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HomeMy WebLinkAbout148 Spanish Bay Dr; 17-1805; ROOFEV EI RY E 5 1 1T CITY OF SANFORD N BUILDING & FIRE PREVENTION PERMIT APPLICATION D° B Application No: Documented Construction Value: $ -700 Job Address: Ot 'Jl(i SV1 9 Er . Parcel ID: Type of Work: Description of Work: Historic District: Yes No ResidentiaLrCommercial JlChange__ of Use Move Plan Review Contact Person: -93ncf_o a) k i l Qr Title: C'5m PsPhonet61— 2__ 2- —';34(o Fax: Email: ()+_ dU(L3_.@q M(1A Qyy) Property Owner Information X Name ' / f X6/ _ Street: City, State Zip: Phone: Resident of property? : Contractor Information Name rye Phone: Street: f-- Y(0(Y)aY A Fax: — City, State Zip.W 02ng!C VV ... , 3. —99-?,- State License No.: CC C ? gLDq 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: 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, 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 foregoWconstruion ccurate and that all work will bedffincan with applicable laws regulatinzoning. I t e tO er/A Date Signatturreie of 0 a ctor/Agent -- Dat rint Owner/Agen s T,7arne Print Contractor/Agent's Nam 1 Sienature fT]IoSa ateafliiloc to StenatureofNotarv-Stat of Florida Date Y Notary Public State "'Florida `" r" " T T ' ' " Emily S pelvalle dos' °os Notary Public State of Florida My Commission GG 065275 Emily S Delvalle pp Expftes 01124/2021 jy . My Com fission GG 065275and0Expires1/24/2021 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID FI— Y7ye r5 1C(1 Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: _ Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: GRANT 11ALOY r SE11IIAOLE COUNTY C(..E::RK OF CIRCUIT COURT & COMPTROLLER BK `1934 P3 8 (1P9s ) CLERK'S 4 201700280 RECORDED 06/15/2017 1i1:513-50 P11 RECORDING FEES 1.10.00 RECORDED BY •ar.-1;r tirra Parcel ID Number: r' q — 30 5)q - — UD90 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. PROPERTY: GENERAL DESCRIPTION OF IMPROVEME OWNER INFORMATION: ' Name: Address: f % L Fee Simple Title Holder (if other than owner) Name: street 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 p Itie of erjury, I clare t I have read the fore oing and that the facts stated in it are true to the t o y and b f. X er Signature 1 ..a h. 'SC Owner's Printed Name s—``'b?.. h cc 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.* k. y' r5 a 1 u m Q a ozcStateofCountyofp The foregoing instrument was acknowledged before me this zu o day of20 ~ + SlsonAallyCardS. `eC- W b y Who known tome f p f a = W ONameofpersonmakingstate ELORwhohasproducedidentificationNJtypeofidentificationproduced: E M uLrs 9,r Notary Public State of Flodda P Emily S Delvalle cz A4 my Commission GG 065276 ja, d Expires 01124/2021 WpOp u YCJZ c u v d Uj Nota gn to LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: t t L I hereby name and appoint: an agent of: _( ?b..nFlua, __— 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): J Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number Signature of License I - STATE; OF FI RIDA - COUNTY OF ©It The foregoing instrument was acknowledged before me this 01 ay o 20(j, by — _-_ who is onally known to me orio who has prod, d —------,------_—_-- _--- — as identification and who did (did not) take an oath. VolPI-n -0 1 " Signature n Notary Public State of Fbrlde Emily S Delvallea l mission GG 065275 OF f< `EX 0112=21 Print or type na 6e Notary Public - State of ._ .JTI Commission No.r My Commission Expires. 2ZV Rev. 08. I ) Property Re' -3r.d Osvid Jolmson, CFA Parcel; F — I I A R S D (7).N N POwner I.,,'[ C KER IC11rP'VR% RA$ R WMNO-1 CQ- Y, I t.0+XJA Proppay Address: 14.6 SPANISH BAY Dk Parcel Information Value Summary Parcel 33-19-30-519-0000-0690 2017 Working 2016 Certified Values Values Owner BECKER RICHARD S & DONNA L Valuation Method Cost/Market Cost/Market Property Address 148 SPANISH BAY DR SANFORD, FL 32771 Number of Buildings 1 1 Mailing 148 SPANISH BAY DR SANFORD, FL 32771 Depreciated Bldg Value $161,259 $150,436 Subdivision Name NIK,tv I'll-- RIE,- IOAKS..Pi '2 P C P,Depreciated EXFT Value $13,199 $13.825 i-' r Tax District Sl-SANFORD Land Value (Market) $40,000 $33,000 DOR Use Code 01-SINGLE FAMILY Land Value Ag Exemptions 00-HOMESTEAD(2001) 214.458 $197,261 LPortability Adj I + r', ' 4", kSave Our Homes Adj $80,497 $66,055 E110 Amendment 1Adj P&G Adj $ 0 $0 4 Assessed Value $ 133,961 $131 206 X. 6 TaxAmount without SOH: 53,141.00 S-1,817, 00 Save Our Homes Savings: $1,324.00 Does NOT INCLUDE Non Ad Valorem Assessments ME: R Legal Description LOT 69 MONTEREY OAKS PH 2 REPLAT PB 58 PGS 22-23 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 133,961 50,000 83,961 Schools 133,961 25 000 108,961 City Sanford 133, 961 50.000 83,961 SJWM(Saint Johns Water Management) 133,961 50,000 83.961 County Bonds 133, 961 50,000 83,961 Sales Description Date 17 Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 8/1/2006 100 No Improved QUIT CLAIM DEED 5/1/2005 1,3 100 No Improved SPECIAL WARRANTY DEED 11/1/2000 123.400 Yes Improved WARRANTY DEED 9/ 1/2000 289,000 No Vacant Land Method Frontage Depth Units Units Price Land Value LOT 1 40 000 00 40.000 Building Information Hel" z" Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages p Actual/Effective 1 SINGLE 2000 9 "; 1,120 2,614 2,170 CB/S1UC:C0 $161,259 $171,552 Description Area FAMILY FINISH UPPER STORY 1050.00 FINISHED OPEN PORCH 2.4,00 FINISHED GARAGE 420.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date 01386 ADDITION - RESIDENTIAL SANFORD 2,375 3/7i2006 01821 ADDITION - RESIDENTIAL SANFORD 4,914 5/1/2003 01366 ADDITION - RESIDENTIAL SANFORD 18,823 3/1/2003 03479 ADDITION - RESIDENTIAL SANFORD 2,495 8/9/2000 03475 NEW - RESIDENTIAL SANFORD 95,000 11/21/2000 8/9/2000 Extra Features Description Year Built 7 Units Value New Cost WOOD UTILITY BLDG 3/1/2005 180 562 1,080 POOL 1 3/1/2003 1 9,100 14.000 SCREEN ENCL 2 3/1/2003 1 2,669 5 000 SOLAR HEATER 3/1/2003 1 0 COVERED PATIO 2 3/1/2000 1 868 2.000 BECKER, RICHARD Insured: Property: Home: Cellular: Type of Loss: Deductible: Date of Loss: Date Inspected: State Farm 59-1434-OM6 BECKER, RICHARD Estimate: 59-1434-OM6 148 Spanish Bay Dr Claim Number: 591434OM6 Sanford, FL 32771-7777 Policy Number: 80-LM-0216-9 407-321-2883 Price List: FLOR28_JAN17 407-3834393 Restoration/Service/Remodel Wind Damage 3,000.00 1/22/2017 5/17/2017 Summary for Coverage A - Building - 35 Windstorm and Hail Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation (Including Taxes) Less Deductible Net Actual Cash Value Payment Maximum Additional Amounts Available If Incurred: Total Line Item Depreciation (Including Taxes) Replacement Cost Benefits Total Maximum Additional Amount Available If Incurred Total Amount of Claim If Incurred 7,537.90 147.90 7,685.80 582.89) 3,000.00) 4,102.91 582.89 582.89 582.89 4,685.80 San Juan, Roberta 253-439-4458 ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND LIMITS OF YOUR POLICY. Date: 5/22/2017 4:53 PM Page: 3 State Farm BECKER, RICHARD 59-1434-OM6 Insured: BECKER, RICHARD Propeerty: rty: 148 Spanish Bay Dr Estimate: 59-1434-OM6 Sanford, FL 32771-7777 Claim Number: 591434OM6 Home: 407-321-2883 Policy Number: 80-LM-0216-9 Cellular: 407-383-4393 Price List: FLOR28_JAN17 Type of Loss: Wind Damage Restoration/Service/Remodel Deductible: 0.00 Date of Loss: 1/22/2017 Date Inspected: 5/17/2017 Summary for Coverage A - Dwelling 35 Windstorm and Hail - BC Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation (Including Taxes) Less Deductible Net Actual Cash Value Payment Maximum Additional Amounts Available If Incurred: Total Line Item Depreciation (Including Taxes) Replacement Cost Benefits Total Maximum Additional Amount Available If Incurred Total Amount of Claim If Incurred 3,042.04 60.86 3,102.90 1,043.55) 0.00) 2,059.35 1,043.55 1,043.55 1,043.55 3,102.90 San Juan, Roberta 253-439-4458 ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS ANDLIMITSOFYOURPOLICY. Date: 5/22/2017 4:53 PM Page: 4 StateFarm- Explanation of Building Replacement Cost Benefits Homeowner Policy Coverage A - Building - 35 Windstorm and Hail To: Name: BECKER, RICHARD Address: 148 Spanish Bay Dr City: Sanford State/Zip: FL, 32771-7777 Insured: BECKER, RICHARD Date of Loss: 1/22/2017 Claim Number: 5914340M6 Cause of Loss: WIND Yout insurance policy provides replacement cost coverage for some or all of the loss or damage to your dwelling or stAtures. Replacement cost coverage pays the actual and necessary cost of repair or replacement, without a deduction for depreciation, subject to your policy's limit of liability. To receive replacement cost benefits you must: 1. Complete the actual repair or replacement of the damaged part of the property 2. Confirm completion of repair or replacement, by submitting invoices, receipts or other documentation to your agent or claim office as soon as possible after completion. Until these requirements have been satisfied, our payment(s) to you will be for the actual cash value of the damaged partoftheproperty, which may include a deduction for depreciation. Without waiving the above requirements, we will consider paying replacement cost benefits prior to actual repair or replacement if we determine repair or replacement costs will be incurred because repairs are substantially under way oryoupresentasignedcontractacceptabletous. The estimate to repair or replace your damaged property is $7,685.80 . The enclosed claim payment to you of $4,102.91 is for the actualcashvalueofthedamagedpropertyatthetimeofloss, less any deductible that may apply. We determined the actual cash value by deducting depreciation from the estimated repair or replacement cost. Our estimate details the depreciation applied to your loss. Based on our estimate, the additional amount available to you for replacement cost benefitsrecoverabledepreciation) is $ 582.89. If you cannot have the repairs completed for the repair/replacement cost estimated, please contact your claim representative prior to beginning repairs. All policy provisions apply to your claim. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Date: 5/22/2017 4:53 PM FC0015099 11/3/2015 Page: 5 StateFarm- To: Name: Address: City: State/Zip: Explanation of Building Replacement Cost Benefits Homeowner Policy Coverage A - Dwelling - 35 Windstorm and Hail - BC BECKER, RICHARD 148 Spanish Bay Dr Sanford FL,32771-7777 Insured: BECKER, RICHARD Date of Loss: 1/22/2017 Claim Number: 5914340M6 Cause of Loss: WIND Your insurance policy provides replacement cost coverage for some or all of the loss or damage to your dwelling or structures. Replacement cost coverage pays the actual and necessary cost of repair or replacement, without a deduction for depreciation, subject to your policy s limit of liability. To receive replacement cost benefits you must: 1. Complete the actual repair or replacement of the damaged part of the property 2. Confirm completion of repair or replacement, by submitting invoices, receipts or other documentation to your agent or claim office as soon as possible after completion. Until these requirements have been satisfied, our payment(s) to you will be for the actual cash value of the damaged partoftheproperty, which may include a deduction for depreciation. Without waiving the above requirements, we will consider paying replacement cost benefits prior to actual repair or replacement if we determine repair or replacement costs will be incurred because repairs are substantially under way oryoupresentasignedcontractacceptabletous. The estimate to repair or replace your damaged property is $3,102.90 . The enclosed claim payment to you of $2,059.35 is for the actual cash value of the damaged property at the time of loss, less any deductible that may apply. We determined the actual cash value by deducting depreciation from the estimated repair or replacement cost. Our estimate details the depreciation applied to your loss. Based on our estimate, the additional amount available to you for replacement cost benefitsrecoverabledepreciation) is $1,043.55 . If you cannot have the repairs completed for the repair/replacement cost estimated, please contact your claim representative prior to beginning repairs. All policy provisions apply to your claim. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Date: 5/22/2017 4:53 PM FC0015099 11/3/2015 Page: 6 State Farm BECKER, RICHARD 59-1434-OM6 Source - Eagle View Source - Eagle View Main Roof 2,012.52 Surface Area l215.56 Total Perimeter Length 125.05 Total Hip Length 20.13 Number of Squares 30.54 Total Ridge Length QUANTITY UNIT PRICE TAX RCV AGE/LIFE DEPREC. ACV 1. Remove 3 tab - 25 yr. - composition shingle roofing - incl. felt CONDITION DEP 20.13 SQ 48.23 2. Remove Additional charge for high 0.00 970.87 970.87 roof (2 stories or greater) 4.62 3. 3 tab - 25 yr. - compl hingleQroofing - w/o tlfelt 0.00 68.86 68.86 22.33 SQ 179.08 4. Additional charge for high roof (2 stories or greater) 125.97 4,124.83 4,124.83 5. R&R Drip edge 14.62 SQ 18.57 0.00 271.49 271.49 215.56 LF 2.51 13.28 554.34 13/35 yrs 205.89) 348.45 6. Detach & Reset Solar electric panel Avg. 37.14% 6.00 EA 119.52 7. Prime & paint roof vent 0.00 717.12 717.12 3.00 EA 23.43 1.48 71.77 13/15 yrs 57.41) 14.36 8. Taxes, insurance, permits & fees (Bid Item) Avg. 80.00% 9. Step flashing 1.00 EA 150.00 0.00 150.00 150.00 50.00 LF 8.73 5.74 442.24 13/35 yrs 164.26) 277.98 10. R&R Flashing-P P Jpipejack - lead Avg. 37.14% 3.00 EA 67.54 6.98 209.60 13/35 yrs 77.85) 131.75 11. R&R Exhaust cap - through roof - up to 4" Avg. 37.14% 3.00 EA 75.22 5.20 230.86 13/35 yrs 85.75) 145.11 12. Detach & Reset Gutter / downspout - aluminum - up to 5" Avg. 37.14% 52.00 LF 2.66 13. R&R Ridge cap - composition shingles 0.00 138.32 138.32 155.59 LF 6.42 11.65 1,010.54 13/25 yrs 525.48) 485.06 14. R&R Valley metal Avg. 52.00% 19.53 LF 5.07 2.19 101.21 13/35 yrs 37.59) 63.62 Avg. 37.14% Date: 5/22/2017 4:53 PM Page: 7 BECKER, RICHARD State Farm CONTINUED - Main Roof 59-1434-OM6 QUANTITY UNIT PRICE TAX RCV AGE/LIFE CONDITION DEPREC. ACV DEP % 15. Roofing felt - 30 lb. 20.13 SQ 32.61 16.18 672.62 13/20 yrs 437.21) 235.41 Avg. 65.00% 16. Re -nailing of roof sheathing - complete re -nail 2,012.52 SF 0.20 1.41 403.91 13/150 yrs 35.00) 368.91 Avg. 8.67% Totals: Main Roof 190.08 10,138.58 1,626A4 8,512.14 Area Totals: Source - Eagle View 3,045.43 Exterior Wall Area 2,663.42 Surface Area 26.63 Number of Squares 671.54 Total Perimeter Length 48.99 Total Ridge Length 125.05 Total Hip Length Total: Source - Eagle View 190.08 10,138.58 1,626A4 8,512.14 Area Totals: Source - Eagle View 3,045.43 Exterior Wall Area 2,663.42 Surface Area 26.63 Number of Squares 671.54 Total Perimeter Length 48.99 Total Ridge Length 125.05 Total Hip Length Total: Source - Eagle View 190.08 10,138.58 1,626.44 8,512.14 Left Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 17. R&R Window screen, 1 - 9 SF 2.00 EA 38.30 4.40 81.00 81.00 Totals: Left Elevation 4.40 81.00 0.00 81.00 Front Elevation 0.00 SF Walls 0.00 SF Floor Date: 5/22/2017 4:53 PM 0.00 SF Ceiling 0.00 SF Short Wall 0.00 SF Walls & Ceiling 0.00 LF Floor Perimeter Page: 8 State Farm BECKER, RICHARD 59-1434-OM6 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 18. R&R Window screen, 1 - 9 SF 2.00 EA 38.30 4.40 81.00 81.00 Totals: Front Elevation 4.40 81.00 0.00 81.00 Rear Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 24. R&R Patio/pool Enclosure - Rescreen 392.00 SF 1.22 9.88 488.12 488.12 Totals: Rear Elevation 9.88 488.12 0.00 488.12 Line Item Totals: 59-1434-OM6 208.76 10,788.70 1,626.44 9,162.26 COVERAGE TAX RCV DEPREC. ACV Coverage A - Building - 35 Windstorm and Hail 147.90 7,685.80 582.89) 7,102.91 Coverage A - Dwelling - 35 Windstorm and Hail - BC 60.86 3,102.90 1,043.55) 2,059.35 Total 208.76 10,788.70 1,626.44) 9,162.26 Grand Total Areas: 3,045.43 Exterior Wall Area 2,663.42 Surface Area 48.99 Total Ridge Length 26.63 Number of Squares 671.54 Total Perimeter Length 125.05 Total Hip Length Date: 5/22/2017 4:53 PM Page: 9 State Farm BECKER, RICHARD Recap of Taxes, Overhead and Profit 59-1434-OM6 GC Overhead (0%) GC Profit (0%) Material Sales Tax Laundering Tax (2%) Manuf. Home Tax Storage Rental Tax 7%) (6%) (7%) Line Items 0.00 0.00 208.76 0.00 0.00 0.00 Total 0.00 0.00 208.76 0.00 0.00 0.00 Date: 5/22/2017 4:53 PM Page: 10 City of Sanford Building Division 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: 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 FBC4ode compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: PERMIT # _- /9 City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: lu PLEASE NOTE: ONL Y 100 SQUARE FEET F iHE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: -OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ') NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# G-q 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# O INSULATED FL# O TILE FL# 0 OTHER: FL# D City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT ADDRESS: 1-4(> ) S b San a d R . 3 24-41 I -Mohru ( )s"hae, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING C T NGINEE RCHITECT, 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 #: C C C 1 z 2 _I & "1 1 COMPANY / CONTRACTOR: i 1 & CONTRACTOR SIGNATURE: DATE: 1 d MUST BE SIGNED BY LICENSE HOLDER 0 R OWNER/BUILDER) 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 & jn7G2Cdq Sworn to and Subscribed before me this day o 204 by: a A e Who is O'ersonally Known to me or has identification) as identification. N . 10 1 &-? Signature of ota Public raY Notary Public State of Florida Emily S;Dely j c. Ex Ces 0112 io a" Expires 0u24 Print/Type/Sta p Name of Notary Public Produced (type of State of Florida alle n GG 065275 12021