HomeMy WebLinkAbout2408 Grandview Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
91gw;OU
Job Address 2408 Grandview Ave —1 Historic District: Yes ❑ No
Parcel ID: �j q 5 V��V d t i� Residential A Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration � Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re -Roof of Primary Dwelling
Plan ReviewContactPerson: Hal1 aOhui` mby) Title: ?CYrnii Manaur
Phone: _� 1�1 �j2� Fax:
Email: s 4od-e nGfi on w i (V roe not t,Lm
Property Owner Information /; l�. `�/�j Q
Name Kathleen Kelley Phone: G J G'r' 15 a D
Street: Resident of property? : y eS
City, State Zip: Sanford FL 32771
Contractor Information
Name Nationwide Roofing
Street: 5 6 &
City, State Zip: Orlando, FL�
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-773-1323
Fax
State License No.: CCC1331155
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 COMMENCEi LENT 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: 5u' Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit Application
NOTICE: In addition to the requirements of,this permit, there maybe 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 \Vill 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 little 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 currentt 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.
'�
Signature of Owner/Agent 'Daw
V, [I,
gnvi,1v,o h04u)
Print OwnerlAgent's Name
4r-o ,-vt'onaa—
A L r
f n r
a,zr'jk
'
gi-aturc,oft,oint'ra , �to-rlAgent pate
ioilnathan Dorosh
Print Contractor/Agent's Name
BE
LAIN -1
Gf,;, 23,392
Exp,Jres
U'0
0 wn _e _r/ "-V'Persohally Known to Me or
Agent is Personally Known to Me or Contractdr/Agerit'is
Produced ID Type of ID Producedll)_ Type lofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Buildingr] Electricaln Mechanical[] Plurribing[] Gas[:] Roof []
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Z�
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: YesF1 NoF1 # of I -leads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes n NoF]
WASTE WATER:
BUILDING:
Revised: June 30, 20,13 Permit Application
Nationwide.General Contracting
5515 S Orange Avenue
Orlando, FL 32809
Phone:407-773-1323
Fax: 888473-2030
Date: i If/ Imo_
LLC to perform
Certified Roofing Contractor:
CCC1331155
Natipmvide Roofing
Contractor's A.Zreement
(property owner/agent), authorize Nationwide General Contracting,
services at my property located at
2. Assignment of Benefits: I hereby assign any and all insurance rights, benefits, proceeds, and any causes of
action under any applicable insurance policies to Nationwide General Contracting .LLC, for services rendered or
to be rendered by Nationwide General Contracting LLC; By executing this document, I intend for all rights, bene-
fits, and proceeds for services rendered by Nationwide General Contracting LLC to be irrevocably assigned solely
and exclusively to Nationwide General Contracting LLC "in this regard, I waive my privacy rights. I make this as-
signment in consideration for Nationwide General Contracting LLC's agreement to perform labor, services,
supply materials, and 'perform its obligations under thiscontra,ct, including not requiring full payment at the time
of service. I hereby unequivocally direct my insurance_carrier(s) to release any and all information requested by
Nationwide General Contracting LLC, its representative, and/or its attorney for, the purpose of obtaining actual
benefits to be paid by my insurance carrier(s) for services rendered or to be rendered.
3. Authorization to Communicate: Owner hereby gives Owner's written consent to representatives from Con-
tractor to speak with Owner's insurance carrier.and Mortgage Company. Owner also hereby directs Owner's -in-
surance carrier(s) & Mortgage�Companyto release any and all information requested by Contractor or its repre-
sentative, for the direct purpose of obtaining actual benefits to be paid by Owner's insurance carrier(s);and/or
MoAgagelCompany for Services. In this regards Ownei--iwaive's'Owner.'s privacy right's.,-- _-
Mortgage Company: 4/0. RS Fora A
Loan Number:
4. Direct Payment Authorization. I, hereby authorize and unequivocally direct payment of any benefits for
services rendered by Nationwide Genereal Contracting, LLC to be made payable solely to Nationwide General
Contracting, LLC and shall be delivered directly and exclusively to Nationwide General Contracting, LLC.
5. Property Owner's Expense. Owner's out of pocket expenses will be the deductible ($ L,190 ) and
any upgrades requested by owner or otherwise not covered by owner's insurance.
Date of Loss: CA I ' c1 Type of Damage: rA -Aamr no. o1p Irm
Manufacturer: Produet Line: Color:
PROPERTY OWNER:
PROPERTY AGENT:
Pri
Printed
ADDRESS: Zjo� in,o�tst—�u(, �aJbrq ' ;b 37771
PHONENUMBER: (HM) (W
EMAiL: (P I-7 t, o,o�.loin
INSURANCE COMPANY:��n�{ ,l;(
POLICY NUMBER:- Do 02 q�Z�
INSURANCE CLAIM NUMBER:
Signature
TEAM; MEMBER:
This contract and any agreement made pursuant hereto is between Nationwide General Contracting, LLC hereinafter
referred to as "Co." or "Company," and the customer(s) named herein on the reverse side, will be subject to all appro-
priate laws, regulations and ordinances of the applicable state'of job peiformced ant to the following terms and condi-
tions
1. All contracts are subject to approval of our credit department and office, without exception. The person executing
this contract must obtain approval of an office of the Co. for this contract of be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT, CHARGES SHALL BE ADDED FROM
DATE THEREOF AT A RATE OF ONE AND ONE HALF (1-1/2%) PERCENT PER MONTH (18% PER ANNUM)
WTIH A MINIMUM CHARGE OF $200 PER MONTH AND, IF PLACED IN THE HAND OF AN ATTORNEY
FOR COLLECTIONS, ALL ATTORNEY'S FEES, AND LEGAL AND FILING FEES SHALL BE PAID BY THE
CUSTOMER ACCEPTING SAID CONTRACT.
3. The Company shall have no responsibility for damages from rain, fire, windstorm, or other perils, as it is normally
contemplated to be covered by homeowner's insumace or business risk insurance, or unless a specified written agree-
ment be made, therefore prior to commencement of the work.
4. The quotation on the face thereof does not include expenses or charges for bond or insurance premiums or costs
beyond normal insurance coverage, and any such additional expenses, premiums or costs shall be added to the
amount of the contract.
5. Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless oth-
erwise STATED IN THIS CONTRACT, are NOT INCLUDED and will be charged as an extra on a time and material.
basis of $87.50 per hour plus materials.
6. The Company shall not be liable for failure of performance, i.e. delay to meet completion date, due to labor contro-
versies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the
control of the Company, whether of a similar or dissimilar nature.
7. If roofing and sheet metal work is involved, it is understood and agreed that our standard roof guarantee, a copy of
which is available in our office, shall be acceptable and that all terms and provisions therein shall prevail, unless oth-
8. The company is not responsive for any damages on or below the roof due to leaks by excessive wind driven rain, ice,
or hail, during the period of warranty. EXCESSIVE WIND IS 50 OR GREATER MPH. THE WARRANTY IS
NON-TRANSFERRABLE.
9. If material has to be reordered or restocked because of cancellation by the customer, there will be a RESTOCKING
FEE equal to fifteen percent (15%) of the contract price.
10. If the contract or warranty shall not be assigned except by or with written permission of the Company.
11. IF THIS CONTRACT IS CANCELLED BY THE CUSTOMER, customer shall pay to the Company $2,000 or fif-
teen percent (15%) of the contract price,whichever is less, as liquidated damages, not as a penalty, and the Company
agrees to accept such as a reasonable and just compensation for said cancellation.
12. THIS CONTRACT CANNOT BE CANCELLED ONCE WORK IS COMMENCED EXCEPT BY MUTUAL
WRITTEN AGREEMENT OF BOTH PARTIES.
13. PAYMENTS are to be made: 1 st draft & deductible upon insurance approval; and a balance upon completion of
work. Other arrangements must be discussed with Credit Manager
14. If any provision provison of this contract should be held to be invalid or unenforceable, the validity and enforce-
ability of the remaining provisions of this contract shall not be affected thereby. ANY REPRESENTATIONS, STATE-
MENTS, OR OTHER COMMUNICATIONS NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IM-
MATERIAL, and not relied on by either party, and do not survive the execution of this contract.
15. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN ON THIS
CONTRACT ARE AGREED TO BE IMMATERIAL, and not relied on by either party, and do not survive the execu-
tion of this contract.
16. The maximum liability for the Co. shall be the original cost of labor and materials for the repair which customer
agrees shall be a liquidated sum, under any event of default of Co. herein.
17. During the duration of the work, the customers homeowner's insurance will be responsible for any interior damage
as long as the Company has taken appropriate action to protect hte roof during the repair of the roof.
18. If there are any solar panels on the roof, the Co. will not be responsible for damage during repair, so homeowner
agrees to have a solar panel company take the appropriate action to protect the roof during the repair of the roof.
19. The Co. is not responsible for construction problems of your home. If pointed out and notified to our Co., we will
try to assist you on correcting them on a time and material basis.
20. If applicable, it is the customer's responsibility to inform the Company of any homeowner's association require-
ments imposed upon their property.
21. This contract is composed of this page and reverse side of this page and shall be considered the entire contract by the
parties.
22. For all issues of warranties on product and/labor, contact Nationwide General Contracting, LLC at 5515 S Orange
A— AAa"`i PT T)RnQ
THIS INSTRUMENT PREPARED BY: 7y
Name: Nationwide Roofing�(Jl
Address: 5724 Port Concorde Ln.
Orlando; FL 32829
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
11811111111111111111111111111111111111111811
GRANT NALOY; SEt'INOLE :ti=iJiit TY
:LERK OF C.1R( IJI T t OURT & C:C)i`N'ROLLER.
CLERK'S Y 2018052146
REi_IJRTF_D I15,,-9/21"116 1?.li;? :,t; 1111
tE{:i RDINC, FEES
R 1
ECORDED BY hd=_v,7r.=
Parcel ID Number: 31 Iqt 15 r+ 06 00,0'R'7 0
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.
DESCRIPTI N OF PROPERTY: (Legal description of the proPerty and street address if available)
LUT' 11 s0?TH PAR K: CANFDI2D n 3 Fn k.1
�uoR S C�2f}NAY(EW ttvc SANFDI�1� �c 3a�'t
GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof of Primary Dwelling
OWNER INFORMATION:
Name: Kathleen Kelley
Address; 2y n S CIRANpVII yJ AVF rSANFMZD r-L. 3a��-1
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Nationwide Roofing
Address: 5724 Port Concorde Ln. Orlando, FL 32829
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:
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 f erjury, I declare that 1 have read the foregoing and that the facts stated in it are true
to the best of o le ge and belief.
Kc4hken MItl
V Owners S-ignature Owners Printed Nam
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'
State of Floricla County of OLCIt 1i
The foregoing �- t jinstrument was acknowledged before me this day of 012f I) .16
20
by t'J t K-6 t L4 Who Is personally known to me ❑
Name of person making statem h
OR who has produced identification type of identification produced: FL pt_
,�{krvS
nn'
KPISTI61F?ANT
€N\(�_,lz w�mmissionp�( 23692
lirlvC0mn"llsslonExPires Notary Signature
A149118'23, 2020 �� �
yFIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT NO. 18 ISSUE DATE: 05,
/70 14?
CONTRACTOR: 1)�h`bnwi'de �!
JOB ADDRESS: 01q-o gu®•e uj OAop�
•
TYPE OF WORK:---R. e J00®
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 THEREMAY 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 I I I
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
Buildina & Fire Prevefition Dillisioll
S
RESIDENTIAL RE -ROOF POLICY & PROCEDURES jkNFORD
FIRE 0EPAMMENT
PERMITTING REQUIREMENTS -No PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TOBE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE 01"VNIORK 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 III-- MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED IN TILE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL RQOF.lNSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL_ (SINGLE'FAMILY, TOWNHOUSE,
MOBILE HOME., APARTMENT AND/O;R,CONDOMTN'IUM) RE -ROOF PERMITS.
THE FOLLOWING ISREQUIRED TO BE PROVIDE ON THEJOB SITE:
• PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE -ROOF SCOPE OF
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
• -1 PERMIT DIGITAL Pi-ioTOGRAPHS (MUST INCLUDE] -lr-- PF'Rt 41T 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)
• ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE- OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN & SPACING (INCLUDING A (MEASURING DEVICE OR RULER)
• DRIP EDGE- & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
* SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS Sll-IOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURFTO 1, OLLOWTH IFS E, SPECIFIC GUIDELINES WILL RESULTIN AN AFFIDAVIT PROVIDED 13V A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
DATE:
CONTRACTOR (OR OWNERA31JII-Dr-R), SIGNATURE. 1.�4
PERMIT#
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: Nob S 6MOTIN Ale
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT(TEAROFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
*E--COVER (NLw Rooi-, INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): CDX 112" PG Y w ad
**PLEASE NOTE: OiN'I)'l 00 SQb'ARE FEET OF THP Fh.9T1vG DECK IS PERMITTED TO BE REPLACED**
1-i
ROOF VENTILATION: W, OFF -RIDGE 0 RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: 0 YES P�(No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
VA
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12-4:12 I)kj 4:12 OR GREATER
F
TYPE OF ROOF
ANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
6MFpm /NTCE 0
FL#,5L4q q - 121,o
OMETAL
FL#
OMODIFIED BITUMEN
FL#
0TORCHDOWNm
FLft
0 INSULATED
FL#
OTILE
FL#
00THER:
INTEt 10
FL#
ROOF EXTENSIONS (PORCHES. PATIOS, ETC.) **JFAPP1.1CABLE**
ROOF SLOPE: O LI SS THAN 2:12 0 2:12-4:12 i96 :12 OR GREATER &-0r\A—
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
FLft
0 META L
FL4
0 M 0 D 117 1 E D B I T U\,I I _- N
F L#'
OTORCH DOWN
FL#
OINSULATED
FL#
OTILE
FUM
0OTHER:
FL9
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
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Page 2
Application Number . . . . .
18-00002278
Date 5/17/18
Property Address . . . . . .
2408 GRANDVIEW AVE
Parcel Number . .
31.19.31.517-0000-0270
Application description . . .
ROOFING APPLICATION
Subdivision Name . . . . . .
SOUTH PARK
Property Zoning . . . . . . .
SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1051770
Permit pin number 1051770
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF _/_/
1111111111111111111111111111111 U1111,1
111
THIS INSTRUMENT PREPARED BY: 'l"Ova
Name: Nationwide Roofing �r )
Address: 5724 Port Concorde Ln. T7
Orlando FL 32829
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
GRANT N(il_OY; SEI`iINOLE' COUHTY
=I_.ERK Or (:iR :Ui'i GCliiT F: t O1'PI'ROLLER
C:LI Fii;'S x 2013 i5214-b
RECOI DED 1151L19/21-11 12111'" 7 i j%S 1'11
F:EC:IiRGIhii; r""EEO I iile lit
REt.=ORDEC BY hdevarr,2
Permit Number: I� Parcel ID Number: 31 Iq � 15 I j Da DD •W -7 0
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.
DESCRIPTIIPN OF PROPERTY: (Legal description of the property and street address if available)
L Ui 1 cSO�)T -1 Qa>z K fiAN FUl2 D P 6 s rb &
21409 S 612f}NDYIEW Art; SAN09D R. a-Rj
GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof of Primary Dwelling
OWNER.INFORMATION:
Name:Kathleen �t Kelley
Address: 2q 0S S (IaAN V Y I ri
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name: Nationwide Roofing
Address: 5724 Port Concorde Ln. Orlando, FL 32829
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:
In addition to himself, Owner Designates
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 f erjury, I declare that 1 have read the foregoing and that the facts stated in it are true
to the best of o le ge and belief.
KAhleen �1
Owners Signature Owner's Printed Nam
Florida Statute 713.13(1)(9): ' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.'
State of r for id G County of Di'GtX1F�,2_
The foregoing instrument was acknowledged before me this � day of Oaf 1) .2016
by ���' p� l--1-rj) L�1 Who is personally known to me ❑
Name of person making stater h
OR who has produced identification L� type of identification produced: FL D-Z- t rtcylff�
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A4vi:0mmiSSwnExpires Notary Signature
�6'%°rf�°��'� A149V6f.23, 2020
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: a `-t U u Re,
L
Sanford f FL- 3 2-7-7I
I Jonathan Dorosh , 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#: CCC1331155
COMPANY / CONTRACTOR: Nationwide Roofing
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICEN,S I DER OR OWNERIBUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: &% 1 � / o k
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 ` rCA Qe— Sworn to and Subscribed before me this � � day of � w�`(, 20 19
by:
Imiow � ro(h . Who iswPersonally Known to me or has ❑ Produced (type of
identification)
o
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
KRISTINE LANT
a
-9 `: state o1 Florida -Notary Public
'`- Commission It GG 23892
: o; ;;bt MY Commission Expires
August 23, 2020