HomeMy WebLinkAbout328 Live Oak BlvdCITY ,
Sk FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No:
/k--/ 3 3
o�
Documented Construction Value: $ `(
L"oe-
/���,Job Address: p1.,.l& 1 ,�1V� Historic District: Yes❑Nof�.j
Parcel ID: `� ocb' 30 - 5606'OWD— 0H14a Residentialg Commercial❑
Type of Work: NewF] Addition[] AlterationH�tepair Demo ❑ Change of Use Move❑
Description of Work: 9 3 of- 1 l t'b Gv
Plan Review Contact Person:
Phone-3 53-So- -Fax:
Name U'7G
Street:
City, State Zip:
Name 1..�
Street: 3M
City, State Zip:
Name:
Street:
City, St, Zip:
Title:
Email:
Propy Owner Information
-O�r USC Phone:
Resident of property?
rmation
Phone: ` IV� ( —
Fax:
State License No.: �L 6146
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 10.5.3 Shall be inscribed with the date of application and the code in effect as of that date: 61h 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 construction and zoning.
Signature of Owner/Agent Date nature ontrac gen Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is ' Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ . Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
.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.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
1/00 construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Si eofOwner/Agent _ Date
DWARDO OTERO
t t&-e fflfIffidyblic - State of Florid
ice; � pry
Commission # GG 003479
My Comm. Expires Jun 28, 2020
Owne gent is Personally Known to Me or
oduced ID X_ Type of ID 1--t 6 L
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Signature of Contrac r/ nt Date
Print Contractor/Agent's Name V,
Signature
Contractor/Agent is
Produced ID
13
6FHOVe Brady I
ARY PUBLIC
rE OF FLORIDA
m# FF185100
res 12/22/2018
KPersonally Known to Me or
Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
www.SkvLtiihtfioofing0riando.com
COMMERCIAL AND RESIDENTIAL ROOFING
LIC# CCC1330145
1300 S. Semoran Blvd. Orlando, FL 32807
Office (407) 430 7663- Fax (407) 385-6423
LnLOskvtiahtRoofinoOriando.com
Thank you for Considering SKYLIGHT ROOFING INC. for your project. The most important part of any estimate is the
the most important part of determining your price. We have made an effort to measure your roof as accurately a
determining everything possible to do the job right the first lime!
process. The size of your roof is
s possible, for the purpose of
NAME/ADDRESS:
FLORIDA BUILDING SOLUTIONS (GARY S) CONDITIONS OF PROPOSAL
328 Live Oak Blvd, Contractor submits this proposal for work on.
Sanford, FL 32773 !
-�•—-the-property herein descnb�ed.
PROPOSAL#; 6251 Upon acceptance, contractor agrees to
furnish labor and materials �ecessary to
improve the above premises in a good
PHONE NUMBER: 409 388 (.13 workmanlike; and substantial manner
according to the terms, specifications, &
EMAIL: prices.
APPROXIMATE START AND LMPLETION-
SHINGLES/The approximate start date of
FLAT COLOR: Jt:l���U and an approximate completion date
of
ACCESSORIES COLOR:
Submitted by: Juan Jaramllo
DRIP EDGE COLOR: U-) Date: _2/21 /2018
DESCRIPTION OF THE WORK; AND MATERIALS;
• Remove ONE layer of existing roof and underlayment to exposed eking.
• Replace any rotten wood. -SEE PRICE DETAILS BELOW
• Install 2'/zin. coil nails along all trusses, every 6in., to properly secure decking.
• Install one layer of SYNTHETIC RHINO underlayment as a dry in application.
• Install 21/2in, drip edge around perimeter of the roof- PlcxcoLog, WHHE, BEIGE, BROWN, BLACK
• Install peel n stick and valley metal in all the valleys.
• Install new Sin lead boots.
• Install new 2in lead boots.
• Install new loin exhaust vent.
• Enhance current ventilation by adding extra for a total of 601f aluminum ridge vents.
• Install 30yrs. CERTAINTEED LANDMARK architect shingles with a wind resistance of up to
130mph.
• Shingles will be installed six nails per shingle.
• Ground will be swept with a magnet at the end of each working day.
• Clean entire work area and haul away all debris.
FIVE- YEAR LEAK WARRANTY (LABOR):
• Price includes labor, taxes and all permitting fees.
• ALL ROTTED,-WOODWORK.IS ADDITIONAL,$49.00 BY SHEET"OF PLYWOOD,' -OR $4.60
LINEAL FOOT, IF CEDAR WOOD $6.50 material included. (PLEASE BEAWAP.ETHATTHE
HOMEOWNER IS RESPONSIBLE FOR MAKING THE PROPER ARRANGEMENTS FOR SOMEONE TO BE HOME 10 APPROVE THE
WOODWORK, OTHERWISE WE WILL REPLACE ALL THE NECESSARY WOODWORK; TAKING THIS CONTRACT AS APPROVAL) AS
THE DECKING CAN'T BE LEFT EXPOSED RUNNING THE RISK FOR WATER INTRUSSION).
*ROOF INVESTMENT.......................................................................$II 8,100.00
' ••SAVE $20IN YOUR FINAL BILL WHIN YOU LFAVE A REVIEW FOR US IN GOGGLE SHARING YOUR W0EBIENTCE VMH JTJR CO3"ANY'••
ACCEPTANCE OF PROPOSAL: II
This proposal is approved and accepted. There are no oral agreements. The written teens, and prices are the entire agree ent.. Changes will N
made by written change order only. Cancellation of this contract 72hrs after signets will result on a cancellation fine c r ue to S2,500.00
f -Z2
A PROVE AC D TE
CONTRACT TERMS
Owner agrees to pay Contractor its normal selling price for all addition, alteration or deviations. No additional work shall be done Ni
authorization of Owner. Any such authorization shall be on a change order form, approved by both parties, which shall become part
such additional work. is added to this Contract, it is agreed that the Total Price under this Contract shall be increased by the price of
that all terms and conditions of this Contract shall apply equally to such additional work. Any change in specifications or construeti
conform to existing or future building codes, zoning laws, or regulations of inspecting Public Authorities shall be considered additi(
by Owner as additional work. If the quantity of material required under this Contract is altered so as to create a hardship on the Con
be obligated to reimburse Contractor for additional expense incurred. If the Owner or agent of the Owner furnishes material or perft
portion of the work in progress any loss to the Contractor that results thereof shall be charged to the Owner. Any changes made and
affect the validity of this document.
The Contractor shall NOT be responsible for any damage occasioned by the Owner or Owner's agent, Acts of Nature, earthquake, s
beyond the control of Contractor, unless herein provided or unless he is obligated by the terms hereof to provide insurance against s
The Contractor shall NOT be responsible for any damages occasioned during the performance ofhis work using normal constructio,
inside the house if the Contractor damages or contacts any other existing components including by not limited to water -pipes, sewer
electrical wiring, ventilation and/or other wiring, conduits, pipes, tubes and vents that have been incorrectly installed within the roof
The time during which the Contractor is delayed in his work by (a) the acts of the Owner or this agents or employees or those claim]
with or grant from Owner, or by (b) any Acts of Naturc which Contractor could not have reasonably foreseen and provided against,
inclement weather which necessarily delays the work or by (d) strikes, boycotts or like obstructive actions by employees or labor or
beyond the control of the Contractor and which he cannot reasonably overcome, or by (e) extra work requested by the Owner, or by
to promptly pay for any extra work as authorized, or by (g) unforeseen delays caused by Public Authorities, shall be added to the tin
fair and reasonable allowance.
Contractor shall at his own expense carry all workers' compensation insurance and public liability insurance necessary for the prole,
and the Owner during the progress of the work. Owner agrees to procure at his on expense, prior to the commencement of any work;
Coarse of Construction, All Physical Loss and Vandalism and Nfalicious Mischief clauses attached in a sum equal to the total cost o:
insurance shall be written to protect the Owner and Contractor, and Lien Holder, as their interests may appear. Should Owner fail toi,
procure such insurance, as agent for Owner, but is not required to do so, and Owner agrees on demand to reimburse Contractor in ca
Where colors are to be matched, Contractor shall make every reasonable effort to do so using standard colors and materials, but doe!,
perfect match.
Any controversy or claim arising out of or relating to this Contract shall be settled by arbitration in accordance with the Rules of the.
Association, and judgment upon the award rendered by the Arbitrator(s) may be entered in any court having jurisdiction. Should ei
suit in court to enforce the terms of this agreement, any judgment awarded shall include court costs and reasonable attorney's free t�
plus interest at the legal rate.
Unless otherwise noted in this agreement, the price quoted does not include removing fascia, trim, sheathing, rafters, structural men
vents, roofing, caulking, metal edging or flashing or any type. If, during the course of the work, it should become apparent that an
.
structure should be repaired or replaced, Owner may authorize Contractor to do such additional work and charge Owner for addilioy
required plus a reasonable profit.
The Owner is solely responsible for providing Contractor with a water, electricity and toilet during the course of construction.
The Contractor shall not be responsible for damage to existing walks, stairways, curbs, driveways, cesspools, septic tanks, water or
shrubs, lawn, trees, clotheslines, telephone or electric lines, etc. by the Contractor, sub -contractor, or supplier incurred in the nomnall
of the work or in the delivery of materials for the job. Owner hereby warrants and represents that he shall. be solely responsible for it
building site over which the Contractor has no control and subsequently results in damage to the building or injury to persons or pro
Contractor agrees to complete the work in a substantial and timely manner but is not responsible for: (a) failure or defect that result
other prior to, at the time of or subsequent work done under this agreement (b) failure to keep gutters, downspouts and valleys clear
failure of Owner to authorize Contractor to undertake needed repairs or replacement of fascia, vents, defective or deteriorated roofing
sheathing, structural members, siding, masonry, caulking, metal edging, flashing of any type or other repairs.
Contractor makes no warranty, expressed or implied, (including warranty of fitness for purpose of merchantability). Any warranty of
be as provided by the manufacturer of the products and materials used in construction or as written above.
Owner hereby grants Contractor the right to display signs and advertising at the building site.
Within ten days after the execution of this contract, Contractor shall have the right to cancel this Contract should he determine that
that all payments due under this Contract will be made when due.
This agreement constitutes the entire contract and the parties are not bound by oral representation by any party or agent of either park
The price quoted for completion of the work is subject to change to the extent of any difference in the cost of labor and materials as {
actual cost to the Contractor at the time materials are purchased and the work is done.
a.,„
ACCORDING TO FLORiDA S CONSTRUCTION LIEN LAW (SECTIONS 713.001-
713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR
PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO
ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS
CLAIM. IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -
SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE
OTHER LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED
MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE
PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR,
YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS
MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR
WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT
WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY.
✓ PLEASE INITIAL AGREEING WiTH CONTRACT TERMS:
ithout prior written
of this Contract. Where
dditional work and
n necessary to
nal work to be paid for
ractor, the Owner shall
ms labor on any
r this Contract will not
orm, or other causes
rch hazards.
n practices or dusting
pipes, gas lines,
deck or roof truss area.
ng under agreement
)r by (c) stormy or
;anizations which are
J) failure of the Owner
e for completion by a
;tion of the Contractor
fire insurance with
'improvements. Such
do so, Contractor may
sh for the cost thereof
not euarantee a
American Arbitration
ier party hereto bring
the prevailing party
bens, siding, masonry,
ueh portions of the
al labor and materials
as lines, arches,
use, the performance
e conditions of the
ierty.
rom work done by
of obstructions (c)
or roofing felt; trine,,
limited warranty shall
sere is any wnceminty,
y-
rf this date and the
THIS INSTRUMENT PREPARED BY:
t � -
Name: �L\ .�° it 41:`l�S t, k - S�,>> �-.?.��rcr 4�a ' f1a� n�. , _
Address: ►•?: ao �..Mt.n•� �iy,a flc ,;,do ��'�G"�
i1AL.OY, s.3f:i'II';'1Ot_E COUNTY
t CiF C:IFC:LJ11' GOC)FtT' 2 C:ONPTROLLER.
BK
c cr, � r
CLERK'S Y 2013027773
NOTICE OF COMMENCEMENT 11-1-E RECORDED 3If-'EE t_$10. ti,,-4a-2,� 'rl`I
F;I:C(1F'C�7:!'.{cry 1=�E::E�� d>1ij,.ilii
REt;OF:I"",ECG BY r!ic rn
Permit Number:
Parcel ID Number: ��"% ` %�� ��lv` O Q 1U
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)
L C3- .L4
2. GENERAL DESCRIPTION(�OF IMPROVEMENT:
\�•r�!! Vloc��
3. OWNER IRFORMATION OR LESSE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address.' f' G
Interest in property: J r-
Fee Simple Title Holder (if other than owner listed above) Name: ►v 1�
Address: tv1 Y1
4. CONTRACTOR: Name: 00 !1\l.o Phone Number: Oa- y 3,3 — 1
Address: f r F
5. SURETY (If applicable, a copy of the payment bond is attached): Name:f,91 4A
Address: 1J 1 }i Amount of Bond:
6. LENDER: Name: N"1 Phone Number: N) 4)
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. j
Name: NI Phone Number: N I A
Address:I� N if
8. In addition, Owner designates W)N of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 04
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 (Print Name an Provide Signatory's Tide/Office)
Authorized Officer/Director/Partner/Manager)
State of 'boy, A O- County of 4�3
�4
The 7fgoing instruj"ent was acknowledged before me this
byP"f a t f3rUE SSed
Name of person making statement
who has produced Identificationy we of identification produced:
o NANCY TAVERA
Notary Rtitilic - State of Florida
' Commission # FF 967052
My Comm. Expires Mar 28, 2020
rt
day of �YN rL
Who is personally known to me ❑ OR
CITY OF
y Building & Fire Prevention Division
D S',kNPORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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:
JOB ADDRESS: _3 o'-Z q (.�'�vc OG`
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
FL
3
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: �E)PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
I !/
DECK TYPE (PLEASE SPECIFY):
*PLEASE NOTE: ONLY 100 SQUARE FEET OF THE E IS ING DECK is PERMITTED TO BE REPLACED""
ROOF VENTILATION: O OFF -RIDGE � RIDGE . O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
O 2:12 — 4:12 W4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA//P��R��ODDUUCT APPROVAL
HINGLE�`
rl ���
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OTHER: u4 6t s
c% W r`A
FL#
v
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "" IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1� ADDRESS: �v
I bew\<� \1N--� , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, EN( E t, 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 #:
COMPANY
CONTRACT
(MUST BE
C1
/CONTRACT n
OR SIGNATUR DATE: '
S�
IGNED BY LI HOLDE OR O DER
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, DRH' 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 1A0
Sworn to and Subscribed before me this day of 20 by:
Who is Personally Known to me or has ❑ Produced (type of
entification) as identification.
Ignature of Notary Public SILiilA1MIREZ
,7e of Florida
='c COMMISSION # GG063106
A EXPIRES January 17, 2021
/\Al
rmt/Type/Stamp Name
of Notary Public