HomeMy WebLinkAbout355 McKay BlvdCITY OF SANFORD
__.• _- BUILDING & FIRE PREVENTION
:.,
PERMIT APPLICATION
S t a
Application No: o �'
Documented Construction Value:
b Address: - --
(f - .� S � C � t � t. U t afv 0l _k 1 .3<9 111 Historic District: Yes ❑ No ❑
v �ParceI ID: 1 l � -,.� 1 .- `! (5 c)�, - L l.3C= ResidentialA�Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person.'
Phone��iv Er- `E_j Fa
Title:
(o -7 1 C> Emailct C C L'e i :.
Property Owner Information j
Name .TC..t��
Street: -5 _7 D I C -C
City, State Zip: 05C iCU-\ o -4-. L
Phone:
Resident of property? : t4 0
Contractor Information ( I
Name r ti. �t r, LAC f r .t' 1 �f' S Phonet_4 1\ ) �C -7(3 ` .S
Street:, C, C% -�`r �.c� - C' �G I� Fax: L/C
City, State Zip: t� : n 1,ts�(� ?C L _. �`��% State License No.: o ! L�
Name:
Sheet:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of 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
bF done in compliance with all applicable laws regulating construction and zoning.
Si anireof0v /Agent Date Signature ofCntractor/Agent Date
Prilit Owner/AgentName Print Contractor/Agent's Name
Date
zpV1 Notary Public State of Florida
Farrah Rodriguez
y : -v My Commission GG 153017
Hof w Expires 10/18/2021
Owner/Agent is PersonallyKnown to Me or
Produced ID i Type of ID 1. €:' \u C? L , c f'
��►"� Notary Public State of Florida
Farrah Rodriguez
7 4 , AY My Commission GG 153017
of Expires 10/1812021
Contractor/Agent is V PersonWjy Known to Me or
Produced IDType of ID
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:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: .Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
Proposal
Date:
10/26/17
Martin
Cust #:
10034
xtu>rrvr rF�r rr.:`Fr;r '
WOM
2912
Martin Roofing Services, Inc.
2720 Forsyth Road
License#
CCC1327210
Winter Park, FL 32792
(407) 679-4553
Bill To
` Service Address:
Innovative Realty
355 McKay Blvd.
2250 Lee Road
f 355 McKay Blvd.
Suite 206
Winter Park FL 32789
i Sanford FL 32771-
We Are: Licensed, Insured, and Factory Certified Installers
We propose to furnish all labor, materials, and equipment to do the following work on the above building.
Scope of work:
Remove and replace the existing shingle roofing on the house.
Procedure of work:
1 Remove all the existing shingle roofing on the house and dispose of off -site.
2.Nail plywood deck 6"o.c. to existing trusses as per new building codes.
3Furnish and install 1 layer(s) of 301b. Felt paper undedayment as per building codes.
4Furnish and install water and ice shield in the valleys.
5Fumish and install new metal drip edge.
6Fumish and install pre- molded lead pipe boots.
7FUrnish and install new gooseneck vents.
8Furnish and install 3 new off -ridge vents.
9Furnish and install new Landmark limited Lifetime shingles by CertainTeed manufacturing.
10Fumish and install new hip and ridge shingles by CertainTeed.
11 Shrubs will be covered where necessary, yard and gutters will be cleaned daily.
Included is a 5 year contractor's labor warranty against leaks.
The above for the sum of $8,946.00
Notes:
,Any detedoratedstructure not otherwise stated above will be done at a cost plus basis to be added to the above
sum. ($55.00 a man hour plus materials) or $65.00 for a 4x8 sheet of plywood.
1x6 fascia will be replaced at a rate of $4.50 a lineal foot.
Metal trim and vent color to be 1 C .� �P i S 6'
01
Shingle color to be C� f'r��- �T� .S 7`, el& j
Payment to be made as follows: For materials upon arrival, and balance upon completion.
ACCEPTANCE
Proposal
Date:
10/26/17
Mariftn
Cust #:
10034
xOnrWc . F c ICES; :,-NV ,
W O#:
2912
Martin Roofing Services, Inc.
2720 Forsyth Road
License#
CCC1327210
Winter Park, FL 32792
(407) 679-4553
Bill To:
I Service Address:
Innovative Realty
355 McKay Blvd.
2250 Lee Road
355 McKay Blvd.
Suite 206
Winter Park FL 32789
1 Sanford FL 32771-
The above _prices, specifications, and conditions are satisfactory and are hereby
accepted.
of Accepta?1e e4! Y �1 . Martin Roofing Services, Inc.
Signature
This proposal may be withdrawn by us If not accepted within 25 days.
Limit of Liability not to exceed purchase price.
THIS INSTRUMENT PREPARED BY:
Name: Farrah Rodriguez
Address: 2720 Forsyth Rd, Suite 220A
Winter Park, FL 32792
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 31-19-31-527-0000-00130
! CICCC ilCll lllli lICCC ��CII �CCIC CIC CIIC
GRANT IIALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COt1PTROLLER
BK 9073 Ps 1078 (Psis)
CLERK'S 4 2018016061
RECORDED 02/12/2018 08:54:37 All
RECORDING FEES $10.00
RFCI:;'l t 3f PY jkickenro
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)
355 McKav Blvd
Sanford FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof. Remove and replace the existing shingle roofingon on the house.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Jeremy Sweeney, 3704 Hargil Dr., Orlando, FL 32806
Interest In property:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Jeremiah Dice Phone Number: 407-6794553
Address: 2720 Forsyth Rd Ste 200A, Winre Park, FL 32792
6. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
8. In addition, Owner designates
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.
(Signatufdof Owner or Lessee, or Owners or Lessee's (Pdkt Name and provide Signat 's Tlge/Office) j
A on ed OjlficerlDlreelorJParinerlManager) (�
State of�tol k6ck Countyof;�
The foregoing instrument was acknowledged before me this /� �h day of, L 1b 1C U L�-�
by T C �—'e C CI e Who is personally known to me ❑
Name of person making stalem nt n J
who has produced Identification B—Cype of identification produced: 0 k kk—j e i? � C e
� y x Notary Public State of Florida
_° Farrah Rodriguez
y • My Commission GG 153017
'yore Expires 10N812021
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Jan. 29. 2018 2:41 PM
No.2902 P, 4
CITY OF
SkNFORD Building & FYre Prevention Division
RESIDENTIAL RE ROOFAFFIDAUT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS:
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 469 BUILDING INSp);CTOR, I ITEREBY 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 ADDIZESS HAVE BEEN INSTALL12D 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
MANUALREQUMRM13WTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: 0- C'C 13 1. 0
COMPANY/CONTRACTOR: CSWL"cps
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LIC ER OR OWNER/BUILAE
A FINAL ROOF INSPECTION 1S REOULRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PROTOGItAPHS 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 OI! 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
Sworn to and %ed before me this �1 `�ay ofZC'+.(l1CiQ,/ 201%by:
C CC Who isalFeirsonally Known to me or has F1 produced (type of
Q •-IS 6" as identification,
S nature of Nqiary Public
tate of Flori Rig
Slate of Florida
�( Wiz,n Gon GG 163017
Print/Type/Stamp Name /2021
of Notary Public
.�CITY OF
DEPARTMENT&kNFORD
FIRE
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. •r YdX v ISSUE DATE:ocz
3 Q
CONTRACTOR: lhaf4iA kd04kAQ
JOB ADDRESS: JIze
TYPE OF WORK: le 400 9
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 d%ring 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
Jan, 29. 2018 2:40PM
No.2902 P. 2
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 ` --R0bk INSPECT ION S 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)
i
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 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/B=P-R) SIGNATURE: ATE: ` l
Jan. 29, 2018 2:41 PM
p`g -CITY •
SkNFORD
FIRE DkPARTMENT
No, 2902 P. 3
PERMIT #
Building c& FYre Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
JOB ADDRESS:.,�j_d,�L 3 3L
STRUCTURE TYPE: (D-9 OLE FAMTLY IZESIDENcE/TOWNHOUSP- p MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: „REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPRCIFY):
* *P.LZASC NOTE: ONLY100 SQUARE F'ZET OF THE EXISTING D ECKIS PEBMITTlsD TO BE REPLACED
ROOF VENTQ.ATION: Q OFF -RIDGE Q RIDGE Q SOFFIT OPOWERED VENT
SKYLIGHTS: O YES Q NO IF YES, PLEASE PROWIDE FLORIDA PRODUCT .APPROVAL #;
MAIN ROOF AREA
ROOF SLOPE: p LESS THAN 2:12
0 2:12 - 4:12 12 OR GREATER
OTUR13WES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
�i SHINGLE
cc Okalh d
FL#
0 METAL
FL#
0 MODIFIED $ITUMEN
FI,#
O TORCH DOWN
FL#
Q INSULATED
FL#
TILE
FL4
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **I,FAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2;12 - 4:12 .-(!54-. 12 OR OREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q MINGLE
FL#
O METAL
FLA
QMonrFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
C) TILE
FL#
OTHER:
FL#
FIRE INSPECTIONS
CITY OF SANFORD
407.562.2786
BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS
300 N PARK AVE
8_�r5.541.2112
SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
---------
Page 2
Application Number . . .
. . 18-00000820 Date 2/12/18
Property Address . . . .
. . 355 MCKAY BLVD
Parcel Number . . . . . .
. . 31.19.31.527-0000-0130
Application description .
. . ROOFING APPLICATION
Subdivision Name . . . .
. .
Property Zoning . . . . .
. . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1031129
Permit pin number 1031129
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF
n, City of Sanford
_ Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOIF/ ,C, OVERI iNGS
PERMIT #: I g' () � ADDRESS: (Yi C'_ � R l u Ci
I J e ei ; Yy)` \ a h 1 c -�n , 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 #: C C C 1 3 a I o_� 1 G
COMPANY / CONTRACTOR: m l UCs �l �Jl l �e F� I r, I r C
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HO R OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
19-9I-«
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 nC1("\, `o
Sworn to and Subscribed before me this Cday .20 JY by:
I0, c C P Who is PfTersonally Known to me or has ❑ Produced (type of
ident)fcation) Q
i nature of Nota Public
S to of Florida
2—ec,
Print/Type/Stamp Name
of Notary Public
en S'P as identification.
c "k� Notary Public State of Florica
. � ^, Farrah Rodriguez
My Commission GG 153017
Expires 10/18/2021
a