HomeMy WebLinkAbout126 Gleason CoveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /Y—
Documented Construction Value: $ of i woo . �.
Job Address: ti �.� C,>-\`�a(� Gv Qr,k
Historic District: Yes ❑ No R1
Parcel 1D: (pry-- 2O-
?:)Q - 6'�, -- 0000 " \\ �5Q
Residential ® Commercial
❑
Type of Work: New ❑
Addition ❑ Alteration X] Repair
❑ Demo ❑ Change of Use ❑ Move
❑
Description of Work:
2Z •
Plan Review Contact"Person: A ��;t(�t1�1GJ..y ___ _ Title: Xk kx&N
Phone: �QO'j -�.Cl _�11�0?� Fax: Email: OMLi�iVA@
Property Owner Information
Name Phone:?a2
Street: 12( ( Cv Resident of property? y 5
City, State Zip:
Contractor Information
Name VOC�- L'LA_1k{i� Phone:
Street: ( ccoct� A. Fax: oon
City, State Zip: State License No.: Ccco ILJ
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 5u' Edition (2014) Florida Building Code
Revised: June 30, 2015 Pcmtit 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 Owner/Agent Date
Print Qlvner/Agent's Name
Signature of Ngtary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of 1D
Sig ature of Contractor/Agent Date
Print Contractor, Agent'.s Name_
Signat�Notary-State of Florida Date
Megan R. Monday
NOTARY PUBLIC
ONCE'
STATE OF FLORIDP
Comm# GG156222
19Expires'l0/301207-1
Contractor/Agent is x 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit- 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
2/16/2018 SCPA Parcel View: 02-20-30-523-0000-1150
Az 4 dJOIRM,CIA
Property Record Card
'i Parcel: 02-20-30-523-0000-1150
sen+wrcr arrv,scyxr j Property Address: 126 GLEASON CV SANFORD, FL 32773
Parcel Information
Parcel 02-20-30-523 0000-1150
I OwnAPETER�S,OLIVER C��
Property Address 1126 GLEASON CV SANFORD, FL 32773
Mailing 126 GLEASON CV SANFORD, FL 32773���--�
Subdivision Name PLACID WOODS PH 2
_ ---------
Tax District r S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2013)
Value Summary
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
[ Cost/Market
Number of Buildings
i 1
Depreciated Bldg Value
$116,285
$103,118
Depreciated EXFT Value
1 $751
I $801
Land Value (Market)
$28,000$25,000
Land Value Ag
F
Just/Market Value
$145 036
$128 919
Portability Adj
Save Our Homes Adj
$68,297
€ $53 758 .
Amendment 1 Adj
.,$0
P&G Adj
__-$0
$0
Assessed Value
$76,739
$75,161
Tax Amount without
SOH: $1,666.00
2017 Tax Bill Amount $643.00
Tax Estimator
Save Our Homes Savings: $1,023.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
jLOT115�._
PLACID WOODS PH 2
PB 58 PGS 4-6
Taxes
Taxing Authority
Assessment Value
exempt Values Taxable
Value
County General Fund
l
$76,739 1
$50 000
$26,739
Schools
City Sanford
$76,739 i
$76 739 1
$25 000 '
$50 000
$51,739
$26,739
SJWM(Saint Johns Water Management)
$76,739 `
$50 000
$26,739
.........
County Bonds
$76,739
......
$50,000
$26,739
I Sales
Description � � �-�
Date�� _:j:Book
Page
:[Amount
Qualified
Vac/Imp
WARRANTY DEED
9/1/2012
07857
1359
1
_
$80,000 No
Improved
WARRANTY DEED
2/1/2006
06142
0824
1
$215,000 j Yes
Improved
- ... W.... _._
QUITCLAIM DEED
6/1/2005
05912
0544
_
$100 r No
{Improved
QUIT CLAIM DEED
10/1/2003
o5115
0171
$100 I No
Improved
SPECIAL WARRANTY DEED
4/1/2001
04067
0855
$89,900 Yes
Improved
Find ComparaMr, Sataa
E Land
_................. ..
_ .
Method I Frontage
Depth
Units
Units Price
Land Value
11
}
LOT
.........
1
v
$28,000.00 (
$28,000
Building Information
-.... ...... ..
Is Bed,/Bath count incorrect? Click Here.
http://parceidetaii.scpafl.org/ParceiDetaillnfo.aspx?PI D=02203052300001150
1 /2
umversal
k
.Roof & Contracting Page 7 of 12
SCOPE OF WORK:
1. Tear off existing roof.
Pitch 6/12
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 188 lineal feet of new drip edge. Color bum
5. Provide and install all new bullet` boots (1-1 %" & 1-2" & 1-3"). Color _
6. Provide and install 40 of shingle over ridge vent.
7. Provide and install all new goosenecks (34" ). Color _1, r r+'�`
8. Provide and install:new valleys, using 8 step closed valley system.
9. Install O/C starter shingle to manufacture specifications.
10. Install OC hip and ridge / cap shingles to manufacture -specifications.
4
11. Provide;and mechanically fasten Rhino Roof synthetic underlayment.
12. Provide :and install Self Adhering Polymer modified underlayment around pipe,penentrations and roof
wall transitions.
13. Provide and install Fungus resistant shingles, according to manufacturer's specifications.
14. Detach and dispose existing gutter and leave. downspouts. (if not detached by owned
15. Homeowner responsible for coordinating gutter removal and resetting/replacement.
16. Universal to provide a seven year written roofing guarantee and one year workmanship warranty on
non -roof work..
17. Universal to fumish material and labor.
18. Universal to furnish a building permit.
19. Clean up and haul off all roofing debris from property.
20. Protect landscaping.
21. Roll yard with magnetic nail :bar to ensure removal of nails.
22. Detach and reset 1 rain sensor. Universal Roofing Group not responsible for calibration upon
resetting.
Owner. oK'�
Universal
uruversal
Roof & Contracting
Page 8 of 92
INVESTMENT:
Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the
``,,above specifications, and subject to conditions found on both sides of this agreement, for the sum of:
Oe' PoOwens Corning, 3 tab shingles $7885.22
OC� Upgrade: Owens Corning, Duration, Designer with Sure Nail Technology ADD $500.00
ar P a Upgrade: Ventilation / Bullet Boots ADD $300.00
C' O Upgrade: Renail Roof Deck (no o and I in policy)( ADD $475.00
Total 91,60.22
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. (%
All change orders for wood rot and hidden damage are due day of roof completion. X O,-)C- i
Universal Roof & Contracting will submit the price and scope of this contract with the insurance company and agrees
to do the roof for scope and final dollar amount submitted to the insurance ,company. The cost to the homeowner,
which will be paid to Universal Roof & Contracting, is the deductible; upgrades, and any potential:additional work
orders including, but not limited to wood, stucco, siding and wall flashing. Additional work orders must be paid by the
homeowner the time the AWO is presented before the work is done, but will be submitted as supplemental
requests to the insurance company by Universal Roof and contracting for the homeowner's reimbursement. Any
additional items submitted to the insurance on.behalf of this including overhead and profit, will'be owed upon
approval.
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.)
$_9160.22- Total Order
$ 2 �' q Contract Signing
$ 7 Due on Start Date (Deductible 'hind Upgrades)
$ -q7OD 8�'• 73 Due Upon Completion of Roof*
(*Remaining money received from Insurance Plus Hidden Damage not factored into this payment)
Final P ent (Any additional money from Insurance: Depreciation, Supplement/payout)
By: By.
Print (dame: Chris Peters Print Name:
Date: _ 1/18/2018 Date:
By:
Unive al Roof & Contracting
0, c: P
Universal:. '1—
11a11.111 011111 fie6► 11110 11111 t111111111 Jill
THIS INSTRUMENT PREPARED BY: GRANT NALO P ENINOLE COUNTY
Name:. i �CDaY\ 'b�lOr\�ci5 1 CLERK OF C:IRCU;IT COURT & COMPTROLLER
Address; �tn5� ('ti s �se(- PY, 9067 P3 5 � (1Pgs )
l;�\ad'} , X!- CLERK IS Y 2018011903
RECORDED 02/01 /'2f i 18 11.- 09.53 nrl
RECORDING FEES $10.00
'ICE OF COMMENCEMENT RECORDED BY ttdevore
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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Lb'} \\vj
GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: L QeA,.� t (D `JC)(\ 0V r oq,,' Cc& � Y)- 3a-1-13
E32— Interest In property:
Fee Simple Title Holder (if other than owner listed above) Name:.
Address:
4. CONTRACTOR: Name:
Address:_ QD15 P—d
S. SURETY (If applicable, a copy of the payment bond Is attached):
Phone Number:
Address: Amount of Bond:
LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Phone Number:
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 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.
obv� 6 s -fie. C
C
(Signature of Owner or Lessee, or Owners or, Lessee's (Print Name and Provide Signatorys Tittle/Office)
Authorized Offlcer/Dlrector/Partner/Manager)
State of XW County of
The foregoing Instrument was acknowledged before me this _ _Ieday of 00AUCt,P-U , 20
by ��`w r ��`� OcA'I'-c---�, . Who Is personally known tome ❑ OR
Name of person making statement r ��
who has produced identification,&type of identification produced: l`
Eric James. vyborny
NOTARY PUBLIC
t r „ --STATE OF FLORIDA
COmm# FF203960
C 'IIP, RC; r �tig,r Expires 2/26/2019
DE Ls
—V�---
Notary Signature
CITY OF
f SkNFORD
}
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. I • ISSUE DATE:
CONTRACTOR: ��/�% �•`I�.=Q� /�
JOB ADDRESS: ila (0 a / e d-TV
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
WN PECTION 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
R" CITY OF
Building& Fire Prevention Division
SkNFORD RESIDENTIAL RE -ROOF POLICY& PROCEDURES
r1fiF
PERMITTING Rri;QUII2EM,EN,rs-NO PLAN ItLNIIEWREQUIRED
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 LOCATED1NTHE - SANFORD HISTORicDiSTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BV1'HE
SANFORD HtsToRtC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR ,RFSIDEN'l 1A.L'(SIINGI;E FAMILY, TowNHOL.JSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS, REQUIRED TO BE, PROVIDEON THE JOB SITE;
® PERMFI'CARD, POSTED,
ED, IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAL R-E-ROOF SCOPE OF WORK
CO,,MPLE-'],-ED'AND ,NOTARIZED IN.Si�ECTIONAFFIDAVIT
® ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUC"fIoNs
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON TRE SC
OPE OF WORK)
DIGITAL PHOTOGRAPHS (MUST INCLUDE TILE PERMIT NUMBER OR ADDRESS IN, EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED,
• ROOF DECK NAILING PATTERN & SPACING,(INCLUDING A MEASURING DEVICE OR RULER)
• ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• Diup EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
• SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAI.I..S
0 SKYLIOHTS (IF APPLICABLE)
• DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COM PON ENTS., PER FL PRODUCT APPROVAL
AL
• DIGITAL PHOTOGRA-1 FIS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE To VOL-LOW TffFSE SPECIFIC GUIDEI.ANES WILL RESULT IN A - N AFFIDAVIT PROVIDED 13Y Y ALORIDA DES16N
PROFESSIONAL (ARCHITECT OR ENGINEER), CIF ERTYINc FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CoN1,mAc-r01R (QR OWNFRIB011-DER) SIGNA,rURE: DATE:
CITY OF
#SkNF-0RD PERMIT
ENT Building & Fire Prevention Division
i` I I C? r'1 I i " RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: (iC�i� �Ui �c�(t'' ( i J 1- 5�z`fit-�)
STRUCTURE TYPE: (�& SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME: O APARTMENT/CONDOMINIUM
RF.-ROOT• TYPE a RFPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)'
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK'CYPE (PLEASE SPECIFY):
"*`PLEASENOTE: ONLY 100 SQUARE FEET OF THE F-VISTING DECK IS PERAHTTED TO BE REPLACED**
ROOF VENTILATION: DOFF -RIDGE (RIDGE OSOFFIT OPOWERED VL•N'C OTURf3fNfS
SKYLI ;H'I'S: O YES' ( NO .IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL.#;.
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
O 2;12 - 4:12 '(Z) 4:12 OR GREATER
TYPE OF'ROOF
MANUTAGTUREI?
a-LOR[DA PRODUCT`APPROVAL
S`tilNeLr
FL#�,C
0 METAL;
FL#
O MODIFIED BITUMEN
FL#
O ToRCII DOWN
FL#
OINSULATED
FL#
O TILG
FL#
OTHER:1i-
FL#
ROOF EXTENSIONS (PORCHES, PA'1IOS,'E'fC.) "IFAPPLICARLE"
ROOF SLOPE: O LESS T11AN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODu(:T APPROVAL
O SHINGLE
FL#
O'ME"I-AL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECT;ONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 18-00000920 Date 2/19/18
Property Address . . . . . . 126 GLEASON COVE
Parcel Number . . . . . . . . 02.20.30.523-0000-1150
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . MULTIPLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1032747
Permit pin number 1032747
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
CITY OF '
® Building & Fire Prevention Division
RESIDENTIAL RE-R 0 OF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ADDRESS: ,.a� CAelkbC)(\ Cj j
07R6. J�`1-flb
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
00 CONTRAC , ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INF RMATION 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 #:QzCX)t)-A\(,6 t)
COMPANY / CONTRACTOR: 1)a
CONTRACTOR SIGNATURE: WFIO& DATE:
(MUST BE SIGNED BY LICENSE HOLDER 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 . AAM)2i
Sworn to and Subscribed before me this �_ day of 20 %-%- by:
. Who is � Personally Known to me or has ❑ Produced (type of
identification) as identification. 0"'V
Megan R. Monday
NOTARY PUBLIC
STATE OF FLORIDA
State o a of Notary Public Megan R. MondavComm# GG156222
State of Florida
NOTARY PUEL,;�', Expires 10/30/2021
l>AK:IACt(\ PZAA W 0,Qa-re
STATE OF FLOR
of Notary Public 111I4
Prin pe/Stamp Name I Comm# GG156222
Expires 10/30/202