HomeMy WebLinkAbout229 Friesian Way; 17-2129; ROOF31 y JUL 13 20V ' CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
D1,;'9 10,
800 Job
Address: 229 FRIESIAN WAY SANFORD, FL 32773 Historic District: Yes No Parcel
ID: 18-20-31-505-0000-0560 Residential0 Commercial Type
of Work: New Addition Alteration Repair Demo 'Change of Use Move Description
of Work: RE ROOF OWENS CORNING FL10674 TECHWRAP FL17194 32 SQ'S 7/12 PITCH OAKRIDGE DRIFTWOOD
LIFETIME WARRANTY Plan
Review Contact Person: SKYLAR AMKRAUT Title: ADMIN Phone:
407-278-7788 Fax: 800-337-3361 Email: PERMIT@JASPERINC.COM Property
Owner Information Name
DRIER DOUGLAS O & ROBIN C Street:
229 FRIESIAN WAY City,
State Zip: SANFORD,
FL 32773 Name
DONALD BOUCHARD Phone:
Resident
of property? : YES Contractor
Information Phone:
407-278-7788 Street:
3203 S CONWAY ROAD SUITE 201 Fax: 800-337-3361 City,
State Zip: ORLANDO, FL 32812 State License No.: CCC1331153 Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
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'h 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 pen -nits 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 7,13.
The City of Sanford requires payment of 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 i__. ._ _ s .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 Date Signature of Contractor/Agent Date
Print,Owner/Agent's Name Print Contractor/Agent's NanieA
n
i
Signature of Notary -State of Florida Date Sign , e or+'a ate
SKYLAp YAAMKRAI!
Comrrvssion it FF 127890
r-
e M'y Commission Expires
June 01 , 2018rtrro
n n U ar ys.-..em
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID X Type of ID DL
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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes[:] No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:_
COMMENTS:
Revised: June 30, 2015 Permit Application
5380 F. ('olonial I)•. 427073
t )rlinulb, 1.1 12807
3203 Coima%" Rd., ti)e. lull
Orlando, H..32M 12
i.407) 279-778£
800) 337-3361 fax
nalinu i.lspetillc.ore
FVISAJ .J=
Owner(s)
Address.
City:
Ettial 11;-
1, ):,
i
corn
I -I (;olltrllctor's l,icerr,c
132h651 & C ( C 13 31153 y",(— --
r,
C" S 5 C-t I (,.+--- Sl
fte: 3
Account
Manager Contact
Il,(A1 • Z j ,J Inmerwice
0inmanylnforrnation - lilnparly...
c 4—/ Policy #:
4( Mortpave
Comnamy Company,
UAs Ll c c.l c IJ)
an Number: i
11 n All
i'homc Roof
WV Amoulit! C'onlract Price Drip Edge Color: r
i' . tJ (c` r $10,800 1 or G Assignment
of insurance Benefits for l.he Dull Roof Replacement Only: J hereby assitin any and all an3urancc rlgJlts- benefits and proceed; undo any
applicable: insurance policies to Jasper Contractors, Inc, ("laslnr"), line scope of w7nch shall Ix: ~mated to n Full Roof Replacement- 1 make th,-. aYsigruner and
authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform ns obligations under the Contrac inchadiric
not requiring full payment at the time of service. l also hLychy dirccl my"insurer(s) to release any and all mforrmtion requested by Ja_sper, or it representative(
s), for the direct purpose of obtaining actual benefits to be paid by my insurers) for services rendered. In this regard, I waive my privac rights
if payment is made directly to the Own er/Agent/Instir ed(s), it shall be endorsed over to Jasper immulrately upon rwript I agree that any p(.Kttori ( work, deductibles,
betterment or additional work requested by the undersigned, not covered by insurance, niust he paid by the undcrstLmed on the day c installation. Deductible:
It is the Owner's responsibility to pray all insurivace deductibles. Owner's out-of-pocket czperic will not Lxcecd the dcductlb' amowit, as
stated on insurer's loss shcet (the '.'Loss Sheet"), UNLLSS replaccinentlrepair of deterioratetl,dexking is required by code andror Owner reques optional upgrades..
lasper CANNOT. pay, waive, rebate, or promise to pay, waive or rebate any or all of the insurance r ti Ir applicable to tl insurance claim
for payment of work. In the event of a discrepancy, the deductible amount stated on the insurer's I cyi he i I u%mulc doductih amount disclosed.
Deductible: S MUST BE PAIL) IN 1'1 #/'j 1 rti .11'1'I,ICABLE SALES TAX (initiaF) MORTGAGE AUTHORIZATION':
1, Owne-rl119ortgagor, grant authorization form !} ,torlgage Co, to "peak w•i Jasper on
matters including but not hinited to, the claim and draw status. (initial) PAYNI LNT SCHEDULE- Owner agrees pay Jasper
based on the following schedule- (i) Deposit in the amount of S due upon sagming this contract. (it) the Contract Pric less the
Deposit and any applicable depreciation retained by Owner's ins(, r(s), plus upgrade costs, due and payable to J tsper upcm compietion work being
performed; and, (ill) the remaining Contract Price (equal to any applicable depreciation and/or changeordcrs) due and payable to Jasper up completion of
work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withhcid until inspection has passr Optional: UPGRADE
ITEM: _ MY: PRIG : TOTAL. S Replacement Work
and Price- Upon insurer's approval and subjectto the 'terms and Conditions herein, Jasper agrees to furnish all materials a provide the labor
necessary to perforin tile full roof replacement winch shall take place following „Owner's insurance company's approval, approximat( within 30 days,
conditions permitting, Oysncr's Declaration of Intent: Owncr acknowledges and agrees that, upon approval by insurance ccxnpany for, full roof replacement,
Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company FLORIDA HOMEOWNERS' CONS'
ITiCT'(ON RECOVERY FUND PAYMENT, UP TO
A L.IMiTED AMOUNT, MAY BE AVAIi,ABLE I RONI-1111•: FLORIDA HONIEONN NLRS', CONSTRUCTION RECOVERY I
I'ND IF YOU LOSE' MONEY ON A 1111011EICT PERFO)RNiF:D t.\DER CON i'RACT, HERE, THE LOSS
1(L'SUL'I S I"RO)NI SI'GCIFIED VIOLATION", OF FLORIDA 1. ,%% Ill 1 1,1( 1 NSED CONTRACi'011. FOR INFOI0FA'IION
ABOUTTHE RECOVERY FUND AND FILING A CLAIM, ( ON k( l TILL FI.ORIDA CONSTRUCTION INDI STRY
L,ICEN'SINC BOARD AT'`TI11': FOI LOIYiNC 'I'F;I,F:1'tIONF; NI:NiBER AND.IDDRI:SS: Construction Industry Licensing
Board: 2601 lllairstone Road, Tallahassee, Fl, 32399-1039..(850) 487-1395 CANCELLATION: if Owner
elects to terminate the services of ,Jasper, Owner may do so before midnight on the third burin( day after Contract
is executed. (honer shall receive it full refund (if all deposits. Owner may also rescind Contract before midnight the third business
day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract Ii been denied, in
whole or in hart. All written notices of cancellation, regardless of reason, shall Fie postmarked or delivered to Jasper corporate office: 1690
Roberts Boulevard, Suite 112 Kennesaw, GA 30144., CANCELLATION EXCEPTIONS: The three (3) d right of cancellation
DOES NOT; APPLY to contracts for emergency hone repairs as time is of the essence. 1, Owner, have
rear) and understand all statements, Ternts and Condition% of the "Roof Replacement Contract" and agi that all details
are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between I parties and that
any further changes or alle`ations to this Contract must he rnade in writing and agreed upon by both part Each party representsandwarrantstothe (,tiler chill it has the full power and authority to enterinto the contract and that it binding and enforceable in
accordance with its terms
cHIS INSTRUMENT PREPARED BY: A-4 cll, Name:_ Jasper Contractors
Address. riR£i(1 F T'nlnniai Ilrivo
rlanrin FI
LIZ1011
NOTICE OF COMMENCEMENT
Permit Number....
1f — (
p 9 Parcel
ID Number: 1E 7 - Q -I I - n: G (Dk3 The
undersigned hereby gives notice that improvement will be made to certain real followinginormaionisprovidintF'c *'^ - 1,
DESCRIPTION OF PROPERTY: E
ka l-v C. Jfi5 2.
GENERAL DESCRIPTION OF IV Re -
roof 3.
OWNER INFORMATIKOR LEE Name
and address:_ CIA C GRANT
11ALOYP SEMINOLE COUNTY CLEW
OF CIRCUIT COURT & COMPTROLLER BK
8114 Po 1665 (1F'as) CLERK'
S T 2017069589 RECORDED
07/113/21-117 lj?c4.Ci.3ir P11 RECORDING
FEES $10.00 RECORDED
BY hda or:a lQ
U and
in accordance with Chapter 713, Florida Statutes, the of_
the.property. and -street -address ifavailable)- ---_ IF
THE FOR Interest
in property: _ nwnPr Fee
Simple Title Holder (if other than owner listed above) Name: Address:
4.
CONTRACTOR: Name: Jasper Contractors Phone
Number: 407-278-7788 Address:
5380 E Colonial Drive Orlando, FL 32807 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: Address:
6.
LENDER: Name: 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. Name:
Phone
Number: 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 CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO 08TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Biz
r'
vac
Si
ure of O er or Lessee, or Owner's or lessee's Authorized
OlriceNOirector/PartnedManager) (Pdni N e and Provide Signatory's TWelciffice) 0 11-
StateofCounty
of strument
wa by
The
foregoin s acknowledged before me this J
dayof20 iY ,
Name
rp onmakingstatement Who is personally known to me OR ` v 0 who
has produced )dentificafion t type of identification produced: l - = A1\
1KRAUT Commission
8 FF 127890 p 1 -'I d
MY
Commission Expires June
01 , 2 01 3 l) Notary Signature '— •_ t6 Crway:..
v>v:r-+s.-ems.. r..vrr:nx--ro =c:.:u„arwm v::F+w-.•Y - to u } r,.
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427073
LUMTED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 7/11 /17
I hereby name and appoint: Rachel Holcomb, Skylar Amkraut, Karla Almodovar Ana Chavez
an aeent of: Jasperco"t`a"°S
Name orc«opmy)
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:
229 Friesian Way Sanford, FL 32773
Svw Address)
Expiration Date for This Limited Power of Attorney: 1-1-18
License Holder Name: Donald Bouchard
State License Number. CCC1331153
Signature of License Holder. =
STATE OF FLORIDA J
COUNTY OF s
The foregoing instrument was acknowledged before me this 11 day of July ,
200 17 by Dmw sa,a—d who is o personally known
to me or (s who has produced oL
identification and who did (did not) take an oath
Signature
v
Notary Sea]) Sky ar Amkraut
Print or type name
KYLAR B AWRAUT
Commission # FF 127890
a
a`, My Commission Expires ,
June 01 , 2018
Rm 08.12)
Notary Public - State of FL
Commission No. 127890
My Commission Expires: 6/1/2018
as
z
tii.51 ai i
F D`
City of Sanford Building Division
e._-4'• 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 pennit 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 SanfordHistoricPreservationBoard
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 Patter & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Patter & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail patter 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 FB cod o lian y pe sonal inspection.
CONTRACTOR ) SIGNATURE: (OR OWNER/BUILDER I I
J DATE:
5
427073
PERMIT # QLqCityofSanfordBuildingDivision
Residential Re -Roof Scope of Work
JOB ADDRESS: 229 Friesian Way Sanford, FL 32773
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q 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: Q OFF -RIDGE O RIDGE QSOFFII QPOWERED VENT QTURBINES
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 — 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE Owens Corning FL# 10674
Q METAL FL#
O MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
QINSULATED FL#
Q TILE FL#
Q 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#
Q METAL FL#
p MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
QINSULATED FL#
Q TfLE FL#
0 OTHER: FL#
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. r *7- ISSUE DATE:
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: me— root, 1 3 hi fU4Ie 7
PROTECT FROM FATHER
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 T_ T_ I
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
WISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.S41.2112 SANFORD FL 3'2771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . , . . . 17-00002129 Date 7/13/17
Application pin number . . . 566919
Property Address . . . . . . 229 FRIESIAN WAY
Parcel Number . . . . . . . . 18.20.31.505-0000-0560
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Application valuation . . . . 10800
Application desc
reroof/NOC ON FILE
Owner Contractor
DRIER DOUGLAS O & ROBIN C JASPER CONTRACTORS INC
229 FRIESIAN WAY 1955 VAUGHN RD NW SUITE 209
SANFORD FL 32771 KENNESAW, GA 30144
407) 278-7788
Structure Information 000 000 REROOF/SHINGLES
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 993626
Permit pin number 993626
Permit Fee . . . . 117.00
Issue Date . . . . 7/13/17 Valuation . . . . 10800
Expiration Date . . 1/09/18
Qty Unit Charge Per Extension
BASE FEE 40.00
11.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 77.00
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00
01-BLDG PLAN REVIEW 33.00
01-BLDG DCA SURCHARGE' 2.63
01-BLDG DBPR SURCHARGE 2.62
Fee summary Charged Paid Credited Due
Permit Fee Total 117.00 .00 .00 117.00
Other Fee Total 63.25 .00 .00 63.25
Grand Total 180.25 .00 .00 180.25
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
CITY OF SANFORD
a CUSTOMER RECEIPT *#*
Oper: BLANDA Type: OC Drawer: 1
Date: 7/13/17 01 Receipt no: 158235
Year Number Amount
2017 2129
229 FRIESIAN WAY
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS$
1805 AC875647
Tender
detail .25
188CCCREDITCARDg18Total
tendered 18.
256.25Total
payment Trans
date: 7/13/17 Time: 15:29:05
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.*41.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . 17-00002129 Date 7/13/17
Property Address . . . . 229 FRIESIAN WAY
Parcel Number . . . . . . 18.20.31.505-0000-0560
Application description . ROOFING APPLICATION
Subdivision Name . . . .
Property Zoning . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 993626
Permit pin number 993626
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF
i
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1'1 - I ADDRESS:
v
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFIN6 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 #: C Cc t 33 t \S 3 [
COMPANY / CONTRACTOR: AY C ` cy—
iCONTRACTORSIGNATURE: DATE:' L
MUST BE SIGNED BY LICENSE HOLDER OR O WNER/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 ge(Yl Yl e
Sworn to and Subscribed before me this 2L&ay of 3uj20 Al by:
A i C6-61 VP `` . Who is Personally Known tome or has Produced (type of
Signature
State of F
Public
p,mlaaut
Print/Type/Stamp Name
of Notary Public
as identification.
SI<'1 LAR B AMi<RAUT
i;
jYConu»!
ssion It FF 127890
Niy Conimis ion Expires
June 01 2018 _