Phone ,36�-k • 81l • W6 Fax: 8-11' 1 `0W3 Email: "C.e e CCA'�� i�,1G ii�i'11A71i M i it�,p. cen�w Property Owner Information Name i (01 NJ 1 C -son, Phone: �Z I ' Q ,3� DD Street::.14z 'Rn" 1d Dr. Resident of property? :. City, State Zip: ;'L. 32i1 ti j_ �•�, Contractor Information Name a-b -P W ti 1 1LL6 Phone: ' �7%- -% �l3 v Street:12q i n '`)t- Fax: 309- _A—% 1 o —7 LPU3 City, State Zip:. e, e 34-7W State License No.: CCC 133 6$ 6Z- Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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 connnenced prior to the issuance of a permit and that all woik 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, 10J furnaces, boilers, heaters, tanks, and air conditioners, etc. Q FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5`h Edition (2014) Florida Building Code Revised: hine30,2o1s 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 l 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 atthe 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 willbe 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's,Name SigV­a­tJWof Contras < r Agent\,/- Date Print Contractor/Agent'sName Signature of Notary -State of Florida Date Signature -of lorida Date KEELEY CIERA EHRENREICH Commission,' FF 963931 -y z Expires February 23.2020 o $ r{ TtruTro} ai,lnsursua340-3@S7ot9 Owner/Agent is Personally'Known to Me or Contractor/Agent is e or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building,❑ Construction Type: Total Sq Ft of Bldg: Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof Occupancy Use: Flood Zone: Min. Occupancy Load: New Construction: Electric - # of Amps_ Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No WASTE WATER: BUILDING: Revised: June 30.201 5 Permit Application THIS INSTRUMENTPREPARED BY; Cons6ctjonNamw Unlimited Adore 729 Main St. Adore s: Mz,—FL 3478G- 8724 t Permit IVumbcr Parcel lD Number" -If - -" t '2 is� {� The undersigned hereby gives notice that improvement will be Matta to certain feat p y o ert. and in a f°t!°`v ny lnf°rmation is provided in this Notice of Commencement., fiance nth Chapter 713. Florida Statutes, the 1. DES RiPT14N O�PROPP5=R T�f. !Le ai>dascript,�on of the property a dslreel addrg,s if av3itagiey ���Lrr�`�0-y�-��t� Yv� Foe afmple Title Holder(if other than owner Iisted.abova) Namo: Addt4ss: 4. CONTRACTOR•N. )n\Arn X— Ir, ,:A.. v Phone 'Number „ SO 5. SUR(if applicahle. a copy of the payment bond Is attached): Name: Address: s: — . tl: LENoFR Name: - _ Amount of Boni;: ` Addriss: Phone Number; ?• Persons within the State of Florida Designated by owner upoawhom notice or other documents May be served 713.13(1 j(3)7., Florida Statutes. y as'providcd by Section Address: Phone Numbec S. to adQition. Owner designates of xin:s}veacopy Of the L+enor`s.Not* i E 9. P rce as provided in Section 713.130Xbj, Florida Statutes- phone number. ation Dwe of Notice,o( Commencement ?The exviration is 1 Year From date or recording unless a different ciaac` is specified WAA'NlN(1 TO:OVYNER. ANY PAYMENTS MADE By THE OWNER AFTER THE EXPIRATiQN OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER T13. PART 1. SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT ite.YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED=AND POS7EO ON 7tsF JOB SITE BEFORE THE .FIRST INSPECTION. G YOU }NOT, U TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEM4ENT. - f�orna-or lw. .., o, O+kmc or _: V `c•�.75} Y / •ivf Ar.zt•' U";t9r/lli y tiff rn:.1,R3�j Cw,xs, •, ... tFruat Y:.ne JAM 1Ra n� 5 y rn,^ State of - Countyof The fareo,ian 1:,"r . ,,,nf was acknowied9,ad before me this ( Lolt. � day of Tt) Who is personally' known to me ;" .OR who has produced identification I.: type of identification produced: .�'"'+'L� � Ht+ta41S SAiitJlrDRO ��u��` t,;�• GJ�iss}otd �r,Gt2685�7 \orllYY'j EXPIfiES:JiJi'Z3.?02t L �:Jt;i'2 3itlte4Cr GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2017124478 BK 9037 Pg 1721: (1pg) E-RECORDED 12/11/2017 10.07:14 AM %00 • •, Permit # Project Location Address j--rL 1 -Ft� �Yld� 10 Oft- As required by Florida Statute 553.842 and Florida Administrative Code 9N=3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows,, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide -Product Approval can be" obtained at www.floridabuildinil.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 tJ Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014. Category/ Subcategory Manufacturer Product Description Florida Approval # includin 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 Shin les C1A'F & i'L+I-V 0 VL 1612.q,2 Underla merits e Vt)&44nMAA FL 1521it--ILS Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation _ Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other 'F AtLrsw rs Vi- (aul ^ 1 June 2014 Category / Subcategory LDescription Manufacturer Product Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Applicant's ,Name 5a I)gi (0"1A (Please Print) June 2014 ` .+ L xi;rn FjR JrvYi 'tKfl FI: ."i L,UNJ t KU(:I I(JN LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILSn TO t PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR i 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 ALIEN IS FILED YOUR 1 PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR j 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 E ! WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS FRONDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. I r PHOTO RELEASE;Cove.., guns ln'Ldwe's and Lowe's ernplayees .andund0(Lndeni contractors the right to take pncta,�raphs a! the Premises ,x's f`A;n, x;11 be perfc,mted and all work {x:rformed at ifao Prumses related to this Contrarl, and irrr;rtx tbly g,111S to Lewg-c. ail right. Title, and ` -merest in and to thn photographs f,}r a •6 Br all markats and media Worldwide, Worlde, in perpotulty, CUslomer au;hcvizes q vt ;0 Gryyngh4 -' an •pUbitl ,t the 'mOti9raph5 in print an t orel ctrortically, and agr'H-s that Lowe's may Use SUCK photographs for any lawful n,rWse nciuding, bLt tilt !miteo ?a markeLr;y, xher"'g p-b,rG4, ,llustrat"-, ,rain rg and Web content. By initialing her,,. Customer agrees to the faego:ng. _ ;Cr»comer to :mhat ic• tho tall]. ' r6 is om� upgi reasonable availability of Contractor and/or any special) der o[�yttOmer made Good(s) which:.ts anticipated to be .j /! // (fil( in date], Estimaled completion date is _+�EC_�D� i0! 2 (fill in date]. Said 041HT47fed sub star•tial Comp iwn pate is t o ss nro. A taterno�nt er a y tingendeys that nutd matenall charge est Oil subst.ntia? t rnmptOtrm t is as a s; - �n,y, G� � y ,,a 1Ar�- led.?-gdr�s�y _ _.. (.: n phw�b,e, ipsert S d amnnl 41 such conU q nctecy— j This Contract provides that all claims by Customer orLowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's. GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights lull) be determined by a NEUTRAL ARBITRATOR and NOT a judge or Jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration I , Procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED REVIEW BY A COURT_ FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLAS$ ACTION ADJUDICATION :found in the Terms and Conditions of this Contract. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS.AND CONDITIONS CONTAINED ON ALL t PAGES OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON.ALL PAGES OF THIS CONTRACT. YOU ARE ENTITLED Tj COPY OF THIS CONTRACT AT THEO A TIME, OF SIGNATURE, i i WITNESS OUR HANO(SI AND SEALS) BELOW THIS _ri .DAY OF _DS�—O -7 f — — ---- ._— --- i Lowe's Home Centers, LLC { I owes Authonzed Reoreseniafivn customer acknowledges rdcelpt of a true copy of this contract which was. comp cancel this letely filleiitn prior to Customer s exeElrtion hereof. You, the buyer, may bansactidn at any time *,jet to mtrlr taht m rhn third hrrclnnas Imv nits eh. data r,t rhic CITY OF SANFORD One Time Credit Card Payment Authorization Form Sign and complete this form to authorize City of Sanford to make s one time debit to your Credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additions) unrelated debits or credits to your account. Please complete the information below: I&1I'A4rr -f(Ctpin authorize the City of Sanford charge my credit card (full name) account indicated below for on or after L' 30 This payment is for (amount) (date) (address or parcel ID Billing Address 114 "oil) Phone# aV-1. 0 1 4U3. City, State, zip Wp fY)e--W-, YL 34-1Email CEP%fJ91SS�7i1C Ur111m, �5a C.¢Jrry Account Type: Visa ❑ Mastercard ❑ AMEX ❑ Discover i Cardholder NameIY���1i� Account Number "`! 90 ` 4 Z—L 24 2 151-1 Expiration Date, L)'5 1e CCV Billing Zipcode SIGNATURE DATE I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am, an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. &kNFORD (!'�t' 0F Building & Fire Prevention Division .RESIDENTIAL RE -ROOF AFFIDA PIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: ADDRESS: `� �i '1.(K Tl I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALLROOFINGCOMPONENTS LISTED ON ATTHE, THE,SeOPE'OF WORK . ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITI{ THEIR PRODUCT APPROVALS AND ALGAPPRK ABLE CODE', REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARYWATER BARRIER -AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH TILE, HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: COMPANX/CONTRACTOR: CONTRACTOR (NjVST'B_E S1 1 A FINAL ROOF INSPECTION IS REQUIRED' DATE:! 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 PI RIVE 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 'INS PECTION 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, TM INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF-FLORWA COUNTY OF Sworn, to and Subscribed before me this day of 2© , by: Who is O'Personally Known tome or has 2 Produced (type of identification), as identification. Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public CITY OF Sjk�ORDBuildin chicFire Prevention Division g FIRE DEPARTMENT Re -Roof Permit Carol PERMIT NO. I 4ISSUE DATE: A ah� CONTRACTOR: C0A'S+Pk'C+'60A an I y"OL a, JOB ADDRESS: P/A A#ACA-Clar Or""' TYPE OF WORK: i�ej&a F 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 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 THEREMAYBE 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 Building & Fire Prevention Division S FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES r,1Ps OlwPAOTNltNt' 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 APPLICABLETLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS TFIAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL, NOT BE ISSUED WITHOUT THES'.E:DOCUMENTS. COPIES WELL 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 BEPROVIDE'ON THE JOB SITE: e PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION o 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 O S.KY.LIGHTS (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 CO ' OMPLIANCE BY PERSONAL. [NSPECTION. CONTRACTOR (OR OWNER%BUILDER)SIGNAT DATE: t_.t/ CITY'OF ' PERMIT # SANFORD FIRE x?�P�iRT4EEi"sf�'' Building & .Fire Prevention Division RESIDENTIAL RE ROOF SCOPE OF WORK JOB ADDRESS: ' i I ' 'f1 f Id 1 V'C Sar Ad Pt. STRUCTURE TYPE:1�11NGLEFAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 10"REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) d DECK TYPE (PLEASE SPECIFY): � �� **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING.DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: "114OFF-RIDGE RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: OYES �NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#: MAINROOF.AkrA ROOF SLOPE: O LESS THAN 2:12 0 2-:12 - 4:12AA vv 4:12 OR GREATER OTURBINES TYPE OF.ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE a/,1 FL# ' !. O METAL FL# O MOD[FIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** ROOF SLOPE: 0 LESS THAN 2:12 O 2:12 — 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# O METAL FL# O MODIFtED B]TUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 3R0 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 --------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000874 Date 2/15/18 Property Address . . . . . . 142 PINEFIELD DR Parcel Number . . . . . . . . 32.19.31.515-0000-0210 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1032036 Permit pin number 1032036 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / /