HomeMy WebLinkAbout125 Grovewood AveCITY OF
Skil4FORD
FIRE 0EPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: N X a12 `
Documented Construction Value: $ 9,318.00
Job Address: 125 Grovewood Ave. Sanford, FL 32773 Historic District: Yes❑Noa
Parcel ID: 10-20-30-506-0000-0560 Residential Commercial
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo❑ Change of Use❑ Move❑
Description of Work: Re -Roof CertainTeed Landmark Architectural Shingles 27sq.
Plan Review Contact Person: Saundra Bracken Title: Office Manager
Phone: 407-878-3750 Fax: 407-960-2612 Email: BrianSikesRoofing@cfl.rr.com
Property Owner Information
Name Carolyn Yager Phone: 407-321-7361
Street: 125 Grovewood Ave. Resident of property? : Yes
City, State Zip: Sanford, FL :32773
Contractor Information
Name Brian Sikes .Roofing
Street: 1550 S HWY 17.92
City, State Zip: Longwood, FL 32750
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-878-3750
Fax: 407-960-2612
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 WITI4 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, andthat 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 ID5.3 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 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 penni[ 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.
Owner/Agont is Personally Known to Me or
Produced ID _:Type of ID ACC?-
lJ)' .3 1i
Signature of Contractor/Agent Date
Print
.NV a Notary Public State of Florida
Steven Campbell
My Commission FF 990959
n Expires 05/10/2020
Contractor/Agent y i° Lprsonally, Known to Me or
Produced ID '� 'Type oflD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building❑ Electrical ❑ Mechanical,❑ PlumbingF] Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric # of Amps Plumbing # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
UTILITIES:
ENGINEERING: FIRE:
FireAlarm,Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1,2018
Permit Application
3/15/2018
SCPA Parcel View: 10-20-30-506-0000-0560
o'" I
aavtarortns«,.cFa Proper y Record Card
P Parcel: 10-20-30-506-0000-0560
Property Address: 125 GROVEWOOD AVE SANFORD. FL 32773
t'xEr.�xr;�,acviv.ri.or+mn P' Y
----...-
77
i Parcel Information i Value Summary
{ _ 2018 Working �2017 Certified__
Values � Values —
-Valuation Method Cost/Market i Cost/Market
Number of Buildings ? 1 1
Depreciated Bldg Value j $108,387 $96,863
j Depreciated EXFT Value } $600 $600
Land Value (Market) $30,000 $25,000
Land Value Ag
lust/Market Value ; $138,987 $122,463
..._-
Portability Adj
Save Our Homes Adj t $54 237 $39,456
Amendment 1 Adj $0
P&G Adj i $0 $0
Assessed Value $84,750 i $83 007
Tax Amount without SOH: $1,300.00
2017 Tax Bill Amount $631.00
Tax Estimator
Save Our Homes Savings: $669.00
f` Does NOT, INCLUDE Non Ad Valorem Assessments
-� Parcel
-
10-20-30 506-0000-0560 — -
Owner
YAGER, CAROLYN J
Property Address
125 GROVEWOOD AVE SANFORD, FL 32773 �—
Mailing
125 GROVEWOOD AVE SANFORD, FL 32773-5952
Subdivision Name
GROVEVIEW VILLAGE 2ND ADD REPLAT
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions!
00-HOMESTEAD(1994) -
—
00.00
V
00
r_
u
S0 w ..
Q x
4
Seminole
`GIS
�S Count
Legal Description
LOT 56
GROVEVIEW VILLAGE`2ND ADD REPLAT
PB26PGS7&"8
--- _. _.__...
Taxes
-.... ...___ ------_.......
_.._..__-___-._.-__.
-__-... _
��..,,�ng Authority
Assessment Value
Exempt Values r Taxable Value
ontyGeneral Fund
$84 750
-,
$84,750 ° $0
Schools
$84 750 ;
__ ......_.
$25 000 $59 750
City Sanford
$84 750 '.
SJWM(Saint Johns Water Management)
County Bonds
$84,750
$84 750 '
$50,000 I $34,750
$50 000 $34,750
Sales
_ ........ _.
Description Date
Book Page
Amount
Qualified Vac/Imp
j WARRANTY DEED 7/1/1986 01756 0513
$71,600 i Yes Improved
ved
Land
Method Frontage
Depth —j Units
Units Price
I Land Value
LOT
0.00 0.00 ;
1 '
.
$30000.00 1 $30-,000
.
Building Information
Is Bed/Bath count incorrect? Click Here.
'. Description
B iu tliu tl#
Fixtures
_T
Bed Bath
►
_- _
Base Area Total SF Living SF
_�z
�;--W-YearYear
all
Adj Value Repl Value
AppendagesActual/Effective
_
1 SINGLE 1886 6
1 FAMILY
; 3 2 00 ` 1,290 ` 1,89,6
1,290 OONC
; BLOCK
_
$10.8 387 ` $124,942 rDescriptioArea
! _._.�
{
! ! ENCLOSED 180.00
http://parceidetail.scpafl.org/ParcelDetailInfo.aspx?PID=1 0203050600000560 1 /2
J,
1550 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 terns, specifications, prices and plans (if any).
Start and Completion: The approximate start date of `li�7c?f1•�a'and
approximate completion date of are subject to permissible
delays as per provision (5) on the reverse side.
Submitted by X
f,.5h �s
Date
Remove existing shingle roof and underlayment to'expose decking.
27'
60.00
1,620.00
All damaged plywooddecking 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.
27
10.00
270.00
Install one layer of Synthetic underlayment-over entire roof.
27
45.00
1,2,15.00
Install 2 1/2in: galvanized eave-drip around entire perimeter of roof. (Save drip will have a baked enamel
300.00
300.00
finish) W 1,_.•
Install peal' n seal and valley metal in all valleys.
1
100.00
100.00
Install 10ft. aluminum ridge -vents. Vents will be fastened using I 1/2in. neoprene screws.
3
20.00
60.00
Install 10in. exhaust vent. Qrac n
1
20.00
20.00
Install 2in. lead boots.
3
15.00
45.00
Install 3in. lead boot.
1
20.00
20.00
Properly fasten and seal flashing along all walls, eaves, valleys, vents, and boots.
Install limited lifetime CertainTeed Swifftstart starter shingles with a wind resistance of up to 130 MPH.
0.34
175.00
59.50
Install limited lifetime CertainTeed Landmark architectural shingles with a wind resistance of up to 130 MPH.
26
210.00
5,460.00
Shingles installed with six nails per shingle. j t�lh.r a l rn ,J
Install limited lifetime CertainTeed Shadowridge hip and ridge shingles with a wind resistance of up to 130
0.66
225.00
148.50
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.
Z oc) -
TOTAL $9,318.00
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 X ( /
made b written change order only. Credit cards may be subject to a 3% convenience char e. Approved a Accep (Ow er) 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.
THIS INSTRUMENT PREPARED BY.,
Name: Saundra Bracken
Address: 1550 S Hwy 1792
Longwood, FI 32750
NOTICE OF COMMENCEMENT
1�111 II��►1�1111111t lull IIIl 1111 i��
.'t_91
C:LI_I'tl:rN ;?0tgllt.i:#f;?.
f;t lft ttt4' t i ri i fiI iI 1 )tiI" il'l
Pitt t f:'i . 1. t„1_1ii
i ... ,
Permit Number:
Parcel ID Number: 10-20-30-506-OOOO-0560
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)
125 GROVEWOOD AVE SANFORD FL 32773 - LOT 56
GROVEVIEW VILLAGE 2ND ADD REPLAT
PB26PGS7&8
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof CertainTeed Landmark Arehitp.rti iral Rhinnlc,c �7c„
3. OWNER, INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Carolyn Yager 125 Grovewood Ave. Sanford FL 32773
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address
4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750
Address: 1.550 S- Hwy 17 92 Lon wood, FI 32750
5. SURETY (If,applicable, a copy of the payment bond 1s attached); Name:
Address: Amount of Bond:
6. LEN, DER: 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
713.13(1)(a)7.; Florida Statutes.
Name:Phone Number:
Address:
8, In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),.Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration 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.
(stgnatu o Owner or Les ,orOwne L ssee's
(P-in t Ne and ,rmide Signatory's Tid Office)!
qutho,' d Officer/Dire (partner/ agar)
State of ( County of �=—f _`tit:I rj 0 /%
The foregoing instrument was acknowledged before me this day of
by9- L y1J Yr9 �rr-
who has produced identificatitype of identification produc!
�.r►''4 Notary PublicState of Florida
Steven Campbell
} +d c a My Commissim FF 990959
'►! ar qC Expired 0511042020
/w 1? c l^7 , 20 e.
C:i1Y al ,
T IS ORD Building & Fire Prevention Division
FIRE, DEPARTMENT Re -Roof Permit Card
PERMIT NO. /80* R .1 ISSUE DATE: .5• �.
CONTRACTOR:
JOB ADDRESS: �5 6Lro ®� 0
TYPE OF WORK: -
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
WSPECTION 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 BEFi ORE 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,JAND 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
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
INSPECTIONTOLICY &.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 ISREQUIRED 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 UNDERLAYMENTPATTERN & SPACING (INCLUDING A MEASURING DEVICEOR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 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:___3-!S`/p
PERMIT
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoB ADDRESS: 125 Grovewood Ave. Sanford, FL.32773
STRUCTURE TYPE: (2) SINGLE FAMILY RESIDENCEITOWNHOUSE O M08ILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: a� REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Plywood
"PLEASENOTEI ONLYX OO SQUARE FEET OF THE EXISTING DECKISPERMITTED TO BE REPLACED**
RUOF VENTILATION:DOFF-RIDGE (RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (Z) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN RoOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12.-4:12 (9)412 OR GREATER
TYPE OF ROOF
MANUFACTURER
YLORIDA PRODUCT APPROVAL
(Z)SHINGLE
CertainTeed Landmark
FL# FL5444-R12
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
(TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC) **IFAPPLICABLB**
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
0MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED.
FL#
OTILE
FL#
0 OTHER:
FL#
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 . . . . . 18-00002281 Date 5/16/18
Property Address . . . . . . 125 GROVEWOOD AVE
Parcel Number . . 10.20.30.506-0000-0560
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . GROVEVIEW VILL 2ND ADD PLAT
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1051408
Permit pin number 1051408
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 B1,03 FINAL ROOF _/_/_
a
5 City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-2281 ADDRESS: 125 Grovewood Ave.
Sanford, FL 32773
I Brian Sikes AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
O TRA ENGINEER,:ARCHITECT, OF CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
EA ON 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#: CCC1325977
COMPANY/CONTRACTOR: Brian Sikes Roofing
CONTRACTOR SIGNATURE: DATE: ~ J 7 - z'0l0
(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 Seminole
Sworn to and Subscribed before me this Xe
9dayof. A ) 20 18 by:
Brian Sikes Who isrsonaily Known to me or has ❑ Produced (type of
identifi ' n) as identification.
ignature o ofAy Public
State of Florida
k@Mry PUblia $t W of Florida
Steven Campbell' Steven Campbell
Print/Type/Stamp a/Stem Name D t:omrnie4lon FF Sso959
YP P liilplfdo 0®110l2020
of Notary Public