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Home My WebLink About178 Venetian Bay Cir (2)Y FEB 13 2018 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: � & 6 q Documented Construction Value: $ �� ; 3Z19 , 00 Job Address: CIB \fe(V,16C-n efu Ur 11 'Fc Historic District: Yes ❑ No ❑ Parcel ID:2a) -- Iq ',� -C:W 10 Residential M Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: VQ -- z ' Plan Review Contact Person: l �C.t�c� '.� L TZwen-) Title:' Phone:''( C1C1 '+LD Fax: Property Owner Information .gal__ !_ L Name Phone:` o P-,, \s "- Street: Resident of property? City, State Zip:�� Contractor Information Name R?�� 'IF- 1 kl�2 i'►Qt_ Street: UPRU • te_ buc\ CNAc L City, State Zip:%l,x d t'L 3ZA:"�)-k Name: Q f k Street: City, St, Zip: Bonding Company:014 Address: Phone`_ "'-: Fax: State License No.:�C Z Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender 0f A 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: 5u' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 1 i� L�J 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 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date \_1tlnopla r1_1 Ab1 • IJ Print Contra r/ gent's Name a-f-/9 Signature of Notary -State of Florida Date ROB A. HALE Nobly Pub9c, Stage of Florida VICMO. Eon Oct.16, 2021 No. GG 151918 Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: COMMENTS: ENGINEERING: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Property —Record Card Parcel: 23-19-30-502-0000-0410 Property Address: 178 VENETIAN BAY CIR SANFORD, FL 32771 Parcel Information Parcel 23-19-30-502-0000-0410 ................................... Owner ............................. ............ .................................................................. ......... .................................................................................................. , BROWN, TIFFANY R ................. Property Address .......... ...................................... ................, ...... ......_..................... .......................-....-.........-.......................................................................................... .............._. 178 VENETIAN BAY CIR SANFORD, FL 32771 ,........................................ ........................................................ .................................................................................. ..... _ .... ......... Mailing ............... 178 VENETIAN BAY CIR SANFORD, FL 32771 .................... . Subdivision Name VENETIAN BAY ...... ....... - ....... ..., Tax District . .... ......... S1-SANFORD :,............ ......... _.. ............... ............ ............................................... DOR Use Code _.................. ....... 01-SINGLE FAMILY ............... -_._.........................................._,.....,..................._....................____--.,......................................__...-.........................................__________............................,...................................._. Exemptions `r96.40 i 1 //iwamar/a/raiiammr/arrr nr/iaiaiaco¢am/�mrmrr//aiim �mr o �aiaoiavar/am/rh A A I— r%T Seminole County GIS Value Summary .... 2018 Working 2017 Certified Values Values .......... ......................... ..................................... Valuation Method .............................. Cost/Market ........... ................... , Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $148,147 $139,715 Depreciated EXFT Value _..._ $325 $338 .......... .............. Land Value (Market) $37,000 ............. ...............................................,,.-.-- $37,000 -...................---....._....... Land Value Ag Just/Market Value "" $185,472 $177,053 Portability Adj Save Our Homes Adj $0 $48,924 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $185,472 $128 129 Tax Amount without SOH: $2,583.00 2017 Tax Bill Amount $1,651.00 Tax Estimator Save Our Homes Savings: $932.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 41 VENETIAN BAY PB 63 PGS 84 - 88 ................ ... ................. _............._._................ .................. -........................................ ...... ................. ........ _._........................_......... .......... ......................... ..__ ........................... Taxes ...._. ..._.. ... ....._. _.. Taxing Authority Assessment Value Exempt Values ................................. Taxable Value ........................................................................................................................_.....-........... CountyGeneral Fund .............._..__-_.................................... ............. ......... ........ $185,472 ..._..................... ._.... _.. ...... __ $0 _ _..._.._ $185,472 _...__ ........... _ ___....._..... . Schools $185,472 $0 ! $185,472 _.. .- _ , ........... ... ....... _ City Sanford ...........—... ..... _..._ $185,472 _ .. ..._._ $0 _. $185,472 ........... SJWM(Saint Johns Water Management) _.. $185,472 $0 $185,472 �.�.. _ _. County Bonds --.......... ---. - __. - .... ._..-....__ .... ..... $185,472 ................ ...... $0 $185,472 Sales Description __. Date Book ___ Page ___......._ Amount ......... Qualified Vac/Imp .--- ..............____--- ___..._...._.._.._..__.._......t WARRANTY DEED 4/1/2017 ........ 08905 ...... ...................................._ 0619 ..........................................._..._,_..................._.__...._!................................__.............................------ $242,200 Yes Improved .............. _................._ ......... QUIT CLAIM DEED 4/1/2013 _ 28 728 _.......... 0405 _ ..... ..........- $73,071 No Improved WARRANTY DEED 5/1/2004 ..... 05352 1777 $188,300 Yes Improved �_......... _ ...., WARRANTY DEED ....._ ... ... 11/1/2003 - _. G5091 0#07 $3,476,000 No _.....� ..... Vacant .............................................................................................. ................. Land ............... ...... Method Frontage ...... _ _.. Depth Units s..._.._ ............ Units Price ...... Land Value LOT ......................._. ......... ! ..... ..................... _.... . _.....-.. ............._--................................._........., ......................................................................................___........................................._.........._._..-.-................;.................................................................._................................................. i ..._.... 1 .. ............ ................ ..... .................._._......__.. $37,000.00 ... ..__.. ........-, ............................._,,............._.................... $37,000 Building Information ............... ..............._..__.......... ..... ........... ... ...... . ...... Is Bed%Bath count incorrect? Click Here. .............. ....... , ......... # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Add Value Repl Value Appendages �! � illlll I��II �I!!� i1��1 !�1l1 �g1111ii119�1 THIS INSTRUMENT PREPARED BY: i:f.)U!'•[T'1' Name: Parlament Roofin & Construction d �Z �� L UJZ,� rl' CLERK yll_ t ),I.,.;:UI T C01LIF:T �-011PI'ROLi._EF� Address: 1� 1t�tYl;y"J� 1 , , i2 L, 1v ;-_;,P. CLERK'S T2018016801 f " 1. i!;".f- ;.-,iI.: NOTICE OF COMMENCEMENT F,t''l�t.}f�:l)].D "lFl"id •jevorc-i l i Permit Number: rr ��rr-� Parcel ID Number: Z•.� - ``I - Jy--bAYZ'VCA'�O 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 propeland street address if available) ^� 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re 3. OWNER INFORMATION OR LESSEE INFORMATION IF` THE LESSEE CONTRACTED FOR THE IMPROVEMENT: R`OVEMENT: / �1 Name and address: ��l)(� �1� larx l 1'IP> uer' k' cnhW '�I( nK C I FL 3' Interest in property: �ISLYIE'� Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Parlament Roofing & Construction Phone Number: Addressj2 G�"A PO0 P LT-A�,, �/t L C' IFC' 5. SURETY (If applicable, a copy of the payment bond is attached): Name: IV\I14 (727)571-4110 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 may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number. 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. 4 ' 7if4rure of O er or Lessee, or Owner's or Lessee's Authodze fficer/Director/PaMer/Manager) State of Florida County of Seminole (Print Name and Provide Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of Utt I / 12019 by ( grown Who is personally known to me OR Name of person ma ' g statement n p �( Who has produced identification Type of identification produced: N 6 SQ o I J V "-1 - 7U 6 - 0 MATTHEW WM, RAMMIG CE r• . D COPY GRANT MALOY Not��a�,ryryp bo Stat�o..FJ nde CL RK OF THE Cr ,CUIT COURT i�0'T'!(�Lor�tm..: r' S ,� AN (OMP'tR No. GG 169954 �i; Ifi - Jf� L01110A w, r oat CCC132:9729 CRC1329809 " „ v PARLAlVI - CCC1327351 ` A CRC01637�7s Bake Mary: FL 32746 Clearwater,FL 33762 hr.' �,jacksonville FU322'S6 �' Dffice (409 949 9196 yz (►fRce (7,27),571 4130 �' Fax (727)ai7s1 4112 h ': " Offlce (90,4),999� 6612; 1, ;: SALES CONTRACT' / ,,c-,•--� z,,zr..em•ir-'''r �ys.:7-za'a z - i?.arfament Aouflng & Consbvctionragrees W farntsh all materials and labor necessaryto perform kheF, r att flte load gi address § ' zaz<,tsrt s a$ ///n�� nK /ems T_ a �r11ar rh isQ zss k Name Address �(l � h Q.' Ol t— C4- . l i f Date Ci State F I Z1R 3Z 7 rlIIacC' da . e:N!�t11L�ieoSpCciflfi'ItIOIISgIyen -belOW A PITCHED ROOF SHINGLE -'/ METAL /TILE 1 REMO,VEEXiSTtNG•ROOF`TO-WORKABLE SURFACE.• - "; r k ` CirdeOne 2 RENAL ROOF DECK WITH RING SHANK NAILS. m 3. REPLACE ANCY �OTI'EN WOOD W H STANDARD SHEATHING@$7.00 PER LINEAR FOOT OF BOARD AND $90.00 PER SHEET OF PLYWOOD IF ANY 4. INSTALL -7t0r� Slna`e1� UNDERIAYMENT TO ENTIRE ROOF DECK SU RFACE. S. INSTALL NEW VALLEY METAL IN VALLEYS AND REPLACE FLASHING AS NECESSARY. 6. INSTALL NEW LEAD BOOTS OVER SOIL STACKS AND REPLACE ALL PURPOSE VENTS. 7 INSTALL 6- FHA/'VA EAVES UMP AROUND THE PERIMETER OF THE ROOF. COLOR. 1 8 INSTALL YEAR it 0 - COLOR o_MCTA`T orcrrrc:nc ,.-FnR.ATi'IEUENTliATONSATAN DITIONAL•COSTOF$SS•AOEACH.(Z " 11. CONTRACTOR WILLCOORDINATE THE'REMOVALAND REINSTALL ATIO SKYLIGHTS, SOLAR UNITS, T.V. DISHES, AND / OR AIR CONDITIONERS, ETC REINSTALLATION OF VINYL AND/OR METAL SOFFIT AND FASCIA WILL BE &IOW'SLOPED OR FLAT ROOF aw"O / 1 S. INSTALL NEW BOOTS OVER SOIL STACKS AND 6 INSTALL INCH DOUBLE SIDED FOIL 7 INSTALL 6 FHA/,VA EA oES DRIP AROUND TH ;ELATED PtIUI`HE"RAJC.S UCHASI(BUT-NOT'LIMIIIEb,To)'".PiI IS ADDITIONAL TO CONTRACT PRICE. REMOVAL AND L $425 A LINEAR FOOT. OIL CF� tlrOle.�e .. ).SHEATHING, '$7.00'PER [ [ R FORT OF BOARD AND.$90, RE ROOF DEC SURFACE. LACE ALL URPOSE NTS NS TION ( my fo PO Rool). PERT. ER F ^ E ROOF COLOR: "T 9 CLEAWUP AND,HAUL AWAY,RELATED DEBRIS ANOLEAV - 10. INSTALLATION OF A ROOF -OVER VOIDS NUMBER 2 A 4I i CTION B. 11. CONTRACTOR WILL COORDINATE THE REMOVAL D REI T TION OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED TO) SKYLIGHTS, SOLAR UNITS, T.V. DISHES, AND / OR CONDITI NERS, C. SUCH COST IS ADDITIONAL TO CONTRACT PRICE. REMOVAL AND >;.,.REINSTAI:I:ATIONOFVINYLAND ORMETAkS „ITANDF W1LL6 .DI�TIONALS,425A-LINEARPOOT „ pe C Terms and ConditionsG- 1. Contract D=Reft This contrad consists at this document, extra wcwm) drskylight authorizations, it any. No pranism other than Contract Price $ w� those specifically set forth in the contract docurtcents shall.be recogn¢ad aJ enter party. the anore,unde!atandalg partlesis°cpnlalnedrntherdrectdoaxneMs`�' z,�" 2 h Is understood an agreed thel ihl5 axdrad shall not becane Dindng upon PARUUAFJJT ROOFING & CONSTRUCTION ('Seller unto Permit S 250 00 t IS dory approved, accepted, signed and witnessed by an officer or of the Seger. �7 C� 3. Work on the Job in tract documents Will commence on approxilnatery and ha canpMbd Subtotal $' .I ( Z on approximMoty a � The recited dates are approximations and are subJed to sdleotdng difficulties of Seller, labor In CAct andlor material shorts , ads of and other everds. not foreseen by Saw. Seller reserves the qd to employ any subcontractor for the 1/3 Deposit $ , J�V _ Completion,Of the wodc described in the tcitbad docurnerlts• a Seller. reserves the righFOo sabstitrde materials of equal or greater value and kind in order to satisty the reguiremen5 specified by New Jurisdicticpal Lodi taws which may result in adddtonal charges. BALANCE DUE 5. Interest at'rate d eighteen per cent (18%) per annum will be charged on d balances not paid as per the terms specified above. (PLUS TOtal from A3,.B3, - Reasonable attomeIrs fees and costs will be c1hargad to the Purchaser it it is necessary to place this conbad in the hands Ofan attorney for A11, 811 Irom above) - cdlectan, and "charge becomes a pad of Oft contract and ablgai on of the Purchaser to pay. UPON COMPLETION -Price includes all discounts and -6. Parties agn tlrud drisagreenat Mot be constructed according to the laws of the State of Florida end any action bright thereon may be brought''iri the State of Forida. Venue -is hereby agreed to be In Pinatas County, Fbrrcla. : Promotions. 7BUYERS RIGHT TO CANCEL- t you don't want the goods or services, you may caned this agreencent by providing written notice to the seuer to person, or certified mail try midrightd the third business day of signing this contract. - PARLAM WILL ASSIST- WITH WIND'MITIGATIQN [ 8. Bath workers wnperlaatnn and WA liab 4Insurance are carded by the Seller and they are applicable to the work to be perfomhed3 jNSP N C 10) (%Y .. NO 9. It is urxleretoal and agreed that the buyer troll hariNess, Seller for arty damages lhai_mighd occur to dryers driveway(s) durkp the i"' deliveries d matadals arM lot"removal of work related debris that might be required to perform this hone improvement contrail ( Y . Cu InIU01. O Furthemlore, the buyer heard gtm pehnimm for W cal delivery vehicle and M al waste removal vehicles to enter said driveway(s) lot the purpose of exped6V this sales oondrad. Additional terms on reverse side Ex u in duplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this Aday of NOTICE TO OWNER a. Do not:.eign this home Improvement contract in blank. ' b. Youare entitled to a -copy of the contract at the time you sign. Keep It to protect your rights. Approved and Accepted By: Salesman: chase�,Siga'Here Officer's Signature Purchaser Sign Here PRI rR— 1/171 CCC1329729 CCC1327351 CRC1329809 PARLAMENT CRC016377 Roofing & Construction LIMITED POWER OF ATTORNEY Date: a 1 C1 Igo g I hereby name and appoint: an agent of: (Name of Company) 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): ❑ All permits and applications submitted by this contractor. ZThe specific permit and application for work located at: (Street Address) Expiration Date for this Limited Power of Attorney: License Holder Name: 1�ekC' 0A)micx-- State License Number: Signature of License He STATE OF FLORIDA COUNTY OF 't The foregoing instrument was acknowledged before me this C�_ day of V:?V)(I )Df4 20VR) , by _ 'Q (? J( l-52 iGl who Wifs personally known to me OR ❑ has produced as identification and ❑ did OR ❑ did not take an oath. / NOTARY SEAL BRIANA VMIE DAMtE U Notary Public; state of Florida My Comm. EWp w Au9. 24, 2018 No, FF 163683 L t°W reF- Print or Type Name Notary Public — State of Commission No. My Commission Expires 12880 Automobile Blvd. Phone [-ia i) b / 1-41lu Suite L Fax (727) 571-4112 rr,..,,...,.4 - r;r QQ7A? www:aarlamentroofing.com CITY OF Building & Fire Prevention Division S ORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES IRE IJ PA TM ENT 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: 0 ` V DATE: 9 (q logoig CITY OF &�FORD FIRE DEPARTMENT PERMIT # I a �? 3q Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 1. "TC > V >nek\cn � U c(-\ \e s% lX c(, ti sL . ` STRUCTURE TYPE: ;Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q) 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: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: ® OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT O TURBINES SKYLIGHTS: O YES ® 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 TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# ~ �� O METAL FL# O MODIFIED BITUMEN FL# OTORCH 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# 0MODIFIED BITUMEN FL# OTORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL#