HomeMy WebLinkAbout105 Crooked Pine Drwz R CITY •
DEPARTMENTSkINFORD
FIRE
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I b - 0\)-, -1I
Documented Construction Value: $ 6,878.00
Job Address: 105 Crooked Pines Dr. Sanford, FL 32773 Historic District: Yes'❑NoQ
Parcel ID: 11-20-30-506-0000-0490 Residential Commercial
Type of Work: New❑ Addition❑ Alteration❑ Repair❑ Demo❑ Change of Use❑ Move❑
Description of Work: Re -Roof CertainTeed Landmark Architectural Shingles 20sq.
Plan Review Contact Person: Saundra Bracken
Title: Office Manager
Phone 407-878-3750 Fax: 407-960-2612 Email: BrianSi'kesRoofing@cfl.rr.com
Property Owner Information
Name Deborah Daniels
Street: 105 Crooked Pines Dr.
City, State zip: Sanford, FL 32773'
Phone: 407-619-6527
Resident of property? : Yes
Contractor Information
Name Brian Sikes Roofing Phone: 407-878-3750
Street: 1550 S HWY 1792 Fax: 407-960-2612
City, State Zip: Longwood, FL 32750
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
State License No.: CCC1325977
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 of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code
Revised: January 1, 2018
Permit Application
NOTICE: In addition .to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/A ame Print Contractor/Agent's Name
Signature of Nota tate of Florida. Dale Signatureo�-Smte.rfl.nid. Date
=,CRY Rye Notary Pubttc State of Florida ..Y Notary Public State of Florida
Steven Campbell ... Steven Campbell
.. ,_ My Commission,FF 990959 My Commission FF 99N56
or no Expires 05110/202dp Expires 05f 10/2020
Owner/Agent.i Personally Known to ' e'or Contra o / et s r on n to Me or
Produced ID Type of 1D D� Produced, ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ 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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:_
COMMENTS:.
Revised: January 1, 2018 Permit Application
4/12/2018
SCPA Parcel View: 11-20-30-506-0000-0490
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Parcel Information
Property Record Card
Parcel: 11-20-30-506-0000-0490
Property Address: 105 CROOKED PINE DR SANFORD,'FL 32773
Parcel
11-26-506-0000-0490
Owner(s)
DANIELS DEBORAH Ai
Property Address.
105 CROOKED PINE DR SANFORD FL 32773
f
Mailing
105 CROOKED PINE DR,SANFORD FL 32773-5627
Subdivision Name
HIDDEN LAKE PH 3UNIT 2
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
65
�1
ti
A)
1
Seminole Count
A
GIS
Value Summary
2018 Working 2017 Certified
14—Values Values
Valuation Method
Cost/Market Cost/Market
Number of Buildings
1 1
Depreciated BldgNalue
$79,173 $74,734
Depreciated EXFT Value
Land Value (Market)
$25,000 $25,000
Land Value Ag
Just/Market Value.-
$104,173 $99,734
Portability Adj
Save Our Homes Adj
$39,089 , $35,989
Amendment 1 Adj
$0
P&G Adj ..
$0 _ $0
Assessed Value;
$65 084 .$63,745
Tax Amount without
SOH: $1,111.24
2017 Tax BIII.AmoLlnt $566.34
Tax Estimator
Save Our Homes Savings: $544.90
"hoes NOT INCLUDE Non
Ad Valorem Assessments
Legal Description
{ LOT 49
DDEN LAKE PH 3 UNIT 2
PB 27 PGS 48 & 49
Taxes
( Taxing Authority Assessment Value Exempt Values Taxable Value ^�
County General Fund $65,084 $40,084 ; $25.000
Schools $65,084 , $25,000 $40,084
I City Sanford $65,084 $40,084 ; $25,000
3
SJWM(Saint Johns Water Management) $65,084 ; $40,084 $25,000
{
I County Bonds $65,084 $40,084 , $25 000
Sales
_.
Description Date _— Book Page Amount Qualified Vac/Imp
WARRANTY DEED 10/1/1995 : 02987 0802 $61,500 ; Yes Improved
WARRANTY DEED 9/1/1990 02225 18150 $59 900 Yes Improved
QUIT CLAIM DEED 111/1989 02225 1849 $100 ; No Improved
WARRANTY DEED 11/1/1983 1501 1766 proved
� $52,200 ;Yes Im
Land
- — - - T .:_..: Land .:.
� Method ' Frontage j Depth. i UnitsUmts Price I Value
LOT 0.00 0.00 _ 1 $25,000.00 ' $25,000
Building Information
Is Bed/Bath count incorrect? Click Here.
# I Description I Year Built Fixtures Bed Bath Base Area Total SF € Living SF Ext Wall Ad' Value Re I Value Appendages
T
http://parceldeta,il.;cpafl.org/ParcelDetaillnfo.aspx?PID=l1203050600000490 1/2
r
155.0 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 Fax: (407) 960-2612
Contractor submits this proposal for work on the property herein described.
Upon acceptance, Contractor agrees to furnish labor and materials necessary
to improve the above premises in a good, workmanlike and substantial
manner according to the terms, specifications, prices and plans (if any).
Start and Completion: The approximate start date of and
approximate completion date of are subject to permissible
delays as per provision (5) on the reverse side.
Submitted by X
Remove existing shingle roof and underlayment to expose decking.
All damaged plywood decking if any will be determined at completion of tear off and will be replaced at a rate
of $60.00 per 4x8 sheet. (Price includes labor and materials.).
Additional damaged` wood if any will be determined at completion of tear off and will be replaced at a rate of
$55.00 per hour and the cost of.materials.
Install 2 1%2in. 8D Rink Shank coil nails along all trusses every six inches,to. properly. secure" decking.
Install one layer of Synthetic. underlayment over entire roof.
Install 2 1/2in. galvanized eaye-drip around entire perimeter of roof. (Eave drip will have baked enamel
finish)
Install twoa I Off. aluminum ridge vents. Vents will be fastened using 13/2in.- neoprene screws.
Install two I Oin, exhaust vents.
Install one l 1/2in., lead boot.
Install one 2in. lead boot.
Install one-3in. lead boot.
Properly fasten and seal flashing along all walls, eaves, valleys, vents,, and boots.
Install limited lifetime CertainTeed Swittstart starter shingles with a wind resistance of up to 130 MPH.
Install limited lifetime CertainTeed Landmark architectural shingles with a wind resistance of up to 130 MPH.
Shingles installed with six nails per shingle.
Install limited lifetime CertainTeed Shadowridge hip and ridge shingles with a wind resistance of up to 130
MPH.
Ground will be swept with a magnet at, the end of each working day.
Clean entire work area and haul away.all debris.
7 YEAR LEAK WARRANTY (LABOR AND MATERIALS)
Price includes labor, materials, taxes and all permitting fees.
Contractor shall provide all releases of lien from contractor, subcontractors, and material suppliers.
Date
201 60.'001 1,200:00
20 I 10.00 I 200.00
20 45.00 900.00
250.00 250.00
20.00 40.00
20.00 40.00
15.00 15.00.
15.00 15:00
20.00 20.00
0.34 175.00 59.50
19 210.00 3,990.00
0.661 225.001 148.50
TOTAL $6,878.00
ACCEPTANCE OF PROPOSAL
This Proposal is approved and accepted: There are no oral agreements. The written terms,
specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be -c— N,— w
made. by written change order only. Credit cards may be subject to.a 3% convenience charge. Approved and. Accepted(O era — Date
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date
of this transaction: See Owner's Right to Cancel on the'reverse side for details.
, l lillll dill illy lilll dill ilii Illl lidl
THIS INSTRUMENT PREPARED BY: GRANT MALOYP SEMINOLE COUNTY
Name: Saundra Bracken CLERK OF CIRCUIT COURT & COMPTROLLER
Address: 1550 S Hwy 17 92 BK 9129 Ps 1928 (103$ )
Longwood, FI32750 CLERK'S 2018053005
RECORDED 05/10/2018 112,u1:0:i P11
R{ (0 !*JNG FEES $10.100
NOTICE OF COMMENCEMENT RECORDED BY hdevore
Permit Number.
Parcel ID Number: 11-20-30-50&0000-0490.
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)
105 CROOKED PINE DR SANFORD FL 32773 - LOT 49
PB27PGS48&49
2: GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof CertainTeed Landmark Architectural Shingles 20sq.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: DANIELS DEBORAH A- 105 CROOKED PINE DR SANFORD FL 32773
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750
Address- 1550 S Hwy 17 92 Longwood, FI 32750
5. SURETY of applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7.. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713A3(1)(a)7., Florida Statutes. CERTIFIED COPY fi�2A "T i4�>�f CY
Name: Phone Number:,
8. In addition, Owner designates of4'
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone numbej:
9. Expiration Date of Notice of Commencement (Theexpiration is 1 year from date of recording unless a diff6re)
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 YOURRROPERTY. 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.
f
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signato itle/Olfice)
Authorized:Officer/Director/Partner/Manager)
State of Y L- County of 3em"/(,&
The foregoing Instrument was acknowledged before me this 2 CP day of ",P-1 L , 20
by li 1 j 0 kyu9 Ff I f�%f��—S Who is personally known tome ❑ OR
Name of person making statement
who has produced identification Xtype of Identification produced:'2--
Notary Public State of Florida
+Y Steven Campbell Notary Signature
* My Commission FF 990959
? Expires 05110/2020
CITY OF
NkNIFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO./9- (� a Tq ISSUED TE: ®�• ®(IV
CONTRACTOR:60vaS S • n
JOB ADDRESS: /05 6-aoke ar. 14,1) C S
4�'
TYPE OF
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
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
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 III
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
V.
r City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
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 $COPE.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 DEVICEOR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENTPATTERN & 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 WILLRESULT 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:/Gti/!J
PERMIT
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 105 Crooked Pines Dr. Sanford, FL, 32773
STRUCTURE TYPE: (D SINGLE FAMILY RESIDENCE) TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (S) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY)' Plywood
*PLEASE NOTE: ONLY XOO SQUARE FEET OF THE EXIS'97NG DEckis PERMITTED TO BE REPLACED**
ROOF VENTILATION; QOFF-RIDGE ID RIDGE QSOFFIT QPOWERED VENT QTUREINES
SKYLIGHTS: ,0 YES (2) NO .IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
RooF'SLoPE: O LESS THAN 2:i 2 Q 2:12-4:12 (S4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
.SHINGLE
CertainTeed Landmark
FL# FL54447R12
Q METAL
FL#
0 MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
QTILE
FL#
Q.OTHER:
FL#
ROOF. EXTENSIONS;(PORCHES, PATIOS, ETC.) **1FAPPLICABLE**
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 —4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
Q METAL
FL#
Q MODIFIED BITUMEN
FL#
QTORCH DOWN,
FL#
QINSULATED
FL#
QTILE
W.
Q OTHER:
EL#
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 . . . . . 18-00002279 Date 5/16/18
Property Address . . . . . . 105 CROOKED PINE DR
Parcel Number . . . . . . . . 11.20.30.506-0000-0490
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . HIDDEN LAKE PHASE 3 UNIT 2
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1051382
Permit pin number 1051382
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 EL03 FINAL ROOF _�_/_
Steven Campbell
Print/Type/Stamp Name
of Notary Public
City of Sanford
''' Hyfil Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-2279
ADDRESS: 105 Crooked Pine Dr.
Sanford, FL 32773
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING commqplz, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FO ATION 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 ANDNAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSEM CCC1325977
COMPANY/CONTRACTOR: Brian Sikes Roofing
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: Y' 'Z-j t I i�
THIS SIGNED AND NOTARIZED AFFIDAVIT 1ST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
PHS
ALONG WITH DIGITAL PHOTOGRAOF EA H 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 Seminole
Sworn to and Subscribed before me this _�?" day of /4 k, 20 18 by:
Brian Sikes Who i; ersonally Known to me or has 0 Produced (type of
identif ion) ��// \\as identification.
Signature Notary Public
State of Florida
Syr Notary Public State of Florida
F Steven Campbell
MISSY FF 9"959
«" Meores o511a2o2o