HomeMy WebLinkAbout2000 S Oak AveU4�
/I/ U Job Address: /7,0/10 a19JI LVAiAA,
U
Parcel 1D- - Iq %&2 -07W I 6k�() , k 3(4
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: , I 1
q
Documented Construction Value: : &'-
Historic District: Yes 0 No D
Residential 9 CommercialF]
Type of Work,:' New IJ Addition 11, AfterationEl RepairEl DE] .Demo ❑ Change ofUn seMoveEl
Description otWork: - V
Plan Review Contact Person:
Phone: qV7-&2d- 46430 Fax: �07 67Y 354o!_3 Email:
q o f Property Owner Information
Name 010 Phone:
Street"C9A,,k utt Resident ofprop
erty? '62,
City, State Zip: AL 327-71--
Name
Street;
City, S
Contractor Information,
Phone: (01j)
F qv7 5'� 7 ax: 5,563
State License No.: _a&13M9
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage )Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR 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 LEN I DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT,
Application is hereby made to obtain a permit to do the work and installations as indirated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be. performed to ineet standards of all laws regulating . construction
in this jurisdiction. I understand that a separate perinit nuist be secured for electr I ical 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; 5"' Edition (2014) Florida Building Code
Revised; June 30, 2015
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, F5 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the exectetedcontract 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.
OV NER'S AFFIDAVIT: t 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.
_-
Sa re Co tractor/Agent Date
Print Contractor/Avnt s Nante
KI,
1K YENIFERM.PANIZORETESw
MY COMMISSION # GG W9185 MY CpMMlS810N #OFF 9T4624
': o= EXPIRES:Apt92,2021
u °� EXPIRES; Allay 2, 2020 -
': Bolded itw NomrY P 6V> W s ''e o� 6otx4ed Thru Nota Public lln�anyrifer4
tv' n
Owner/Agent is V QOrsonally Known to or Contractor/Agent .is Personally Known to .h4- or.
Produced'11) Type of ID _ Produced fD Type of ID
BELOW IS FOR OFFICE 'USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanicafl Plumbing[ 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
Dire Sprinkler Permit: Yes n No ❑ # of Heads Fire Alarm Permit: Yes ❑ No [�
APPROVALS: ZONING: UTILITIES: _ WASTE WATER:
ENGiNEERING FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
lvenue Altamonte Springs, FL 32701
Office: (407) 557 - 8633 24 Hr: (407) 810 - 2757 Fax: (407) 574 - 3563
(321) 203 - 4704 License # CCC 1329833
SALES CONTRACT
Day Roofing, Inc. agrees to furnish all materials and labor necessarya d the modernization work at the following address:
Name:ej Phone �`S w { At Phone:
: Address4if` 0 o�1( at"tp Date:''
City:_'r-, IDn1tt 4N4: Stat VIa(IRApl- ZiD: '2
In accordance with the specifications given below: �,,,
[ NEW CONSTRUCTION +OREROOF I REPAIR
PITCHED ROOF
�rli AILROOF DECKWITH RING SHANK NAILS.
gE;MOVEOLDROOFTOWORKABLESURFACE.
LACEANYROTTEN WOODWITH STANDARDSHEATHING@$5.0DPER LINEAL FOOT AND$75.00 PERSHEETOF PLYWOOD, IFANY.
NI STALL ROOFING UNDERLAYMENT NAILEDTOWOODDECKIMTHSIMPLEXNAILS.
'IN STALL WATER BABRIER1PEEL N STICK ROOFING UNDERLAYMENTTOENTIREROOFDECKSURFACE,
�IIISTALLN EW VALLEY METAL INVALLEYSAND REPLACE FLASHING AS NECESSARY.
t�NSTALLNEWLEADB00TSOVERSOILSTACKSANDREPLACEALLPURPOSEVENTS, '
I(VSTALL_____,_PROTECTIVE COVERSOVERLEAD BOOTS @ $50.00 EACH.
VENTILATION,
#13 CONTRACTOR WILLCOORDINATETHE REMOVALAND REINSTALLATION OFROOF RELATED PERIPHERALSSUCHAS (BUT NOTLIMITEDTO)
SKYLIGHTS, s6LAR UNITS, T.V. DISHES, ANDlORAIRCONDITIONERS, ETC.SUCH COST ISADDITIONALTOCONTRACT PRICE.
LOWSLOPEDORFLATROOF 11V41V
c�
_RENAILROOF DECKWI HR GSHANK AILS. bnSC�gr�) �it
_REPLACEANY ROTTENWOOD WITH STANDARD SHEATHING@$5.00 PERLINEAL FOOTAND$76.00PERSHEETOF PLYWOOD,IFANY.
_INSTALL UNDERLAYMENTNAILEDTOWOODDECKWITHSIMPLEXNAILS.
_INSTALLSWRIPNS LIN DERLAYMENTTO EN11RE ROOF DECKSURFACE, �}
_INSTALLNEWLEADBOOTS OVERSOILSTACKSANDREPLACEALLPURPOSEVENTS,
INSTALL PROTECTIVECOVERSOVERLEADBOOTS@$MOO EACH. + +
_INSTALL SAVE DRIPSAROUNDTHE PERIMETEROF THE ROOF.
_INSTALL COLOR:
_CLEAN-UPAND HAULAWAYALLRELATED DEBRIS AND LEAVEJOBSITECLEAN.
#11 CONTRACTORWILLCOORDINATETHEREMOVALANDREINSTALLATION OFROOF RELATED PERIPHERAL$SUCHAS(BUTNOT LIMITEDTO)
SKYLIGHTS, SOLARUNITS, T.V. DISHES, AND IORAIR CONDITIONERS, ETC. SUCH COST ISADDITIONALTOCONTRACT PRICE.
1.Con11ad0owniants,"rhlsamradconsistsorthlsdoci rural,armravrorMM+oadlshylightauNarizalions,Ifaey.NopronprasolherUtanlhose�epTisallyselfoAh
Intlamrdnddacamertsshall Wrocagolzedhy RIeupady.Doaim uodustandngandagmematit Clair pantesisrenlainadinthecanl2ddaamen[s,
2. Rican derstoodocoapreedthat this wnlmdshellnolbecomahindMguponD-114c- il.lne.anngio dulyapprorad,ampled,signed andngnessedtiran
oFicerara(toamarNeSeUer, ,..
a. dosWhedinlhamrdraddowmentsvdlloormuerteeonappro>dmetely-- and baoomplotedonappmbmately
.Themdhddalesaleeppra>amationsandamsub]eatbschadul"mgdi lal&esof Ile,tehorandlormatedalshadages,adsofGodenO
o haravanisA.tfcTo an by Seder.SellermservesVia right loemployanysubconlractorforlhecampinfionforlhxmmplalienerglewadcdesaibedinthecanlmd
Cade
bill-Madidional
Contract Price
Permit
Subtotal
IhaSleleofRolide andenpetlran boughtlherearlmay4o MoughtintitaSmropf �
gtisagreemenityproufdinpsssilWlaoltralolhasdfarinpenan,emailmaa 40a/o Deposit
$. Y �Li+.tire.� • D
r
Qcr
maledalaandkrlhammnyatolvrmkreWteddebrisMa(mlghihemglfiredlapedonnlNSMmeimpovemeraanbacbFusrtemare,Ihehuyerhemingtves
p nmissionfortYDioel dallrayvihltleeadtypicalneslere move No hidesteentersald dlWeWay(s)forkhapurpose afaspedldog lhlsaala scaarmd.
BALANCE DUE $ `s �4 1D..00
IR.SallexN000nhnalahamnnrolamlendallapanafmolmlamdpadphemseuchasputnotlititedto)aolarunilsN•dkhesandairwndraars,etcrn
(PlusTotalfromwood
addtion,ilpurdlasarneeds is roplece a#s6ngsgMsitvdllbeaten addi8onal oaslbtbapumneser.
11-Dayaaafinlr, rnaslnllnolhaheldmspaRsihle[arlhaderDsgotoaledRaallinesyslerpnes,[efrige2ntlinesoratharmedlenical[orcpaneMslhelhavahean
re Iacedand#1$and#11
p
lmpvptdylndallednearmofdocldngohdmighthademagedwfi7epedanrinpinsfalla0an0lfooringmatedals.DayRaaSng, Iricahaliwlbemspon5hlarorsny
from allove) P
addwhatosnduetaroofdeddaggwt«ghthavea ma(erialadharediaavehatrayfgatmgaireaw-decEtngoruu atmdure.
UPON COMPLETION OF ROOF INSTALLATIOO
tt.ConshucSanNdustryaecaveryFLndpayllyudmayhaavailaNeBamUroClRF>IyaulosennneyanapmiadpertomszdwdermMract,vAtsra4lebssreutlts
RomspedretidalianorRodda lawh/astelerieern»dcanbadacForiafarmaWnatqutthemcovetyruM endrYingedaim, cantadWenaidaConaWcgon
^y
tndustrylicenahggoerdelshefollawnRlalopfiarenumherandaddressa?4oNoNtMdgroestTallahessae, Fbride32a9A2215orall(850)487-1395,
�M „/
Ip. Chapler558, pmida9labdesmnldnsilryodralEPo4uimrponfsycumustfalkwbe(amyoumayhingelryJegaladion(aranaflegldoonstludodda(edsinyour
homv.SiatydaysbefomyoubdnRarrylepeledi'"tarmustdelivatlotheatherpartylo$iaconbadawdaennotiWmferdngluChapter5aaandloconsider
maldnpanoIrerpaytarthealfood eansWdon de(etl.YouarandadlRatadmecmptenyof(arrfsichmaybe madelhasaeresldddeadlnasundet
ThisJ•lodda Lawo6lch must be aretandfdlawed to protect ycur' ntamsts.
Ex cuted i duplicate, one COPY, one cagy of wtdch was delivered to, and receipt Is hereby acknowledged by Buyer, M-_2�6hy of
MIT
Approved andAccepted:
/
NOTICE TO OWNER
,p.-•"''1
a Do not sign this 1110111110 Improvement Contract inblank.
b. You are entitled to a co�7pY of the contract et the time you sign. Keep It to protect your rights.
at (_ Puurchaser S,,/i�r l ties
LIP
Offi s SI uatul Purchaser Sign Here
ypr10112212015
THIS INSTRUMENT PREPAREL
Name: DAY ROOFING INC e" 1
Addres 4d d ;`� / U C
nr, L ,r 1oy
NOTICE OF COMMENCEMENT
State of Florida
County of "Seminole
--\ tIIlilt 11111111111111f�► I III 1111 Ji l
�,"IT `riALar S
A
C OF EMINOLE coUNTy
CIRCUIT COURT t, 'COMPTROLLER
rdK 9118 Ps 5-4 (PsIs )
C:LERY, Is T )61E164-9S1,
RECORDED 1_i4/77f21118 11j:41:47 rail
�'i ORDlltG FEES �i1'i,iiri
RECORD B.Y hde,vUrt^
Permit Number._ Parcel IDNumber:.T{r 1q `l`��'`J�i( ��`, C
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..
OWNER
Address:
FeeZimple Title Holder (if other than owner) Name:,
Address:
Name
Address: ,
In addition to hiM$elf, Owner Desigriates v— T of
To recfive ;j copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Mato of Notice of Commencement (The expiration dateis1 year from date of recording unless a
different date is spepified)
WARNING TO OWNER' ANY .PAYMENTS MADE BY THF_ OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS',JNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE .OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR .AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, i declare that I'have-read the faregoing and tW the facts stated in Ware true
to the best'a(f my knowledcge and bolief.,1
Owner 51gmt 1 Owners Printed Name " -
Ftctido £tatuld 713.13t1 j(0 Tho;owner m t sign the nol+cs or comnicincoment en+J no vne etge may be aarrnit(ed to slyS in his or her stead."
State of �, .. County of ,� Y
Th9 foregoing Instrurnont was acknowledged before me this "day of
20
y �l4p Who is, personalty known to me ❑
Name of person making star, ment
OR who has -,produced identification type of identification produced:
YENIFER M PANRO REYES
4",
MY.COMM#SSIONpGGW9185�ofEXPIRES' : ApfN 2, 2021 jc6iry &inature
� d; B=W Rn Notary PJ* LtOmwrAars C' r _
Sx
CITY Of
ORD SkNF Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
IIiU DEPARTWNT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT # ADDRESS: ;_Icw 6. (9I✓�
I zeol4 fri. rA01170 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
RO FING CONTRACTOR, ENGINEER, ARCHITEC , 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 ##: (.a, ]INK FW 3
COMPANY/CONTRACTOR:
CONTRACTOR SIGNA
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: - Lt1�r� j
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, 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 �IyN+Ftljl G
Sworn to and Subscribed Z5.
emethis -(I day.of A, 20 44 by:
htL 12�Who is V4Personally Known to me or has ❑ Produced (type.of
identification)
Sgna re of Notary Public.
State o(�Florida,
PrintnVe/Stamp Name
of Notary Public
as identification.
t * rI-F3T492$
%4y MO I
':Y Pub ilridsrvr+ifam
M
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 7 ^ 2 & ` /g
1 hereby name and appoint: rP.:` ooeid—,2 r�9
an agent of:
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
R" The specific permit
Expiration, Date for
License Holder Name:
State License Number:
applicationtorNnorl( located at;
u erd F:� 32
(Street Address)
Power of Attorney:
Signature of License Holder: a : -,
STATE OF FLORIDA
COUNTY OF ' n. Ae
The foregoing i.nVtruWnt wo ac owledg before me this 24 day of ,
200J4__, by , who is ;K personally known
to me or ❑ wh has produced
identification and who did (did .not) take an oath.
Signa e
%gtarySeaflfr%EDOJAEN
��'...� *: My COMMISSION#FF974924 Print or e name
:a EXPIRES:May2,2020 I
? of F Vic' Boi*d Thru Notary Public Wd9ttVlifers
(Rev. 08.12)
Notary Public - State of rL00J4
Commission No. FF qjq q2q
My Commission Expires: 5. O
as
CITY O
FORD Building & Fire Prevention Division
SkN
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ISSUE DATE:'
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: e e )eoo -P
I 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
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 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
CITY O
Building & Fire Prevention Division
Sk�4FORD 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 UNDERLAYM ENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o. UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
• SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: " DATE:
CITY OF
SjkNFORD PERMIT ft
mention Division
I'110" f)rPAR I Thi I ENT Building & Fire Prevention.
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: -0'3"4Vj- R . 3 t t /
STRUCTURE TYPE: (2) SINGLE FAMILY RESIDENCE/TbWNHOUSE, 0 MOBILE HOME 0,APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK JrS PERMITTED TO BE, REPLACED**I
ROOF VENTILATION: 0 OFF -RIDGE (S) RIDGE OSOFFIT OPOWERED VENT OTURBiN.Es
SKYLIGHTS: 0 YES a No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
- ------------------- --------------- ------------------------------- - -- - -- - ---------------------------------------------------------------- - ------------------
MAIN ROOF AREA
ROOF SLOPE: O. LESS THAN 2:12 2,-.12 - 4:12, 0 4:12 OR GREATER
TYPE,OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
I
15�kF
VrT
FL# IL9 I Z q ig,4o
-OMETAL
FL#
-0MODIFIED BITUMEN
FL#
-0 TORCH DOWN
FL#
OINSUILATED
FL#'
-OTILE
FL#
LQ) OTHER: ()#jL/jOjVVAM�
16AP
IFL# /062.it
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLicABLE**
ROOF SLOPE: 0 LESS THAN 2:12 02:12-4:12, 0 4:12 OR GREATER,
TYPE OF Rom
MANUFACTURER
FLORIDA PRODUCT APPROVAL
OSHINGLE.
FL#
-OMETAL
FL#
0 MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
0 INSULATED
FL#
OTILE
FL#
OOTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
$UILDING INSPECTIONS . 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 18-00002119 Date 5/03/18
Property Address . . . . . . 2000 OAK AVE
Parcel Number . . . . . . . . 36.19.30.534-0200-0090
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . HIGHLAND PARK
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc .
Phone Access Code 1048628
Permit pin number 1048628
----------------------------------------------------------------------------
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
NAILInNG, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL
I'ROOF
, COVERINGS
PERMIT #: IS- L (� ADDRESS: 2!%f%� S • (94k f/�mat
I ye fi, �t4 P1. OWN �5 AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
RO FING CONTRACTOR, ENGINEER, AR HITECT, 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: / .G 0 AJ✓ r f ✓I
CONTRACTOR SIGNATURE: /
(MUST BE SIGNED BY LICENSE
OR O"ER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 ;tM j�Ai
Sw n to and Subscribed before me this day of 20 � by:
L
L11kA#Who is XPersonally Known tom or has ❑ Produced (type of
identification)
b
Signa re of Notary Public
State ot Florida
1 ":�O•A `11
Print/ pe/Stamp Name
of Notary Public
as identification.
ALFRM"
WOOMMWOONSFF974M
E*IREsv May Z 2020
�`• 8eeded7lruNdwyPAftL ldWfibN