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Home My WebLink About133 Wornall Dr (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ( b J I -� V Documented Construction Value: $ 7,750. Job Address: 133 Wornall Dr Sanford Fl. 32771 Historic District: Yes ❑ No Parcel ID: 33-19-30-514-0000-0170 Residential Q Commercial ❑ Type of Work: Ncw ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Tpar off Pxistinq roof and install New Arrhitprh Shbqles Plan Review Contact Person: Matthew J Joyce Title: Contractor Phone: 386-734-5238 Fax: 386-734-5410 Email: TraceVcaempirecustombuilders net Property Owner Information Name Sarah Bartlett Phone: 817-723-5350 Street: 133 Wornall Dr Resident of property? : —;yes City, State Zip: Sanford FI. 32771 Contractor Information Name Empire Custom Builders, Inc Phone: 386-734-5238 Street: P.O. Box 530025 Fax: 386-734-5410 City, State Zip: Debary, FI. 32753 State License No.: C , .13 d181 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Andress: Phone: Fax: E-mail: _ Mortgage Lender: Address: NVARNING TO OWNER- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TwicF: 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 pert'ormed to meet standards of all la%VS r•egulati ng construction in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and, air conditioners, etc. F BC 105.3 Shall he inscribed with the date of application and the code in effect as of that date: 511, Edition (2014) Florida Building Code Revised: June 30, 2015 Permit application NOTICE': In addition to the requirements ol'this permit; there may be additional restrictions applicable to this property that may, be ti+und 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 lederal agencies. Acceptance olpermit is verification that I will notify the owner ol'the property oPthea•equirements orPlorida I.ien La%v, PS 713. The City of Sanford requires payment of a plan revicky 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 lie considered the estimated construction value of tile job at the time of submittal. The actual construction value will be lgured based on the current ICC Vaklation "fable 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 Pees 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. 1;4 /Z,- GI �1,• /t3 signature ofo«wterJAgent Date Signal re okontr etor/Agent Date Print ptvner/Agent's Name Print C9kitractor/Agent's Name signature of Notary -Suite or Horida t7ate St a of Notary -State �1 D Date NEIDY S SANTIAGO No,aryPublic -State ofFlorda Commissions GG 114176 Owner/Agent is Personally Known to Me or Contractor Me or Produced ID Type of ID Produced I D I ype of BELOW IS FOR OFFICE USE ONLY Permits Required: Building❑ L'•lectrical❑ Mechanical❑ Plumbing❑ Gas[] Roof-[] Construction Type: Occupancy Use: Flood Zone: Total .Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # ofAmps # of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UT I L ITICS: ENGINEERING: HRE: COMMENTS: WASTE WATER: BUILDING: RevisedJune 30, 201S Permit Application 3/1412018 SCPA Parcel View: 33-19-30-514-0000-0170 ord Card Prppt�ty Parcel: 33-19-30-f;14-0000-0170 Property Address: 133 WORNALL DR SANFORD. FL 3277 1 Parcel Information Value Summary Parcel 33-19-30-514-0000-0170 2018 Working 2017 Certified Va lues alues Owner BARTLETT, BENJAMIN BARTLETT, SARAN Valuation Method Cost/Market Cost/Market Property Address 133 WORNALL DR SANFORD, FL 32771 Number of Buildings Mailing 457 STILL FOREST TER SANFORD, FL 32771-8380 Depreciated Bldg Value $119,272 $112,570 Depreciated EXFT Value $8,740 $9,090 Subdivision Name ("OUNI RY CLUB PARK Tax District SI-SANFORD Land Value (Market) $38,000 $38,000 Land Value Ag DOR Use Code 01-SINGLE FAMILY r ot $166,012 $159,660 Exemptions I' Portability Adj Save Our Homes Adj $0 $0 50 48.83 51.31r 11, Amendment 1 Adj $716 $9,391 P&G Adj $$0 o Assessed Value $165,296 $150,269 'N 54K 50 50 55.03 05 Sei.'n-in?le C.ounty GIS Legal Description LOT 17 COUNTRY CLUB PARK PB 50 PGS 63 THRU 66 Tax Amount without SOH: $2,923.04 20 1 7, 11!< Bit Amount $2,923.04 Tax Esttm-jlof Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority I Assessment Value Exempt Values Taxable Value County General Fund $165,296 $0 $165,296 Schools $166,012 $0 $166,012 City Sanford $165,296 $o $165,296 SJWM(Saint Johns Water Management) $165,296 $0 $165,296 County Bonds $165,296 $0 $165,296 Sales Description Date Book Page Amount - --------- Qualified Vac/Imp QUIT CLAIM DEED 10/1/2005 L) F-� LF, i 0979 $100 No improved WARRANTY DEED 2/112004 0"Ot '1B3 $160,000 Yes Improved QUITCLAIM DEED 1/1/2002 42A) $100 No Improved WARRANTY DEED 9/1/1996 1122 $22,000 Yes Vacant ss SPECIAL WARRANTY DEED 911/1996 03 35 .125 $107,700 Yes Improved 1/8r2018 Florida : .dOnline 21, P�lb Home tO MOP Unks Scorch UCt Approval :QbFnno.':nittiirt.ne>>g naenutelptyNa',cU tit,' i aa. d'NbllcUier comments Archlved Product Manufacturer Address/Phone/Emall Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract, Expiration Date Validated By FL10124•R20 Revision 2017 Approved 0 GAF 1 Campus Drive Parisppany, NJ 07054 (800) 766-3411 mstleh@gaf,com Robert Nleminen lindarelth@trinityerd,com William Broussard 1 Campus Drive Parsippany, NJ 07054 (800)766.3411 TechnicaiQuestionsGAF@ gaf.com Roofing Asphalt Shingles Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer U Evaluation Report - Hardcopy Received Robert Nleminen PE-59166 UL LLC 10/20/2018 John W. Knexovlch, PE 0 Validation Checklist - Hardcopy Received Certificate of Independence Ei 10124 R20 OI 20�7 0� C(3T NI n +� Referenced Standard and Year (of Standard) rd Year ASTM D1970 2015 ASTM D3161 2016 ASTM D3462 2010 ASTM D71SS 2011 TAS 107 1995 Equivalence of Product Standards Certified By https:llwwwdioridabuilding.orglpdpr app_dtl.aspx7param=wGEVXQwtDquraeBoVCbdMQNZD82esy3Bo0yLwXhMdCmfpylEOlvyCA%3d%3d 112 11812018 Florida Building Code Online Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved FL # Model, Number or Name 10124.1 GAF Asphalt Roof Shingles Limits of Use Approved for use in HVHZ: No , Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: Refer to ER, Section 5, Method 1 Option D 09/20/2017 09/27/2017 09/28/2017 12/12/2017 Description Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphaltshingles Installation Instructions lF 1Q124 R_20 tI 2017 09 FINAL ER GAF Asphalt Shingles Ft.10124-R20 odf Verified; By: Robert Nleminen PE-59166: Created by Independent Third party Yes Evaluation Reports P1-10114 R0 AF?nt7 Qq FINAI ER GAf A ohal Shingles Fl.10124jaQAd'f Created by Independent Third party: Yes sack Naxt 92nulAA11 :. 2601111117st aRuad Tpiiaha aeFL32399&MIL11 QAu-im The State of Florida is on *EEO employer: t:ao fight 1007_2013A to afFigL ;: prly cy Stat ent ;; 1111ty's t rn nt :: gnfund Statement Under Florida laW, email addresses are public records. It you do rtot want your email address released In response to" o pirbllc-records request; do not send electronic malt to this anttty. Instead„contact the orOre by pt on* w by tra6itlonat mati.aF.yau have any questloro; please Contact 050A1i?a395. `pvrivant to Socfion 955.27Sti), Florida Statutes, affaMWe October 1, 2012, kicansrt licensed anger Chapter 455, Fs. musI p- de the Dppadinentrrith an esnatt addrasa Itfhey have. ortc. The ema0s pn:vliied may be used (ar uffldaE communfra0 o with' the Ocensee, However ematt addresses pare public racard .lf you do notwistt to supply-o.personaf. address, please proV da the Dapaitmentwikh en amaU address Whtctt ran ba made -1 .1 to to tha public To determinait you are a ikensae under Chapter 455, F P.S. __ pleas' dkk mile Product A1p(proVajl Accepts: tL"attYJ CJ ill https:tAwAv.floridebUild(ng.org/pr/pr opp_dtl.aspx7param=wGEVXQwtDquracBeVCbdMONZDOZesy3BoOyLwXhMdCmfpylEOlvyCA°/aid%3d 212 Empire Custom Roofing Raising//t�h,e, Pot on Qu in Central Florida Prepared By: �.(L�`QrQ- u o test's Customer Name: C5 �G r- City: Phone: Job Location/Address (if different from above) State Roofing License # CCC 1329181 PO Box $30025, Debary, FL 32753 Phone 386.734.62313186.734,5410 Fax Email MattJQa EmplreCustomBuilders.net Date: r` 1 < (I tq Address: Staterzip: ' f3-Z Z Email: SCOPE OF WORK The work to be performed by the Contractor ("work" herein) shall Include the followin ;Material: ' PRE ARATION Pro -Inspection with our factory. trained Project Managers. Color: h� �00-.013 ue care taken to protect home exterior, shrubs and landscaping. Options:v Obtain and post local permits in accordance with local laws.. SYS_IEM Remove existing single roofing and haul away all debris. 'a✓ Inspect decking for rotten and deteriorated wood. pp L9' Deteriorated existing decking and fascia replaced ata cost or $ C� • per man hour plus material. UNDERILAYMENT. -W Dry -in with 30 lb. felt throughout the entire roof. kJ' Dry -in with double layer of #15 felt for low slope. Dry-in with barrier wate membrane II a following areas: �'E ves Q Skylights L)'Valleys lU'F/ent pipes �mney 154 Cr ckets - �w Slope ❑ Other: _ W1-A U it L O Cj Install modified bitumen in dead valleys and low slope areas, FLASHING$ •Et- Install ---� color _ Customer's Initials _ a r /� inch galvanized or Aluminum metal drop edge at eaves and rake edges. t� Install # _ new lead pipe boot flashings. Install new 26 gauge galvanized, pre -forted valley -metal.. Cr__ Install galvanized kitchen and/or bath fan vents. Et- Replace skylight. VENTILATION--� -a-- Install ridge vents -9-- Install off ridge vents # F3-- Install other vetting _ _ _ 0-- Shingle Over ,Aluminum RIDGE Color t-� Customer's Initials '--- Install premium high definition ridge r� Install standard ridge CLEAN-UP &/ magnoucally, sweep job site dean out gutters rra'Flaul away all debris to approved facility ACCORDING TO FLORIDA'S CONSTRUCTION LIEN. LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK -ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY, THIS MEANS IF A LIEN IS FILED, YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY TO PROTECT YOURSELF, YOU SHOULD STIPULATE iN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS. REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA78 CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. PROPOSAL WE. PROPOSE to complete the above stated SCOPE OF WORK in accordance wi%Jhis proposal and the Terms and Conditions of this contract as provided herein for the total sum of $._ ? S®" with payment to be made as follows: Deposit: $ o aAuu Other:. ._,�.-��CJ___. mount due at completion: $�J �_ er:. Dated:— Aullioriz&I Signature -"Contractor" herein This proposal may be withdrawn by us if not accepted within ten days of this date. ACCEPTANCE WE ACCEPT the proposal given herein. The prices, specifications and conditions of this contract are hereby accepted. We hereby authorize the performance of the work described above and accept the Terms and Conditions of this contract as set forth on the following page of this contract. Dated:. nrized Signature -'Customer" herein THIS INST U Ept[ PREPARED Name: Address: �0� _ GRANT MALOYP SEMINOLE COUNTY .�ZZ2LI CLERK OF CIRCUIT COURT & COMPTROLLER NOTICE OF COMMENCEMENT el; 911'8 Ps 1sOz (1Fgs) CLERK'S 4 20180394LI RECORDED 04/11/21118, 03:21.47 PI'I State of Florida RECORDING FEES $10.00 County of Seminole RECORDED BY hdevare Permit Number: Parcel iD Number: The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,`the following information Is provided In this Notice of Commencement, DESCRIPTION OF PROPERTY: (Letgal gescr�►ption of the prop and street address it avaitahtal 1_n-F- t--i P .,.. _-i GENERAL DESCRIPTION OF IMPROVEMENT: p — OWNER INFORMATION- Name:_ , `50jyal 1 r4_ Address: 1V o�( f I�f . Z�_ ' -t— j . Fee Simple Title Holder (if other than owner) Name: Address: CONTRACjOR: p Name: Address: a-J }� { . OJ �"7 �3 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 Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a different date is specified) WARNING TO OWNER' ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 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 penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true to the st of m k dge a d belief. Owner's Signature etl - = Florida Statute 713.13(1)(g). • The owner must sign the notice of commencement and no one else men Owners printed Name to sign in his or her stead State of County of The foregoing instntm as acknowledged before me this _ day of pp Who is personal) known Name of person making statement Y to me OR who has produced Identification ❑ type of identification produced: NEIDY S SANPAGO t •�� . NotaryPubric-StateoFFlorida Commission A GG 114176 My Comm. Expires Jun12.2021 Notary to YOF SXNFORD FIRE DEPARTMEN7� Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. /eo 17ve ISSUE DATE: &46 190 1 Y CONTRACTOR: Fin ,III CCzsft/r,40" •/ JOB ADDRESS: ! (00fA&II Z1,00 TYPE OF WORK: Reo. &D R PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF T I 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 8S5.541.2112 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 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 PERMIT # Cite of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: -133 WArnall Dr Sanford FI S`I'Rl7C I*(jIl ;T)'PE: ®SlNtil.[> FAMILY IZIiiSIDENCC;iI'OWNLIOUSF Q MOBILE i-IOMF Q AhAR'rMEN-'r/CONDONI[N](,)\1 R1-Ro01.' `I'YI'E: ® REPI_ACI:K4 NT (TEAR OPT I: XIS`I'ING R001' AND IZITLACI: WITII NEW COMPONENTS) Q RC -COVER (NI W ROOD INSTAI,I.ED OVER r?XIS'I'INC; ROOI') DECK TYI'E (PLEASE SPL:CIrI'): _JDI _Qd _ _ — * *PLFA.SF NOTI1: ONI. )' 100 SQUARE FEET OF THE Ft7STING DECK IS PIiR811TTED TO BE RF_PI_ACED ** RoOGVEN,nI.A"rION: QOFL'-RIDGE ® RIDGE QSOFFIT QPOWERFD VENT 0TURBINES SkYL.ICIrI:S: Q YES ©NO IF YI:iS, P1..[ ASE PItOV11)F rI..ORIDA PRODL)cr APPROVAL. g: ------------------------------------------------------------------------------------------------------------------------------------------------------------------ MAIN ROOT -AREA ROOT SI..OPE: Q I_;FSS THAN 2:12 Q 2:12 — 4:12 4:12 Olt GRI`ATFR TN'PE of ROOD MANUFAcrURER FLORIDA PRODUCT APPROVAL C�SIIiNGII GAF -Timberline HD ri,u 10124-R20 Q MFTAL FL# Q MODIFIED m-ruMLiN Q`I'ORCH DOWN 11A Q INSUI.A"rL'-D HA Q`rIL.E FL"€t O O I'I II R: FLU Roor EXTENSIONS (1'ORCIIF,S, PATIOS, ETC.) **IFAPPI.ICARLF_** ROM'SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GRFA'rFR TYPE Or 11001' MANUILACrURER FLORIDA PRODUCT APPROVAL. Q SHINOLE rL# QMF;rAL, I " L 4 Q MODIFwD$ITUMFN FIA 0TORCII DOWN F1.4 Q INSULATr,D }=1 # Q "1'II.I FLU Q Q'I'LIFR: 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 . . . . . 18-00001748 Date 4/19/18 Property Address . . . . . . 133 WORNALL DR Parcel Number . . . . . . . . 33.19.30.514-0000-0170 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1045442 Permit pin number 1045442 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_�_ f City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING,S*H�EATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS L PERMIT #: -_ U—l/l Y� ADDRESS' J�3 ljorlm. 6 I cie— AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOF T OR, ENGINEER CHITS , OF F . CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FO OING ATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: ad-43 ( & / COMPANY/CONTRACTOR: tOOWINER/BUILDER) IF CONTRACTOR SIGNATURE:DATE: 4(MUST BE SIGNED BY LICENSE HOL _Y� 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 TERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF Sworn to and Subscribed before me this U day of 20 dby: Who is )(Persona ly Known to me or has El Produced (type of ;idtiati n) as identification. of Not y PubliC 1a4` °�s NEIDY S SANTIAGO Flor�Cla s ; No�aryPublic-StateoFFlorida GommissioripGG114176 MyComm.ExoiresJun 12,2021 Print/Type/S p Name of Notary Public I THIS INSTIJU*ENT PREPARED r: , 111111111 ssf ssfss fillsins n sssrs a»s3 e: .:■. ■.. Naml�,�.LCQ�t j v� X _' Address: GRANT MALOY r SEMINDLE COUNTY sa CLERK OF CIRCUIT COURT & COMPTROLLER BK 9108 Ps 1502 (11`9s ) NOTICE OF COMMENCEMENT CLER'SRECO w RDEE T 2018039461 RECOD t]d•/11/2r31p 03121a47 F'I1 State of Florida RECORDING FEES `b10-00 County of Seminole " I � �O RECORDED BY hdevare Permit Number: Parcel lD Number: 3_�-11 —&0 —Jr' 1'4 —0oo0 --(BIZ (j The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,'the following Information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal descr' tion of the property and street address if available) e�, a te. $-&50 �s 1 o -r 'A4 -u ce (p l33 U-)ID GENERAL DESCRIPTION OF IMPROVEMENT: Fee Simple Title Holder (if other than owner) Name: Address: RAc4TDii Yl • •e^(S Name tl l.v_,-s� � 1C3 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 penalties of perjury, I dectare that I have read the foregoing and that the facts stated in it are true to the st of my kaow1pdge a d belief. Owner's signature Owner's Printed Name CIO Florida Statute 713.13(1)(g):' The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead' C•14 State W1^w of County of The foregoing Instrum nkas acknowledged before me this �,� day of . ' 20 (� ; � f e �%Gne— by Who is personally known to me� Name of person making statement OR who has produced identification ❑ type of identification produced: f� rw OY55ANT1AG0 blic-StateofHoada f GG 11496 NEI C" C)ission . Expireslun 12.2021 ` ` 0 i c. LU u S