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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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 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.