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155 Gleason Cove (2)
CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: j Documented Construction Value: $ 8,500 JJob Address: 155 GLEASON CV SANFORD, FL 32773 Historic District: Yes ❑ No 0 Parcel ID: 02-20-30-523-0000-0930 Residential 0 Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 23 SQ 7/12 Pitch Beachwood Sand Oakridge LIFETIME Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Title: Admin Email: Permit@Jasperinc.com Property Owner Information Name MORALES, JOSHUA S Phone: Street: 155 GLEASON CV City, State Zip: SANFORD FL 32773 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Resident of property? : Yes Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 Architect/Engineer Information 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 performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h 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 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 aplan 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 construct>ion_and_zon i ing.---- Signature of Owner/Agent Date" Print Owner/Ag"ent's'Name Signature of Notary-state"of Florida bate Owner/Agent is Personably Known to Me, or Produced ID Type of ID -� - 02/14/18 Signatur of Contractor/Agetlt Date Rudith Goico it's Name 1 " SKYLAR B fAMKRAUT Commission ti FF 1278, I MY'COmmission Expires r ?o �" June 01, 2018 Contractor/Agent is _ Personally Known to Me or Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required': Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas F1 Roof Construction Type: Occupancy Use Flood Zone: Total S'q Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: "Electric - # of.Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June30, 2015 Permit Application 2/14/2018 x'` nays� J�r,a�.c�a. Parcel Information SCPA Parcel View: 02-20-30-523-0000-0930 Property Record Card Parcel: 02-20-30-523-0000-0930 Property Address: 155 GLEASON CV SANFORD, FL 32773 Parcel 02-20-30-523-0000-0930 Owner MORALES, JOSHUA S Property Address 1155 GLEASON CV SANFORD FL 32773 Mailing 155 GLEASON CV SANFORD, FL 32773 i Subdivision Name PLACID WOODS PH 2 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2015)� Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $111 625 $99,021 Depreciated EXFT Value Land Value (Market) $28 000 $25 000 Land Value Ag JusUMarket Value '" $139,625 $124,021 Portability Adj Save Our Homes Adj ; $42,165 $28 566 Amendment 1 Adj i $0 __.... ._......_. P&G Adj $0 $0 Assessed Value $97,460 �$95 455 _ _ i.... ..._............ Tax Amount without SOH: $1,573.00 2017 Tax Bill Amount $1,029.00 Tax Estimator Save Our Homes Savings: $544.00 ' Does NOT INCLUDE Non Ad Valorem Assessments 5330 E. Colonial Dr. Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL. 32812 00-7) _17"i-7-Iss ($00) 337-33H Fax t S ERI FL Contractor's License: CCC 1329651 & CCC 1331153 ROOF REATACENTENT CON'rRACT Account ManagcrZ_- e kc cJ� wet Contact It: 110 3 5� 5- :1 Insurance Coninany Infarmadim Company, r—It ,eje, C-i * Policy 0: 1- P 4 1/ tog 415 5 - Claim 4: F,i'r n 7, P ) Q '/ rca - Mompallc Comnanv Information Company; Loan Number. I Phone: 7 5 2 -9 Or\ o e 5 -/(_;J 3V Addrzw, Alt Phone, moo. -\ L/ Stale: Z' Code, Shingle Color-. I r C� t 7J Roof wnit Cont et Price: K 1 D Edge Color: U11'L__ o 8,500 �^ If Q%vner's Inlairince ConiViny does not fierce to ply fore fit][ roof rinlicementthis contract shall be voidable, Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance ricitei, benefits and rrrcczdi under ay applicable Ms=_nCC N"licics to Jasper Contractors, Inc. ("Jasper"), the scope of vahich shall be bruited to a Full Roof Replaccm.-rit. I rnakc this assignm=t Ord :L111.ervulion to consider-ation of Jasper's agreement to perronn services, supply materials and otherwise perform its obligation,,; under this ConUZCE, irch;kLirir- not ruqu-,rung full payincnt at the time of senicc. I also hereby direct my insura(s) to release any and all information requizted bi Jasper, or its fcr the direct purpose of obtannui, actual benefits to be paid by my insurcr(s) fur services rendered. In this regard. I waivc my pnvzcy n;hts, If payment is mu& directly to the 0%%7icr1Accnt/Insurcd(s), it sliall be endorsed over to Jasper immediately upon rempt. I agree that any portKin of ,lork, dcducnb!c& bLt1crmcnt or additional work requi-Nied by the undersigned, not covered by insurance, must be paid by, the undicrsigned on the day of tmsavllaticne Deductible, it is the Qwncr', resronsibility to pay all insurance deductibles. 0%%iier's out-of-pocket expense %ill not exceed the dcducliblc am12,=n4 as sm!od M inz:cTcr*3 Ims shect (the 'Toss Sheet'*). UNLESS replacement/repair of deteriorated docking is required by codand,cr 0-xncr requests OpuonA Lrp.grad_-;_ Jasper CA]NN'0T pay, walve. rebate, or promise on pay, waive or rebate any or all of the insurance dediitible appl=Hbc to the mSt,zr.cc claim for paNinctit of Nwrk. Jn the event of a discrepancy, tbctdcductible amount stated on the insurer's Loss Sheet 114UH ovcmjz� dCd=-ih-1_ amount dis;zlosed. Deductible: S 0 C) M UST It E PA I 11i IN FU 1.1, PLUS APPLICABLE SALESTAX X Y (wtw) MORTGAGE AU'rI101117.NTION: 1, OmwrFNlortcagor, giant authon - ii for Mort age Co. to speak urit2h Jaapcs on matters including but not limited to, the claim and draw status, —(iniflal) PAYMENT SCHED -E. Ovmagc:n to pc pay Jasr based on the fbilowng schedule: (i) Deposit in the amount of S due upon signing this contract, �cr ) the Centr-act Pncr_ lei the Deposit and any applicable depreciation retained by Owner's inJwf`cr(s), plus upgrade costs, due and payable to Jasper open comple-,cr; of ,,, erk bvui.g perfoi-inctL, and, (in) the remaining Contract Price (equal to any applicable depreciation andlor change orders) due and payable to Jssp upm cornplerwan of work perforincd. In die event of a pending inspection, no more than 20,16 of Contract Price may be %vuhheld until inspection has paiscil. Optional* UP(3RADF ITEM: QTY: PRICE; — TOTAL.- S Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions herein. Java asacts to furnish all materials and FToN,dc the i-Aw neecssary to perform the full roof replacement u1iich shall take place following 0%%ncr*s insurance company's approval, apprcw=rtly uithin 30 days. conditions permitting- Owner's Declaratin" of Intent: Cikvncr acknowledges and agrees that, upon approval by insurance corcpany for a full roofre-placement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company, FLORIDA HONIEOWNERS'CONsTUCTION RECOVERY FUND PAYINIENT, UP TO A LIMITED AMOUNT,MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, ANIIERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OY'F) ORIDA IANVBYA LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONs*rRL;Cr[ON'INDUSTRY LICENSING BOARD AT TILE FOLLOWING TELEPHONE NNUMBERAND ADDRESS: Construction Industry' Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039. (850) 4187-139-5 CXNCELI—ATION: If Owner elects to terminate the services of Jasper. Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive it full refund of all deposits.. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification From insurer(s) that the claim for payment on roof contract has been denied, in whole or in part. All written notices of cancellation, rcoardless of reason, shall be postmarked or delivered to Jasper's corporate office: 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCE11-ATION EXCEPTIONS- The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs its time is of the essence. 1, Owner. have read and understand all statements, Terms and Conditions or the `Roof Replacement Contract" and agree that al] details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between the parties and Ilia( any further changes or alterations to this Contrite( must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the fall power and authority In enter into the contract and that it Is binding and enforceable in accordance with its terms. Aulll-,6zc4W&jperlRi'oresentative Date Owner i Date Scanned by CamScanner THIS INSTRUMENT PREPARED BY: Name: JASPER CONTRACTORS Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32912 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number 43 ^ ynli l NALO P SENINDLE CDUE J t f CLERY, DF CIRCUIT COURT & C6KPTROLLER CLERK'S 4 2018017213 PH ';:FCORDII-•'6 FEE'S $10.0'1 RECORDED BY n>_I,_wori 2 The undersigned hereby gives notice that improvement Wil 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 P Perly ERTYj ( al de ption Qf the propand street address if available) l rsr 4 3 )CA c 1 l c�r' �� Z -P s� t�6S 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATIOSEE INF^O�RMA71ON IF THE LESSEE Cg ��►CTED FOR THE IMPROVE Name and address: r .i} Q $ , yt7S b on � SS blC�uSO µ r J 5o „i Interest in property: OWNER Fee Simple Title Holder (ff other than owner listed above) Name: ZZ 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY ROAD sum 201 ORLANDO FL 32812 S. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents 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 l.ienor'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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. JVA ,Y rnaWre o wner r Lessee, or Owner's or Lessee-s (Pont Maim and Provide Slgnalorys liilelOtfice) Authorized OrficsdDirQowrjparWerlManager) . State of I dCounty of oeeff The foregoing instrument was acknowledged before me this y��Jt �—'a 1. da of 28 by ame of person making statement Who is personally known to me Q OR } C7 Who has produced identificatiottT type of identification produced: KARLA V, ;"�i_iVi(-?! �I.;P.Ii I°i tiy� L:• V o/{ s 1/ >"Lfi a {�. C,:;iTli'T'�:?S [try _:! Cli tdolarySfgnature 4-- CV Q. Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole (County, Winter Springs Date: 02/14/18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I,hereby name and appoint: Ana Chavez and/or Michelle Monsalve an agent of: Conr-to,s to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): 10 The specific permit and application for work.located at:, 155 GLEASON CV SANFORD, FL 32773 tstz� aaarczt Expiration Date for This Limited Powerof Attorney 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. ccc13.3M3 Signature of License STATE OF FLORIDA COUNTY OF L, The foregoing instrument was acknowledged before me this 14 day of February 200 18 , by o«t� a Bix who is o personally known to me or is who has produced oL identification and whodid (did not) take an oath l"Z (Notary Seal) """"'•• SKI YLAR B AMl<RAUT �t a Commission K FF 127890 - My Commission Expires !9 +._ �.. nt on 1S L. nA�lr"nIm�1CN�Jn�-RT"�•+IDx'�+'"15�.'+�+�'�`•^� (Rey. 08.12) Skylar Amkraut Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires'. 6/1/2018 Sranneci by C.amScannPr CITY OF SkNFORDBuilding & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. ® ISSUE DATE:0 o CONTRACTOR: - s,,.. J ,#,No JOB ADDRESS: 1436 dew TYPE OF WORK: PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items,.requested during the message • The type of inspection requested must be scheduled under the appropriate permit type o- • 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. k ,._ _f 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 Residential Re -Roof Inspection Policy & Procedures 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 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 • 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. 02/14/18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 155 GLEASON CV SANFORD, FL 32773 STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: * *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 © 4:12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL OQ SHINGLE Owens Corning FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O T ILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED 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 SANF.ORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000880 Date 2/15/18 Property Address . . . . . . 155 GLEASON COVE • Parcel Number . . 02.20.30.523-0000-0930 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1032093 Permit pin number 1032093 ---------------------------------------------------------------------------- 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 #: O �� ADDRESS: I S OVA I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, NGINEE A CHITECT, 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 MEET'S 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: _ (MUST BE SIGNED BY LICENSE A FINAL ROOF INSPECTION IS REQUIRED: DATE:, " 1 I THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. "FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF Sw wn to 4qd Subscribed b f re me this day of A AID 20 by: Who is ❑ Personally Known to me or hasl- Produced (type of identificgion) V)I'—/ \ as identification. Signa otaryPublic StaFd1 ,aa SKYLAR B AMI<RAUT Commission N FF 127890 A= Print/n-y- tamp ame = �4& My Commission Expires of Notublic June O1 • 201 8 i.�: