HomeMy WebLinkAbout199 Brushcreek DrApplication No: 15- d 7 3!
Job Address: 199 Brilshrmpk Dr
Parcel ID: 33-19-30-518-0000-1980
CITY OF SANFORD
BUILDING &FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 10102.39
Historic District: Yes No
Zoning:
Description of Work: RE -Roof
Plan Review Contact Person: Dabra Dean Title:
Phone: _407-330-7663 Fax: _407-330-7661 E-mail:
Property Owner Information
Name John Pare Phone:
Street:
Resident of property? :
City, State Zip:
Contractor Information
Name Phone:
Street:ParkFax:
City, State Zip: S2nf0rd,FL 32771 State License No.:
V
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company: _
Address:
Building Permit E!"'
Square Footage:
Phone: —
Fax:
E-mail: —
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: _g No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical 17
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing I]
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14
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.
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.
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 addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements -of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
16,
Signature of Contractor/Agent Date
L 1)F `.11 CL .4 a a !1
Print CoodkiWARdiil Name _
UTILITIES:
FIRE:
CINDY A. DUNN
Notary Public - Stale of FloridaMYComm. Expires Apr 22, 2018Commission # FF 1152i?q
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.I35(5)(6) Florida Statutes.
REV 07.14
Pro uard Res oration
ii, E ?ark Dr.
cl 32y7
R fu y:l: '=.-CULTiard Res orati
Iris -`irk Dr.
771
1101110111M11 NI100010110111!
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ERK COURT :. C1jhIE`1'F.pL Er:
L'ft 25t3 R'3 ISM'.}h 111 J_if
CLERK I S Y 201508007
CORDING FEES $1ss.00
RECORDED BY fldevur'e
0A NOT19E OF COPMENCEAFIENT Ale
i
Ft; :`t' hereby gives notice that improvement will be made to certain real property, and in FloridaStatutes, the foflowing information is provided in this Notice of Comrnener r t. e
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luertseefklsaly.R[9uatefwly. Product Approva Menu > Product or Anolication Search > Application Lis > Application Detail
k'xOT 1 O
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived Fj-
Product Manufacturer Owens Corning
Address/Phone/Email One Owens Corning Parkway
Toledo, OH 43659
740)404-7829
greg.keeler@owenscorning.com
Authorized Signature Greg Keeler
greg.keeler@owenscorning.com
Technical Representative Mel Sancrant
Address/Phone/Email 1 Owens Corning PKWY
Toledo, OH 43659
419) 376-8360
mel.sancrantL@owenscornig.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
74 Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert J.M. Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 08/20/2017
Validated By John W. Knezevich, PE
F Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
FL10674 R10 QQ) 2015 01 COI Nieminen.odf
Standard
ASTM D3161
ASTM D3462
ASTM D7158
Year
2009
2009
2008
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgtBNbEY5V%2... 7/6/2015
Florida Building Code Online Page 2 of 2
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Method 1 Option D
04/22/2015
04/23/2015
04/25/2015
06/23/2015
FL # Model, Number or Name Description
10674.1 Owens Corning Asphalt Roofing 3-tab, 4-tab, 5-tab, laminated, starter and hip & ridge
Shingles and Starters shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10674 R10 II 2015 04 FINAL ER OC ASPHALT
SHINGLES FL10674-R10.odfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A Verified By: Robert]. M. Nieminen PE - 59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER, Section S. Evaluation Reports
FL10674 R10 AE 2015 04 FINAL ER OC ASPHALT
SHINGLES FL10674-R10.odf
Created by Independent Third Party: Yes
Back N..t
Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an WEED employer. Coovriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if
they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Adepts:
i— 12
UQUIPCr,et,S.D r1,:,
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtBNbEY5V`/f 2... 7/6/2015
ti! TRINITY (ERD
EVAWAMON 170XW
Owens Coming
One Owens Corning Parkway
Toledo, OH 43659
IXT6RIORFEMMUi & DESIGN, LLG.
C2rtificate of Authorization #95o3
353 CI- RSnAN STRIEI=7, UNIT#13
OA:OF;D, CT 06478
PHONE (203) 262-9245
FAX (203) 262-9243
Evaluation Report 037940.02.1245
R.10674-Rt0
Date of Issuance: 02106/ 2012 Revision
5: 04/ 2212016 S
om This
Evaluation Report is issued under Rile 61G20-3 and the applicable rules and regulations governing the use of construction
materials in the gate of Florida. The documentation submitted has been reviewed by Fbbert Meminen, RE for use
of the product under the Florida Building Code and Florida Building Cade, Fbsidential Volume. The products described herein
have been evaluated for compliance with the 5lh Edition (2014) Rorida Building Code sections noted herein. Mm:
aRnow Owens CorningAsphaft Roof Shingles LASING:
Labeling shall be in accordance with the requirementsthe Accredited Quality Assurance Agency noted herein. CONTINUED
Cbmmmce This Evaluation Fbport is valid until such time as the named product(s) changes, the referenced Quality
Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this 6-
aluation Fbport by the named client constitutes agreement to notify Fbbert Nieminen, RE if the product changes or the referenced
Quality Assurance documentation changes. Trinityl 9 D requires a complete review of this Evaluation F;—rport relative
to updated (ode requirementswith each Code Oy cle. AmgRnswE
rr. The Evaluation RVort number preceded by the words "Trinityl ERD Evaluated" may be displayed in advertising
literature. If any portion of the Evaluation Report isdisplayed, then it shall be done in itsentirety. INSEcnoN:
Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributorsand
shall be available for inspection at the job site at the request of the Building Official. This
Evaluation Ilrport consistsof pages 1 through 6. Prepared
by: Fbbert
JM. Nieminen, RE Rorida
Pegistration No. 59166, Rorida DCAANE1983 fie
racsm le sal appeaingwas authorized by Fbbert Neminen, RE
on tb127JM15. INs does not serve asan eledrorkally signed doamerd.
9gred,cededhardoopieshave beentrais ittedtothe Rodud AppmM
Adrriristrator aid to the named died Cazmm71oN of
INouTNDexz 1. Trinityl
EFU does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products
it evaluates 2. Trinityl
ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates 3. Fbbert
Nieminen, RE does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the
evaluation reports are being issued. 4. Fbbert
Nieminen, RE does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. 5.
This
is a building code evaluation. Neither Trinityl EFD nor Fbbert Nieminen, RE are, in any way, the Designer of Fbcord for any project on
which this Fwaluation Report, or previous versions thereof, islwas used for permitting or design guidance unless retained specifically for
that purpose.
TRINITY I ERD
Ra70FiNG SISMSIB/AWAMON:
1. SMPE
Product Category: Floofing
Subcategory: Asphalt Shingles
Compliance Statement: Owens Corning Asphalt Fbof Shingles, as produced by Owens Corning, have demonstrated compliance
with the following sections of the Rorida Building Code and Rorida Building Code, Fbsidential Volume through testing in
accordance with the following 3andards Compliance is subject to the Installation Fbquirements and Limitations / Conditions of
Use set forth herein.
2. SrANDARDs
Section Propee y Standard Year
1507.2.5, R9052.4 Physical Properties ASIM D3462 2009
1507.2.7.1, F305.2.6.1 Wind Fbsistance ASIM D3161 2009
1507.2.7.1, FZM.2.6.1 Wind Resistance ASFM D7158 2008
3. Flimatas
Examination Feferenoe Date
ULLLC(C B;qM) Physicals& Wind F esistance File M453, Vol. 3 02/15/2007
ULLLC(Cm9626) Fhyscals&WindRbsistance 2012051E-R2453 05/1612012
L LU.CCM%28) Physical Properties 06CA20263 Ct4/ 18/2006
LILLLC(M%28) Wind Pbsistance 11CA34308 02/1812012
t1LLLC(IS8628) Physicals &WindFi sistance 4786093137 02/01/2014
L)LU.CUS9628) Wind Plasistance 4785126532 02/10/2014
LA-LLCUSF9628) Physical Properties Classification letter 02/13/2014
Miami-Dade(CER1592) FBCFM-QCompliance VariousNOAs Various
LULC (QUA9625) QualityCbntrol %NoeQnfinnation, W4M Exp.0812012017
4. PROD=DExRPiloN:
4.1 Asphalt Shingles:
4.1.1 (lassicFand SipremePare fiberglass reinforced, 3-tab asphalt roof shingles
4.1.2 Berkshire!oarefiberglass reinforced, 4-tab asphalt roof shingles 4.
1.3 Devonshire'" are fiberglass reinforced, 5-tab asphalt roof shingles 4.
1.4 Duration; TruDefinitiorio Duration® Duratione'Premium Cool, TruDefinitiono Duration' Designer Color Collection, TruDefinitione0akridge®
Oakridge®and WeatherGuar^Parefiiberglassreinforced, laminated asphalt roof shingles 4.
2 Berkshire® Hip & fudge Shingles, High fudge, Hp & Rdge with Sealant, WeatherGiardo HP Hip & fridge Shingles, ProEdge
Hip & Ridge Shingles and DuraRidge'" Hip & Ridge Shingles are fiberglass reinforced, hip and ridge asphalt roof
shingles 4.
3 Rarter Rrip Plusand Barter Shingle FbIl are starter stripsfor asphalt roof shingles S. LJMITAmms
5.1
This is a building code evaluation. Neither Trinity) BM nor Fbbert Nieminen, P.E are, in any way, the Designer of Fbeord for
any project on which this Evaluation Fbport, or previous versions thereof, is/was used for permitting or design guidance
unless retained specifically for that purpose. 5.2
This Evaluation Fbport is not for use in the FM-Q 5.3
Fire Classification is not part of this Evaluation Fbport; refer to current Approved Fbofing Materials Directory for fire ratingsof thisproduct.
5.4
Wind Qassification: 5.4.
1 All Owens Corning shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and f905.2.6.1 to ASIM D3161,
Ctass Fand/or ASfM D7158, (lass H, indicating the shingles are acceptable for us in all wind zones up to V.d=
150 mph Nun =194 mph). Refer to S:dion 6 for installation requirementsto meet this wind rating. 5.4.
2 All Owens Corning hip & ridge shingles and Suer Srip Plus noted herein are Classified in a000rdance with FBCTables 1507.2.
7.1 and FG05.2.6.1 to ASFM D3161, (]ass F, indicating the shingles are acceptable for us in all wind zones up to V =150
mph (Vut =194 mph). Peferto S--dion 6 for installation requirementsto meet thiswind rating. 5derior Fbseardh
and Aga, LLG Evaluation F-port 037940.02.12-R5 CNtificate of
Authorization #9503 FL10674-Rt 0 Flevision 5:
04122/ 2015 Page 2
or 6
P ROOUARD RESTORATION
Where gy4ty Comes First"
1220 Central Park Drive, Sanford FL. 32771
Ph: 407-330-7663 • Fax: 407-330-7661
PROPOSAL/CONTRACT
State Certified # CCC1330234
www.proguardrestoration.com
Dais rK - If, /Sr _
Submitted To o /7 c P
utf df;@SS !) l c, s i n e t{. .-. Cry o ( State%L _Zip 7 2i
PHA41/07 °t/-S oyS
PH# Email
Job Address
Vvb Hehby SubMit SPOCHIcadons And Estbnabs For.
Remove existin-le layer roof. Each additional layer at $ per square. Install c underlayment / base ply.
Install valley finer in all valleys throughout where needed..
Install new soil stack Aashings (boots).
Install new roof nts on the roof deck, color
Install QC, * -„ roof,
Replace any rotten or damaged wood on the roof deck for S per foot, or S , per sheet of plywood (if needed).
Additional work scope or information: A& o d c 'W t Ca e e JAQ oo VA A40c c..
10t
MU AN ONLY Contract Amount:
All work scope and/or costs specified In this contract agreement /d 25
Is subject to or contingent upon the approval of the customer's
Insurance company. The undersigned further appoints PROGUARD
RESTORATION (hereinafter referred to as 'PROGUARD') as its U.S. Dolkn ( $ )
representative and permits PROGUARD to negotiate with the insurance
conipnay for settlement of the insurance claim. If there is a difference of Payment to be made upon completion oras follows: workscopeand/or costs, PROGUARD may negotiate a reasonable replacement
and/or replacement cost mutually agreed between PROGUARD . and
the Insurance company. PROGUARD will not start until work Is approved
by the Insurance company. INSURANCE
COMPANY 4! AN
to be n&wb wy+bl• to PROGUAM RESTORATION only ACCEPTANCE
of PROPOSAL The
above prices, specifications and conditions of this contract are satisfactory.and are hereby accepted. I / We have read and understand thetermsandconditionslocatedonthebackofthisdocument / contract agreement. PROGUARD RESTORATIONS hereafterreferredtoas "PROGUARD") is authorized to do the work as specified and in accordance with the terms and conditlons and stipulationsofthiscontractamePawillbemadeasstatedabove. Authorized
Signatu Sales Print
Name Title —
C) uu f19r-
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / a4/43 / ISSUEDATE:o 7 A 7. /4r
CONTRACTOR:
JOB ADDRESS:___1_"AL&A__W4KA
TYPE OF WORK:
Post this Permit in a conspicuous place outside PROTECT FROM WEATHER
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected
Permit expires six (6) months from date of issue or last approved inspection
A R OOF DR Y-IN INSPECTION IS RE UIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Miti atg ion Affidavit will not suffice as an alternative to receiving da-in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF
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 ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: October 2014 Inspection Line 855.541.2112
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 . . . . . 15-00002431 Date 7/27/15
Property Address . . . . . . 199 BRUSHCREEK DR
Parcel Number 33.19.30.518-0000-1980
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 906610
Permit pin number 906610
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-1000 129 BL29 MITIGATION AFFIDAVIT
10 116 BL15 ROOF DRY -IN
1000 111 BL03 FINAL ROOF / /
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: _ 1 S' ?_L4 0A1 1
1, Jom A, L%re-nn hereby acknowledge that I personally inspected
Roof deck nailing and/or V econdary water barrier work
at I ash %D(—. and have determined that the workJobSiteAddress)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 F.S.
Signature of Contractor Date
CC, C,133oZ,!?,y
Printed Name of Contractor License #
License Type: 0 General :j Building Residential •"woofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF rem i n h l e_
Sworn to (or affirmed) and subscribed before m ee this 1 I day of oLiC-±iProdSuced
20 15 , byhr(, l P0r\ who is 1, ersonally Known to e (type of
identification) as identification.
19 dKe r. (SEAL)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
Revised: February 2015
c \ LLOYD CHANDLER FORTSON
1)r MY COMMISSION#FF179587
EXPIRES November30, 2018
407) 398-0153 FloridallotaryService.com