Loading...
HomeMy WebLinkAbout224 Friesian Way; 18-3588; RE-ROOFc4 P P0I2fj O • l•sr.aa" Documented Construction -I , 6/ OWN AUG 2° 2018 PERMIT APPLICATION A-, plication No: Type of Work: New Addition Alteration Repair Z Demo Description of Work: i'ly d b-1' 1' n/tOd Historic District: Yes No Residential Commercial Change of Use Move PC rvAt Plan Review Contact Person: ' Q Title: Vl (I VL(Ucr Phone:,+D f•_1_1`'-)• I Fax: Email: hGi-,n,,Q vy-) Property Owner Information o Name 1 Y 1. a V lIU- ZV"'t Phone: 40 U d-• Street: " I "I I VV Resident of property? City, State Zip: a rt IA`T t Contractor Information Name I Dy u k 4D4-) a8 Street: PD151 Cj n• u ran m ky t c City, State Zip: V L a nd 0) ' l2U0 p I Phone: . Fag: State License No.: C cc I ' I 1 S 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. Revised: June, 2018 Permit Application FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6` 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida St*Ce ; Florida -Notary putlilo Commission # GG 23892 My Commission Expires August 23, 2020 i of Contractor/Agent Date J Pt C A' a n Print Contractor/Agent's Name of Not State of Fl HYF . I" KRISTI,IE LANTduoPUe.'= StaW f Florida -Notary public Commission # GG 238929jOFF1.PO My Commission Expires August 23, 2020 Owner/Agent is Personally Known 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: 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 Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June, 2018 Permit Application IV THIS INST MINT p E 1IR D BY: Name: Y I N J Y I.1, 010 Address: 515 G._ Z Orlando FL -5 -&00i NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: f'>f 1 I t11 1 Iflti 111 I I11 flll GRANT NALOYP SENIHOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLEROK9180Ps407 (IP5s ) CLERK'S 4 2018085854 RECORDED 07/25/2018 08:11-'20 MI RECORDING FEES $10.C p RECORDED BY hdevore The undersigned hereby gives notice ithat 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. 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -roof of primary dwelling. 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address:Manuel Zayasl Mayra Z 224 Friesian Way Sanford FL 32773 Interest in property: Owner(s) Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: y) Z 0 WI Phone Number:407-773-1323 Address:51S. (YCQX f 4VC Orlando FL 32829 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: 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: Address: 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 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. way tI Uvam[.w0,-Uw"5; uwlje -_> Signature of Owner or Less or a,. or Lessee's (Print N me and PIrovide Signato 's Title/Office) Authorized Officer/ Director/Partner/Manager) State of, County of V 1 W v- R—) ( r n The foregoing instrument was acknowledged before me this _ 1 day of by1 Ma 1IAt ( I r)0AI 6l.SL 61 Name of person making statement who has produced identification type of identification produced: P' KRISTIgNT ul_ aoeo%S:Tate of Florida -Notary Public c Commission # GG 23892 kcF o My Commission Expires 4 ' " August23, 2020 a Who is personally known to me OR LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: j I hereby name and appoint: K'0- an agent of. D'-) 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): ion for work located at: Street Addre s Expiration Date for This Limited Power of Attorney: I O • I . 1 5. License Holder Name: A Q;U.mk AI U lJ 1 V p State License Number: Signature of License Holder: STATE OF FI COUNTY OF The foregoing i strument was acknowledged before me this day of , 2mo by o n amAm.w /----) who is vpersonally lown to me or who has produced identification and who did (did not) take an oath. 0 6a)A "t-t-7 Signature Notary Seal) Iry \ ) z L-a V1-L Print or type name KRISTINE LANTO/ Co , 1M/l_/ rStateofFlorida -Notary Public Notary Pu is - Stat of Commission # GG 23892 Commission No. My Commission Expires August 23, 2020 My Commission Expires: Rev. 08. 12) W Nationwide General Contracting dlbla Nationwide Roofing 5515 S Orange Avenue Orlando, FL 32809 Phone:407.773-1323 Fax:888.473-2030 Date: 4/23/2018 6:31:37 Nationwide Roofing Roofing Work Order Certified Roofing Contractor: CCC1331155 ROOFING MANUFACTURER CertainTeed PRODUCT LINE Landmark COLOR Resawn Shake 1. NR to tear off & dispose of all old shingles, felt, & accessories. 2. NR to inspect for and replace rotten plywood ($50 per sheet installed) to be billed separately to the property owner. 3. NR to install starter strip in order to maintain the high wind speed rating per manufacturer's specifications & replace drip edge around the perimeter if damaged. 4. Ice & water shield to be installed in valleys per code, accessories noted below for replacement are to be replaced & a ridge vent is to be installed & shingled over per manufacturer's specifications. 5. NR to sweep the perimeter of the home with a roofing magnet & will not be held liable for damage or injury due to any nails remaining after the sweep. Gutters Satellite Dish El N rIDetach & Reset l 7 Detach & Reset Remove & Replace Trash It J Trash It Flat Roof Architectural Designer D 09 0 Note: NR will not install your gutters- We will Note: NR will not reinstall the satellite. You will Pick one subcontract to a local gutter company. have to call your satellite company. Drip Edge Color: _ _ Accessory Color ._)6@ation(pick one White rown BBlackOff Ridgg Attic Fan Eggshell Tan Brown - %Ridge Vent a Roof Vent Types 2" a 4' 10" 3„ a ` Pipe Jack 4" 1 Off Ridge Hood Turtle Turbine Solar Electric Panel L Detach & Reset Remove & Replace Trash It Please note: NR will not install your solar panels. We will subcontract to a local solar company. Solar Water Panel Skylight Detach & Reset [ J Dome L] Flat Remove & Replace Quantity Trash It Size Please note. NR will not install your solar panels _ Please note. We do not warranty a detached & We will subcontract to a local solar company. reset skylight for leaks. Additional Details Homeowner taking esponSi I I y or. In error. Nationwide Roofing Retainage Policy: Customer agrees to pay in full at the time of completion of each contract. The maximum allowable retainage for any service needed will be 5% of original contract price. Any and all supplements from th sg caEcLer are due to Nationwide Roofing in accordance with the payment schedule set forth in the origitfar contract for work as i ned to Nationwide Roofing. E Initial Total sales price of jot 17482.84 De it: 9300.91 Balance: 8181.93 1)ue ai ,,rtnnlriion PROPERTY OWNER: PROPERTY AGENT: Printed Printed Signature Signature ADDRESS: 224 Friesian Way Sanford FL 32773 PHONE NUMBER: ( HM) 4077822767 (WK) TEAM MEMBER: Bryan Keys / V Printed Signature Nationwide General Contracting Certified Roofing Contractor: d/b/a Nationwide Roofing CCC1331155 5515 S Orange Avenue OW*4* 4 Orlando, FL 32809 Phone:407-773-1323 Fav 888473-2030 NRO Date: 4/23/2018 6:31:37 Nationwide Roofing Gutter, Soffit, & Fascia Work Order GUTTERS 1. NR will subcontract a local gutter company to install new gutters on the property. 2. NR is not to be held liable for rotten fascia or soffit that may be damaged in the process. These are home maintenance issues and should not be blamed on the installers. 3. Gutter runs will be created on the jobsite with a gutter machine. 4. Gutters will be installed using screws and a hidden hanger system as opposed to nailing through the gutter face. 5. NR to sweep the perimeter of the home with a roofing magnet & will not be held liable for damage or injury due to any nails remaining after the sweep. Gutter Type r 5" K-Style (R) 6" K-Style (R) Half Round (R) Copper (R) 7" Box (c) 7" K-Style (R&c) 9" Box (c) 0 I Gutter Guards Gutter Colors Initial your choice White I Eggshell Almond (, Gray [:. W] Black ],f Lea fS"jmart Bulldog L , J Brown Red [ Bronze © Green Soffit, Fascia, & Screens Soffit Fascia Door Screen Window Screen Patio Screen Pool Enclosure LF LF EA EA [:] SF SF Additional Details Nationwide Roofing Retainage Policy: Customer agrees to pay in full at the time of completion of each contract. The maximum allowable retainage for any service needed will be 5% of original contract price. Any and all supplements from the insurance carrier are due to Nationwide Roofing in accordance with the payment schedule set forth in the original contract for work assigned to Nationwide. Initial Total sales price of job: Deposit: Balance: Due .1 completion PROPERTY OWNER: Manuel Zayas Printed Signature PROPERTY AGENT: Printed Signature ADDRESS: 224 Friesian Way Sanford FL 32773 PHONE NUMBER: (HM)4077822767 (WK) TEAM MEMBER: Printed Signature Nationwide General Contracting d/b/a Nationwide Roofing 5515 S Orange Avenue Orlando, FL 32809 Phone:407-773-1323 Fax: 888-473-2030 m Date: 4/23/2018 6:31:37 Nationwide Roofng` Interior Work Order Certified Roofing Contractor: CCC1331155 INTERIOR 1. NR will subcontract a local interior rennovations company to repair the interior of your property. 2. Nationwide Roofing's scope of work will be determinded directly from insurance carrier on any and all restoration projects. 3. Holes in the walls and ceiling that are unrelated to the claimed damage will not be repaired during the course of rennovations. 4. If drywall is deemed reasonable to keep and not necessary to remove NR will stain block, prime, and paint the affected area. 5. Any damage to furniture during the 6. If texture is able to be reasonably matched then the worker doing the texture will match the affected area to the adjacent areas. Interior S ecifications Room: .. Room: Room: C) Replace Drywall (SF): .Replace Drywall (SF): Replace Drywall (SF): Drywall Thickness:fl'1/2" 05/8" Drywall Thickness: Q 1/2" -.O, 5/8" Drywall Thickness: 1/2" Q 5/8" Paint Walls (SF): . Paint Walls (SF);; Paint Walls (SF): Wall Paint Color: -.Q- Wall Paint Color.. C'_ Wall Paint Color: Paint Ceiling (SF): © Paint Ceiling (SF);.:: C ] Paint Ceiling (SF)i, I]' Ceiling Texture: Ceiling Texture: C7` Ceiling Texture: Additional Notes: Additional Notes:- Additional Notes: Room: _.... ., _ Room: Room: Q Replace Drywall (SF): =- i..Jr; Replace Drywall (SF): Replace Drywall (SF): - Drywall Thickness: , 1/2" 0, 5/8" Drywall Thickness: 0 1/2" Q, 5/8" Drywall Thickness: []",1/2,, 0 5/g b Paint Walls (SF): C_C, Paint Walls (SF): 0. Paint Walls (SF): CQ Wall Paint Color: 01 Wall Paint Color: C_] Wall Paint Color; C*] Paint Ceiling (SF): Paint Ceiling (SF):; C Paint Ceiling (SF):, C Ceiling Texture: b'Ceiling Texture: ( Ceiling Texture: Additional Notes: Additional Notes: Additional Notes:. Additional Details Nationwide Roofing Retainage Policy: Customer agrees to pay in full at the time of completion of each contract. The maximum allowable retainage for any service needed will be 5% of original contract price. Any and all supplements from the insurance carrier are due to Nationwide Roofing in accordance with the payment schedule set forth in the original contract for work assigned to Nationwide. . Initial Total sales price of job: Deposit: Balance: D- It -,,pled— PROPERTY OWNER: - Maoual-Zay-as Printed Signature PROPERTY AGENT: Printed Signature ADDRESS: 224 Friesian Way Sanford FL 32773 PHONE NUMBER: (HM) 4077822767 (WK) TEAM MEMBER: Printed Signature Nationwide General Contracting d/b/a Nationwide Roofing 5515 S Orange Avenue Orlando, FL 32809 Phone:407-773-1323 Fax:888-473-2030 Date:4/23/2018 6:31:37 PM Natigniwi fe Roofing C7 T Summary rage Certified Roofing Contractor: CCC1331155 Subcontracted Section Total Roofing 17482.84 Gutters 0 Soffits Fascia Fl Screens a: 0 Painting & Drywall Tertiary Trades Overhead & Profit FJ 17482.84 Total Property owner's maximum out of pocket expense to be deductible ($ 6000 ) plus any additional upgrade costs requested by property owner. Any and all supplements from the insurance carrier are due to Nationwide Roofing in accordance with the . payment schedule set forth in the original contract for work assigned to Nationwide. Initial Total price of job: 17482.84 Deposit: 9300.91 Balance: 8181.93 PROPERTY OWNER: Man-, LZay-as Printed Signature PROPERTY AGENT: Printed Signature ADDRESS: 224 Friesiay Sanfhrd-Fi 327J3 PHONE NUMBER: (HM)-4-07JM227 (WK) TEAM MEMBER: Printed Signature This contract and any agreement made pursuant hereto is between Nationwide General Contracting, LLC hereinafter referred to as "Co." or "Company," and the customer(s) named herein on the reverse side, will be subject to all appro- priate laws, regulations and ordinances of the applicable state of job performced ant to the following terms and condi- tions. 1. All contracts are subject to approval of our credit department and office, without exception. The person executing this contract must obtain approval of an office of the Co. for this contract of be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT, CHARGES SHALL BE ADDED FROM DATE THEREOF AT A RATE OF ONE AND ONE HALF (1-1/2%) PERCENT PER MONTH (18% PER ANNUM) WTIH A MINIMUM CHARGE OF $200 PER MONTH AND, IF PLACED IN THE HAND OF AN ATTORNEY FOR COLLECTIONS, ALL ATTORNEY'S FEES, AND LEGAL AND FILING FEES SHALL BE PAID BY THE CUSTOMER ACCEPTING SAID CONTRACT. 3. The Company shall have no responsibility for damages from rain, fire, windstorm, or other perils, as it is normally contemplated to be covered by homeowner's insurnace or business risk insurance, or unless a specified written agreement be made, therefore prior to commencement of the work. 4. The quotation on the face thereof does not include expenses or charges for bond or insurance premiums or costs beyond normal insurance coverage, and any such additional expenses, premiums or costs shall be added to the amount of the contract. 5. Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless otherwise STATED IN THIS CONTRACT, are NOT INCLUDED and will be charged as an extra on a time and material basis of $87.50 per hour plus materials. 6. The Company shall not be liable for failure of performance, i.e. delay to meet completion date, 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. 7. If roofing and sheet metal work is involved, it is understood and agreed that our standard roof guarantee, a copy of which is available in our office, shall be acceptable and that all terms and provisions therein shall prevail, unless otherwise specifically agreed to in writing prior the commencement of work. 8. The Company is not responsible for any damages on or below the roof due to leaks by excessive wind driven rain, ice, or hail, during the period of warranty. EXCESSIVE WIND IS 50 OR GREATER MPH. THE WARRANTY IS NON-TRANSFERRABLE. 9. If material has to be reordered or restocked because of cancellation by the customer, there will be a RESTOCKING FEE equal to fifteen percent (15%) of the contract price. 10. If the contract or warranty shall not be assigned except by or with written permission of the Company. 11. IF THIS CONTRACT IS CANCELLED BY THE CUSTOMER, customer shall pay to the Company $2,000 or fifteen percent 15%) of the contract price,whichever is less, as liquidated damages, not as a penalty, and the Company agrees to accept such as a reasonable and just compensation for said cancellation. 12. THIS CONTRACT CANNOT BE CANCELLED ONCE WORK IS COMMENCED EXCEPT BY MUTUAL WRITTEN AGREEMENT OF BOTH PARTIES. 13. PAYMENTS are to be made: 1 st draft & deductible upon insurance approval; and a balance upon completion of work. Other arrangements must be discussed with Credit Manager. 14. If any provision provison of this contract should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this contract shall not be affected thereby. 15. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, and not relied .on by either party, and do not survive the execution of this contract. 16. The maximum liability for the Co. 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 Co. herein. 17. During the duration of the work, the customers homeowner's insurance will be responsible for any interior damage as long as the Company has taken appropriate action to protect hte roof during the repair of the roof. 18. If there are any solar panels on the roof, the Co. will not be responsible for damage during repair, so homeowner agrees to have a solar panel company take the appropriate action to protect the roof during the repair of the roof. 19. The Co. is not responsible for construction problems of your home. If pointed out and notified to our Co., we will try to assist you on correcting them on a time and material basis. 20. If applicable, it is the customer's responsibility to inform the Company of any homeowner's association requirements imposed upon their property. 21. This contract is composed of this page and reverse side of this page and shall be considered the entire contract by the parties. 22. For all issues of warranties on product and/labor, contact Nationwide General Contracting, LLC at 5515 S Orange Avenue, Orlando FL 32809. CITY Of Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY &PROCEDURES fifth ARTM O' 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 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: / CITY OF PERMIT # ANFORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: "'T mill Q. )iA. STRUCTURE TYPE: QSINGLE 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 LDECKTYPE (PLEASE SPECIFY): 91 WA WO PLEASE NOTE: ONLY 100 SQUARE FEET OF THE E45TING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: D OFF -RIDGE RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES IO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _ MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 412 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCTAPPROVAL HINGLE y I )- I ed FL# I I' O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# OTILE FL# pD OTHER: n[,"Li II, Q 1 i (l lJ FL#1 b 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# 14 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 35 g( l ADDRESS:; e Ffel] an I I,V IU V 1 D 5Y v . AS AIN) GENERAL. BUILDING_ RRSmFNTrAr, 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 #:/ I I COMPANY / CONTRACTOR: Al.—- CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICEI OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: q I 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 day off_2e,Qtr )VU 20 by: bn l,: V l00 _DDf LIB Vv . Who is 144ersonally Known to me or has Produced (type of identification) Signature of Notary Public State of Florida r Ine. 1-. K --- Print/Type/ Stamp Name of Notary Public as identification. KP,IT. tltaE LANT Mate dill'6 6-Notary Public Commission # GG 23892 r P c` My Commission Expires FOFF J August23, 2020, xrsssrmFs