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HomeMy WebLinkAbout3411 Whippoorwill CtCITY OF SkNpuRD DEPARTMENT MAY 15 2018 Building & Fire Prevention Division v�� PERMIT APPLICATION ____ -- LUDI Application No-:.r -��.. , Documented Construction Value: $ ,5,00 d Job Address: ��1 ��b� (� tI a Historic District: Yes ❑ No ❑ Parcel ID:6 — _�2,0 —3i--5 1 ©a6n Residential❑ Commercial❑ Type of Work: New[] Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use[] Move ❑ Description of Work: � 06_f_ P� 1p_- v__11 -e ylc Plan Review Contact Person: ,� Phone:I'(U--?'��q�- eoo '� Fax: Title: A( I / - Email: V7-t-(D­1 z-,J Property Owner Information e5k, Sew 0o r\� , C on NameS��✓�� 1 5 �Cv Ar �� �� Phone: `'1 Street: ` w \f\ e6ocl S� `� C- Resident of property? City, State Zip` cl�q�6 (` \ 13 oZ`7 Contractor Information Name �Ao % " u e (' Phone: Sao 7 Street: ��dotS �C`M 2 �� �'j� C=`. C__' Fax: City, State Zipd� `6-1,-_Y'\40 �E � 3� fi� State License No. A - OS Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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: 61" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual .construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print ontr ctor/Agent's Name S .-t 5- r Signature of Notary -State of Florida Date ANNETTE ' - _ .. Notary Public - ca Commie . pl,- My C 2022 Contract n to Me or Produced ID Type of ID 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: Flood Zone: # of Stories: Plumbing - # of Fixtures. # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: January 1, 2018 Permit Application P FLORIDA UNIVERSAL ROOFING, INC. State Certified CC-0057272 1808 Acme Sheet Phone 407/648-8009 Orlando, FL 32805 Facsimile 407/648-1070 WORK SCOPE PROPOSAL SUBMITTED TO: P1I(�N1:: 407 963 63(.14 DATE: April IS, 2018 NAME'. Cunningham, Sean & L1Sa OR NAM[:: Cunningham Residence SfRE:ET: 3411 \✓hippoorwhill C't. SI'RE:E"f: SAME iCl"I Y_ ST_ / 11 Sanford, FL, 32771 CITY, STI LIP: LAI IN ROOF REPLACEMENT We herehl, suhmit .S&cijications and L:stimates.jor: DEMOLITION AND PREPARATION FOR INSTALLATION OF NEW SHINGLES: 1.1. Remove existing one (1) laver shingle roof and felt paper underla�'mcnt to expose the wood roof dock. 1 2. Inspect the wood decking, fascia, and trusses; repair any defective or decayed wood at the additional rate of $75.00/man hour, plus the cost of materials. .3. Re -fasten the roof sheathing as mandated with .113" ring shank 81) decking nails and install simplex fasteners at 6" on -center spacing in shingle felt laps and 12" on -center staggered in the field as a secondaev water barrier in accordance with current `My Safe Florida Home' standards. SHINGLE ROOF INSTALLATION: 2.1, hnstall nesti shingle roof as follows: A. Secure underlavment to comply with ASTM D226. Type IL or D4869, Type IV or D6757 shingle underlavment to deck as dry -in and roof system vapor barrier. *Shingle underlayment to be fastened vi•-ith: a) 3" mininnim laps on -26° pitched slopes h) 16" minimum laps on —16° pitched slope. B. Install new valleys using ASTM D1970 modified bitumen self -adhering roof membrane and closed cut shingle method. C. Fasten shingles with 1'/4" roofing nails in accordance with manufacturers written specifications and local building codes. T\ pe of fiberglass shingles. Architectural A16ae Resistant (Color) to be chosen by Owner. *Optional Shingle Upgrade Upgrade to Architectural AlgaeResistant Shingle for an additional Five Hundred Fifty Dollars ($550.00) Please sign Y _t`�it�''�'"^------ No 2.2 Remove and replace all existing lead phnnbing vent stacks. 2.3. Remove and replace all paint -finished galvanized gooseneck vents (color: black, brown, or white). i 2.4. Remove existing drip edge flashing and replace with new 6" galvanized eave drip.edge flashing. NOTE: excludes existing drip_ edge flashings entrapped by gutters that are not bei brown, or white). ng replaced (color: black, 2.5. Remove and replace five (5) factory paint -finished galvani white). zed off -ridge vents (color: black, brown, or BIRD'S MOUTH TRANSITION FLASHING: 3.1. Remove and dispose of any existing L-tape flashing as needed in the di transitions. sparate bird's mouth roof slope 3.2. Supply.and install modified bitumen self -adhering roof membrane so that it extends throughout the length of the valleys and so that it extends over the fascia of the bird's mouth transition. 3.3. Install 4" x S" x 9' galvanized steel L-flashing sections in the birds mouth transitions so that they cover the newly installed modified bitumen bird's mouth transition backer-flashings. 3.4. Install new drip edge flashing so that it covers and obscures both the newly installed back er-flash i ngs as well as the newly installed galvanized steel L-flashing sections at the birds mouth transition. GLITTERS: 4.1_ Remove 103 linear feet of existing gutter where it presently exists on the perimeter of the home. Note: Includes four (4) downspout replacements. 4.2. Supply, and install 103 linear feet of new K-style seamless alumi white). num gutter (color: black, brown, or -`s@L— POWERED VENT: 5.1. Remove and reinstall one (1) roof -mounted solar powered vent. ADDITIONAL NOTES: 6.1. Upon completion; all work shall be inspected for soundness and all job -related debris will be removed from the job site. 6.2. This Proposal includes all permit fees and inspections required by corresponding city or county municipality. ii Florida Universal Roofing, Inc. will furnish a Five (5) Year Warranty against all leaks under normal wear and tear. Florida Universal Roofing; Inc. reserves the right to make any changes deemed necessary to improve the application procedures. We hereby propose to furnish labor and materials in accordance with the above specifications, for the Final Replacement Cost Value approved by Liberty Mutual Insurance Company with payment to be made as follows: (check or money order) Due Upon Completion. Any payments made .with MasterCard or Visa credit card will incur an additional 3% charge to the final replacement cost value. .All material is guaruxeed to be as specified. Al .\oik I be completed in a workman like manner according to standard practices. Any alteration or deviation from above specifications or any necessary work. to correct unforeseen conditions involving extra costs will become an extra charge over and above the estimate and will be billed on a time and material basis at an houtiy rate of $75.00 per man hour, plus the cost of materials. If"Additional htsured" certificate of insurance is required, an additional $200.00 will be added to the contract price. Al agreements are contingent upon strikes, accidents. or delay beyond our cone ol. A finance charge of 1.5% per month will be assessed on all unpaid balances after 30 days. This proposal is subject to acceptance within 30 d,ays and is void thereafter at the option ol'the undersigited. :all terms and conditions on the reverse side ofthis Proposal Contract are part of this Contract ACCORDING 1 O FLORID.A'S CONS IRL'C' I ION LIEN LAW (SEC] 713,001-713.37. FLORIDAS'l A'I UrES).-1-110SE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS .AND SERVICES AND ARE NOT P:VD IN DULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAY aIENT AG;UNST a OUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY THEIR SUBCONTRACTORS, SI iB-SUBCONTRACTORS. OR MATERIAL, SUPPLIERS. THOSE. 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 Al SO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED. YOUR PROPERTY COULD BE SOLD 1GMNS T YOUR WILL TO PAY FOR LABOR. MATERIALS, OR OTHER SERVICES 'THAT YOUR CONTRACTOR OR A SUBCONTRACTOR HAA`E FAILED'10 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." FLORIDA'S CONSTRUCTION IAEN LAW IS COMPLEX, AND IT IS R.F.COkliM1 NDED THAT YOU CONSULT AN ATTORNEY. Authorized Signature:- John Tucker ACCEPTANCE: The above prices, specifications and conditions are hereby accepted. You are authorized to do the work specified. Payment will be made as outlined above. .Date: Signature. L. Arnrepresentations or other communications not written in this con -tract are agreed to be immaterial and not relied on bw either pr rt.No �tgrecments other than those specifically set Forth in this contract shall be recognized and do not survive the execution of this contract_ The entire understanding and contract agreement of the parties, 2. Any and all modifications. alterations, or deviations of the contractScope Oftww�ork involve ingrtract extra expense/cosstareement ow illnbete ecuted only upon written orders or eh�uige orders and will become an extra expense / cost charge additional to this contract agreement. Tlus contract both front and back constitutes the entire understanding of the parties and no other understanding shal writing and signed by both patties. l be binding unless in 3 It is understood and agreed that this contract shall not become binding upon Florida Universal Roofing, I.nc./Contractor (hereioa/ier reJerrecl to cis "FGRI "J until it is approved and accepted by FURI or an authorized officer of FURI, or until performance couimences, or wvlriclrcver occurs first. 4 Performance of the work scope described in this contract will conuncrrce as soon as possible, and to be completed as soon as possible, This is all approximation/estimate and is subject to scheduling difficulties, labor, and/or material shortages. or wwcar.her related issues, or any other circumstances beyond our control. or other events'lot foreseen by FURL 5. FURI shall not assume liability or be held liable for any damages to personal property or physical injury as a result of vibrations caused by hammering or wvalking on strictures or any other normal work operations necessary for completion of tare work scope and shall not assume liability or be held liable .for any damage to improperly maintained or improperly constructed structures resulting from normal work operations as contemplated on the face of this contract. 6. FURI assumes no responsibility for damage incurred to properly or ground resulting from delivery of supplies or service equipment or anv NIChicles. 7. Through the duration of the vwork scope, ttre customer will be responsible for anv interior damages. etc. provided that FURI follows normal/standard chA;-in procedures to protect the property during the operations of the work scope. 8. Alry and all left over materials are tile properly of FURI, and all materials remain the propertof FURI until paid in full. 9. FURI will not be held liable or responsible for any reasonable wear and tear to driveways. parking lots, walkways. lawns, shrubs. floral or vegetation caused by the movement or the normal operations of trucks.. equipment, materials. workforce. or debris. 10. FURI will reasonably clean up and remove work scope/job-related debris created by FURL Payment will be made as noted on the face of this contract. In the event payment is not made as noted on tine face of this contract, or upon presentation of final invoice, the amount or remaining balance due and owving shall bear interest at the rate of eighteen (18%) percent per annunn wail paid in fall. In the event 11. FURI is required to institute legal action, mediation, and/or arbitration to enforce, construe. or interpret the terms or conclitioils of this contract, 12. FUR.I shall be entitled to its reasonable attorney's.fees and costs at any trial court or appellate level and for any mediation or arbitration. 13. ]'lie purchaser(s) represents and warrants that he or she is (or they are) the owners, or legal power of attorney, or legally authorized to approve contracts for the improvements or restorations on the address of the land and premises located on tl'e face of this contract 1-1. All proposals/estir'tates are void after 30 days of proposal/estimate date located on the face of this document. unless otherwise accepted by FURL or an authorized officer of FURI. 15. Buyer's right to cancel: If purchaser(s) determined within three (3) business days to cancel this contract -he/she or they must do so by providing written notice to FURI. by certified or registered mail. or telegram prior to midnight of the third business day. 16. After the three (3) business -day cancellation tcrnn, customers) pray be subject to twenty (20%) percent liquidation damage fee of the contract amount as a 17. Insurance authorization agreement and terms: Customer hereby request .FURI to negotiate with their insurance company for the purpose of acquiring funds to cover tale expense/costs of such repairs stated on the face of this document. Customer authorizes FURI to make and necessary repairs at the price negotiated between FURI and the insurance compauiy. and at no expense/costs to the customer other than upgrades. add-ons. extras. wood replacement and deductible. The final price agreed on between FURI aid the instance connpan shall become the final contract price. FURI reserves the right to file for any supplemental insurance claims for the situations or circumstances due to measurement shortages or mistakes, material and/or labor price increases. or Amy other overlooked and/or unforeseen situations or circumstances. at no additional expense/costs to the customer. In the event that the customer refuses to fulfill their obligation under these terms, the customer agrees to pay FUR] the anou nt of twenty (20%) percent of such insurance proceed to FURI as compensation for utilizing their time, efforts, skill. knowledge, and expertise in acquiring payment on behalf for th, customer/insured, plus any out of pocket expense costs incurred by FURI in relation to the work scope which is set forth on the face of this doCLinrernt. If this document is being used to obtain insurance proceeds' for the stated work scope on the face€ of tlus document. FURL wwill not start work until work is approved tn, the customer's insurance company. 18. Custonner(s) reads Ibis agreement, frilly understands its content. and agrees to be bound by the terms, conditions and slipula(ions -ontained herein. 19. Custonner(s) received a copy of this docurnerit front and back and agrees that it is a legal binding contract. Property Rgqg.rd-..'C@T.d.. Parcel: 07-20-31-512-0000-0260 Property Address: 3411 ',NHIPPOOR'0J11.1. CT SANFORD, FL 32771 Parcel Information .. ..... .... . ........ .......... :.: ........... . Parcel ........ ................... ................. ................ 07-20-31-512-0000-0260 Owner(s). . . .. ....... .... ... ....... CUNNINGHAM, SEAN P CUNNINGHAM, LISA A ........................... Property Address . .......... ........... 3411 WHIPPOORWILL CT SANFORD, FL 32771 . .... . ......... Mailing 3411 WHIPOORWILL CT SANFORD, FL 32773-6649 ........ . ............ . ..... - Subdivision Name WHIPPOORWT-1- .......... ................ Tax District SI-SANFORD DOR Use Code ........... 01-SINGLE FAMILY Exemptions ........... ............ 00 -HOMESTEAD(2002) + Legal Description LOT 26 WHIPPOORWILL PB 40 PG 60 ....... . ......... Taxes 95.03 0 0. So.rninoie County GIS - ------------------ ------- —1 Value Summary ................. ... .................. ........... ...... 2018 Working 2017 Certified Values Values Valuation Method ............. Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $161,489 $152,137 Depreciated EXFT Value Land Value (Market) $33,000 $33,000 Land Value Ag $194,489 $185,137 Portability Adj jp Save Our Homes Adj $63,465 $56,808 Amendment 1 Adj $0 P&G Adj $0 $o Assessed I s essed Value . ........... - $131,024 $128,329 ....................... ................... ......................... . Tax Amount without SOH: $2,737.44 2017 Tax Bill AITIOUrIt $1,655.73 ]'a6,Estjrnqtor . . . ............ Save Our Homes Savings: $1,081.71 Does NOT INCLUDE Non Ad Valorem Assessments .................. ....................................... . ............ Taxing Authority j Assessment Value Exempt Values Taxable Value ...................... County General Fund ............ .......... ............ $131,024 $50,000 $81.024 Schools $131,024 $25,000 $106,024 City Sanford ....... $131,024 . . .. ....... ... ....... $50,000 ...... ... .. $8 1 024 SJWM(Saint Johns Water Management) $131,024 $5U00 $8 1,024 County Bonds .............................................. ---------- $131,024 $50,000 $81,024 .......................... Sales . ... ... ...... ............ Description Date ..... ... .... Book Page Amount ... ........... j Qualified ..... .. .... ... Vac/Imp . .......... ..... . ...... ........... .... . . ... .. .............. .. . .. .. ............................... WARRANTY DEED ....... ................... 4/11/20011 ............. 04049 0020 ..................... $30,000 Yes Vacant WARRANTY DEED 4/1/2001 04049 ................. 00 19 0 $25, 00 Yes Vacant WARRANTY DEED 8/1/1999 03707 .......... 71-A $294,500 No Vaca nt WARRANTY DEED 12/1/1997 i 1 5s $320,000 No Vacant SPECIAL WARRANTY DEED 12/1/1992 22 1.923 $351,000 No Vacant CERTIFICATE OF TITLE 11/1/1991 ',-235 ---- - - ---- --- 1.758 $311,200 No --------- Vacant ... .. .... ........... . - Land . ........... ............ - ... ........... .... . ... Method Frontage Depth ............. Units Units Price .. . .......... Land Value . ............ ............ LOT 0.00 .................. 0.00 - . .... .... - 1 ... $33,000.00 ....... - ................ ................ $33,000 Building Information Permits ,Permit # Description Agency Amount CO Date Permit Date 01299 ......... NEW -RESIDENTIAL SANFORD $125.340 9/14/2001 3/1/2001 Permit data does not originate from the Seminole County Property Appraiser's office. ... ... ... _..... .........___.. .............. __,_.... _......._..... For details or questions concerning a permit, please contact the building department of the tax district ____. __.. ... ......... ............. _....... ........ ...._.._.. .................. ..__.. in which the property is located. ........._... ....._ ... .._ .__... Extra Features ...................................... Description ..... > Year Built ............ ? _.. __...... .... .......... ..... Units Value ......... ......... ......._. __.. New Cost No Extra Features THIS INSTRUMENT PREPARED BY: Name: Julie Touza / FLORIDA UNIVERSAL ROOFING, IN Address': 1808,�cme Street, Orlando, Florida 32805 GRANT 11ALOYP SENINOL.E COUNTY CLERK OF CIRCUIT COURT & COCIPTROLLER BK 9133 F's 12A, (1F'3s) CLERK'S 4 2018055016 RECORDED 05/15/2018 11'.33�:�-" All RECORDING FEES $10.00 RECORDED BY hdevt pi--2 Permit Number: Parcel ID Number: 07-20-31-512-0000-0260 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 26 WHIPPOORWILL PB 40 PG 60 / 3411 WHIPPOORWILL CT 2. GENERAL DESCRIPTION OF IMPROVEMENT: Roof Replacement 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: CUNNINGHAM, SEAN P & LISA A / 3411 WHIPPOORWILL CT SANFORD, FL 32773 Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: William TOUza Phone Number: 407-648-8009 Address: 1808 Acme Street, Orlando, Florida 32805 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Phone Number: Amount of Bond: 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. 8. In addition, Owner designates Phone Number: 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. )01 r% (Signature of Owner or see, or Owner's or Lessee's (Print Name and Provide Sig tory's Title/Office) Authorized Officer/Director/Partner/Manager) State of �L(rckk County of The foregoing instrument was acknowledged before me this day of by Who is personally known to me ❑ OR 61; Name of person making statement who has produced identification ❑ type of identification produced: Yo",JOHN TUCKER MY CtISSION # FF923883 EXPIRES October 04. 2019 tJC7)3go. '53 Floridallotor Sorvi:e.con, Notary Signati�ekr`;, (' MAI Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 4/19/2018 I hereby name and appoint: Carlos Mendes an agent of: Florida Universal Roofing Inc. (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: 3411 WHIPPOORWILL CT SANFORD, FL 32773 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name William Touza State License Number: CCC057272�,, Signature of License Holder: STATE OF FLORIDA COUNTY OF =. 12/31 /2018 The foregoing instrumpvtAas acknowledged before me this �of , 20IMP , by r/�� ��"- /c t,�'�-N_ who is sonall- to me or ❑ who has produced identification and who did (did not) take an oath. �.----� S' ature (Notary Seal) JOHN TUCKER :r My COMMISSION # FF923883 EXPIRES October 04. 2019 t4C7)39E-C'S3 FloriiallotarySory ice .a„n (Rev. 08.12) Print or type name Notary Public - State of Commission No. My Commission Expires: as JOB ADDRESS: PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK 3411 WHIPPOORWILL CT SANFORD, FL 32773 STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: OX 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: © OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES & NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 0 2:12 — 4:12 Ox 4:12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL ® SHINGLE 3 4A Y-0 FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0 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# OTORCH DOWN FL# O INSULATED FL# OT►LE FL# 0OTHER: FL# CITY OF &�FORD Building &Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. ""PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION • COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK • COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL. PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SI GNATURE: r`�� _ DATE: .5 � I f t I Y OF ��ORD Building & fire Prevention Division RESIDENTIAL RE-ROOFAFT'IDAVIT r ;I ,. C PA11TN1F, � ' RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #:y ADDRESS: 3411 WHIPPOORWILL CT SANFORD, FL 32773_ I William Touza , 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 REFERENCF,D ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALI_ APPLICABLE CODE REQUIREMENTS —SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDI'FION I CERTIFY THE INS'l-ALLATION MEE-FS AI-.1_ 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 #: CCC057272 COMPANY/CONTRACTOR: FloOrsal Roofing Inc CONTRACTOR SIGNATURE: _ 411.0 DA'117 (MUST BE SIGNED 13Y LICENSE HOLDER OR OWNER/BUILDEI ) 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 PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF O Sworn to and Subscribed before me this _ day of 20 �by: .Who is ❑ .ers�_. n to me or has ❑Produced (type of identification) a Sigri .e of No ry Public St i a of Florida Print/Type/Stamp Name of Notary Public as identification. w MY COMB,' '', S ICN '; F f s12:3: 83 EXPIRi:Fs : CtYtr!q, 0Gj 398-0' 53 Fkwi.; v�,„,_