HomeMy WebLinkAbout104 Bent Oak Ct; 17-2868; RE-ROOFro
µSEP 27 20V
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ CIOTC
Job Address: 1 it H P A1 QQ C_0UJ):A' Historic District: Yes No
Parcel ID: 11 - Q 0 - 30- 0000 - 0,210 Residential E Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Pelson: Title: Phone:
Fax: Email: Property
Owner Information Name
0_n PA O LO Ca Phone: Street:
10LA T-)e n • - 00—,K C nu_,, ` Resident of property? : z City,
State Zip: ` . E- L 3 al In Contractor
Information Name
s C a _i 1 TC, n(a' z" f1 Phone: t-(( -7 - . .3 Street:
i 1) L- T)LQLqAA CtoFax: City, State
Zip: a z1 State License No.: i, G, (n l % Architect/Engineer
Information i Name:
I
Phone: Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
g puny: NIA 114 MortgageLender: Address: 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 mast he 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 foregoing info ti accurate and that all work will
be done in compliance wit all applicable laws regulating co on an zoning.
Signature of Owner/Agent Date signs of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Nahic
0r,
cure of Notary -State of Florida Date g -State of F(N WALK Date
r'aEl• "' ., W COMMISSION / fF 96M
tMrr is MYCOMMIS510NW FF9d 88 =% o DPIRES:Ap1N13.2r4
EXP RM Apf113, 202D •.' pti .• Btmded llru Nt>~vxy Publfe Undmrrlbera
Bondedllru n PAftUtide obm
rersonany own to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type 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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No . # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Homeowner:
Property Locate
City:
Email Address:
ROOF SPECIFICIATIONS: Brand:
s
Megram Construction
Sen1ing j*(orlrra since 1987
State• V L Zip: 2_`7 r3
Style: L.-I;.- J
Includes Complete Tear -Off Down to Decking. Tear -Off:
Ice & Water Sheild: LPer7C;' Stories: 03
All off -ridge vents / box vents / pipe boots to be replaced new.
Material drop instructions:
Date: 1 1 4-7
Day: [ )
Evening: ( )
Color:
01/ 2 Valley: Open / losed
Drip Edge: All Eaves & Rakes Color:
Color:
CONTRACT INCLUDES SCOPE OF WORK AS LISTED IN THE INSURANCE ESTIMATE, UNLESS OTHERWISE EXCLUDED ASFOLLOWS:
Special Instructions-
f '.
If decking is found to require replacement in order to provide a nail -able surface. Megram will replace it with like kind/quality currently on theroof. Megram will make every effort to supplement with the Insurance Company to cover the additional costs. However, it is not always covered in
some policies or by some carries. In the event it is not covered by the Insurance Company, Megram will cover up to two sheets of decking and theHomeownerwillberesponsibleforanyremainderatacostof: OSB: $30.00/sheet; Plywood: $45.00/sheet. Megram will provide photodocumentationofallsectionsrequiringreplacement.
TERMS:
1. Unless otherwise agreed in writing, your out-of-pocket
costs will be limited to your insurance deductible
amount. However, you must promptly pay Megram
Construction Company all amounts you receive from
your insurance company. If you desire material upgrades
or other work done on your property, you will incur
additional out-of-pocket expenses.
2. This Agreement is not valid or binding until it is signed
by both the Homeowner and Megram Construction
Company. Once signed by both parties, Megram
Construction Company will be awarded the work
outlined in this contract.
3. Your signature below provides your agreement to all
terms and conditions set forth in this agreement and the
General Terms and Conditions" page that follows.
Agreed Price: $ 9 00
Plus additional supplements & permit
fees paid by the Insurance company
ru Sch dul
ACV Check Amount: $
First Payment Check: $
Check #
Balance Due Prior to Work Beginning: $
Supplement Check: Pending Supplement"
Supplement checks are due when received by the homeowner from
the insurance company. Initial:
wigg -/-7-/7 Signatur
owner) Date Signatu
egram Representative) Dat 110
East Broadway Street • Suite B Room 104. Oviedo, FL • 3276S LIC #
CCCO26467 L1C #CBC0407S1
NTHISame:
INSTRUMENT PREPARED BY:
Name: 1_n.
Address: 114, . -'4' j
3;t')w
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
GRANT NALOYf SE11INOLE COUNTY
l::F' C1RCUIT COURT & COMPTROLLER
BK 8995 Fs 762 (1Fss)
CLERK'S r 2017096900
RECORDED 09/27/2017 01::a7:Cl.t P
Ra::001RDING FEES $10.00
RECORDED BY hdevore
Parcel ID Number: ( i - an - W - SO'S - 0000 -0111210 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. of
the DroDertv and GENERAL
DESCRIPTION OF IMPROVEMENT: ze -
1100'F OWNER
INFORMATION: Name:
Address: +
Fee
Simple Title Holder (if other than owner) Name: Address:
CONTRACT1nR-
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:
Address:
In
addition to himself, Owner Designates Section
713.13(1)(b), Florida Statutes. of
To
receive a copy of the Lienor's Notice as Provided in Expiration
Date of Notice of Commencement (The expiration date is 1 year from data 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
penalties of Iry, I dec that 1 have read the foregoing and that the facts stated in it are true of
my kn an ief. / ot
iq t A L.- Owner'
s Signature Owner's Printed Name 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.' State
of County of The
foregoing instru ent was acknowledged before me this 2 day of by !
1/ c l Pt htl C I U J Who is Dersonaliv known to me Name
of person malting statement OR
who has produced identification type of Identif Mr•
JUSTMIWALK W
COMMIINIM / FF 11112M EXPIRES:
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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 requiredtobesubmittedaspartofyourpermitapplication.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject.
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 SanfordHistoricPreservationBoard -
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection'is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 inst llation components, per FL Product Approval
o Digital photographs showi"requiing
Failure to follow these specific guidein an Professional (
architect or engineer), sedlie CONTRACTOR (
OR OWNER/BUILDER) SIGNATURE: per
FL Product Approval provided
by a Florida Design 6-
by personal inspection. DATE: -
G7
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: erREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF NSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /(L "p
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"*
ROOF VENTILATION: O rOIF
GE RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 412 OR GREATER
OTURBINES
TYPE O ROOF A UFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE lC l2 FL#'—
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#
0MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
City of SanfordmP
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: -) a ADDRESS: ! O LA
L
1 'a 0 '1_-)k I_ V :: 0 n n-1Cxy 1 , 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR DER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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,
UNDERLAYM ENT, 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
Sworn to and
e.
Subscribed before me this / day of (`-`—(, i'_,/ 20 17 by:
l -- c, ICJ '1 Who is Id Personally Known to me or has Produced (type ofC
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
IUSM WALK IWCOMMISSIONOFF96=5
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