HomeMy WebLinkAbout371 Fairfield DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1 T,') t 57
Job Address:Historic District: Yes ❑ No
Parcel ID: �- \Cl 3� - `j`lA - Of?UG 3w Q Residential R Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration N Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Ve--yoG =- p eagcA-en'
Plan ReviewContact Person: l�loc�Ci�t Title: 'P.�,>r��
Phone: 801-2% --Il- n, y.2zw Fax: 41.2 -$ O, — Email: +lam qi0- a Wec�c4 - Cc
Property Owner Information
Name 1A = 00m KkeAL--i .Phone: i- ,2_e3 `50tp- 16_r�
Street:`11tAt'd' Resident of property?
City, State Zip: a's. 17
Contractor Information
Name WNkk W kDP, - &"M� MW Phone:. J4C t ` - i140�6,
Street: t.�tc1�J {'(,� 12 Fax: LI0`1
City, State Zip: 0(-V i )�1- Z>�Z-`okQ State License No.: Of—C-015- ab
Architect/Engineer Information
Name: Phone:
Street:
City, St Zip:
Bonding Company:
Address:
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 WITII 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
Revised: June30, 2015 Pennit 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 notifythe owner of the property of the requ irements 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 tie 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.
Si ature of Ow•ne Agent tfate
�,1 f% N iJ Ji-1 t E4�1
Print Owner/Agent's Name
Aaob,� K . A"A" � Z)2oo I17
Tignaturi of Notary -State of Flori yA MR&R. Monday
NOTARY PUBLIC
—STATE OF FLORIDA
y Comm# GG156222
�S�Nce tea Expires 10/30/2021
Owner/Agent is Personally Known to Me or
Produced ID _bl, Type of ID jl�'7j—
��
Si )nature of Contractor/Agent Date
twkkci�,
Print Contractor/Aeent's Name
Signaturf ofNotary-State ofFlor' a Date,
0'41cm
Megan R. Monday
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG156222
Expires 10130/2021
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❑
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:
COMMENTS:
UTILITIES:
FIRE:
Gas❑ Roof ❑
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: Juue 30, 2015 Pennit Application
AWnson, CPA
i,
ANON%
Parcel Information
Property Record Card
Parcel: 32-19-31-516-0000-0360
Owner: SHIELDS KARLAM&JOHN M
Property Address: 371 FAIRFIELD DR SANFORD, FL 32771
-00
Value Summary
2018 Working
1 2017 Certified
Values
Values
Valuation Method Cost/Market
Cost/Market
Number of Buildings 1
1
Depreciated Bldg Value $129,787
$122,297
Depreciated EXF T Value $ 3, 4 50
$3,573
Land Value (Market) $32,500
$32,500
Y
Land Value Ag
Just/Market Value $165,737
$158.370
Portability Adj
Save Our Homes Adj $4,041
$0
Amendment I Adj $0
P&G Adj $0
$0
Assessed Value $161 6 . 96
$158,370
Tax Amount without SOH: $2,132.55
2017 Tax Bill Amount $2,132.55
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 36
CELERY LAKES PHASE 2
PB 65 PGS 29 & 30
-7 ---7--
Taxes
6655 Carder Road, Orlando, FL 32810
Office 407-295-7403 Fax 407-295-8288
vmw.UniversalRoof.com
CONTRACT
December 28, 2017
John Shields
371 Fairfield Dr
Sanford, FL 327-71
This Contract is entered into and effective on, `�e; and is by and between
Tp S(the "Owner") -and UNIVERSAL
ROOFING GROUP, INC. ("UniversalRoof & 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 CLAIM FOR PAYME14T 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
tu v �'[
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al
6- onlincong Pages 5 of 10
Roof C
SCOPE OF WORK:
1. Tear off existing roof.
�.S
Pitch
2. Inspect decking. Water damaged, broken, deteriorated or rotted decking will be replaced and charged
according to Xactimate pricing.
3. Re -nail roof deck with 8D round head, ring, shank nails.
4. Provide and install 2LO lineal feet of new drip edge. Color WW%TS_
5. Provide and install all new lead or utlet boots (3-2" & 1-3"). Color mck--
6. OPTION 1: k Provide and install 2 new 4' off ridge vents. Color 19 LAC,h _.
OPTION 2: ❑ Provide and install 20, lineal feet of, new Aluminum Ridge vent.
OPTION 3't PTProvide and install 20 lineal feet of new Shingle -Over Ridge:Vent.
7. Provide and install all new goosenecks (2-6°). Color LrAC, t,
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 underlaynent in valley areas.
11. Provide and install fungus resistant shingles, according to manufacturer's specifications. w 4 �t7�T�urS
Awe SST R510� $.iQ �ttti4�✓
12. OPTION 1' ❑ Detach existing gutter. �11 No oa V6-- P '"�
OPTION 2; O Provide and install 120 lineal feet of new seamless gutter and 4 new downspout. GCB
Color: See diagram for placement of gutter and downspout.
OPTION 3: ❑ Homeowner responsible for coordinating gutter removal and'resetting/replacement.
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. Provide and Install new transition metal at shingle to pan roof transition. 'URC makes no guarantee against
leaks in this area
-- 19j-,At. i'rL&-t- qWo s-r►CC oN utw 1-"tJ51r,o4 to st.ti.i '47-00—%
Universal: 4&LL-
.1-,�: end
,r�Jt f6- Conitacting.
Page f of`10
INVESTMENT:
Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the
above specifications, and subject to conditions found on both sides of this agreement, for he sum of:
— CertainTeed Fungus resistant, 3-Tab shingles with a'25-year warrantyQJ_�f "W 5 7
— Owens Corning Duration With Sure Nail Technology ADD $900.00
Upgrade: Ventilation System
ADD $200.00.
ew downs out. ADD —°
_ Provide and install all new (3-2" & 1-3") Bullet Boots ADD 2d J • o.>
Total
l/
TERMS:
Standard industry cash terms, one-third with the order, one. -third due upon delivery,of materials, balance due upon
completion. 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 company and 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 most be paid by the
homeowner at the time the AWO is presented and before the work is: done. AWO's will be submitted as supplemental
requests to the insurance company by Universal Roof and contr ting for the, homeowner's reimbursement. Any
additional items submitted to the insurance on behalf ' la � including overhead and profit, will be owed upon
approval.
The final payment of each trade should be paid at the time of completion. (i.e. roof, gutters)
$-I'S 9_ -5 7 Total Order
$`�. c� Contract Signing
$ Due on Start Date (Deductible and Upgrades)
$ 9 9 fat • - 6+ Due Upon Completion of Roof`
('Remaining monies received from insurance and Hidden Damage not factored into this payment)
Final Payment (any additional monies from insurance: depreciation, supplement/payout)
sB
// y:
Print (dame: G!-, r'4I IY2 SA/ j 9, - bs Print Name:
Date Date:
LJ-niversal Roof &, Contracting
Onmer.
Universal:
1199111 51111 &alaa [Jill ISaal It611 aail Iasi
THIS INSTRUMENT PREPARED BY: til-'ANT I`IIaLOYr SEMINOLi_ COUNTY
Name: Mmfan CLERK OF CIF:CUI.T COURT & C''OMPTROLLER
Address: V °I( W',156 Ps. 21-.1 (1PEi ,:
0!kgbClC. '�L 520-10 CLER rS s 2018003710
TIC E 0%F C 0 M oil E INICEM 9 RECO'IRiED V nc1evoi .,
Permit Number:
Parcel ID Number: (o- 00 00 - 05G
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)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
ir.- :0Q0Q 3S& �:0 n a rrV.t o
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: li ,cyr„ VAP-k nC ?yL1-1t
Interest in property: QtaY�C S
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name:_ \MV ir200l 't Phone Number:. Li N — 2c)5 - 7ND
Address: 15,1� C 1kAzi- 06- 0W\60 h1-9 32yd to -
5. SURETY (If applicable, a copy of the payment bond is attached): Name:`
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 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 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.
(Sign of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
thorized Officegpirector/PaMer/Manager)
State of ll0'(160h. County of
The foregoing instrument was acknowledged before me this 2:Otdayof pez lk; 201
by ()d\-v\ c71tsaA&a, . Who is personally known to me 0 OR
Name of person making statement
who has produced identification t( type of identification produced:
CEiiTi) I D LOGY GRANT fViAIOY
Z y Megan R. Monday CLERK OF NE. CIRCUIT COURT
Q
NOTARY PUBLIC ND CO "'i, I ),I.ER
a = ' _STATE OF FLORIDA ' ` ') " C'-„)?YLORIpA
a Comm# GG156222 Notaryi3Y -ter
s�MCE 19Nb Expires 10/30/2021 DEPUTY CLERK
fa
CITY OF
&kNFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ..�► ISSUE DATE: / • e
CONTRACTOR: 14n veei
ieJOB ADDRESS:77 '� �,• Sm 4vo-oo
TYPE OF WORK: Op ADO IC
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:
0 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
v
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 pin 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 OP
Building & Fire Prevention Division
SkRFORD 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 ELAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION 1S THE ONLY INSPECTION REQUIRED FORRESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILEHOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWINGIS REQUIRED TO BE;PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAL, R&ROOF SCOPE OF WORK
0 COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
0 ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
e DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMITNUMBER OR ADDRESS IN EACH PICTURE)
• EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
• ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
6 ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN & SPACING (INCLUDING A, MEASURING DEVICE OR.RULER)
• Dpap EDGE I& VALLEY' ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
0 SHINGLES INSTALLED, NAIL PATTERN AND'LOCATION OF NAILS
0 SKYLIGHTS (IF APPLICABLE)
• DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
• 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: 1 v DATE:
CITY OF
1 SkN'
F*
DEPARTMEN
JOB ADDRESS: �)I \
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: 4 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE (1K) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): "JXO0 1
* *PLEASE NOTE: ONL Y 100 SQU.4RE 'FEE, T OF THE EYISTINC DECK IS PT:RA117'7'ED TO BE REPLACED **
ROOT VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBWFS
SKYLIGHTS: OYES �&NO IEYES, PLEASE PROVIDE FLORIDA PRODUCTAPPROVAL #:
----------------------------------------------------
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& !•� 5
VlU
OMETAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
OO HER: l
W\tqZJAC., {Z11%A
FL# 162.k�
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF, APPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 Q 4:12 OR GREATER
TYPE OF ROOF;
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0SHINGLE
FL#
O METAL
Fl.#
OMODIFIEDBITUMEN
F #
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTH ER:
FL#
FIRE INSPECTIONS
CITY
OF SANFORD
407.562.2786
BUILDING & FIRE
PREVENTION
BUILDING INSPECTIONS
300
N PARK AVE
855.541.2112
S,ANFORD'FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . . .
18-00000562
Date 1/24/18
Property Address . . . . . .
371 FAIRFIELD DR
Parcel Number
32.19.31.516-0000-0360
Application description
ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . .
PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1027390
Permit pin number 1027390
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
CITY OF
A�FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE R0OFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -INS FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: i%-6(p2 ADDRESS: �( Vk%\l(?td
1 ! r
I _ YA-\ MCIVI\W, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRAC R, 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 #: �' !1 L i G "
COMPANY / CONTRACTOR: 8
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SI�NED 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 PjZ l Mit
Sworn to and Subscribed before me this 2t*^ day of 4k�kh 20 1 by:
�hm j � &N . Who is kPersonally Known to me or has ❑ Produced (type of
identification)
Signat re of Notary Publ'
State of Florida
s��
Print ype/Stamp Name
of Notary Public
as identification.
y Megan R. Monday
". IN,OTARY PUBLIC
-ESTATE OF FLORIDA
Comm# GG156222
•;"i;R 19V0 Expires 10/30/2021
PERMIT #: _O 5 (IP 3 ADDRESS: 22 K/ FrA' du'ld 1) v
Sao-R)Yd I et- 3 2111
1 ri I G I CV el , 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 FF..S..CCHAPTER 553.844).
LICENSE #: ( c / �>'70(3 ✓
COMPANY / CONTRACTOR: /q C/► / / C RX)-fi(l a)fi#r0C7j7
CONTRACTOR SIGNATURE: DATE: I
(MUST BE SIGNED BY LICENSE I 40L11�OROWN�ER/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 OF O\1116A
Sworn to and Subscribed before me this day of 20 by:
MW_KQj �Z Gf Who is personally Known to me or has L Produced (type of
iden 'fication) as identification.
affiz') � � a we e=: -_
Signature of Notary Public
St a of Florida N&aN Public State of Florida
a4 Chloe M Cooper
� My`Commission GG 162169
OF Expires 11/21/2021
Print/Type/Stamp Name
of Notary Public