HomeMy WebLinkAbout504 Casa Marina PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 14-gq
Documented Construction Value: $ 10,900
L Tob Address: 504 CASA MARINA PL SANFORD, FL 32771 Historic District: Yes ❑ No x❑
Parcel ID: 29-19-31-501-0000-1420 Residential ❑x Commercial ❑
Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 31 SQ 7/12 Pitch
Driftwood Oakridge Lifetime
Plan Review Contact Person
Phone: 407-278-7788
Skylar Amkraut
Fax: 800-337-3361
Title: Admin
Email: Permit@Jasperinc.com
Property Owner Information
LOZANO,CLARA C
Name MILLAN, JAIRO
Street: 504 Casa Marina PI
City, State Zip: Sanford FL 32771
Name Jasper Contractors
Street: 4185 S Orlando Dr
City, State Zip: Sanford, FL 32773
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Resident of property? : Yes
Contractor Information
Phone: 407-278-7788
Fax: 800-337-3361
State License No.: CCC1331153
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'h 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 pen -nit 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. — __ T
Signature of Owner/Agent Date-
Owner/Agent's Name
Signature of Notary -State of Florida Date
- 02/14/18
Signatur of Contractor/Agcrlt Date
Rudith Goico
Name
SKYLAR 8 AMKRAUT
Commissional. FF 127890
my commission Expires
June 01, 2018
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID ype 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:
New Construction: Electric - # of Amps.
Fire Sprinkler Permits Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
2/14/2018 SCPA Parcel View: 29-19-31-501-0000-1420
o iot.rs�n,cra Property Record Card
PParcel: 29-19-31-501-0000-1420
�alloiCGCXerrv.raArrxSn Property Address: 504 CASA MARINA PL SANFORD. FL 32771
Parcel Information Value Summary
Parcel
29-19-31-501-0000-1420
Owner
LOZANO, CLARA C
MILLAN, JAIRO
Property Address
504 CASA MARINA PL SANFORD, FL 32771
Mailing
504 CASA MARINA PL SANFORD, FL 32771
Subdivision Name
CELERY KEY
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2007)
v' +
tiA 52.5
60
60
c
p
r
y,
�t
52.5
60
Seminole County
60
GIS
Legal Description
LOT 142
CELERY KEY
PB 64 PGS 85 - 96
Taxes
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
Depreciated Bldg Value
$112,921
$106,490
Depreciated EXFT Value
Land Value (Market)
$31,500
$31,500
Land Value Ag
Just/Market Value "
_Portability
$144,421
$137,990 j
Adj
Save Our Homes Adj
$55,883
$51,273
Amendment 1 Adj
$0
—
P&G Adj ._,
$0
$0
Assessed Value
$88,538
$86,717
Tax Amount without SOH. $1,839.69
2017 Tax Bill Amount $863.37
Tax Estimator
Save Our Homes Savings: $976.32
* Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value
Exempt Values
! Taxable Value
County General Fund
$88,538
$50,000
$38,538
Schools
$88,538
$25, 000
$63, 538
City Sanford
$88,538
$50,000
,
$38,538
SJWM(Samt Johns Water Management)
$88,538
$50,000
$38,538
County Bonds
i $88,538
$50,000
$38,538
Sales
Description
;Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
i 2/1/2006
26165
0917
$253,100
I Yes
Improved
is eseatnarn count incorrect
f ,,ucK nere.
Year Built
..........
(
...
# Description
Actual/Effective
Fixtures Bed Bath Base Area
Total SF I Living SF Ext Wall
Adj Value Repl Value Appendages
1 I SINGLE
2006
8 3 2.5 , 1,630
2,216 1,630 CB/STUCCO
$112,921 $117,933 j
Description Area
FAMILY
FINISH
GARAGE 441.00
1
http://parceldetail.scpafl.org/PareelDetaiIInfo.aspx?PID=291 93150100001420 1 /2
S380 I- Colonial Dr.
Orlando, 11. 32S07
-1203 Collway Rd., Ste, 201
Orlando, I 3281
(4071) ?78-7788
(800) 3 3 7- 3 3 6 1 Fax
4
JASF__"J*'hER!
?",)Ccom
1"L (",ontraclor's License:
CCCI 329651 N: CCC 133 1153
II(ViV III-AILACFNIUNT CONTRACT
Account klarkiger J. _(-, t(, .
Coillact I,:
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Roof IWV Amomilf Comiact Price:
1)r1p I (1,LC C(407:
t
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10,900
If Owner's Insturance 0xintrany iloys not agree to wiv fur it-LI, I I � I 1U111 lld5 conlratJ
Assignment of Insurance Benefits for file Full Roof M-phicclocill Only: I llcirch,, any arid all tn^v;'.IIICC. and frUCCCCIA UnCICT
any applicable insurance policies to,laspeT Contractors. Inc. ("Jasper"), the scope of trlueh 0I.-Ill Ix- liffilic(l Io a I fill Rf,of Rcpla, cincrif I Makc 1hr; assignmcTil and authorization in COIISiLk-ralion of Jasper's agreement lo perform xi vltTs, supply 111.kicl ON and other%ki-Ic perform ll., tuidcr this (7011(ract,
including not requiring full paynicru at the little of service. I also hereby direct my insarti (s) it, rcle:vsc aity and all mRannauon rcquc%lal by 1-3=Pcr. Or it-,
representativc(s), for the direct purpose of oblamilig actual t,ellefits to he p3id by my imou Ci (S i lir m:r victm rcndefcd un i1wrq,ad, I %--c MY pri %acv
riw
rights. If payinent is made directly to the it 4llal I be clidol.Nxil oscr w Jasper itrimrdi�ocly upexi rep I 31t7Cr that :iTV P ' ' 'in of
work, deductibles, betterment or additional work requested by the undersigned, not covered by inslirancx, must he paid hyllIC JJJ1C.111MiJMLI on the 113YOf
installation. Deductible: it is the OwneCs responsibility it, way all insurance dcdiicoblcs. Owicf'.S 0L1l-0V-r1k_1C6.C1 c,,pcwx k-0l no, earned the
amount, as stated on insurer's loss sheet (the "Loss Shect"), UNLESS i-cphacemen0cpair of dvicrtonoud duckint, 13 rcqutrnd t7,,j code andjor (N.nv reqwis
optional upgrades. Jasper CANNOT pal-, waive, rebate, or promise it) pay, waive or rebate on) or all of the insurance deductible epphcablc to the
insurance claim for payment of work. in the event of a discrcpaucy, lite deductible amount sL11W on the insurer' !i Lo�;s Sheet F-,h.1llovcrrLdCdWucLiblc
amount disclosed. Deductible: S _S dO, 6) C1 ' INIUST Ill'. PAID IN FULI, PLUS APPLICABLE SAI-1,_-S TAX —,,I- /--I _ (initial)
MORTGAGE AUT11011117-A"I'lON: 1, O%Nncr/Morigagor, grunt authorization tor Ntorlaagc co, to speak with
Jasper on matters including but not limited to, the claim and draw status._ it-m (inlilal) PAYMENT SCHEDULE: 17)ti%ncr agrees to
pay Jasper based out Elie following schedule: (i) Deposit In the all)OL1111 011 J( _1 C _)6), 0 ,0 X1,72 price, _title tip.)n qjgqttnL, this contract: �ii) the Ci cl ice
less the Deposit and any applicable depreciation retained by 0%%Tlcr's insurcr(s), plus upgrade costs, due and pa) -able to J35rcr ur-10n cor"*tlk-Tl Of
,work being performed, and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) duc and p3y-3bic to Jasper Irrm
completion of work performed. In the event of a pending inspection. no more llian 2%, of Contract Price may be withheld until inspcctic4i has pa'-;sLd.
Optional: UPGRADE ITEM: Q,n,: PRICE: 1`0TAL $
Replacernent Work and Price: Upon insurer's approval and subject to the 'I*crins and Conditions herein. Jasper zq7icc-i to furnish all maicnali and
provide the labor necessary to perform the full roof replacement Olich shill take place following 0mier's insurance cornp-any', approval, appla-matclY
within 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, LIP,01-1 approval by insurance company for a
full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owwr's insurance company.
FLORIDA HOMEOWNERS' CONSTUCTION RECOVERY FUND
PAYINIENT, UP TO A LIMITED A. -MOUNT, MAY BE AVAILABLE 111101M 'nn: FLORIDA HONIEOWNERS'
CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PIMJE.CT PE.11111-'OR.NIED UNDER CONMIACT,
WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR.
FOR INFORMATION ABOUT' THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA
CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TEA-EPHONE NUMBER AND ADDRESS:
Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FL .12399-11039, (8,50) 487-11395
CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business
day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on
the third business day after the contract is executed after notification from insurer(s) that the claint for palinent on roof contruc( has
been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delkered to Jasper's
corporate off -ice: 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day
right of cancellation DOES NOT APPLY to contracts for emergency [ionic repairs its tine is of the essence.
1, Owner, have read and understand all statements, Ternis and Conditions of the "Roof Replacement Contract" and agree
that all details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between the
parties and that any further changes or alterations to this Contract must be matte in writing and agreed upon by both parties.
Each party represents and warrants to the other (hill it has the full power and authority to enter into the contract and that it is
binding and enforceable in accordance with its teens.
U
A' wv
Representative Date Owne I Date
Scanned by CamScanner
�,)_ - . -FAk 1- v � E i�4EEEE EEEE EE! EEE EEE EEI ESE
THIS INSTRUMENT PREPARED BY: GR MPIT NAL0'; , SEMINOLE COUNTY
Name: JASPER CONTRACTORS :LEEK. OF CIRCUIT COURT & COPit'TROLLER
S Addrdss: 3,203 S CONWAY ROAD SUITE 201 d'?Lt .1 Ps 364 (1 P s )
V
ORLANDO, FL 32812 CLERK'S T 2018017212
REr'ORDI:NG N-16 S1i1,6i5
NOTICE OF COMMENCEMENT RE1110RDED BY lido -wore.
.
Permit Number.
Parcel ID Number
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. DESCRI TION OF PROP911 : (Legal description of the perty and street eddies if avail e
e rat , lo� V`�5
RAL-DESCRIP_TION_OF_IMP_ROVEMENT.:—
RE-ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION 1F THE LE S CONTRACTED FOR THE IMPROVEMENT:
� Name and address: 1 O o &TL f .i
Interest in property: OWNER
Fee Simple Title Holder Of other than owner listed above) Name: _
4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788
Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812
S. SURETY Of 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 Llenor'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 70 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.
(signsWre orQwner or Lessee, or Ownoes or Lessee's _
Authorized orriced0irectodPartner/Manager)
tt7air o
(Print Name and Provide St r a �.
g tay'sTipclO(bee)
State of ` \o h dQ" County of V
The foregoing Instrument was acknowledged before me this 2 01 day of _
by\� Who is
Name of person making statement
who has produced identificationtype of identification produced:
KA'FiLA M ALMODOVAR
SState of Florida -Notary Public
•= Commission # GG 111330
=H
�c My Commission Expires
June 04, 2021
Notary
known to me ❑
9
#
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L7 tv
)
R
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 02/14/18
Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb
I hereby name and appoint: Ana Chavez and/or Michelle Monsalve
an agent of: 'aspef Contaclos
(Name of Company)
to be my lawful at7omey-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
XThe specific permit and application for work located at:
504 CAS_ A MARINA PL SANFORD, FL 32771
(S>rw Address)
Expiration Date for This Limited Power of Attorney: 1/1/2019
License Holder Name: Donald Bouchard
State License Number. CCC133tis3
Signature of License Holder.
STATE OF FLORIDA
COUNTY OF s—inde
The foregoing instrument was acknowledged before me this 14 day of February
200 18 , by ° B..." who is o personally known
to me or is who has produced DL as
identification and who did (did not) take an oath.
Signature
(Notary Sea]) Sky ar Amkraut
SKYLAR B AMKRAUT 1
°��, Commission N FF 127890 i
do MyCommission Expires,
June 01, 2018 i
.„..... 4
=: a: l��+l!!.Rv1Cx,ae+mlRiJT.cP^�1� LszspY�i �'�'
(Rey. 09.12)
Print or type name
Notary Public - State of FL
Commission No. 127890
My Commission Expires: 6/1/2018
Sc:annPd by CamScanner
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CITY OF
S, J�FORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO do40 Q ISSUE DATE: ® ®® •
CONTRACTOR:
JOB ADDRESS: Mar /1 9L lod"I
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
F D'f
City of Sanford Building Division
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), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 02/14/1 R
JOB ADDRESS: 504 CASA MARINA PL SANFORD, FL 32771
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY):
* *PLEASE ]VOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: Q OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES ONO 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
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
Owens Corning
FL# 10674-R12
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
0 OTHER: e
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 . . . . . 18-00000881 Date 2/15/18
Property Address . . . . . . 504 CASA MARINA PL
Parcel Number . . 29.19.31.501-0000-1420
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1032101
Permit pin number 1032101
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF _/_/_
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING,4-m SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS:
_� AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENG , A1R`CHHIITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS RUE 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 #:
CCC1331153
COMPANY / CONTRACTOR
'.
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICEI`
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 SEMINOLE
Sworn to and Subscribed beo, a me this day of 0 by:
. Who is ❑ Pe' rsonally Known to me or has X Produced (tyre of
as identification.
p,Ml<RAUT
SKYLAR 6 127ago
Commission
ovxy;C.amn fission Exp
June 01 ,, 2