HomeMy WebLinkAbout1015 S Magnolia Ave - BR18-004756 - REROOFn CITY OF SANFORD
E PREVENTIONBUILDING & FIR
PERMIT APPLICATION
DEC 14 2018
ppo: AlicationNiDocumented
Construction Value: S N
Historic District: Yes El No El Job
Address: Residential Commercial E, ParcelID: D
Addition :11 Alteration Revair fFDemo Change of Use Move Ty
j - peofWork: New A Description
of Work: Plan
Review Contact Person: Title: Phone;
Fax: Emaii-au Property
Owner Information Name
b) CAA Phone.
Street:
Resident
i of
property?
City, State
Zip: Contractor Information
Narne—+ )o
J'-416'lPhone: 1-40 --Y4 7- City, State
Zip: kZIT Name: Street:
City,
St,
Zip: Bonding Company:
Address: - Fax:
M11
State
LicenseNo.: Architect/Engineer
Information Phone: Fay:
E-
mail:
Mortgage Lender:
Address: — WARNING
TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONINIENCE)4ENT MAY RESULT IN YOUR PAYLNG TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONLMENCE-MEN-T NIUST BE P-ECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT A IN AIN FINAINCLNG, CONSULT
NVITH YOUR LENDER OR AIN ATTORNEY BEFOREco L-R TIC0 NO EFRERDI_NG YO C 0 -
MM EN C E _N11 E _.N1 1. Application's
hereby made to obtain a pe--,-LLt:o Co the work and installations as indicated, i certify no work or installation al! aWS
regulating consc-F trution commencedpriortotheissuanceofapermitand :hat all work will be performed ed to meet standardso 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. Sth Edition (2014) Florida Building Code Rc,tSzd: Jlane 3C.
2015 permi. Applicv C--
I I Ii
4
n licable to - y tNOTIQE: in addition to the requirements of this ve—.-dt, there may be additional -estnctioi s app.l. tin s property' tat may be
f)"n(i in 1->1p ni"ni;c, ri-rnrriq of tbiq cc)iir.rv- and there may be additional oermits required from ozh.,-r govern m-ental entities such as water
Management districts, state agencies, or federal: agencies.
t 7 W-'Il V otil^y :Lne own --emenis of F-Iorida I Jer Law, FS 7, 3. owner ofthe prope- Acceptance of permit is ve,'fication hat -y of the requi
The City ofSanfordrequires 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 Dian review charge and will be considered the estimated construction value of the job at the time of submittal. f
TheactualconstructionvaluewillbefiguredbasedonthecurrentICCValuationTableine.-^ec: a, the time the permit is issued,in accordance
with local ordira-Tice. Should calculated charges figured off the executed contract exceed the actual construction value, credit
will be applied to your per 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. WAY
12,/ (Wt. k Signar,
re of Ownc-.;Apna 7i-,,
T 0V,-ie7iA&en-.'S 'Narms Sipamre
of Notary -State of Florida Date Owner/
Agent is Personally Known to Me or Produced
ID Type of ID, PTin-.
Con en Sipa
eofN teo'710-ida Dale 6,
2021 Contract
41MIgNp. Produced
ID — Type of 1D 7=
Permits
Required: Building 7i Electrical " Mechanical 7 Plurnbing,7 Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: to .
e or Gas =
Roof Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes N-- o 1 '1 = ci--FHeads Fire Alarm Permit: Yes 7 No 71 APPROVA-
LS: ZON-I-NG: T - ' - ILITTFS: WASTE WATER: C
OMWMEN T S: R.
CV;Sed:'- I . 30, 2 0' 5 H
NN G I -NEF- RIT N-- G: FIRE: BUILDE,G: Per--:-'
A'PpI;CaZio:"
12/12/2015 SCPA Parcel View: 25-19-30-5AG-1202-0080
pigp y,.ord Cara
Parcel: 25-`9-3i A(3-12024;080
Property Address: 10 1 5 MAGINOIJAAVE SANFORD, Ft. 32771,
Value Summary
2019 Working 2018 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 215,077 204,396
Depreciated EXFT Value 18,658 17,500
Land Value (Market) 29,520 29,520
Land Value Ag
263,255 251,416
Portability Adj
Save Our Homes Adj 49,357 41,917
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 213.898 209,499
Tax Amount without SOH: $3,938.25
ZQ.a 1'11 n $3,151.50
idlfi I 11
Save Our Homes Savings: $786.75
Does NOT INCLUDE Non Ad Valorem Assessments
M
Legal Description
LOT8+N 1/20FLOT9+S
1/2 OF ALLEY ADJ ON N BLK
12 TR 2
TOWN OF SANFORD
PB 1 PG 59
Taxes
axing Authority Assessment Value Exempt Values Taxable Value
County General Fund
1-1-1-111,11, ----- --- -----
213,898 50,000 163,898
Schools 213,898 25,000 188,898 ii
City Sanford 213,898 50,000 163,898
SJWM(Saint Johns Water Management) 213,898 50,000 163,898
County Bonds 213,898 50.000 163,898
Sales
Description Date Book Page Amount Qualified VactImp
WARRANTY DEED 9/11/2015 Q.M 280.900 Yes Improved
QUITCLAIM DEED 1/1/2013 F5JQ 44 134,300 No Improved
QUIT CLAIM DEED 3/11/2008 100 No Improved
WARRANTY DEED 10/1/2002 0461 -1 1 Z20 119,900 Yes Improved
WARRANTY DEED 12/112001 S' a 110,000 Yes Improved
QUIT CLAIM DEED 7/1/1982 2, L4Q— 3,500 No Improved
WARRANTY DEED 1/1/1979 28,400 Yes Improved
WARRANTY DEED 1/1/1975 3 1 (,'L(3 k 31.000 Yes Improved
Land
http://parceldetaii.scpafl.org/ParcelDetailinfo.aspx?PID=2519305AG12020080 1/2
iJAt t t—A,VIi4
pan ;f)vn Loa n Harbor Blued and Underlay 1,.'
tdeflayasi-a may require a s+ t: firateCercateAlerhed
roof uc.-c(u in 4
a. red ns tt° and or s r s nsff dNy ins n AW$ sigh 0c anv poa r+dl} ti t ¢
FfTtit (;EIA $f SiElS Sr TSc'i1S} S2 s [ £t je Cnnmterldrrg l _ changes. s 'Fs Ceri3ff aid 3rrt,
pr e iess . sa= t rrsr s f r,< fs e l cmen z tai: a a Flfc r tIs rep sible;fr al- a
lxtjwYJ'Wsar- abrass ac3 a a ir ksle i+tnz sSeforc irb%atfr 3etEreionm t5
fi; NG PIEW4T-REQUJRF.D gCW'f HE ACT WMv:Vr"'rF-, Aky tlF Y
N H N
ATLANTIC
Roofing & Construction-,
LIC # CCC1330939
LIC # CRC1331435
Licensed & Inured
First in Quality
First in Service
First in Satisfaction
800-411-0920
6767 Hofiner Avenue
Orlando, Florida 32822
Ins. Co. C, L
Tel*
Claim #
Adj. Name
Tel. #
Fax #
PROPOSAL SUBMITTED TO 'CiCk Gt
STREET IS t" C()G1o JOB # CITY,
STATE, ZIP %tG - 2{ SUBDIVISION HOME
PHONE :! j -6 %C -, BUSINESS PHONE DATE
10 1-2-Co 86 SPECIFICATIONS
FOR LABOR AND MATERIAL. C
Tar off Shingles: .-Layers \,, i
PPrvfesslonally Install: Brand 'Cants Type Color Y. Han
seal, zValleys
Ft. f
It:
0 30 lb. Felt 0 Peel & Stick E Synthetic Underlayment sidewalls,
counter and wall fleshings 0 Re -Use Drip Edge Cfi"Drip Edge t 1, /
2" 2" 3" 4" or Plumbing Vents r 7qntilafiorr '
Goose Necks Off Ridge Vents Ridge Vents Color C f 13"
Renaii Plywood Sheathing to Code 0
Sk ht 2x2 4x4 replaced
at $60 - per sheet (if needed) s lean -
up and haul off all job related trash 21io-11yard with magnetic roller aviloteat yard and shrubs ZrCo'
sct. - k c- viLC (V (2 sq.4t 5 Atlantic
Roofing is not responsible for pre-existing structural Conditions. Buyers
agree they have seers, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE A 1 YR LABOR WARRANTY CONTINGENT
This
proposal is contingent upon the Insurance company paying for damages. This proposal will be VOID only if claim is disallowed by Insurance company. Property
owner's out-of-pocket expense is not to encased the deductible amount. The insures company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHEN RECEIVED. We
propose to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company
loss soo for which is incprporated herein and made a pars eof by reference, to Include customary profit and overhead when multiple trade
incurred $ : Payment upon 5ompta)M ofpach trade. Authorized
Signature' Must
be approved by company owner. No other i changes.
NOTE: This proposal may be withdrawn ACCEPTANCE
OF PROPOSAL- The above p r work
as specified. Payme
nt will be made as outfine above X reused
or Gttptie . Au cha to not
accepted within days are
hereby ccepted. You are authorized to do the 11
Date a 4, 1
Grant Malo , Clerk Of The Circuit Court &k Comptroller Seminole County, FL
Inst #20181Y40765 Book:9266 Page:1157; (1 PAGES) RCD: 12/14/2018 10:47:21 AM
REC FEE $10.00
I A t
NOTICE OF 4COMMENCEMENT
Permit Number. C 7— t4-1,-L
Parcel ID Number.
4
t _... t i C..,.RK
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 PROPERTY: (Legal WW1liable)
2. GENERAL DESCRIPTION OF IMF)tOVEMENT: "e
3. OWNER INFORMATION OR LESS I ATION IF THE LESSEE CONTRACTED FOR THE IMPR MSNT•^,. ( }
Name and address: 1 J 1_/t J Q! U Gt 1,y `t'y^ 1 e,
I Interest In property:
1 Fee Simple Title Holder (if other than owner listed above) Name*
rs'ArAF"AILwi L!'i twi:W—AAffJIIiRL lsit//i:1
Address: Amount of Bond:
6. LENDER -
Address:
Phone Number:
T. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1xa)7., Florida Statutes.
Name: Phone Number:
Address:
S. In addition, Owner designates
to receive a copy of the Llenor'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) t
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 COMMEN G WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
It. / E)a 1rqSignehKsofow(pr eeLesss drLessee'-ir (.
mot and
R&ids siq s TiasromoeiAuswdzedorbannar& anaper) State
of N O Vja f1 Countyof The foregoi4g instrument
ajokeowledged before me this day of ' .ti,e-mbcr 20 by )OM(` t `'`'
0 Who is personally known to me 0 OR Name of pwaw
maid ,p,wnt ,y.; / _ ,t who has produced
identification of identification produced: 1 T $ 7 — V' 2 —Sq —184 " IBM OR MVEDFS.
9
t
ExPIREBd4gu+
MIAMM MIAMI-DADE COUNTYmaimPRODUCTCONTROLSECTION
DEPARTMENT OF REGtT ATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/ccortomv
Owens Corning Roofing and Asphalt, LLC
One Owens Corning Parkway
Toledo, OH 43659
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Durationg, Duration® Premium, TruDefinitiong Durationg, and TruDefinitiong Durationg
Designer Colors Collection
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA No. 12-0309.01 and consists of pages I through 6.
The submitted documentation was reviewed by Gaspar J Rodriguez.
9M.
APPROVED A
NOA No.: 16-0425.01
Expiration Date: 07/19/21
Approval Date: 07/21/16
Page I of 6
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Asphalt Shingles
Materials: Laminate
Deck Type: Wood
SCOPE
This approves a rooting system using Owens Corning Duration@ and Duration@ Premium asphalt shingles
manufactured by Owens Coming as described in Section 2 of his Notice of Acceptance.
PRODUCT DESCRIPTION
Product Dimensions Test S ecifications Product Descri tion
Durationg 13 14" x 39'A"
Manufacturing Locations #1, 2
Durationg Premium; 13 'A" x 39 3/8"
TruDefinitiong Duration®;
TruDefinitiong Duration®
Designer Colors Collection
Manufacturing Location #1, 2, 3, 4
Duration® 13 '/4" x 39 3/8"
Manufacturing Location #1, 2, 3
Durationg Premium; 13 '/4" x 39 3/'"
TruDefinitiong Duration®;
TruDefinition® Duration®
Designer Colors Collection
Manufacturing Location #1, 2, 3, 4
MANUFACTURING LOCATION
1. Jacksonville, FL
2. Memphis, TN
3. Savannah, GA
4. Irving, TX
TAS 110 A heavy weight, fiberglass reinforced
four tab asphalt shingle with
continuous bead of sealant.
TAS 110 A heavy weight, fiberglass reinforced
four tab asphalt shingle with large nail
area with continuous bead of sealant.
TAS 110 A heavy weight, fiberglass reinforced
four tab asphalt shingle with dashed
bead of sealant.
TAS 110 A heavy weight, fiberglass reinforced
four tab asphalt shingle with dashed
bead of sealant.
MIAMI•GApB COt1Pil Y
NOA No.. 16-0425.01
Expiration Date: 07/19/21
Approval Date: 07/21/16
Page 2 of 6
EVIDENCE SUBMITTED
Test Azency Test Identifier Test Name/Report Date
PRI Asphalt Technologies, Inc. OCF-157-02-01 TAS 100 10/26/10
OCF-102-02-01 TAS 100 11/12/07
OCF-156-02-01 TAS 100 10/26/10
OCF-163-02-01 TAS 100 12/10/10
OCF-164-02-01 TAS 100 12/10/10
OCF-098-02-01 TAS 100 02/22/07
OCF-099-02-01 TAS 100 02/26/07
OCF-102-02-01 TAS 100 11/12/07
OCF-172-02-01 TAS 100 05/26/11
OCF-179-02-01 TAS 100 02/02/12
Underwriters Laboratories, Inc. 07CA39536 TAS 107 11 /11 /07
03NK04954 TAS 107 03/28/03
03NK04954 TAS 107 03/11/03
1ONK13947 TAS 107 11/12/10
1 ]CAI 5662 TAS 107 05/27/1 1
11NB21712 TAS 107 02/18/12
07CA02026 ASTM D 3462 01 /26/07
12CA 12180 ASTM D 3462 03/01 / 12
LIMITATIONS
I. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for
fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of 33 ft.
3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 61 G20-3 of the Florida Administrative Code.
INSTALLATION
1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
2. Flashing shall be in accordance with Roofing Application Standard RAS 115
3. The manufacturer shall provide clearly written application instructions.
4. Exposure and course layout shall be in compliance with Detail 'A', attached.
5. Nailing shall be in compliance with Detail 'B', attached.
LABELING
Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County
Product Control Approved".
c11a E COUNTY •
NOA No.: 16-0425.01
MIAMMADECOUNTY Expiration Date: 07/19/21
Approval Date: 07/21/16
Page 3 of 6
BUILDING PERMIT REQUIREMENTS
Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
I lTi'i l
FIRST
NOA No.: 16-0425.01
Expiration Date: 07/19/21
Approval Date: 07/21/16
Page 4 of 6
DETAIL B
DURATION & TRuDEFINITION9 DURATIONS
SEALANT MAY BE CONTIN`UOUS OR DASHED. NOT SHOWN IN THE DETAIL DRAWINGS)
cn
cn
z ge
NOA No.: 16-0425.01
MIAMMADE COUNTYM Expiration Date: 07/19/21
FIUUSKUM Approval Date: 07/21/16
Page 5 of 6
0
APPROVED
M71
1I{
@f Y•
MAXIMUM SLOPE 21:12
SLOPE GREATER THAN 21:12
END OF THIS ACCEPTANCE
NOA No.: 16-0425.01
Expiration Date: 07/19/21
Approval Date: 07/21/16
Page 6 of 6
1A0bI6,' CITY OF
Building & Fire Prevention DivisionllFORDRESIDENTIALRE -ROOF POLICY& PROCEDURES
f I Rf, DF PART %IF N I
PERMITTING REQUIREMENTS -NO PLAN Rtwww REQUIRED
THIS DOCUMENT(SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RFI-Rooi-, 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 DOCUMENTS. COPIES WILL BE. MADE TO POST ONTHE 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 CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAi, RE -Root., SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT' APPROVAL SHALL MATCH WHAT ON THE SCOPE OF WORK)
DIGITAL, PHOTOGRAPHS (MUST INCLUDE THEE PERMIT NUMBER OR ADDRESS IN EACHI PICTURE)
EACH PLANE OFTHE ROOF, SHOWING THE tJNt)["RI.AYMEN]'INSTALLED
ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DFVICF', OR RULER)
SHINGLE'S INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SKYI,lCill'I'S(IF APPLICABLE)
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 BV A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFN'INAFBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
EP_,NrlT ?
Cit)v of Sanford Building Division
Resident, .a, Re -Roof Scope of 'Work
JOB ADDRESS: 15
Um
Nri0u
T`_
7S
RE -ROOF TE*
E'X
07,NS-.l.-ED 0VL! - -'07
g Cave?
T_ CNEW 1 0
DECK TYTE TLE-SSE SPEC'F"'): W
PLFSQUARE FEET OF PGS77,.,V'GDECK IS PEP -WITTED TO BE 115PLIIC ASE
VOTE: pNLY C-
ZF7-7 VFN- ROOF
VEN71LATI4N: :ac-B XS F,
DR.! ---A PR071,;C'7 SKYLIGHTS:
OF .
6tg;Ea ROOF
SLOPE' 0 P(4 cN
2: 2 UFACTT,-
RER FLORIDA PROD'CCT( A?PROAL-" A,
S
OF ROOF n:
I TC., = OD
7-
DoWN F;T_ jZIT
A
T, A Rr TORCHF_,_
PATIOS. ETC-) **-T- Ir M"_' Rr- 12 - 2
ROOFSLOPE: T _
Z SS ^=AN FLORIDAPRODUCT _-',-PPROVAL
T,%,?F- OF
ROOF 13:1,__ _ _:
CITY OF
S ORD
r
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE-RQOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: c4 r7(%o ADDRESS: V (
I CICyImlC—u _ AS A(N) GE.NFRAL, BUILDING, 1,yPRM .
RUOVING CON T RACTZ%R; F NGINEER, ARCIf l-F. , OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, TF , _C:`i}_ 'THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND TFLAT AUL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AI" TI-IF,
ABOVE REFERENCED ADDRESS HAVI, BEEN INSTALLED IN ACCORDANCE WITH THF.IR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS --SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY "THE INS'I'ALL,ATION MEF;I'S ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF HIE ROOF DECK, IN ACCORDANCE: 4VTTE1 TIII: HURRICANE: RETROFIT
MANUAL. REQUIREMENTS (BASED O,N F.S. CHAPTER 553,844).
LICENSE #: U C 5.>
COMPANY/CONTRACTOR; F u r + tf c-I 4 `(
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNr. /BUIL
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,
UNDERL.AYNIENT, 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 AI., NAIL. SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE.
PAPERWORK FOR FUWFHE R EXPLANATION OF ALL REQIIIREMF;NTS.
FAILURE TO FOLLOW ALL REQU[REM ENTS WILL. RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING .A DESIGN PROFESSIONAL (ARCHITECT Olt ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF ( D`!JLIt
Sworn to and Subscribed before me this day of 201 by:
Who isyJersonally Known tome or has Produced (type of
as identification.
fir
Signature of Notary Public
St to of Florida "P a4 Not PubtfG State at Florida
Ghioe M Cooper
K EMyx
Commission12 21
1821659
h,°'
Expirealll21t2021
Print/Type/Stamp Name
of Notary Public