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HomeMy WebLinkAbout1008 Travertine TerCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Aa !� o Documented Construction Value: s 5,000.00 .lob Address:1008 TRAVERTINE TER SANFORD, FL 32771 Historic District: Yes ❑ No ❑x Parcel ID: 33-19-30-520-0000-1760 Residential 0 Commercial ❑ Type of Work: Nesv ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: _Size for Size HVAC Change -Out with New Rheem 3 Ton 14 SEER Heat Pump Split System with 5 kw. Plan Review Contact Person: _ Andy Maldonado Title: Permit Tech Phone: 407-299-0068 Fax: 407-299-0320 Email: amaidonado@ars.com Property Owner Information Name KATHLEEN HERALD Phone: (407) 687-4749 Street: 1008 TRAVERTINE TER, SANFORD, Resident of property? :_ Yes City, State Zip: SANFORD, FL 32771 Contractor Information Name ARS Orlando - Dennis Zacek' Street: 3012 Mercy Dr Phone 407-299-0068 Fax: 407-299-0320 City, State Zip: Orlando, FL 32808 State License No.: CMC1249753 ArchitecVEngineer 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 FIiNANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COi4IMENCEMENT. 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. FIJC: 10.5.3 Shall be inscribed with the date of application and the code in effect as of that date: 5t° Edition (2014) Florida Building Code Revised: lunc 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 be done in compliance with all applicable laws regulating construction, and zoning. Signature of 0% ner/Agent Print Duner/Agent's Name Date Signature of Notary -State of Florida Date DI�" Signature of Contractor/A nt Ito o � Dennis Zacek aC, no ` Print Contractor/Agent's Name 3 %c r" ��Q �--Lon 2tE rs. n ure ofNo -State of Flo Da e « = c* > N W Q T p M Owner/Agentis Personally Known to Me or Contractor/Agent is L.I Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical® Plumbing❑ Gas❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Flood Zone: # of Stories: 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 7Sfa_ lWi0n Work Order 07) 830-1346 12 Mter Dr-hve, 071. ad3J, F! 375BOB In-tssllzlion Darr,==.. 1 /% ll� s� adz 4 --� - r S¢ rt slzE TYPE ^'� `:c, I EFTICAENCY EFFICIENCY- S S 5 7 S i S 5 SUBTOTAL CUSTCAM.E.- WT11 , S ' CVSTO).SEP. INITIALS � CUSTOMER 114MALS- Parts Lzbo, 'rl2r'nty: Parts. Labor R _J22-C r--et5aC PCi ag - . Cwro.- s w Heal ,Ez:chunger � Gornpr_ _Hpat Exchanger c==c -_r- _ _-xd c----w-cd �. Crrp> w c'�, vp i,ctu ng a cf floor sxfera to protect your home and w Al' a J'. GJ,^.V)eted -:3 € c �? 1'12.GC*J'{ii_^rCF_ Y!'iJl J:s"`wng CAS Zr1d ii 2s feClUtrefj. - « - • ,, • a SELECTED OPTION: ❑ 1 02 11 SUBTOTAL $ '.' a )de i"a Fat®r $ tii;cli F--.5s 0 UV ixnt _ jKL scr i -e Cary. �Cr SE, !si i3Hurrliar TOTAL S Nzi R.r, fl Ds rn nc ,m; ' S �ldz� i .--n Si w.' * ti L j; — p Out o, li Pad, S==T»rR_.rGrp._ as 0 Flue Venting OCASH ❑CHECK' GtCREDrr CARD (LAST 4#E) IM; 0 Dj=1vio?k Cornectimis EXP APPROVAL x^ y r V= D Bec`riczi VJtring CJ FINANCING r3� — p L` r: R�rir� 3 0 Harr s PLn _Yc rem ��- „r .. ' r p P Rea;derRt al "ices of SQ� " -' Ronda Inc. license CMC1249753 C,;,. „e' G�:��er {�j i-'r�� Prtse�bon Guarvrtee -�-:�. S:--: saC2 Cs`�._;�-�TQJ'�ihxfrt: ir.,rsaJ lJ,�,>�•Bzc%G!.rrr+�' v �h b..- t r"�e t-n cz-�ccl c� E,�n expW d to — C-. j and in vfriling, and vhthout vraMng my right to cancel, 1 authorize the to 2M :--r;-s zr�d can.: Set : nfn on tis= re,°rse sidle hereof: Plus any taru_upon completion. DATE C ilel eft? tl fa^µ6: T':= a a kc= s=s.<te= s ` z�d 0 1-J Ca e t mat t`*s 9=dr cr,urvim, pcu may cancel this agreement by providing written notice t san:r a iii- i- t., t `""r= a, `1 ra Ttz c`- t'1 `- '= tM TM- 12 c=1 wk the g dl,cr =&es and must be derrrered or postmarked before st t�2 t»`= fizt- = dry zx r7 IiP tti; 27---t ATrf CUJIAS FOR COnSTRUCf1011AEFHTS ARE SUBJECT TO THE NOTICE A1IO CURE C7 i iri'Sc SL t k STATUTES 4 n_ ;y-...rr.I3 Ar 11ff.� e:01 IGA7) Scanned by CarnScanner sx YOF TNF®RD Building & Fire Prevention Division FIRE DEPARTMENT Residential Permit Card TERMIT NO. ISSUE DATE: Ova CONTRACTOR: op" JOB ADDRESS: i0o go 7T4 ov�fio err TYPE OF WORK: CLO • Post this permit in a conspicuous location outside • Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTERISLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION 7YPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION 7YPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE -APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 401.792,.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 *** To Schedule Fire Inspections: Please call 407.562.2786 *** 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 BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 MECHANICAL SHEATHING - WALLS 115 FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 PLUMBING DRYWALL / SHEETROCK 131 LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 GAS INSULATION FINAL 113 FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314 ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III FINAL DEMO FINAL SOLAR PANELS FINAL POOL SCREEN FINAL UTILITY BUILDING MOBILE HOME TIE -DOWN Miscellaneous Notes: MISCELLANEOUS / FINAL INSPECTIONS 126 FINAL DOOR 136 134 FINAL WINDOW 137 139 FINAL SCREEN STRUCTURE 127 124 FINAL BUILDING - OTHER 112 145 MOBILE HOME BUILDING FINAL 146 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 CITY OF S,�NFORD FIRE DEPARTMENT ,15 Building & Fire Prevention Division s PERMIT APPLICA TION APR ��=a Application No: o� Documented Construction Value: $ a A ©O Job Address: 108 Anderson Avenue Historic District: Yes❑No ✓❑ Parcel ID: Residential ✓❑ Commercial❑ Type of Work: New[] Addition❑ Alteration❑ Repair ✓❑ Demo[] Change of Use[] Move❑ Description of Work: Re -Roof and roof repair Plan Review Contact Person: Title: Phone: Name Frances Richardson Fax: Street: 108 Anderson Avenue Email: Property Owner Information City, State zip: Sanford, Florida 32771 Name Street: City, State Zip: _ Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-790-5092 Resident of Dronerty?-,;- Contractor Information one: Fax: State License No.: site ngineer 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: 6`h Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application TICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be ad in thesubAicl=rds of this county, and there may be additional permits required from other governmental entities such as water oagement districts, state agencies,lor federal agencies. 1pceptance 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 nrdPr to onlcnlatP a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 1-1,re of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature DEBBIE SLAP)T N1 ��tp V9'i My COMMISSION 'r 78648 EXPIRES: February 25, 2019 Bonded Thru Notiry Public Underwr'!ers Owner/Agent is Personally Kn wn to Me or Produced ID Type of ID 2 j. ) cO Print Contractor/Agent's Name Signature of Notary -State of Florida Date 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: January 1, 2018 Pertnit Application r r a Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of J// AI the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that 1 may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to .serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9,14.2009 r I agree: that, as the party legally and financially responsible Tor this proposeu consLrucuun MAIVILy, I Will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the /! G information'that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: 1 1n O� do hereby state that I am qualified I, i—Qx�-fV GAS � r �k CLt �5 y and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. __—, Signature of Owner -Builder Date Form of Identification (Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 SCPA Parcel View: 31-19-31-525-01300-0060 Page 1 of 2 i llsvlifltl ,CEp. Property Record Card Parcel: 31-19-31-525-0600-0060 kswcxecor�srrV,MOR Property Address: 108 ANDERSON AVE SANFORD, FL 32771-3990 Q u i11t z D0777Seminole ounty GIS Value Summary 2018 Working 2017 Certified Values Values Valuation Method , Cost/Market Cost/Market Number of Buildings € 1 1 Depreciated Bldg Value $63,914 Depreciated EXFT Value $1 146 $60,273 $1,146 Land Value (Market) 7 $18,000$15,000� Land Value Ag Just/Market Value'* �$83,060� $76,419 Portability Adj .. Save Our Homes Adj $19,639 $14,302 Amendment 1 Ad/ $o P&G Adj $0 -sc Assessed Value $63,421 $62,117 Tax Amount without SOH: $667.00 2017 Tax Bill Amount $555.00 Tax Estimator Save Our Homes Savings: $112.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 6 BLK B- WASHINGTON OAKS SEC 2 PB 16 PG 87 Taxes Taxing Authority Assessment Value _ Exempt Values _ Taxable Value County General Fund ( $63,421 j $38,421 j $25,000 Schools $63,421 $25 000 $38,421 City Sanford $63,421 � $38 421 $25 000� $63,421 Saint Johns Water Management) ( 9 ) $38 421 $25,000 SJWM ement) County Bonds $63,421 $38,421 i $25,000 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 3/1/1992 02401 0550 $32,000 I Yes Improved $100 No Improved WARRANTY DEED 12/1/1985 01697 0763� , QUIT CLAIM DEED 4/1/1985 01634 0524 $100 l No Improved FINAL JUDGEMENT 1 10/1/1980 01299 1036 $100 No Improved ... _ _ . - ___ WARRANTY DEED 1/1/1973 3 00994 1576 $17,400 1 Yes Improved FSrid Comparable Sal Land Method Frontage Depth Units Units Price Land Value LOT 1 $18,000.00 , $18,000 -77 r ,__ t Building Information � - Description Year Built I Fixtures Bed Bath Base Area I Total SF I Living SF I EA Wall Adj Value Repl Value Appendages Actual/Effective http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=3119315250B000060 4/3/2018 DEPARTMENTCITY OF FIRE SkNFORD JOB ADDRESS: PERMIT # J Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK 3" / / STRUCTURE TYPE: 0SINGLE FAMILY RESIDENCE/TOWNHOUSE O 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 SPECIFY: **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: O OFF -RIDGE O RIDGE SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES . ®NO IF YES,, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL ® SHINGLE FL# (�- ' 0 ( 'r 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# 0INSULATED FL# O TILE FL# O OTHER: FL# �� I F`CITY 1 &kNFORD FIRE DEPARTMENT 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 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 UNDERLAYM ENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS • SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE: CITY OF Building & Fire Prevention Division SkNFORD RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAAL,,ROOF COVERINGSS ,ten PERMIT #: / �`� ADDRESS: ®y rl S8 VTi I V 2 U), f Li ,Iry� , 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 #: COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: LA— 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 Sworn to and Subscribed before' me this k gl-k day of 20 � by: AS�SRiC_r /�i�C:Yt1 Who is ❑ Personally Known to me or has ❑ Produced (type of identification) FL_ � L as identification. Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public