HomeMy WebLinkAbout2535 Iroquois Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: a /t?/3 1
Documented Construction Value: $ 8370.00
Job Address: 2535 IROQUIOS AVE SANFORD, FL 32773-5054 Historic District: Yes ❑ No ❑
Parcel ID: 01-20-30-508-0000-0030 Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair X Demo ❑ Change of Use ❑ Move ❑
Description of Work: REMOVE/ REPLACE ARCHITECTURAL SHINGLES
Plan Review Contact Person: MARCIAL
Phone: 407-542-3609 Fax:
Title:
Email: marcial@sunriseroofingservice.com
Property Owner Information
Name HALLETT, CHARLES J HALLETT, MAUREEN S Phone:
Street: 2535 IROQUOIS AVE
Resident of property? :
City, State Zip: SANFORD, FL 32773
Contractor Information
Name SUNRISE ROOFING SERVICE/ MARIA FLORES Phone:
Street: 392 MELODY LANE
City, State Zip: CASSELBERRY FL 32707
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
407-542-3609
State License No.: CCC1330724
Arch itectlEngineer 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: 51h 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, 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
I ` be done in compliance with all applicable laws regulating construction and zoning.
Signat64,Owner/Agenjt Ile
ate Signature of Contractor/Agent Date
oleos Ile � � �l.(�i8 �I��g
Print Owner/Agent's Name Print Contractor/Agent's Name
2-
y, stota°ry u`�SiaState of Florida Date
Commission 4 GG 107645
My Comm. Expires May 23, 2021
Bonded through National Notary ASS r,
Owner/Agent is Personally Known to Me or
Produced ID --L---�ype of ID P-c- r%�
7i1k
ARIEL MENDEZ
Notary Public - State of Florida
Commission k GG 107645
My Comm. Expires May 23, 2021
'••.',FoF F�°,
Bonded through National Notary Assr.,
Contracfor7Agent is Personally Known to Me or
Produced ID c-----Type of ID *C L Qe-
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ 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:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
A
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 2535 Iroquis Ave. Sanford, FL 32773
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category/Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Ai
Category/Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
`,Other
4. Roofing Products
Asphalt Shingles
Certainteed
Landmark
FL#5444R-12
Underla ments
Interwrap
RhinoRoof Underlayment
FL#15216R-2
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
ROOFING SPECIALISTS
SERVING CENTRAL FLORIDA
1
PRO
P%0
S
A L
SUN ORh ESE
ROOFING SERVICES
Rising above expectations
Office 407-542-3609 • Direct 321-695-7093
1734 Kennedy Point, Suite 1118 Oviedo, FL 32,765
sunriseroofingservicesI@gmail.com
www.sunriseroofingservice.com
Florida State License #1330724
VISA --
KxPuiiS
T
100% FINANCING AVAILABLE
Name:
Date:
Address:
��� �j ' `
Phone:
City, State Zip:
Soy c� I
�1 '�
Cell Phone:
Vol-3qo- 2-369-
Job Location:
Email:��
q ]={ f.'
ozic�l3��Y�l� IiY9 . .t
J
J0,F TEAR -OFF:
1 Layer Shingles ❑ 2 Layers Shingles
❑ Si le Ply Flat Roof ❑ Gravel Roof
elt Underlayment ❑ Other
W00�P REPAIR:
�- -ect Roof Deck for Damage Wood
�nn Nail Entire Roof Deck Up -To Code
wood sheathing replaced at $ 0per sheet
rust, fascia and any other wood board(s) will be replaced at .
$ .OIL per linear foot. J�
Customer Initials
Other. 153V t; ' J
FLAT ROOF SYSTEM
❑ Torch Down Single Ply ❑ 75 lbs. Fiberglass Underlayment
Cold System: ❑ Self Adhered Modified Bitumen Roofing System
❑ Peel & Stick Underlayment ❑ Fiberglass Reinforced Felt
TAPERED SYSTEM
❑ ISO Cold Polyisocyanu rate Roof Insulation
❑ ISO Plus Composite Polyisocya n u rate / Perlite Roof Insulation
NEW ROOF FLASHJAGS
❑ 16" Flashing on: Roof Valley(s) ❑ Flat oof Pitch Change
Qty. Plumbing Boots Replaced: 155 i 2".53" 4"
Gooseneck Vents: 4"_ 6" _ 10" 1 Color: �( _
Boot Guards Color:
NE"ALVANIZED DRIP EDGE
5" Face installed around entire perimeter of roof
❑ Other Color:
SEAMLESS ALUMINUM GUTTERS
❑ Included. $ p/linear ft. $ ea. Downspout.
❑ ft. of gutters to be installed Downspouts.
ROOF VENTILATION
❑ Aminum Ridge Vent ft. Color: _
hJ'Baffled Shingle over Ridge Vent ° LA ft.
❑ Off -Ridge Vent(s): 4 ft. Qty: Color
6 ft. Qty: Color
POWER VENT:
❑ Electric Exhaust Fan: Qty: Price: $
Solar Powered Fan: Qty: Price: $
CHMNEY AREA: (Electrical work not included,)
New flashing ❑ Replace existing flashing if needed.
❑ Build Chimney Cricket - Price: $
❑ Remove Chimney - Price: $
SKYLIGHTS:
❑ New ❑ Reuse Existing
2x2 Price: $ 2x4 Price: $
Other: Price: $
Type of Skylight:
[] Self Flashing ❑ Curb Mounted
❑ Insulated Glass ❑ Polycarbonate Dome
New Skylight installations include interior work;
dry wall, paint and labor. Labor charge: $ _
wood frame,
SOLAR TUNNEL
❑ 10" Price: $ ❑ 14" Price: $
❑ 22" Price: $
BUILDING PERMITS
❑ County ❑ City
HOME OWNERS ASSOCIATION REQUIREMENTS?
❑ Yes ❑ No Contact:
ADDITIONAL NOTES:
SILVER PACKAGE
❑ Re -Nail Roof Deck Up -To Code
❑ Torch Down Single Ply
❑ 75 lbs. Fiberglass Underlayment
Cold System: ❑ Self Adhered Modified Bitumen Roofing System
❑ Peel & Stick Underlayment ❑ Fiberglass Reinforced Felt
Manufacturer:
Yrs Workmanship Yrs Manufactures Warranty
Style:
Color:
GOLD PACKAGE
9 e-Nail Roof Deck Up -To Code ❑ 30 lbs. UL Felt Paper
2Fiberglass Reinforced Felt — "Gorilla Guard"
�Weat�he proof in the following ar s:
5;�. �lleys ent Pipes
ltchen & Bath Vents - iimney
❑ Skylights ❑ Low Slope ❑ Wall Flashing
Manufacturer:
Yrs Workmanship Yrs Manufactures Warranty
Style: 1 iy�L.� t -pP�1--tly
Color:
$
DIAMOND PACKAGE
❑ Re -Nail Roof Deck Up -To Code
❑ Waterproof / Peel & Stick
Entire roof deck will be protected by a peel & stick weatherproof
underlayment. This process will completely seal your roof against
the elements.
Manufacturer:
Yrs Workmanship Yrs Manufactures Warranty
Style:
Color:
SUNRISE ROOFING SERVICES will clean roof debris from gutters in addition to magnetically sweep entire perimeter of job site. All roofing debris will be hauled away and is
included as part of our service. All materials are guaranteed as specified. We will obtain all city or county permits necessary for the completion of the job. All work will be completed
according to standard roofing practices and current building codes. Any alteration or deviation from above specifications involving extra costs will be executed only upon written
order and will become an extra charge item over and above this agreement. Any leaks occurring during the warranty period will be repaired per our written warranty. This proposal
may be withdrawn by us if not accepted within days.
Acceptance of Proposal: The above specifications, prices and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
Payment will be made as outlined herein. If payment is made with a credit card, there will be a 20% i crement added to the total sum of the balance due.
We have Chosen Roofing Package: ❑ SILVER PACKAGE AGOLD PACKAGE ❑ DIAMOND PACKAGE
i"G O
Paym Sc u €4 /� (2c, ?' ' Start D Completion Date:
2�2� iL/ I) J,
Contract Terms
1. Any changes to a signed proposal shall be made in writing and will require the signature of both the
Owner and Sunrise Roofing Services.
2. All work shall be completed in a workmanship like manner and in compliance with all building codes and
other applicable laws.
3. Sunrise Roofing Services shall at its own expense obtain all permits necessary for the work to be
performed.
4. Both worker's compensation and public liability insurance are carried by Sunrise Roofing Services, and
we are applicable to the work to be performed.
5. To the extent required by law all work shall be performed by individuals duly licensed and authorized by
law to perform said work.
6. Sunrise Roofing Services agrees to remove all debris and leave the premises in broom clean condition.
7. Sunrise Roofing Services shall not be liable for any delay due to circumstances beyond its control
including inclement weather, strikes, casualty or general unavailability of material.
8. Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited
to) solar units, skylights, T.V., dishes or antennas and air conditioner units, etc. The cost for such work
may be in addition to contract price approved by homeowner.
9. Any job proposals quoted to a customer based on a blue -print is subject to additional charge if blue
prints are found.to be inaccurate. Additional charges will apply to any additional material and labor
needed to complete the job.
10. City and/or County Inspections are required by local building municipalities, and Sunrise Roofing
Services request "decking & dry -in" inspections the day prior to first work day; final inspections are
requested once the job is completed. We cannot guarantee local inspectors schedule! Inspections are
scheduled by the local building department. Therefore, payment is due upon completion of our work
and not contingent to roof inspections being finalized. Please note that all inspections will pass and is
the contractor's liability & guarantee.
11. If payment is made with a credit card, there will be a 2% increment added to the total sum of the
balance due.
12. Sunrise Roofing Services reserves the right to charge a late fee or interest on balances not paid as
agreed.
13. If payment to be processed by a bank or finance company, you agree to provide us with contact
information to expedite payment. We reserve the right to charge a late fee/interest after 15 days.
14. It is understood and agreed that the buyer hold harmless, Sunrise Roofing Service, for any damages
that may occur to the buyer's driveway(s) during the delivery of materials and/or the removal of work
related debris that may be required to perform this home improvement contract. Furthermore, the buyer
herein gives permission for typical delivery vehicles and typical waste removal vehicles to enter said
driveway(s) for the purpose of expediting this sale contract.
15. Sunrise roofing Services shall not be held responsible for damages to electrical lines, water lines,
refrigerant lines or other mechanical components that have been improperly installed near roof decking
and may be damaged while performing installation of roofing materials.
16. All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American
Arbitration Association.
17. This proposal is valid for the days indicated on the proposal. Orders must be received within that time
period; otherwise this estimate will become void and subject to re -estimating according to current
market prices.
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37 FLORIDA
STATUES), 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. THIS
CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR SUPPLIERS NEGLECTS TO MAKE OTHER
LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT. EVEN IF YOU HAVE PAID FOR YOUR PROPERTY, IT COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR/SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN LAW
IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU
CON SULTAN ATORN EY, FLORIDASTATUES 713.015 (2003)
r-4
IM
1111111111111111111111111111111111111111
THIS INSTRUMENT PREPARED BY:
Name: Smirna Perez/ Sunrise Roofing service
Address: 392 MELODY LN
CASSELBERRY FL 32707
NOTICE OF COMMENCEMENT
GRANT CIALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 91CII Pi 1857 (1Pso)
CLERK'S A 2018035328
RECORDED i14�/r1):,;r2G11 113:34-:411 All
RECi'iR.DING FEES $10.00
RECORDED BY hdevore
Permit Number:
Parcel ID Number: 01-20-30-508-0000-0030
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 3 2535 IROQUOIS AVE
DREAMWOLD MARIAN SEC
PB 9 PG 101
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Remove & Replace Roof with Shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: HALLETT, CHARLES J HALLETT, MAUREEN S 2535 IROQUOIS AVE SANFORD, FL 32773-5054
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Sunrise Roofing Services Phone Number: 407-542-3609
Address: 392 MELODY LN CASSELBERRY FL 32707
5. SURETY (If applicable, a copy of the payment bond is attached):
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 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.
h6ignali:6of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of 1 Lu i'id c. County of �5"aIM in'-1 Y_
MAQ920) S
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me this Z.7 day of _��S ruc �y , 20
by r\, f"1 KS it ., GT
Name of person making statement
who has produced identification Q,tgpe of identification produced:
ARIEL MENDEZ
Public -State of Florida
Notary
-
* 7V Commission q GG 107645
oe ` My Comm. Expires May 23, 2021
,`'��oFc�d`•'Bonded
.
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 4/12/2018
I hereby name and appoint:
an agent of: Sunrise
Marcial Mendez
Services
(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):
❑ The specific permit and application for work located at:
2535 Iroquois Ave. Sanford FL 32773
(Street Address)
Expiration Date for This Limited Power of Attorney: 4/12/19
License Holder Name: Maria Flores
State License Number: CCC1330724
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 12 day of April ,
201$ , by Maria Flores who is ❑ personally known
to me or ['who has produced FL Driver's License
identification and who did (did not) take an oath.
,4�
Signature
(Notary Seal)
f
ARIEL MENDEZ
Notarypublic-StateofFlorida
Commission
r -
# GG 107645
My Comm. Expires May23,2021
^^
Bonded through NationalNOWYAssr.
(Rev.08.12)
Ariel Mendez
Print or type name
Notary Public - State of FL
Commission No. GG107645
My Commission Expires: May 23,
as
CITY OF
SkNFORD
s.
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDVAES
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 (OR OWNER/BUILDER) SIGNATURE: M Nib
�� W K DATE: O / /CJQ
CITY OF
S� FORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: Q5 Zl I\m0VI V 4y+ Fl- --sz,443
STRUCTURE TYPE: (SKSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
""PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: DOFF -RIDGE &'R_IDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 (y2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA` PRODUCT APPROVAL
&SHINGLE
FL# 54 19
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
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#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
$.CITY OF
4SkNFOR'Il'
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18.-1871
ADDRESS: 2535 Iroquios ave, Sanford Florida
I Maria Y Flores h.
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#: CCC1330724
COMPANY / CONTRACTOR: Maria Y Flores/ StMrise Roofing Services
CONTRACTOR SIGNATURE: DATE: O ! "1
(MUST BE SIGNED BY LICENSE HOLDER OR'OWNE UILDER)�
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
OVERBAPS, 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 �{►1 � (1CJ� `
Sworn to and Subscribed before me this day of G 20, 16_by:
iQlCi' Who is ❑ Personally Known to me or has 61 roduced (type of
i nti • ti ) —if I- 1 J� _, as identification.
g�
AR& MENDEZ
Signa re of Notary ;` Notary Publie=5t2trtofFlorida
State of Florida " ; _: Im„milli®A A I-G I di649
My CUrtifi, EtiRiral May 23, 2021
B�nged Efif6u�P 110t1�f131 �Otary Assr.
Print/Type/Stamp Name
of Notary Public