HomeMy WebLinkAbout101 Wheatfield Ciri1Y OF
Building & Fire Prevention Division
M, SANFORDPERMITAPPLICATION
& tRt 1 f pAr# tkclif N t
Application No:: u
(Documented Construction Value: $ id L431
Job Address: 10 W —fie l 't _ G! r , :�rAY?'&d , zt Historic District: Yes❑No O
Parcel ID: .3 Z- 141, 3 I. J S, 0 000.
iOSZO Residential Commercial
Type of Work: NewE Ad ' ' n❑ Alteration❑ Repair❑ Demon Change of Use Move
Description of Work: 00
.r- t . _. I _ i, .
Plan Review Contact Person:
VAtop (14e •I a\ 66 Title:
Phone• �1 �I—11�PLP
,� 8 �• 3 Fax: �� Email:
Property Owner Information rr\\ 46
j
.Name - ° 1�ri pjea t c Phone: '' `kin . ' 6- ,
Street; �%` `-`(�, Cl r Resident of pro er
P P tY?` ,
City, State Zip: �OAYCI r L. 32 +7 ^)
Contractor Information
I
Name 1 1(r —CA �1 dLl 5i ' }ern i_ j o e: J ��'i ;c� �71 "` y"tit P3
Street: Fax: j N, 5-71- -1U Q3
City, State Zip: NKn W)ff�f , t'L _�State License No:: ( (t 03 6 Bb2
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6tn Edition (1017) 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 AFFIIDAVIT:I certify that -all of the foregoing informationis accurate and that all work, will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
lure of Contractor/Agent Date
of Florida Date
:YCIMAEHRENRElCH
ission #'FF 963931
Owner/Agent is; Personally' Known to Me or Contrac r"A`g`�tit end:°rtn,fill2ti�811 o Me or
Produced ID Type, of TD Produce _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical 0 PlumbingQ Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load
# of Stories:
New Construction: Electric - # of Amps Plumbing # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No
WASTE WATER::
BUILDING:
Revised: January I, 2018 Permit Application
4/11/2018
SCPA Parcel View: 32-19-31-515-0000-0520
M2 n.Crlt
}X
4:S$ib.Le C�i'i(�J'fY, FCl7f2II1+a
_.
Parcel information
Property Record Card'
Parcel: 32-19-31-515-0000-0520
Property Address: 101 WHEATFIELD CIR SANFORD. FL32771
j Parcel; 32 19-31-515-0000-0520
Owner(s) 1 NEALE JOSEPH B Tenn y Entirety
a NEAL CHERRYL - Tenancy by Entirety
1 Property Address 101 WHEATFIELD CIR SANFORD, FL 327-71
Mailing 101 WHEATFIELD CIR SANFORD, FL 32771-
Subdivision Name CELERY LAKES PHASE 1
j f�
Tax District .' S1-SANFORD
1
DOR Use Code';. 017SINGLE FAMILY
Exemptions
a )'
p ' C) , x
W b W
Ul
47-12 `�,-�, ,art _. * "--j
o
._
Seminole
County GIST
Value Summary
t
2018 Working
1
j 2017 Certified
{
Values
Values
Valuation Method — —
Cost/Market —
~ Cost/Market
Number of Buildings
ngs
1
Depreciated Bldg Value
$137,044
$134,832
Depreciated EXFT Value
$325
i $338
Land Value (Market)
$34 000
$30 000
Land Value Ag
7uslWarket Value
$171,369
$165170
(Portability Adj
Save Our Homes Ad'
t
$0
$0
Amendment 1 Adj
$2,142
i $11 327 1
P&G Adj
$0
I $0
i Assessed Value
$169,227
i $153,843
Tax Amount without SOH: $3,003.81
2017 Tax Bill Amount $3,003.81
Tax Estimator
Save Our Homes Savings: $0.00
' Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT'..
52
CELERY LAKES PHASE 1
i PB 62 PGS 75 & 76
Taxes
Taxing Authority
I Assessment Value
Exempt Values
1
Taxable Value
County General Fund
_.^
$0
16,227
Schools
E f
$171,227
369
$0
$171369 f'
'
City Sanford
t
_ ..,
$169,227
$0
$169,227
SJWM(Saint Johns Water Management) _
. ..... _ .......__ . ..., __
_ ..
$169,227
$0
- ____.. .......... . ' $169,227
County Bonds
$1.69,227 ,
$0 ;
$169,227 .'
r Sales.-
_.
Description
{ Date Book
i Page i Amount
Qualified
Vac/Imp I
{
WARRANTY DEED
6/1/2012
07792
0841
$134,000
Yes
Improved j
WARRANTY DEED -
1/1/2012
07693
069 2
_
$89,500
No
Improved
F SPECIAL WARRANTY DEED
11/1/2011
07693
06go
$100
No
Improved
_ .....-.....
CERTIFICATE OF TITLE
_. _ _. ..
10/1/2011
_. .._...
07649
1330
- __..
$100
..
No
_,. ,
_.._. .
Improved
WARRANTY DEED
3/1/2005
05659
1312
$225,000
Yes
Improved
SPECIAL WARRANTY DEED
12/1/2004
' 05562
1716
$184,900
i Yes
Improved
Land
is Method _ F: Frontage
LOT:.`._..___,_.__..___
Depth Units
0.00 ; 0.00
Building Information
http:/!pa rceldetail.scpafl.org/ParcelDetaillnfo. aspx?PI D=32193151500000520
Units Price Land Value
1 $34,000.00 $34,000
112
U"C5TAULATION'STRE AoDR. MP
7te
e _yx
14A0,+A"U a(, "A-r 4>1,i4
'erty,perform the instal6gdn cfccr6In,Goo&1 the Contract Poce,may include more
Goods than actually.wfll be installed basMon the measured spuara.fcotaje of the' Project Area. As,a'rcsufL, the partiesagreethat, ft lurnp:strmpriqe
Si4tedin this Contract -is, calculated upon both the %6lue of estirnated'Goa Goads wral to I csr" I fulfill the ContractContract(Includ ing waste), which may oxceedithe actual
sq4aro footagecf the Project Area, and the let" whichmay ort'thb4moufil at Goods required' there including �vasta),
'OP.
BY wont ng-this Contract belaw, Customer acknowledges receipt of this notice and agr"s'and-v erslandsi that th 1=20.athol'
arl a r—ts, V'N(# may.
NOTICE TO (ZU4STOMER: Federal taw requires Lowe's to peovido yoU Wft thei
le Amphlitt Renovate Right By signing this,,Conitract. Custoatir-atknowledgis
having rotieived a zopy,of this pamphlet beforeI I work I -le I again informing Cbstorner
C06fract, Taal
of the potantlaf risk of the toad luiz itc! taxpasura'"m rimoiriotiort activitite, be
_r rformid� in Cusitomeei dwalling unit.
-P l
apolivible taXes i6cludedH L
7
NOTE: If totted woods discovered durfirig installation chdirges'will ou witt bee-givpn a quote i ;1# a che�ordar
a ng
. �sl nedby the custoriltdrfor:any. iddlitflahal c Customer must Initial.
'Any included in
Work or S #'not mii Contract Any c"o"s be atan char6e for ft mate. mo anrj,66or.
:NOTICE TO OWNER; -, ACCORDING TO:FLORIQA!S CONSTRUCTION'LIEN, LAW, SECTIONS 71,3.001-713.37, FLORIDA-
,
STATUTWS'THOSE WHO,WORK ON YOUR"PROPERTYbIl PROVIDE
MATERIALS A0 SERVICES AND
I , E NOT,PAID IN
A RIGHT TO ENFORCE THEIRCLAIMfOR'PAYMENT AGAINST YOUR'PROPERTY, THIS CLAIM 19 KNOWN -As A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY'SUBCONTRACTORS,
SUB-SUBCONTRACTORS,OR MATERIAL SUPPLIERS -THOSE PEOPLE WHO -ARE OWED,MONEY'MAY,LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL IF YOU FAIL TO PAY YOUR
-CONTRACT ' ORiYOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. 'THIS MEANS IF A LIEN ISPLED YOUR
'PROPERTY COULD BE SOLD AGAINST YOUR WILLJO PAY FOR LABOR,, MATERIALS, OR:OTHE9 SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY, TO PROTECT YOURSELF, YOU SHOULD STIPULATE
IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
wRn`TEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT, HAS PROVIDED 10 YOU'A "NOTICE TO OWNER."
FLORIDA$ CONSTRUCTION LIEN LAW IsCOMPLEX, AND IT IS RECOMMENDED THAT YO T UCONSULT AN At ORNEY.
PHOTO REILFASE: Customer grants to Lowe's and Lowe's employees and independiint contractors the right to'take,ohotOgrapft at the Pronftes whom
lnstallallon,Servicoswill be performed and `aft .wa,*'performod at the Promise's I -reiated to this"ContracL arm4irrevccalily grants to Lown�s all lIK title and
Into in and to the,pholographs far Use,I in"all,markets and media, worldwide,, in D6*tuitX . Customer authorizes, Lowe's to copyright. rise and publish the
OhaicigraAhs' In pho,tandfor etocllronic-611y,nnd agrees that Lowe's may use iubh,photographis Wa6y including, but eat limited to, Imametirige
dvortisinq , "into and, Web'cbmcnt, Pyinitiating here, Customer agrees totho faregel
Work is tt contractor andfor any s, I sus mar made IGGod(s) which is anticipated to be
ia In datel, Estimated completion def 1. [fift'lit date
—if, - I
Said estimated sutmt at compi e!tanil latoisnot olth ass mas tee I of 4 1 that
' le "n data r. as
This Contract provides that all claims by Customaror Lowe's will resolved by BINDING ARSMIRATION. Customer and Lowo's,GIVE UP THEAIGH1
TO'GOTO COURT to enforce this Contract (EXCEPT formatters that may be'taken to SMALL 'CLAIMS COURT), Lo�va's and Custornor's rights will tx
I
determined by, a NEUTRAL ARBITRATOR and NOT ajudge or jury., Lowe's and Customer pro entitled to a FAIR HEARING. But the oibitratior
'procedures are SIMPLER AND MO RE4JMiTED THAN'�RULEs APPLICABLE IN COURT. Arbitrator decisions areas enfoi6iialite,as any,cpurtba rdernt
are subject to VERY LIMITED REVIEW BY A COURT. FOR MORE DETAILS: Review , the -suction titled,, I ARSITRATIONAGREEMENT, WAIVER OF, JURI
TRIAL. AND WAIVER OF CLASS ACTION AbJUDIdATf6t1 found lathe Terms and Conditions
millions of this Contract
00 NOT SIGN THIS CONTRACT UkTIL.00MPLJ5TE,AND YOU HAVE THE TERMS AND CONDITIONS CONTAINED ON
READ ALL -
- OF , THIS CONTRACT. 6Y SIGNING BELdWk YOU ARE ACKNOWLEDGING THAT YOU HAVE READ I , UNDERSTAND
PAGES
AND AGREE TO THEIERMSAND CONO4tIOJNS`SET FORTH ON ALL PAGES OF T141S,CONTRIkCT. YOU, ARE ENTITLED TO A
COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE,
WITNESS CUP HAND($) AND SEAL($) BELOW THIS DAY OF
Lowe's Home Centers,,LLC
owner
Lowe 's,Auftized Rop�tiva Co-Pemer or Witness
custonw, aetsrwwfedgos racqtpt of:a true copy of thlo contra-.t wh(eh w0*e4MPfQt*fyJ0Il0s( In prior to Customer's exceirtion'hereof. You, the buyer, m
at — Ten. —in, I- -eWnm nf t tin third tuminac4 dA.,pe— rho
THIS MMUMENTPRE WED V-
! M
Address:
State of Florida
County of Seminole 11
P8rmttNuMbqr-. ParmIM Number., -19 -3/ -5i1J-,V,,v-)-6'5,;�0
The undersigned hereby .gives notice that impr&ernerd will tie made to certain real Property, and in accordance with
Chaoter 713, Horde Statutes, the following information is provided in this Notice of'Commencamerfl,
GE WAL DESCRIPTION OF IMPROVEMENT:
AMress! 1U1 Wrlx-oJ Ev*f
Fee Shrrple'ntle Holder (Il"other than owner) N afrne�
Address:
Addres4-
In addMon to.himaelt Ownecoesignalbs
-of
To receive ' -a copy of th-9,Udr1or's Notice as'lPfavided in
Section 713.13(1)(b)c Florida Statutes -
Expiration Date of Koto 01"Commencement (rho axittretion data Is I year from dats, of recording unless a
106m.ht dMa to an..imfi—a
Under penalties of perjury, I deetare that I heiviD read the foregoing and that the facts stated In It are true
to the bpV,of- nfy knowledge and belief.
Ownees,signatwe ownw'i Prinittd Nme
FloMa Siaulne 713.13(1 1(g): - The owner must sign the m0ce d cortirnencernom and no one eise may be Permitted to seri In, thapr her s*zd.'
State of e County or ire ZvL�t e
The for000" Instrument was acknowledged tolom me this U Cloy of g2O
by
Who Is personally known to me cf
N*-* at pe,"O. "Iry awvn,
OR WhO has produced ManglicatIm U type of Identiftcattan produced: T. 4-e 44-zs110
T11'0`11AS SANDiFoqp
� D .1
M
X
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTYFL
CLERK'S #,2018042176 8k 91121 PQ 1692: (1pg) E-RECORDED 0411712018 03:35:01 PM
M00
City of P.
ord
BuildingandFire P
aePe31
Permit #'
Project Location. Address i D' kG'-= &ter -
As required by Florida Statute 653.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available
1. This entire product approval form
2. A copy of the manufacturer's installation
on the jobsite for inspections:
details and requirements for each product.
Category/Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll UP
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
_
Double Hun
Fixed
_
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category I Subcategory
Manufacturer
Product
Description
Florida Approval #
including decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
_
4. Roofin
,Products
Asphalt Shingles
'1tiF
iiYY1 lira n
t-fU(2 2a
Underla ments _
AP
14
FL 1oLpzU-7- 3
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shin les;
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
Junc 2014
Category /Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
,Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck] Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name 54,V Q { �G p
(Please Print)
June 2014
CITY OF
NANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. /900 / F9 C/ ISSUE DATE:rz V, ?� / 11
•
CONTRACTOR: ®f %-Ser W A ' ®�
JOB ADDRESS: ® I WhctzWi*e I •
TYPE OF WORK: qOe Poo
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
NSPECTION TYPE APPROVED REJECTED INSPECTOR
i INAL ROOF F I I
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 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 pm for assistance.
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 0'
Building & Fire Prevention Division
S��F -ORD
RESIDENTML RE ROOF POLICY & PROCEDURES
F R IF '
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 ANDAPPROVAL 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, POSTERIN 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)
• EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENTINSTALLED
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.
I '-� 1 4
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: : �' � DATE:
-I�
Of
SkNFORD
FIRE Of-,,NARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB ADDRESS: ` V j1 1 �UfiYJ t _FL
TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (3 EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE -COVER (NEW 'ROOF INSTALLED OVER EX TING ROOF)
DECK TYPE (PLEASE SPECIFY)-. k D a 'Z U S'f-S
**PLEASE NOTE: ONLY 100 SQUARE FEET bF THE EXISTING DECK1, WPERMITTED TO BE REPLACED**
ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES IO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 &2:12 - 4:12 0 4:12 OR GREATER
TYPEOF ROOF.
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
_.
FL# mot/
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OTHER:
FL# 4 �-� 413
ROOF EXTENSIONS (PORCHES PATIOS ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:1.2 0 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL# .
0 INSULATED
FL#
0 TILE
FL#
0 OTHER:
FL#
PERMIT 4'..
CITY, O
Building & .Fire Prevention Division
RESIDENTIAL RE -ROOF A FFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING; AND ALL FINAL ROOF COVERINGS
ADDRESS: W W -% t"A C, r'
'rr=k)v_Cl -pL• 32--1
I Lila V 01 -Myr A-i-n 1 d D 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.W).
LICENSE #i C% Cy , 3"
COMPANY'/ CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR.O WNER/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,
UNDERLAYIVIENT, 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 day of 20 by;
identification)
Signature of Notary Public.
State of Florida
Print/Type/Stamp Name
of Notary Public
Who is 0 Personally Known to me or has 0 Produced (type of
as identification.
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
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Page 2
Application Number . . . .
. 18-00001894
Date 4/19/18
• Property Address . . . . .
. 101 WHEATFIELD CIR
Parcel Number . . . . . . .
. 32.19.31.515-0000-0520
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1045699
Permit pin number 1045699
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 Ill BL03 FINAL ROOF / /