HomeMy WebLinkAbout102 Sabal Palm Ct3Cf'TY OF
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0 Documented Construction Value:. $ 5, 56 ()
Job Address: 54 Pd III (/T, ,%h- Historic District: Yes❑No®�
Parcel ID: Off - ZO • 30- J�,J` Q Mb_ OU-1D Residential2CommercialFl
Type of Work: New[] Addition Alteration Repair ❑ Demo❑ Change of Use❑ Move El
Description of Work: I'- — "04 et r.rj 5-
h; no 30 Wr Oi rtA
S KA n rtYir1 Sk i rikL4'r ( .In rl i. i fl, V M100 N-tj—.
Building & Fire Prevention Division
PERMIT APPLICATION
Plan Review Contact Person: "AIva
Application No: / d - /
_q -1 �j
Title: t)vvn-er_ aI
Phone:.j6'4 . BI i• i U U 3 Fax: bD 4, (51 )• -14 Q 3 Email: {i"t C si-rut '�rtlXllihi+tela �,� • t
Property Owner Information
Name .,1 6
rl, MAn V"
Street:�i']rrt
City, State Zip: n&d , EL.
Phone: 4r -` i ib- to-iq
Resident of property? :
Contractor Information
Name V -Q % ICIfAi0inii rn e -kd) LS0Phone: _ ` i LlP�
Street: 1 Z Gt %-A C.ti Fax: 30q• B-7/ —7 Q Le.3
City, State Zip: W ndf rMc ry, fiC 3V7&2 State License No.: ((C,1336802-
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Enginee r 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.
%mm
pplication is hereby madetoobtain a permittodothe work and installations as indicated. I certify that no work or installation has
enced priortothe issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
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: 61s .Edition (2017) Florida Building Code
Revised: January 1, 2018
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 constriction 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 Owner/Agent
Owner/Agent's Name
Signature
Date
Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Ja 1yabng CG -61d o
Print Contractor/Agent's Name
ep
Signature ofNotary-S of Florida Date
KEEtEYCIEERRA•E R NREICH
Commission # FF 963931
Expires February 23, 2020
Bonded ThruTrogFainlnsNrance8OD385-7Qt9
Contractor/Agent 's
Produced ID Type of ID 37tr,' V1LQ r-S
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical❑ Mechanical❑ Plumbing❑ Gas Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised! January 1, 2019 Permit Application
3/15/2018 SCPA Parcel View: 02-20-30-5GJ-0000-0670
9 slahutnaoA,t Ea PSaperty Record Card
Parcel: 02-20-30-5GJ-0000-0670
bs �irrsvrt rti Property Address: 102 SABAL PALM -,r SANFORD, FL 32773-5620
Parcel Information
Value Summary
Parcel ; 02-20-30-5GJ-0000-0670
2018 Working
'
2017 Certified —
Owner SAWYER, JUANITA
-_-- ... _.... _.._ _ ._.
Values
_..__.. .__.._..-.-..
;Values
.
—"
Valuation Method
Cost/Market
Cost/Market
Property Address 102 SABAL PALM CT SANFORD, FL 32773-5620
Number of Buildings
1
1
Marling : 102 SABAL PALM CT SANFORD, FL 32773-5620
-- -
-
Subdivision Name HIDDEN LAKE VILLAS PH 3
Depreciated Bldg Value
-
$77,119
-
$67,432
--
Depreciated EXFT Value
$600
$651
Tax District; S1-SANFORD
Land Value (Market)
$23,000
$20,000
DOR Use Code < 0103-TOWNHOME
Land Value Ag
Exemptions
' Just/iMarket`✓alue'*
$100,719
$88,083
Y u.
Al
PON
i
Seminoie County GiS
i Portability Adj
i Save Our Homes Adj $0 $0
Amendment 1 Adj $23,046 $17,471
P&G Adl $0 $0
Assessed Value $77,673 $70 612
Tax Amount without SOH. $1,459.32
2017 Tax Bill Amount $1,459.32
Tax Estimator
Save Our Homes Savings: $0.00
i
' Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 67
HIDDEN LAKE VILLAS PH 3
PB28PGS3TO6
,
Taxes
Taxing Authority
--- ---_..__ . _-_. ___.___.._.__....
Assessment Value
__._---_._.. .... _ __..._.._.. _ ... __ .
Exempt Values
_.._ __, .._.. -_-... ....... ............
Taxable Value
- -- - - ------
County General Fund
.----.. --._._-.......
.... ... .__.....
.....-----_-_ t
$77,673 ;
$0
$77,673
Schools
$100,719
$0
$100,719
City Sanford
$77,673
$0
$77,673
SJWM(Saint Johns Water Management)
$77,673
$0
$77,673
County Bonds
$77,673
$0
$77,673
Sales
-- —._ _._-..- -- — ---
Description
- ._... -- - .._.._.
---- - --- ..._ ... -----
;Date Book
—...---._
i Page
,_—_._._._....—_.
Amount
... -
Qualified
_...._
Vac/Imp
---
WARRANTY DEED
7/1/2013 08083
—_.
0`57
$100 No
Improved
[ WARRANTY DEED
.
12/1/1983 01509
03210
$44,400 Yes
Improved
Land
_ .......
Method Frontage
Depth
Units
Units Price
Land Value
;
LOT
0.00 0.00
1
$23,000.00
$23,000
_
Building Information
Is Bed�Sath count incorrect? Click Hera
Year Built
# Description
Fixtures Bed Bath ;Base Area :Total
i
SF .Living SF Ext Wall
;Adj Value Repl Value Appendages
, ActuaUEffective ;
f
1 SINGLE 1983
6 2 22.0 1,020
1,322
1,020 CB/STUCCO $77,119 :
$91,265 !Description
Area
FAMILY
FINISH
http://parceldetaii.sepafl.org/PareelDetaillnfo.aspx?PID=0220305GJ00000670 112
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
713
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
including decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Afwhaij j"11AL,FL
10 , 10
Underla ments
C
L 52 - 3
RoofingFasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing state
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
oo r
I
June 2014
Category Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
E
P40
Applicant's Signature
Applicant's Name 3�olyt �Q*11do
(Please Print)
June 2014
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CONSTRUCTION U N IL I,4J
729 Main Street . Windermere, FL 34796
304-871-7663 . www.ConstructionUnhinite(ii,.c ,m
FL Bldg. Lic# CBC1261431. FL Roofing Licf CCC1330802 . lVV 1,0 WV048260
CUSTOMER:
PROPERTY LOCATION: J 1i 3
CITY/ZIP: 'G i'6 �[_ • ]�
EMAIL'
DATE: _.
DAY:
EVENING:
AGREEMENT SUBJECT TO I $URANCE COMPANY APPROVAL
ROOF SPECIFICATIONS- BRAND: {J'1 STYLE: l)- S t •(k ne=. dJO COLOR: 1 I J 0
RIDGE MATERIAL- R / R VALLEY. OPENED CLOSED TEAR-OFF-q/ 2 VENTS- BOX SHINGLE OVE ALUMINUM FIE LT* CIR
ICE & WATER SHIELD- PER CODE PITCH.
% I STORYX 213 WALKOUT. YES NO
ROOFACCESSORIES TO BE REPLACED NEWAN OR PAINTED TO MATCH SHINGLE COLOR.
DROP INSTRUCTIONS: 9c> "Af G A G.
SIDING SPECIFICATIONS- BRAND:
STYLE:
STYLE- STRAIGHT LAP / DUTCH LAP EXPOSURE- 4" 4.5" 5" OTHER:
ELEVATION BEING SIDED (LOOKING AT HOUSE FROM STREET)- FRONT LEFT BACK RIGHT
DROP INSTRUCTIONS:
GUTTER SPECIFICATIONS- COLOR:
TERMS
COLOR:
HOMEOWNER INITIALS:
1. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you
tion Unlimited all amounts you receive from your Insurance Company. If you desire material
must promptly pay Construc
upgrades or other work done on your property, you will incur additional out-of-pocket expenses.
3. This Agreement is not valid or binding on any party unless and until It Is signed by both you and Construction Unlimited.
Once signed by you and Construction Unlimited, Construction Unlimited will be
eraaayrded with the Job described above and
the scope and price of the work will agreement toet forth nthe Insurance al) the terms and conditions
3. Your signature below provides y set forth on the front and back of this agreement.
Please carefully read the entire front and back of this Agreement.
DATE
FIRST CHECK $ CHECK #
CHECK #
BALANCE DUE $ DATE PLUSADDiTIONAL SUPPLEMENTS $ AGREED PRICE $ PERMtT FEES PAID 8Y INSURANCE COMPANY.
1 a a �'
SIGNATURE (Customer) DATE
SIGNATURE (ConsWCtlon Unlirl>itedj DATE-,
Scanned by CamScanner
THIS INSTRUMENT PREPARED BY:
Nano: Jtnntxm ►.'4iriint
Address: 72q Mnin Simnt
Vitindnnteml, Ft 114Y80
NOTICE OF COMMENCEMENT
Ponnit kcmttwr:
Parcol 10 Nuinbet.. 02-:!0 ;)0 ,iGL.0000-0670 . .
l let tuldt"I tlluil horalty tIJVnB ikitlim !hill knitnrrrknonl will till nuuk) to corbtiti rout proo ly, and in nccordfQlco With Cha(star 713, Florida Statutes, the
fdli�> ilg udoinuttion W provkfod in 1h4 Nptwo of Conum"ir mwe
1. RF�SC)t�E'TI�iN QC PtiLPERTvI(�n.�ill �Mrylh�lltpt) j,�>t2.IX��tlthtJltl�Lsuctat ndt'Itnas It rtvtUl:rblo)
102 S(7 hIA'LL"PlEALMA1OUL RTL ASMS tFOnR3Dt. r-L[-3277T3-3-_t..C.l.
2. GENERAL DESCRIPTION OF IMPROVEMENT:
REPLACE ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Nanky rind addross: JUANITA SAWYER 102 SA6AL PALM COURT SANFORD, FL 32773
Inlnrctatinlxonody: OWNER__
Fee Simple Title Holder (tt other thnn owner lislod abrivo) Nnroq:Y _..__.__
Address.
4• coNTRacrDR Nnmu:,SALVATflRECATALDOtG�Ry�ytrc L�)ey ,WNwnbar. 304-871-?663
Address: 729 MAIN STREET WINDERMERE. FL 34786 _
5. SURETY (if applicable, a copy of the payment bond Is attached). Namo:
Address: Amount of Bond:
6. LENDER: Nsmo; Phone Number.
Address: _
7. Persona within the State of Florida oestgnated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name:,_,_ Phone Number.
Address-
S. In addition, Owner designates of
to receive a copy of the Uenors Notice w provided in Section 713.13(1)(b), Florida Statutes. Phone number.
S. Expiration Date of Notice of Commencement (The expiration Is t year from date of recording unless a *#Grant date is specified)
WARMNO 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.
( j <
r!, '7d G •w /z�,ytict w _ _ ,. � i.c C.'Yl � �..:,. )r:c tt �' i.—
`7
(3gneurce of Owner orU ar • a La�seoY i�+nt Na.w �n0 thovid� Si � '�TttlNOIAa)
'�.._ MModzaeoNonrmiroctndPeme n�ywf
State of County of � ►�h , ,� a ( t
The=7:3z-
ed before me this `t day of
�----
by�Wha is personally known to ma DR
ttakuront
who has produced ldsnt a"On 0 typo of Idstltilication produced:
r~
MtN"." Wlobtapatt'Iodda ��-' •"
ED?,
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GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018030567 BK 9094 Pg 1564; (1pg) E-RECORDED 0312112018 08:34;59 AM
10.00
R regCITY OF
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 18-141-7 ISSUE DATE: 03. a 3. 1
CONTRACTOR:I s�Il_� �Gt `�,A ItAll" i/'�f40W
JOB ADDRESS:
v
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 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
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 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 OWNERIBUILDER SIGNATURE: �- DATE: ;I LL - i q
CITY Of
SkNFORD PERMIT #
Building & Fire Prevention Division
t ;1i `" " ' ' j"., N i RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB A.DDREss: O L JG bA 1 t?Di lm (owt 6an4jM91 rC . 3 2 `) -73
STRUCTURE TYPE: EfSINGLE 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)
/c
DECK TYPE (PLEASE SPECIFY): -L- p k_1 Vwa )a1
*PLEASE NOTE: ONLY IOU SQUARE FEET OF THE
ROOF VENTILATION: O OFF -RIDGE O RIDGE
DECK IS PERMITTED TO BE REPLACED""
(3/sOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2G:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
�
FL# �®
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""APPLICABLE"
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#
OINSULATED
FL#
O TILE
FL#
Q OTHER:
FL#
FIRE INSPECTIONS
CITY -OF' SANP'ORD
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 . . .
. . 18-00001477 Date 3/22/18
Property Address . . . .
. . 102 SABAL PALM CT
Parcel Number . . . . . .
. . 02.20.30.5GJ-0000-0670
Application description .
. . ROOFING APPLICATION
Subdivision Name . . . .
. .
Property Zoning . . . . .
. . MULTIPLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1039650
Permit pin number 1039650
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 111 BL03 FINAL ROOF / /
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: �� ADDRESS:
irrrcl . EL . 32 -1.13
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#: (LC 1 33b?)e--
COMPANY / CONTRACTOR: Co -_ 1 `U &+7 C 1 IIY� I�G iY� TTl L,�( AA
CONTRACTOR SIGNATURE: I A DATE: 4. '
(MUST BE SIGNED BY LICENSE F&AR 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, 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 Orb CN q
Sworn to and Subscribed before me this Z1 day of �r i 20 i K by:
15G1vcrloy-e Cam%do . Who is ❑tersonally Known to me or has ❑ Produced (type of
identification)
Signature of N6f ry Public
/TviDd/StainD Name
of Notary
as identification.
"77777. KEELEYC; EHRENREICH
,2a,.....c ; '. 5 ,...
Gomm�ssion # ff 963931
Expires February 23, 2020
Bondaa Thru Troy Fain Insurance 800-385-7019