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HomeMy WebLinkAbout107 Academy Avet,;4,Ay 02 20 Building & Fire Prevention Division PERMIT APPLICATION Application No: Documented Construction Value: $. 5> G 4-0 i Job Address: - 107 Acoc)eMHistoric District: YFles'No Parcel ID: RegidentiaE]Commercial's Type of Work: Newl] AdditionE] p AIterationE1Repair:F]Demo[:] Change of Use�n Move'r Description of Work: 'Re 12-00P 16 Sq Shl nqj&� I I If Plan Review Contact Person: f--- d 1 n sar) 'Tere-2- Title- .,fmils oy Phone: 1tC37,7!5G,-714q4�1 Fax: Email: I Lc Un Property Owner Information Name Va4)f�o &ay-fe-t Phone: 32 1 - 2 8 2­ 6 575 Street: '10Q'T01mcr M'C- 'Resident of property?: City, state zip:, t L .3,47 Contractor Information Name tY'►gionct'f, 11<Phone: 140'75 Street: -bgyc 160572 Fax: City, State Zip: . T-L 3111 State License No.: CCC 132903 Q 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 11"ROVEMENTS 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 he 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: 6' Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Appi icau or-, 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 wi11 be considered the estimated construction value of the job at the time of subm tW. 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. A,A A 10,114 Signature of Clv#r/Agent Date �. Print Owner gent's Name Sifidature of No -State of Florida Date CHRISTY L. WILLIAMS NOTARY PUBLIC - STATE OF FLORIDA COMMISSION# FF177041 EXPIRES 11/17/2018 Owner/A %T!1L" Wally Known to Me or Produced ID Type of ID r 5%-jig Signat of Contractor/Agent Date Jnre,A C,bnVe, Print Contractor/Agent's Name Signature of Notary -State of Florida Date ;;.slY"mow ALBA L PEREZ 'c MY COMMISSION # GOO" ,. '•`.',+�a,� EXPIRES Fobruary m. Contractor/Agent is ersonally Known to Me or Produced ID Type of ID i Permits Required: Building ❑ Electrical ❑ Mechanical©Plumbing❑ Gas[], Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application UN 7JRISA Office: (407) 919-8535 8 � Roofing Pioneers, LLC BBB 1945 West County Road 419, Suite 1141-216, Oviedo, FL 32766 Florida Certified Roofing Contractor License #CCC1329030 A+ RATE D Fax: (321) 296-7571 Email: info@roofingpioneersllc.com www.roofingpioneerslic.com Customer Name: KA-r4V Date: Job Address: 0 7 ,4 .A- (>7 prl/e,�}() ' 5Ak1VFojeb Pt _• Phone: Email: I, Cp+'Y1 Fax: J Roofing Pioneers, LLC agrees to supply labor and material necessary to install your roof system as detailed below: 1) Roofing Pioneers, LLC will provide all required permits and dispose of existing roof in a proper manner. 2) Protect building, shrubs, and yard with appropriate protection where needed. 3) Remove 1 layer of existing roof and underlayment. (If required, add $30 per square for each additional layer removed) 4) Clean and inspect existing decking and fascia for rotten wood. Additional cost to replace wood is: $65 per 4'x8' sheet of plywood and $7 per linear foot of 1" plank board and pressure treated fascia. Additional cost to repair truss is $7 per linear foot. (Does not include painting wood and stucco repairs where wall flashing had to be repaired) 5) Re -nail entire wood decking as needed to meet the current Florida Building Code requirements with 8d ring shank nails @ G" oc. 6) Supply and install modified bitumen ice/water shield peel&stick underlayment in all valleys. 7) Supply and install synthetic underlayment to entire deck according to manufacturer's specifications. 8) Supply and install 26-gauge galvanized metal drip edge along entire perimeter of roof (color) K '� 9) Supply and install attic vents (according to manufacturer's specifications). 10) Supply and install lead boots and galvanized exhaust vents. (Gas and powered vents not included) 11) Supply and install shingles per manufacturer's specifications using 6 EA of lY. in. galvanized roofing nails per shingle (type/color) unthr�-�a-fk r=0 a!lcam—f 12) Supply and install caps and starter shingles at eaves, sealing the eaves and all flashing with roofing cement. 13) Customer is responsible for reinstallation of solar, satellite dishes, lightning rods, gutters, and all other items not part of the roof system. 14) Upon completion, magnetically sweep the jobsite for loose nails and clean up roofing debris to the best of our ability. 15) All work Includes (10) year workmanship warranty. Comments: The above work shall be performed In a professional manner submitted by I-7ir dff es- k', for the sum of $ plus the cost of any additional work as stated in line items #3 and #4.50% is due upon commencement of job and remaining balance is due upon completion of job. ADDITIONAL TERMS AND CONDITIONS 1. WORKMANSHIP WARRANTY IS VALID UP TO 60 MPH WIND AND IS NOT EFFECTIVE UNTIL CONTRACT IS PAID IN FULL. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THE CONTRACT, CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF TWO (2%) PERCENT PER MONTH AND IF PLACED IN THE HAND OF AN ATTORNEY FOR COLLECTION ALL ATTORNEY'S FEES AND LEGAL AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. ROOFING PIONEERS, LLC SHALL NOT BE LIABLE FOR LOSS, DAMAGE, OR DELAY CAUSED BY CIRCUMSTANCES BEYOND ITS REASONABLE CONTROL, INCLUDING BUT NOT LIMITED TO ACTS OF GOD, FIRE, VANDALISM, LABOR STRIKES, RIOTS, OTHER PUBLIC DISTURBANCES, AND SHORTAGE OR INABILITY TO OBTAIN MATERIALS. ALSO, ROOFING PIONEERS, LLC SHALL NOT BE LIABLE FOR ANY DAMAGES THAT MAY OCCUR TO CUSTOMER'S DRIVEWAY, LANDSCAPING, AND SIDEWALK DURING THE DELIVERY OF MATERIALS AND/OR REMOVAL OF WORK RELATED DEBRIS DUE TO THE REQUIREMENT TO HAVE ACCESS TO THE ROOF IN ORDER TO PERFORM THE AGREED WORK. 4. ROOFING PIONEERS IS FULLY INSURED AND IS COVERED BY COMMERCIAL GENERAL, AUTOMOBILE, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY INSURANCES. 5. IF ASBESTOS IS ENCOUNTERED, ROOFING PIONEERS, LLC SHALL IMMEDIATELY STOP WORK AND ALLOW CUSTOMER TO OBTAIN A DULY QUALIFIED ASBESTOS OR HAZARDOUS MATERIAL CONTRACTOR. 6. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND: PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395, 1940 N. MONROE ST., TALLAHASSEE, FL 32399-0783, W W W.MYFLORI DALICENSE.COM. 7. STATUTORY WARNINGS LIEN LAW: ACCORDING TO FLORIDA's CONSTRUCTION LIEN LAW (SECTIONS 713.001— 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES 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, 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 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 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 WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. 8. CHAPTER 558 NOTICE OF CLAIM: ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. ACCEPTANCE OF CONTRACT: THE ABOVE SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND HEREBY ACCEPTED. ROOFING PIONEERS, LLC IS AUTHORIZED TO BEGIN THE WORK AS SPECIFIED ABOVE. BUYER'S RIGHT TO CANCEL: YOU HAVE THE RIGHT TO RESCIND THIS CONTRACT WITHIN 3 BUSINESS DAYS AFTER THE DATE YOU SIGN IT BY NOTIFYING ROOFING PIONEERS, LLC IN WRITING THATYOU ARE RESCINDING THE CONTRACT. THE NOTICE MUST BE DELIVERED OR POST MARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS //CON TRA OTHERWISE A 20% CANCELLATION FEE IS DUE TO RESCIND THE CONTRACT AFTER 3 BUSINESS DAYS. a Signature of Customer: Date of Contract Acceptance: Florida Building Code Online FRSA/TRI April 2012 (04-12) Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 01/24/2018 Date Validated 01/29/2018 Date Pending FBC Approval 01/30/2018 Date Approved 04/10/2018 Summary of Products r i Page 2 of 2 2012 FL # Model, Number or Description Name 11288.1 CertainTeed Roof Roof underlayments for use below Approved prepared roof coverings. Underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL11288 R17 II 2018 01 FINAL ER CERTAINTEED UNDERLAYMENTS FL11288- R17.odf Approved for use outside HVHZ: Yes Verified By: Robert Nieminen PE-59166 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +N/A/-555.0 Evaluation Reports Other: 1.) The DP in this application FL11288 R17 AE 2018 01 FINAL ER CERTAINTEED UNDERLAYMENTS FL11288- R17.odf pertains to a particular application for use in adhesive -set tile applications. Created by Independent Third Party: Yes DP is N/A for underlayments installed beneath mechanically attached prepared roof covers. 2.) Refer to ER Section 5 for other Limits of Use. Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an WEED employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: ®® Credit Card _.Sale https://www.floridabuilding. org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgs6 WGOndIU... 4/24/2018 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 5/0 1 Y I hereby name and appoint: AnAfim Tc(ez an agent of: 2 ao Firq 'P j o rnc-c_r.x LL C-- (Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 1 o'7 A cndr-rnN A�l•e, -` i- nywd r-1- '2uT71 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Jctr Cd Co n 1- State License Number: cCC 131303 d Signature of License Holder: ALtdco� STATE OF FLORIDA COUNTY OF Seim tr)o CC_ The foregoing instrument was acknowledged before me this 200 V6 , by '3ctre d Gc n k -- to me or o who has produced identification and who did (did not) take an oath. (Notary Seal) ,Y;,`"'•�;; ALBA L PEREZ MY COMMISSION # GG07/486, EXPIRES February 09, 2021 (Rev. 08.12) Signature L Print or type name Notary Public - State of _ Commission No. My Commission Expires: 2 day of IA6"14, who is ersonally known as SCPA Parcel View: 35-19-30-515-0000-0430 Page 1 of 2 Property Record Card Parcel: 35-19-30-515-0000-0430 Property Address: 107 ACADEMY AVE SANFORD, FL 32771 Parcel information ..__—._ --- ____------- _---- —--------- __-_.------- ---------- ----------- _..__-.------- ------- .-------- -------------- Parcel 35-19-30-515.0000.0430 Owner(s) OARRETT, KATHRYN Property Address 107 ACADEMY AVE SANFORD, FL 32771 Mailing 700 PALMER AVE WINTER PARK, FL 32789 Subdivision Name ACADEMY MANOR UNIT 01 Tax District S1-SANFORD j DOR Use Code 01-SINGLE FAMILY Exemptions Legal Description LOT 43 ACADEMY MANOR UNIT 1 PB 13 PG 93_.__.____ Taxes Authority Assessment Value Exempt Values Taxable Value }Taxing County General Fund $42,178 $0 1$42,178 Schools City Sanford $42,178 i $42,178 s $0 $0 $42,178 $42,178 SJWM(Saint Johns Water Management) $42,178 i $0 $42,178 County Bonds $42,178 i $0 $42,178 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1 10/1/2006 j 06523 0382 $100 No Improved SPECIAL WARRANTY DEED #^9/1/2006 06432 1392 $103,000 1, Yes Improved i CERTIFICATE OF TITLE - 8/1/2006 06381 1 0623 —_ $518,700 j No Improved WARRANTY DEED 1/1l2004 i 05176 . 0793 $80,000 Yes Improved j SPECIAL WARRANTY DEED 9/1/2003 105059 1704 $45,000 No Improved CERTIFICATE OF TITLE ; 8/1/2003 ! 04949 1357 $100 = No Improved ' WARRANTY DEED 3/1/2000 03829 0780 $52,500 Yes Improved PROBATE RECORDS 12/1/1999 ; Q3766 1530 $100 j No ; Improved f Find Comparable Sales Land t Method Frontage Depth Units Unks Price Land Value LOT i 0.00 0.001 1 ; $11,000.00 $11,000 Building Information http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=35193051500000430 5/1/2018 Product Approval Specification Form Permit # Project Location Address iOT Academy kle, San ford FL 32774 As required by Florida Statute 553.842 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 on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll U 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 / 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. Roofing Products Asphalt Shingles Lah ark Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles 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 E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) S. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Sk lights 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 A reci Cone (Please Print) June 2014 Florida Building Code Online Page 1 of 2 BM Home Log In I User Registration I Hot Topics i Submit Surcharge Slats & Facts ; Publications j FBC Staff j BM Site Map Unks Search F;4Ii�8 Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail ys �" • FL # FL5444-1113 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer CertainTeed Corporation -Roofing Address/Phone/Email 20 Moores Road Malvern, PA 19355 (610) 893-5400 mark-d.hamer@saint-gobain.com Authorized Signature Mark Hamer mark.d.hamer@saint-gobain.com Technical Representative Mark D. Hamer Address/Phone/Email 18 Moores Road Malvern, PA 19355 (610) 651-5847 Mark.D.Hamer@saint-gobain.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer v Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 03/09/2020 Validated By John W. Knezevich, PE 161 Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FI-5444 R13 COI 2018 01 COI NIEMINEN.odf Standard ASTM D3161 ASTM D3462 ASTM D7158 Year 2016 2010 2011 https://www.floridabuilding.org/pr/pr app dtl.aspx?pa==vvGEVXQwtDgtahlg07CSso... 4/27/2018 Florida Building Code Online Page 2 of 2 Product Approval Method Date Submitted Date Validated . Date.Pending FBC Approval Date Approved SummarV of Products Method 1 Option D 01/24/2018 01/29/2018 01/30/2018 04/10/2018 FIL # Model, Number or Name Description 5444.1 CertainTeed Asphalt Roof Shingles 3-tab, 4-tab, strip (no -cut-outs), laminated and architectural asphalt roof shingles Limits of Use Installation Instructions Approved for use in. HVHZ: No FL5444 R13 II 2018 01 FINAL ER CERTAINTEED ASPHALT SHINGLES FL5444-R13.Ddf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166 Design Pressure: N/A. Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of. Use Evaluation Reports FL5444 R13 AE 2018 01 FINAL ER CERTAINTEED ASPHALT SHINGLES FL5444-R13.13df - Created by Independent Third Party: Yes Sack Next Contact Us :: 2601 Blair Stone Road, Tallahassee Fl. 32399 Phone: 850-487-1824 The State of Florida is an AlyffO employer. Copyright 2007-2013 State of Florida.:: PrivaLy Statement :: Acoessibility Statement :: Rerund $apt Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455; F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which an be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please dick h Product Approval Accepts: Credit Card https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtah l g07CSso... 4/27/2018 CITY OF Building & Fire Prevention Division ORD 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: 5 ��' 3 rigCITY • SA.. ORD r� DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOBADDRESS: 101 Academy Ame, SanFord a 32'77/ STRUCTURE TYPE: e SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: * *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: 0OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 4.12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL El"S'HINGLE Certa trite c J FL# J L! 144 > 1 O METAL FL# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0 METAL FL# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# O INSULATED FL# 0 TILE FL# O OTHER: FL# -- — THIS INSTR ENTTPREPMEDBYZ Address: . 180912- USSC11�C if'+ TL 7f fai:+.'-HC Ift-ii_.f_p P `r.,1111'iOLE :1H'It'i —�' '.;i...Ei,1. f fJi'PIT:011' Ft NOTICE OF COMMENCEMENT CLEWS `� � �90 c:�'.}r-':: -r' i:Lf...�ll'.'J 4 �l!1&f!4•r�f_l:; State of Florida iV:i County of Seminole Permit Number. t Parcel ID Number: 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) sGt GENERAL DESCRIPTION OF IMPROVEMENT: 'Re j G 56ingics OWNER INFORMATION: NAM,-- Vothrvr Qnyre- Address..YTGCS Polme Fee Simple Title Holder (if other than owner) Name: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. Of To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date 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 1, 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. Under penalties of pequry, 1 declare that I have read the foregoing and that the facts stated in it are true to the b st of my kn wledge and belief. Owner's Signature Owner's Printed Name Fforida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State of County of m4tf g The foregoing instrument was acknowledged before me this �_ day of e' j� mot, by + cc. Who is personally known to me Name 14 person making statement OR who has produced identification El type of identification produced: CHRISTY L. WILLIAMS NOTARY PUBLIC. STATE OF FLORIDA COMMISSION # FF177041 EXPIRES 11/17/2018 Notary Signature BONDED THRU I-SWNOTARYt CITY OF Building & Fire Prevention Division RESIDENTIAL RE ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING9 SHEATHING, DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �— a l O �7 ADDRESS: 1617 AC<aJerny Ave, Scan rar cl i:�-t_ 32771 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 553.844). LICENSE #: CCC / 329V 3 0 COMPANY / CONTRACTOR: RO O ti n C♦ -_P/O n ecXa LLC. CONTRACTOR SIGNATURE: cot Lk DATE: (MUST BE SIGNED BY LICENSE HOLDE R OWNEPUBUILDER) 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 Sc� i r-,o I -e- Sworn to and Subscribed before me this 3 day of 20 '♦ 8 by: Jarcd C0 c- . Who is ersonally Known to me or has ❑ Produced (type of identification) as identification. CA0 Signature of Notary Publi State of Florida ;Niv xALBA► FZ -".41 MY COMMISSION (�ri)71486 /n11' N l eiL�L 01 EXPIRES Fabruary 09, 2021 Print/Type/Stamp Name of Notary Public Florida Building Code Online Page 1 of 2 .;:u _ V BCIS Home Log In j User Registration Hot Topics Submit Surcharge Stats & Facts Publications I FBC Staff BCIS Site Map ! Links f Search Florida Product Approval I to , USER: Public User pa„—srxa 3 t'tyc!'J $'gJs"Dl Product Approval Menu > Product or Application Search > Application List > Application Detail �t • FL # FL11288-R17 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance:Method W_ CertainTeed Corporation -Roofing 20 Moores Road Malvern, PA 19355 (610) 893-5400 mark.d.harner@saint-gobain.coml Mark Harrier t ' mark.d.harner@saint-gobain.com Mark D. Harrier 18 Moores Road Malvern, PA 19355 (610)651-5847 Mark.D.Harner@saint-gobain.com Roofing Underlayments Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer 0 Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 03/09/2020 Validated By John W. Knezevich, PE a Validation Checklist - Hardcopy Received Certificate of Independence FL11288 R17 COI 2018 01 COI NIEMINEN.odf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2015 ASTM D226 2009 ASTM D4601 2012 ASTM D4798 2011 ASTM D4869 2016 ASTM D6163 2008 ASTM D6164 2011 ASTM D6222 2011 ASTM D6757 2016 FM 4474 2011 https://www.floridabuilding. rg/pr/pr_app_dtl.aspx?param=wGEVXQwtDgs6WGOndIU... 4/24/2018