HomeMy WebLinkAbout177 Cedar Ridge LnCITY OF SANFORD
r BUILDING & FIRE PREVENTION
PERMIT APPLICATION
X 3
Application No:
Documented Construction Value: $ 12,300
Job Address: 177 CEDAR RIDGE LN SANFORD, FL 32771 Historic District: Yes ❑ No x❑
�DJ Parcel ID: 31-19-31-527-0000-0460 Residential ❑X Commercial ❑
Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 33 SQ 7/12 Pitch
Desert Tan Oakridge LIFETIME
Plan Review Contact Person: Skylar Amkraut Title: Admin
Phone: 407-278-7788 Fax: 800-337-3361 Email: Permit@Jasperinc.com
Property Owner Information
Name ORTIZ, RODRIGUEZ JOSE Phone:
Street: 177 CEDAR RIDGE LN Resident of property? : Yes
City, State Zip: SANFORD FL 32771
Contractor Information
Name Jasper Contractors Phone: 407-278-7788
Street: 4185 S Orlando Dr Fax: 800-337-3361
City, State Zip: Sanford, FL 32773 State License No.: CCC1331153
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
i
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: 5"' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this perinit, 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..
cceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, PS 7I3.
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 toyour permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information accurate and ,that all work will
_ be dome in compliance with all_applicable laws regulating eonstruction4 and zoning.______
Signature of Owner/Agent Date
Print ONvner/Agent's'Name
Signature of Notary -State of florida Date
_ 03/14/18
Signamr of Contractor/Age t Date
Rudith Goico
Name
SKY;LAR 8 AMKRA,UT
Commission #t FF 127890
'My'Commission Expires
June .oI. 2018
Owner/Agent-is Personally Known to Me or Contractor/Agentis, -Personally Known to Me or
Produced ID Type of ID Produced II) ype of;ID .
BELOW IS FOR OFFICE USE ONLY
'Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ RoofEl
Construction Type: Occupancy Use; Flood Zone:
Total Sq Ft of Bldg;
Min. Occupancy Load: # of Stories:
New Construction: 'Eleetr►c - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes'❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No'❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING
Revised: June 30, 2015 Permit Application
a
i
' 3/13/2018 SCPA Parcel View: 31-19-31-527-0000-0460
CPoauto bhnsa,,crp Property Record Card
W0% Parcel: 31-19-31-527-0000-0460
1:W20L'r unrry aoe Property Address: 177 CEDAR RIDGE LN SANFORD, FL 32771
Parcel Information
Parcel
Owner
Parcel
Owner
31-19-31-527-0000-0460
ORTIZ, RODRIGUEZ JOSE
Property Address
177 CEDAR RIDGE LN SANFORD, FL 32771
Mailing
Subdivision Name
177 CEDAR RIDGE LN SANFORD, FL 32771
CEDAR HILL REPEAT
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2006)
P �
Seminole County GIS
Legal Description
LOT 46
CEDAR HILL REPEAT
P1363PGS9697&98
Taxes
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$129,787
$122,297
Depreciated EXFT Value
� $338��
$350
Land Value (Market)
—
$32,000
$30,000
Land Value Ag
—
Just/Market Value
$162,125
$152,647
Portability Adj
Save Our Homes Adj
$68,343
$60,794
_
Amendment 1 Adj
$0
P&G Adj
$0
$0
Assessed Value
$93,782
$91 853 ;
Tax Amount without SOH: $2,118.00
2017 Tax Bill Amount $961.00
Tax Estimator
Save Our Homes Savings: $1,157.00
` Does NOT INCLUDE Non Ad Valorem Assessments
F7 4 f-% Q
Taxing Authority
� Assessment Value
Exempt Values
;Taxable Value
County General Fund
$93,782
�
$50,000
$43,782
Schools
$93,782
$25,000 �
$68,782
City Sanford
i
$93,782
$50,000 (
$43,782
SJWM(Saint Johns Water Management)
—_--�
$93,782
$50,000
$43,782
County Bonds
$93,782
$43,782
Sales
Description
Date
'Book
Page
Amount Qualified
1 Vac/Imp
QUIT CLAIM DEED
2/1/2013
� 07967
0666
$100No
Improved
`. SPECIAL WARRANTY DEED
2/1/2005
05634
0916
$137,800 Yes
Improved
WARRANTY DEED
7/1/2004
05390
� 0975
$567,300 � No
Vacant
1 , Find O fiarala� Sa i
Land
Method
Frontage
Depth Units 'Units Price
Land Value
LOT
1 $32,000.00
$32,000
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Year Built Fixtures `Bed Bath Base Area Total SF :Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective ,
http://parceldetail.scpafi.org/ParcelDetailInfo.aspx?PID=311 93152700000460
F. Colonial Dr,
Oflando, IT 32M)7
3203 ('011" 11% Rd- Ste- 201
( , MiLndo, 1.1, 12s)2
(4117) 27N_'77SS
(.SO()) 117, 1 i6l 17a,%
R001.1
NTRACT
Account klarugel'
C(All.-JO
wrinam, InfUrmAtion
I'i)dri
AddrL. u
rs;,-
Ali P�u--,e
clop",
Staley i1p —0)'k
C, T mi Amount, ConiPricc Drip
G �_j 12,300 1
Assignment of Insurance Renefivi for the Full Roof Replacerritnt Only. I hctcby a -,,sign any and Al r1cfit.-, twrefit�s zrd err occ=.t;ntl=
any applicable Insurance policies in laxpcir ctzltmclors. Inc_ (-jssT'C;-**1_ lire %ct,;%- ol uillch %h3fl, be hinard to a Vass) wwt Rrpi4ces7,ent I A4uznnu=j
and authottration in considcrjnoo of la-sper's agrccritcrit to pallitrin tierviem supply matertak =it otlitT'Al5c, rcrturm 111 th!* f -.-rTme
Including 1111 miloring full payritcrit 31 lite time Ofscr%-tcr I,als'o hurby direct my olgtzcrlwl to relcast any and fill trif4rnamm tcTun� Ir" 1"oper' on IN
rcpracroaijtcks). for Ole direct purpost of obtaining, actual tvncfjts 10 bc paid hy my iflitirerm for strvltz> rendacd, to lhi regard, I xak,
rights. If payinc-lit is Made dirmily to the 0%Nnct-Al;cnL1Insurodjs)., it sliall be endorsed otc, to 1js -d�41cju per totirtt j p4m rcLelp, I 4gr= that, .an,
%,,,xL deducubli:4, beticirmaij or 2MAIM31 %%wk requLocil by the undersigned. noil c(j%cr"j by m8orart�c mum he r'-11d h-- 1,1c n"'f
installation Deductible. 11 is the 0%%ricT's tcSry'lusibilily 1p eaall instirinr 4Jt&zttHc!s, OaTict's out-tif-p-ILCT cpcusc will ne, ctcm' ihc dn1,,cr.H,,
atnouni, as italcd on insurcr's, foizs sheci (file `hest"). tJ'S'I.f_SS rcrlacctricriurcpair of deteriorated i1ccknig r; requital try cuoe =_4 v-,T o.t.-Tjcr rcglueaj
optimal upgrades- Jasper CANNOT pa-,, %aisr. rebate, or promise to pay. "ai%r or rebate any or all of the insurance desl act L Hilt A) 1W
insunricc claim frit palTrient of %&mk I of a discrepancy, the deductible arnount i=tsIsin the nmtrcri L'f^, Sh,_ti 4Lili etvcrrjc &,eualbic
amount diwIttsed Drdatclihic: 5 khs: I 1 1-1.
BE PAID IN FULL PI I's APPLIC01-F SALF-S TAX
MORTGAGE:AUTHORIZATION, I ' 0%nerl"Morlpagor, rMit authorization fen %t-,za, lo
, - to �TA
.138M11 ,0mancts including but not limited to, the claim and draw status (initial) PAYNIFN"F SCHYDIULE oqkn--T %)
pay Jasper bascd on the fullmuing schedule: (i) Mporsit of the amount of S due u ll sjgrllg di'l-, cxnuat, t 1i I Tht CM— 7-act
less the Dclposit and any applicable depreciation rcutried try, Owncr'-i laMire'(0, plus upgrastc- cols-, due anti patial3lr to lagcr u;Nm.
work- ving purormod. and. (oil) the remaining Contract Price (equal to any ipplicabic dcrtociallon =11'ar dtangr Ord-cro duc anti rayat;s tag) ism sett
c4ampiction of work per,li)rmtxl lit the civet of a pending trispoction, no more thaii 2!,'o of Cottitraci Price tuay be whirls urlill M's
OpIlorml: I-T6RADE ITENI. CITY I'mcl", — _10TAL S
Replacement Work and Price: Upon insurer's 3pprovzl and subject to tile ficrms And Condaim.4 hereto, Jasper jgtt-% w furrit A:j r^aims, real.
provide lite labor necessary to perform the full roof replacement %kInch tihiil take place 110110"AIlig D'AlIC!", mskZZncC CoMpany'i 3MOta,, ,1,
'TT ,� x err
within 30 days, conditions permitting, Owner's Declaration of Intent: 0%ncr ack-nowedge--i and quern that, uptm approval try ln4UrXl4--L CEMlr=-4
full roof replacement. Jaspershall fictionn the roof replacement urvirl rrLcipi offund, from 0,Ancr's in+tiraricc company
FLORIDA 110'MIKOWNERS' CONS'r1.(_1'ION RECOVERY FUND
PAYMENT, UP TO A LIMITED A'*110 , UN111'. iMAY BE AVAILABLE FROM THE FLORIDA 1110MCO"A'NIERS'
CONSTRUCTION RECOVERY FUND IF YOU LOSIF MONEY ON A I'ROJFCI' PERFORMED UNDER CO,'Tk,%(.-f.
WHERE THE LOSS RESULTS FROM SPECIFIED VIOIATIONS 01: FLORIDA LAW HN A LICENSED CO'STR,,A,(-I'OP
FOR INFORMATION ABOUT'rilE RECOVERY FL'XD AND FILING A CLAIM. C ONTACt TIIF FLORIDA
CONSTRUCTION INDUSTRY LICENSING BOARD A I rim roy.o%viNG i'Fi_vpiioNr. %umBER A.ND ADDRF&S-
Construction Indus" Licensing Board-, 2601 1111airst.one Road,
d. Tallahassee, FL 32-194-1039,(850 487-13"
CANCLILLA'riON: If Owner. elects to terminate the services of Jasper, Owner m acAs 111y: da so,twforc midnight on the third busi ,
do), after Contract is execu " tcd. Owner shall receive a full refund of all deposils."vi "Owner may also rescind Contract twfnrr midnight an
the third business day after the contract Is executed after notification from insurer(%) that the, claim fair payment on roof cstatract hzt
been denied, in whole or In part. All written notices of canceila'don, regardless of tvason.shall be po%trittarked or dcIi%rrcAJ to Ji_*PCr'%
corporate ulffice- 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCEIA-ATION EXCEPTIONS: the three (3) dty
right of cancellation DOE ' S NOT APPLY to contracts for ernergency horne repairs as titne Is of the evience.
1, Owner, have read and iinderstmind all statements, Terms and Conditions of` the "Roof Rcplacenttnt Contract' and agree
that all details are acce,litallik, anti axilisfactury. I further undersizind that this Contract constitutes the entire 2-grircracut httsititirn the
parties anti (hat any further changes or alterations to this Contract must file made in writing and oared uptio by both parties.
Fach party represents and warrants it) the other that It has the full pittiver and authority to enter into the contract anti Ibut it is
binding tir�qorceablc Ito accordance with Ili terms.
Repriasentative Date %MCF Mile
Scanned by CamScanner
L_
THIS INSTRUMENT PREPARED BY:
Name: I2 S
Address: 5 or t r '�Zll3
NOTICE OF COMMENCEMENT
11111111 lf01111111111111111111111111111
GRANT 11ALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 2089 Ps 313 (IPss)
CLERK'S 4 2018026641
RECORDED 03/09/2018 12:22:19 PN
RECORDING FEES $1i,#.I o
RECORDED BY tsidith
Permit Number.
Parcel ID Number: y000- OL4 uo
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)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE -Roof
3. OWNER INFORMATI N OR LES E INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: f
Name and address:� �p!� e2[�a f �'�(�
Interest in property:.
OWNER --�
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788
Address: 3203 S CONWAY RD SUITE 201 ORLANDO FL 32812
S. SURETY (if applicable, a copy of the payment bond is attached) : Name:
Address: Amount of Bond:
6. 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.
8. In addition, Owner designates
Phone Number:
Of
to receive a copy of the Lienot'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_
(Signature of Owner or see, or Owner's or Lessee's
Authorized Of icedDi ctortPartner/Manager)
State of r / County of .m717(Lc{!
Jo 5-c
(Print Name and Provide Signatory's Tide/Office)
The foregoing instrument was acknowledged before me this 00- day of T]fAaVl J^ , 20
by r) rt -?-- . Who is personally known to me ❑ OR
Name of person making statement
who has produced Identification type of identification produced:
KARZA M ALMODOVAR s
State of Florida -Notary Public
Commission # GG 11133k ,t \�,��j���� 4tiD� ���� Notarysignatrre
� r Q ��� .
My Commission Expires G`t 1
June 04, 2021 \)C 9 b0
WW
f
9
L UMTED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 03/14/18
Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb
I;herebv name and appoint: Ana Chavez and/or Michelle Monsalve
an 2oent of Jasp-C-ta to,S
(N* p orCumpaq)
to be my lawfiiI aitomey-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this, appointment for (check only one option):
The specific perniit:and application for worklocatedat:
177 CEDAR RIDGE LN SANFORD, FL 32771
(S— Addricss)
Expiration Date. for This Limited Power of Attorney: 1 /1 /2019
License Holder Name: Donald Bouchard
State License -Number. oce1a31153
Signawre ofLicense
STATE OF FLORIDA
COUNTY OF S-*
The foregoing instrument was acknowledged before me this; 14 day of March
200: 18 by . o«ala 8-d-ld who :is o personally known
to me or is who has" produced oL.
identification and who did (did not) take an oaths
(Notary seal) Skylar Amkraut
Print or type name
p Notary Public -State of FL
sKYLAR B AMI<RAUT Ii Commission I No. 127890
o'F\ •4a2018 i y
Commission H FF 127890
+ My Coninjissiori
Expires M Commission Expires: 6/1/2018
o'
♦f Oi (\OQ \
"�.:nnF.t.rw �1'-'\nM1w�}�lL^� mx�!►lD�'eo' `uYi
(Res. 08.12)
Snanneci by CamSc nnner
CITY OF
SkNFORD
f IRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / 3&ISSUE DATE: 03" /VA
CONTRACTOR: �
JOB ADDRESS: / ' ® C e a4ro®e
TYPE OF WORK: "
PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: 4-17
L.
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 pin for assistance.
t.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code I I I
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
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 code compliance by personal inspection.
CONTRACTOR (OR OWNERIBUILDER) SIGNATURE: - DATE: 03/14/18
I;1
JOB ADDRESS: 177 CEDAR RIDGE LN SANFORD, FL 32771
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O 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: (DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 (D 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
(DSHINGLE
Owens Corning
FL# 10674-R12
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTH ER:
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#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS, 300 N PARK AVE
855.541.2112 SANFORD FL 32771
j DRIVEWAYS -SIDEWALK 407.688.5080
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I! Page 2
• Application Number . . . . . 18-00001368 Date 3/14/18
' Property Address . . . . . . 177 CEDAR RIDGE LN
Parcel Number . . 31.19.31.527-0000-0460
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1038058
Permit pin number 1038058
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 111 BL03 FINAL ROOF / /
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: �(/ ���17 ADDRESS:
I - 23G��� a G/ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFING CONTRACTO NGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING ATION 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 #:
COMPANY/CONTRACTOR
CONTRACTOR SIGNATURE
(MUST BE SIGNED BY LICE
LICE]
00
/11
DATE:
HOLDER OR Or R/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
Sworn to and Subscribed before me this e� J day of QYjA rC4 20 /6 by:
Who is ❑ Personally Known tome or has ❑ Produced (type of
identification) as identification.
QAA
Signature of Notary Public PAY /A KA R LA M AL M O D O VA R
Sta.te of Florida -Notary Public
State of Florida s'.� = C'o`n+i, ssi n Y G� 11 1330
MV �(k mm) Iv
Print/Type/Stamp Name,
of Notary Public
Mn
; t r�,nii:=.sion Expires 1s.