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HomeMy WebLinkAbout2427 Yale Ave - BR17-003218 - METAL ROOFCITY OF SANFORD CEUVE BUILDING & FIRE PREVENTION PERMIT APPLICATION F NOV 0 2 2017 BY: f Application No: 7 3142l Documented Construction Value: $ l Ob Job Address: a +a- y e S CL1 IUrdl F:L S2-71 1 Historic District: Yes No. Parcel ID: 3 I - I LI - 3 I - 5lc)- (WO -" D3 90 Residential Commercial Type of Work: New Addition Alteration Repair Dem Change of Use. Move 11 Description of Work: Pe — MD p Plan Review Contact Person:-1—)Y1 Ka I f eh baC Title: 61A) h-Lr Phone: 3ZI - 51 " OM Fax: Email• fan 2ftl I kob -ifi "q Cd 1Y1 Name Street: City, S Name: Street: City, St, Zip: Bonding Company: Address: Property Owner Information r,` 1tJ_.l 2 - 5 ) Q q Phone: Resident o prty? ho • j Contractor Information Phone: 33(j -) s -7 o Fax: State License No.: 0-CO 133) 022 ArcnitecVF= ngineer Information 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: 5th Edition (2014) Florida Building Coo I Revised: June 3Q 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to, this property that may be found in the public records ofthis 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 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 ofthe executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 constru n and zoning. 41 I, UFT (d 112ol w Signature of O r/Ag t Date Signatu ontractor/Agent Date TCi sbr Lou.+zsm C hi 9 Tis-vl Print III, 12DI-I Signature ota -S t ofFori ,o:a " 4dEd,7-p'o Date TIFF NN Si atureo N o Florida ,`'nrn ate TIFFANY DUNN NotaryPublic State of Florida = ; Notary Public - State nt Firnida Commissux, a GG 04St t t Commission a GG 0a5! tt 1FMyComm Fx il• PJnv F 2020 's'+rMy Comm F+wfec Nox h M?o 1q:OFFl",1 ' 0 1100 111111 M / Owner/Agent is Personally Known to Me or Contractor/Agent is ' / Personally Known to Me or Produced ID Type of ID ProducedID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: _ oM Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: OV. 1 I I hereby name and appoint: iff n 7^nn an agent of: r C ly 1 e wr Va fi n Name of LLC' 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): I The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: C r , State License Number: Signature of License H STATE OF FLORIDA COUNTY OF Se-&-t - - .. t e., The foregoing nstrument was acknowledged before me this 2001 ' by- ,:J N to me or who has produced identification and who did (did not) t n oath. 0— -- D t eal JI1P1lY PI),I" CINDY A. DUNN ram' ` ` Notary Public . State of Florida s My Comm. Expires Apr 22, 2018 F o;' Commission # FF 115280 Rev. 08.12) d day of who isonally known Sicure t Print or type name Notary Public - State of Commission No. K Z wo My Commission Expires: ([ - 2 2 • 1 $ as J Property Record Card PR Parcel: 31-19-31-519-0000-0380 AP Owner: LOUWSMA JASON T & LOUWSMA CHRISTOPHER J & GEHR KIMBERLY seear+o ecawrv, nnan. Property Address: 2427 YALE AVE SANFORD, FL 32771 Parcel Information Parcel 31-19-31-519-0000-0380 Owner LOUWSMA JASON T & LOUWSMA CHRISTOPHER J & GEHRKIMBERLY Property Address 2427 YALE AVE SANFORD, FL 32771 Mailing 1604 GRIZZLY CT WINTER SPRINGS, FL 32708-3853 Subdivision Name PHILLIPS TERRACE Tax District 51-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 1•• A 0 QQ N to U a* D, Seminole County GIS Land Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings _ 1 Depreciated Bldg Value _ 32,594 30,747 Depreciated EXFT Value Land'Value 600 1 $16,350 600 16,350Market) Land Value Ag Just/Market Value " 49,544 47,697 Portability Adj Save Our Homes Adj 0 _ 0 Amendment 1 Adj 0 0 P&G Adj__. ._ 0_ 0 Assessed Value—$49,544 47,697 Tax Amount without SOH: $908.22 2017 Tax Bill Amount $908.22 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Method Frontage Depth Units Units Price Land Value FRONTFOOT & DEPTH 75.00 j 167.00 : 0 $200.00 16,350 Building Information THIS INSTRUMENT PREPARED B nn I ' ,,,'/ t) Name: loll' W Ir 1 i {e Iasi it If tiffis 1I1a1 111 i f1 1 S Address: NOTICE OF COMMENCEMENT CLERK'S` - 1. 10314 State of Florida _.'..:'..: :. County of Seminole DED Permit Number: Parcel ID Number: Ar 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. DESCRIPTION QF PROPERTY: (Legal description of thegoperty and street address if available) C GENERAL DESCRIPTION OF IMPROVEM V . p _ vni OWNER INFORMATION: Name: - Fawn LOI,IWSiY) a - Address: 1 IDOL% O H 22--1:I Ct. l,) i of e rpv na c I FLn-700 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Names Address: n Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713. 13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, I clare that I have read the foregoing and that the facts stated in it are true to the best of-i knowleg and belief. Man LoLkwmo--- Owners nature Owners Printed Name FloridaSt ute 713. 13( g): "The owner must sign the notice of commencement and no oneelse maybe permitted to sign in his or her stead State of FLCountyof s m i m"` The foregoing instrument was acknowledged before me this day of W , 20 I V by ;: l O 1LD1NNo MCC, CC, Who is personally knownto me Name of person making statement OR who has produced identification type of identification produced: y a tyrr1 TIFFANY DUNN NotaryPublic - Stateof Florida Commission N GG 045111 1 4 1 o •• My Comm. Expires Nov 6. 2020 tars nature CCC1327953 PROVISIONS OF THE AGREEMENT A. Cancellation: If Owner / Buyer(s) cancels after three business days, all deposits are non-refundable. Owner/Buyer(s) shall pay liquidated damages equal to ten percent (10%) of total cash price. Contractor reserves the right to cancel this order if Contractors engineers determine that the job, as sold, will not afford proper installation. REPRESENTATIVE OF CONTRACTOR IS NOT AUTHORIZED TO MAKE ANY PROMISES NOT CONTAINED IN WRITING IN THIS AGREEMENT. B. Pre -Job Conference: OwnerBuyer(s), or their assigned Agent/Representative, shall attend a Pre -Job Conference during NORMAL WORKING HOURS with the Contractor or an assigned Company Representative. C. Home Owner Association Approval: Owner/Buyer(s) will be responsible for all and any approvals by said association. D. Damage to Project: Contractor will not be responsible for any damage caused by the OwnerBuyer(s), or other causes beyond the control ofthe Contractor. Owner/Buyer(s) will pay for any restoration work. E. Damage: Contractor shall not be responsible for damage to lawn, lawn or irrigation fixtures due to construction activities. F. Delay: Contractor will be excused for any delay beyond his reasonable control. These delays may include, but are not limited to, Acts of God, Labor disputes, inclement weather, acts of public authority, acts of the Owner/Buyer(s), or other unforeseen contingencies. G. Right to Stop Work: If any payment under this Agreement is not made when due, the Contractor may suspend work on the job until such time as all payments due have been made. Any failure to make payment is subject to a claim enforced against the property in accordance with the applicable lien laws. H. Substitution of Material: Contractor may substitute materials with written notice to the Owner/Buyer(s) in order to allow the work to proceed provided that the substituted materials are ofno lesser quality than those listed in the specifications. I. Woodwork: Contractor is not responsible for painting or finishing any woodwork that is newly installed or existing wood exposed by the installation of this product. J. Notice: Any notice required or permitted under this Agreement may be given by certified or registered mail at the address contained in this Agreement. K. Prohibition of Assignment: Owner/Buyer(s) may not assign this Agreement or payment due under this Agreement without the written consent ofthe Contractor. L. Entire Agreement: This document constitutes the entire agreement by the parties. No other documents exist. This Agreement can be modified only by written agreement signed by both parties. M. Choice of Law: This Agreement shall be construed in accordance with, and governed by, the laws of the state or Florida. N. Attorney's Fees: Owner/Buyer(s) shall pay Contractor's attorney s fees and costs for collection of any sums due hereunder. whether or not suit is filed. O. Venue: Venue of any proceedings relating to the contract shall be in Orange County, Florida, P. Survival: If any provision of this Contract should be deemed void or unenforceable, the remaining provisions shall survive and remain enforceable. Q. Final Payment: Final payment is due upon completion of the installation ofthe described work. Failure of Owner/Buyer(s) to pay all amounts due shall constitute a material breach of this Agreement by Owner/Buyer(s) and Contractor may avail itself of all remedies afforded by this Contract under Florida law, R. Interest: All amounts due to Contractor shall bear interest at 1.5% per month (18% per annum.) S. Additional Labor and/or Materials: Additional labor and/or materials to bring existing work to applicable code are not included and will be at an additional cost unless otherwise noted on the contract. If Owner/Buyer(s) elects to perform needed work, it must be completed in a timely manner, which is defined as no longer than five (5) days after receiving written notice by Contractor. If Owner/Buyer(s) elects to have Contractor perform work, it will be executed only upon the parties entering into a written change order. T. Right to Advertise: Owner/Buyer(s) authorizes the Contractor to use photographs of the subject property for advertising purposes and leave a job sign displayed on the premises. We the Owner/Buyer(s) accept and acknowledge that the prices, specifications, provisions, and conditions listed on Page 1 and Page 2 of this CONTRACT AND AGREEMENT are satisfactory, and are hereby accepted by the Owner/Buyer(s). Contractor is authorized to perform the work as specified. Payment will be made as QA4in on Page I and Page 2 of this document. Contractor Rep. Date 3 Owner /Buyer: Date Co -Owner/ Buyer: Date NOTICE OF RIGHT TO CANCEL CONTRACT You, the Owner/Buyer/s), may cancel this transaction at any time prior to midnight ofthe third business day after the dale of this transaction. See "Notice of Cancellation" for an explanation ofthis right. Buyer acknowledges receipt of this contract immediately upon the execution hereof, Florida Certified Roofing Contractor #CCC 1327953 No verbal agreements will be honored. Items ordered must be on contract, This is a legally binding contract. Ifnot fully understood, seek competent advice. NOTICE OF CANCELLATION Date You may CANCEL this transaction, without any Penalty or Obligation; within THREE BUSINESS DAYS front the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the Contractor of your cancellation notice, and any security interest arising out of the transaction will he canceled. If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale, or if you wish, you may comply with the instructions of the Contractor regarding the return shipment or the goods at the Contractor's expense and risk If you do make the goods available to the Contractor and the Contractor does not pick them up within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation, if you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice to TC METAL ROOFING LLC, Inc. PO BOX 265066 DAYTONA BEACH FL 32126, NO LATER THAN MIDNIGHT OF //_ I HEREBY CANCEL THIS TRANSACTION. Date: Owner/Buyer's Signature: Page 2 9C &tal Roiofiw LLC F0 BOX 26W66 LI9MM MALN M 3" LIUW CMM79Z CONTRACT AND AGREEMENT Customer Home Phone: _407-402-5199 Cell Phone: This is a contract between TC Metal Roofing LLC. and DATE: 10 - _ 1 - c Contract Total $ 1 -7 5 ®, b Down Payment $ -7 S 00 Delivery Payment $ 3 -75 00 Final Due $- -) 5© , 0 Work Phone: Jason Louwsma customer) who resides at _2427 Yale Ave City Sanford Zip_32771 As used in this contract, the words seller, we, us and our, refer to TC Metal Roofing LLC.The words you, your, and the owner/buyer refer to you the customer. We agree to furnish all labor and material necessary to install the following: lease X all items that pertain to this contract and NA if non applicable. Remove existing material from existing roof and dry in 4// Remove existing eave drip from perimeter of home and replace rotten wood where deemed necessary by contractor. Remove and replace existing skylights size: and size total replaced W Remove existing off ridge vents and turbine vents from roof surface and sheet holes Install V 1 AAA* roof system on sloped surface of roof including plumbing boots, flashings, eaves drip, square vents and ridge caps ifa plicable. A* Areas not included in this contract vs u S L COLOR OF SHINGLES, METAL, TILE: NOTE: COLOR OF METAL, SHINGLES, OR TILE MAY BE EXACT, and cannot be returned once ordered. NInstall single ply membrane roof system on flat surface roof, Approximately sq ft, color Obtain all necessary building permits Remove con ruction debris from job site / Furnish Cam./ ,,byi Warranty and Z` year limited ma f turer's material warranties Down Payment $ a received__ _ _Delivery Payment $Due when material arrives, Balance will be paid $ .pon Completion of Installation. AWWNER IS RESPONSIBL FOR ANY SOLAR PANEL, OR SATILITE DISH MOVE AND RELOCATION OTHER ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUB -CONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THATYOU CONSULT AN ATTORNEY. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOME: OWNERS CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER THIS CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD: C/O 1940 North Monroe Street, Tallahassee, FL 32399-1039, Phone: 850-487-2252 CHAPTER 558 NOTICE OF CLAIM CHAPTER 558, FLORIDA STATUTES, CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR AN ALLEGED CONSTRUCTION DEFECT. SIXTY (60) DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE, REFERRING TO CHAPTER 558, OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS. A Do not sign this Home Improvement Contract if blank. B You are entitled to a copy of this contract at the time you sign. Keep it to protect your legal lights. C This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on ifyou fail to pay. Be sure you understand all provisions of the contract before you sign. D "PROVISIONS OF THE AGREEMENT", as listed on Page 2, are part of this Contract and Agreement. E This contract is subject to review and approval by management of, TC Metal Roofing LLC, Inc. and is not valid until approved. APPROX START DATE TO WEEKS AFTER BUILDING PERMIT IS ISSUED, APPROX FINISH DATE: TC tal R$p at e: 1 Date: l i J -7 Owner/Buyer E-NiXiVAfrdress 7`j (O'rt rme fo I YO(V . cory) Buyer Co -Owner/ 2V Zeta] RaofiW LW A9 BIIX ,26.5L166 LO BMUI FL 32L26 LIQKZh279.a3 page I CITY OF S FORD 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), CERTIFY G FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: / / - 1 CITY Of / / S -------- ORD PERMIT # Building &Fire Prevention Division FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: I ` ` 0,I L r 1 Ve . S9, d " , t STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: OP&PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY: PLEASE NOTE: ONLY IOO SQUARE FEET OF TH XISTING DECK IS PERMITTED TO BE REPLACED * * ROOF VENTILATION: OOFF- IDGE RIDGE 0SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4: l 2 412 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SH GLE FL# METAL J% L/ FL# I4gqGJ 0MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** 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# OTORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL#