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Home My WebLink About156 Monroe View Trl; 17-3120; ROOFg CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: h -31ao Documented Construction Value: $ /% , Job Address: Historic District: Yes No K Parcel ID: 2,3 3 D -Sbl — b00C) — 0.S 3 -D Residential 2( Commercial Type of Work: New Addition Alteration Repair Rr Demo Change of Use Move Deurintion of Work: E Plan Review Contact Person: &. Q &aAiA Title: + 1 Phone: (J 7167—to (Z Fax: L)Di ") 0_) / b4mail: Property Owner Information Name (p rl 'e a l,rk &i tk) C 2 -i /-JJ" Phone: /-/D % — Z .Z l v1 29 Street: 2. Resident of property? City, State Zip:t " 0,,1,`A 7 % gg Contractor Information Named 1 tz, 5-- Phone: ` 1) Street: 0 r v- ak Fax: / o-2^.710 ` 7163 City, State Zip: State License No.: 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 4 q q' A f 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 0/accurate and that all work will be done in compliance with all applicable laws regulating construction nd zoning. ature of Owner v Date Signature f Contract Agent Date fho s Ar l6%a1%7 _ I !A m. Print 0 r gent's Name 2 sO1 PAY,H e(LORRAINE GAETA Notary Public State of Florida u ; , : My Comm. Expires Jan 25, 2019 FOFF o< Commission # FF 165086 Owner/Agent is Personally Known tv e yr , Produced ID Type of ID 0, h,V is Name- - - --/ 0/ RY P„ tP L i LORRAINE GAETA Notary Public - State of Florida a *•' o,r My Comm. Expires Jan 25, 2019 Commission 165036 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Construction Type: Occupancy Use: 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: I3I::1 to Me or Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: Lorraine Gaeta Address: 406 Hermitage Drive Altamonte Springs, Florida 32701 NOTICE' OF COMMENCEMENT Permit Number: Parcel ID Number: 23-19-30-502-0000-0530 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 53 Venetian Bay Pb 63 Pqs 84-85 156 Monroe View Trail Sanford F. 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: re -roof with asphalt shingles 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Quanece & Charles Elberry 156 Monroe View Trail Sanford FI. 32771 Interest in property: Fee Simple Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-691 Address: 406 Hermitage Drive Altamonte Springs 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Address: Phone Number: Amount of Bond: 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. Phone Number: 8. In addition, Owner designates 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. Sign ure of ner or Les , or wner' r Lessee's (Print Name and Provide ignatory's Title/Office) A ed Officer/Di r/Partner/ .Hager) State of County of The foregoing instrument was acknowledged before me this ' day of by a,, ))A40 ,Q C j, ( t-{ Who is personally known to me OR Name of person making statement who has produced identification type of identification produced:L— `' aryYpUy'LORRAINE GAETf, Notary Public -8( t of Florida My Comm. Expiresan 25, 2019 Notary Signature r=. oc;' Conultission # FF 105086 ROOFING m JTI Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljones@jtiroofing.com State -Certified Roofing Contractor - CCC1325756 State -Certified General Contractor — CG 036067 Jan Tukker, Contractor Customer Name: MCA I r , P"Iq Address: Home Email: Project Insurance Co. Adjuster: Claim #: Phone: SPECIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear -off shingle Replace shingle Replace underlayment Hurricane Retrofit Steep 2nd Story Charge Valley Material Drip Edge Vents 1" Vents 2" v Vents 3" Goosenecks 4" Goosenecks 10" Flat Roof Interior/Exterior Skylights Solar Panels Notes: Remove Trash from Roof, Gutters and Yard Roll Yard with Magnetic Roller Protect Landscaping Where Applicable Delivery/Special Instructions: Date: ITEM TYPE QTY AMOUNT TOTAL Ridge Vent Off -Ridge Vents Decking Y $ Lead Boots Debris Removal Wood Shingles -Manufacture: /" ° d r- Style:'- T-T- k _,., /,1 Type: Arc— L Color: Wa ..Atr,,.t . I Warranty I Labor Roof / 771 i' Insurance Co. Initial/Estimated Date: $ Amount Insurance Co. Agreed Amount Date: Upgrades Insurance Supplement TOTAL Date: $ r PAYMENT SCHEDULE 50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: $500.00 $1000.00 $ DOWNPAYMENT $ FINAL PAYMENT $ JAN TUKKER, PRESIDENT TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDINGOVERHEADANDPROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT The above prices, specifications and conditions ofthis agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditionslocatedonthebackofthisdocument/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulationsofthisagreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor andmailinsuranceproceedstoContractor. Homeowner hereby assigns to Contractor their rights to any insurance' proceeds from Insurance Company for goods andservicesasdescribedinthespecifications. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREE T HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANYTIMEPRIORTOMIDNIFTTDAYAFTERTHEDATEOFAGAGMENT. Homeowner Approval: Date: 11 W 14 Contractor Approval: Date: I ll 0 SCPA Parcel View: 23-19-30-502-0000-0530 Page 1 of 2 Property Record Card Parcel: 23-19-30-502-0000-0530 Owner: ELBERY QUANECE M & CHARLES S 0N=OO"NW. ROMA Property Address: 156 MONROE VIEW TRL SANFORD, FL 32771 Parcel Information Value Summary Parcel 23-19-30-502-0000-0530 Owner ELBERY QUANECE M & CHARLES S Property Address 156 MONROE VIEW TRL SANFORD, FL 32771 Mailing 156 MONROE VIEW TRL SANFORD, FL 32771 Subdivision Name VENETIAN BAY Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) Sorry: we have no imagery here.. 091 Legal Description LOT 53 VENETIAN BAY PB 63 PGS 84 - 88 Taxes Sales 2018 Working Values 2017 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 159,284 150,165 Depreciated EXFT Value Land Value (Market) 37,000 37,000 Land Value Ag Just/Market Value ** 196,284 187,165 Portability Adj Save Our Homes Adj 71.027 64,484 Amendment 1 Adj 0 P&G Adj 0 0 Assessed Value 125,257 122,681 Tax Amount without SOH: $2,776.04 2017 Tax Bill Amount $1,548.19 Tax Estimator Save Our Homes Savings: $1,227.85 Does NOT INCLUDE Non Ad Valorem Assessments Method Frontage Depth Units Units Price Land Value LOT 1 I $37,000.00 37,000 Building Information Is Bed/Bath count incorrect! Vncrc Here. Detion scripYear Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE FAMILY 2004 9 4 2.0 1.974 2,568 1,974 CB/STUCCO FINISH 159. 284 167,227 Description Area GARAGE FINISHED 459. 00 OPEN PORCH 105.00 FINISHED OPEN PORCH 30.00 FINISHED Permits it # Description Agency Amount CO Date Permit Date 7 I NEW -RESIDENTIAL SANFORD $102,760 8/20/2004 3/5/2004 Extra Features Description Year Built Units Value New Cost http:// parceldetail.scpafl.org/PareelDetaillnfo.aspx?PID=23193050200000530 10/20/2017 SCPA Parcel View: 23-19-30-502-0000-0530 Page 2 of 2 No Extra Features http://parceldetail.sepafl.org/ParcelDetailInfo.aspx?PID=23193050200000530 10/20/2017 JT1 aooFING• lesYo%-/S I6Y3aa2t JTI Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljones@jtiroofing.com CState-Certified Roofing Contractor - CCC1325756 State -Certified General Contractor— CGC036067 Jan Tukker, Contractor 1,rylzinCustomerName: r / l % Address: 1 C Home Phone: L fj 3—Jr-0 1 Email: Project Address: City Insurance Co. Adjuster: Claim #: Phone: i D: ate/ZIP: Z. Work Phone: SPECIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear -off shingle Replace shingle Replace underlayment Hurricane Retrofit Steep 2nd Story Charge Valley Material Drip Edge Vents 1" Vents 2" Vents 3" Goosenecks 4" Goosenecks 10" Flat Roof Interior/Exterior Skylights Solar Panels a A Remove Trash from Roof, Gutters and Yard Roll Yard with Magnetic Roller Protect Landscaping Where Applicable Delivery/Special Instructions: ITEM TYPE QTY AMOUNT TOTAL Ridge Vent Off -Ridge Vents Decking Lead Boots Debris Removal Wood Shingles -Manufacture: Style: Type: Color: Warranty Labor 5'" Roof G-A -5 7 t- r- i Insurance Co. Initial/Estimated Date: Amount Insurance Co. Agreed Date: Amount Upgrades Insurance Supplement TOTAL Date: PAYMENT SCHEDULE 50%DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: $500.00 $1000.00 $ DOWNPAYMENT $ FINAL PAYMENT $ JAN'IUKKEK, PKESIDEN 1 TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT The above prices, specifications and conditions of this agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditions located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations of this agreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor and mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and services as described in the specifications. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIG T OF TUEMURD BUSINESS DAY AFTER THE DATE OFT IS AGREEMENT. Homeowner Approval: i_ Date:( Contractor Approval: Date: THIS AGREEMENT AND ANY AGREEMENT PURSUANT HERETO IS BETWEEN JAN TUKKER, INC., HEREINAFTER REFERRED TO AS "COMPANY", AND THE CUSTOMER(S) NAMED HEREIN ON THE REVERSE SIDE AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND ORDINANCES OF THE STATE OF FLORIDA, THE LOCAL JURISDICTION AND THE FOLLOWING TERMS AND CONDITIONS: ALL AGREEMENTS ARE SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY TO BE EFFECTIVE UNDER ANY CONDITIONS. PAYMENTS SHALL BE MADE UPON THE FOLLOWING TERMS: NET CASH ON OR BEFORE THE TENTH (IOTH) DAY FOLLOWING THE COMPLETION OF WORK PAYABLE TO JAN TUKKER, INC.. IF WORK IS OF SUCH NATURE THAT IT WILL EXCEED ONE CALENDAR MONTH, PARTIAL PAYMENTS SHALL BE MADE ON THE TENTH (LOTH) OF EACH CALENDAR MONTH, BASED ON THE WORK COMPLETED AND MATERIAL ON THE JOB AS OF THE LAST DAY OF THE PRECEDING MONTH AS EVIDENCED BY OUR STATEMENT. IN THE EVENT THERE NEEDS TO BE AN INSPECTION THEN THE MAXIMUM ALLOWABLE HOLDBACK WILL BE 10% FOR A MAXIMUM OF 30 DAYS FROM COMPLETION. WE HAVE THE RIGHT TO STOP WORK, WITHOUT FIRST GIVING NOTICE TO YOU, IF ANY PAYMENT REQUIRED BY THIS AGREEMENT 1S NOT PAID BY ITS DUE DATE. WE ARE NOT REQUIRED TO START WORK AGAIN UNTIL THE REQUIRED PAYMENTS HAVE BEEN MADE. YOU AGREE TO PAY ANY REASONABLE ATTORNEY'S FEES AND COSTS INCURRED BY US IF WE HIRE AN ATTORNEY TO TRY TO ENFORCE ANY PART OF THIS AGREEMENT. IF WE FILE A MECHANIC'S LIEN AGAINST THE PROPERTY, YOU AGREE TO PAY THE COSTS OF PREPARING, SERVING AND FILING THE MECHANIC'S LIEN, INCLUDING REASONABLE ATTORNEY'S FEES. IF.ANY PAYMENT REQUIRED BY THIS AGREEMENT IS NOT RECEIVED BY ITS DUE DATE, YOU AGREE TO PAY INTEREST ON THE UNPAID BALANCE AT THE RATE OF EIGHTEEN PERCENT (18%) PER YEAR. WE ARE ENTITLED TO RECEIVE PAYMENT FOR THE COST OF ANY CHANGE IN THE WORK; PLUS A REASONABLE AMOUNT FOR OVERHEAD AND PROFIT, FOR ANY CHANGES AUTHORIZED OR DIRECTED BY YOU EVEN IF YOU DO NOT SIGN A WRITTEN CHANGE ORDER. WE HAVE THE RIGHT TO OBTAIN ADDITIONAL COMPENSATION FROM THE INSURANCE COMPANY IN THE EVENT THE COST OF MATERIALAND LABOR INCREASES OVER FIVE PERCENT (5%) FROM THE DATE OF DAMAGE, SUCH ADDITIONAL COMPENSATION MAY BE PAID DIRECTLY TO US BY THE INSURANCE COMPANY. IN ORDER TO INSURE THAT WE HAVE ENOUGH MATERIALS TO COMPLETE THE WORK, WE MAY ORDER MORE MATERIALS THAN MAY BE NECESSARY TO COMPLETE THE WORK. ANY EXCESS MATERIALS WILL NOT BE CHARGED ABOVE THE AGREED -UPON CONTRACT PRICE. ALL MATERIALS REMAINING AFTER THE COMPLETION OF WORK SHALL BELONG TO US. FULL AMOUNT OF INSURANCE PROCEEDS" SHALL BE DEFINED AS THE FULL -PRICE FOR REPAIRS ALLOWED BY THE INSURANCE COMPANY BEFORE ANY DEDUCTIONS FOR DEDUCTIBLE OR DEPRECIATION ARE SUBTRACTED. ALL CONTROVERSY SHALL BE SETTLED BY ARBITRATION, GOVERNED BY THE FLORIDA ARBITRATION CODE, CHAPTER 682 RISK OF LOSS FOR WORK AND MATERIALS INSTALLED ON CONTRACTED PROPERTY IS THE RESPONSIBILITY OF THE OWNER OF THE PROPERTY. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS AGREEMENT, CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE-HALF PERCENT (I'h%) PER MONTH (18% PER ANNUM) WITH A MINIMUM CHARGE OF $2.00 PER MONTH, AND IF PLACED WITH AN ATTORNEY FOR COLLECTION, ALL ATTORNEY'S FEES AND LEGAL AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID AGREEMENT. THE COMPANY SHALL HAVE NO RESPONSIBILITY FOR DAMAGES FROM RAIN, FIRE, TORNADO, WINDSTORM, HURRICANES OR OTHER PERILS AS IS NORMALLY CONTEMPLATED TO BE COVERED BY HOMEOWNER'S INSURANCE OF BUSINESS RISK INSURANCE, OR UNLESS A SPECIFIED WRITTEN AGREEMENT IS MADE PRIOR TO COMMENCEMENT OF WORK. THE QUOTATION ON THE FACE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE AND ANY SUCH ADDITIONAL PREMIUMS OR COSTS SHALL BE ADDED TO THE TOTAL AGREEMENT AMOUNT. REPLACEMENT OF DETERIORATED DECKING, FASCIA BOARDS, ROOF JACKS, VENTILATORS, FLASHING OR OTHER MATERIALS, UNLESS OTHERWISE STATED IN THIS AGREEMENT ARE NOT INCLUDED AND WILL BE CHARGED AS AN EXTRA ON A TIME AND MATERIAL BASIS. THE COMPANY SHALL NOT BE LIABLE FOR FAILURE OF PERFORMANCE DUE TO LABOR CONTROVERSIES, STRIKES, FIRES, WEATHER, INABILITY TO OBTAIN MATERIALS FROM USUAL SOURCES, OR ANY OTHER CIRCUMSTANCES BEYOND THE CONTROL OF THE COMPANY, WHETHER OF A SIMILAR OR DISSIMILAR NATURE. CONTRACTOR SHALL NOT BE LIABLE FOR ANY DAMAGES TO PERSONAL PROPERTY OR PHYSICAL INJURIES RESULTING FROM VIBRATIONS CAUSED BY HAMMERING OR WALKING ON STRUCTURES OR ANY OTHER NORMAL WORK OPERATIONS NECESSARY FOR COMPLETION OF WORK. THE COMPANY IS NOT RESPONSIBLE FOR DAMAGE ON OR BELOW THE ROOF LINE DUE TO LEAKS BY WIND -DRIVEN RAIN OR HAIL DURING THE PERIOD OF THE WARRANTY. EXCESSIVE WINDS ARE DEFINED AS 60 MPH. THIS WARRANTY IS TRANSFERRABLE. IF MATERIAL HAS TO BE REORDERED OR RESTOCKED BECAUSE OF A CANCELLATION BY THE CUSTOMER, THERE WILL BE A RESTOCKING FEE EQUAL TO TWENTY-FIVE PERCENT (25%) OF THE TOTAL AGREEMENT AMOUNT. IF THE AGREEMENT 1S CANCELLED BY THE CUSTOMER AFTER MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT, THE CUSTOMER SHALL PAY TO THE COMPANY TWENTY-FIVE PERCENT (25%) OF THE TOTAL AGREEMENT AMOUNT AS LIQUIDATED DAMAGES, NOT AS A PENALTY AND THE COMPANY AGREES TO ACCEPT SUCH AS A REASONABLE AND JUST COMPENSATION FOR SAID CANCELLATION. IN THE EVENT THAT CUSTOMER(S) REFUSE(S) TO FULFILL THEIR OBLIGATION UNDER THE TERMS OF THIS AGREEMENT, THE CUSTOMER AGREES TO PAY CONTRACTOR THE AMOUNT OF TWENTY-FIVE PERCENT (25%) OF INSURANCE PROCEEDS AS COMPENSATION FOR UTILIZING CONTRACTOR'S TIME, EFFORTS, SKILL, KNOWLEDGE AND EXPERTISE IN ACQUIRING PAYMENT ON BEHALF OF THE CUSTOMER/INSURED PLUS ANY OUT OF POCKET COSTS INCURRED BY CONTRACTOR IN RELATION TO THE WORK SCOPE SET FORTH ON THE FACE OF THIS DOCUMENT. COMPANY IS ENTITLED TO RECEIVE ALLADDITIONAL INSURANCE PROCEEDS FOR ROOFING ALLOWED BY INSURANCE COMPANY TO INCLUDE MATERIAL SALES TAX AND OVERHEAD AND PROFIT. THIS AGREEMENT OR WARRANTY SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY. THIS AGREEMENT CANNOT BE CANCELLED ONCE WORK IS COMMENCED EXCEPT BY MUTUAL CONSENT OF BOTH PARTIES IN WRITING. DURING THE DURATION OF THE WORK, THE CUSTOMER'S HOMEOWNER'S INSURANCE WILL BE RESPONSIBLE FOR ANY INTERIOR DAMAGE AS LONG AS THE COMPANY HAS TAKEN APPROPRIATE ACTION TO PROTECT THE ROOF DURING THE REPAIR OF THE ROOF. THE COMPANY IS NOT RESPONSIBLE FOR PRE-EXISTING CONSTRUCTION DEFICIENCIES THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS, E.G. NAIL POPS, WOOD ROT, DECKING DEFLECTION, ETC. IF A CONSTRUCTION PROBLEM IS POINTED OUT PRIOR CONSTRUCTION AND COMPANY IS NOTIFIED IN WRITING, COMPANY WILL TRY TO ASSIST CUSTOMER TO CORRECT THE PROBLEM(S) ON A TIME AND MATERIALS BASIS. THE COMPANY WILL NOT BE RESPONSIBLE FOR THE SLIGHT SCRATCHING OR DENTING OF GUTTERS, OIL DROPLETS IN DRIVEWAYS, HAIRLINE FRACTURES IN CONCRETE, DAMAGE TO PLANTS OR SHRUBBERY, OR TIRE DAMAGE CAUSED BY ROOFING MATERIALS INCLUDING NAILS. IF EXCESSIVE DAMAGE 1S CAUSED BY COMPANY, COMPANY WILL REPAIR OR REPLACE DAMAGED AREA ONLY AT COMPANY'S EXPENSE. THE MAXIMUM LIABILITY FOR THE COMPANY SHALL BE THE ORIGINAL COST OF LABOR AND MATERIALS FOR THE REPAIR WHICH CUSTOMER AGREES SHALL BE A LIQUIDATED SUM UNDER ANY EVENT OF DEFAULT OF COMPANY HEREIN. ANY REPRESENTATIONS, STATEMENTS OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE IMMATERIAL, AND NOT RELIED ON BY EITHER PARTY, AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCEABLE, THE VALIDITY AND ENFORCEABILITY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY. THE CUSTOMER REPRESENTS AND WARRANTS THAT HE OR SHE IS (OR THEY ARE) THE OWNERS OR HAVE LEGAL POWER OF ATTORNEY, ORARE LEGALLY AUTHORIZED TO APPROVE CONTRACTS FOR THE IMPROVEMENTS OR RESTORATIONS ON THE ADDRESS OF THE LAND AND PREMISES LOCATED ON THE FACE OF THIS AGREEMENT. FURTHERMORE, THAT HE, SHE OR THEY HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS CONTENT AND AGREE TO BE BOUND BY THE TERMS, CONDITIONS AND STIPULATIONS CONTAINED HEREIN. ehCITY OF JOB ADDRESS: PERMIT # /I — Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: BCSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE:PLACEMENT (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 kNO 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 OTURBINES TYP OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# 1 -/L- O METAL FL# 0MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** 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# CITY Of Building & Fire Prevention DivisionSkNFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES rIIIE OEMkTMENT 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 INA 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 RE LT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL ( ARCHITECT OR ENGINEER), CERTIFYING C CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR ( OR OWNER/BUILDER) SIGNA DATE: CITY OF SkNFORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT FIDE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: 3' Ma_l//ta— 6C_Cj-V-d 1. ,_) I L" I' (,Q A , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE 4: L C COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER 70WNER/BUKDER) THIS SIGNED AND NOTARIZED AFFII;WYfT MUST I#E PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGTTAL 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 NSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY O Sworn to and Subscribed before me this day of f 20 a by: Who is ersonally Known to me or has Produced (type of entifl on) as identification. na re of Notary Public o` d PG9, LORRAINE GAFTA i State of Florida "X_U)otary RubliC - State oI Flori a My Comm. Expires Jan 25, 2019 1. r S, Commission # FF 165086 i,n4MA Print/Type/Stamp Name of Notary Public