HomeMy WebLinkAbout204 Walnut Crest Run 17-572- ROOFCITY OF SANFORD
1 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No4
Documented Construction Value: 13 100. OO
Job Address: 204 Walnut Crest Run, Sanford, Florida 32771 Historic District: Ves No
Parcel Ill: 22-19-30-502-0000-1450 Residential 0 Commercial
Type of Work: New 19 Addition Alteration Repair Demo Change of Use Move
Description of Work: RE -ROOF
Plan Review Contact Person: Title:
Phone: Fax: Email
Property Owner Information
Name Rhonda Sauer Phone:
Street: 204 Walnut Crest Run
City, State Zip: Sanford, Florida 32771
Resident of property? : YES
Contractor Information
Name Alron Construction, LLC Phone: 321-639-0911
Street: 467 Forrest Avenue, #115 Fax:
City, State Zip: Cocoa, Florida 32922 State License No.: CCC1328819
Architect/Engineer Information
Name: _&(g
Street:
City, St, Zip:
Bonding Company: Nf Rr
Address:
Phone:
Fax:
E=mail•
Mortgage Lender: Weis ;rJa Kq nL
Address: Zo t+'
5'c,T--ra'r- c
0,
CA qy/k3
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT .MAY RESULT I:N 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. 1 certitp 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. f t i Vil lt tri i(Fasil(4F „ns,?
7 }
Is _ FRC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5 'ETAW 4h?,tt`° 4roS .
e tic to 1: rrr*s,i Revised:
June 30, 2015
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 pert -nit 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 OwnedAgcn Date Signature of Contractor/Agent mate
Print Owner/Agent's Name
Signature or tare-Stat of Florida Date
t 1ie -State of flotW
Commlaslon v ff 921431
t .fir E rlaa 5, 2019
Me or
P
MQv C1 O. Q O V-L-
Print ContructortAgent's Name
Signature of
lq-
MY COMMISSION 9 FF951205
EXPIRES February 19, 2020
Contractor/Agent is v Personally Known to Me or
Produced lD Type of lD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Bui (ding EIectrical 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 It of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
L 'RON
Construction, I11,C.
General CGC1515789
467 Forrest Ave Suite 115 Cocoa, FI329220rlando (407) 446-2188 Cocoa (321) 639-0911 Fax (866) 596-2189
SERVICES PROVII)ED TO RESTORE YOUR HOME
ROOFING Pitch Squares Stories ACCORDING, TO FLORIDA'S CONSTRUCTION
Pre -Inspection froma"professional'ProjectManage'r LIEN LAW (SECTIONS 7-13.001-713:37,
E3 Obtain and post local permits in accordance with local laws FLORIDA STATUTES), THOSE WHO WORK ON
r_7 Protect home exterior, shrubs and,landscaping YOUR 'PROPERTY OR PROVIDE MATERIALSRemoveexistingroofdowntothedeckingANDSERVICESANDARENOTPAIDINFULLReplaceallrottedanddeteriorateddecking
Re -nail the decking 6" on field and perimeter per code HAVE A
I RIGHT TO, ENFORCE THEIR CLAIM
f.7 Dry -In with 30 lb. felt"throughout roof FOR .PAYMENT AGAINST YOUR PROPERTY.
ci Dry -In with double layer of #15 felt for low slope THIS. CLAIM IS KNOWN AS. A CONSTRUCTIONcnDry -In with peel n stick for secondary water barrier LIEN. I F "YOUR CONTRACTOR O R AInstallmodifiedbitumenindeadvalleysandlowslopeareas
a Remove & Replace drip edge SUBCONTRACTOR FAILS TO P A Y
Remove & Replace pipe boot flashings SUBCONTRACTORS, S U B -
Install new 26 gauge" galvanized, pre -formed valley metal SUBCONTRACTORS, OR M AT E R I A L0Remove & Replace,9alvanized kitchen and,bath fan vents
0 SUPPLIERS, THOSE PEOPLE WHO "AREInstallaluminumridgevents
0 Install shingle over ridge vents O W,E D MONEY MAY LOOK TO YOUR
Install'off ridge vents PROPERTY FOR PAYMENT, EVEN IF YOU
Haul :away, debris,.M_agnetically sweep job & Clean out gutters HAVE ALREADY PAID YOUR; CONTRACTOR INRoofType/Brand: Color:
FULL. IF YOU FAIL TO PAY YOURDripEdgeSize: Color -
SKYLIGHTS CONTRACTOR; YOUR CONTRACTOR MAY
Remove &` Reset existing Skylight " ALSO'.HAVE A LIEN ON YOUR PROPERTY.
InstallnnewSkylight THIS MEANS 'IF A LIEN 1S FILED' YOUR
SOLAR"PANEL / DOMESTIC HOT WATER PANEL PROPERTY COULD BE SOLD AGAINST YOUR
u,r _ WILL TO PAY `FOR 'LABOR; MATERIALS, OR, Remove tsi Reset`Solarrane -r7oii76otiu Fact Panel .._ „ ,.; ,._. ,. :,_ _ _,,, -_...
xw._ . . _ . ,
Remove & Replace SolarPanel / Domestic Hot Water Panel OTHER SERVICES THAT "YOUR CONTRACTOR--
enels -
TOR- -
Number of
t _ OR A;` SUBCONTRACTOR MAY, HAVE FAILEDp.
HVAC. TO FAY:'`TO PROTECT _YQURSELF,' YOU " j•'Remove &Replace HVAC/gas vents' SHOULD •STIPULATE IN THIS, CONTRACTRemove & Replace HVAC stands on roof to current code
THAT BEFORE ANY PAYMENT IS MADE,
RemoEXTERIORIeplacWALL YOUR CONTRACTOR IS' REQUIRED TORemove &Replace Siding Type/Sf
Repair Stucco Sf PROVIDE YOU WITH A WRITTEN RELEASE OF
Remove &Replace S,offt /Fascia?ype/Lf .. LIEN FROM. ANY PERSON ,OR COMPANY
GUTTERS THAT. HAS 'PROVIDED TO YOU,A."NOTICE TO
Remove &;Replace,gutteddownspout , OWNER." ;FLORIDA'S CONSTRUCTION ,LIENGutter,Type/Size „Gutter Color. LAW IS COMPLEX, AND IT IS RECOMMENDEDFENCE
Repair Fence/Gate(s): Lf THAT YOU-ICANSULT AN ATTORNEY.
Remove & Replace Fence/Gate(s): Lf Other project .
DRYWALL A
deta!Is )l /i1 -
Content Manipulafion Removes&"Reset
0 Cover/Protect floors and;furniture;
Remove &Replace Sf of Drywall in
SCREENENCLOSURE. 0
Re Screen sf Insurance Provide' THIS
IS AN ASSIGNMENT OF BENEFITS CONTRACT FOR
VALUABLE CONSIDERATION) HEREBY ASSIGN,AND TRANSFERANYAND ALL RIGHTS, BENEFITS AND CAUSES OF ACTION TO ALRON
CONSTRUCTION, LLC (hereinafter' ``Assignee''). n the event my'insurance company is obligated to make payment io me or my assignee for damages covered
under the applicable policy of insur'ance and the company fails or refuses to make 'timely, campIlet c payment, I authorize Assignee to prosecute said cause of action
either in my name or Assignee's name and further I authorize Assignee to Compromise, settle or otherwise resolve said cause of action as they see fit. DIRECTION OF
PAYMENT I hereby
authorize and direct you, my homeowners insurance company, to issue payment SOLELY and directly to Alron Construction, LLC ("Assignee") and any applicable mortgage
company(s), such sums as may be due and owing for all damages payable under the subject contract of insurance, with the exception of damages payable
under the Contents and Additional Living Expensessapphcable lines of insurance. Additional Terms:
This agrccmerit'does riot obligateithe Customer to Alma Consh uction, LLC (hereinafter "Contractor"), in any way unless the insurance provider
approv6gAhe claimof'a court oFcomp_etentjurisdiction orders the insurance carrier to provide coverage and payment,for-the damage(s)
suffered by customer. Unless additional work or upgrades are requested, the Contractor agrees p oject w. I be completed WITH NO COST TO
THE CUSTOMER,'EkEPT TILE INSURANCE DEDUCTIBLE Claim #_LV
1i40W,13ay POliCY # Signature X < Date: Acceptance ,,pf ,Proposal:
The above ,epocifcotion on'd ,conditions are; satisfactory and herby
accepted. Alron.Construction LLC is'authonzedto,begin the work as
specified above after receipt of full and final payment from my Signature X Insurance company! BUY,
ER's RIGHTITO CANCEL.'You have the right to ! rescind this contract
within 3 business days -after the"date you 'sign it by •" notifying the contractor
in writing that you are rescinding the contract. Signature X Date: Alron Construction LLC
Representative
THIS INSTRUMENT PREPARED BY:
Name: Alron Construction.
Address: 467 Forrest Avenue, #115
Cocoa; Florida 32922
Ete:t6•il'LE {:4'f1Jh1 ,t. i ikiL_J J t
i0f: R.i,i,.1 t r : r +.f1MP, ROLLE
B K ` 1 Ys 1"j 1. I I =r t. i P u
CLERK 201 i0514j52
I'1 C. t_I .1. ' • '1' , .S 1
i EC.%`: h4ti t E. tss,tiil
Permit Number.
Parcel ID Number. 22-19-30-502-0000-1450
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 145
Preserve at Lake Monroe,. „
PB 62 PGS 12 - 15 a0'1 11SaV s Crro Rvn . n iSg FL IAT4\
2. GENERAL DESCRIPTION OF IMPROVEMENT:
R&ROOF- -
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Rhonda Sauer, 204 Walnut Crest Run Sanford Florida 32771
Interest in property: Ql )new
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: Alron Construction, LLC Phone Number. 321-639-0911
Address: 467 Forrest Avenue, #115, Cocoa, Florida 32922
5. SURETY (if applicable, a copy of the payment bond is,attached): Name: N/A
Amount of Bond:
6. LENDER: Name: N/A Phone Number.
Address:
r osw®
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name- N/A Phone Number:
8. In addition, Owner designates N/A
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.
ao, .Qi._
Sig to of Owner or Lessee, or Owners or Lessee's
A th 'zed OfterlolredorlPartnerlManager)
Rhar& Stt)ex konex
Prim Name and Provide Signatory's TiflelOtfice)
i a
State of / I!/ty — County of e m r ' I • The
foregoing instrument was (accknowledged before me this `7 day of C 1_ 2 by `
4/L1) d & ) ae-K Who is personalty known to mAOR Name
of person making statement who
has produced identification type of identification produced: Notary
Signature 1 !\ __.•
Y
1 rYiiL
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / "r IS 7 ISSUE DATE:
CONTRACTOR: C
JOB ADDRESS: 010 qr AALA"4 Crest Aul"3111111,1111110
TYPE OF WORK: Aocr 19t 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 3:30 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 Sanford Building Division
w 3* Residential Re -Roof Inspection Policy & Procedures
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:
0 Permit Card, posted in a conspicuous and weatherproof location
Ell Completed Residential Re -Roof Scope of Work
10 Completed and Notarized Inspection Affidavit
El All Florida Product Approval and Corresponding Installation Instructions
0 (Product Approval shall match what is on the scope of work)
El 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 (op OwNER/BUILDER) SIGNATURE: DATE: V 1' M -
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: IL 1 Lj be n l d 0 N
f'R l 1 Ci Gf) m
STRUCTURE TYPE: C.?<NGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RF,-ROOF TYPE: 0REPLACEMENT (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: 'Q/OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 01<0 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 e4:12 OR GREATER
OTURI3INFS
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL# t
O METAL F.L#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
0INSULATED 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#
0INSULATED FL#
O TILE. FL#
O OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, IDRY-IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: rx 2C. ) ) I W CLW: {i,W
AS A(N) GENERAL, BUILDING, RESIDENTIAL, ORROOFINGCONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 668 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 THE, 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 RETROFITMANUALREQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE 9: R"Q 1 c) C' {5
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
DATE: IMUSTBESIGNEDBYLICENSEHOLDEROROWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT hIUST 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 PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREIIFNTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A REANSPECTION 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 Q xjox j
Sworn to and Subscribed before me this day of 20 _ by:
1C1 D C or eZ Who is NfPersonally Known to me or has produced (type of
identification)
Nil1.. YA1 9\pv Vey
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
rCARRIE
SUE MOXLEY WcMYCOMMISSION # FF951205 EXPIRES
February 19.2020 wcr,;ryrr;- brKLiNomya'
en re.con
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00001572 Date 5/31/17
Property Address . . . . . . 204 WALNUT CREST RUN
Parcel Number . . 22.19.30.502-0000-1450
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 986802
Permit pin number 986802
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
City of Sanford
Building and Fire Prevention
RESIDENTIAL.RE-ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, IDRY-IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: G ` C ADDRESS: f[ iL
I ! 1 7 AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THEFOREGOINGINFORMATIONISTRUEANDACCURATEANDTHATALLROOFINGCOMPONENTSLISTEDONTHESCOPEOFWORKATTHE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODEREQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALLREQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOFTHEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFITMANUALREQUIREMENTS (BASED ON F.S. CHAPTER 553.944).
LICENSE #: _ 03C. 13 p (-5 FS I (
COMPANY / CONTRACTOR: i% ins t S' ((i I -IN
CONTRACTOR SIGNATURE: 16 L,56 DATE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION - REOUIRFD•
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,
UN'DERLAVMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PEP -MIT 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 REQUIREMEN-IS 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
Sworn to and Subscribed before me this day of 20 _ by:
FiVlfl D C'or ez Who is 90 ersonaily Known to me or has E'roduced (type of
identification)
0010 k., X.9 (—\,\Dx e.
Signature of Notary Public
State% of Florida
Print/Type/Ste mp Name
of Notary Public
as identification.
s pe
r
M RlESS E IAO gS EY05
a. EXPIRES Feb
tci,z• nJarY 15.2020