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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