HomeMy WebLinkAbout1716 Ridgewood AveJob Address:
Parcel ID:
Type of Work:
Description of Work:
Plan Review Contact Person:
Phone: �Q ��116 f Tax:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Property Owner
Historic District: Yes ❑ No ❑
Residential ❑ Commercial ❑
Change of Use ❑ Move ❑
Ti e:
Email: Eal,
iation
Name f(' ti ✓ lz--1Phone:
Street: 093 G, Resident of property?4209
City, State Zip:
Contr ctor Information
Name /rl �f%pC/�C/� %�r /�C�.f Phone:
Street: �07� �_�G'��Ii ��� Fax:
City, State Zip: ��L ;�i�(}�O State License No.: � C A2 jS. Z'
Arch itectlEng ineer Information
Name: Phone:
Street: / a/d
City, St, Zip:
Fax:
E-mail:
Bonding Company: Mortgage Lender:
Address: 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
TV
Revised: June 30, 2015 Permit Application 14 P�
NOTICE: In addition to the requirements of this permit, there may be additional resirktions; .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 a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of, the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the,permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
/`Sly
Signature of Cntractor/Agent Date
Print
of Florida Nate
LISA ANTONI
Notary Public - State of Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
Contractor/Agent is Personally Known to Me or
Produced ID !ype of II). 4L- /-V—
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
CK110M I D)►�T1+`;a
UTILITIES:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
0
HIS INSTRUMENT PREPARED BY:
Name: GILFREDO MARES
Address:.1224 SASOON AVE ORLANDO FL32803
NOTICE OF COMMENCEMENT
Permit Number: /"- 796-,
Parcel ID Number: 02-20-30-507-0000-0090
i .:rlhlT ;`1i-t _ia'`i'r 0-11,1e{ijLE: i:OtJi`[TY
;.
CLERK' 201 00L-L11.
i E t: L t i_' ,_. ti
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LEG LOT 9 RIDGEWOOD ACRES PB 24 PG 64
1716 RIDGEWOOD LN, SANFORD, FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
_RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: OG FREEDOM INVESTMENTS, LLC 13538 VILLAGE PARK DR STE 205 ORLANDO FL, 32837
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: GILFREDO MARES Phone Number: 407 484 9168
Address: 1224 SASOON AVE ORLANDO FL32803
5. SURETY (if applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: ADAN ORDONEZ Phone Number: 407 967 2867
Address: 13538 VILLAGE PARK DR STE 205 ORLANDO FL, 32837
8. In addition, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Lessee, or wnersarLessee's
Authorized Ofricer[Director/Partner/Manager)
State of �v
County of od'A-K
Mc, V-cLv3 (n,,14)
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me this �->� day of J9Ov ell , 20
by
Name of Derson makmq statement
who has produced identification LI type of Identification produced:
LYS OR
MY'COMMISSIOlt 0 FF240284
EXPIRES June 14, 2019
(S01,SAB-0ISJ FIpAA ,eOM
. Who is personally known to me ❑ OR
Detail by Entity Name
Page 2 of 2
Detail by Entity Blame
Foreign Limited Liability Company
OG FREEDOM INVESTMENTS, LLC
Filina Information
Document Number M17000007478
FEI/EIN Number 47-1734403
Date Filed 08/30/2017
State NV
Status ACTIVE
Princioal Address
13538 VILLAGE PARK DR STE 205
ORLANDO, FL 32837
Mailing Address
13538 VILLAGE PARK DR STE 205
ORLANDO, FL 32837
Registered Agent Name & Address
ORDONEZ,ADAN
13538 VILLAGE PARK DR STE 205
ORLANDO, FL 32837
Authorized Person(s) Detail
Name & Address
Title MGR
ORDONEZ,ADAN
13538 VILLAGE PARK DR STE 205
ORLANDO, FL 32837
Title MGR
ORDONEZ, MAIRELYS
13538 VILLAGE PARK DR STE 205
ORLANDO, FL 32837
Annual Reports
No Annual Reports Filed
Document Images
08/30/2017 -- Foreign Limited View image in PDF format
Florida Department of State, Division of Corporations
http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 1 / 19/2018
1 < ✓ // / [/�/CAS /jA �/
���� ���, {( %%%(• V �[�G.-- CONTRACTORS- INVOICE
ya -2J WORK PERFORMED AT:
proviaeu ror to aoove worK ano was compietea in a sudstanuai worKmaniiKe manner Tor the agreed sum of
Dollars
This is a El Partial ❑ Full invoice due and payable by:
Month Day
In accordance with our ❑ Agreement ❑ Proposal No. Dated
Month Day
NC3822 CONTRACTORS INVOICE
Year
Year
y
OMB NO 502 026S r
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
SETTLEMENT STATEMENT
.-137 TYPE -OF LOAN,--
.
1 «I r'+f` 2-Or m ih o uCONV. UNINS. 4.( it 5 f]GCN-- IN
S. Tip tCl t..R, f( 7 LOAN _ ...__..
iTro�2.1 _!- 33842987
B. MORTGAGE INS CASE 611JMr Ei;:
C. NOTE: This torm is furnished to give you o statement of actual settlement costs„ Amounts paid to and by the ?e„ ,Rilrnl agent are shown,
Items marked "JPOQ' werc paid outside the closing; they are shown hue for Informational purposes and are not Included in the fotats
to :,rr. ;rra;a'.r?ryv:v..nra•':a,l
D. NAME AND ADDRESS OF BORROWER:
OG Freedom Investments, LLC
13538'All age Park Drive, Suite 205
Orlando, FL 32837
E, NAME A;P.AOORE_SS OF SELLER:
Federal Home Loan Morigage
5000 Plano Parkway, Mailslop SW
Carrollton, TX 75010
F, .IiiJ1:E.FPa `i,UUi�ES:YOF LEN:)EP,:
Lendingtiome Funding Corporallo
316 Montgomery St, 16lh floor
San Francisco, CAS4104
G. PROPERTY LOCA,10NP
17s 15 liie9=u•+%nct Lan"-
Sanford, FL?217)
Sea»no!e Calmly; FJctida
RID:_ EV1,1000ACRES
1r'19
PO 24, Pale 64
H. SETTLEMENT AGENT: 59-3120818
Consumer Tide S Escrow Services Co., Inc.
..--
t SETTLEMENT DATE:
Deccmber 26.2017
PLACE OF SETTLEMENT
1242528th Street North, Suite 107
St, Palersburg, FL 33716
J. SUt.WARY OF PORROWER'S.TRANShCTION
K. SUPiNARY OF SELLER'S TRANSAGT;QN
fa. 4ROSS pMOU4 T'.DUE rI20tA B9 R!?t7LVER:.:
dtSU: 6i20:SAt'.OUNT"DUETO SCCLEit:
l0i: Cnnu Sales✓nc
_
g0,tr7(0a10
,ai. GrrJl.t_iSalesPiiro __.. :V.0000
_
102. Pb'ichrl Pioperly.. -
_
_
.. f.
-4W_ Parsonal.Praj alty
10T:�SenlertenlGtlltresta�Bcinry t1L,nn I400�-
i
t>,9i3.50
-40,3,
704 _Can..tru linn.tiyilti,Lek-talusitrsJiamaFundirgiC ram. 4ZOW.00
404:.
f1if/11Atr k/trt rM llpstc� Nr„rJCY S++il�t if,.'.dlb"Idd .....
/{i/�LShnN11S f-ar Wrni-P., d`:lY:$`CflW rlra,'lti 'JIC:
tfdi;.'C rlTurnTase .... to -
4�limkn*:iirxto. ---
107. Count Tama . �. 1214017 to 01I01I)8 ! 23.61
d417 ,Cant tar 5 12+:iolt7 11i Ot 011t8 23.61
408: hsSessEnatits. to -
.110: -... ..
410, -
111.-
i 2t
412.
12a GROSS AMOUNTDUEFROkf BORROWER
138.937.11
42Q GROSSAMOUNT DUE TO SELLER 90,Q23.61
200. A1,40UNTS.PAID:13YORIN 13EFIALFOFBORROWER:
500. REDUCTIONS IN AMOUNT DUETOSELLER:
241,Aepositp;.corliasttrpumf _ _ . ....
1i00:G0
.501..Fxeess. ell caan5irveilansl
'.02, F'itrt Ilia(Anlouni.ot`iaiiLo:Ii+Is�
- 3 f23;000:00
50'..SridamcntGhoraeiIo:SFllciLLrici.'00'� �5,9S7-50
20?: Ek? undloan(s) takcr,:setjrct W
-
�
&J3. Ek SGtW.la7iit s) lakes subod to
201..-
53=1.Pa,»ttFirsili4wtja0c
205..
t
505: i'n' I:S candticut nor
20131
506• _
T07,(( Mt disb: cis procaedsl _
-
_-^
r.LStlncntNlSf71rrn Uru1.Y.d,EtE!�'SotTtr
'fO�:Cs{�fryvn7teFc.. to
..... .i
Alfiusltrlerlis Far ltptns: Unrxitd BY S^!lrr
519�:Ci1ylTUwnTaxa. .... to ---��---
211. C.unitTi>ies ui
t
511. . Ccum Taiea to i -
2f2, A- v s=meenis tis.
1
S1?. Assrssmens. to -
0.
513.
_ _ _._.
214.
i
2 to. -
618. __-
217• '------'-'_--
1
517,
220 TOTAL PAID BYrt-ORBORROWER
124,0W.00
520, TOTAL REDUCTION AMOUNT DUE SELLER 5,95T,50
300::CASH ATSETTLEPIEFIT FROMITO.BORROWWER:.
3401.11
?02: L. s lys:dJns Fa.a f>gyT•or F+uricunr (Uric 2201i, $I 174.00-tyJ)
0G0. * ASH. AT SM- LEt?ENI TD1FROM SSUER
601. Gross Amount DueToSciloit4ina420i 90,02351
7Y,3 Lus Rndtict o.r v:io Ss:uei (Lino 520)
301 CASH( X FROM) ( TO) BORROWER
� 14-437.11
603. CASH( X TO) ( FROM) SELLER
91:Iyn4y Page: gtns metunW V. Tyaatond.a Vftagr lruplef a ccaipla g capyalpaGa, at t- rag papa '--
700- Sascd on Price s Oa. ip
V, Vir, i"An M irn 7W) !", F4;v;w.:
Wil ......... . ..
. .... . .. . ....... . ...
•!T; 0,
?Oh& In i Tal;S3c'pv Fee .11 Real 61;W 1.1,0
a oa. irr 41 S, PAYABLE It I.0 0 UN E C T 10 N M T li LOAN
t1ri IQ Lembo ViDIv*F%MdinqCOf'- orldall..
1102. L,,3n Discount V, I^
1495. L u is i li rtro•t1; 10 to
a, mfw lr.pw, lils, i'pg. 1'j: w
W7 strvic..inn. It, OWINHUna Fundm79 _Co(FOMliPa'
4S9.00
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
.,om fzr.�.6W. to 01"01/1Ats tat S 34.16705fday. t3.d.,'p
,Jfdz- M it's twa.!E:,- Pr,,m or. Ict monvlv
03. Ha22F6 Insurance Premium tor 1,0,•'Gars.in Security First Ins uronre Company
eoa
zos.
1001.13ESERVES DEPOSITMINITRUNDER
mon!hs- S Per'month
iy � S; :Moblris I - rwr
S. month
Ayi5eS3r.l . of0r,
1037. months. alonth,
months mr month
AM. TITILECHARGES
il0l. 'killement orClosiqg Fen lb Consumer Titlel Escfwt.Sirvices CO, IM.
1103. 'TMaEnnJqvIipn IQ
uvnsparcllfen to Lsp.
140,00
110.5. 06dualool.P1405rabon to
Ulm. 11"llat9l'oes
11,07.. Courtoqclasa Fees to S6Ahsizv-Fjqel!ndA1_-"Ct Inc
10 Y,
llw. P!TerrsGuyarcg... 517:60
MI
-(Zal I. GC;VEPIJMENT- t?ECORDING A140 TRANUER CHARGES
I 12o Fi- S 2 j,9 DO: Releases 1
-0
Deed
5LI)
Ut'.-lay: :o c
i205: Els oli. la Cow!i.Cldfh of 046 Ciftvll cOult
SIC*
1300. ADDITIONAL SETTLEMENT CHARGES
to
1302. Peat frisixthan to
1303.
1305.
1400.TOTAL SETTLIE(,qE?J.-C}IARGE.% (Enicron Llna4:163,.Sectlm J and 502;,Sa4tIC4i K!l
9,S;2340j
5.257.50
Cerfirted to be awe copy.
HUD-1, Page 3
Borrower(s):OG Freedom Investments, LLC
Seller(s): Federal Home loan Mortgage
13538 Village Park Drive, Suite 205
Corporation
Orlando, FL 32837
5000 Plano Parkway, Mailslop SW
Carrollton, TX 75010
Lender: LandirigHome Funding Corporalio
Sonlement Agent: Consumer Title & Escrow Services Co., Inc.
(727)539-0900
Plano of Settlement:12425 281h Street North, Suite 107
$1. Petersburg. FL 33716
Settlement Date: December 26, 2017
Property Location: 1716 Ridgewood Lane
Sanford, FL32773
Seminole County, Florida
RIDi3£WOODACRES
Lol 9
P8 24, Page 64
Borrower Loan Payoff Datalis
Construction Holdback to LendingHome Funding Corporation
Loan Payoff As of
Total AddlilonalInterest days, Ca Per Diem
Total Loan Payoff 42,000.00
l have carefully reviewed the HUD-1 Settlement Statement and to the beat of my knowledge and belief, it Is a true and
accurate statement 61 all pogolpts and disbursements made on my account or by me in this transaction. I further
certify that I h(ava le.�V v 'tt'f ) y.of the HUD-! Settlement Statement.
OG Froodom.lnvsts to fs'LLIS Federal Home Loan Mortgage Corporation by
j' eXL tmow, PLLC ns Atlortlay-In•Facl
Adan Ordond4 SWanager
iorrie Loan
Mac)
To the best of my knowledge. the HUD-1 Setilement Statement whir.}: I have prepared is a true and accurate account
of the funds which were received and have been or will be dhbur6il by lho unddr;idp as part of the settlement of
this transaction. 1/{ -?
Consumer Tilla & tgc w"$erviees Co„ Inc.
SetllementAgent )
WAAMNa: It is a crime to knowie0ly make false stai,anontc to the United Slates on thIc or any 31m0orform penalties upon eonvktion can
Include Aline and lmadsonment. For details eee: Tiae 16 U.S. Code Section 1001 and Section 1010.
t 17.06W-1.Pri 117.0602.11M
1/18/2018
SCPA Parcel View: 02-20-30-507-0000-0090
Property Record Card
Parcel: 02-20-30-50 ?-0000-0090
Property Address: 1716 RIDGEWOOD LN SAN FORD. FL'32773
Parcel',
02-20-30-507-0000-0090
......... .....
Owner
FEDERAL HOME LOAN MTG CORP
Property Address €
3..-..__._.. ___..........., --
1716 RIDGEWOOD LN SANFORD, FL 32773
'--_.......... .................... ........... ... ., �., --_- ,_.---- ------.-, --_...._............. ----1____11--------
.. .... ..
Mad€ng
5720 PREMIER PARK DR WEST PALM BCH FL 33407-1610
Subdivision Name
RIDGEWOOD ACRES
-------- _
Tax District
`: S1-SANFORD
DOR Use Code
! 0802-MULTI FAMILY 2 UNITS
Exemptions
.........
.........
Value Summary
.........._._.......
2018 Working
,' 2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
.........
1
1
...... ..... _....._.
........ ...... ..
_p... ....... ... _.. .........
' Depreciated Bldg Value
y $67,243
-
$62,803
..... .........
Depreciated EXFT Value
.......................................
Land Value (Market)
$14,000
___ ..
$14,000
..,
Land Value Ag
Just;Market Value ��
$81,243
$76,803��
Portability Ad1
Save Our Homes Ad1
$0
$0
Amendment 1 Ad1
$0
$2,114
P&G Adj
$0
$0
Assessed Value
$81,243
( $74,689
Tax Amount without SOH: $1,436.09
E 2017 Tax Bill
Amount $1,436.09
l;ax Estimator
Save Our Homes
Savings: $0.00
( * Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
.................. .........
....................
.............................................................
LOT 9
RIDGEWOOD ACRES
PB24PG64
._.Taxes.._._.__
... ..........................
Taxing Authority
........_... ......._..
Assessment
.......
Value
,.....
Exempt Values
Taxable Value
.... ......... .............
_
................. ...............
County General Fund
..._......... _.. ............
.
$81,243 >
$0
........... ...................
$81,243
Schools
.
.........
$81,243
_............. ...........................
$0
$81,243
City Sanford
_.._ .---.---.----
_�--------._ _
--------.__ __.<..
$81,243
��_... � ._....
$0
-_----
$81 243
..._.� . --_-._.._� ...,.,. _ _..-._��.. .............._
SJWM(Saint Johns Water Management)
$81,243
$0
$81 243
County Bonds
_ .... ..
......_
$81,243
$0
$81,243
Sales
............................. ..
....... ................... ... .......
Description
Date
t
Book
Page
...........
..........
Amount
_.._
.....................................
Qualfied
_..........
.......
Vac/Imp
_....... .......
............
..
- .............. ....... ........................ ,
CERTIFICATE OF TITLE
8/1/2017
_ .,,. , . ,.,.......
08982
...._._
1549
.........
$100
: No
I Improved
.... ...........
CERTIFICATE OF TITLE
2/1/2014
08208
0990
$100
No
Improved
WARRANTY DEED
10/1/1999
.......
03737
...
1277
$70,900
Yes
Improved
WARRANTY DEED
4l1/1992
Oa}1_8
USA
$70,500
Yes
Improved
Vacant
WARRANTY DEED
6/1/1982
01398
0448
$100
; No
Land
........ ..........._
..... .... __
__...
Method Frontage
_. .............
Depth
i Units
........................
Units Price
__.
Land Value
LOT
.........................................._ __ ..... .........
v
0.00
- t.__ ........
0.00
......... .........
......._
1
! ._.... _........_..
$14,000.00
......_.. ...._....__ -.
$14,000
__...._ _. . _
tlding Information
Building
_
.............................
_.............
............... ................
_
Is Bed/Bath count incorrect? Click He e
�
�
.........
,
1.
http://parceldetai I .scpafl.org/PareelDetai IInfo.aspx?PI D=02203050700000090 1 /2
/18/2018 SCPA Parcel View:02-20-30-507-0000-0090
# Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall
Actual/Effective
...... .....
h._...... _._ 1984 ------
FAMILY < FINISH
10 UNITS
Adj Value Repl Value Appendages
—$87;243——$78�77
Description
Area
......................
UTILITY
FINISHED
96.00
UTILITY
UNFINISHED
48.00
UTILITY
I UNFINISHED
48.00
OPEN
....... .......
PORCH
240.00
FINISHED
=:SCREEN
PORCH
120.00
FINISHED
SCREEN
PORCH
120.00
i FINISHED
......... - -.. ..... .......
Permits
Permit # Description Agency Amount CO Date Permit Date
No Permits
Extra Features
.......................................... __. _...
Description Year Built Units Value New Cost
No Extra Features
http://parceldetaii.scpafl.org/ParceiDetaillnfo.aspx?PID=02203050700000090 2/2
vi
Y OF
SXNFORD
FIRE DEPARTMENT
JOB ADDRESS: l l & 121
PERMIT # a - 7 �S
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: GMTEPLACEMENT (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 E STING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE [DGE 0SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (DNn--TF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12
412 OR GREATER
TYPE OF ROOF
MANUFACTURE/R�
FLORIDA PRODUCT APPROVAL
SHINGLE
�� G(�l
FL#
O METAL
FL#
0MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
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#
OOTHER:
FL#
CITY OF
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF 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: I've
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL ]FINAL ROOF( COVERINGS PERMIT#: l C1 ADDRESS: cAewe ar) A
-E�Ce
j C_ L-419, e:�k Lf A f \. AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
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. 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 #: S -7
COMPANY / CONTRACTOR: U/j(1(\��' CONTRACTOR SIGNATURE: (! /� �/ DATE: // /��/ /�/ g
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
**FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OFf
Sworn to and Subscribed before me this �;t5_ day of Nott" 20 by:
t✓ [. + ne Who is _ ersonally Known to me or has ❑ Produced (type of
identification) _ as identification.
1��4A�.,kLL _
Signature of Notary Public
State of Florida DOUGLAS A NURELBRINK
NOTARY PUBM,
�� STATE OF FLORIDA
Gomm# FF138NM
Print/Type/Stamp Name Expires 7/2/2018
of Notary Public