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HomeMy WebLinkAbout107 Prince Pl2G CITY OF SANFORD JUL Is 2015 BUILDING & FIRE PREVENTION PERMIT APPLICATION BY: /5 I 3 dApplicationNo: . Documented Construction Value:$ Job Address: lzn9llf/ r Age,& Historic District: Yes No Parcel Residential [Commercial Type of Work: New Addition- Alteration El Repair '.Demo• i Change of Use Move- Description of Work: N. Plan Aevievv Contact Person: ui, Title: Phone: Fax: Email: Property Owner Information Name'G/GtJI%f/ t!'fiffi2L.5 L. 74hone: p' Street: =_ Resident of- ro ertYt .-5 ` y\ City, State Zip: Sf}Il,i Ji'"'' 34 % %' • x `+" r c ; r Zr,.; 'r :. ; ft Contractor Information Name'/1' f'D S OD$/!%1%C ;;li Phone. ,41a77 Street: 30 997 Fag: %O7 7195 9 City, State Zip: State License No.: (!eC'_ /3aiI 7 Y `= Y Arch itectlEngineer Information- Name: i- ' a • Phone: • - Street: _ _ ,, . Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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. •1 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, eta FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building /Cod e, q Revised: June 30, 2015 Permit Application ' , (- ` x. NOTICE: In addition to the requirements of this permit, there may be; additional restrictions applicable to this properly that mhy be found in the public records of this county, and there may be additional'pen-riits required from other governmental entities such as water management districts, state agencies, or federal agencies. Accefiti'p ,of ' is situation that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanfoid 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 4lan review charge and will be considered the estimated construction value of the 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 off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. i 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 const ction and zomn . oil2-?((s Signature of Owner/Agent „ Date Si ature of Con or/Agent Date CA-,, ae-,fj (Le.CV w,iti Print Owner/Agent's Name igna a of Not -State of Florida Date ROBYN D. BURLESONFF023747Commission # 2017ExpiresSeptember1eooTBs7019 Bondeditw7mYFainlnswem gent is. . Personally Kn wn to Me or Produced ID Type of ID a Print Contractor/Agent's Name ignatu f Notaryfate of Fl D e ROBYN D. Bl1RLESON Commission # FF 023747 - ExpiresSeptember12, 201T; T•' ed TW Tmy Fein Insumrce 900J95.7019 Bardp,.Q. Pf„„• Contractor/ Agent is ; Personally Known to Me or Produced ID 'hype 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: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: I: 11 1 t Revised: June 30, 2015 .i. Permit Application C THIS INSTRUMENT P EPAREED BY: dame: McFadden s Roofing, Inc. Address: P.0 Box Longwood, FL 32752 State of Florida MARYFiNNE MORSEf SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER fj/ aA —A& BK 8515 P3 893 (1Pss) SEMINOLE COUNTY CLERK'S 4V 2]1 081619 FLOMA'SNATUMCHOICE RECORDED 07/28/2015 09,22:54 AM RECORDING FEES $10.00 RECORDED BY hdevore NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 33-19-30-513-0000-0970 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 OF PROPERTY (Legal description of the property and street address if available) 107 Prince Place Sanford, FL 32771 Lot 97 Mayfair Oaks PH 50 PGS 38 thru 41 GENERAL DESCRIPTION OF IMPROVEMENT ROOF OWNER INFORMATION Name and address: Charles L III & Elizabeth A Beckwith 107 Prince Place Sanford FL 32771 CONTRACTOR McFadden's Roofing, Inc. Name and address: P.O. Box 520997 Longwood, FL 32752 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 and address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1 xb), 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 IMPROVMENTS 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. STATE OFF FLORIDA COUNTY OF SEMINOLE C kGt, l i i, OWNERS SIGNATURE OWNERS PRIMED NAME NOTE: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be p mitted to sign in his or her stead." The ffooregoing instrument was acknowledged before me this day of , _2geJf_ by L ES .eC&W/%f} Who is personilfly known to me Name of person ucedORwhoae-_ oentification type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE OF MY KNOWLEDGE AND BELIEF. SIGNATURE OF L PERSON SIGNING ABOVE R08YN D. BURLESON45;1 Commission # FF 0127 2EOMT6sBBPtember 7ot9 CEfiPI COPY— MORSE o. 8 7ioYFynlnsu2nce ."'UIT000R AND 4 R JUL LV n r NA4ry'Sf9natdrC hJ r ry •.!rw+. SEMINOLECO "NTY, F° .d' A BY —DEPUTY CLERK o`_ City of Sanford. o Building and Fire Prevention Product Approval Specification Form ii •r A• Permit # - t Project Location Address _/O7 IV,41AIC As required by Florida Statute 553.842 and Florida -Administrative Code 9N-3, please provide the `}= information and product approval number(s) on the building components listed=below if they are to be , utilized on the construction project for which you are applying for a building permit. We recom_ mend that YOU +contact your local product supplier should you not know ttie p oduct,approval number.for any of the applicable, listed products. Be aware that windows, skylights; and exterior doors must be tested in-'`, • accordance with the Florida Building Code, Section 1714.5. More information about Statewide P_ roduct r Approval can be obtained at www.flondabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements`for each product.:r Category/ Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows a Single Hun Horizontal Slider; Casement Double Hun Fixed Awning' Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 1 xv Category/Subcategory Manufacturer Product Description Florida Approval # including decimal) 3. Panel Walls i Siding Sofas ' Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite , Panels Other 4. Roofing Products Asphalt Shingles Underla ments 1 16 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing . System Modified Bitumen =. Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category/ Subcategory Manufacturer Product Description Florida Approval # include decimal) 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signatu Applicant's Name Please Print) June 2014 i Florida Building Code Online Page 1 of 2 Paida Depamwd BaS Home Log In User Registration 1 Hot Topics "i Submit Surcharge Stats & Facts Publications i FBC Staff ( MS Site Map ( Links l Search I 3usiines Product - Professi P na,l 0 USER: Public User l Regulation Product Approval Menu > Product or Application Search > Application List > Application Detail REFL'* _ FL5444-RB r Application Type Revision _ Code Version • 2014 Application Status Approved Comments Archived Product Manufacturer CertainTeed Corporation -Roofing Address/ Phone/Email 18 Moores Road Malvern, PA 19355 610) 651-5847 mark. d.hamer@saint-gobain.com Authorized Signature Mark Hamer mark. d.hamer@saint-gobain.com Technical Representative Mark D. Hamer Address/ Phone/Email 18 Moores Road Malvem; PA 19355 610) 651-5847 1 Mark. D. Hamer@saint-gobain.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 0 Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nleminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE 0 Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL5444 R8 COI 2015 01 COI NleminenaW Standard ASTM D3161, Class F ASTM D3462 ASTM D7158, Class H Year 2009 2009 2008 http:// www.floridabuilding.prg/Dr/pi , app_dtl.aspx?param=wGEVXQwtDgtahlg07CS§oy... 7/28/2015 Florida Building Code Online Page 2 of I i Product Approval Method Method 1 Option D Date Submitted 03/16/2015 Date Validated 03/23/2015 Date Pending FBC Approval 03/26/2015 Date Approved 06/23/2015 Summary of Products FL # Model, Number or Name Description 5444.1 CertainTeed Asphalt Roofing 3-tab, 4-tab, strip (no -cut-outs), laminated and architectural Shingles asphalt roof shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL5444 R8 II 2015 03 FINAL ER CERTAINTEED Asphalt Shinale FL5444-R8.pdfApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of Use Evaluation Reports FL5444 R8 AE 2015 03 FINAL ER CERTAINTEED Asphalt Shinale FL5444-R8.Ddf Created by Independent Third Party: Yes Back Next Contact Us :: 19440 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida Is an AA/EEO employer. Copvriaht 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 mail 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 emaits 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 Accepts: ON sccurit .uF' ntrs http://www.floridabuilding.org/pr/pi_app_dtl.aspx?param=wGEVXQwtDgtah 1g07C Ssoy... 7/28/2015 QOTRINITYIERD EVALUATION REPORT • ' EXTERIOR RESEARCH & DESIGN, LLC. Certf cote ofAuthorization ti9503 353 CHRISTIAN STREET, UNIT#13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 CertainTeed Corporation °-' Evaluation Report 3532.09.05-119 18 Moores Road "' F1.5444-118 Malvern, PA 19355 Date of Issuance: 09/22/2005 Revision 9: 03/06/2015 SCOPE: b - This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations, governing the use of construction materials in the State of Florida: The, documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume., The products described herein have been evaluated for compliance with the 5th Edition (2014) Florida Building Code sections noted herein: - DESCRIPTION: WtainTeed Asphalt Roofing Shingles. LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted herein and FBC 1507.2.7.1. f CONTINUED COMPLIANCE: This Evaluation Report 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 Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityJERD require's`a 'complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. - ADVERTISEMENT:,The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. . , t , INSPECTION: Upon request, a copy of this entire Evaluation Report 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. t 1 ; • ; I This Evaluation Report consists of pages 1 through 9. 1 Prepared by: F' llllrfrr, •^ Robert J.M. Nieminen, P.E. 0^':;CM1a The facsimilesealappearingwasauthorized byRobert Nieminen, P.E. on 03/06/2015. This does not serve as an electronically signed Florida Registration No. 59166 Florida DCA ANE1983 -! •- J!!i; j1,t„}{,'. ' document. Signed, sealed hardcopieshave been transmitted tothe Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: I " 1. TrinitylERD 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. Trinity I ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. 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. Robert Nieminen, P.E. does not have, nor will 'acquire, a financial interest in any other entity involved in the approval process of the product..' •1T. •' " **Wt > .. . . - ., . • - 5. This is a building code evaluation.' Neither Trinity IERD nor Robert Nieminen,'Pi. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or_ design guidance unless retained specifically for that purpose. • :, .r • 1 - . J 1 RINITY I ERD ROOFING SYSTEMS EVALUATION: 1. SCOPE: . Product Category: Roofing Sdb-Category: Asphalt Shingles Compliance Statement: CertainTeed Asphalt Roofing Shingles, as produced by CertainTeed Corporation, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.5, R905.2.4 ' Physical Properties ASTM D3462 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158, Class H 2O08 3. REFERENCES. Entity Examination Reference Date UL(TST 1740) ASTM D3161 94NK9632 05/15/1998 UL(TST 1740) ASTM D3161 _ 99NK26506 11/23/1999 UL(TST 1746) ASTM D3161 03CA12702 05/27/2003 UL(TST 1740) ASTM D3161 03CA12702 06/16/2003 UL (TST 1740) ASTM D3161 03NK29947 10/03/2003 UL(TST 1740) ASTM D3161 04CA11329 05/24/2004 UL(TST 1740) ASTM D3161 04CA32986 12/03/2004 UL (TST 1740) ASTM D3161 05NK07049 04/15/2005 UL (TST 1740) ASTM D3161 OSNK16778 05/12/2005 UL (TST 1740) ASTM D3161 05CA16778 05/12/2005 UL (TST 1740) ASTM D3161 05NK14836 05/22/2005 UL (TST 1740) ASTM D3161 • 05NK22800 06/22/2005 UL (TST 1740) ASTM D3462 R684 09/21/2005 UL (TST 1740) ASTM D7158 05NK08037 06/28/2006 UL (TST 1740) ASTM D3161 & D3462 09CA28873 07/23/2009 UL (TST 1740) ASTM D3462 IOCA41303 10/07/2010 UL(TST 1740) ASTM D3161 10CA41303 10/08/2010 UL(TST 1740) ASTM D7158 10CA41303 10/27/2010 UL (TST 1740) ASTM D3161 & D3462 IOCA44960 11/11/2010 UL LLC (TST 9628) ASTM D3161, D3462 & D7158 13CA32897 11/21/2013 UL LLC (TST 9628) ASTM D3161, D3462 TFWZ.R684 04/22/2014 UL LLC (TST 9628) ASTM D7158 TGAH.R684 04/22/2014 UL LLC (QUA 9625) Quality Control Service Confirmation Exp. 07/03/2017 4. PRODUCT DESCRIPTION: 4.1 ;CT20TM, XT' 25, XTTM 30 and XTTM 30 IR are fiberglass reinforced, 3-tab asphalt roof shingles. 4.2 Carriage House Shangle®, Centennial SlateTM, Grand Manor Shangle®, Landmark', Landmark'": IR,,-LandmarkT' Pro, Landmark'" Premium, Landmark' TL, Landmark'" Solaris and Landmark' Solaris IR are fiberglass reinforced, laminated asphalt roof shingles. 4.3 Presidential Shake-, Presidential Shake' IR and Presidential Shake TLTM are fiberglass reinforced, architectural asphalt roof shingles. 4.4 HatterasTM, Highland Slate- and Highland Slate' IR are fiberglass reinforced, 4-tab asphalt roof shingles. C 4.5 PatriotTM is a fiberglass reinforced asphalt roof strip -shingle (with no cut-outs) providing a laminated appearance through an intermittent shadow line with contrasting blend drops for color definition. 4.6 ; Presidential Accessory, Accessory for Hatteras, Shangle Ridge', Shadow Ridge', Cedar Crest' and Cedar Crest— IR are fiberglass reinforced accessory shingles for hip and ridge installation. 4.7 Any of the above listed shingles may be produced in AR (algae resistant) versions. Exterior Research and Design, U.C. Evaluation Report 3532.09.05-119 Certificate ofAuthoriration M503 FL5444118 Revision 9: 03/06/2015 Page 2 of 9 7 l TRINITY I ERD S. LIMITATIONS: 5.1 This is a building code evaluation. Neither Trinity) ERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specificallyfor that purpose. 5.2 This Evaluation Report is not for use in the HVHZ , 5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.4 Wind Classification: 5.4.1 All shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up to Vesd = 150 mph (Vuh =194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.2 Presidential Accessory, Accessory for Hatteras, Shangle Ridge, Shadow Ridge and Cedar Crest hip & ridge shingles have been evaluated in accordance with ASTM D3161, Class F when BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant, applied as specified in manufacturer's application instructions, indicating the shingles are acceptable for us in all wind zones up to Ves =150 mph (V„ n =194 mph). 5.4.3 Classification by ASTM D7158 applies to exposure category B or C and a building height of 60 feet or less. Calculations by a qualified design professional are required for conditions outside, these limitations. Contact the shingle manufacturer for data specific to each shingle. Y 5.4.3.1 Analysis in accordance with ASTM D7158 indicates the measured uplift resistance (RT) for the CertainTeed asphalt roofing shingles listed in Section 4.1 through 4.5 exceeds the calculated uplift force (FT) at a maximum design wind speed of Ve,d = 150 mph (V„n = 194 mph) for residential buildings- located in- Exposure D conditions with no topographical variations (flat terrain) having a mean roof height less than or equal to 60 feet. The shingles are permissible under Code for installation in these conditions using the installation procedures detailed in this Evaluation Report and CertainTeed minimum requirements, subject to minimum codified fastening requirements established within any local jurisdiction, which shall take precedence. 5.5 All products in the roof assembly shall have quality, assurance audits in accordance with the Florida Building Code and F.A.C. Rule 61G20-3. 6. INSTALLATION: - •' ' 6.1 Roof deck, slope, underlayment and fasteners shall comply with FBC 1507.2 / R905.2 and the shingle manufacturer's minimum requirements. ' 6.1.1 Underlayment shall be acceptable to CertainTeed Corporation and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 61G20-3, per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3. 6.2 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FBC 1507.2.7 or Section R905.2.6 and the minimum requirements herein. 6.2.1 Fasteners shall be in accordance with manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.2.2 Where the roof slope exceeds 21 units vertical in 12 units horizontal, use the "Steep Slope" directions. 6.3 CertainTeed asphalt shingles are acceptable for use in reroof (tear -off) or recover applications, subject to the limitations set forth in FBC Section 1510 and CertainTeed published installation instructions. Exterior Research and Design, I.I.C. Evaluation Report 3532.09:05-R9 Certificate ojAathorization 8%Q3 FL5444 R8 Revision 9: 03/06/2015 Page 3 of 9 6.3.1 CT20'. XT" 25, XT" 30, XT'" 30 IR: r LOW AND STANDARD SLOPE f- ENGLISH 12" 12" 12" r5m)( 305 cam) (305inn) Selant 1"( 25m55/a" (145 m5i12Pknr METRIC f. 13Va" - 13r/a" - .- 131/6" 1" (25 mm) — Sealantlant 1"(25 mf1) Figure 113: if -Parr nailsforevMfullsbingla 6.3.1.1 i Hip & Ridge: Cut Shingles 1'-.-1 2" (50 inn) Remova25mm t I r , I If _ _ it " j _ 1z" Cap Cap Cap m) Shingle Shingle Shingle Figure 11-24. Cut tabs, then trim back to make cap sbingles ftlisb dimensions sbotmr). V I RINITY I ERD STEEP SLOPE Use four nails and slx spots of asphalt roofing cement* for every full shingle (Figure 11-4). Asphalt roofing cement meeting ASTM D4586 lgpe is suggested. I Rooling Cement Apply I"(25 inn) spots of asphalt roofing cement under each tab corner. Ftgure 11-4.• Usefournods• andsirspots ofasphalttament on steep slopac CAUrLON: Excessive use of roofing cement can cause shingles to blister. 5"—-12 305 cam)—`-' '% 125mm) \ SARI.5\ eopShowo` ` 45 N11.196 \at&l Figure 11-25.1nstaAat10n gfCnpsalong the hips and ridges. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant, in accordance with manufacturer's instructions. 6.3.2 Carriage House Shangle®, Centennial Slate TM and Grand Manor Shangle®: F LOW AND STEEP SLOPE STANDARD SLOPE Use seven nails and three spots or asphalt n)ofing cement for c en• Use five nails for every full Shangle. full Grand Manor Strangle. Use live nails and three spots of asplrah roofing cement for every fill Carriage house Shangie and Centennial Slate. Apply asphalt roofing cement 1- (25 min) from edge of shingle i (Figure 17-5). Asphalt roofing cement meeting ASTM D458611Tw 11 r 1" +1" is suggested 1—(25 min} (25 min) 518 16 min) (220 mm) figure-17-4: Cse fttu nails for et'try fiU Grand btanorSbangle, Carriage HouseSbaiigle, or Centennial Slate. Exterior Research and Design, I.I.C. Certificate of Authorization #9503 4 1•• or less _1,. 25ttm--m) 5(8 58118" 220 mm) i25mm)r Roofing Cement Figure IT 5. Wlva Installing Grand Manor Sbaugles on steep slopes, use seven nails and Mire slots ofasphall roofing cement. Evaluation Report3532.09.05-R9 FL5444-R8 Revision 9: 03/06/2015 Page 4 of 9 I 1 , TRiNITYJERDd r 1 I + 6.3.2.1 Hip & Ridge: Shangle® Ridge I , - 6.3.3 12' I 18' Exposure Remove tape from the right side 8' - I and fasten - j SECOND " Fasten thef I . de Remove lettSiT 85/8 I RIGHT Th' 'rFIRST 5ape- LEFT Figure 17-19: Installation of Sbangle® Ridge shingles Figure 17-18: Sbangle" Ridge. on hips and -ridge s. _ Note: For ASTM-D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Landmark'", Landmark' IR, Landmark' Pro (formerly Landmark'" Plus), Landmark' Premium, Landmark'" TL, Landmark'" Solarls, Landmark- Solaris IR: LOW AND STANDARD SLOPE LANDMARK TL 13119" 13" 131/2" METRIC DIMENSIONS I--(343 mm)---(330 mm)- 343 mm)_1 1z, 143/4" 12" r I+1" (25 mm) I I1" (25 mm)-I 305mm)- - 375 mm)-. (305 mm)-_ 7 1"( 25 mm) PSJ` j S.- 64f .'S[2a 1CYSE Release* Tape 1" (25 mm)—1 Nailable' F Flgum %3.4: Cwfonr-11,,famyeu-futl sbhVe. Area s STEEP SLOPE LANDMARK TL Use six nails and four spots of asphalt roofing cement for everyfull laminated shingle. See below. Asphalt roofing cement should meet- j31/1" 1., 343 mm) 13" 330 mm) 131h" 343 mm) Ah'Tlt D45961]1)e II. Apply i" spots of asphalt roofing cement unde I cach corner and al about 12' to 13" in from each edge. 25mm) I 1"('t5mm) t METRIC DIMENSIONS r 25mm) 4-— 25mm) Radrng Cement 143/4"" -- 12" p I 305 mm) 375 mm) 305 mm)' ft ra135: 10#xnags=dfiaspotsof r mmxz. szcc. as. ,-u nw 1"(25 mm) cro-.r, e:.:.,-T..x asplmlt iooJfagamcmton.ilroPslnp Nail Area J For Steep] J..— 25 mm) Exterior Research and Design, LLC. Certificate olAuthorization # 9503 1 25 mfff 1 Evaluation Report3532. 09.05-R9 n,. _ FL5444118 Revision 9: 03/06/2015 Page 5 of 9 6.3.3.1 Hip & Ridge, Option 1: Shadow Ridge'" Figure 13-16..• SbculomRldge accessory sbingles ddacb ea*fiom three -place units to make 72 indiuklual cap places. 12' 305mm) S. 6' 150mm) (150mm) Notch for Centering 12' ,.\ 7305rnm) Notches for Alignment to the Top Edge of the Previous 7 Cap forS(125mm)Exposure (180mm) English Dimension I r Laying Notch I 5 Ev re) V I RINITY I ERD g7/8` 250mm) 41511C 415i16' 125mm) I (125mm) Notch for Centering 131/4' 337mm) Notches for Afignmentto the Top Edge of the Previous 75/8' Capfor55/8'(141mm)Exposure () Metric Dimension Fig— 13-20.• Use laying nokkm to carter sbinglas on bips and ridges, and to Axate the coned exposure, Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. 6.3.3.2 i Hip & Ridge; Option 2: Cedar Crest", Cedar CrestTM IR Use two fasteners per shingle. For the starter shingle, place fastener 1-inch from each side edge and about 2-inch up from the starter shingle's exposed butt edge. For each full Cedar Crest shingle, place fasteners 8-5/8-inch up rfrom its exposed butt edge and 1-inch from each side edge. Exterior Research and Design, I.I.C. Certificate Of Autharkallon N9503 Evaluation Report3532.09.05-R9 FL5444-R8 Revision 9: 03/06/2015 Page 6 of 9 a 6.3.4 6.3.4.1 TRINITY ERA Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant to hand -seal Cedar Crest shingles. Apply NP 1 or PL adhesive from the middle of the shingle's raised overlay on the top piece and extending approximately 4-inch along the sides of the headlap along a line'/• to 1-inch from each side of the shingle's headlap. Immediately align and apply the overlying shingle, gently pressing tab sides into the adhesive, and install nails. To secure the other side, apply a 1-inch diameter spot of NP 1 or PL adhesive between the shingle layers. Nane"seasno ad est+e tta• ornni) _ I(102mm) 1 19 am) J• 25mm) OaDoraspl+a! , camaN oe".rean 9b 4)— (25arm) Presidential Shake', Presidential Shaker" IR, Presidential Shake TL: LOW AND STANDARD SLOPE: STEEP SLOPE: For low and standard slopes, use five nails for each full Presidential pm sleep slopes, use nine nails for each full Presidential shingle and shingle as shown below. apply 1 • diameter spots of asphalt roofing cement under each shingle tab. After applying 5 nails in between the trailing gukle'lines, apply 4 nails 1' Nailing t - 40• =i above tab cutouts making certain tabs of overlying shinge corer nalls. Guido Lines (1016 mm) 5114' 133 mar • . 141/4" 112' 3amm) (362mm) • • • jj NOTE: Apply nails on painted guideline. Figure 16 : Fi s4mi rg Phn dendal and Fierldentlal7z stake 1' diameter asphalt roofing cement sbinglas on lord and standard slopes Figure 16-7.• Fastening Frerldenllal and Prnslde"Hd TA Sbake sbtngles on steep slopes. Hip & Ridge, Option 1: Presidential Accessory ;. PRESIDENTIAL ACCESSORY Presidential accessory shingles can be used for covering hips and ' ridges. Apply shingles up to the rldge (expose no more than 7' from the bottom edge of the "tooth." Fasten each accessory with two fas- Aeners. The fasteners must be 13/4' long or longer, so they penetrate ; either MY into the deck or completely through the deck. Presidential accessory' comes in iwo different sizes: Accessory produced in- Birmingham, AL is 12' x 12"; Portland, OR produces 97/8' x 13l/4" ,. accessory. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. 6.3:4.2 Hip & Ridge, Option 2: Refer to instructions herein for Cedar CrestTM, Cedar Crest'" IR hip and ridge shingles. Ext®rior Research and Design, I.I.C. Certificate of Authorization N003 Evaluation Report3532.09.05-R9 A , F1.5444118 Revision 9: 03/06/2015 Page 7 of 9 F' 6.3.5 6.3.5.1 I Hatteras'": LOV4 STANDARD AND STEEP SLOPE: t Figure 15-3 Rrsleniq Ilallems Sbuigles on Lox and Slatalard Slopes For lme mxl standard slopes, use me "Is for etch fill Ifaleeu shingle n shonre above. Hip & Ridge, Option 1: Accessory for Hatteras V I f NITY I ERD Ftgttn 15-kraslealAW 1bfterarSb1k* oa %Ivp.*pes For steep slopes, ice ice nails and dgla spots of asphah roofing cement for each fill 11a11eras shingle as shown allow. Apply I' 25mm) diameter spots of roofing cement (ASM D 4586 Tpe 11 suMested) under etch tab corner. Press shingle into phtce: do not csposc cement. CA(FFION: Too much roofing cement cull came shingles to blister. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. 6.3.5.2 Hip & Ridge, Option 2: Cut Hatteras Shingles 9" 230 tom) I I I astea 8'18" (q60 mm) Fgotih I----I--- 18" (203mm) _ s aes l 4 Min) Cap Cap Cap Cap Shingle Shingly Shingle Shingle l2 Figure 15-20, CuMatteras shingles to snake cover cap. Figure 15 21. Installation of caps along btps and rtdgea Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Exterior Research and Design, L.L.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization N9503 FL5444-R8 i Revision 9: 03/06/2015 Page 8 of 9 TRINITYJERD 6.3.6 Highland Slate', Highland Slate— IR: LOW AND STANDARD SLOPE: STEEP SLOPE: Use FIVE nails and EIGHT spots of asphalt roofing cement* for each a'°°e PsOn t aane*o mt full Highland Slate shingle. For Afiami•Dade, SIX nails are required. Apply I' diameter spots of asphalt roofing cement under each tab t.—asmmt as', t—I comer. Asphaltrooflng cement meeting ASTM D458 i Type E Is suggested. MiemFWde mpi as six nas (wo nails InswW over eater aloul as shomn Figure 113. Use FIVE galls for every highland Slate sbingte. ManA)ad8Mq*N SlUds(imnab ncleABd aia —der Olin as ftm) Figure 113A Use 11PB Trails and eight spats ofaspbalt roofing cemcart urrdereacb tab corner: CAUTION: Excessive use of roofing cement can cause shingles to blister. 6.3.6.1 Hip & Ridge, Option 1: Refer to instructions herein for Cedar Crest', Cedar Crest' IR or Shangle Ridge— hip and ridge shingles. 6.3.7 Patriot—: LOW AND STANDARD SLOPE STEEP SLOPE Use FOUR nails for every full shingle located as shown below. Use FOLK nails and four spots of asphalt roofing cement for carry full Sf"t [ki'fC 7. LABELING: lant rrl . , ( 25min) i i m} t55mm) 3it-4 (St'C3trm) (M shingle as shown below. Asphalt roofing cement meeting A. > , Tl T)c 11 is suggested. Apply 1 ° (25 nun) spots of :asphalt roofing cenicut as shown. CAIMON: Excessive use of roofing cement can cause shingles to blister. l nm)• O 0 O T Roofing Coment I' `l' (te'I,,) ) '1 Hip & Ridge: Referto instructions herein for Cedar Crest—, Cedar CrestTM IR, Shadow RidgeTM or Shangle RidgeTM hip and ridge shingles. 7.1 Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC Table 1507.2.7.1 / R905.2.6.1. 8. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 CIA requirements. 10. QUALITY ASSURANCE ENTITY: UL LLC—QUA9625; (414) 248-6409; karen.buchmann@us.ul.com END OF EVALUATION REPORT - Exterior Research and Design, U.C. Evaluation Report3532.09.05-R9 Certificate of Authorization #9503 FL5444-R8 Revision 9: 03/06/2015 Page 9 of 9 j ';;CPA Parcel View: 33-19-30-513-0000-0970 Page 1 of 2 C?ryc vtd.c phn aan,C:FA Property Record Card Y ER Y Parcel: 33-19-30-513-0000-0970 Ei 7Eg- Owner: BECKWITH CHARLES L III & ELIZABETH A wm-= Property Address: 107 PRINCE PL SANFORD, FL 32771 Parcel:33-19-30-513-0000-0970 Property Address: 107 PRINCE PL Owner. BECKWITH CHARLES L III & ELIZABETH A Mailing: 107 PRINCE PL SANFORD, FL 32771 Subdivision Name: MAYFAIR OAKS 331930513 Tax District: SI-SANFORD Exemptions: 00-HOMESTEAD (2013) DOR Use Code: 01-SINGLE FAMILY Legal Description LOT 97 MAYFAIR OAKS PB 50 PGS 38 THRU 41 Taxes Value Summary 2015 Working Values 2014 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 111,948 106,680 Depreciated EXFTValue 1,418 1,501 Land Value (Market) 28,000 28,000 Land Value Ag Just/Market Value x* 141,366 136,181 Portability Adj Save Our Homes Adj 26,668 22,393 Amendment 1 Adj Assessed Value 114,698 113,788 Tax Amount without SOH: 2014 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 1,913.60 1,467.66 445.94 Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 114,698 50,000 64,698 Schools 114,698 25,000 89,698 City Sanford 114,698 50,000 64,698 S3WM(SalntJohns Water Management) 114,698 50,000 64,698 County Bonds 114,698 50,000 64,698 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 9/1/2012 07870 0254 118,000 No Improved CERTIFICATE OF TITLE 6/1/2012 07790 1680 100 No Improved QUIT CLAIM DEED 2/1/2007 06650 1459 100 No Improved WARRANTY DEED 11/1/2006 D6483 0106 250,000 Yes Improved WARRANTY DEED 4/1/2004 05285 0121 158,900 Yes Improved WARRANTY DEED 3/1/1999 03625 1333 111,100 Yes Improved Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value LOT 1 1 $28,00D.00 28,000 Building Information http://www. scpafl. org/ParcelDetailInfo.aspx?PID=33193051300000970 7/15/2015 I , j„SCPA Parcel View: 33-19-30-513-0000-0970 Page 2 of 2 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051300000970 7/15/2015 MCMDENS ROOFING and Repair Specialists P.O. Box 520997 • Longwood, FL 32752 407-682-9082 • Fax 407-332-7049 Charles & Elizabeth Beckwith 107 Prince Place Sanford, FL 32771 386-848-3959; eguenthe(a)stetson.edu July 15, 2015 PROPOSAL -CONTRACT WE PROPOSE TO INSTALL A NEW ROOF SYSTEM AT THE ABOVE LOCATION AS FOLLOWS: This proposal meets the requirements for Section 201 of the Hurricane Damage Mitigation provisions of HB 7057 adopted by the Florida Legislature for inclusion in Section 553.844, F.S., and effective October 1, 2007. A. Tear off and haul away the existing shingle roof system (one layer) and all roof top accessories to the wood decking. B. Inspect the roof sheathing fastening system and supplement (re -nail) to comply with Section 201.1 of HB 7057. C. Inspect the roof decking and repair as necessary on a time and material basis as described below. D. Supply and install a layer of asphalt saturated felt underlayment, complying with section 1507.2.3 of the Florida Building Code as dry -in. E. Supply and install new rubberized leak barrier to all valleys. F. Supply and install 32' of shingle over vent for proper ventilation. G. Supply and install new 26 gauge galvanized metal over the previously installed rubberized leak barrier to all valleys. H. Supply and install new galvanized and painted 2 Y2" metal eave drip to all eaves. I. Supply and install all new prefabricated lead boot flashings for plumbing stacks. J. Supply and install new CertainTeed Swift Start starter shingles to all eaves. K. Supply and install new CertainTeed Landmark architectural shingles. L. Supply and install new CertainTeed Shadow Ridge cap shingles to all hips. M. McFadden's Roofing will obtain and pay for a permit and arrange for all required inspections. N. Upon completion, all roofing debris will be picked up and taken away. Price: CertainTeed Landmark Lifetime architectural shingles - $7,580.00 (5 year workmanship warranty)* No charge to upgrade dry -in to Rhino Guard synthetic underlayment. Note: The above scope of work qualifies for CertainTeed's 130 mph wind speed shingle warranty. Any other unforeseen decking repairs and/or wood rot repair will be done at a cost of materials plus $45.00 per man-hour for labor. Lead test may need to be done by an EPA lead -safe certified technician on any property built before 1978. Homeowner is responsible for removal/reinstallation of solar and satellite dishes. This proposal may be withdrawn by us if not accepted within 14 days. Due to material price instability, this proposal may be withdrawn by us if not accepted within 14 days. I have read and accept the Additional Terms and Conditions printed on the back of this page. The prices, specifications and conditions of this proposal are satisfactory and are hereby accepted and McFadden's Roofing, Inc. is authorized to do the work as specified. Payments will be made as outlined in this proposal. Surcharge will be applied with credit card payments. ACCEPTED: PRINTED NAME: cyw(.o,S 4-em),A44, PLEASE SIGN ONE COPY AND RETURN TE 0lIM Richard D. McFadden - State of Florida License CCC1326427 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of. McFadden's Roofing, Inc. Name of Company) 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): fAll permits and applications submitted by this contractor. The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Richard D. McFadden State License Number: Signature of License B STATE OF FLO A - COUNTY OF The for going instrument was acknowledged before me this, ' ay of 20), by Richard D. McFadden who is, pe onall known to me or who has produced identification and who did (did not) take an oath. Notary Seal) s al R E1 R1pFFet1221 0 9 Rev. 3/27/07) Signatgre Print or type name Notary Public - State of Commission No. f,04,A 3 7y7 My Commission Expires: 9 /a / 7 as City of Sanford JUL7205 Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: ff' Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. f7 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). C A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). n114 Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. SCPA Parcel View: 33-19-30-513-0000-0970 Page 1 of 2 David John -son. CFA PROPERTY APPRAISER SWAIN= COUNTY FLORIDA Property Record Card Parcel: 33-19-30-513-0000-0970 Owner: BECKWITH CHARLES L III & ELIZABETH A Property Address: 107 PRINCE PL SANFORD, FL 32771 Parcel:33-19-30-513-0000-0970 I Property Address: 107 PRINCE PL Owner: BECKWITH CHARLES L III & ELIZABETH A Mailing: 107 PRINCE PL SANFORD, FL 32771 Subdivision Name: MAYFAIR OAKS 331930513 Tax District: Sl-SANFORD Exemptions: 00-HOMESTEAD (2013) DOR Use Code: 01-SINGLE FAMILY 710 Value Summary 2015 Working Values 2014 Certil Values Valuation Method Cost/Market Cost/Marke Number of Buildings 1 1 Depreciated Bldg Value 111,948 106,680 Depreciated EXFT Value 1,418 1,501 Land Value (Market) 28,000 28,000 Land Value Ag Just/Market Value 141,366 136,181 Portability Adj Save Our Homes Adj 26,668 22,393 Amendment 1 Adj Assessed Value 1 $114,698 1 $113,788 Tax Amount without SOH: 1, 2014 Tax Bill Amount 1, Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 97 MAYFAIR OAKS PB 50 PGS 38 THRU 41 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 114,698 50,000 I Schools 114,698 25;000 E City Sanford 114,698 50,000 E SJWM(Saint Johns Water Management) 114,698 50,000 E County Bonds 114,698 50,000 E Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 9/1/2012 07870 0254 118,000 No Improved CERTIFICATE OF TITLE 6/1/2012 07790 1680 100 No Improved QUIT CLAIM DEED 2/1/2007 06650 1459 100 No Improved WARRANTY DEED 11/1/2006 06483 0106 250,000 Yes Improved http://www.scpafl.org/ParceIDetaillnfo.aspx?PID=33193051300000970 7/28/2015 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: Z, ` (3 c I, ./? /V hereby acknowledge that I personally inspected Roof deck nailingand/or SecondSecondary water barrier work and have determined that the work lob Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) i• I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that malting any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Secti 8 7.0 Signature of ontr cto Date Name of Contractor s License # License Type: 0 General Building ResidentiaXRoofing Contractor 0 or any individual cerrified in accordance with F.8 to make such an inspection. STATE OF FLORIDA COUNTY OF Syqrn to (or affirmed) and subscriped before a this ay of 92% _, by who is7Personally Known to me df has Produced (type of id ti ication) as identification. SEAL) igna re of N tary Public State of Florida Print/Type/Stamp Name of Notary Public 0 MD. ctURLESUN k: commission # FF r i2 2017 Expires Septembers eoo oos.To,s Bonded Ihm T,M'Fanlnsu