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HomeMy WebLinkAbout208 Clear Lake CirFEB 2 8 2018 CITY OFEll &k�qFOI�b FIRE DEPARTMENT Building & Fire Prevention Division PERMIT APPLICATION Application No: 1 (9 -- 11 C) Documented Construction Value: $ / S 90 Job Address: ---?Or Cleaey Ltlze C2 r-ae Historic District: Yes ❑No❑ Parcel ID: d-)-- 9-0 " �j 0 —j (` (000 0 — 0 `1''7© Residential❑ Commercial❑ Type of Work: New❑ Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use[] Move ❑ Description of Work: k ry 0 Plan Review Contact Person: Title: Phone: Fax: Email: /,tGl''rn��S @ Cev►.l��rt i /1�' D�//c. cony Property Owner Information Name � C{ t) re Lyl M P,3-urVC Street: 90y C/•etw- Z-R lip G/r Phone: k'7 ' .3 y7 Resident of property? City, State Zip: sc--d 1-'L " ,3� 773 Contractor Information k Cfi�'17vfy.-m °��, Son, rc',�/i:slz L�-C Phone: W t/&7 353 -FcFrf P Name !� Street: 7 (ey 1/0 Fax: 879' 10-77 City, State Zip: Scr " /50 -d %-/=3 a-27 / State License No.: OCC- / 3a-& i© c' Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: 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. 1 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: 61" Edition (2017) Florida Building Code Revised: January 1, 2018 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 constructio"nd zoning. I-aurx-J, f3v 'e- 2a-) Signature of Owner/Agent Date Print Owner/Agent's Name ., n of Ntary-Stge of Florida ,or •� Notary Public State of Florida Laura Aurora Sanchez y�r 3r My Commission GG 159348 �h Expires 11/12/2021 Date Owner/Agent is ' PersoriaIly Known to Me or Produced ID ✓Type of ID FLL6y1V,,-9 A- ala-? 118 Signature ctor/Agent Date PrintCo eent's Name Si lure of Notary -State of Florida Date M—nown ate c Florida anchez GG 159348 a w 21 C nown to Me or Produced ID �pe of ID Fc- Qy-Pv- ►-s Lr� G►Z.S� BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof Construction Type: �c r�-6 Occupancy Use: Total Sq Ft of Bldg: s Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: i Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application Altamonte Springs, Casselberry, bake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: a/1-I /(I I hereby name and appoint: �- G{,yV­k S G V1"-eZ an agent of: o Fi y1 S ( ame of C to be my lawful attorney -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): C� The specific lication for work located at: �%Y cue S r, 4,o,--o( F L 3.-7 7 (Street Address) Expiration Date for This Limited Power of Attorney: "),� a 7 111 License Holder Name: State License Number: e C C 1 O Signature of License Holder: STATE OF FLORIDA COUNTY OF Srw.ti,o% The foregoing instrument was acknowledged before me this 37day of Fz,6, 20bj, by ✓ who is ❑ personall known to me or ho has oduced identification and who did (di (Notary Seal) t>Qj v GULIM ZHAKUPOVA NOTARY PUBLIC STATE OF FLORIDA Comm# FF966449 •�4�� �g�0 Expires 3/1/2020 (Rev. 08.12) C— Print or type name Notary Public -State of Boni oZ_ Commission No. --f16,6k49 My Commission Expires: o g. D/; W.W as 1111111111111111111111111111111111111111 THIS INSTRUMENT PREPARED BY: �C rr LV Name: Century Roofing, Specialist Address: 4260 Church St Unit,1402 Sanford FL 32771 Permit Number: Parcel ID Number: 02-20-30-5131J-0000-0990 .. f.: " CA. EM 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: Reroof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: LAUREN BURKE 208 CLEAR LAKE CIR SANFORD, FL 32773 Interest in ro Owner property, , Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Century Roofing Specialist Phone Number. 407.393.8888 Address: 4260 Church St Unit 1402 Sanford FL 32771 S. SURETY (if applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: _ 00 7 71� Century e Stloridaate f SpecialistDesignated by Owner upon whom notice or other documents may be served as provided by Section Name: 9 p Phone Number. 407.393.8888 Address: 4260 Church St Unit 1402'Sanford FL 32771 8. In addition, Owner designates ergey Orlov of Century Roofing to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 407.393.8888 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 Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) Lc wjL r rt (Print Name�'Provide Signatory's Title/Olfics) State of a cl nck c, County of O The foregoing Instrument was acknowledged before me this, lJ day of t 20'b U by kQA(-1r-A-A_ 2 ,l 7A—C___ Who is personally known tome OR Name of person making statement who has produced identification 0 type of identification C'-RTiFI�P-COPY C��.ANT MALOY :`i Ff )iC)F Tiff C1PfI01T l"C'!RT' f AND GE -A i,•ANA.PARTAB .Al�: "= CNota A Public ` State of Florida _ ry ; .on = GG 115051 Comm ss WNCorm.Expirestun14,201f BY r)9U't ? C L iW cr K Date—_ .�. ROOFING SERVICES PROPOSAL. CUSTOMER Name: Lauren Burke Address: 208 Clear Lake Circle, Sanford, FL, 32773 Phone: (407) 452-9347 Email: lburke291 I @gmail.com Job #: R4618 Date: January 24, 2017 PERMITTING: . (ell I-, IV CENTURY ROOFING SPECIALISTS LLC 4260 Church Street, Unit #1402 Sanford FL 32771 Phone:-407-393-8888 Fax:407-878-1077 Email: info(a)centuryroofingllc.com State License #CCC1326909 Century Roofing Specialists, LLC hereby proposes to perform the following work for the Customer at the job location above. Scope of work: SHINGLE ROOF REPLACEMENT • Apply for any applicable permits • Apply for inspections per local building codes [am►l [Ii'lM • Existing shingles (One Layer) • Underlayment • Drip Edge • Pipe Flashing • Kitchen Vents REPAIR / CHANGE ORDER • Regarding any changes to the original price of the contract, please be aware that there may be extra charges for material and labor once we have done the tear off and have done the evaluation of the underlying wood. Any rotten wood or damaged material that needs to be replaced will be charged to you for an extra fee. • During your project, we will attempt to reach you via telephone and we will forward you the change order electronically via email for your approval. However, if we can't reach you via these methods we will go ahead with the necessary changes to comply with the building codes and requirements for the inspection approval from the corresponding building department. Be aware that you will be responsible for these change orders even if we can't reach you that day. Please see table below for change order pricing: Materials Size Pricing Plywood 4 x 8 $50.00 per sheet Trusses 2 x 4 $4.30 per linear foot Trusses 2 x 6 $4.30 per linear foot Fascia 1 x 2 $1.80 per linear foot Fascia 1 x 6 $4.30 per linear foot Fascia 1 x 8 $4.30 per linear foot Decking 1 x 6 $4.30 per linear foot Decking 1 x 12 $6.80 per linear foot • Two sheets of plywood are included into this proposal. Anything else will be charged extra. Decking will be replaced in accordance with recommendations by both the National Roofing Contractors Association (NRCA) and the American Plywood Association (APA). New decking shall be APA rated for structural use. Deck fastening will meet or exceed local building code requirements (6" O.C.) and H-clips will be used between all rafters. Page I of 4 Job # R4618/ Customer's Initials: SHINGLE ROOF INSTALLATION OF: • Flashing materials, if applicable: L- flashings, kitchen vents, and pipe jacks. Drip edge color to be chosen by owner. All materials to meet or exceed manufacturer's requirements and to be installed in accordance with the local building codes. • One layer of self-sealing ice and water protection membrane shall be installed in all valleys. • Installation of one layer of 30 lb roofing underlayment on deck surface. Felt will be fastened using 1 inch plastic -capped nails with a 1 inch diameter head. • Starter Shingle • Owens Corning Oakridge Desert Tan architectural -style algae -resistant shingles with lifetime warranty. Shingles will be installed in strict accordance with the manufacturer's specifications and shall be fastened using 6 nails per shingle. Paint all vent flashings and roof penetrations. • Install CertainTeed Hip & Ridge Shingles. • Install Ridge vent for heat escape REMOVAL OF: • Nails and other metallic debris using a magnetic nail sweeper. • All trash and debris from site. GUARANTEE: • Lifetime Manufacturer's shingle warranty and 5-year workmanship warranty under normal weather conditions from completion date. Accepted By Signature LAgaw QA , A Date QIQ - a.Lo " c2U By signing, I personally represent and warrant that I am an authorized representative and agent of the Customer (as such term is defined at the bottom of this page), and that I have the legal authority to contractually bind the same. I also represent and acknowledge that I have read and understand this entire Proposal, and that I agree to the `Proposal Terms & Conditions' listed below. TOTAL PROPOSAL AMOUNT: $ 6,580.00 Change order is not included. Price is valid for 30 days from the date of the proposal. Payment is due in full upon completion of the work. Past due accounts will accrue an interest charge of 1.5% per month until balance is paid in full. Please read Section 8 of the `Proposal Terms & Conditions' below. Contractor Signature Date All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be charged accordingly. Not responsible for roof leaks in areas other than those worked on. Century Roofing Specialists LLC is fully insured with Workman's Compensation as well as Liability insurance. This Proposal is made by Century Roofing Specialists, LLC ("Century") to the Customer subject to, and expressly conditional upon the Customer's acceptance of and assent to the provisions of this Proposal, including the `Proposal Terms & Conditions' accompanying this Proposal. As used in this document, "Customer" refers to and means, collectively, (i) the legal entity or person described above next to the words 'Customer' above, together with its affiliates, parents, and subsidiaries, and related entity(ies) having a place of business at the Customer's address listed above (if the Customer is a business), (ii) the owner of the property at which the Work described herein is to be performed, and (iii) the person signing this Proposal. If the Customer directs or requests Century to perform the work contemplated hereunder, either orally or in writing, such direction or request shall constitute the Customer's full acceptance of this Proposal and the `Proposal Terms & Conditions'. Page 2 of 4 Job # R4618/ Customer's Initial . PROPOSAL TERMS & CONDITIONS l . These Proposal Terms and Conditions are fully incorporated into and made a part of the Proposal bearing the `Job #' referenced above (the "Proposal"), as if originally set forth therein in their entirety. The Customer, as defined at the bottom of Page 1 above, hereby expressly agrees to these Proposal Terms and Conditions, and the incorporation of the same into the Proposal. 2. The Proposal, together with these Proposal Terms and Conditions, constitute the entire, final, and exclusive agreement between the Customer and Century Roofing Specialists, LLC ("Century") regarding the provisions contained herein, as well as the services stated in the Proposal (collectively, the "Agreement"). The provisions of this Agreement hereby supersede any prior understanding, representation, or agreement between Century and the Customer, whether written or oral, express or implied, which is inconsistent with or contrary to the provisions of this Agreement. 3. Century will work with Claims Max adjusters in case the customer choses to file the claim with their insurance company to cover the cost of their roof project. The customer should notify Century in advance of any existing claims. If the customer requests a 4-point inspection or wind mitigation report Century can provide this service for an additional cost of $120.00. 4. Century offers more than 50 different financing options on the company website www.centuryroofiingspecialists.com. 5. The work and services described in the Proposal (the "Work") will be performed exclusively between the weekday hours of 8:00 a.m. and 5:00 p.m., unless otherwise expressly stated in the Proposal or agreed to in writing by an owner of Century. Customer covenants to take all necessary steps to secure Century's full access to the property at which the Work is to performed (the "Job Site"). In the event that Century is prevented from or delayed in accessing the Job Site for any reason other than the direct actions of Century or its agents, Customer shall promptly reimburse Century, upon demand, for any labor, overhead, material, equipment, travel, rental or other costs incurred by Century in attempting to access the Job Site. Century is expressly authorized by Customer to engage subcontractors in the performance of the Work. Unless expressly stated in the Proposal, this Agreement excludes any work, labor, services, or materials not expressly stated therein, including, but not limited to: debris removal, leak detection, flashing installation, pre-existing leak repair, damaged or rotted wood repair, or electrical or HVAC systems repair. Notwithstanding anything to the contrary contained in this Agreement, Century's performance or non-performance of the Work shall be excused in the event of any of the following, as determined solely by Century: material shortages, impracticability of performance, inability to fully and completely access the Job Site (including access for all vehicles and equipment necessary to complete the Work), labor strikes or shortages, any economic conditions which may adversely affect Century's anticipated profitability, inclement weather, or any act of God. The foregoing list is not exhaustive, and is not intended to negate, or abridge any other excusal of Century's performance which may be applicable at law or in equity. Additionally, and notwithstanding anything to the contrary contained in this agreement, Century shall not be liable to Customer or any third party for property damage, third party claims, fines, fees, or any other liability arising from or related to unknown conditions at the Job Site, including, but not limited to pre-existing leaks or damaged or rotted wood, nor shall Century be responsible for any damage or injury to persons or property on, at, or near the Job Site arising from or related to Century's working, including, but not limited to debris and nails left on, at, or near the Job Site. Once the Proposal is approved by Customer, Century is hereby authorized to begin performing the Work. Customer acknowledges that unforeseen circumstances or events, including, but not limited to those stated in Section 6 above, may cause the actual cost of completing the Work of this Agreement to increase. In the event of such increase in cost, Customer agrees that Century will not be responsible for bearing the same. Notwithstanding anything to the contrary contained in this Agreement, Customer's refusal to promptly execute a change order or similar document to account for such cost increases shall immediately permit Century to terminate this Agreement upon twenty-four (24) hours' advance written notice to Customer; provided that Century shall be entitled to full reimbursement from Customer for any expenses incurred by Century in the performance of work, payment for labor expenses, purchase of materials, or other activity conducted pursuant to this Agreement. 8. Payment is due from Customer upon completion of the Work, unless otherwise expressly stated in the Proposal by Century. In the event payment is not made by Customer in accordance with the provisions of this Agreement, Customer shall be deemed to have materially breached this Agreement. Customer expressly agrees that, in addition to any other remedy available to it either at law or in equity, Century shall be entitled to charge, and Customer agrees to pay a finance charge in the amount of 1.5% per month on the total outstanding amount due Century arising from or related to this Agreement which remains outstanding past the foregoing due date, and which finance charge shall accrue until all outstanding amounts are paid in full. In the event that legal action is taken by Century to enforce any provision of this Agreement against the Customer, the Customer hereby covenants to indemnify and reimburse Century for all fees and costs arising out of or related to such act' Page 3 of 4 Job # R4618/ Customer's Initial including, but not limited to attorneys' fees and court costs. The obligations of this Section 8 shall survive the termination of this Agreement regardless of reason or cause. 9. Customer hereby covenants to indemnify, defend with counsel chosen by Century, and hold harmless Century, its contractors, employees, directors, officers, agents, affiliates, subsidiaries, assigns, and agents (collectively, the "Indemnified Parties") from and against any and all claims, losses, lawsuits, liabilities, damages, liens, demands, fees, fines, and costs (including attorneys' fees and court costs), whether actual or alleged, brought or threatened against any of the Indemnified Parties arising out of or related to any condition, whether natural or artificial, which is present on the property at which the Work is performed, as well as any act, omission, or default of: (a) Customer or Customer's employees, agents, invitees, licensees, family members, subsidiaries, or affiliates; (b) Any of Customer's contractors, subcontractors, agents, employees, or the agents or employees of any of them; or (c) Century or its officers, directors, agents, contractors, suppliers, subcontractors, or employees. However, such indemnification shall not include claims of, or damages resulting from, gross negligence, or willful, wanton or intentional misconduct of the Subcontractors of Century or the officers, directors, agents, contractors, suppliers, subcontractors, or employees of any of them for statutory violations or punitive damages, except and to the extent the statutory violation or punitive damages are caused by or result from the acts or omissions of Customer or Customer's employees, agents, contractors, invitees, licensees, family members, subsidiaries, or affiliates. Customer agrees that the indemnification given in this Section 9(c) shall be limited to the amount of loss suffered by an Indemnified Party, or $1,000,000 per occurrence, whichever is less, which amount is stipulated by Century and Customer to bear a reasonable commercial relationship to this Agreement. The obligations of this Section 9 shall survive the termination of this Agreement regardless of reason or cause. 10. This Agreement may be amended only by a writing signed by authorized representatives of both Century and Customer. Should any part of this Agreement be rendered or declared invalid by a court of law, such invalidation of such part or portion of this Agreement will not invalidate the remaining portions thereof, and they shall remain in full force and effect. In the event of the foregoing, this Agreement shall be modified only to the minimum extent necessary to comply with the invalidating law or court order. Customer hereby irrevocably waives Customer's right to trial by jury in any legal action arising out of or relating to this Agreement. This Agreement shall be governed exclusively by the laws of Florida, without regard to its choice of law principles. The courts of Orange County, Florida shall be the proper, convenient, and exclusive forum for any dispute arising out of or related to this Agreement. Customer expressly and irrevocably consents to the personal and subject matter jurisdiction of such courts. All objections to such jurisdiction or venue are hereby waived by Customer. 11. Unless expressly stated on the face of the Proposal, there are no warranties or guarantees made by Century in regards to the Work. CENTURY EXPRESSLY DENIES AND DISCLAIMS ALL IMPLIED WARRANTIES WHICH MAY BE APPLICABLE TO ITS WORK, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. 12. Notwithstanding anything to the contrary contained in this Agreement, under no circumstances will Century or its affiliates, agents, employees, assigns, or subsidiaries be liable to Customer or Customer's heirs, personal representatives, survivors, or assigns for any consequential, indirect, exemplary, or punitive damages (including lost profits) in any legal action arising out of or related to this Agreement, the termination thereof, or the performance of failure to perform the Work by Century, without regard to the nature of such claim (e.g., breach of contract, negligence, or otherwise). If you have any questions please contact your Estimator: Name: Rudy Artunduaga Direct Phone: 407.417.1738 Email: rudy@centuryroofingllc.com BE CENTURY PROTECTED! Page 4 of 4 Job # R4618/ Customer's Initials: 1® CITY OF Sk� Building & Fire Prevention Division FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPART3IMENT 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 OWNER/BUILDER) SIGNATURE: DATE: /� Q CITY OF x� Skl�FORD PERMIT # FIRR Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 208 CLEAR LAKE CIR SANFORD, FL 32773 STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 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): Wood * *PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: DOFF -RIDGE ®RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES © NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 0 2:12 — 4:12 ® 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL ® SHINGLE Owens Corning FL# 10674-R13 OMETAL FL# 0MODIFIED 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 0 2:12 — 4:12 04:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# OTILE FL# 0 OTHER: FL# 1 CITY OF I o T i Building NANFORD & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1 ( — Cook �l ( ADDRESS: 20g ('let r Lqke C T j G` c S a K ry ,-a{ FL 3�)_7 73 I Sergey Orlov , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, 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 #: CCCI326909 COMPANY / CONTRACTOR: Century Roofing A/ialists CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER UILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: � / / � f 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 rniV�o�� Sworn to and Subscribed before me this day of 20 If by: SG Ir4eV ©rlo ✓ Who is ❑ Personally Known to me or has ❑ Produced (type of identific n) Rf D i�Y M K& as identification. iadaturAgNoKry Public ate of Florida P Lfdi a'Notary Public Sate of Fiond Laura Aurora SanchezLk.v ra .4 S a h l2 My Commission GG 159348Print/Type/Stamp NameExpires 1111212021 of Notary Public