HomeMy WebLinkAbout300 Bella Rosa Cir (2)CITY OF SANFORD
« ` BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ (,f
Job Address: SM IbUxf ► V4)S,R CAI?- Historic District: Yes ❑ No X
Parcel 1D: ��-�a '�J� - 2`���" 11%� Residential® Commercial ❑
Type of Work: New® Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ .Move ❑
Description of Work: 1"R OFF Cp, O MW DE( KND 91ECN4'1P poop J)INIA O(,
Plan Review Contact Person: TbDD P-4y Nc-
Phone: uD4 _ t4 ?)g -Q'�09 Fax: 'U9-- Z-Gj - L110 0 Email:
Property Owner Information
Name JPmV;' "F-yoy-D Phone: g0T-'50IQ'I-i '
Street: fbaD oy" (LI&E oy- Resident of property?: nWW ��-
City, State Zip: sit l Rio ,fit, q 12
Contractor Information
Name NYN`E N-�TU - % otj Phone: ttol- - AZ)q - 0"
Street: 103eb_� (0*11(0 LuiCh Cjr Fax: V9 _49 _L11014
City, State Zip: (r1amo , Ft 6 -) �s State License No.:CCG1�57-9qT)
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
S waf
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: 5th Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit Application
%aNOTICE: 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 FIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in c >< pliance with all applicable laws regulating construction and zoning.
Signature of Own-AAOwn-gAA gent Date aretractor/Agent Date
P t Owner/Age is Nam Print Cent or/Age 's am
=t10 o a Date gn f rt to
RfCIALYNNHENDER50N ;`ra......., TRICIALYNNHENDRSDNta, Public-StateofFiorida ram, 1;' NotaryP;,biic-Stateof lorida
7 �1ommission = GG 126377Commssion GG i 26377Cprm.ExpiresJul20.2021 >sy` ice: MyComrr,.Ex-ires.1020,202:�}'oc �. Bcrdr3 [Feuer Nti^_r2!\tt_ry 95sr°1 rteucrnattltrniacuty ssr.
Ow e s ersonally Known to Me or Contractor/Agent is '�--g". rsorally KnoMe or
Produced ID ✓"Type of ID Prz—, Produced ID Type of ID
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: # of Stories:
New Construction: Electric - # of Amp
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
II 1
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
AGREEMENT
407-277-4963
RESTi;IRA1ZCll�i NV
R E P:���-�
FL PHONE: O�—ULIC# CCC1329471
OWNER "`\
DATE +" EMAiL ADDRESS n 999
STREET }/' .- CELL PHONE "'�( '4 —) — � ^ WORK PHONE
CITY L. .. 1-.—.+r ` ,\ STATE r—'1 ZIP `2'"� --'•'�"� '� r + HOMEPHONE
We hereby submit scopeofwork for:
/Tear off NA AN
a\ Al V
# of Squares Off _
C/ Recover roof with_
# of Squares On f S�
a, -,'Shingle/ Color s '`�'��C C' ���` 1 AN Z
/Protect Property as � e�e,�ded Daily
�" Decking Type K E
%Underlayment '"I.
d/Metal Edge Color Pi
s>! Valley Type '
Hip and Ridge
VflPipe Flashings "-) r `.
Ventilation
`Seal around all vents, f ings and pipes
t✓✓%Furnish all materials, lab and cessary permits
d Delivery Instructions J
T��.Year Roofing Workmanship Warranty
i :qc
tom' OPF --�('Cwq1
Repair Description
CLEAN ALL GUTTER DEBRIS
V HAUL OFF CONSTRUCTION DEBRIS
pr jROLL MAGNETS THROUGH YARD
r� EN WAIVERS PROVIDED 2 to 3 WEEKS AFTER FINAL
PAYMENT.
������"""""" After tear off, these additional cost may occur:
*Plywood $55.00 per sheet - * Roof to Wall flashing $6.00 per LFT
*Shingles $20.00 per SQ for extra layer *Fascia Board $8.00 perl-FT
*Underlayment $10.00 per SQ for extra layer
Terms: The undersigned (Customer) herby agrees to the proposed
scope of work and the contract price. The company agrees to furnish all
materials, labor and necessary permits upon receiving the deposit which
is equal to 40% of the contract price and the balance due upon
co m retion o roo . nsurance Ems: Rfi ne Restoration fjo bi all
insurance c pcliv-
p ' it-zo-tom lllns ,5O5! ZRoofReplacement
ERoof Repair_ $ !
Total ;
Accepted by
RHYNE
Date:
1) EUD_ON,,RLE,*NU_ ACCORODFG TD FU,A_j CONSTRUCTION U,N LAW (SF . J1IED1N M31,FUEA--kTUTES),TNOSEWHO WORK ON YDURPGOPERfYORPR, MNT 1 AND AR! NOT Ism -hIN
FULL_
EFORC[TMtIRCUIM FOR PITMENAWRlSTYOUR PROP[RTT.TNC: CIARANKxOWNwSACONTNACTOR DlN.NYOUR OMTMCTOR ORASUKCONTRAROR FANS TO PAY GUBOD-ACTORS.SUDN
SVRCONTPACTORS, Oa MAYERURISUPRTGPS OR xEG[t[TS TO MANE OTHER LEOAUY R[pU,AlD PAVMEN(5, THE PEOPI!wHp ARE. —,.ENO. MAYDODNTO YOURPAOPEmTROR PA 1-1 EVEx FFYOU,uvE P,UD vouR OxiIUCTORWMtNYOU PAII TO PPv vouREaertMROA.vWA
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2In Dn HO.MECWNERS ONSTRUCTqu .—I. FUxO. PAYFAExT MAYREeVAIV.RLE%ROMTHERDPIDP NOMEP.VNERS'CDNSTRU,-DN RECOVERY FUND IF YOU LOSE MON[Y ORA PRJIET PEAGO—D UNDER CONTRA, WNE11E i ElOSSR U.'SzR VEOREJNOLATIONSOLGLORUUW
MAIiRNSEO ED.ttM^OR.FOR%NFCm.U.T1ON ADOLT THE RECOVERY —AND I—AC C0.-T THE F—.ONSTRV!'DON a:0lsixY _I_—bOAROwT THErDttrnvuvGTl LPnOxt xUA�A[R u�p ADDA[R.crtA,DPm NOA!r.x•.OxxO[Si., eel IL-1 FL 3e3Of.
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M pastnunetl lelore mbnlrM oR Dv [hbtl MsAROSNY ahsr You YN NisAycement Hytu cerctl tlili AGre<ment tM ae14N nuY na: keep all cr part a a:ry mN Gevn Pavmen,. RYsiKMnK MN Ape —You A,— RUR you I,Re adlo teen I—.. nDUtt W NU NRht ro an¢I —1, In t R-. LP NC
w¢InE mnUhNE hcrtin.
Permit Number.
Folio/ParcelID# -% - - .pay -1t20
Prepared by. �[N giORkRON �Kki
_
Returnto: _ M► a t0 t" Or(Cr D, FL
W1-5s
NOTICE OF COMMENCEMENT
State of Florida,
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 descriptirnpf the�roperty, anclt,street address if available)
2. General description of Improvement
3. Owner Information or Lessee information if the Lessee contracted for
interest in Property pal -
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor,
Telephone Number qpa - ggA-nEo
5. Surety (if applicable, a copy of the payment bond is attached)
Name
Telephone Number
Address
Amount of Bond $
6. Lender
Name
Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name
Telephone Number
8. In addition to himself or
Notice as provided in §713.13(1)(b), Florida
the Mowing to receive a copy
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording
unless a different date Is specked)
WARNINO TO OWNER: ANY PAYMENTS MADE BY T}IPa OWNER AFTER 7W EMRATfON OF THE HOTTCE OF COMMENCEMENT
ARE CO SIOMED IMPROPER PAYEi1915 UNDER CHAPTER 713, PART 1. SECTION 71313. FLORIDA STATUTES. AND CAN
RESULT IN YOUR PAYING TWICE FOR IMIPROVEMEWS TO YOUR PROPERTY. A N0710E OF COMMENCEMENT MUST BE
RECOROPP AND POSTED ON THE JOB SrrE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOM LEIVE9 OR AN ATE'ORNSY BEFORE COMMENCING WORK OR RECORDING YOUR U0710E OF COMIdENCMENT.
The
tr or Lessee, or Owner's or Lessee's ALdhortmd OlficerrDirectodit';4W/71)y
Hager
instrument was acknowledged before me this day
mo
for
Signatolya Titteloffu e
�
r13ari
e , f.�
of Isetsdin
Name of party on behalf of whom Instrument was exeCufad
pubL
— State Florida Pilot. type, or stamp commissioned name of Notary Public
Pe =KnownOR Produced ID
Type of ID Produced Yee
a
?fYCIAIYNNHt�ENDERSON NatafyNblit-Slit03f F060
f�Ettlliirilti8fli �iti 110iry
Mytwrn.b0fts 1dl INC. 3021
' rPi... ° � fiEF�FdWa.�r+S3G2Edl%uerylaii
Form content revised: 01rM14
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2017123523 BK 9036 Pg 0556; (1pg) E-RECORDED 12/07/2017 02:35:39 PM
10.00
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 2)m (i IaVRR QOC!v CV,
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
- Category/ Subcategory
Manufacturer
Product
Description
Florida Approval #
including decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
S CO 0, N't t� Clb(p
Underla ments
i
S t1h
-L 15 Itp
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
_System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
_ Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Si
Applicant's Name -"DQ V-0:c-
(Please Print)
June 2014
CITY OF
c,r ;
S,;�N:FO
FIRE DEPARTMEN
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. /1600 54; A ISSUE DATE: Oro a l 'k
CONTRACTOR: h i' �. S 't t%wo
JOB ADDRESS: 3 OO Zeller S Vy
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
• 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 Sanford Building Division
i 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), certifyin BC cad -a by personal inspection.
CONTRACTOR (OR OWNERIBUILDER) SIGNATUR &/)L 7/� I DATE:
CITY OF
AIFPERMIT #
Building & Fire Prevention Division
FIRE U E PART ME N ` RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 50c) u� 9"t cjz
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNIIOUSE O MOBILE HOME O APARTMENT/CONDOMNMM
RE -ROOF TYPE: 0'5REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RF-COVER (N
�EWROOF INSTAL.LF� OVER EXISTING ROOF)
g
DECK TYPE (PLEASE SPECIFY): � 9 LODM1+
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: OOFF-RIDGE 0 RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 95
NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _
MAIN ROOF AREA
ROOF SLOPE. O LESS THAN 2:12 2:12 -4:12 O 4:12 OR GREATER
OTURBLNES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
(25 SHINGLE
O Wes` l� �N ��
FL# IOU"
O METAL
FL#
O MODIFIED 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 4:1.2 OR. GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: 300 aJWA P-DSQ GV-
I 11)DO "\1 N 1e7 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT AL.I.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 #: Ca- ,b2q L' -t `
COMPANY / CONTRACTOR: `l N
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE R OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNiFD 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,
UNDFRLAYMENT, 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� ufl4
Sworn to and Subscribed before me this � — day of 20 ly:
Who is
'j7_0sonally Known to me or has ❑ Produced (type of
identit"I/l'it'i�nY // as identification.
of Notary Public
TRICIP. LYNN HENDERSON
y:
Notary Public - Sta;e of Florida
` • `_
Commission; GG 126377
,,''�CP��'�
Nty Comm. Expires Jul 20, 2021
Bor�_d tFrpctF 6zticrz'ACWty ASir.
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
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Page 2
Application Number . . . .
. 18-00000522 Date 1/23/18
Property Address . . . . .
. 300 BELLA ROSA CIR
Parcel Number . . . . . . .
. 29.19.31.502-0000-1120
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1026863
Permit pin number 1026863
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 111 BL03 FINAL ROOF _/_/_