HomeMy WebLinkAbout212 Bradshaw Dr (3)CIty OF
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PIRE 17l PAF4tMtNT
Building ,& Fil-e Prevention Division
PERMITAPPLIr ATICON
Application No: / y_ 9 60
Documented Construction Value S 10,844.00
Job Address: 212 BRADSHAW DR SANFORD, FL 32771-4105
Parcel I.n:
35-19-30-522-OF00-0100 Historic District: Y'cs❑No�
ResidentialWICotnmercial�
'typeoi'Work: \Tew❑ Addition❑ Alteration
✓ Repair❑ Demo 0 Change of Use❑ Move
Description of Work: RESIDENTIAL REROOF
Plan Review Contact Person: LAURA HODGES
Title; OFFICE' MANAGER'
Prone:407-650-0,013 Fat: 321-972-8839 I;tnail:_ LHODGES@HODGESBROTHERS.NET
Property Owner Information
Name DEONARINE RAMBISSOON
.Phone: 407-272=3196
Street: 212 BRADSHAW DR SANFORD, FL 32771-4105
City, StateZip: Resident of property? : YES
.
Contractor Information
Name HODGES BROTHERS INC � 407-650-0013
50"1 HAMES AVENUE Phone: Street: Fax: 321-972-8839
City, State Zip: ORLANDO, FL 32805 CCC 042845
State License No.:
Name: _
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone: _
Fax:
E-mail:
Mortgage Lender:
Address:
RECORD
TO OWNI.R: YOUR FAILURE TO REC ORD A NOTICE OF COIL ICE C M;ENT MAY RESULT IN YOUR
PAYING TWICE FOR TiIPROVENIENTS TO YOUR PROPERTY'. a NOT
OMMrNCEMENT I`IIJST BE.
ED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION• IF YOU INTEND TO OBTAIN
FINANCING, CONSULT wi-rn YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF'
CONIM ENC`EM EN`l'.
_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
ill 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.
rBC 105.3 Shall be inscribed raith the date of application and the code in effect as of that date: 6"' Edition (2017) Florida Buihfim ,Code
Revised, January 1. 2018
Per nut Application
y.0 I IC l>_ 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 covert}-, and there rrmy be additional permits required from other 4overnmenta.l entities such as water
nlanagenrent districts, stale agencies, of federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 7
113
The City ofsanford 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 coristru,etiotl value of the job at tine time of submittal.
The actual construction value V-vill be figured based on the current ICC Valuation Table. in effect at rile 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
he done in co nplian-ce with all applicable laws regulating construction and zoning.
SSii n�ntur oJ'0 neri:Aecnt Date
Prim (hams/Agent s Name
FI
Signature of Conttactoi/Agent Date
`' 4 0—
�*�-�2 �- -
Print Couuactor,!.1 ent s
1,6
—o.eme.wy _ �uniurc i�i tNomr1 >t c of J lorlda note
I.AURA L HODGES --LA ES
MY COMMISSION # FF 9a?42p 'n MY COMpgi$SION ii GES t20
?�a EXPIRES: MaY 3r 2020 •_
P fit.• Bonded thru FlMary puhlicUnt erwriters �4 EXPIRES: May 3, 2020
. Boeded Thru N012rY PuhGc Underwriters
Owner/Az eI is Personally'Known to Me or
Prp�ittce Contractor/A:ge Personally Known to Me or
J Type of LU _� ,'v t_ Produced ID Type of ID
BELOW IS FO.R OFFIC +, USF ONLY
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
Date
ElectricalD Mechanical n Plumbinall
Occupancy Ilse:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No[]
AI.''ROVALS: ZONING:
ENGINEERING:
COMMENTS:
Gas[] Roof [l
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes ❑ No
U71-II,1TIES: WASTE WATER:
FIRE: BUIWING:
Revised: January 1. 2013 Permit Application
FLORIDA SALES: 85-8013708974C-0 Board of County Commissioners
FEDERAL SALES/USE: 59-6000856 PURCHASE ORDER
S COMMUNITY SERVICES
H T 534 W LAKE MARY BLVD w
1 O SANFORD FL 32773-7400 SEM1NOIE GDU/Vn/
P Nmu G"C'E
ORDER NUMBER: 41773
ALL PACKING SLIPS INVOICES AND CORRESPONDENCE
MUST REFER TO THIS ORDER NUMBER
ORDER DATE
02/06/2018
REQUISITION
57796 - OR
REQUESTOR
BALDUS,CYNTHIA
VENDOR #
351157
V HODGES BROTHERS ORDER INQUIRIES
E 888 BONITA AVE
N NEW SMYRNA BEACH FL 32169-4624 PURCHASING AND CONTRACT DIVISION
D 1301 EAST SECOND STREET
SANFORD FLORIDA 32771
O PHONE 407 665-7116 / FAX 407 665-7956
R ,L,�-61 .� ANALYST I NICHOLS, ERIN
DELIVERY I Joe Sandley 407-665-2376 Cindy Baldus 407-665-2361 1
ITEM #
QTY
UNIT
ITEM DESCRIPTION
UNIT PRICE
EXTENDED PRICE
IF&502172-15/D.RAMBISSON ROOF-212 BRADSHAW DR.,
SANFORD
Order in accordance with pricing, terms, and conditions of IFB-002172-
15/GCM Term Contract for Roofing Repair and Replacement for
1.00
EA
Residential Properties expiring April 5, 2018. CONTRACTOR MUST
0.00
6,676.00
CONTACT JOE SANDLEY 407-665-2376 PRIOR TO
COMMENCEMENT OF WORK. A NOTICE TO PROCEED WILL BE
ISSUED BY THE COUNTY.
00277006.580833.00001
IFB-002172-15/D.RAMBISSON ROOF-212 BRADSHAW DR.,
SANFORD
Contractor shall provide actual hours used to perform the work (by
2.00
EA
category of personnel), date and time work was started and completed,
0.00
4,168.00
copy of signed -off permits, and a detailed breakdown of materials used
to complete the work, including receipts/invoices for materials used.
00277006.580833.00001
THIS ORDER IS SUBJECT TO THE TERMS & CONDITIONS TOTAL AAflOUNT 10,844.00
ON THE REVERSE SIDE OF THIS ORDER.
SUBMIT ALL INVOICES IN DUPLICATE TO:
CLERK - B.C.C. FINANCE DIVISION
POST OFFICE BOX 8080
SANFORD, FL 32772
Accts. Payable Inquiries - Phone (407) 665 7656 AUTHORIZED SIGNATURE FOR THESEMINOLE COUNTY BOARD OF COUNTY COMMISSIONERS
Page 1 of 1
888 Bonita Avenue
New Smyrna Beach, FL 32169
CCC042845 / CGC1518169
PR®P®.SAUCONT RACr
Date Estimate #
11/28/2017 2186
Proposed Work Location
Attention:
Deonarine Rambisson
Joe Sandley, Construction Project Manager
212 Bradshaw Dr
Community Development Division
Sanford FL
Seminole County
PH: (407) 272-3196
534 West Lake Mary Blvd.
Sanford, FL 32773
Description
Qty
Rate
Total
Hodges Brothers will obtain all necessary permits and inspections for
work proposed.
1.) Remove existing roof and take to disposal area.
2.) An inspection of the wood will be made and replaced where
necessary at the cost of $40.00 per hour plus materials.
3.) Dry roof in with IR/XE sheet.
4.) Install 1/2" face galvanized metal around the perimeter of the
roof; color - black, white, brown, or mill finish.
5.) Install one layer of CertainTeed cap sheet over IR/XE layer.
7.) Trash and debris will be removed daily.
Upon completion of work, Hodges Brothers will provide a two (2)
year workmanship warranty and a twelve (12) year manufacturer
warranty.
Remove and replace damaged soffit and fascia. Soffit will not be
installed over front overhang or carport.
Materials cost to complete roofing work.
4,168.00
4,168.00
Factory Trained and Certified Roofer
40
64.00
2,560.00
Regular Hours
Roofer Apprentice — Regular Hours
38
42.00
1,596.00
Roofer Helper — Regular Hours
60
42.00
2,520.00
Payment due upon completion. Credit card payments will incur a 2.25% fee. Not responsible for cracks in ceilings. Quote is based on our vehicles
ability to back up to building; however, we are not responsible for cracks in driveway. There will be an additional charge if we are unable to utilize
driveway. A finance charge of 1.5%per month (18% annum) will be added to unpaid accounts 30 days from date of invoice. Should collection
action be necessary, customer agrees to pay reasonable attorney's fees and courts costs, including any appeal costs. This proposal is subject to
acceptance within 60 days. We do not accept or undertake any liability herein for delay or inability to perform due to fire, strikes, Acts of God, of the
elements, or of the public authorities, nor do we accept or undertake any liability for damage or loss of materials on work performed due to acts or
omissions of third parties. Any roof penetrations made after completion of contract will void all warranties.
This contract is valid when signed and accepted.
Please sign antum proposal contract to us:
ACCEPTED Brzga.�..
y
1 ��� $10,844.00
Phone #
Fax #
E-mail
Web Site
407-650-0013
321-972-8839
info@ahodgesbrothers.net
www.hodgesbrothers.net
THIS INSTRUMENT PREPARED BY:
Marne: _Hodges Brothers Inc. Laura Hodges
Address: 501 Hames Avenue, Orlando, FL 32805
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number: 35-19-30-522-OFOO-0100
I he. 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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 10 BLK F
COUNTRY CLUB MANOR UNIT 3
PB 12 PG 76 212 BRADSHAW DR SANFORD, FL 32771-4105
GENERAL DESCRIPTION OF IMPROVEMENT:
residential reroof
OWNER INFORMATION:
Name: DEONARINE RAMB(SSOON
Address: 212 BRADSHAW DR SANFORD, FL 32771-4105
Fee Simple Title Holder (if other than owner) Name.
CONTRACTOR:
Name: Hodges Brothers Inc.
Address: 501 Harries Avenue, Orlando, FL 32805
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)(b), Florida Statutes.
Name:
Address:
In addition to himself. Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1 Xb), Florida Statutes.
Expiration pate of Notice of Commencement (The expiration dale 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 STATU I ES, 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief. {'
ce.,r-C,r-� / .� . �`^c�/�-->� — ! 41� �C �►I?� t Y .�F-r'�':}
Omer's Signanve Printed Name
Florida Statute 713.13(11(g): 'The Drier earst sign the notice of comnencemenl and no one else may be permitted to sign in his or her stead. -
State of 1 idy,^L 67— County of W0Lk—
The foregoing Instrument was acknowledged before me this I D day oft ,
by ,�rcCirLCs�l�iv-�YYbtS�c:') Who is personally known to me ❑
Name of person making statement
OR who has produced identification type of identification produced:
r' 'i''.,' LWMLHODCFS
- • %'4t'! C01,161(S5)CtJ t FF t153A20 �
EXPIRES: May 3,1020 f
Dordtd Tluu N9t ,,y Pu03t dada: is J -Ar
Notay Signature
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018019831 BK 9078 Pg 1499; (1pg) E-RECORDED 02/21/2018 08:51:05 AM
10.00
CITY OF
F SkNFORD
FIRE DEPARTMENT
PERMIT NO. IS * q4p
CONTRACTOR:
JOB ADDRESS: ci) ,
TYPE OF WORK:
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: W 11A.
S h
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
ZOOF
VSPECTION TYPE APPROVED REJECTED INSPECTOR
INAL 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 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items,requesied 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 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code Ill
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
-ePrevention Division
Buildin- & Fire
To— RESIDENTIAL RE, -ROOF POLICY& PROCEDURES
PERNIft"I'tNic; R�,:QUIREIN'tf,-.N'I'S-NoPl,.,%N Ri-:vmwMQ.ulRE1D
THIS DOCUMENT (SIGNED) ALONG WTHI ANACCURA 11 AND CON1111.1"TED IZI--"SID[-,N'I-,IAI..Rf-.-,,-RC)OF SCOPE OF WORK ARE
REQ() I UD TO BF- ISUfBMI-171J.:13 AS PART(V YOUR PEIRMITAPPIACA4 ION.
THl_`.SCOPE: OF WORK N4tJSTIN6,UDF.'AIL APPLICABLEFLORITM PRODL;rr APPROVAL NUMht.-..RSTOR ALL ROOF
COMPONENTS THAT WILL,BE INS"FA.LLED ONTHF', PROJECT.
A I1f,`.RMI_I"``'FILL NOTBE', IS'Sul,:I,) wl'i I.I.ou'l, -I'l'IrSF DOC UME,. NTS. COPIF.S WILA, BE MADE, TO POST ON JOB SITE-_
**,PRo.n,1'(,rs LOCATED IN TI IIE SckN]'OI2I),I.IIS'1*0111(,'DIS'1'lzl(:".t'wI u. Ru-,Quilk); PLAN
SANFORD HISTORIC' PRESERNmA,riONBOARD
INSPE'CTION POIJCY & PROCE4DURES
AFINAL ROOF MPE.CTION1S THE ONLY INSPECTION REQUIMED FOR RlslI)ENTIAL (SINGu,_": FAMILY, TOWN.FlNfsfi,
Wiii HoliMf-, APIA RTNIT,"'Nlt AND/6R. CONDOMI Mum) Ri,-.,- ROOF' PERMITS.
TiA.- FOLLOWING IS,REQUIRET) TIO'BE, PROVIDE, ON THE JOB SFIT:
0 PERMIT CARD, i'()STIst-)INA(,.'-ONISP[Ct.JOt..ISAND W,[-'.ATIII--Rl),IZOOI-L.,O(ATI-�)N
0 ALL FLORIDA PiWi4tic-f APPROVAL AND CO.RRl._,SPONIXNG INSTALLATION INSTRUCI-IONS
(1"R,Oi)tjc-1'Ai>I'ROVAI,St-IAI,I,,N,IA'.I'('IIWI-IA"FISO!\!'Fllf.',S'COI'EOl'WOIK)
Dlf(;ITAI,,P[iO'f'O(iRAI)[-]S(,NILIS'I'INCt.,['�Df,'I'Ill.,'[:Ir-IZMI't'NtiN,11.41"'ROIZADDR.ESSI'\�f,,-.ACIIIIIC'I-,I..JIZL)
• EACH PLANF� OF THE ROOF,, SHOWINGTI IF t.[N[)I-;Rl-.AI'MEN'I'INS'I'Al..,'L.[-'.D
• ROOF Dr,cK NAH-INQ PATI'FR.N & SPACING (INCLUDING A Ml1_3Asu1zlNG DEVI(,[,'.OR
• ROOF DECK NAILS LISED (INCLUDING A mr-MuRING DEVICT OR RULE-TSHOWANG, SIZE OF NAILS)
• UNDERI,,AYNfff\('I'PAT-1-f-�',IZN &I SPACING (INCLUDING A MEASURING, DEVICE OR Ruf,rR)
'0 DRIP EDGE & VALLFY ATTACI HAE.NT (INCLUDING A NIE.ASURING DEWIct; OR Rkit,f,,R)
0 S,I-IINGLF.S INSTALUED, NAIL PA'ITERN AND L.00A'I ION 01; NAILS
a SKYI..tGtITS(IF AI)I)I,ICAI.3f..,I,-,')
DiGH AL PHOTO(iRAPI IS SI ]OWING ALL INSTALLATION COMPONENTS, PUz FL PKODUIct"APPROVAL
o DIGI'I*At,,1'110'FO(-.iltAill-1SSIIOWIN(.iALL, Rt-"QIJIRll-I'I)FI-AS[IIN(;,pi:iz,f-"Lf)izoi)ulL:-i-Ali'RoVAI,
FAILURE TO FOLLOW "I SPI.,:CtF1('(,7,LjIDLI,IINI;S NVILL RESULT IN' AN AFFIDAVIT PROVIDED BNV A FLORIDA DLSIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), Cf,',kTI FYI Nc, FBC cool , (.'o,..'VIpl.-,IAN(-.:E BY PFRSONAL INSPECTION.
CONTR.AC'1_0,k (6R OWM_7R/Buu.mR) SIGNA FURE: DATE',: 2/20/2018
tlfY� OF
tOIPERMIIT # ZH
RESIDENTIAL RIvisior
E-ROOFSCOPE OF, WORK
Joil ApDRFss. 212 Bradshaw Drive, Sanford, FL 32771
S'FRL:C'I'UIZP'rY['E:, ING LE'FANI I LY RI; ::S I DL NCE/TOAX N I IOL IS F, 0 N401.311-1:: Homr 0 APAR TMENT/CiONDOM INIUM
RI,-ROoI;TYPI: RFPIACEmr-I'Nj'(TI--'AR OFF EXISTIN6 RCIOF AND
0 RF-COVER (Nr-.w ROOF INSTAIJ,1I1) ovf,.-,Iz Rc)OF)
DECK TN'i,r (Pf,.r-,.ASE SPECIFY): _, 1/2" Plywood
. ......... . ---- ----
-1-IL L,-tsL., AIOTF. ONLY I00 SQUA RE IL ET 0'1-- THE EXISTING DECK Is PFRItl,7-1'1., 1) TO BkULT1,11 CED
ROOT ',NTILATION: QOI.I,--Rli)(;L 0 Rfixil-, OSOFFIT OPOWERED Vf,,,N'I' OTURbINEIS
SEVIAGIITS: 0 YES ONO fl"YE"S. PL.[:AS[7 PROVIDE ftoizii:),1 PR0f:)tIC'TAITR0VAI,,;V:
NM,kIN Root" ARI,-,,,k
ROOF SLOPE,: LESS TFIAN, 2:12 0 2:12-4:12 0 4:12 OR GREATER
TN,i,i' or ROOF
FilpktDA PROMA"i, APPROYAL
-OSHINGLE
0 M,r,TAI-.
FL9
Q B ITLIHMEN
CertainTeed - Flintastic
FUFI-2533-1319
0 Tom i DOWN'
FLU;
OINSULAT1.1)
0
F1,4'
�)o-mE,.R: Underlayment.
Polyglass USA-Polystick
259-R27
boor Ex-rENSIONS (PORCULS, PA:rIOS, E.TC.) **JFjPPLIC..413LE**
Roo]: st,01,1.": 0 LESS THAN 2:12 0 2:12 -4:12
TYPE' OF kool,
MANI.!FACTURER
f-'[.OltlOAP,ROI)Llc,i'API�IZOVAI-.
0 SHINGI-F-
F L
ON4FTAL,
0 MODIF,IED B,I-,FUTV'IE'N
IT if
0 TORCH DOWN,
FL#
FL#
OOTHER:
11j,
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 18-00000963 Date 2/21/18
Property Address . . . . . . 212 BRADSHAW DR
Parcel Number . . . . . . . . 35.19.30.522-OF00-0100
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . COUNTRY CLUB MANOR UNIT III
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1033521
Permit pin number 1033521
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF /_/
CITY O'F.
S k" N-F
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE tAPARTM:fNT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
MAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-963
ADDRESS: 212 Bradshaw Drive, Sanford, FL 32771
I Carl Curtis Hodges --.---.--,AS A(N) GLNI:iRAI.., BUILDING, R.ESIDI NTIAL, OR
ROOFING CON'I'IZAC"rOR, ENGINIiER, ARCHI rEcr, OF F.S. CI IAP I I:EZ 468 BUILDING INSPECTOR, I III:M."BY AFFIRM, 'rFIAT ALL OF'rHE:
FOREGOING INFORMATION IS TRIJE AND ACCURATE AND TI IAT AL.L, ROOFING COMPONI N 'S LISTED ONTHE SCOPE OF WORK AT I'I IE,
ABOVE: REFERENCED ADDRI:?SS HAVE BEEN INSTALLED IN ACCORDANCE WITFI THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS—SPPCII-ICALI..Y FLOIZII)A BUILDING CODE, EXIS'LING BUIL..DING. IN ADDITION I CERTIFY THE INSTALLATION MEETS AL,L
REQUIREMENTS FOR SECONDARY WATER 13AIZRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE:. WITH THE HURRICANE RI rROF1T
MANUAL REQUIREMENTS (BASED ON F.S. CI 553.844).
LICENSE #: CCC 042845
COMPANY / CON'rRACrOR: Hodges Brothers Inc.
CONTRACTOR SIGNATURE: C e'^" DATE:
(MUSTBE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVITMUST BE PROVIDED AT TILE J013 SITE. AT TILE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF'THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDF.RL,AYMENT, FLASHING, DRIP EDGE, ATTACHMENT) WFrH 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
OVI RL,APS, INCLUDING DRIP EDGE AND VALLEY FLASITING. PLEASE RE:FGR TO THE RE -ROOF POLICY AND INSPECTION PROCEDURI
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 Volusia
Sworn to and Subscribed before me this day of February 2018 by:
Carl C. Hodges
identification)
Signature of Notary Pu Ic
State of Florida
Laura L. Hodges
Print/Type/Stamp Name
of Notary Public
Who is ❑ Personally Known to me or has ❑ Produced (type of
as identification.
EAURiI:LtHOD'GE§
MYCCMIMIn%4 FFW4F-
: z• i EXPIRES: May 3, 2020
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