HomeMy WebLinkAbout505 Casa Marina PlCITY OF SANFORD
a BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented., Construction Value: $
1'U Job Address: f6uo) mod_ t &,svROea , T-1. Historic District: Yes ❑ No
v Parcel ID: "00bf) \LA$O Residential Commercial.❑
Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: - flOC 2G9 5QA at-5 6W Ad?-,;) } 1 5wust tv\t72~d'r+ 4eA
(09k t�o�co eel
Plan Review Contact Person: _ r" U'n t Title: PEA -
Phone: 404-ag0)--11405 Fax: LAt'1-26jt,-SZ9,% Email: t�nM�l�t�t�u�N2c�t.�At�'•CY�tu�
Property Owner Information
Name. l.�aco. YrW t� Phone: L40- 0I411-- 3(ou1
Street_. J C0_c,,D,0Swj,(\k P\ Resident of property? Nj.eb
City, State Zip: °,a ryJr Occi i- 16r)-l—A k
Contractor Information
Name tk>,We(bc,\X AzpQ Q0k Phone: AD'A— —1LAOS
Street: 5(o66 (' C' Fax 140`1 2G5 - gi'L%A
City; State Zip: 6P'\0t\& , ): (J_ 3',t to State License No.: CCU)6-1 l6'5
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 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 ATTORNEYBEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a.perinit 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. 1 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: 51 i Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application (�
t
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 «rith.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.
a1 Li
! ' i1b9laoi`7
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print nvvncr/Qcnt's Name
Signature of Notary-State,of Elon Date
VE14911;�
ARCHIE SIMON
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF165482
Expires 10/2/2018
Owner/Agent is --X— Personally Known to Me or
Produced ID Type of`ID
ftv% �telJ ctk
Print Contractor/Agent's Name
Signatur of'Notary-State of Flori Date
Megan R. Monday
Q NOTARY PUBLIC
o STATE OF FLORIDA.
Comm# GG156222
1417E 10�� Expires 10/30/202 i
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❑ Gas❑ Roof ❑
Construction Type:
Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS; ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
uruversal
/! :C
November 20, 2017
Lenita and Michael Frith
505 Casa Marina Place
Sanford, FL 32771
5655 Carder Road, Orlando, FL32810
Office 407295.7403 Fax 407295.8288
www.UniversalRoof.com
This Contr ct is ent d int and effective on�r :and is by end between
r %
(the "Owner") and UNIVERSAL ROOFING GROUP, INC.
("Universal Roof &; Contracting").
FLORIDA'S LIEN.LAW
ACCORDING TO FLORIDA'S: CONSTRUCTION LIEN LAW (SECTIONS. 71.3.001-713.37,
FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE
MATERIALS AND SERVICES' ARID ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILSTO 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 STIPULATEIN 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
LAM 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.
Own
Universal: _
Licenses #CGC 1523333 #CCC 1330747 #CRC 1328705 #EC 0002409
C universal
@ f 0 Roaf V
Contracting Page 9 of 93
SCOPE OF WORK:
1. Tear off existing roof.
Pitch: 6112
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 300 lineal feet of new drip edge. Color >
5. Provide and install all new bullet* boots (2-1 '/° & 1-2"). Color CO U_A
6. Provide and install 33 lineal feet of new Shingle -Over Ridge Vent.
7. Provide and install all new goosenecks (1-4°). Color oN-h
8. Provide and install new valleys, using 8 step closed valley system.
9. Provide and install self -adhered base sheet, according to manufacturer's specifications.
10. Provide and install self adhered modified bitumen, with a 10-year warranty, according to manufacturer's
specifications.
11. Provide and mechanically fasten Rhino Roof synthetic underlayment.
12. Provide and install Self Adhering Polymer modified underlayment around pipe stacks, in valleys, and
at all roof to wall transitions.
13. Provide and install Fungus resistant shingles, according to manufacturer's specifications.
14. Universal to provide a seven year written roofing guarantee and one year workmanship warranty on
non -roof work.
15. Universal to furnish material and labor.
16. Universal to furnish a building permit.
17. Clean up and haul off all roofing debris from property.
18. Protect landscaping.
19. Roll yard with magnetic nail bar to ensure removal of nails.
20, Detach and heSet 1 satellite dish. Universal Roofing Group not responsible for reception clearance
after resetting
Omer.
Universal:
0
vmal
Roof & Contracting Page 10 of 13
INVESTMENT:
Universal Roofing'Oroup, 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 the sum of:
R F:
Owens Coming Duration Designer with Sure. Nail Technology $10,500
a Shingle Over Ridge Ventilation
Bullet Boots
Total $10,500
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.
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.)
$10506 Total Order
a Z 3 d Contract Signing
%Due on Start Date
Due Upon Completion of Roof*
Print;Name:la+"
Date:
By:
niversal Roof & Gofff-rarc ing
By:
Print Name:
Date:
y,.
Oamer.
Universal:
THIS INSTRUMENT PREPARED BY:
Name: j1
Address• ;Fi (fit S�1r
I I®810I 11➢II11 11110 111111gllg 11g1111111i11
GRANT MALOYr SEMINGLE COUNTY
CLERIC OF CIRCUIT COURT & COMPTROLLER
eK 9031 P9 620 (F'ss )
CLERK' S 4 2017122925
RECORDED 12/0612017 03.33:13 PM
RECORDING FEES $10.00
RECORDED BY hd'evore
Permit Number:
Parcel ID Number 1-Dr 101,- °a01- onuo 0
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)
GENERAL DESCRIPTION OF IMPROVEMENT:
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)
Address:
�4. CONTRACTOR: Name: ui"(bp,A
Address:
S. SURETY (If applicable, a copy of the payment bond is attached):
Phone Number: �i. 0i2Ci
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
71313(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
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 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.
r
'I 0 , A L-e r) �- 0-r Fr cii)
(signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Tide/Office)
-Authorized Officer/Director/PartnerlManager)
State of ,'-)�6k County of '6QAk&k AA 1"Z'
The foregoing instrument was acknowledged before me this ),-it day of L GyL p , Zp -1
by J-t1mkk _�%i�1 1 Who is personally known to me ❑ OR `
Name of oeman makinn ctat-f
who has produced identification ❑ type of identification produced:
Q�ZpttYAssoo NOTARY PUBLIC
o STATE OF FLORIDA
Comm# FF165482
s�ycE Ig1� •Expires 10/2/2018
N
CITY OF
`3SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT##: ADDRESS: :7Y 6 &�., P410", o L
ISIMN kon, I lv_1 *52`1`A 1
l _ AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
tcUUt'1NG CON�R7��'-EACHITECT, OF F.S. CIIAPTER 46S BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOI ACCURATE ANll T1'IAT ALI.: 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 F-TROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
COMPANY / CONTRACTOR: (7/�i}
CONTRACTOR SIGNATURE: A11Mi�-�.� DATE:
(MUST BE SIGNED BY LICENSE 116LDER OR OWNER/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, fNCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND D INSPECTION PROCEDURE
PAPERWORK 1%OR,FURTHER,EXPLANATION OF ALI, 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 M
Sworn to and Subscribed before me this day of 20 � by:
IM wu& . Who is kersonallLKnown to me or has D Produced (type of
identification)
Signat5re of Notary Public t1
State -of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
V4VEjS11'e::!
Megan,,ft.,Monday
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG156222
Expires 10/30/2021
OF
FIRE SjkNFORD
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. /00 03 IS UE DATE: • Da • I
CONTRACTOR: Uniiversau [&n F
JOB ADDRESS: T6Z O.
TYPE OF WORK: 4eezoo 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:
• 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 111
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
' a Building & Fire Prevention Division
$ al Sk
Jl `1
FO
RD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED
THJS 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
AFINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR. RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING 1S REQUIRED,TOBE 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 UNDERLAYM ENT INSTALLED
o ROOF DECICNAILING 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 MEASURENG 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.
n A
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:/ d DATE:
�SNFO
•
► EPARTMt
FIRE U
CITY
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ,0� MCk. WAPIAOL 9\ en d , 5r-L
STRUCTURE TYPE: V SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: a REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): NoO6
**PLEASE (VOTE: ONL I' 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: D OFF -RIDGE � RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES V No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL. #:
MAIN ROOE.AREA
ROOF SLOPE: (p'. 12
OLESS THAN 2:12 02:12-4:12 4t12ORGREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
olam QDU&%FL#
XQ (91LA "
_0METAL
FL#
OMODIFIED BITUMEN
FL#
O TORCH DowN
FL#
INSULATED
FL#
_0TILE
FL#
A OTHE.R:
var" Rwft!
FL# \ f51(9 -
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **JFAPPLICABLE** obow,
ROOF SLOPE: e LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
FL#
O METAL
FL#
MODIFIED BITUMEN
q� j,r_\'
verlwar�
FL#
0 TORCH DOWN
FL#
O INSULATED
FL#
TIE
FL#
0 OTHER:
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
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Page 2
Application Number . . . .
. 18-00000243
Date 1/02/18
Property Address . . . . .
. 505 CASA MARINA PL
Parcel Number .
. 29.19.31.501-0000-1480
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. NOT APPLICABLE
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1022185
Permit pin number 1022185
----------------------------------------------------------------------------
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, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: , O ' 2A ADDRESS: rDoe) 0A!50,11W N &G_ p
L�:nzkog , T�_ 327`11
I � 1 l)ti , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTO , NGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
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 #: 0 ClJ-)6-AN (11
COMPANY / CONTRACTOR: V Q k f
CONTRACTOR SIGNATURE: A DATE: �>
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION 1S 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 WELL 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 OFMJ��p��
Sworn to and Subscribed before me this / day of b - 20 f II C'
by:
� 6% clk . Who is I Personally Known to me or has ❑ Produced (type of
identification)
k. .
Signatur of Notary Public
State of Florida
Print/Tyo/Stamp Name
of Notary Public
as identification.
Megan R. Monday
V �'INR&ARY PUBLIC
_STATE OF FLORIDA
Comm# GG156222
z 9�e Expires 10/30/2021