HomeMy WebLinkAbout136 Academy Ave; 18-4088; RE-ROOFPERMIT APPLICATION
BUILDING DIVISION
Application No:
LIU
Documented Construction Value: $ 4 1
Job Address: (D hC CA &pnN PV2 . Uft d L tQ_11L Historic District: Yes No[]
Parcel ID: 0 i "1 n Residential 19 Commercial
Type of Work: New Addition
rrAtteration
Repair Demo Change of Use Move
WtDescriptionofWork: `P ei
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
pQ
Name DwyN " C i Phone: , (U' 5 -1
Street: V kg iQa(((1 MU 612 . Resident of property?
City, State Zip: SGMA.-(- Contractor
Information Name `(
I OCLOnlTLLC Phone: 4-01- LIOI' J Street:
s6Ne 2QQ Fax: _ 3eb _ eeup City,
State Zip: _6-fL-
b2 enp State License No.: (2CC- 1331 U9C_) 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: 61' Edition (2017) Florida Building Code
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 is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
I
Signature of Owner/Agent Date
Print Owner! nt's Name
t IT 1p 2
Signature ry-State of Florida Date
Owner/Agent is .I< Personally Known to Me or
Produced IDL4ne,pe of ID
quo NOTARY PUBLIC
c tS STATE OF FLORIDA
A
Signature of Co tractor/
AgennttJ
N.
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a/tte^
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Print Contractor! nt's Name Limey Sievert
NOTARY PUBLIC
STATE OF FLORIDA
Signature o 11 of State of Florida COt7Vtlli GG215958
Arn 1e'% Expires 5/9/2022
Contractor/Agent is _ Personally Known to Me or
Produced ID Type of ID
Cmvn#GG215956 BELOW IS FOR OFFICE USE ONLYrCE15 Expires 5/9/2022
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
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:
r.
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
includin decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles tnoriL th4cckjr1fli
Underla ments k b LV) , m n{- A&TH
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
S. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
June 2014
ROOFING &
CONSTRUCTION
1275 Bennett Dr., Suite 200
Longwood, FL 32750
Office: 407.401.5173 Billing Dept: 321.422.0477
Email: Billing@hdroofers.com
DATE- 09/26/2018 INVOICE RD-2054
JOB NAME: # OF SQUARES: TOTAL AMOUNT OF JOB:
Quan Tran 52.33 (0567.72/sq) $30,916.28
2371 Hinsdale Drive
Kissimmee, FL 34741
DESCRIPTfON QUANTITY TOTAL
Re -roof (50% of total due in advance) 52.33 sq. $15,458.14
Premium Eagleview/ Skymeasure 1 $40.00
Discount for fast pay (30%) ($4,637.44)
BALANCE DUE: $10,860.70
Please make all checks payable to: HD Roofing & Construction, LLC
Thank you for your business!
License #: CCC1331690
www.hdroofers.com
2
Name / Address
HD ROOFING — LANGSTON
119 VARSITY CIRCLE
ALTAMONTE SPRINGS, FL 32714
Estimate
Date Estimate #
9/27/2018 2213
Wayfare Energy LLC
Altamonte Springs, FL 32714
Corporate Address:
Project I
Qty Description Rate Total
REINSTALL (8) EXISTING 15 YEAR OLD PANELS 480.00 480.00
100' OF PLUMBING _ 625.00
LL
625.00
160' OF STRAP & HARDWARE 700.00 700.00,
1) NEW ACTUATOR s 235.00 235.00
1) NEW ROOF SENSOR — ...... . _._ _ ..- 35.00 _...... .. 35.00
EXISTING SYSTEM HAS (8) 15 YEAR OLD PANELS — IT IS
NOT RECOMMENDED TO REINSTALL THE OLD SYSTEM
ON A BRAND NEW ROOF — IF HOMEOWNER ELECTS TO
HAVE OLD SYSTEM REINSTALLED SHE WOULD NEED TO
SIGN OFF ON A RELEASE OF LIABILITY
Total $2,075.00
Phone # E-mail
407-767-6527 michele.frazier@wayfareenergy.com
Work Authorization Form
1 >anGa hereby hire and au horize H
repairs on my property located at, 3 %i C )
City Ibn of State
Roofing & Construction to perform
Zip 32 71 i
Per the scope of repairs provided to my insurance company:
for Policy MLL061017 Date of Loss 3 Z l b and Claim
or
I further authorize my insurance company to release payment to HD Roofing & Construction for the,
services that are performed in conjunction with the above insurance claim. Should the insurance
company require direct payment to me, I hereby request that the name, HD Roofing & Construction
be added to the draft that will be sent to me in payment of said claim.
I Owner/Mortgagor, grant authorization for A55dCca (a%(wice to speak with HD Roofing &
Construction on matters including, but not limited to, the claim & draw status.
Assignment of Benefit Form
I hereby assign any and all insurance rights, benefits, and proceeds under the above referenced
claim to my repair facility HD Roofing & Construction. I hereby authorize direct payment of any
benefits or proceeds to my repair facility, HD Roofing & Construction and I as consideration for any
repairs mad by HD Roofing & Construction. I hereby direct my insurance carrier:
A,-, I n5)re)4 (6
to release any and all information requested by my repair facility, HD Roofing & Construction, its
representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my
insurance carrier to my repair facility for services rendered or to be rendered for my appropriate
property damage.
Date this Day of f u , 20If-), in City Jan IQrO , State_E- In
signing this documents I acknowledge that the scope of work to be performed and all contracts signed
have been explained to me and I am in agreement with. Print:
i ^ Sign: 1 / ``, (- Date: ZSJ y J
Print:
Sign: Date: 1275
bennett Dr longwood FI 32750 Unit 101 hdroofers.com Office 407.401.5173
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #20181Y10343 Book:9218 Page:1919; (1 PAGES) RCD: 9/26/2018 12:39:59 PM
REC FEE $10.00
CERTlF?F.0 t:. 1CP y t, G,3ANT MALOY
AND -CQURT
C U VTY, FLORIDA j`4rTHISINSTRUMENTPREPAREDBY:
Name: Lizney Sievert
Address: 1275 Bennett Dr. Suite 200 BY -----
n
Longwood, FL 32750 Gate_ °IUTY CLERK
NOTICE OF COMMENCEMENT
Permit Number
Parcel ID Number: 35-19-30-515-0000-0190
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 19 & S 1/2 OF VACD ST ADJ ON N ACADEMY MANOR UNIT 1 PB 13 PG 93
2. GENERAL DESCRIPTION OF IMPROVEMENT.
RESIDENTIAL RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: BLANCA RONDON 136 ACADEMY AVE. SANFORD FL 32771
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR: Name: HD Roofing & Construction, LLC Phone Number. 407-401-5173
Address: 1275 Bennett Dr. Suite 200 Longwood, FL 32750
5. SURETY (If applicable, a copy of the payment bond Is attached):
Address: Amount of Bond:
6. LENDER: Name:
Address:
Phone Number.,
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: 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 1, 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.
4y, ckla. --k 46AC-,=4
t-"
Signature of Owner or Lessee, or Owners or Lessee's (Print Nana and Provide Signatory's Tide/Oltce)
AuUmdzed Orticer/Dirador/Partner/Manager)
State of %—%QY %C9LA County of U `r d v1 t :t,P
The foregoing instrument was acknowledged before me this a W day of fir Q (D .20 136
by Who Is personalty known to me OR
person making statement
who has produced Identification type of Identification produced:
0193,,
14Limey Sievert
NOTARYPUBLIC
STATE OF FLORIDA
Comttlr GG215956
Expires 5/9/2022
CITY OF
x Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY & PROCEDURES
FIRE DEPARTMENT"
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 FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
n
CONTRACTOR OR OWNER/BUILDER SIGNATURE. I v DATE: `/
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB ADDRESS: \'
STRUCTURE TYPE: O/INGLE 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:
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTINGDECKIS PERMITTED TO BE REPLACED **
ROOF VENTILATION: (VFF-RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES (]90 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 W• 12 - 4:12 O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
HINGLE J a FL# y f O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# OINSULATED
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# OINSULATED
FL# O
TILE FL# 0
OTHER: FL#
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE-R0OFAFFIDAVIT
OTT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: !b ADDRESS: C
I (itJ j az- 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, NGINE , 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 #: l...L.-C 133 I L19 V
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE HOLDERILI V169,1IMAO DATE: oloalX11
nwt] R
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
Sworn to and Subscribed before me this 9-rA day of 0o 20 by:
identific i )
SignaAfiloridafNotary Public
State
Print/Type/Stamp Name
of Notary Public
i1Personally Known to me or has Produced (type of
as identification.
Lizney Sievert
NOTARY PUBLIC
STATE OF FLORIDA
C01WW GG215956
ywe Expires 5/9/2022