HomeMy WebLinkAbout130 Sterling Pine St (2)CITY OF
FORD
FIRE OEPART&AENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No:
jy aa35
Documented Construction Value: $ 8250.00
Job Address: 130 Sterling Pine St Historic District: YesFNol:l
Parcel ID: 10-20-30-511-0000-0710 Residential I Commercial
Type of Work: New Addition Alteration Repair Demo❑ Change of Use❑ Move
Description of Work: Re -roof 22 squares with Owens Corning Duration Shingle FL #10674-13
Plan Review Contact Person: Ramiah Cavanaugh
Phone:812-525-5150 Fax:
Name
Joely Boyd
Title: Manager
Email: ramiah@myaffordableroof.com
Property Owner Information
Street: 130 Sterling Pine St
City, State Zip: Sanford FL 32773
Name
Street:
Phone: 4075295759
Resident of property? Yes
Contractor Information
Chris Dutruch/My Affordable Roof Phone: 321-221-4185
1585 Kennesaw Dr
City, State Zip.
Name:
Street:
City, St, Zip: _
Claremont, FL 34711
Bonding Company:
Address:
Fax:
State License No.: CCC1331305
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
FINANCENG, 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: 6i° Edition (2017) Florida Building Code
Revised: January I, 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.
101; b
Signature o wner/Agent Date Signa Contractor/Agent
Owner/Agent is�?oPersonalty Known to Me or
Produced ID Type of ID
Print cto gent's Namc
nature of $wsitate oFft6ft Bennett ate
NOTARY PUBLIC
'--'STATE OF FLORIDA
Comm# FF952012
r�NCE 19n� Expif 7
1/20/2020
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Budding ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[:] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Pemut Application
Revised: lanuary 1.2018
us,
PERMIT NC\IRFR:
NOTICE OF COMM ENCEM ENT
�c tto n 4 9 �1.�I1`7
The undaslgned aeby gry notice i tat improvement will be made In certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice ofCommcncement.
I. DxscRirTio5 OF PROPERT\" (Legal description of the property & street address. if available) TAX FOLIO NO.: 16 YX J ' C ) 6//
SI:ftDI%T510N VItV70U ftl.(%:X_TRACT _ 1.0-1:Zj BI.nG LNIT �"�•J `,J
_. l:F.\F,$r RIPTtyX OF IMPROVEMENT:
?. OWNER INFORMATION OR LESSEE INFORMATION IF'1 E LESSEEC'UN'I'K,%C'l EED FOR THE IM
a. Name and addrecc: A � G� \ �_- ,_ __...._�J_ 4_� i_ (T \/, Q J � e, \ • ✓I
b. Imam in pn pen.:
:. Nzmr and aJrhes> offer iimple tillcholJtt (il di ffenm (91.111011111 IiacJ at -el:
a. a. CONrRACroR'sNANIF.: My Affordable Roof
Comracmr'e 1585 Kennesaw Dr Clermont FL, 34711 a phone number
5. SI'RETY (if appbc.Nr. a cop) of the payment Mind is atmchedt
u. Name and uddr—:
h. Phonc numhcr: u`
C. dtnwm of hoed: S
a. a. LENDER', NAME: i` ),
Lcodo'. Jdrea>: h. Phooc numbar.
7. Persons within the State of Florida designated by Owiier upon whom notices or other documents may be ser-ed as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
a. Sams uM ad&r ! _ _ -_- -------•—...-- , — - -- — -- --
h. Phone anmhcrs of dc,,pw1cJ
R. a. In addition to himsclfor herself, Owner desibmatcs �N1 -F—
lo receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h). F orida Statutes.
h. Phone number ni person or may Jcsicnattd by ()aver:
9. Expiration date of notice ofcommencement (the expiration date will be I year from the date of recording unless a dilIerent date is
specified):_. 20_
x I"PqA
rr's or Lessee's (Print Name and P ovide Signatory's Title/Office)
anager)
-3 -L 7:3
State of
County of
The f Ding instntmen as acknowledged before me this !_'� day of 20
b .a s'
(nam, person) (type of authority.... e.g. officer. trustee, attorney in fact)
for
(name of parry on)behalf of w• 9 instrument was executed)
Personally Known — or Produced IdentificaiionL�6 Type of Identificati -Produced � Q, r�Q�t.�+•-
SHERRY A COLLINS (Signature of Notary Public)
Notary Public - State of Flotioa (Print, Type. or Stamp Commissioned Name of Notary Public)
Commission # FF 989101
My Comm. Expires May 4. 2020
OF F
Bonded though National Notary Assn.
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018074831 BK 9163 Pg 1290: (1pg) E-RECORDED 06/28/2018 03:11:55 PM
10.00
QOTRINITYIERD
EVALUATION REPORT
Owens Corning
One Owens Corning Parkway
Toledo, OH 43659
(740)404-7829
EXTERIOR RESEARCH & DESIGN, I.I.C.
Certificate of Authorization t19503
353 CHRISTIAN STREET, UNIT #13
OXFORD, CT 06478
(203) 262-9245
Evaluation Report 037940.02.12-R8
FL10674-11113
Date of Issuance: 02/06/2012
Revision 8: 10/09/2017
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of
construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The
products described herein have been evaluated for compliance with the 6th Edition (2017) Florida Building Code
sections noted herein.
DESCRIPTION: Owens Corning Asphalt Roof Shingles
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein and FBC 1507.2.7.1 / R905.2.6.1.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the
referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change.
Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the
product changes or the referenced Quality Assurance documentation changes. TrinityJERD requires a complete
review of this Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity I ERD Evaluated" may be displayed in
advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or
its distributors and shall be available for inspection at the job site at the request of the Building Official.
This Evaluation Report consists of pages 1 through 8.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No. 59166, Florida DCA ANE1983
The facsimile seal appearing was authorized by Robert
Nieminen, P.E. on 10/09/2017. This does not serve as an
electronically signed document.
CERTIFICATION OF INDEPENDENCE:
1. Trinity IERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or
distributing products it evaluates.
2. Trinityl ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates.
3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for
which the evaluation reports are being issued.
4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
5. This is a building code evaluation. Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any
project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained
specifically for that purpose.
\\I TRINITY I ERD
ROOFING SYSTEMS EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub -Category: Asphalt Shingles
Compliance Statement: Owens Corning Asphalt Roof Shingles, as produced by Owens Corning, have demonstrated
compliance with the following sections of the 6th Edition (2017) Florida Building Code and Florida Building Code,
Residential Volume through testing in accordance with the following Standards. Compliance is subject to the
Installation Requirements and Limitations / Conditions of Use set forth herein.
2. STANDARDS:
Section
Property
Standard
Year
1507.2.5, R905.2.4
Physical Properties
ASTM D3462
2010
1507.2.7.1, R905.2.6.1
Wind Resistance
ASTM D3161
2016
1507.2.7.1, R905.2.6.1
Wind Resistance
ASTM D7158
2011
3. REFERENCES:
Entity
Examination
Reference
Date
UL LLC (CER9626)
Physicals & Wind Resistance
File R2453, Vol. 3
02/15/2007
UL LLC (CER9626)
Physicals & Wind Resistance
20120516-R2453
05/16/2012
UL LLC (TST9628)
Physical Properties
06CA20263
04/18/2006
UL LLC (TST9628)
Wind Resistance
11CA34308
02/18/2012
UL LLC (TST9628)
Physicals & Wind Resistance
4786093137
02/01/2014
UL LLC (TST9628)
Wind Resistance
4786126532
02/10/2014
UL LLC (TST9628)
Physical Properties
Classification letter
02/13/2014
UL LLC (TST9628)
Physical Properties
Classification letter
10/02/2015
Miami -Dade (CER1592)
FBC HVHZ Compliance
Various NOAs
Various
UL LLC (QUA9625)
Quality Control
Service Confirmation
Exp. 05/16/2020
4. PRODUCT DESCRIPTION:
4.1 Asphalt Shingles:
4.1.1 Classic and Supreme* are fiberglass reinforced, 3-tab
asphalt roof shingles.
4.1.2 Berkshire are fiberglass reinforced, 4-tab asphalt roof shingles.
4.1.3 DevonshireTm are fiberglass reinforced, 5-tab asphalt
roof shingles.
4.1.4 Duration, TruDefinition' Duration, Duration Premium Cool, TruDefinition Duration Designer Color
n Collection, TruDefinitioOakridge®, Oakridge® and WeatherGuard® HP are fiberglass reinforced, laminated
asphalt roof shingles.
4.2 Hip & Ridge Shingles:
4.2.1 Berkshire Hip & Ridge Shingles, High Ridge, WeatherGuard® HP Hip & Ridge Shingles, ProEdge Hip & Ridge
Shingles and DuraRidgeT" Hip & Ridge Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles.
4.3 Accessory Starter Strips:
4.3.1 Starter Strip Shingle, Starter Strip Plus and Starter Shingle Roll are starter strips for asphalt roof shingles.
LIMITATIONS:
5.1 This is a building code evaluation. Neither TrinityJERD nor Robert Nieminen, P.E. are, in any way, the
Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used
for permitting or design guidance unless retained specifically for that purpose.
5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions.
5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory
for fire ratings of this product.
Exterior Research and Design, U.C. Evaluation Report 037940.02.12-118
Certificate of Authorization #9503 6EDITION (2017) FBC NON-HVHZ EVALUATION F1.10674-1113
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 2 of 8
rTRINITY�ERD
5.4 Wind Classification:
5.4.1 All Owens Corning asphalt shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1
and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating the shingles are acceptable
for use in all wind zones up to Vasd = 150 mph (V,it = 194 mph). Refer to Section 6 for installation
requirements to meet this wind rating.
5.4.2 All Owens Corning hip & ridge shingles, Starter Strip Shingle and Starter Strip Plus noted herein are
Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F, indicating the
shingles are acceptable for use in all wind zones up to Vasd = 150 mph (V,it = 194 mph). Refer to Section 6 for
installation requirements to meet this wind rating.
5.4.3 Classification by ASTM D7158 applies to exposure category B or C, as defined in FBC 1609.4.3, and a mean
roof height of 60 feet or less. Calculations by a qualified design professional are required for conditions
outside these limitations. Contact the shingle manufacturer for data specific to each shingle.
5.4.4 Refer to Owens Corning published information on wind resistance and installation limitations.
5.5 All products in the roof assembly shall have quality assurance audit in accordance with F.A.C. Rule 61G20-3.
6. INSTALLATION:
6.1 Underlayment:
6.1.1 Underlayment shall be acceptable to Owens Corning and shall hold current Florida Statewide Product
Approval, or be Locally Approved per Rule 61G20-3, per FBC 1507.2.3, 1507.2.4 or R905.2.3.
6.2 Asphalt Shingles:
6.2.1 Installation of asphalt shingles shall comply with the Owens Corning current published instructions, using
minimum four (4) nails per shingle in accordance with FBC 1507.2.7 or R905.2.6, with the following
exceptions:
➢ Berkshire' shingles require minimum five (5) nails per shingle.
➢ WeatherGuard* HP shingles require minimum six (6) nails per shingle.
➢ Devonshire'" shingles require minimum six (6) nails per shingle.
➢ Starter Strip Shingle and Starter Strip Plus require minimum five (5) nails per strip.
Refer to Owens.Corning published information on wind resistance and installation limitations.
6.2.2 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC
1507.2.6 or R905.2.5. Staples are not permitted.
6.2.4 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are
required. See figures below for details.
6.2.5 Minimum Nailing —Starter Strip Shingle and Starter Strip Plus:
Felt underlayment Deck
J Self -adhered
Weatherlocke
underlayment
Drip Drip edge
edge
aYf� Nails located
ni 2'-3" trom eave
N
Install first Self-sealing adhesive
Starter Strip positioned along eave
shingle with \
6" removed
Starter Strip shingle overhangs eaves and rakes 14'-' '
Felt underlayment i Deck Self -adhered
WeetherLocka
underlayment
Drip edge
f
Y Nags located
.� 2"-3" from eave
Install first Starter Strip Plus Seed a one eave
with 6" removed posraon g
Starter Strip Plus overhangs eaves and rakes 114 -3l4"
Exterior Research and Design, U.C. Evaluation Report 037940.02.12-R8
Certificate of Authorization 89503 6T" EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-1113
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 3 of 8
6.2.6 Minimum Nailing —Classic® & Supreme:
Normal Mansard or Area paro
Wind Areas High Wind desysnes y
Area pare vientos normalos Areas viontos tuartes
tt,t" fit" z" 16 2 t
5" Exposure
Exposici6n
6.2.7 Minimum Nailing — Berkshire®:
Standard Fastening Pattern
�l TRINITY ERD
Normal Mansard or Area pare
Wind Areas High Wind dosvenes y
Area pars viontos normo/es Areas viontos /uertes
tzt � zt
5 6/8" Exposure
Exposici6a
6-Nail Fastening Pattern
Sealant strip
La flea do sollador
o 04 ---------- ► a 04 ------/ a 4---i o
8 Yt' 8 Yt' 8 /t' 8 /f fy
1
2" Asphaitroofingcement
Comento do tacho do astalto
Mansard or Steep Slope Fastening Pattern
Exterior Research and Design, U.C. Evaluation Report 037940.02.12-R8
Certificate of Authorization #9503 6T" EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R13
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 4 of 8
6.2.8 Minimum Nailing —Devonshire•":
`,) n
gavm
5-5/8" exposure Sealant location
Exposicibn de 5.5/8 pulg Ubicecl6n del sellador
Standard 6-Nail Fastening Pattern
�I TRINITY ERD
ee
Nails
71 T' f
Ten 1" Spots of Asphalt Roof Cement 1
Mansard or Steep Slope Fastening Pattern
6.2.9 Minimum Nailing — Duration®, TruDefinition® Duration, Duration® Premium Cool & TruDefinition
Duration• Designer Color Collection:
4-Nail Fastening Pattern
SunNall®fasbning am YAM
Natl, lypical
1- .. 12" J 'I^ 1-
a-lre^ aareF1 F� F2
-
Standard Fastening Pattern
6-Nall Fastening Pattern
SUI•Nallo fau"Ing am'Ac"
Nall, ryplwl
r lr � lrF] F�
l^
e•lre• san^
Mansard or Steep Slope Fastening Pattern
Exterior Research and Design, U.C.
Certificate of Authorization 89503 6l" EDITION (2017) FBC NON-HVHZ EVALUATION
Owens Corning Asphalt Roof Shingles
6-Nail Fastening Pattern
Evaluation Report 037940.02.12-118
FL10674-R13
Revision 8: 10/09/2017
Page 5 of 8
\I TRINITY I ERD
6.2.1 Minimum Nailing —TruDefinition®Oakridge",Oakridge®:
4 Nail Pattern
Esquema can 4 clavos
FXpostelon de 55/8pulg. Claws
EWSIClon de 5 5/8 pulp
Standard Fastening Pattern
6 Nail Pattern
Esquema con 6 clavos
1" 1••
1.6 TC 1-4-1 2- —Y{
5 6/9" Exposula levos 5 5/8" Exposure
Eeposicron de 5 5/8 pulg. Exposition de 5 516 puig.
Fastening for Slopes Greater Than 21:12
S.1 Naa®fastoning — wk"
all, iypkal
a•va^ a•ve•• -
Row V Spots of Asphalt Roofing C-1
Mansard or Steep Slope Fastening Pattern
6.2.1 Minimum Nailing — WeatherGuard® HP:
6-Nail Fastening Pattern
Illinglo Side View
Fentm— Maa l@dl l&xs
Clow ea fo[5e�s df
Exterior Research and Design, I.I.C. Evaluation Report 037940.02.12-R8
Certificate of Authorization #9503 6'" EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-1113
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 6 of 8
�l TRINITY ERD
6.3 Hip & Ridge Shingles:
6.3.1 Installation of Berkshire* Hip and Ridge Shingles, High Ridge, WeatherGuard® HP Hip and Ridge Shingles
and ProEdge Hip & Ridge Shingles shall comply with the Owens Corning current published instructions,
using four (4) nails per shingle. Installation of DuraRidgeT" Hip & Ridge Shingles shall comply with the
Owens Corning current published instructions, using two (2) nails per shingle. Refer to Owens Corning
published information on wind resistance and installation limitations, including the use of hand -sealing for
wind warranties.
6.3.2 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC
1507.2.6 or R905.2.5. Staples are not permitted.
6.3.3 Minimum Nailing — Berkshire® Hip & Ridge and High Ridge:
Fig. 1 4
f— p=ifing VNna \
Dlretlion
1
I I I I
1 I
i i v v
g" —N
Exposure
Fig. 2
Top View Side Vim
Nails f� �tNails
r Top Lanunatad 2-
4- I piece
� r
I
I
I
I
I
.I
el
ul
I
I
I
I
6.3.4 Minimum Nailing — WeatherGuard® HP Hip and Ridge:
Fig. A 9 4
Dbrg Mlhrtl
f—alradlreclbn \ A
A
Nally
I I
w
Exposure
Fig. C Hip & Ridge Shingle Fastening
Top Vlow
Nails Nall;
r
Z„ q„
1• 1'
5 Exposure
I
I� 1z ry
Exterior Research and Design, U.C. Evaluation Report 037940.02.12-R8
Certificate of Authorization #9503 6TN EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R13
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 7 of 8
6.3.5 Minimum Nailing - ProEdge Hip & Ridge Shingles:
Prevailing .
Wind Direction Sealant Strip
6' Exposure
Fasten 7111"
Cover Exposed
Fasteners with
Roof Cement
�l TRINITY I ERD
Standard
Fastening
Pattern
12" 1
Sealant
7 !`�
+I
6" Exposure
I
12' I
6.3.6 Minimum Nailing — DuraRidge" Hip & Ridge Shingles:
Note: The drawings below pertain to minimum, as -tested attachment requirements. Refer to Owens Corning
published installation instructions for their minimum requirements.
Provaifng wrd Direcdcn
Diroaion domimnco du vanc
DirecdCn del vionto prodcmironro
Nails; -- —► b
i
A
Top View
Vue on plan
II^ Viswsupenor I
c
r
e Ovrcm Corning S..Naii'
I
I
a'I�a
G v v
IJ J
I4—
12-�I
7. LABELING:
7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein.
7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC
Table 1507.2.7.1 / R905.2.6.1.
8. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of
this product.
9. MANUFACTURING PLANTS:
Contact the named QA entity for information on which plants produce products covered by Florida Rule 9N-3 QA
requirements.
10. QUALITY ASSURANCE ENTITY:
UL LLC— QUA9625 ; (631) 546-2458; Kanchi.Agrawala-Dokania@ul.com
- END OF EVALUATION REPORT -
Exterior Research and Design, U.C. Evaluation Report 037940.02.12-R8
Certificate of Authorization #9503 6n' EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-1113
Owens Corning Asphalt Roof Shingles Revision 8: 10/09/2017
Page 8 of 8
CITY OF
S,kNFORD
T
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / 9 -- Zolo,560'
ISSUE DATE: I"//- /f(
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
• -%
M 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 I I T
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 85,5.541.2112
• 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 ,`sched et l ,y 'S� 1i rii� WjI be conducted the
next business day. If you experience diTO!Ity, 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
S FORD
.Building &Fire .Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPAATME,NT
PERMITTING REQUIREMENTS - NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE-R.00F 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
o COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
o COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
e 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 N EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDNG A MEASURING DEVICE OR RULER)
o ROOF DECKNAILS 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 INNSTALLATION 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.
DATE'
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: O7 --
' CITY OF
4 Sk�4FORD
FIRE DEPART10014T
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE:SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HO,%'IE O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: �5(REPLACENIENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) lu DECK TYPE (PLEASE SPECIFY): I I k-nU
**PLEASE NOTE: ONLY 100 SQUARE F ET OF TKF. EXISTING DECK IS PER IfITTED TO BE REPLACED**
ROOF VENTILATION: �OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBI_NES
SKYLIGHTS: O YES �iNIO IF YES; PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 15V4 :12 OR GREATER
TYPE OF ROOF
NNIANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
r
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES PATIOS, ETC.) **IFAPPLIC.ABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
~ XNFU"RD
SY OF
Building & Fire Prevention Division
PERMIT A`PPLICATION
FIRE DEPARTMENT
Application No: � � � ac�
Documented Construction Value: $ WOO X
Job Address: JV �Ve `I1A t �n? 3 Historic District: Yes❑No�
Parcel ID: Residential�x � Commercial
[]Type of Work: New Addition❑ Alter tion ❑ Repair ❑ Demo ❑ Change off 'Use❑ Move ❑
Description of Work: A'q
Plan Review Contact Person: N14Its Title: VJ1VL1.L/'
Phone: q qqR4 C72 I Fax: 1 Email: LOnl
Property Owner Information
Name 1\� I L Phone:
Street: 3o d ✓1 •►\ Resident of property? vlec
City, State Zip: U
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
State License No.:
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: 6"' Edition (2017) Florida Building Code
t7 0
Revised: January 1, 2018 Permit Application +1 ( q
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.
ignature of Not o-.• zGws
oi^.i`•Y•:ion;,' DEBBIE BLANTON
MY COMMISSION i# FF 178648
= z EXPIRES: Februarf 25, 2019
@`' Bonded Thru Notary Public Underwr:er
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
C
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though 1 do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand. that, as an owner -builder, I am the responsible party of record on a permit., 1. understand that 1
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision- and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. 1 understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
C*
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
lJ�
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address
1;0S�rI�0
11 ��c Sf= Sa���d � 32�-�-3
1, LO Il—V, do hereby state that I am qualified
and capable of performing t e requesked construction involved with the permit application filed and agree to the
conditions specified above.
Signature o1 btwner-13 iigder
Form of Identification
(Must be Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
CITY OF
SANFORD Building &Fire Prevention Division
y� 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 (O(OWNE UILDER) SIGNATURE: DATE: / t /
` CITY OF
J4 f s r SkNFORD
PERMIT #
FIRE DEPARTMENT Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: Oy (( Y' I V i �t 6V� fo 1— �2-493
STRUCTURE TYPE: ® 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%� OOF INSTALLED OVER EXISTING ROOF)
y
DECK TYPE (PLEASE SPECIFY): 1 C- ' 1 V ' ®�/�/�
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EV1,9 DEA IS PERMITTED TO BE REPLACED
ROOF VENTILATION: ®OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12
® 4:12 OR GREATER 7' 1 Z
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
0 C0((�� 6 4t,
FL# I
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
® OTHER:
n
CW f a�
FL#
I
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12' O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
THIS MVP
P/P�A BY:lBilt8��11!!i
Name*
f i C
Address: _ fi n u '— i�fti=)hi' I?(dLC'r aEI`1.L11i11-.I_. (_nL,iPl l'
.7 (: (..{ {:I: _ll _.IR I,i1. I CC IjR' I rr _% i.}�, i i 11LLL;
NOTICE OF COMMENCEMENT CLERK'S �il2018054431
State of Florida
County of Seminole _ 2
Permit Number: Parcel ID Number: I C �� - 7� � y G (v
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.
GENERAL DETION OF IMPROVEMENT:
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR: �-e Q-c own el -
Address:
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:
Address:
In addition to himself, Owner Designates
of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
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 I, 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 penalf'es of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the be t my knowledge and belief.
s Sg u Own rs Printed N me
Florida S lute 713.13 1) ):iTh 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 /►�
The foregoing instrument was acknowledged before me this day of A I I 20
by LaL" Who is personally known to me El
NarAe of person making ateme �— `` w I i h, I /5
OR who has produced identification type of identification produced: (L\� ! ft 7
p r,� C041' GRANT MALO
rRfi1Ft.:
�1i1 CVRCUf1 COURT
t„LERi. U • � 11 � c R ���,-;
,GNU i_OP:�I YRC' LCS'r.IDA »<
DE 61E 1:'LA0TO,'d
MY COMkV•'SION e FF ; c ,
EXPIRES: February 2.5, 2C 13
TY OF
Building & Fire Prevention Division
�ANFORD RESIDENTIAL RE-R 0 OF A FFIDA VIT
FIRE DEPARIMENI
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:� ADDRESS:AW—NIT-
j
I
C�k)� S kA ) it eU, �-_ Gam'' , 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 #:
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER
LDER
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: V
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 161 c)-sta'
Sworn to and Subscribed �before me this �6day of C 20 d by:
C/' vU S 8117-u!k Who iskersonally Known to me or has ❑ Produced (type of
ide cat' n)
Signature of Notary Public
State of Florid Roberta Bennett
s.
r' s� NOTARY PUBLIC
i
Print/Type/StamFLORIDA
mM# FF952012
of Notary Pu�ill t910 Expires 1/20/2020
as identification.