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HomeMy WebLinkAbout346 Appaloosa CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application. No: / �.._ �� (P ( Documented Construction Value: $ �() 1 2(�A . J� V Job Address: (aA(o tA-(2Q A(0Qt)a - Historic District: Yes ❑ No Parcel ID: C'jCS(p - OC?©fp -104a Residential [9 Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration A Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Pib ' Plan Review Contact Person: _ a1 MY\Aal A Title: C�&W�k Phone: Fax: -�92gQ, Email: C ok Property Owner Information Name Phone: 12_)Z1-2(c2 ' Npclk Street: NCo >rta G Resident of property?': Ue6 City, State Zip: !�C� , J�L 1tall Contractor Information Name .. f(nc)� - Phone: ACrl" Z415-I Street: 6L V-?A- met` Q6 . Fax: e-IM- 2-(A,,)- �82gq City, State Zip: 0A-\o.)r\80 , rj_ 32�\o State License No.: J`11(c 7 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 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 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 d 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 wner/Age Date Print Owner/Agent's Name Signature f Notary -State of Florida t Wigan R. Monday P NOTARY PUBLIC o ESTATE OF FLORIDA y Comrn# GG156222 ONCE tee Expires 10/30/2021 Owner/Agent is Personally Known to M or Produced ID z-- Type of ID W/'�)4� ) SI1C� Signature of Contractor/Agent Date km,cu\� Print Contractor/Agent's Name ' 1 i IN IS Signatur of Notary -State of Florid Date t Megan R. Monday oQ NOTARY PUBLIC a _+STATE OF FLORIDA Comm# GG156222 �Nae �et� Expire' g 10/30/2021 Contractor/Agent is � Personally Known to Me or Produced ID Type of ID G 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 ❑ Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application umversal R// Contracting December 22, 2017 5655 Carder Road, Orlando, FL 32810 Office 407.295.7403 Fax 407.295.8288 www.UniversaiRoof.com Ed Morales 346 Appaloosa Court Sanford FL 32773 This Contract is entered into and effective on, rand is by and between (the "Owner") and UNIVERSAL ROOFING GROUP, INC. ("Universal Roof & Contracting"). FLORIDA'S LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES, AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAD{ FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS, TO PAY SUBCONTRACTORS,, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS. RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE fLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS:1940 N MONROE ST. TALLAHASSEE, FL. 32399 — P: 850.487.1395. Licenses #CGC 1523333 #CCC 1330747 #CRC 1328705 #EC 0002409 0 universal ua Roof & Contracting SCOPE OF WORK: 1. Tear off existing roof. Pitch 5/12 Page 5of12 2. Inspect decking. Water damaged, broken, deteriorated or rotted decking will be replaced and charged according to previously list pricing. 3. Re -nail roof deck with 8D round head, ring shank nails. 4. Provide and install 278 lineal feet of new drip edge. Color 5. Provide and install ail new bullet* oots (2-1 '/2' & 14). Color (4 6. OPTION 1: ❑ Pro ide and install new 4' off ridge vents. Color OR... OPTION 2: ❑ Pfovide and install Whirly Birds. Color OR... OPTION 3: W Provide and instalM4 lineal feet of new Shingle -Over Ridge Vent. 7. Provide and install all new goosenecks (3-4"). Color 8. Provide and install new valleys, using 8 step closed valley system_ 9. Provide and mechanically fasten Rhino Roof synthetic underlayment. 10. Provide and install Self Adhering Polymer modified underlayment. `In dead valleys 11. Provide an install Fungus resistant shingles, according to manufacturer's specifications. 12. OPTION I.- Detach and dispose existing gutter and downspouts. OPTION 2: Provide and install 20 lineal feet of new seamless gutter and 1 new downspout.* Color. `See gutter diagram for placement of gutter and downspout. �eer�ir�a#iag-getter-remeva}-at�dn-esettirrglreptaeerweut. 13. Universal to provide a seven year written roofing guarantee and one year workmanship warranty on non -roof work. 14. Universal to furnish material and labor. 15. Universal to furnish a building permit. 16. Clean up and haul off all roofing debris from property. 17. Protect landscaping., 18. Roll yard with magnetic nail bar to ensure removal of nails. 19. Detach and reset 1 satellite dish. Universal Roofing Group not responsible for reception clearance after resetting Owner.` Universal: o E,univers, Roof & Co>nmaing Page 6 of 12 INVESTMENT: Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the a ove specifications, and subject to conditions found'on both sides of this agreement, for the sum of: _ o Current 3-,tab/ Architectural Shingles $ X9, l zh ale'a Owens Corning Duration, fungus resistant, Architectural shingles ADD $ z ® we rrnng !�----ADfl ---- — / ✓'/�.jnstall UPGRADE VENTILATION SYSTEM :541V 4' do - 42 ADD $ V 20 lineal feet of new seamless gutter and 1 new downspout. ADD $Z71 � WI-Wrovide and install all new (2-1 '/" & 1-3") Bullet Boots ADD $ 5 'n- ADD $ -- Total Avo?y L' TERMS: Standard industry cash terms; one-third with the order, one-third due upon delivery of materials, balance due upon complouon. Building Permit is included Job related debris.to be removed from job site: Universal Roof & Contracting will submit the price and scope of this contract with the insurance companyand agrees to do the roof for scope and final dollar amount submitted to the insurance company. The cost to the homeowner, which will be paid to Universal Roof & Contracting, is the deductible, upgrades, and any potential additional work orders including, but not limited to"wood, stucco, siding and wall. flashing. Additional work orders must be paid by the homeowner at thetime the AWp is presented; before the work is done, but will be submitted as supplemental requests to the insurance company by Universal Roof and contracting for the homeowner's reimbursement. Any additional items submitted to the insurance on behalf of this claim, including overheadand profit, will be owed upon approval. The final payment of each item should be paid at the end of that item. (i.e. the final payment of the roof is paid when the roof is completed, gutters, screen,interior etc.) $ ,� �74/` Total Order C ntract Signing $ (v 44�ue on Start Date (Deductible and Upgrades) $, l o e Upon Completion of Roof* ('Remaining money received from Insurance and Hidden Damage not factored into this payment) By: ---•I-A °a ­ Final Payment (Any additional money from Insurance: Depreciation, Supplement/payout) -r' By: Print Name: t'�r ar�.r ; ; 7c!i({ t Print Name: Date: i i vL Universal Roof & Contracting Date: Owner Universal: �Vff t 185111 Belli eaing Hill level Lieel fell feel V THIS INSTRUMENT PREPARED BY: Name:. VF Address:_G�F;>r, (`f r12A. { I jlii�111 } GPt-'lHT MLO r SEt WILE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER 101K 9056 P:' 21 19 (1 F']'a ) CLERK'S AV2018003718 REF'ORL�E" 111111.1/_7i 1u 02'10-'50 Pi'1 REGORDIh1G FEES I .0r, RECORDED OY hd+_voreL Permit Number: Parcel ID Number:_ 1 !s - ,:0 - ?j\ - Jw - ricQo - iQOo 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 availahlal ,d. tstNtKAL ot5GRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Interest in property: Fee Simple Title Holder (if other than owner listed above) Name 4. CONTRACTOR: Name: Address:�5 tit\p�yKy y �1 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Address: Phone Number: J-10-1 - 2G6- `jL4Ci Phone Number: Amount of Bond: 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. 8. In addition, Owner designates Phone Number: 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 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. (si ature of er or Lessee, or Owner's or Lessee's (PrinrName and Provide signatory's Tige/Office) Authorized- icer0rector/Partner/Manager) State of pOctidck County of �,(,l ob\P The foregoing instrument was acknowledged before me this day of IL" 2 09, by+ Who is personally known to me ❑ OR NaM of person making statement , who has produced identification type of identification produced:-A(0kj2 s y Megan R. Monday -: NOTARY PUBLIC o _STATE OF FLORIDA y Corrin* GG156222 .SINCE 19�0 Expires 10/3012021 ?CR F FO CaPY GRANT MALOY � Wi t-, a ' t „1,5. t t I COURT ; :: 'r- i 5E t. `E OUI .iY, FLORIDA BY A vN14 CLERK CITY OF S ------- FORD u Building &Fire Prevention Division FIRE 'DEPARTMENT Re -Roof Permit Card PERMIT NO. 18� ISSUE DATE: ®, q CONTRACTOR: JOB ADDRESS: 3 a a. TYPE OF WORK: Apro", ap 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 requestect must be scheduled under the appropriate permit type • Follow the prompts PLEASE NOTE: Inspections scheduled by. 5:00 ,Q.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III Inspection Policy & Procedures A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: • Permit Card, posted in a conspicuous and weatherproof location • Completed Residential Re -Roof Scope of Work • Completed and Notarized Inspection Affidavit • All Florida Product Approval and Corresponding Installation Instructions • (Product Approval shall match what is on the scope of work) • Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails • Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 CITY OF Building & Fire Prevention Division` Ski4FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT 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 a 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 UNDER LAYM ENT 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:�lN! ���� DATE: t �� { CITY OF PERMIT # ZSANp%-pRD Building & Fire Prevention Division FIRE D E PA RTh4'E IN T RESIDENTIAL RE -ROOF SCOPE OF IFORK JOB ADDRESS:W STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: C) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WIT I H NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): �RNL�()a **PLEASE ATOTF_: ONL Y 100 SQUARE PWTF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: OOFF-RIDGE (%) RIDGE OSOFF,IT OPOWERED VENT OTURBI'NES SKYLIGHTS: O YES kt'&"') 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 lA FL# O METAL FL## O MODIFIED BITUMEN FLi# O TORCH DOWN FL# OINSULATED FL## O TILE FL# O OTHER: U ` 1�{i . �U� ICI 90CY FL# ROOF EXTENSIONS (PORCIIES, PATIOS; ETC.) **IF APPLICABLE** 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# OTORCH DOWN FL# OINSULATED FL# O TILE FL# Q OTH ER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000561 Date 1/24/18 Property Address . . . . . . 346 APPALOOSA CT Parcel Number . . 18.20.31.506-0000-1000 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1027382 Permit pin number 1027382 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / � f ITY OF ORD Building & Fire Prevention Division + } RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �g ' ADDRESS:_ � 0 I V-t'\ {�AWw(, 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OFtN�CONTRAC R, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOR NG 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 #: UC 016 l \ W COMPANY / CONTRACTOR: 01� V a �/% 9OC& �aC1� {� mc"A �- UA �'y/ �( CONTRACTOR SIGNATURE: 7/, DATE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BIIILDER) 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 OF ��00\ 6 Sworn to and Subscribed before me this 2`j� day of kQc k h 20 -&- by: Who is KPersonally Known to me or has ❑ Produced (type of identification) Akt&A, A&AIIA - Signat re of Notary Publ' State of Florida Print/Type/Stamp Name of Notary Public as identification. Megan R. Monday Q } NOTARY PUBLIC -ESTATE OF FLORIDA ?Y Comm# GG156222 /RE 19�0 Expires 10/30/2021