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Home My WebLink About174 Golfside CirCITY OF SANFORD M R 2 2 2053 BUILDING & FIRE PREVENTION PERMIT APPLICATION C/1 V Application No: Documented Construction Value: $ �� Q J _I3a�-�-3 � Job Address:; �- L` , i � c;� �C `� c�� SG v�(�l Historic Distr'ct: Yes ❑ No ❑V ` Parcel ID: (04 _ �� - (7' Residential [ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Title: PC-od Phone: 37Sa-004D -t�' ` Fax: _10-14 a - Ul Email: Property Owner Information Name E� R tl_ he � . fVV'*4* w LE G. P{ n' _,Ia 4.._ Phone: -la Street: 11-�-i Resident of property? City, State Zip: -So Contractor Information Name OPVA nC S Phone: --)-U a _ u aQ� Street: r 0, CiSFax: c_=�IqOL -- \4 City, State Zip• C-�-Q. C' cs�z3 3�"State License No.: CC C<0'� ';44v Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 61 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. CD��-IIE Signature of Owner/Agent Date Signjtu f Contractor/Agent Date Print Owner/Agent's Name Print Contra or gent's Name Signature of Notary -State of Florida Date Signature of Notary -State ofFloridY Date CATHERINE PAGLIAZZO �,s Aso NOTARY PUBLIC ESTATE OF FLORIDA Cninm# GG071247 sni.. c Owner/Agent is Personally Knowno McXSros 2/8!2021 ontractor/A ent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[—] Roof ❑ Construction Type: 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 12/1 /2017 SCPA Parcel View: 04-20-30-513-0000-002' CFA &e►a�iu5 oounr�; Parcel Information Property Record Card Owner: PLETCHER3MATTHEW E & ANGELA A 1 t? Property Address: 174 GOLFSIDE CIR SANFORD, FL 32773-4765 Value Summary - Parcel 04-20-30-513-0000-0020 Owner PLETCHER, MATTHEW E & ANGELA A Property Address 174 GOLFSIDE CIR SANFORD, FL 32773-4765 Mailing 102 IDYLLWILDE DR SANFORD, FL 32771-3635 Subdivision Name FAR CLUB Phl 1 Tax Distri S1-SANFORD DOR Use Co AMILY Exemptions I 00-HOMESTEAD(2006) 0 2018 Working 2017 Certified j Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 ; 1 Depreciated Bldg Value $189,181 $178,263� Depreciated EXFT Value $9,000 $9,350- Land Value (Market) $35,000 - $35,000 Land Value Ag , Just/Market Value *`* -m $233,181 $222,613 Portability Adj Save Our Homes Adj _ $90,390 $82,759 Amendment 1 Adj $0 - P&G Adj - $0 --� Assessed Value $142 - 91 $139,854 l (P Tax Amount without SOH: $3,451.04 CD 2017 Tax Bill Amount $1,875.19 Tax Estimator Save Our Homes Savings: $1,575.85 Does NOT INCLUDE Non Ad Valorem Assessments /"-% li Seminole County GIS Legal Description i LOT 2 MAYFAIR CLUB PH 1 PB53PGS7&8 Taxes - Taxing Authority Assessment Value Exempt Values I Taxable Value County General Fund $142,791 $50,000 ( $92,791 1 Schools _ I m $142,791 $25 000� $117,791 j City Sanford - ; _ $142,791 1 $50,000 $92,791 SJWM(Saint Johns Water Management) -- -- $142,791 # _ $50,000 i $92,791 County Bonds $142,791 $50,000 $92,791 j Sales j Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED 3/1/2004 = 05258 1140 ' - 03461 U038 $199,000 Yes I Improved $147,000 Yes Improved -j L----- - Find Comparable Sales i Land j Method Frontage Depth Units Units Price Land Value I LOT 1 + $35,000.00 $35,000 j Building Information _- Is Bed/Bath count incorrect? Click Here. j ( Year Built # Description , ; Fixtures Actual/Effective Bed Bath ' i Base Area Total SF Living SF Ext Wall ( Adj Value Repl Value 1 Appendages 1 SINGLE 4 1998 9 i 3 2.5 1,232 2,748 2,336 3 CB/STUCCO j $189,181 $203,420 Description Area FAMILY FINISH http://parceldetai I.scpafl.org/Parcel Detail I nfo.aspx? PI D=04203051300000020 1 /2 Noland's Roofing Inc. Customer. Matt B Angela Pletcher Date 12 04 2017 Policy Number: UTAMO048031 Phone: 321377 3644 Email: pletchera~lsouthnet Job Address: 174 Golfs%de Cir Sanford FI Sales Persons Name: Lawrence Jones Job Description: Complete Reroof ACCORDING TO FLORIDXS CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB- -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU C.ONS.ULT_AN_ATT_ORNEY.. I z / - oc,�, Clermont, FL. 34711 Dlinnn ZF7_'Jd7�Z77 / F�v ZF7_7d7�ZZZ I it -ma CP. Nn rrrng791 1 Noland's Roofing Inc. Homeowner Signature: �� Date Page:1 1 2-4 1 7 Noland's Roofing Inc. proposes to supply the labor and materials necessary to apply your roofing as follows: A) Remove old shingles and underlayment to bare deck and dispose of properly. 13) Inspect existing decking for water damage and re -nail according to code. We will remove and replace at a rate of $65.00 per sheet of plywood or $5.00 per linear board foot. Cedar Fascia $8.00 per linear foot. (Note: This amount is not included in the total below). C) Noland's Roofing, Inc. will provide all applicable permits. 1. Supply and install code approved CertainTeed Premium Synthetic underlayment to deck using simplex nails. 2. Supply and install code approved 2 72" galvanized painted eave drip and secure to the roof deck with nails around all eaves and rakes (Please specify drip edge color: White customer initials 3. Secure the eave metal with mastic and then apply CertainTeed Starter shingles at all eaves with the seal strip at the edge of the roof. 4.Supply and install all synthetic flashings for plumbing penetrations. 5.Supply and install color matched kitchen and bath exhaust vents. All rooftop vents will be brown. 6.Supply and install CertainTeed Hip and Ride e shingles as required by manufacturers warranty. 7.Remove and deck over existing 411 off ridge vents.(if applicable) 8.Supply and install code approved CertainTeed shingle over ridge vents as required. 9. Supply and install code approved CertainTeed Winter guard self -adhered underlayment to all roof penetrations. 10. Supply and install code approved CertainTeed Winter guard self -adhered membrane in all valleys. 11. Supply and install CertainTeed Landmark shingles per manufacturers specifications and all applicable building es /1' Please specify shingle color: Moiave Tan Customer initials 4 Noland's Roofing Inc. will supply a full coverage warranty upon completion. A manufacturer's warranty shall be furnished if called for above. The above work shall be performed in a substantial workmanlike manner for the base price and the sum of $ 11,983.00 Roof Only Undisputed amount for claim number- 1702FL24004368 Amount $ 12,344.30 Customer's deductible for policy number UlAN0048031 Amount $ 6,120.00 5-STAR WARRANTY CertainTeed Landmark Pro's * * 130 mph wind warranty* * LIFETIME non -prorated labor and material warranty** LIFETIME workmanship warranty- $ Accept Reject Other Trades: Other Structures Coverage B Screen Enclosure $ 2,897.05 Customer out of pocket expense limited to deductible, woodwork and upgrades. With payment to be made as follows: 1st insurance check and deductible upon contract signing. Balance upon completion per trade. Respectfully submitted: 1295 W Highway 50 Clermont, FL. 34711 or....... 4c'7 ')A) A 2 )) / C--'29') A'7_A44Q 1 ;wane- Aln f r^r`r1F7R11 Noland's Roofing Inc. Date: 12- ! -/7 Ho owner Signature: Noland's Roofing, Inc. Page.2 of 4 CHAPTER 558 NOTICE OF CLAIM ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395, 1940 N. MONROE ST., TALLAHASSEE, FL 32399-2202 TERMS AND CONDITIONS / SKYLIGHTS We install only pre -formed skylights, preferably those with true glass domes. However, hard plastic, one-piece skylights are acceptable. • The customer should be present for the setting of the skylights during the re -roofing process. installers will set the skylight at the place that appears correct and, via radio communication, will reposition the skylight at the homeowner's direction. We will do our best to make the installation time as convenient as possible for the homeowner, whether it means installing the skylight first, last, or at another convenient time during our workday. Homeowner accepts responsibility for the final approval of the skylight position. In the event that the homeowner is unavailable to be present during the skylight installation then the installers will use reasonable care in positioning the skylight Noland's Roofing shall not be responsible for the final positioning of the skylight if the homeowner is not able to be present during the installation. • We use reasonable care when removing an existing skylight for replacement However, homeowner acknowledges and understands that damage may occur to the existing drywall and caulking in the skylight tunnel during this process. Noland's Roofing is not responsible for such damage. • If damage does occur during the removal process we will either recommend reputable companies that may complete the repairs or we can have the repairs performed for a fee. In either case payment for the re -roof is due upon completion of the roof and is not contingent upon the completion of any additional repairs. • If the homeowner requests the addition of a skylight after the original proposal is prepared then we will require assistance from both the salesperson and homeowner to determine the exact skylight location. Noland's Roofing will not be responsible for any woodwork or framing for the skylight or the installation of drywall and painting. Payment for the re -roof is due upon completion of the roof and is not contingent upon the completion of additional woodwork, drywall or painting. TERMS AND CONDITIONS / POSSIBLE AFFECTS TO YOUR PROPERTY Noland's Roofing, Inc. must have access to your property in order to complete your roof. The roofing process may affect your property in the following ways: • Current building codes require the use of specific size nails for the installation of your roofing products and the repair of any roof decking, if necessary. The homeowner is responsible for notifying us if conditions such as electrical wiring or plumbing lines are in danger of penetration of these fasteners. Noland's Roofing, Inc. will use caution and reasonable care, however, we are not responsible for damages to such components. • Noland's Roofing is not responsible for broken water lines due to the re -plumbing of the house. • Skylight or vent -hole penetrations may result in loose debris falling into the interior of the home. • Existing roofing debris may be encountered around the surrounding areas of the home during the roofing process. We are committed to providing you the highest quality of service. We want to make you aware of these conditions which require caution so that we may expedite your roofing process and make it a satisfactory experience. I have read and understand the above. Customer is aware that certain types of equipment is used to load roofing materials that may cause cracks to driveways. Noland's Roofing will not be held responsible for any damages or staining to driveways. NOTE: Any damages caused to the property will not be allowed to hold up payment. Customer is aware that this is a construction site and some damages may occur during the time of construction. NOTE: Customer accepts all responsibility for existing gutters left in place during the reroofing process and will hold Noland's roofing inc. harmless for any and all damages that may occur. NOTE: Existing decking conditions and high/ low trusses are commonly seen during the reroofing process by the customer. Noland's Roofing Inc. is not responsible for any of the existing conditions that are pre-existing due to the construction or settling of the current home, building or structure. 1 hereby authorize and direct you, my homeowner's insurance compnany, to issue payment soley and ditectly to Noland's Roofing inc.("Assignee") and any applicable mortgage company(s). Such sums as may be due and owing for all damages payable under the subject contract of insurance, with the exception of damages payable under the contents and additional living expenses applicable lines of insurance. 1295 W Highway 50 Clermont, FL. 34711 or.,...... �cn OA7 A407 I C-- 4G7 7A) A4Q2 r rs..•.e AL. f•f`e n1Z7L244 Noland's Roofing Inc. This agreement does not obligate the customer to Noland's Roofing Inc., in any way unless the insurance provider approves the claim or a court of competent jurisdiction orders the insurance carrier to provide coverage and payment for the damage(s) suffered by the customer. Unless additional work or upgrades are requested, Noland's Roofing Inc.,agrees the project will be completed WITH NO COST TO.THE CUSTOMER, EXCEPT THE INSURANCE DEDUCTIBLE. Homeowners signature X W�CIf i�te Homeowneers name (please print) X Avwek 4 Re - 4el- Date Page.3 of THE CONTRACTOR ON THE FACE HEREOF AND ANY AGREEMENT MADE PURSUANT THERETO BETWEEN NOLAND'S ROOFING INC. NOLAND'S AND THE CUSTOMER(S) WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING SPEICAL TERMS AND CONDITIONS. 1. Full payment is due upon completion of the contract specifications ("completion") shown on the face of this agreement Final local building department inspection delays shall not be the basis for a delay In payment Noland's shall promptly remedy any deficiency found in the final inspection If any. 2. Ten days after completion, interest at a rate of1.5% per month (18% per annum) shall accrue on the amounts due and not paid. Owneribuyer agrees to pay all collection expenses, attorneys fees (including appellate fees), recording fees, and all other costs of collection. 3. Buyer/owner releases Noland's from any and all liability for damages caused by lightning, windstorm, hurricane, fire, mold, subsequent hurricane, and water leak damage during the course ofroofrepairs, including any damage resulting from inspection delays. 4. Buyer/owner agrees to pay all required additional costs/services that may not be shown on the face of this agreement such as, but not limited to, bond premiums, permit fees, Inspection fees, debris hauling, plywood replacement, roofjacks, ventilators, flashing and acknowledges such amounts shall be added to the amount due under this contract 5. Noland's shall not be liable for late performance, partial performance or non-performance of this agreement caused by adverse weather conditions that prevent safe and adequate working conditions, strikes, fires, material shortages from suppliers, permitting delays, inspection delays or any unforeseen events that impede the completion. S. Noland's warrants labor and materials including sheet metal work, for a period of one year from data of completion. All warranty claims must be provided to Noland's in writing. If owner/buyer denies access to the property to Noland's employees or agents to correct covered defects or completes remedial repairs utilizing another roofing service provider without the written consent of Noland's this warranty shall be null and void. The warranty excludes any damage from pre-existing mold and pre-existing roof damage. Water leaks after completion must be reported by owneribuyer orally within 24 hours and within 2 days of detection in writing or damage (not repairs) resulting from such leaks shall not be covered by the warranty. Warranty is not assignable or transferable. Warranty shall become effective upon completion and only upon full payment of all monies due under this agreement 7. If material must be reordered or restocked because of cancellation by the customer, there will be a restocking fee equal to twenty (20%) of the contract price. 8. Guaranty and Limitation of Warranty. There are no warranties of merchantability or fitness of the materials to be furnished pursuant to this contract which extend beyond a period of one year from date of completion. You shall give us prompt notice upon discovery of any such conditions. Our liability is limited to furnishing material and labor to replace or correct defective materials or installation within the time stated above. 9. If this Contract is cancelled by the Owner/Buyer, customer shall pay the company twenty percent (20%) of the contract price as liquidated damages, not as a penalty, and the Company agrees to accept such as a reasonable and just compensation for said cancellation. 10. This contract cannot be cancelled once insurance negotiations begin or work is commenced except by mutual written agreement of the parties. 11. This agreement constitutes the entire agreement between the parties. It may be changed only by written instrument signed by both parties. 12. If any provision of this agreement should be held to invalid or unenforceable, the validity and enforceability of the remaining provisions of this agreement shall not be affected thereby. 13. Any representation, statements, or other communications not written into this contract are agreed to be immaterial, and relied on by either -party, and do not survive the execution of this contract 14. Noland's will have the right to supplement the Insurance Co. in the event material and labor increases over five percent (5%0 from the date of the damage or if materials exceed the original scope of loss. 15. The Company has the right to order excess materials to ensure completion. All excess materials belong to the Company. 16. Supplement paid by the insurance company for additional labor and/or materials needed beyond the original scope of repairs shall be paid directly to Noland's. 17. These conditions shall be considered a part of any contract entered into or authorized to proceed, the same as if they were Included therein. 18. Full scope of insurance proceeds shall be defined as the full price for repairs allowed by the insurance company before any deduction for deductible or depreciation are subtracted. 19. By signing this agreement this is an acceptance of work, regardless of the extent of time of production after contract execution. 1295 W Highway 50 Clermont, FL. 34711 oL.......• 9G7 ')A') A'2'f'f / C.... 4C.7 7A7 A'2'20 a :wen a kl.. r e r`nC7aii 8818i8161iI811881 THIS INSTRUMENT PREPARED BY: Name: Noland's Roofing, Inc/Greg Noland Address: _ 1295 W Hwy 50 Clermont, FL. 34711 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 04-20-30-513-0000-0020 t;tifth�3 11At_(y r SE11INOLE CC LP-ITY CLERK OF CIRCUIT COURT I. C01111"TROLLER CLERK'S r 2018031791 RECORDED 0]",/22,/:2Ci1-8 01. _;%" 11 1'p9 RECORDING FEES $1.0.0o f+:E:CORiED 4Y f1 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) LOT 2 MAYFAIR CLUB PH 1 PB53PGS7&8 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: PLETCHER, MATTHEW E & ANGELA A 102 IDYLLWILDE DR SANFORD, FL 32771-3635 Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: N/A Address: 4. CONTRACTOR: Name: Noland's Roofing, Inc/Greg Noland Phone Number: 352-242-4322 Address: 1295 W Hwy 50 Clermont, FL. 34711 5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A 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: 8. In addition, Owner designates of 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) i 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. �41 :�- � (Signature of owner or Lessee, or owner's or Lessee's Authorized Officer/Director/Partner/Manager) VP (Print Name and Provide Signatory's Title/Office) Z°V State of �� County of �[L a The foregoing instrument was acknowledged before me this I ' tC� e9 9 9 � � day of =: 20 l L/t Lvf��« —"—�'� Who is personally known to me ❑ OR by P Y � . �:;..; �'•' ue; Name of person making statement -"� .r 01 who has produced identification ❑ type of identification produced: `0 411 1"l•�--Q Notary l'3 (or r F- LU d Product Approval Specification Form Permit # Project Location Address` 4—Li sIas- C sx-ck !,In Y� vd 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 U 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(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 1 Shy n �-=1 I y �j Underla ments -e Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing 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 u 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 B. New Exterior Envelope Products Applicant's Signature Applicant's Name r-e r " �n (Please Print) June 2014 City of Sanford Building Division Residential Re -Roof Inspection 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 c com i nce by personal inspection. CONTRACTOR (OR OWNERBUILDER) SIGNATURE: DATE: D ` PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: STRUCTURE TYPE: (/SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: C6EPLACEMENT (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 DECKIS PERMITTED TO BE REPLACED** ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES XNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 10SHINGLE C,P - ijcl�—PPG' FL# 1 J �I�� Iv O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL#