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Home My WebLink About145 Circle Hill RdIN CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No / y ' 6_1 /✓ Documented Construction Value: Pi�C3 Job Address; '61, Historic.District: Yes ❑ No Parcel ID: a7y ?a - 3 a Sl y - era,9 - 42 KOResidential [1 Commercial. Q Type of Work: New[] Addition ❑ Alteration El Repair 0 Demo ❑ Change of Use ❑ MoveEl Description of Work: (2 % trq Plan Review Contact Person: Title: Phone Fax: Email: Property Owner Information Name Y%!�h/ �j t e L� Phone: _ Street: Resident of'prope' Y. . City, State Zip: 7,7 Contractor Information Name G ./�ci� Sf `6-c-_ ` 10,x✓ Phone; C2 / 3 Street: l !?_? 6-- jt�/g wll'IA Fax: lle�?_411 21$ City, State Zip: Jr 1'� 32 7e;'Y State License No.: 6:-C Name: 1. Street City, St, Zip: Bonding Company: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender. - Address: Address:: WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST FEE 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—w 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 regulati ng 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. V FRC 1053 Shall be inscribed with the date of application and the cede in effect as of that date; 5`h Edition (2074) Florida Building Cade Revised: June 30, 2015 Pertnit 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 ( 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. Ja-N / -ZC)/(F Z_;�- Sii a, of Oxvner7Agent' Date Signature of Contracto !F\gent Date ate lUwncrePrersonallyKnowrittl, CRYSTAL GARCIA ryPublic-StateofFlorida ommissionit GG 088777 Comm. Expires Jul24,2021 ^d through National Notary Assn. nt is lly Known to Me or Produced ID - �,/_ Type of M L— Q L. CRYSTALGARCIA Notary Public - State of Florida ' Commission # GG 088777 My Comm. Expires Jul 24, 2021 '.',FOF F` • Banded through NaGona Notary Assn. Contractor/Agcrit is Personally Known to Me or Produced ID Type of 11) 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 ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 1V2612018 SCPA Parcel View: 04-20-30-514-0000-0240 aan.csc Property Record Card P jtQpR Parcel: 04-20-30-514-0000-0240 �LwjoPPCOLMY ram, Property Address: 145 CIRCLE HILL RD SANFORD. FL 32773 Parcel Information Value Summary Parcel 04-20-30-514-0000-0240 2018 Working 2017 Certified Values Values KIENZLE, BRYAN M -- --- — -- - Owner KIENZLE, KELLY M Valuation Method Cost/Market Cost/Market Property Address 145 CIRCLE HILL RD SANFORD, FL 32773 Number of Buildings 1 1 Mailing 145 CIRCLE HILL RD SANFORD, FL 32773 Depreciated Bldg Value $119,438 $112,713. Subdivision Name MAYFAIR CLUB PH 2 Depreciated EXFT Value $263 $275 Tax District S1-SANFORD Land Value (Market) $35,000 $35,000 DOR Use Code 01-SINGLE FAMILY Land Value Ag i Market Value $154,701 $147.988 Exemptions 00•HOMESTEAD(2016) Portability Adj Save Our Homes Adj $54,904 $50,244 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $99,797 $97,744 Tax Amount without SON: $0.00 2017 Tax Bill Arnount $0.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 24 MAYFAIR CLUB PH 2 PB 54 PGS 64 & 85 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $99,797 $99,797 $0 Schools $99,797 $99,797 $0 City Sanford $99,797 $99,797 $0 SJWM(Saint Johns Water Management) $99,797 $99,797 $0 County Bonds $99,797 $99,797 $0 Sales Description - - - - Data - - Book Page Amount Qualified Vac/Imp WARRANTY DEED 1211/2014 08397 0597 $160,000 Yes Improved WARRANTY DEED 6/1/2004 05351 1393 $155,600 Yes Improved SPECIAL WARRANTY DEED 8/1/1999 03717 $105,000 Yes Improved Land Method Frontage Depth Units Units Price Land Value LOT --- -- 1 --- — — - $35 000.00 $35,000 Building Information # Description Year Bull Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages P ActuallEffective httpJ/parceldetaii.scpat.org/PareelDetaillnfo.aspx?PID=04203051400000240 112 f 1/30/2018 1' 537 Name I Address Bryan Kieizle 145 Circle Hilt Rd. Sanford Fh.32773 Project Description Qty Cost Total Shingle, roof:. 5,50000 5,50000 Re "move all roof material down to the wood decking oii the existing roof and dispose of all trash and debris will be dispose of properly: there will he tarps on the ground to protect landscapingand keep nails out of the grass and bushes, also a magoet;will be used to. insured.all_nails are picked up when job is completed. . -Re-nail all decking to comply With:new building codes:. -install new limited 30 vear manufacturer WARRANTY I -ID, architectural shingles with 1/2 coil rooting nails at least 6 per shingles; install new 30 pound felt, install all new lead boots over plumbing pipes. Install now Leak Barrier Weather watch storm guard over all valleys and roof to wall ;flashing: -The color of the; shingles will be owners choice. (Some shingle colors are special order and will cause price to increase). -Install off .ridgevents, replace all lead boots, and gooseneck vents. -Replace dripedge all around the house. -Install new hip, ridge, and starting strips. -Shingles are warranted to withstand winds up to 130 mph. -Includes all, permit and inspections.- -Releaseof hen will be issued at completion of job when job is paid in full. **"Phis estimate does not include any deteriorated or damaged decking: Once old roof' is removed we will inspect the decking and General Contractors il.,ic# CGC 1510908 Roofing Contractors I,ic#CCC 13.29511, Total Customer Signature Page 1 KC Construction & Maintenance Inc:, 1425 Tuskawilla Rd. Unit 159 Winter Springs, FI, 32708' Name / Address Bryan Kiencle 145 Circle Rill Rd. Sanford PL 32773 Date Estimate # 1/30120/9 537 Project Description Qty 'Cost Total' inform customer of extra charges forpurchase;and install of new decking. Each sheet, of decking will cost $50., Customer initials: Includes 5 year KC Construction labor warranty: All estimates invoices pricing are subject to change with any changes in materials, upgrades in products, and/or other jobs added, to the existing project. **,Pricing is good for`30 days, if you choose to do the project after 30 days we will reevaluate the estimate depending and changes will be made depending new pricing. *Ail billing'will be taken as followed: -50.% at the start of the job. -Remaining balance at time of completion. General Contractors I,ic# 03C1510908 Roofing Contractors Lic#CCC132951 I Total $5.500.'00 Customer Signature Page 2 City of Sanford Buildiog and Fire Prevention Pro'ductApproval Specification Forar Permit # Project Location Address %%A� ( x rcl.e . )A*% XN P%rl. As required by Florida Statute 653.842 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 fora permit. We recommend that you contact your local product supplier should you not know the product -approval number for any Of the applicable, listed produQts�., 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.florideibuilding.org. The foil owi ftg,information must be available on the jobsiterfor inspections- 1. This entire product approVal form 2. A copy of the manufacturer's installation detailsand requirements,for each produc Category/Subcategory Manufacturer Product Description Florida Approval # (include decimal) 1. Exterior Doors Swinging I Sliding Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hun� Fixed Awning Pass Through Projected, Mullions Wind Breaker Dual Action Other Jun( 12014 F_71- I - - - Category / Subca teciory Manufacturer Product Description Florida Approval # (including decimal) 13. Panel Walls Siding Soffits 1 Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S'Gomposite Panels Other 4. Roofihq Products Asphalt Shingles --S;-LXR.:3,5C" Underlaymenu Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and 5,hingles, 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 Aline:2014 2 Category! Subcategory Manufacturer Product Description Florida Approval # include decimal, 5. Shutters Accordion Bahama° Colonial Roll up Equipment Other 6: Skylights Skylights Other 7. Structural Components Wood Connectors Anchors Truss. Plates En ineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation, Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name (Please Print) June 2014 3 I 1111111111111,11111111111111111111 fill fill THIS INSTRUMENT PREPARED BY: Name, Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole SOITHOLE "'OUNTY t LERK OF CIRCUIT .'OURT " U-IMPTROLLER 13-K 903"8' IP-7 CURVE -Y 201?124882 RE DECORDED PY heyfj1,L, I % , c r" Permit Number: Parcel ID Number: oeltl-20 --3(-1,) - -5-/ 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. PROPERTY: (Legal description of the property and street address if available) GENERAL DESCRIPTION OF IMPROVEMENT: ev OWNER, INFORMATION - Name: L3rV,;,hz1 K,'e--,AJSL(-7 Address: ciic'6 7/1 wd S,?,Ir,,We,1 33-7 Fee Simple, Title Holder (if other than owner) Name: CONT 'R ACT7�, Name. , cL Address: lc/Ztc Persons within the State --of Florida Designated 11 byOwner upon whom notice or other,d I 6cluments may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: In addition to hirnself, Owner Designates Of To receive a copyof the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration,Date of Notice ofCommenceiment (The expiration date is 1 year from date of recording unless a different date is specified) WARMNG 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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the f6regoilng,and that the facts stated, in it are true to the best ofin knowledge and belief. 10r V 6- A 7_/(__1L 'Signature Owners i-nnteO Name Owner Signature an/�1-16d-sf7l 013(l)(g): "The owner must sign the notice of no one etse may be permitted to sign in his or her stead,' State of FIQ t; A cl*,- County of The foregoing instrument,was acknowledged before methis 1�" day of No\,/ 2017 by 10)Y_ygt] 91 gj z Who Is personally known to me ❑ Name of person making statement OR who has produced identification 9type of identification produced: Dri1z-er- an S 6� CORBIN SUGASKI MY COMMISSION # GG090274 EXMRP-S April 04, 2021 No Iu__ f, CITY OF Building & Fire Prevention Division FIRE A Re -Roof Permit Card PERMIT NO. ®_ I ISSUE DATE: "+ �e CONTRACTOR: don S f/% aeh 0 04 JOB ADDRESS: Circle kkil TYPE OF WORK:1q4e fXV iv 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 Building & Fire Prevention Division. RESIDENTIAL RE --ROOF POLICY r& PROCEDURES SAINFORDFIR; DFPA T;� EN 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 TI-IE,PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUTTHESE DOCUMENTS_ COPIES WILL BE MADE TO POST ON THE JOB SITE. **PROJECTS LOCATED IN TIIE 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 IIOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMIT'S. TI-IE 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 INSPFC ION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INS'[RUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MUS I' 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) a: SHINGLF;S 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 FAILITRF TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY FLORIDA DESIGN PRO'O'FESSIONA :, (ARCHITECT OR ENGINE R), CERTIFYING FBC .CODE COMPLIANCE BY PERSONAL INSPECTION. CON'tItAC'COTt (OR OWNER/BUILDER) SIGNATURE-: /" - `' DATE: CITY O SjkNFORD PERMIT RESIDENTIAL RE ROOF SCOPE OF WORK STIiUC'I'UI E TYPE: SINGLE FAMILY RESIDENCE/ToWkNHOUSL 0 MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOT' TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Live LT' * *PLFAsF. NOTE: ONL"Y TOO SQUARE FL'Fz' Q 'T F XISTINc Dt CK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: DOFF -RIDGE R[DGE QSOFFIT QPOW'EREDVENT OTURI3INLs SKYLIGHTS: Q YES O IF YES; PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: Q LESS THAN 2:12 Q 2::12 - 4:12 412 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA .PRODUCT' APPROVAL. SIIINGLE G% d, 1 LS Q MET'AL FL#: Q MODIFIED BIL'UMEN FL# Q TORCH DOWN FLN Q INSUI:ATED FL# O TILE FL# Q OTHER: FI;# ROOF EXTENSIONS (PORCIIES; PATIOS, ETC.) **IEAPPLICABLE" ROOF SLOPE: Q LESS THAN 2:12 0,2:12-4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAI, O SHINGLE FL4 Q METAL FL# Q MODIFIED BITUMEN FL,# Q TORCH DOWN FL## O INSULATE;D FL# 0 TILE FL# 0 OTHER: F1# r- 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 . . . . . 18-00000611 Date 1/30/18 Property Address . . . . . . 145 CIRCLE HILL RD Parcel Number . . 04.20.30.514-0000-0240 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1028273 Permit pin number 1028273 ---------------------------------------------------------------------------- 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 #: ADDRESS: ( l "1 C l L T X/� . /�i %)_� ( s ✓ (�AS A(N)CiFNRr. FRAT im nrwRFCRIFNTTO AI R T ROOFING CONTRACTOR, 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. INADDITION 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 (` / 3 2 C/ .`l COMPANY / CONTRACTOR: ti-Sf (� l�` �✓ � 7 CONTRACTOR SIGNATURE: DATE: 2 ; (MUST BE SIGNED BY LICENSE HOLDER OR O , UIL ER) n �r 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 T6THE 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 LrM1rW Vp_ Sworn to and Subscribed before me this. J'% day of 1�'e)w�_�M 20 _X2L by: Print/Type/Stamp Name. of Notary Public 'ersonally Known to me or has V roduced (type of as identification. S 11.. ,'a I CRY�TAF. GARCIA Notary Public - State of Florida ,Commission # GG 088777 I�Ay Crnnm. Expires Jul 24, 2021,