HomeMy WebLinkAbout1706 E 2 St4�CITY OF
A
r ;
OR _ 3 2018 Building & Fire Prevention Division
PERMIT APPLICATION
4 Application No,: �d / oy-"
Documented Construction Value: $ 20,178,00
Job Address: 1706E 2ND: S.T Historic"District: Yes❑No7
Parcel ID. 25-19-30-5AG-0404-0010 Residential Commercial
Type of Work: New[:] Addition❑ Alteration Repair Demo Change of UseF 1 Move
Description of Work: REROOF 41 SQ -�28SQ GAF TIMBERLINE HD ARCH SHGLS W/GAF & .
WEATHER WATCH MODIFIED UNDERLYMT & 13SQ GAF LIBERTY SA MODIFIED BITUMEN
Plan Review Contact Person: CHRISTINA
Phone: 386-957-4005 Fax:407-264=8798
Title: GEN MGR
Email: RUSSNOYES@YAHOO.COM
-Property Owner Information
Name MELISSA TRAN & WILLIAM GILMER Phone: 202-297-4127
Street: 1706, E 2ND.•S,T .. Resident of property? : Y
SANFORD FL 32771 '
City, State Zip: • . _ ; � .
5 Contractor Information
Name RUSS NOYES ROOFING INC
Street: 1095.NURSERY RD
City, State Zip: WINTER SPRINGS FL 32708
Name: N/A
Street:
City, St, Zip:
Phone: 407-388-7700
Fax: 407-388-7701
State License No.: CCC1326879
,'Architect/Engineer Information`
Phone:
Fax:
E-mail:
r.
Bonding Company: NIA Mortgage Lender: N/A
Address: Address:
,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I 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: 6th Edition (2017) Florida Building Code
Revised: January 1, 2018
Penn it 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 1 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 tiine 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 Signature of Contractor Agent Date
Print Owner/Agent's Name
Signs a otary-S to of Florida Date
JON C. HILL
state of FWft
W � Expires Oct 16. 2021
No. GG 161920 _ .
Owner/Agent is Personally Kno to�Me or
Produced ID � Type of ID T-7V �J
41 kASS Ad0VeS
Print Contractor/Agent's Name
Si ague otli -Sta e e
BUFM
MY COMMISSION #FF182593
','FOFoe EXPIRES December 10, 2018
( 407 ) 398-0153 FloridallotaryService.com
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❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
Gas❑ Roof ❑
Flood Zone: _
# of Stories:
New Construction: Electric = # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
SCPA-Parcel View: 30-19-31-602-0300-0370
2/6118,-5:61:PM-
- Property Record Card
Parcel: 30-19-31-502-11300-0370
racrwaaccum,naaw Property Address: 1706E 2ND Sj SANFORD, FL32771-1508
Parcel Information Value Summary
-
Parcel 30-19-31-502-0300-0370
TRAN MELISSA
Owner GILMER, WILLIAM
Property Address 1706 E 2ND ST SANFORD, FL 32771-1508
Mailing 1708 E 2ND ST SANFORD, FL 32771-1508 Subdivision Name MARVANIA IST SEC
Tax District SISANFORD
DOR Use Code 01SINGLE FAMILY
Exemptions I O"OMESTEAD(2017)
IOU
- 37
.
2018 Wonting
2017 Certified
Values
Values
Valuation Method
CosVMarket
CostlMarket
Number of Buildings
1
1
Depreciated Bldg Value
$144,170
$135.754
Depreciated EXFT Value
$200
$200
_._..__.___...._..____
____......... _......... .... _._.____._...__._____.__..._...
Land Value (Market)
$29,682
$29.682
Land Value Ap
—_
JustlMarket Value"
E174,052
a165,636
Portability Act
Save Our Homes Ad1
b4,938
S0
Amendment 1 Adj
$0
P8G Adj
s0
so
Assessed Value
$169,114
1 $165,636
2 Tax Amoum without SOH: $Z366.11
�. 2017 Tax Bill Amount $2,366.11
-
'�,,: � I Save Our Homes Savings: ;0.00
135 ' 135 Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GIS
Legal Description
LOTS 37 + 38 SLK 3
1ST SEC MARVANIA
PS 4 PG 100
' 1 Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
_.__ .. _......_ . ____ �._ ._. ..._._..
Schools
City Sanford
$169,1141
... ..._.._ .... __.,
5169114
$169,114
$50.000
_...... ...._
$25,000
$50,000
$119,114
—_
5144,114
$119,114
SJWM(Saint Johns Water Management)
_----.-_-�--$169,114
$50,000
---- $119,114
_.
County Bonds
$169,114
_
1 $50,000
$119,114
Saba
Desorption Date Book Page Amount Ouafified Vadlmp
WARRANTY DEED 10/1/2015 08581 Q1g;t $185,000 Yes Improved
WARRANTY DEED 7l1/l993 02617 1692 E87,50000 Yes (Impr0ved
WARRANTY DEED .._ -.... 91193 ... 02617 ..___._537000 No _.Improved ..... -
.__. . .. _._ _._ .. .... .... pr ....—.___
ADMINISTRATIVE DEED 91111992 424$2�1$2Si i 5100 No Improved
PROBATE RECORDS 4/111992 024E 1 9_i3.Q I $100 No I Improved
Find CgMpWaok Santa
Mettwd Frontage Depth Units Un. Prim —Land Value
FROM FOOT B DEPTH ' 102.00� 135.00 1 0 $300.001 E29,682 1I
Building Information
M
Description
Year BWIt
Act ..Ifflective
Fixtures
Bed
Baal
Base Area
Total SF
LMrg SF
Ext Wall
Adj Value
Rapt Value
Appendages
1
I SINGLE
195N1970
6
0
2..01
2,096
2,723
1 2,0961
CONC
$144.170
i $197,493
` Description
�At- I
FAMILY
II
BLOCK
I
CARPORT
-FINISHED
418.00
OPEN
1
_
f
f
I PORCH
FINISHEDU
75.00
I
IT
FINISHED
(
1 30.00
UT
FINILITYISHED
48.00
I
'
1
±
I 56.00
FINISHED
FINISH
Permits _
Permit a rDesalplbn Agenq Amount CO Date Permh Date
No Permits
Description Year Built Units Value New Cost lII
SHED 4/1/1998 --- -- 1 j $200 I 5500
http://parCeidetall.scpafl.org/ParceiDetallinfo.aspx?PID-30193150203000370 . Page 1 of 1
"rtill ts
wmiam ofter, Tue&*,January I0,20I8
1706 EM 21d Street
Sanford FL 32771
202-2974127
We PrOPOW to aforementioamad
all labor, ma rats, permitting, SuPaviSioand equipme& necessary to cm*ft
the ltmodpr0edfor the
All r00fiM SYSWM designed and installed by our omt1fied msWigm will mooed the Florida Residential Building Codes and mad
the standards of our =hzin Rhino Roofing hLitgWon System. Then
Standard & installation practices in the ln�. systemsam in P184C to W= You're rwdvjng the highest
Raman exisft roof system and haul away an debris.
• hwPect all wood decking and fiscia board for ddmm
• New wood dedmg and fiscia board to be r9laced due to mating damage is anAgELCharge! Of $65.00 per shad for roof
darldn& $6.00 M foot roof decking boards, 39-00 per fOOtf0rfascia and bracing, S 95.00per sheet fill aiding, and $9.00pa
foot on siding UM I (Initiall)
• Renail entire roof deck W-A 2 3/r 8-D ring dw& nails to current wind mitigation building codes,
• hatall new self adhering modified shingla' or MOW nadmi&ymcnt Over the antire roof desk
• WWI new pMainted. 2 'A" frece cave drip
• Install new base Bashing with aaarad oountar gaWft on the
• Install all new We boot flashings and in vents. LM —he _dimm.
• Install 30ft of ridp vents f proper attic vmdtafim
• Install new W leertaperedrWd hwalarian on the flat roof section for proper drainage.
Indall new 2ply self adhow— 9n on the newly sloped flat section.
Inaell new mmuouUffw shuWaa w"b all Tagairits.nwmsuy COP ahinglea cad_startershingles install to the 130nVh wwawy
• OPTION, Install new 26gia. Gal%mlme Standing Seem mew roof panels on the steeper sloped erta;only, installed to Inad the
mamacka= recommended installation requh=MtL
This roofing system comes with a 'ted
Lifetime worlananship and leak warranty.
FOR THE SUM OF S 20,178A (haw) A4d S 9AOA,for mew roof panek(Initial )
• A NONREFUNDABLE DEPOSIT OF 15% (S OF THE INITIAL CONTRACT AMOUNT SHALL
BE DUE UPON EXECUTION OF THIS AGqiuj�wolw 5 . HALL NOT POMMLT4CE UNTIL DEPOSIT
RECErVED.
• ALL OTHER ARE DUE wrnM 48HRS. OF SUBSTANTIAL COMPLETION OF EACH r1xM OF
WORK.
• ALL PRICE , ARE BASED OFF OF CASH OR CHECK PAYMENTS. ALL
BE SUWECT TO A 3% PROCEESSING FEE AND ALL MONTE94Y PAYMENTS INCLUDE AMICABLE
BANK FEES. TOW Fees S
Thank You for considering us
Russ Noyes
HAAG Cert. b2q)ccw
Staft Cert. Cowwwr
1095 . NURSERY RD WINTER SPRINGS, FL 32708 407-388-7700 386-957-4005 FAX 4.01-388-7701
&UMMMOCYAROO.COM YE� W_RljsSw0YE'RQQJMj
STATE UCENSE # CCC1326879
Russ Noyes Roofing Shingle Job Costing Form
Customer.
Address:
City: Stabs 8p
Billing Address.
Phone:
E-mail:
Materials
Options
Discription
Quantity
Units
Retail Price Tax
_ Extended Retail
Shingle
Atlas Pinnicale Pristine
3bdls per sq
75
Bundle
$
24.33
7% $
1.952.48
Cap Shingles
Hip 8 Ridge
30ft per bdi
4
Bundle
$
44.00
7% $
188.32
Starter
Starter Shingle
120ft per bdl
3
Bundle
$
35.00
7% $
11Z35
Shingle
GAF Timberline HD
3bdis per sq
Bundle
$
28.00
7% $
-
Shingle
GAF Timberline A/H
3bdis per sq
Bundle
$
28.46
7% $
Shingle Install
Timberline Ultra HD
4bdis per sq
Square
$
114.20
7% $
-
Cap Shingle
Seats -Ridge
22ft perbdl
Bundle
$
36.00
7% $
-
Cap Shingle
Timber Tex
20ft per bdl
Bundle
$
43.00
7% $
-
Starter
Pro Start
120ft per bdl
Bundle
$
38.50
7% $
-
Nails
Decking Fasteners
15sq per box
2
per box
$
32.00
7% $
68.48
Nails
1 1/4" Etectro Galy Shingle
15sq per box
2
per box
$
30.00
7% $
64-20
Nails
1 1/4" Hot Dip Gahr Shingle
15sq per box
per box
$
63.00
7% $
-
Nab
1 3/4" Electro GaIv Shingle
12sq per box
per box
$
43.75
7% $
Nab
Simplex Simplex Metal
153q per bkt
per box
$
35.00
7% $
-
Nails
Simplex Plastic
15sq bkt
per box
$
22.00
7% $
-
Nails
Insulation Screws
per sine
per bkt
$
161.10
7% $
-
Moditied
GAF Liberty Neil Base
2sq roll
perroll
$
88.00
7% $
-
Modified
GAF Liberty ply base
2sq roll
per roll
$
98.00
7% $
-
Modifiad
GAF Liberty Cap Sheet SA
1sq roll
per roil
$
88.00
7% $
-
Modified
Flinlastic Nail base
2sq roil
per roll
$
88.00
7% $
-
Modified
Flinlastic ply base
2sq roll
7
per roll
$
93.00
7% $
695.57
Modified
Flintiastic Cap Sheet SA
1sq roll
14
per roll
$
86.00
7% $
1,288.28
Adhevises
Karnak 66 Brush Grade
5gal bkt'
per bkt
$
41.43
7% $
-
Adhevises
Karnak 68- Trowel Grade
5gal bkt
2
per bkt
$
41.43
7% $
88.66
Adhevises
Karnak 19 Root Cement
5gal bkt
1
per bid
$
45.90
7% $
49.11
Single Ply
50mlI Duro•Last
square feet
square feet
$
0.95
7%. $
-
Single Ply
60mll Duro-Last
square feet
square feet
$
1.15
7% $
-
Underlayment
GAF Weather Watch
2sq roil
15
perroll
$
63.00
7% $
1,011.15
Undertayment
301b felt Undedayment 0228
2sq roll
per roll
$
28.00
7% $
-
Underlayment
Synthetic (Palsiade)
10sq roll
per roll
$
105.00
7% $
-
Underiayment
Synthetic ( Deck Armor)
10sq roll
per roll
$
190.00
7% $
-
UnderlaymeM
Fiberglass base
5sq roll
per roll
$
38.00
7% $
-
Drip Edge
8" Galy. Eave Drip
loft pieces ,
35
per PCs
$
7.30
7% $:
273.39
Drip Edge
e" Aluminum Eave Drip
loft pietas
per PCs
$
7.27
7% $
-
Valley
16" Valley Flashing
Soft roil
1
per roll
$
44.00
7% $
47.08
Valley
W style open valley
1 Oft pieces
per 10ft
S
18.40
7% $
-
Vailey
W We open Copper
1Oft pieces
per 10ft
$
51.90
7% $
-
Flashing
4x5" L base flashing
10ft pieces
1
per 1Oft
$
7.30
7% $
7.81
Flashing
Phlly counter flashing
10ft pieces
1
per 10ft
$
6.00
7% $
5.35
Flashing
No Caulk counter Bashing
custom pieces
per piece
$
5,10
7% , $
-
Boot
1 1/2" Lead Boot
each
$
9.40
7% $
-
Boot
2" Lead Boot
4
each
$
9.40
7% $
40.23
Boot
3" Lead Boot
1
each
$
13.50
7% $
14.46
Boot
4" Lead Boot
each
$
18.55
7% $
-
Boot
5" Lead Boot
each
$
26.00
7% $
-
Vent
Aluminum Ridge Vent
loft pieces
each
$
14.00
7% $
-
Vent
Cobra ill Ridge Vent
4ft pieces
each
$
9.00
7% $
-
Vent
4" Gooseneck Vent
each
$
14.00
7% $
-
Vent
10" Gooseneck Vent
1
each
$
18.00
7% $
17.12
Vent
10" Master Flow Lower Vent
6
each
$
19.00
7% $
121.98
Vent
3" Stove Pipe Flange & Caller
each
$
36.00
7% $
-
Vent
4" Stove Pipe Flange & Caller
each
$
35.00
7% $
-
THIS INSTRUMENT PREPARED BY:
Name: CHRISTINA NOYES
Address: RUSS NOYES ROOFING INC
1095 NURSERY RD, WINTER SPRINGS FL 32708
NOTICE OF COMMENCEMENT
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
Br, 9086 P3 171 (IF9s)
CLERK'S AT 2018024519
RECORDED 03/06/2018 09:15:36 All
RECORDING FEES $10.00
RECORDED BY hdevore
Permit Number:
Parcel ID Number: 30-19-31-502-0300-0370
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)
LOTS 37 + 38 BLK 31 ST SEC MARVANIA PB 4 PG 100
1706 E 2ND ST, SANFORD 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
REROOF 41 SQ - 28SQ ARCH SHGLS & 13SQ MODIFIED BITUMEN
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MELISSA TRAN & WILLIAM GILMER 1706 E 2ND ST SANFORD FL 32771
Interest in property: FEE SIMPLE
Fee Simple Title Holder (if other than owner listed above) Name: N/A
Address:
4. CONTRACTOR: Name: RUSS NOYES ROOFING INC Phone Number: 407-388-7700
Address: 1095 NURSERY RD, WINTER SPRINGS FL 32708
S. SURETY (If applicable, a copy of the payment bond Is attached): Name: N/A
Address: Amount of Bond:
6. LENDER: Name: N/A 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.
Name: N/A Phone Number.
Address:
In addition, Owner designates N/A of
to receive a copy of the Lienors 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) N/A
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.
f , (��L �
)
(Signature of Owner or Lessee, or Owners or Lessee's (Print Name and Provide Signatorys Title/Office)
Authorized Officer0rector/Partnermanager)
State of l to / ,'afa County of Se h�
The foregoing instrument was acknowledged before me this � � day of /,t Pe .
by iA/. ��A/1% �L�Gt/i S Lr / rY1Cr �Tf_ Who is personally known to me ❑ OR
Name of person making statement
who has produced identification W type of Identification produced: i-L ZL 7' lr/ q3,?' -7�2' .3q /- 0
JON C. HILL
Notary PUNIC,IState of Floflde
MyConim.EolesO LdeF i)Ci1FY G1t."'„.1 /; Notary Signature
AND CU: MiP7f'0' -11
SEMIN
Date [ ��
:mil 'psi
1City of Sanford
Permit #
Project Location Address
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. pre 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.orq.
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 1
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
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
-
p /
Underla ments
kV i .n
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shin les
Roofing tiles
Roofing
Insulation
Waterproofing
roofin
Built up roofing
System
Modified Bitumen.
.Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
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
Applicant's Signature - n
Applicant's Name Ku—<�s Noy
(Please Print)
June 2014
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(INCLUDINGA MEASURING DEVICE OR RULER)
o ROOF DECKNAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZROF NAILS) -
o UNDERLAYMENT PATTERN & SPACING. (INCLUDING A MEASURING DEVICE OR RULER)
O DRIP EDGE &•.VALLEY ATTACHMENT. (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
• SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o _ • DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR.ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: _��� DATE: r
CITY
OFF
1.� PERMIT #
FIRE DEPARTMENT D FOR
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
JoB ADDRESS: I�D Fi �IVDr'
STRUCTURE TYPE: . SINGLE 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: OFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 6NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-------------------------------------------
MAIN ROOF AREA .
ROOF SLOPE: O LESS THAN 2.12
J2:12 - 4:12 O 4:12 OR GREATER.
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
`'
FL# / 0
O METAL
FL#
6MOD=D BITUMEN
FL# jo b AL
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OOTHER:
FL#
ROOF EXTENSIONS PORCHE PATIOS ETC **IFAPPLICABLE**
ROOF SLOPE: LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
OMETAL
FL#
MODIFIED BITUMEN.
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OOTHER:
FL#
CITY OF
x 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 #: IF — ) � V
ADDRESS: I70k E !�^ -T"
I Kuser ' V dy (�-s , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTORS ENGIlVEER, 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#:o
k-_Il_. ✓O��C! v
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: ,
(MUST BE SIGNED BY LICENSE HOLDER OR OWNE UILDER)
Ida i N�,
A FINAL ROOF INSPECTION IS REOUIRED:
DATE: ! ��
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 S c,rr;h o\G
Sworn to and Subscribed before me this o2 (off' day of 20 _L& by:
U\ (.ASS A)0�4`s Who isAPersonally Known to me or has El Produced (type of
identi cation)
gig —nature of Notary Public
State of Florida
601-in-ee AureF--t
Print/Type/Stamp Name
of Notary Public
as identification.
BONNIE BURKETT
`s MY COMMISSION #FF182593
EXPIRES December 10, 2018
(407) 398-0153 FloridallotaryService.com