HomeMy WebLinkAbout105 Centennial Dr (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 6,600
Job Address: 105 CENTENNIAL DR SANFORD, FL 32773 Historic District: YesEl NoF1
Parcel ID: 10-20-30-5FS-0000-1 380 ResidentialE Commercial[]
Type ofWork: NewO Additionn Alteration[l RepairE,] Demon Change ofUse El MoveEl
Description of Work: REROOF ASPHALT SHINGLES
Plan Review Contact Person:
Phone:
Name
Title:
1)
Email:a n d_ q c, ,
we't-
Property Owner Information
MARCY & MIAOULIS NICOLE HOLTON 'Phone: 407-256-7249
Fax:
Street: 105 CENTENNIAL DR SANFORD, FL 32773 Resident of property? :
City, State Zip:
Contractor Information
Name WINTER PARK ROOFING, INC- JAMES BELL Phone:
Street: 3500 ALOMA AVE STE F17 WINTER PARK, FL 32792
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
407-671-2666
YES
Fax: 407-671-5626
State License No.: CCC1328879
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. 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 ol'application and the code in effect as of that (late: 511 Ldition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
In Ad !on to the reguircntcnts of this permit. that may be udditienal re trictions applicable to this property that, may be
found ltathe public records of this county, and there may be additional pertnits required from other governmental entities such as .eater
ntana , tttertr diA icts, state at;ertci,cs, or federal agencies.
Acceptance ofpennit is verification that i will notify the utyrtcr of°the property of tore requ irrmcnts of Florida Lien Law, FS '7l ,
r The Cnyref Sanford requires payment ofe plan review fee ea the time 0i permit submittal. A copy of the executed cuntrrcr is required
in otcler to calculate a plan wrest ca4t e anc4'MO be. tonsidcrcd the eWrtm ed constmetion valtw or the at slay time of sttbnuttal.
lltc actual constroetioll value wall Pad+ trgured,based airs (he cu t at ft't` Vairrbttttn R$hlr in cfl�ct at she time the perntft is issued, in
t accorduce .vith lot lv5rd`enanee. Should. ,alculatrd charges figured c.r`f the executed contract "teed the aduat construction .,nluc.
credir.. ill be appl'red.to your permit fees whe-a the permit is issued.
C111rf15 A:i tIiA1 T: I; certife that all, of the foryui4-oin..
ttit>n is accurate and i:ti:at all work »xi11
. be dtisie_in cornpljancc'witIi all applicable taws reouiatinqion anti-ztarting..
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Otvt ere gent is Persrattally tCtttak� rt rye ear f anlraclot,'Agent i+ _ . Personally Known to me or
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Produced to Type of lb Produced Ida Type ofIIJ
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ELOWA sYOROFFICE, USE ONLY
Pcrn44gegyired: k3uildimg❑ teclri.cal❑ Mcchard al❑ Flutmbitty(3 Gas[] .900E)
Construction . 'Ty e:Occoponcy, Use; Flood Zone:
TotalSqFtt7t 131db: Min, Oceupancy -stud: # of Stories -
sett° �'t O,$t:rpeiirati:, � lecfr c -; ofr .nrfls 'ittxrrtlit - 9 of Fixtur,"
Fire sprinkler Permit: Yes No ❑ I of Heads Fire Alarm Perinit: Yes ❑ Flo ❑
xCPPROVAUS: ZOMING: L1i ILl i'it WASTE WATER.
CONITNl�ENTS.:
Ftc.-e7'cd" truce 3Q..20ta l arm;t rirt 1a ,term
Winter ® Roofing, Inc
ia. ontract State Certified Roofing an Resi entia. or
CCC1328879/CRC1329z680
Roof Proposal
407-671-2666 Fax.,407-671-5626
Customer name MARCY HOLTON
Address 105 CENTENNIAL OR, SANFORD, FL 32773
Phone407-256-7240 Email LUVOOGZZVGMAIL.COM
Roof pitch -4112
Removal X Stan dard—non-staridard Describe: 1LAYER REMOVAL ANO DISPOSAL
We will use tarps to protect groundcoveringand customer's property.
We will tear off and dispose of all existing roofing material down to the bare deck.
We remove and replace ail rotted roof decking at no additional charge.
We Will re -nail entire deck as per I'l. code using 8d ring shank nails.
We will replace all metal including drip ledge (color optional), lead pipes, and vent pipes.
We will install Owens Corning Pro Armor or RhinoRoof U20 synthetic underlayment.
We Will] install architectural shingles (6 nail per code), color and manufacturer TBD by customer. Owens
Corning: Oakridgeor Tru-lief Oakridge, GAF. Timberline HO, CertamTee& Landmark, or Tamko.
Heritage.
install starter shingles on all eaves and rakes.
All gutters will,be cleaned at job conclusion.
We will magnet and provide daily clean up and keep property clear of roofing debris removing durripster
at job conclusion.
We will add proper amount of roof ventilation at no additional cost.
Contractor will provide all necessary permitting paperwork.
Any special notations. N/A
M1•1 iiiiiii��illillillilli�illi�ilijililI iiiiiiiiiiiiiij �111 11111 1111111! iiiiii�ill 1111 ill 1 11 1 ��
EM pIll'u'Mill •
,3500 Aloma Ave f 17 WinterPark PI 32702
www,winterparkroofing.stet
THIS I ' NSTRUMENT PREPARED BY.:
Name- WINTER PARK ROOFING
Address: 3500 ALOMA AVE STE F17
WINTER, PARK, FL 32792
P,,� k r rei; y I CL
-0, S I I I
i'.LE,5'1-' f3F COURT & COMPTROLLER
9:
P41,
, , ij_' 11' -i 16!_J3 IF9 S.
(1ERK ' 6 2018013512
NOTICE OF COI".fi,,Nfi,ENCEMENT
- q
Permit Number (A
Parcel 10 Number: 10-20-30-5FS-0000-1 380
The undersigned hereby gives notice that improvement will be made to, certain real Droperty, and in accordance Wth Chapter 713, Florida Statutes, the
foiloWing information, is provided in this Notice of Commencement,
1. DESCRIPTION OF PROPERTY: (Legal description of the property and itreLi address if available)
LOT 138
HIDDEN LAKE PH-2 UNIT 3
_P8 25 PGS 64,& 65
2. GENERAL DES C RIPTION,,OF IMPROVEMENT:
REROOF ASPHALT SHINGLES
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:,MARCY & MIAOULIS NICOLE HOLTON. 105 CENTENNIAL DR SANFORD, FL 32773
Interest in propertyVVVNtt,<
Fee Simple Title Holder (if other than owner listed above) Name:___
Address:
4. CONTRACTOR: Name: WINTER PARK ROOFING- JAMES BELL —_ Phone Number; 407-671-2666
Address, 3500 ALOMA AVE STE F1 7 WINTER PARK, FL_32792
5. SURETY (If applicable, a copy of. the payment bond is attache# Narne.-
Address- Amount of Bond:
6. LENDER: Name: Phone Number-.
Address:
7. OeIrsons,)h6thin the State of Florida Designated by Owner upon whom notice or other documents maybe served as
71,3.13(1.)(a)7., 11 Florida Statutes:
provided by Section
Name: -,- Phone Number:
Address:
& In addition. Owner designat I es . . . ...... of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(bi, Florida Stattites, Phone number:
9. Expiration Date of Notice of.Commencement (The_expiration is 1 year from date of recording unless a different date is specified)
14 WARNING .TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER 'PAYMENTS UNDER CHAPTER
TER 713. PART 1, SECT;ON 713A 3, FLORIDA STATUTES, AND CAN -RESULT INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO -VICE OF CON11MENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAfN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMIFNCEMEINT.-
rtY(Al
(2!Lre(?'C.%neror Less,ea, joo,,nl, ard Pm�,Ide Slq,at�,rV's
State of County of
The, foregoing Instrument was acknowledged before me this day of , i'Ld/1/4/1
byk & Who is personally kn1e. to me i,,6R
, 402!
Narm of pvson siaimmt
who has produced identification 1-7 type of identification produced-
DEBRA L 'TROTTER N
Notary, Public, Statet of Florida IN,
MY comm. expirps,Noy. 27,,2018
No. FF 172681
Banded iru Ashton Aprity, Inc. (800)451-4854,
0
State C erti ied Rooting wid Residential Contractor \,-3.
C C C 13 2 8 8 9ITRf::"1.32968
Roof Proposal
Note: Replacement G;' ail staradwd vem pTes, eqp i7metl .,rr e?; t;as ;rj Cr€ b r iC; j si,r_ludPd In `1"r§w t; f0posal.
}vViA am S$iai;Gr:nd i{?wkes mrins gull ?r ck ani nV, asvoY d t y (. r:, tap ar'td p7i E?,r€° 41nr pii1 , y 'FELF.ITF
C.tiSTOPOERSN:AUStMAKE PREVC3USARRANGEMEN-FS WITHSAIi!,I': �OIttiF'ANYI[UtFic'UNTOF LOSS Cl
SIGNAL,
Ali wai::.vnai'isjuaa a e:m to ne as Specif;ed }:01 Wof ik w:i .iko Y"t➢eY.`r i ." i3'a.;m,)(; log to
SFiit7tf:wd i3+` d d:meptod practices. Ali i"" i8e ll to be ooK 6 act-m r , t.a to cu E..i's°s: ;;':odes and i,t gation as deemed
by # ath Cf?ut"t(';y/6t} building-eguiatory c;i'v,s;::3t'?s and M3"N. [;,±, pep. ,.Locar `r guts,"mnq way exce,
mrsrskrn)r 'wer Vanrawe;`-
LIndex Terms of his binding,ccinlr;ct, the .."r Ewa .1y 000,0A w tmnip - tte,.uv+ .at A am paymprus Own 7iilW
be.,pn ren edied in full, No ad.&tior'af work, out specified on rw, ,:,-)'7ri ,c.€., 'vf dl be dorie „ l'',out if signed change
oven Carr€ess My given, 1'Y ueW , klr+,5 cwtrwt constihaw the ei..€r. ::irar.}esui .,3inf; & am par ties, aN no
ott w urricluskandK& colixter;rrl or "the?rut€sr. Ball be lairs log:,€=ttd `n wntmg, sis;n pia by bath ; t€ ,!,
Replawmeiit: of non typical re afing niaterlals such at U~wrari , s,,O;in , `a_t:ia rio7-dt, roo; i;acks, ventilatms,
s"dai fl#ashvig sWnc; em, ml"em wil'44? win 4t°'a}Lf k an t: no YAr}'nw 3 aLy fauic d in Alis f onaact These Une
items(mist be slaecifie:d above. Due to the nature W L Y i u"i5. ,r," v ,ir[c invot under our vvar rca= ty.
Any acodentai and bodF^m al €nterwr damages incwred iati, I we Ao e>','atJirti.,, aJWWon ^r. n v' Mire ~11Y
nandled, and do not vWd 011 cantr"am C.it m i tm N r crt ' A, t ;r a "J An€ ixg da'#T"idgen or Whined €'7teror
c=Wnts, inewired ninety days past be completion of sim,te : p i-ole c, �,raarures -,: klaiS carskr a t r�nr� sir t
urioerstanding and acceptance caf these poAJes Wint r Px k toad i f 4 not responsibte for a amaf es caused by
deflvery from,Nflater€at &Mplier Modern ieadHyf obtain alai# iwKi .'t<ail kx ise rf Cif epia , r',, decayed v oo f.
AMR 5 NOI respor"is bl(� for r1orrat;e or of a.Tiaap cacised jt, msra X ;:wll d t�iirinti ii�, Diet ,rs� E, x AX War,
does not sneer building code. Unle5ti cool racted, e stir ial r' !i)r . �'€ J dlys altt�,
Winter ParkRotifirify Im. wM provide a 10 .anty i.nIon fin s6 prays .),
NWorkmanship ` arra.nty is non-trarisferable.
die hereby propose to ftlrnkh material and labor, Lornoete in accordance with Oic above specificalion,
fortf'ae skim of _ 6,60
Payment as follo%vs m.-.W.—m,%down -r �..__... �for materials and perr:ai seam ainder
of Soo due upon € ompletion
YOU i of h'vi:ti,ae N±` edMtit% Or,
3500'Alotoa.Ave, F17 Winter Park Ff 32792
ain
,i_,
EPE Agreement EE17-095
HCA. Central Florida Regional`Hospital
Additionally and prior to commencement of the Work, the Subcontractor shall provide ECHO
Power Engineering, LLC with a certificate of Insurance showing liability insurance coverage
for the Subcontractor and any employee's agents, or Sub -Subcontractors of the.
Subcontractor, for any Workers' Compensation, Employer's Liability and Automobile Liability.
In the event any of these policies are terminated, Certificates of Insurance showing
replacement coverage shall be provided to ECHO Power Engineering, LLC and coverage
shall be no less than 'tho,following:
• Workers' Compensation and Employers' Liability Insurance: as required by law And
affording thirty (3Q) days written notice 'to ECHO Power Engineering, LLC prior to
cancellation or non -renewal, providing coverage of not less than statutory limits for
bodily injury by disease.
• Business Auto Liability ,Insurance: Written in the amount of not less than $1;000,000
each accident.
3. WAIVER OF SUBROOATIO.
Subcontractor shall obtain from each of its insurers a waiver of subrogation on Commercial
General Liability in favor of ECHO Power Engineering, LLC with respect to Losses arising
Out of or in connection with the Work.
ENTERED this 4{" day of April 2018.
Joe ~ Ugita11y sgnetl by Joe Maynard
! DN:rn=Joe Nwynara o, ou=ECHO
iPo rEngineering,
Maynard ` Dt`II080404P141.25-0500 n9r
BY
Joe Maynard, President
"SUBCONTRACTOR"
BY: A Advantage Electric, Inc.
NAME: Ryan Warthin ton
TITLE: President
Page 3 of 3
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A M SANFORD
tiFVIDL'!V ` L RF-RCiC)f"R"00(,"Y & PROCi'DCRCS
PI,RN4vr ISC; RI,_'')ulRCME`c`S— 101 P'I. t N RE!`IE\v ,RIQt IRED
THIS I)C)i:CMON`I' (SK011 0) ALaONU W I € FI AN ACV! ATA` E ANI1 0IMPI r E „ R KMDV 1W FY413I v St t WV Or MAWA RI-,
Rl-CQUIRI,-J) 10 FIE° St W rIl FD AS PART (W 1 {KIR " I RNUT APO l( A I II
ICI L SOME OF WWK MIN F INO (IA,'. ALL APPI iC UIL FI s x( 11 PIUMA C 1 APMOVAk NI=1tiUPIMS OUR ALL Rtg*
t�;pMP�} ('S`IiI "I�tkIE.I #1E°.I;ti!fiTALI ,J) )N f-IIF,
A PERM I WILT, NOT BE ISSI,ED WrI1-OU I 'I H UF.. DOCUN1i"- I'-. U, Wd b. a 0 i BF MAI')h 10 IN N I ON I M (M AT1I .
**PU )JEC rS LOCATED IN ` "L SANFORD HISTORIC DISTRWI NN II.E. Rill" Ur PLAN RVA'I E\x AND APPRO L ON "ITIL:
S.tiVE`ORD I-IIS'E'()REt:': PRESVRVri°E`IC. N ,BOARD
INSPI:t' HOC POFI( 1 & I>1#t It IA)I, RFS
1\ Fi CAI.: Rt )t;}I 1` I'I=C„TIt3 ti IS I HF t;II.1LY INSPf-J i If N REQ IRW I t sIt k ! y II a l 1 1l (SIm;u,
N10E3ILE HOME. APAR'11ECNT AND/OR C tivl,)OMINK.Al) RI:-R( t tl
T IL rOLLC}WINCH IS REQUIRL',I5 to BP PRC}MIX ON TtIIT. JOB Sill'
• PPRAlIi`CARD.IOS'llA)IN, ACCNSPlCAXISAND biER," Icl'N09:et}C:AIttRI
• COMPI.IT ILL) MDI NTIAtI Ri,,,- oOr SC ()P€° OF WORK
• Co MPI 1°; EI) A'INI) NO'IAItII1=_I) INSI>E?C"1'1O ?)cFI` DAVt
• ALL. FLORIDA PRt:}I?EI q ANMOVAL AND CORRUSPUNI IIS;C;
(PRODUC"IAPPROVAL SHALL NIA TO I WHAl IS ON 11II SO Ii}Ii Of 01 W K
• EM(UI AI, PHOIUGRAPHS (iC'S r INC 1 t.11)I_ I I II: PERNU I ` i `;' U 9, 911 FADDRI°SS M! g,'.M III>KA IME)
n EACH H PLANE Or _ Hr RtX}I", SI-IOWISICF I�I�II. ' � �53� RLA `,�„�; IINSTAL! FD
* R<}t)F DfX N 1IUNU IAAI 1F1RN c�'.° °, PACI G 4I wt ; €. PIN. A 7,II AS RIN r DE\,'[( (.C.;t4 RI.I LR)
Rooi}I I i-(,:K {{AILN 1 jSlT) (I\IC, LUDIN6 A ;NWASl RIN' Dr ICI, OR RI I ' Ik 'S'FIt94t IN6 I1F. t)l NAILS)
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o DRIP F;Iiw & VAI 3 lay:' IN I :AC'llMppq r (INC I t iM RING OL1 I('1` E}I,, l2l El.t:it1
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o Di(J`rAE PHI?"IVI(W,1t'HS SII )WIM ALL Rial Ike P ;i imwf pYR FL 3%)3 k[,t I�AVPROVAL
FAEIXREF To FOE.E,t;< V THESE SPE:(` Nt tagDELII
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mot 11 IN %N %M ID At !"I P£<O ll)I.E) BY t FLORIDA FWS%N
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. ...... Building & Fire Prevention Division
T4L RE-ROOFSCOPE OF WORK
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WEEASE NOM oma, V 100 SOOME LILT 01-THE 1�"VsThN6 DECK IS Pl. . H411 1 TI-Aj 410 BE REPQI( ED""
RomVENrULATION: (Awr-Rum jfRumv C-)SU 1! € OP, MR141) Visa M(UNQ�
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MANUFACTURKk
CITY •
A SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card.
PERMIT NO. ' �® 9 0 LO ISSUE DATE: L4— 21-146
CONTRACTOR:
JOB ADDRESS: 5 e•�y, aI �`
TYPE OF WORK: —,
PROTECT FROM WEA71HER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
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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Application Number . . . . . 18-00001906 Date 4/23/18
Application pin number . . . 996448
Property Address . . . . . . 105 CENTENNIAL DR
Parcel Number . . . . . . . . 10.20.30.5FS-0000-1380
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 6600
----------------------------------------------------------------------------
Application desc
REROOF/SHINGLES NOC ON FILE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOLTON MARCY & MIAOULIS NICOLE OWNER
105 CENTENNIAL DR
SANFORD FL 32773
--------------------- Structure Information 000 000 ----------------------
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1045855
Permit pin number 1045855
Permit Fee . . . . 89.00
Issue Date . . . . 4/23/18 Valuation . . . .
6600
Expiration Date . . 10/20/18
Qty Unit Charge Per
Extension
BASE FEE
40.00
7.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10
49.00
----------------------------------------------------------------------------
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
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Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING
25.00
01-BLDG PLAN REVIEW
21.00
01-BLDG DCA SURCHARGE
2.00
01-BLDG DBPR SURCHARGE
2.03
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Fee summary Charged Paid Credited
Due
Permit Fee Total 89.00 .00 .00
89.00
Other Fee Total 50.03 .00 .00
50.03
Grand Total 139.03 .00 .00
139.03
i
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FAILURE. TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
CITY OF SANFORD
*# CUSTOMER RECEIPT #*�
Oper: BLANDA Type: OC Drawer: 1
Date: 4/23/18 01 Receipt no: 110683
Year Number
Amount
2018 1906
105 CENTENNIAL DR
SANFORD, FL 32773
BP BUILDING
PERMIT RECEIPTS
$139.03
AC 044826
Tender detail
CC CREDIT CARD
$139.03
Total tendered
$139.03
Total payment
$139.03
Trans date: 4/23/18
Time: 10:49:07
CITY OF
Building & Fire Prevention Division
&�FORD RESIDENTL4L RE ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-1906 ADDRESS: 105 Centennial Dr
Sanford FL 32773
I James Bell , 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. CHAP 553.844).
LICENSE#: CCC1328879
COMPANY/CONTRACTOR: WIN4 ARK OFING, INC
CONTRACTOR SIGNATURE: 7—ZA—�11DATE:
(MUST BE SIGNED BY LICENSE HOLD R UILDER
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION- THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this 30 day of c( 1 20 l�by:
jc�m e_S . Who isxPersonally Known to me or has ❑ Produced (type of
identification) as identification.
Signatur Notary Public
�AJOSH WHITE
I
Sta Florida ` ;*: h'COMMISSION # GO 207360
135IqUCn I I h rpo' EXPIRES: April 15, 2022
W ! d. r�°, god Thru Notary Public UndermItete
Print/Type/Stamp Name
of Notary Public