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HomeMy WebLinkAbout111 W Jinkins Cr - BR18-004634 - REROOFCITY OF SXNFORD PERMIT APPLICATION BUILDING DIVISION u Application No: 19 3 l Documented Construction Value: $ CIO Job Address: r%%r% — i" / ,' y1X," iI f Historic District: Yes No Parcel ID: )ODI:U •- (12.0 Residential WcommercialD Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: %vf '1 .c i4 'G Title: d &z::"lr-yC Phone: -alb K Fax: Email: Property Owner IInformation Name j Cv'1..,' G d- r` / Cc/f}G1hone•h Street: 'Resident f'property&: . !1 1 City, State Zip: _ ,f,'" -RI AW —0 • _za7 Name Street: City, State Zip: Name: Street: City, St, Zip: _ Bonding Company: Address: Contractor Information - Phone: Fax: State License No.: Architect/Engineer 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 workwill be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers; heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code , NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that maybe 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 ofpermit is verification that I will notify the owner ofthe property of the 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 required in order to calculate a plan review charge and will be considered the estimated construction value ofthe 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 offthe 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 Signature ofContractor/Agent Date Prin caner/Agent's Name PrintContractor/Agent's Name Signatu7Typ'of ofFloridp4NETTE BLAND patlaof Notary -State of FloridaDate State of Flcn allotary Public ' GG 060623Commission # 2018plyComExpiresJan16, Owneown to Me or Contractor/Agent is Personally Known to Me or ProduType 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 APPROVALS: ZONING: COMMENTS: UTILITIES: Fire Alarm Permit: Yes No WASTEWATER: ENGINEERING: FIRE: BUILDING: C G L I/ G OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working,on my.building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 MW l I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial and the Florida Department of Revenue. ' I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for51Services, more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. agree to notify the building department immediately of any additions, deletions, or changes to any of the V-dIinformation that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address:_ /'/% - fig% "- %I ` / /% S e_rl I, 14e oil, do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. ate Form of Identification CZ . e 1 _ , '5 / 07- Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 2019 Parcel Detail Sheet 12-20-30-504-0000-0250 UaWC Johnson, CFA Site Date: 01/03/2013 ADRARISLrr RAI FLR 11/28/2018 01:08 PM Building Date: .12/11/2004 Land Date: 03/16/2017 Parcel: 12-20-30-504-0000-0250 Owner/Address: WARD, TIFFANY, BILLIE J & KEVIN P 111 W JINKINS CR SANFORD, FL 32773 Situs: 111 W JINKINS CIR SANFORD, FL 32773 Facility Code: Facility Name: Subdivision: SOUTH PINECREST 4TH ADD Legal: LOT 25 SOUTH PINECREST 4TH ADD PB 12 PG 43 Cade Denpt on `; , , Granted, 00: HOMESTEAD 2010 101: ADDITIONAL HOMESTEAD 2010 A`ssessmentsinformatJon Prior Year,Q. RE -A raised• t'o Ad iti 1nr a 22,000 22,000fi 0.0 22,000 0.0 Extra Features,,, B Id1nUalue,„' 600 92,515 672 95,872 12.0 3.6 672 95,872 12.0 3.6 Cost[/Iarket'fust Value` .• 11S,115 118,544 3.0 118,544 3.0 ncome 1ust,Ua(,ue, Correct AssdfA min Ualu Classified, Uaiue, °;; SQNAtlJustmen#, ` ,,, 33,358 35,070 35,070 Non l X AdJustment t P&G, Ajustment , Total'Asessed Value= 81,7S71 83,474 1 83,4741 2.1 Ei tra-eature trif rmaton a , J# Code Descnptton . _ Units,-.:, RAN O Adl Eff Cap Apprval 8 gg 1 1 1225 1225: FIREPLACE 1 1 1 1,680 1 1 65 165165 672 1 Total: a.. "1,680 672 Tax District: S1: SANFORD DOR Use Desc: 01: SINGLE FAMILY CPI: 2.10 Market Area: 01 Nbad Comm: E&I Num: Pet Num: Demo: Income Ind: n Income Ltr: [1 s Taxable lnformatton,:---, Desa ptan Mieaxng1/alue., s Q1 ss ExeAsseedtlepp ` j0100 COUNTY GENERAL FUND 0 83,474 50,000 33,474 0400 SCHL SCHOOL 0 83,474 25,000 58,474 1000 1 CITY SANFORD 0 83,474 50,000 33,474 1200 jSJWM i 01 83,474 50,000 33,474 9800 ICOUNTY BONDS 1 01 83,474 50,0001 33,474 Mm[ rand I formationAg M 104aAg Rate Area - Fmt Df i Deptlt Appr Value 9'aAdf Reasons • ; i lust_ Value 1 220001 1 11 01 1 0 ALL22,000 11 1 22,000 Total:°'. 22, 22,000 SU QD IQUIT CLAIM DEED 11/01/2018 09254 1552 1 100 SU AD ADMINISTRATIVE DEED 11/01/2000 03956 1464 57,000 SU PR PROBATE RECORDS 09/01/2000 03928 1856 100 SQ WD WARRANTY DEED 06/01/1994 02786 1586 56,000 SU SW SPECIAL WARRANTY DEED 02/01/1994 02735 0236 35,000 SU WD IWARRANTY DEED 03/01/1993 102557 0989 1 100 SU CT CERTIFICATE OF TITLE 02/01/1993 02548 0306 1,000 SQ WD WARRANTY DEED 10/01/1990 02236 0007 75,900 SU WD WARRANTY DEED 09/01/1990 02230 1030 42,500 SU QD QUITCLAIM DEED 03/01/1989 02052 0378 100 SQ WD WARRANTY DEED 12/01/1981 01371 1654 62,000 SQ WD WARRANTY DEED 10/ 1/1979 01250 1822 1 48,900 Created B . Oate &' Note ' x; Page 1 of 3 p PPPRAISER SEMIW-COUNIY,FLOW 2019 Parcel Detail Sheet 11/28/2018 01:08 PM Created l Date A 1N jUnknown 108/02/2017 08:54 AM 1307-448 663-529 955-1297 1926-1678-QD 12-20-30-504-0000-0250 Site Date: 01/03/2013 Building Date: 12/11/2004 Land Date: 03/16/2017 Var Status{ Code =G .,Rate CO Number[''T IF7", gz I TVF 07 D S 12/30/2004 1 00846 1 2005 1 2,0001 REROOF Page 2 of 3 YFF-aW000Unaon, hPPIR SEMINCJLC-CgUNTY, FtOWUA Parcel: 12203050400000250 Base Area: 1,322 Bldg No: 1 Adj SgFt: 2,249 Bldg Type: 01: SINGLE FAMILY Living Area: 1,322 Act Yr Bit: 1959 Adj Rate: 72.56 Eff Yr Bit: 1959 Ttl Points: 1.00 Cap Yr: 1959 Adj Points: 1.00 Arch Mod: 1 Base Rate: 69.00 NBHD Fac: 1 RCN: 163,187 DEPR-RCN: 95,872 Ap endage5 ActualYear FL 1 UTU: UTILITY UNF 105 40 1959 2 EPU:ENCLOSED P 352 211 1959 3 EPU: ENCLOSED P 1,104 662 1959 4 OPF: OPEN PORC 48 14 1959 Totals': 1604 92% 2019 Parcel Detail Sheet Ovd Code: 0 Dep %: 58.75 Floors: 1 Fixtures: 6 Height: Rooms: Bedrooms: 3 Bathrooms: 2 11/28/2018 01:08 PM 12-20-30-504-0000-0250 Site Date: 01/03/2013 Building Date: 12/11/2004 Land Date: 03/16/2017 Elemna* Coiled Description '•.. •. Po rits ;, 0002 AVG FTG 6 0101 SLB AVG 6 0209 CB/STUCCO FINISH 31 0300 NONE 0 0401 SHED 10 0509 ITAR AND GRAVEL ROOF 5 0631 FLOORING GRADE 2 4 0709 PLASTER 28 0808 CENTRALA/C 5 0903 AVERAGE 5 Total Pants.`;; Bldg No: 1 Page No: 1 Page 3 of 3 Grght Maloy', Clerk Of The Court & Inst cuit REC 01 $33 0 OC STAMrPS $0 70 2 (C1oPAGEIS)rRCDSeminole 11/28/2018 11 54:35 AM QUITCLAIM DEED CEF Ct,E AN! SU V THIS INSTRUMENT PREWARATCLAIM DEED is made this day of IV JveM e2018, by TIFFANYWA, a single woman, whose address is l l l West Jinkins Circle, Sanford, Florida 32773, hereinafter referred to as "Grantor"), to TIFFANY WARD, a single woman, whose address is I I I West Jinkins Circle, Sanford, Florida 32773, and KEVIN P. WARD, a married man, whose address is I I I West Jinkins Circle, Sanford, Florida 32773, and BILLIE J WARD, a married woman, whose address is l l I West Jinkins Circle, Sanford, Florida 32773, as joint tenants with rights of survivorship, (hereinafter referred to as the "Grantee"). Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and their heirs, legal representatives and assigns of individuals, and the successors and assigns of trustees, corporations and partnerships.) WITNESSETH That Grantors, for and in consideration of the sum of TEN AND NO1100 DOLLARS ($10.00) and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, hereby grant, bargain, sell, alien, remise, release, convey and confirm unto Grantee, all that certain real property situate, lying and being in Seminole County, Florida (hereinafter referred to as the "Property"), and being more particularly described as: LOT 25, SOUTH PINECREST FORTH ADDITION, according to the Plat thereof as Recorded in Plat Book 12, Page 43 of the Public Records of Seminole County, Florida Parcel No.: 12-20-30-504-0000-0250, known as, 111 West Jinkins Circle, Sanford Florida. Said property is being sold, "AS IS," "WHERE IS," `.`WITH ALL FAULTS", without any representations, covenants, guarantees or warranties of any kind or nature whatsoever, subject to all rights, interests, liens, claims and encumbrances any and all liens, judgments, mortgages, of whatever kind or nature, including any open government taxes, assessments and any adverse claims to title. IN WITNESS WHEREOF, Grantors has caused this instrument to be executed and delivered in his name and has intended this instrument to be and become effective as of the day and year first above written. Signed, sealed and delivered in the presence of- int Name: Print Name: * I & M7 TIFFANY WAR . STATE OF °I— N4 COUNTY OF • Q d The foregoing instrument being a Quit Claim Deed was acknowledged, sworn to and subscribed before me on this day of, KbJ (Vv' , , 2018, by TIFFANY WARD, who is (personally known to me) or (produced Identification in the form of) J SEAL) NOT PUBLIC vcivaw; CHRIS WALLACE PrintedName: 1NOTARY PUBLICMyCommissionSTATEOFFLORIDAComm# GG221508 Expires 8/10/2022 SCPA Parcel View: 12-20-30-504-0000-0250 Page 1 of 2 foeAdQmna,o,,cra AYf ser woue caavrv, r;o xron Parcel Information Property Record Card Parcel: 12 20 30 504-0000-0250 Property Address: 111 W JINKINS CIR SANFORD, FL 32773 Parcel 12-20-30-504-0000-0250 Owner(s) WARD TIFFANY - Joint Tenants with right of Survivorship _ WARD BILLIE J Joint Tenants with right of P - JSurvivorship UVARD, KEVIN oint Tenants with ri ht of Survivorship Property Address 111 W JINKINS CIR SANFORD, FL 32773 Mailing 111 W JINKINS CR SANFORD, FL 32773 Subdivision Name SOUTH PINECREST 4TH ADD Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-H0MESTEAD(2010) I a M." Legal Description LOT 25 SOUTH PINECREST 4TH ADD PB 12 PG 43 I Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 83,474 50,000 33,474 Schools 83,474 25,00 58,474 City Sanford 83,474 1 50,000 ' 33,474 SJWM( Saint Johns Water Management) 83,474 50,000 33,474 County Bonds 83,474 ( 50,000 33,474 Sales Description Date Book Page Amount u Qualified Vac/Imp QUIT CLAIM DEED 11/1/2018 09254 1552 ( 100 No Improved Improved ADMINISTRATIVEDEED11/1I2000 03956 1464 57 000 No PROBATE RECORDS 9/1/2000 03928 1856 100 ; No Improved WARRANTY DEED 6/1/1994 02116 1586 j 56 000 1 Yes Improved SPECIAL WARRANTY DEED WARRANTY DEED 2/ 1/1994 3/ 1/1993 1 02735 02557 1 0236 g 16989 35, 000 , No 100 1 No Improved Improved CERTIFICATE OF TITLE 2/1/1993 02548 i 0306 i 1,000 I No Improved WARRANTY DEED 10/1/1990 J 02236 j 0007 75,900 Yes Improved WARRANTY DEED 9/1/1990 02230 1030 42 500 1 No Improved Ww QUIT CLAIM DEED w N f 3/1/1989 02052 0378 100 1 No Improved Page 1 of 2 (12 items) [11 2 i Find Compatable Sales http:// parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=12203 050400000250 11 /28/2018 Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County FLIhst #20181y33762 Book:9254 Page:1689; (1 PAGES) RCD: 11/28/2018 2:02:38 PM REC FEE $10.00 THIS INST ENT EPA Name: f Address: , 7 rr 4qt NOTICE OF COMMENCEMENT „u State of Florida County of Seminole >> Permit Number. % Olen' Im Parcel ID Number: i ^ QGdG._ 0 7'-0 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 PROPERDC: ( Legal description of the property and street address if available) GENERAL DE RIPTI OF i ROVVE/ ENT: 6 Xl" g 7 19ze 9/ CG /" &nma/ C OWNER IN Address: L> — ( f — '( %l,Th tif'/' f Ol C1lax .I.7 rr j Fee Simple Title Holder (if other thanowner) Name: Address: CONTRACTOR' j Name: Address: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by. ectlon 713.13(1)(b), Florida tatutes. Name f5 J'y ^ r 1/ Adrtress- _C In addition to himself, Owner Designates'- To receive a copy of the Lienors 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 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. Under penalties o perjury,) declare that 1 have read the foregoing and that the facts stated in it are true to the best o know edge and belief. Az Owner' s Printed ' efsSlgnalure ,L-I- J NameFlorida Statute 713.13(1)(g):'The owner mustsign the notice orcommencement and no one else may bepermittedto sign Inhis or her stead: j State of fllbl^1 ok County of r ilo41-yVay TheforegoingInstrumentwasacknowledgedbeforemethisof20 by \I1, iIlk W-6e,rll Lr Who Is personally known to me Name or personmakingstatement OR who has produced Identification type.of identification produced: _ EL MACffl-a 9d%., ANNETTE BLAND Notary Pubitc - State of Florida Commisslon # GG 060623 M Comm. Expires Jan 16, 2018 . otarysrgnatura CITY; OF SXNF0,11 Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES PERMITTING REQUIREMENTS - NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: CITY C} PERMIT # Building & Fire Prevention Division FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: c PLEASE NOTE: ONLY 100 SQUARE FEET F THE EXISTING DECK IS PERM/TTED TO BE REPLACED ROOF VENTILATION: O OFF -RIDGE ® RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: ® 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# MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL#