HomeMy WebLinkAbout283 Clydesdale Cir - BR18-002780 - REROOFD SXi
OF'
FORD
FIRE DEPARTMENT
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I
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Building & FirelPrevention Division
PERMIT APPLICATION
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Application No: i I
Documented Construction Value: S ill
Job Address: 'NCIdOrr ahO_ CAA- Historic
Parcel 1D: _ P'a 1—n Q -QOU() - U LAOC) Resident
Type of Work: Nevi[] Addition[] Alteration[] Repair Demo[] Chan
Description of Work: REMOVE EXISTING ROOF DOWN TO DECK. INSTALL
UNDERLAYMENT AND SHINGLES TO LOCAL CODE.
Plan Review Contact Person:
Phone: Fax: Email:
7 Lo.%0-vt
Property Owner Information
Name ` aK t= vI Phone: L
Street: a `a C (L/ JQ$ 1e C%,,, Resident of
City, State Zip: SANFORD, FL 32771
Contractor Information
Name OAK CREST CONTRACTING
Street: 115 TIMBERLACHEN CIR, STE 1013
City, State Zip: LAKE MARY, FL 32746
Title:
strict: Yes[]No[]
DCommercials
of USC[] Move:
a& 7 - 0,R 3 t
ert 1. c
Phone: 407-284-1
Fax:
State License No.: CCC1330407
Architect/Engineer Information
Name: Phone: I
Street: Fax:
City, St, Zip: E-mail: i
1
Bonding Company: Mortgage Lender: {
IAddress: Address:
I
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS 1'0 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOIJ INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. I
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that to work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all law1 s regulating constructioninthisjurisdiction. 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: 6"J: union (201 /) Florida Building Code
Revised: January 1.2018 Permit Application
I
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance ofpermit is verification that 1 will notify the owner of the property ofthe requirements ofFlorida 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current WC Valuation Table in effect at thellime the permit is issued, inaccordancewithlocalordinance. 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. ,
iOWNER'S AFFIDAVIT: i certify that all of the foregoing information is accurate and that all work will
be done in co ce w'th all applicable laws regulating construction and zoning. i
7
SipatOre of mer/Agent Datc SkbvukofContrac o /A c .1
ule'rol8
KYLEN= i3R XIBt._ r• Notary Pudic - State of Florida4MCommission;GG 166877
My Coma. Expires Dec 10, 2021
Owner/Agent is er ona:
Produced ID --X Type of
Date
ltN U LI. aan naq,
PnrtContractor/Agent's N e MCE(Ig0 ,,,
pp `•``
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01... D IS 0 00
Si f 10 •-Sta of Flor111C E rA GG118571
o . . • . go,1%1%NI/c;,'SA*a,
Contractor/Agent is J(— Personally Known to Me or
Produced ID Type of I;D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Ga Roof
Construction Type: Occupancy Use: iFlood Zone:
f
Total Sq Ft of Bldg: Min. Occupancy Load: # ofiStories:
i
New Construction: Electric - # of Amps Plumbing - # of Fixtures l
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Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
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APPROVALS: ZONING: MILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDNG:
COMMENTS:
Revised January 1, 2018 Pcrmit Application
I
s- -
AGREEMENT
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OWNER
OAK CREST CONTRACTING, INC.
115 Timberlochen Cir #1013
Lake Mary, FL 32746 oakcrest.corn
Contractor Registration: CCC1330407
PHONE: 407-284.1738 FAX:866.648-8193
No Risk' Guarantee!
REP' -- - _A--3L(lI G1Y S
ii------------------ -- SOLICITOR'S LIC: --
GG----
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Jy
DATE I EMAIL
STREET LL PHONE WORK PHONE
r I2 'l ) / ,7 F h L \1 LF f 0 %) L L
CITY
I STATE
We hereby submit scope of work for:
0 Tear off Asi' u„y_Y
171 # of squares offZ _- O s 11
Recover roof with L #
of squares on O P
Shingle/color n c O siolr.o_j_ P
Protect property as needed daily Rt
Decking Pl• OSB O CDX O other O
Underlayment 15lb. O 30lb. r Other I Ei1L 0
Metal edge color } w Q
Valley Ji cl open Q
Hip and Ridge nhaT Lr 'V standard 0 enhanced Nails
I u" f,Oht G open eaves Pipe
flashing 6 3/1 lead Qsi
Ventilation p box 5 ridge O other M
Seal around all vents, pipes and flashings IM
Ice and water shield to local code 1
Furnish all materials, labor and necessary permits 11
Delivery instructions O left Ci right Q other tooF CI,
Haul off construction debris 0
2 year limited warranty b-
Roll magnet through yard iP
Lien waivers provide upon final payment ZIP
I HOME PHONE 3Z' )?
S 1 I FLORIDA
CONSTRUCTION' LIC•N. A(X'.ORI)1:`G TO FLORLUXS CONSTRU("nON Ur;
N LAW (SE(-.rIONS 713.Wt-713-17, FLOR16A STATUTE-,). THOSE, \V110 WORK ON
YOUR PROPERTY OR PROVIDE MNIT:RIALS AND ARE NO`r PAID-IN-FULI. HAVE
A RIGI-IT TO ENFORCE THEIR CLAIM FOR PA)',\MEi\r ACAINS-1' YOUR PROPERTY.
THIS CLAItNI IS KNOWN AS A CO\STRU('nON LIF,m\. IF YOUR CO.
1'URON A SUBCU\"TlL\(,TON I AI1L$'rU PAY SUItCO\"I RA('rORS, SUR- S ,
RACI'ORS Olt MATCRIAI. $UPPLfE(!(S pli NE(;Lf.(TS'1'O h\1AKTi OTHrR Y
KF.QUIREDPAYMri\rIS,'1'lIE YFUPLE WItO ARE: o\yED THE. MONEY h
LOOK TO YOUR PROPERTY IOR PAYMEYr, EVE%' 1F YOU HAVE PAID YOUR
COS"l'RACTOK 1 FULI_ iF YOU FA1L TO 1'AY YOUR C:ON"l'ItACPUIt YOUR CON'
1'W\CTOK AMAY ALSU 1IAVI: A LIE\' 0N 1'OUR YROPEIYI')'. THIS biF.A.NSIF A 1.
11:N IS FILED. YUUR YROPER'l')' COULD BE LD AGAI\S I' YUUR WILL TO PAY FOR
LAH)R,\L\'IT••RIALSOR O'1'I•IF.RSE•RVICFTIIAT YOUR CON_rRA(7TOR OR A SUBCONTRACTORMAY
HAVE FAILEDTO SAY. ;TO PROTECT YOURSELF. YOU SHOULD SITPULA'
rr•. IN 'fins C0 \,,M\(T THAT BEFORE ANY PAYME\"1' tS MADE. YOUR
CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A \\rRrITIR RFLEASE OF
LIENFROMANY PFRSON OR CQMPANY THAT HAS PROVIDED TO YOU A ",
NOTICE TO OWNER" FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX. AND
IT IS RECOMMENDED TIMA7iYOq CONSULT AN Kri-UR\'Y. FLORIDA HOMEOWNERS'
CONSTRUCTION RECOVERY FUND. PAYMENT' MAY BE AVAILABLE
FROM THE FLORIDA IHU`IEOWNFERS' CONSTRUCTION RF:(MVERYFUNDIFYOULOSEMONL'Y ON A RowT I,ERFOR.1,IED u.mma CONTRACT% WHERE
THE LOSS RNSUIX, F'RONI SPECIFIEDVIOLATIONS 01: FLORIDA TAW
BY A LICENSED CO:\"TRACTOR. FOR INFOR IMATION ABOUT THE RECOVERY FUND
AND FILING A Cdu.\41 CO\TACT' THE FLORIDA COVMu(:'IO\ INDUSTRY LI(T:NSIX(iBOARD AT 'rw FOLLOWING TCLFYHONE NUMBER
AN'T) ADORLSS: CIUI, I(MNorth h\Monnx: SL. r42.'ralbhassee, 1-1.
32399. ANT (:IAIMS
RA CONSTRUCTION DEFECTS AKESUBIE('f TOTHF. \O'1'ICE AND s vtsc
rnvs• WIth.J Vl• l,I tAr I I:K 778, 1'I.UKIUA STATUTES. BUYER ;S
RIGHT TO CANCEL This is a home solicitation At. and if you do not ,.ant the goods or serviax you may pnccM this ,\gnrment by prl siding writtennotice to the seller in person, bytelegram, or by mail. This notice must indicate that you do not want the gorxls or sm•ices and must be ddi,•crtd or Iwstmarkml before midnight on the third husi day after you sign
this Agrccment. If you caned this Agreement, the seller may not keep all or Pan of any cash do,.n payment. By signing this Agrmlmcnj you fee that you so hu.•n prosided notice
of this rightto cancel orally in addition to the writing contained herein. Customers signature
below signifies acceptance of ati ternsand conditionsof dhk Agreement. including all termson the mn-urse sidehereof. U C4 f Q 1 I\ I /
V Terms: This
Agreement is contingent upon Insurance company price and approval. This Agreement does not obligate the Customer or Company in any unless It is approved byCustomer's insurance company and accepted by Company. Company proposes to furnish all permits, labor and materials to complete the above replacement or
repair for the estimated sum of total cost below or the price otherwise agreed upon with Customer's insurance company (the "Agreed Price'). Customer authorizes CompanytoobtainlaborandmaterialsinaccordancewiththeAgreedPriceandthespecificationssetforthhereintoaccomplishtheabovereplacementorrepair. CustomerunderstandsthatCompanydoesnotworkforCustomer's insurance company and/or the Insurer for the property, and that Customer alone has the authority to
authorize Company to perform the above replacement or repair. Customer's signature on this Agreement also sgnifies acceptance of all terms and conditions ofthisAgreement, including all terns on the reverse side hereol. In situations where supplements for additional work are necessary outside of the original scope ofwork (ex. additional layers or measurements), Company will seek approval from insurance company. Customer's oit of pocket expense not to exceed deductible plusupgradesfornon -insurance related claim items. 1 Payment Method:
Payment Upon Completion of Each Trade Check or money order made movable to Oak Crest. Cash will not tie a acceptable form of payment. Emergency Tarps $
Insurance Proceeds $
11, Cy ' .L t S '/d ted Project Start Date: 1 Cash/ Financing $
i !' Total cost (
tax included) S 1 Estimated Date of Completion: l I Acceptance
by
Owner of property By: Date: 1 I
Representative SignatureBy: Date: ' L" % 4 / / $ FL
THIS I UMENT PREPARED UY- Name:
Address:
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number. Z D _ ' 1 — 50
The undersigned O
following innformatioon 9 now movement vial be made to certain real property. and In scwmft withProvidedInthisNoticeofCommendemem-
1.
description of the properly ertd street
713, Florida SWutes, the
c-77-
2. GENERAL DESCRIPTION OF IMPROVEMENT;
REMOVE EXISTING ROOF TO DECK INSTALL NEW UNDERLAYMENT AND ROOF TO C3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT; Name and address q,Jti i ( Fl UMANfJ
Interest in property: ) 41C ! CAI u ' r y Qg{.
Fee Simple Title Holder (If 01111Ix than owner lis
Address: led above) Name:
4. CONTRACTOR: Name. OAK CREST CONTRACTING
Address: i 15 TIMBERLACHt=ht c IQ err 4 ^4 ft - • - -- - -- Phone Ntanber 407-284-1
S. M eppiicaUle, a copy ofthe payment bona is attached} Name:IAddress: '
S. LENDER Name: Amount of Bond:
Address: Phone Number. `
7. Persons within the State of Florida De I
713.13(1)(8)7., Florida Statutes hated by Owner uponwhom mWco or other documents may be sowed as provjdadf by SectionName: IAddress: Phone Number.
8. In addition. Owner d"nates
ttoreceiveacopyofthe01Lier7wsNoticeasProvidedinSection713f13( xb). Florida Statutes. Phone number. I
9. Expiration Date of Notice of ContmertCerrrent (The e7 uation is 1 year from daW elrecording urdem a differerd dete is sped I '
tNARNlNG TO OWNER ANY PAYMENTG MADE BYCONSIDEREDIMPROPERPAYMENTSUNDERCHATHE OWNER AFTER THE EXPIRATION OF THE NOTICE OF I THE713.
PART 1. SECTION 713.13. FLORIDA STATUTES, AND, PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COINMENCENIENT MUST BE RECORDED JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTF_NQTO 013TAIN FINANCING, CONSULT WITH YOUR LEND BEFORECOMmENCORRCORDINGYOURNOTICEOFCOMMENCEMENT. WLNL;
LMENT ARE I
RESULT IN YOUR D
POSTED ON THE OR
AN ATTORNEY 3Z7?
I cs+,
at uwora*rrW,Wtc w., _i ne$ramb}e --Bunkei,c 4- Fa,r+.i s C,'c lr- 1almwlnramFr"iar ay+atoryyr f.00) ! i4rlIon
State
of 1 (O/rCi G County of The
foregoing instrument was ecknowied giedbefore by
a e ) Sch u me rj n m"
th day of n e Mm
Id gym„ myrnp ,a,c _._. Who Is Personally known to mo rl OR whohasproducedfdontificaUontypoofIdentificationproduced• {Or r do —h'I VPiS i i %Qr sQ ' I I.
aa rv"•• ' Jp. a '•. I 4 : KvI.tNc BHN.iBIE llutary
PUNic -State of Fbrka _ Noun tAynmue I i CWWASSiOn0GG166E77s .-a r ...•' MY COMr•. E7#0 Dec io. 2ez i GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2018066187 BK 9150 Pg 0276; (1pg) E-RECORDED 06/11/2018 03:14:11 PM 10.00
CITY OF
SkNFORD
BUILDING DIVISION Building &Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 19 4W ol 07ir 0 ISSUE DATE: CONTRACTOR:
Oak lj s JOB
ADDRESS: c9 8 3 C Iq dez cC.&A. TYPE
OF WORK: P C PROTECT
FROM WEATHER 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
exaires six (6) months from date of issue ROOF
INSPECTION
TYPE APPROVED REJECTED INSPECTOR FINAL
ROOF 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 ADDITIONTO THEREQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THISPROPERTY 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 REVISED:
4-17 Inspection Line 407.792.6069 or 855.541.2122
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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 personalbinspection
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
IY
OF
S.XNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
PERMITTING REQUIREMENTS - NO PLAN REVIEW REQUIRED I
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF (SCOPE OF WORK AREREQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION. l
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE- FLORIDA PRODUCT APPROVAL NUMBERS
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEWSANFORDHISTORICPRESERVATIONBOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDFNTIAL (SINGLE F.
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
TuE 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 LNTSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
ALL ROOF
JOB SITE.
APPROVAL BY THE
TOWNHOUSE,
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 FAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
O UNDERLAYME•NT 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 1
SKYLIGHTS (IF APPLICABLE)
O DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
O DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPIROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT LEI AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGNPROFESSIONAL (ARCHITECI' OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
i
I
I DATEA ( 0 -
1
CONTRACTOR (OR OL'R/BUll DF.R) SIGNATURE: Tt
i
CITY OF
S,kNFORD
FIRE DEWMTMENT
JOB ADDRESS:
PERMIT
Building & Fire Prevention Division
RESIDENTIAL RE --ROOF SCOPE OF WORK
o G1 r cG N
STRUCTURE TYPE: ® SINGLE FAMILY RESiDFNCEl1'OWNHOUSF. O MOBILE HOME O AI
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF FXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLFD OVER EXISTING ROOF)
DECK TYPE (PLEASE SPF.CWY):
PLEASE NOTE: OAZY 100 SQUARE FEET OF TILE• EXISTIvGDECK IS PERMITTL'D TO BE REPLACED
ROOF VENTILATION: OOFF-RIDGE ®RIDGE OSOFFIT OPOWERED VENT O
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2: l 2 - 4:12 4:12 OR GREATER
m
TMENT/CONDOMINIUM
TYPE OF ROOF MANUFACTURER
I
FLORIDA PR'.O APPROVAL
SHINGLE 0 r, Pov' i'1 Vw DUCTFL# 10 (P7 Y I
OMETAL FL# I
OMODIPIEDBrruMEN FL# I
OTORCII DO%vN FL# I
OINSULATED FL# I
O THE FL# I
OTIIFR: (J4Av /a1A—t' I140 p FL# z, I
ROOF EXTENSIONS (PORCHES, PATIOS ETC) **IF APPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4: l2 OR GREATER
TYPF. OF ROOF Nl vNUFACTURER FLORIDA PRODUO APPROVAL
SHINGLE IFL#
O METAL FL#
0MODIFIED BrrUMEN II FL# O
TORCH DOWN FL# 0INSULATED
FL# O
TILE I FL# OOTIIr:
R: I FL#
CITY OF
S,kNFORD
FIRE DEPARTMENT
PERMIT #:
I
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA P7T
I
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -INS FLASHING, AND ALL FINAL ROOF
ADDRESS: 2-6 5 u
S
t- C-r
n-I -)2-7-7f
I Dustin Doll ,
AS A(N) GF,NERAL, BUILROOFINGCONTRACTOR, ENGINEER, ARCI IITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR,1 UEREBY AFFFOREGOINGINFORMATIONISTRUEANDACCURATEANDTHATALLROOFINGCOMPONENTSLISTEDONTHESABOVEREFERENCEDADDRESSHAVEBEENINSTALLEDINACCORDANCEWITHTHEIRPRODUCTAPPROVALSiREQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY TIREQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOFTHEROOFDECK, IN ACCOR DA,NCL WIT, IMANUALREQUIREMENTS (BASED ON F.S. CIIAPTF.R 553.844).
LICENSE#: CCC1330407
COMPANY / CONTRACTOR: __Qak reSt Dustin Doll
CONTRACTOR SIGNATURE:
MUST BE SIGNF,D BY LICENSE H R OR O UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
40, RESIDENTIAL, OR
N, THAT ALL OF THE
PE OF WORK AT TI IE-
ALL APPLICABLE CODE
WSTALLATIO.1 MEETS ALL
E HURRICANE RETROFIT
TE: (9. 19- 17
THIS SIGNED AND NOTAR17ED AFFIDAVIT MUST BE PROVIDED AT THE. JOB SITE AT THE TIME. OF THE FLNAI ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL, CO iPONE116 (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) N7TH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECKFOREACHI,NSPF.CTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE. TO CONFIRM ALI,,NAIL SPACWG ANDOVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY ANDiINSPECTION PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS. I
FAILURE TO FOLLOW ALI, REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE ASWELLASREQUIRINGADESIGNPROFESSIONAL (ARCFUTECT OR ENGINEER) TO CERTIFY, BIASED ON PERSONALINSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. i
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this _day of 20 % by:
Who is Personally Known to me or has n Produced
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 18-00002780 Date 6/20/18
Property Address . . . . . . 283 CLYDESDALE CIR
Parcel Number . . 18.20.31.506-0000-0400
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1059104
Permit pin number 1059104
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
CITY OFFS,kNFORD Bung &Fire Prevention Division
RESIDENTIAL RE --ROOF AFFIDAVITFIREDEPARTMENT ;
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT i
NAILING, SHEATHING, DRY -Ili', FLASHING, AND ALL FINAL ROOF COVERINGS
PER MIT #: I 1O Z 1 b ADDRESS: _ 2'7
sc, ram- 2-7.71
i
I Dl1Si1T1 DOII ,
AS A(N) GENERAL, BUILDING, RESIDENTIAL, ORROOFINGCONTRACTOR, ENGINL•ER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THEFOREGOINGINFORMATIONISTRUEANDACCURATE• AND THAT ALL ROWING COMPONENTS LISTED ON THE SCOPE OF WORK AT THEABOVEREFERENCEDADDRESSHAVEBEENINSTILLEDINACCORDANCEWITHTHEIRpRODUCTAPPROVALSANDALLAPPLICABLECODEREQUIREMENTS — SPECIFICALLY FLOR DA BUILDING CODE, EXISTING BUILDING. IN ADDITION ICERTIFY THE INSTALLATIONMEETS ALLREQUIREMENTSFORSECO 1DARY WATER BARREL• R AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITIt THE HURRICANE RETROITIMANUALREQUIREMENTS (BASED ON F.S. CHAPTER 553.8"). 1
LICENSE#: CCC1330407
COMPANY/CONTRACTOR:
r
CONTRACTOR SIGNATURE.:
DATE: lY ,^ 1 9' I (MUST BE SIGNED BY LICENSE H R M0U')=lLWDER) I
A FINAL ROOF INSPECTION IS REQUIRED:
THis SIGNED AND NOTAR17.ED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT TAF. TIMF. OF TBE F1VAI ROOF INSPEC7TON, ALONG WITH DIGITAL PHOTOGRAPHS
D RAptIS OF EACH PLANE, OF THE ROOF SHOWING IN DETAIL ALL COMPONF,NTS (DECKING, UNDERLAYMiENT, FLASHING, DRIP EDGE
PLANE
WITH THE PERMIT NUMBEROR ADDRESS CLEARLY MARKED ON THE DECKFOREACHINSPECTION. THE. PHOTOGRAPHS MUST INCLUDE A RULER ORJIEASURtNG DEVICE. TO CONFIRMALL NAIL SPACING ANDOVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TOTHE RF.-ROOF POLICY AND INSPECTIONPROCEDURE PAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS, i
FAILURE
TO FOLLOW ALI, REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELLASREQUIRINGADESIGNPROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, TAE INSTALLATION OF ALL ROOFING COMPONENTS. 1
STATE
OF FLORIDA COUNTY OF X1/ lAb L 4 Sworn
to and Subscribed before me this day of J 20 / . y' bd..
L_. Who is KPersonallv Known to me or ha r p srroduced (type of