HomeMy WebLinkAbout1213 Randolph StSkNFORD
FIRE CITY OF
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: — CD
Documented Construction Value: $ 5300.00
Job Address: 1213 RANDOLPH ST. SANFORD, FL Historic District: Yes❑No®
Parcel ID: 31-19-31-504-0200-0080 Residential✓ Commercial
Type of Work: New[] Addition❑ Alteration❑ Repair❑ Demo❑ Change of Use❑ Move❑
Description of Work: RE -ROOF 16 SQUARE OF SHINGLE WITH A 30 YEAR ARCH SHINGLE
Plan Review Contact Person DORENE PENHALIGON Title: VP
Phone:407-265-2215 Fax: Email:
Property Owner Information
Name DANIEL DUPONT Phone: 407-687-2580
Street: 7451 APRELLE DRIVE Resident of property? N
City, State Zip: SANFORD, FL 32771
Contractor Information
Name MJP WINDOWS & CONSTRUCTION, INC. Phone: 407-265-2215
Street: 208 TEAKWOOD COURT Fax:
City, State Zip: LAKE MARY, FL 32746 State License No. CCC057886
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:.
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 Taws 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`b Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
NO ICE; In aftfin, to the-rcquirements of this permit, there
may be additional restrictions applicable to this property that may be
found in the pub1ic records of this county, and them may be additional permits:mquired4ront other governmental entities such as water
management districts, state agencim or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of thexcquircinents of Florida Lien Law, FS 713.
The City of Sanford inquires payment of a plan review fee at the time of permit submittai A copy of the executed contract is required
—
in order to c4culate a plan review charge and will 'be cons ' idered the estimated construction value of the job at the time of submittal.The actual construction value will be figured based on the current IM Vakadon Table in effect at the finic the permit is issued, in
accordant with -local ordinance. Should calculated charges, figured off -the executed contract exiee the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFM
be done In compliance wifl
Duto
Print OwncrtAgrat's Nam/
Pipatinc'o Notm f y4tate of Had&
DORENE L. PENHALIGON
MY COMMISSION I FF MW
P EX IRES: June 24,.2019
ISM, ondeQThrdAel rySeAts,
It OF F��
IDwner/AgIttit is � "PrMson4fl Known to M6,6r
Personally
Produced M _ Type of ID
I certify, that all of the foregoing information is accurate and that all work will
all applicable laws regulating,constmetion and zoning.
zaL_ _j __ , Y — � - /
,ze.-f, 'P.,
Sisnzt�uv ofCantraclodASW Dan
A0 (4
VPsidt )b
S*M= afNowy-StW bf Florida
4ghat
-F?k, ROKRT V. M90NEY
MY COMMISSION I FF 917403
EXPIRES: October 12,12019
40"
Contractor/Agent is Personally Known to Me or
Produced -ID Typo of II
BELOW IS FOR OFFICE USE ONLY
'Permits Required: Buildingo Electrical[] Mechanical,[] Plumbing[] Gwo R00fE]
Construction Type: Occupancy Use: Flood Zone:
Total,Sq Ft of Bldg: Min. Occupancy Lead: , .# of Stories:
New Construction,: Electric - # of Amps- Plumbing - # of Fixtures__
Fire Sprinkler Permit: YesEl Non #ofHeads Fire Alarm Permit: Yes [I No
APPROVALS: ZONING: UTELITIES: WASTE WATER:
ENGINEERING: FIRE: B=ING:
CONMENTS-1.
Reviw&- Jitnuary 1, 2018 Permit Application
THISIRSTRUMENT PFtf.PARM BY:
NWM' —*DQMN9 MOKWIMON
Address:t-'Z
NOTICE OF COMMENCEMENT
flllll 11111 Hill 111111111111111 lill Jill
GRANT NALOY;?SEIIINOLE COUNTY
CLERK OF CIRCUIT COURT & CONOROLLER
Ur, 9100 P9 1194 (lPgs)
CLERK'S 'T 2018039354
RECORDED 04/11/21-118 01:00:(oz pli
RECORDING FEES $10.00
RECORDED BY jin-ckenro
Pwmft kumb*r.
Parcal ID Number, IWO
The under4rW hereby gtv" rcdCO.#W lmppvmwd vAl be made to Certain M21 propel, and In ao=dwm with. Cha0w 713. Florida Statutes, the
follow ha is p—kied In-ft Nodos Of Comonwx&nent.
I' ""*71"SMOM 1! i )PG 79&79A
3.
Name and ao&a DANIEL DUPONT 7451 APRELLE DRIVE SANFORD, FL 32771
Interest in property. OWNER -
Fes t3impto TIP* "ok*w (N oftr ftn owner Usted above) Name
Adftn:-
4. CosTgACTOwdame: MJP WINDOWS & CONSTRUGTION, INC. Phone mimber 407-265-2215
Addrega: 21)8TEAKWOOD ,COURT LAKE,MARY,FL32746
Ammint of Bond:
LgliDEW, Nal Phone Number.
Address:
7. P*0600 WIlIthin the Stalls,art F1ouluia.0uialpnabd by Owliar u whom n0cs or elftar"doem= may 40
Rcift Pan swvod as-pfWAded by Section
Name: Phone NUmber
Address:
E. In aftb- Owner dwftnates of
.00,
to recalvea copy ofthe Llenoes No*a-as provided In SeWon 70AS(I)ft Florida Statutes, Phone number.
0- EXPWation C*t* OfHobcs *f0cmni&r4*m*4%j (Tho wqAradon ie I Y*wftm Auto ofr*QQMlng Wftes sdMMffldam Is spectftd)
WARNING T 2 QNM ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE-. OF COMMENCEMENT ARE
CONSIDE M IMPROPER? UNDER CHAPTER 713. PART ll,,SECTION 713.13, FLORIDA..STATUTES, AND. CAN RESULT IN YOUR
PAYIN01FOR IMP, TO YOUR PROPERTY. A NOTICE'OF COMMENCEMENT IAUdT-*BE RECORDED AND POSTED ON THE
jos SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN WITH YCiUk' ER ATTORNEY
, AIN FINANCING, OONSULT W LENDER OR AN TT I NEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE dF'COMMEkCEMENT.
LL ac) ft U U,)r\e
and PfovWs 3Wnd*ys Tmavfks)
Stats of Ffor'i C,64nty'af
Thstotenihnsbunwowas 's
r"*C�pd beftre me this yaf 2018
by, LA) POY-1 I—
fto Is pesnally btq%" ia
..... I - rotoms
who has produad ldw*kaon CI " of icknOtWon producW:
t�av vieDORENE L PENHAUGON
-.- 'b Lea A
My COMMISSION I FF 221832 Nowy mu
EXPIRES: June 24,2M
BONO Thni h4p PURI
Budge)
SEIVIINOCLE COUNT', FLCO)RIL'
-'UTycL4r0';
Date
MJP,WINDOWS & CONSTRUCTION, INC.
LAKE MARY, FL 32746
(407)265-22.15 / PHONE
mjpwin@cfl.rr.com
LICENSE # CRC057525& LICENSE # CCCO57886
PROPERTY ADDRESS: MARCH 12, 2018
DAN DUPONT
1213 RANDOLPH STREET
SANFORD, FL
EMAIL ADDRESS: DAPONT3335APGMAIL COM
A PROPOSAL FOR THE FOLLOWING:
TO TEAR OFF EXISTING SHINGLE ROOF
HAUL OFF ALL ROOFING DEBRIS & MATERIAL:
INSTALL,NEW UNDER,LAYMENT
INSTALL NEW PLUMBING STACKS
INSTALL NEW VENTS
REMOVE 2 WHIRLYBIRD VENTS AND INSTALL - 4' OFF RIDGEVENTS
INSTALL NEW PEEL & STICK IN VALLEYS
INSTALL 26 GUAGE EVE DRIP
RE -NAIL DECKING TO CODE IF NEEDED
REPLACE ANY ROTTEN WOOD AT AN ADDITONAL COST OF S65.00yfig SHEET OR $6.00
PER LINEAR FOOT FOR DECKING BOARD AND FASCIA BOARD _ initial
REMOVE SATELITE DISH
INSTALL NEW 30 YEAR ARCHETICTUAL SHINGLES
WILL CEMENT ALL EDGES OF ROOF AND VALLEYS
3 YEAR LABOR WARRANTY
PERMIT INCLUDED
WE PROPOSE TO FURNISH THE ABOVE COMPLETE IN ACCORDANCE WITH THE ABOVE
TERMS FOR THE SUM OF:
TOTALING: $5,3001.00
PRICES ARE GOOD FOR 30 DAYS FROM ABOVE DATE
TERMS: TOTAL PAYMENT DUE UPON COMPLETION
CONTRACTOR'S ACCEPTANCE
COMPANY"REPRESENTATIVE;
OWNER'S ACCEPTANCE
THE FOREGOING TERMS, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND
ARE HEREBY AGREED TO. YOU ARE AUTHORIZED TO DO THE WORK SPECIFIED.
PAYMENT WILL BE MADE AS OUTLINED ABOVE. THE OWNER UPON SIGNING THIS
AGREEMENT REPRESENTS A ND WARRANTS THAT HE/SHE HAS READ THIS
AGREEMENT _ �,)
OWNER: DATE: 3 z ,V
,611
omd 3oIm=c►A Prop-4 Record Card
PFarces: 31-19 31-50A-0204-0080
NW
scxx..�: cot�vrr,Fuza�x Property Address: 1213 RANDOLPH ST SANFORD, FL 32771
Parcel Information Value Summary
Parcel . 31-19-31-504-0200-0080��-��—���--���
Owner DAHL, ELIZABETH
I DAHL, CYRIL D
Property Address 11213 RANDOLPH ST SANFORD, FL 32771
Mailing 11261 STONEY POINT LN E JACKSONVILLE, FL 32257-4550
Subdivision Name DEL -AIR SANFORD
Tax District I S1-SANFORD
DOR Use Code j 01-SINGLE FAMILY
Exemptions
+ 18 52 52 18 34 36 16
t Im jti I
Oo Cn 00 ( pp
Legal Description
LOTS +W 18 FT OF LOT 9
(LESS S 7 FT FOR ALLEY)
BLK 2
BEL-AIR
PB3PG79&79A
Taxes
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Sales
Description
QUIT CLAIM DEED
PROBATE RECORDS
SPECIAL WARRANTY DEED
QUIT CLAIM DEED
WARRANTY DEED
Land
Seminole County GIS
2018 Working-�
Values
2017 Certified
I Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$30,112
$28,390
Depreciated EXFT Value
$1,722
$1,722
}�
i Land Value (Market)
$11,970
$11,025
Land Value Ag
Just/Mart Value'"
$43,804
$41,137 j
Portability Adj
Save Our Homes Adj
$0
$0
Amendment 1 Adj
$0
$0
P&G Adj
$0
$0
Assessed Value
S43804
$41,137
Tax Amount without
SOH: $783.00
2017 Tax
BillAmount$783.00
Tax
Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non
Ad Valorem Assessments
�i Assessment
Value
= Exempt Values
'�
Taxable Value
li
$43,804
$0
$43,804 tI
S43,804
$0
$43,804 j
j
S43,804
$0
$43,804
S43,804
$0
S43,804 r
$43,804
$0
j
$43,804
Date
....::..
Book
Page
_
Amount i
Qualified
I Vac/Imp
3/1/2016
~_ 08645
0572
$100
No
Improved
!
11/1/2015
08586
18
$100
No
Improved
3/1/2009
0715$
$100
No
Improved
i
10/111993
02674
1983
$100
No
Improved
I
5/1/1981
01335
0349
S100
No
Improved
Method Frontage Depth ! Units Units Price- ; Land Value
4 FRONT FOOT & DEPTH 70.00 118.00 0 $190.00 $11,970
Building Information
s 3ed/ at., unt incomes Cgck Here.
Rrepared by and return to;
Debbie McCallum
The Closing Agent LLC
i l N. Summerlin Ave., Ste. 100
Orlando, FL 32801
File Number 1820917
(SpIce,Above This tine -For Recording rain)
Warranty Deed
This Warranty Deed made this 26th day of March, 2018. between Elizabeth Dahl and Cyril D. Dahl, wife and
husband, whose address is 11261 Stoney Pointe Lane East, Jacksonville, FL 32257, grantor; to Daniel Dupont, a
married person, whose address is 7451 Apreile Drive, Sanford, FL 32771, grantee;
(%Viicncver uscii herein the terms "gtnntor" and "grantee" include all the panics to this instrument and the heirs, legal representatives. and
assigns. of individuals: and the successors and assigns of corporations, musts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/1.00 DOLLARS (S10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said:,grantee, and grantee's heirs and assigns forever, the following described land„
situate, lying and being in, the Seminole County, Florida. to -wit;
Lot 8 and the West 18 feet of Lot 9 LESS the South 7 feet of Lot 8 and the:South 7 feet of the Rest 18 feet of
Lot 9, Block 2, BEL-AIR, SANFORD, FLORIDA, according to the plat thereof as recorded in Plat Book 3,
Page 79, of the Public Records of Seminole County, Florida.
Parcel identification dumber: 31719-31-504-0200-0080,
SUBJECT TO TAXES FOR THE YEAR 2018 AND SUBSEQUENT YEARS, RESTRICTIONS,
RESERVATIONS, COVENANTS AN\'D EASEMENTS OF RECORD, IF ANY.
Together with all the,tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining
To Have and to Hold; the same in fee simple forever.
And the grantor hereby covenants tt7ih said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby frilly warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever;. and that said Ian_ d is free of all
encumbrances, except taxes accruing subsequent to December 31, 2017.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
IV -I" y1)ytxyl - Page i
Signed, seated and delivered in our presence:
W imess
witness
Witness
Miness
State of Florid!
County of Seminole:
The foregoing instrument was acknowledged before me this 26th.day of ilarch, 018 by
F,lixabeth Dahl and Cyril D. Bahl, who (-are personally known to me at (have produced pYiver'5 Lirense as+
identification.
_ P
FAITHJ, GIBE Notary FubliA-'
Com?ussron t GG 17-334 r^ r r
Ekp(resFe4maryt5,2p2Y Fnnted Name `
„•!">.'>?rnrurroysa�atna--enaeLC4-�sstuts "�..--. �} r� `�
�IyCommisskmExpires:
1$?0917
CLOSING AGREEM NT
'T'he-undersigned hereby acknowledge that Barry` L..yiiller, Jonathan Innes and David Berman have not rendered any
legal advice in regard to this transaction or any other matters, unless othemise retained. The Closing Agent LLC has
advised the undersigned to seen courisel for any advice'6r guidance, No attorney-eliertt relationship is created by the.
performance of the non -legal service of acting as settlement agent.
s 1 hereby waive my right under RESPA regulations to vietvfrece ve the HUD- I Settlement Statement 3a hoursprior to
Closing, if applicable. The undersigned authnriaes The Closing Agent LLC ("Settlement Agent or ='Closing Agem-) io
release a copy ofthe ALTA Closin: Statement or HUUD-I Settlement Statement to the real estate agem(s),involved 'in
the transaction. Bayer(&) and Seller(s) hereby consent to the presence, at the closing, of the parties, the.rcel"cstate
aaent(s) and the representative of the lender(s),
• The undersigned herein agree that with regard to the Contract for Sale and'Purchasethat all terms, conditions and.
contingencies =set forth therein have been either met; satisfied; or expressly waived by and to the satisfaction of the
parties hereto, or in the event said terms, conditions and contingencies have not been met, satisfied or expressly
waived by and to the satisfaction of -the parties hereto, "the paries;hereto expressly relieve Settlement Agent from any
and all liability. Any unused or unexpended costs, fees or interest may be retained by the Settlement Agent as
administrative fees.
• Buyer(s) and Sciler(s) hereby consent to the deposit of funds in this transaction in to an interest bearing escrow
account. All interest earned shall be for the benefit of the closing agent,
► Seller acknowledges that Settlement Anent has requested the current owner's title insurance. po I icy to offer reissue
credit.
AS 1S" :AGREEMENT: Buy cr( s herein certify tltat'ilWc have inspected,and investigated, the adequacy and
conoitinnslof the subject'pioperep and isfaresatisfied with the "AS IS" condition. I/We amiare-aware 11wie amtare
purchasing,without the benefit of any warranty -from the title company andtor,underwriter
-
• ADDENDUM TO HUD I SETTLEMENT STATEMEi 1 CLOSING DISCLOSURE
The undersigned have carefolly reviewed the HUD -I Settlement Statement and/or Closing bisclosure and to the best
of their knowledge and I belief, it is a true and accurate statement of all receipts and disbursements made on their
account or, by them in this transaction, They further certify that they have received a copy of the HUD-i Settlement
Statement/Closing Disclosure. The undersigned hereby authorize to correct and initial any minor typographical
anther clerical errors on the documents for conveyance,of the above property= and on the documents rec6in60y the
tender, title underwriter or Closing agent:_
• THIS, ADDENDUM TCi°THE SALp5 CONTRACT AM'ENtDS AND CORRECTS THE CONTRACT BETWEEN
TNE-UNRtR'SiCf?761?, AS TO THE FOLLOWING;
1; The closing°costs as shown on the, Settlement StatemenVCio'sing-Disclosure dated are true and correct and have
been agreed upon by',Buyers) and Seller(s), Costs as shown on the Contract are he eby amended to agree with
the Settlement Statement/Closing Disclosure
T. Extend/Confirm closing date on sales contract to: 03/261.1018
Elicabetl ahl
Cyril'}3asl
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
----------------------------------------------------------------------------
Application Number . . . . . 18-00001764 Date 4/12/18
Application pin number . . . 715740
Property Address . . . . . . 1213 RANDOLPH ST
Parcel Number . . . . . . . . 31.19.31.504-0200-0080
Application type description ROOFING APPLICATION
Subdivision Name . . . . . . BEL-AIR
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 5300
----------------------------------------------------------------------------
Application desc
REROOF/SHINGLES NOC ON FILE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DUPONT, DANIEL MJP WINDOWS & CONSTRUCTION INC
7451 APRELLE DR 208 TEAKWOOD CT
1213 RANDOLPH ST LAKE MARY FL 32746
SANFORD FL 32771 (407) 265-2215
(407) 687-2580
--------------------- Structure Information 000 000 ----------------------
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1043934
Permit pin number 1043934
Permit Fee . . . . 82.00
Issue Date . . . . 4/12/18 Valuation . . . . 5300
Expiration Date 10/09/18
Qty Unit Charge Per Extension
BASE FEE 40.00
6.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 42.00
----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00
01-BLDG PLAN REVIEW 18.00
01-BLDG DCA SURCHARGE 2.00
01-BLDG DBPR SURCHARGE 2.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 82.00 .00 .00 82.00
Other Fee Total 47.00 .00 .00 47.00
Grand Total 129.00 .00 .00 129.00
Oper: ANTONINIL Type: OC Drawer: I
Date: 4/13/18 01 Receipt no: 106310
2018 1764
1213 RANDOLPH ST
SANFORD, FL 32771
BP BUILDING PERMIT RECEIPTS
1129.00
CC CREDIT CARD $129.00
Total tendered $129.00
-------------------------------------------------------------- ----Total payeent Ha. 00
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. Trans date: 4/13/18 Time: 10:57:13
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
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 . . . .
. 18-00001764
Date 4/12/18
Property Address . . . . .
. 1213 RANDOLPH ST
Parcel Number . . . . . . .
. 31.19.31.504-0200-0080
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
. BEL-AIR
Property Zoning . . . . . .
. SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1043934
Permit pin number 1043934
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
CITY OF
Y3ANFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Caret
,PERMIT NO. I Cf'�L4 ISSUE DATE: Lk-016- Ile
AOO CONTRACTOR: ► VA_C+1Q1J
JOB ADDRESS: ' k
TYPE OF WORK:/:561"Qtes
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
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 3:30 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 111
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 OF
Building & Fire Prevention, Division
S.�NFORD RESIDENTIAL, RE -ROOF POLICY& PROCEDURES
RE XPARTMEN1
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 NUMBERSTORALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE I PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED INTHE SANFORD HISTORIC DISTRICT WILL REQUIRE PLA I N REVIEW AND APPROVAL BY TRE
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 PROVIDEONTHE 'JOB SITE:
PERMIT CAPD,'P,bSTEOIN,ACONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RE1S11DENTIAL,P,,E'ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZE, DINSPECTION 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 UNDERLAYMENT INSTALLED
• ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• ROOF DECK NAILS USED. (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE
CE OR RULER)
0 SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
q DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL,PRODUCTAPPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING,= PER FL PRODUCT APPROVAL
FAILURE, TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT,PkO'VIbtD BY A FLORIDA DESIGN
PROFESSIONAL (ARC I HITECT I OR ENGUNEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (olk OwNER/B UILDER) SIGNATURE: DATE:
SXY OF
NF011
FIRE DEPARTMEN,
JOB ADDRESS:
PERMIT,4
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
k I I
STRUCTURE TYPE.LNGLE VAMILYRESIDENCEITOWNIIOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE:,PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER (NE,�Ai ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /0 t LA /�J) 0 0
**PLEASE Nom ONLY 100 SQUAREAET'0 THE EXISTLYGDECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: OFF -RIDGE, 0 RIDGE OSOFFIT OPOWERED VENT OTURBINIES
SKYLIGHTS: 0 YES 0 IF YES PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
--------------------------------------------------------------- ------------------- ------------------------------- ------------------ ------------
M Am ROOF AREA
ROOF SLOPE:, Q LESS THAN 2:12 412 OR GREATER
TYPE -OF ROOF j
MANUFACTURER IftORIDA PRODUCT APPROVAL
..........
SHINGLE
OMETAL
'FL:#
0 MODIFIED BITUMEN
FL#
TORCH DOWN
FL#
-0
0 INSULATED
FL#
O TILE
FL#
OOTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, FTC) "IFARPLICABLE"
ROOF SLOPE: 0 LESS THAN 2:12 0 2 4:12, 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
FL#
0 METAL
FL#
OMODIFIED 'BITUMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
(DTILE
FL4
00THER:
CITY OF SANFORD
One Time Credit Card Payment Authorization Form
Sign and complete this form to authorize City of Sanford to make a one time debit to your
credit card listed below.
By signing this form you give us permission to debit your account for the amount indicated
on or after the indicated clate. This: is permission for 6 single transaction only, and does, not:
provide authorization for any additional unrelated debits or credits to yoluracrount.
Please complete the information below:
I Dorene Penhaligon authorize the City of Sanford charge my credit card
(fu,ll name)
account indicated bellow for on or after 4/11/2018 This payment is for
(amount) (date)
7451 APRELLE DRIVE SANFORD, FL
(address or'parc,6111D
Billing Address, 208 TeakwoodCourt
City, State,,Zip Lake Mary, FL 32746
Phone# 40.7-265-2215' -
Email mjp'vvin0cfl.rr.eorn
Account Type: x Visa, FI MasterCard El AMEX F1 Discover
Card,holder Name Dorene Penhaligon
Account Numbdr -mom
Expiration Date
CCV
Billing Zipcocle 32746
SIGNATURE AM A DATE
I authorize the above named business to charge the credit card i ' ated in this authorization form according to the terms outlined
above. This payment authorization is for the goodsiservices described above, for the amount indicated,above only, and is valid for
one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card
company; so -long as the transaction corresponds to the terms indicated in this form.
CITY OF
SkNFORD
Building & Fire Prevention Division
RESIDENTLAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NA�IILING, SHEATHING, DRY -IN, FLASHING, ANDALL FINAL ROOF COVERIINGS
PERMIT #: I U ( f ADDRESS: 10� 1 ✓ Pa ��/o 1 e ► )
I-1a n4 rd-1 (7�L
I M n,1-4-i n Pe V) I lcc, I l r'1 0 k-) , 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 #: W G 05 1 g- 0
COMPANY / CONTRACTOR: (rksp
CONTRACTOR SIGNATURE: i��//� u , Qi_- DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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,
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 I day of 20 14 by:
► ar , n & h(4 �/Who is�Personally Known to me or has ❑ Produced (type of
identification) as identification.
l'lz'l V hiAuv-q-q
Signature of Notary Public ,ar P�
State of Florida +°�: `v ROBERT V. MALONEY, . .
Print/Type/Stamp Name
of Notary Public
* * MY COMMISSION i FF 917403
EXPIRES: October 12, 2019
WdedihruBudget NoteryServkes