HomeMy WebLinkAbout2847 Gale PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
F D
Application No: / 6- M A
Documented Construction Value: $ -S] Joy OU
Job Address: ?_19L/7 G c,) 8 p) _c ` Historic District: Yes No M
Parcel ID: 6 (-ZO -3) x'05— n Foo -- o) 8 Qo Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: (PCZ.- ro0 SS cr e S t, i j -L, X KO C---, b r % d 5 e 144
Plan Review Contact Person:
UCC41_
Title: pre- ii0ch+
Phone: i0 7-8`3—$SSy Fax: 90? 6$Z- 95'5`1 Email: /71-Prao-P5 (9 FVc aO . Co^ %
Property Owner Information
Name VM L- Poe LL(' Phone:
Street: q $ Z Resident of property?
City, State Zip: FL .3 2:7-71
Contractor Information
y`J<pName / i F10C'i 3c' ' q Phone: L10 85..36 S5-5-9
Street: 70 Ferre Or. Fax: 40-7 (,67— 8 y y
City, State Zip: Ld soo4 FL --1>Z-)-7J State License No.: CCC -657 &3
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Arch itectlEngineer 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: 51 Edition (2014) Florida Building Code
Revised: June 30, 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 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 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 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.
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.
2y,6,
Signatu _ gent Date
JONAS WONDER
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF104514
z-3)-1.5
Signatu4 off Contractor/Agent Date
Print Contpctor/Agent's Name
Signa¢ e of Notary -State of FAgE HANCOCKDate
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF224497
Expir s 4/27/2019
Contractor/Agent is 1/ Personally Known to Me or
Produced ID 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:
Mn. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Ilfuliar;auu I ft01>1141iM I11.rMYI IIWi il ill YIIWQ'1 J11 1'IYIWiiI......I!
MID FLORIDA ROOFING ESTIMATE/SALES ORDER
768 Ferne Drive STATE LICENSE: CCCO57834
Longwood, FL 32779
Tel: (407) 830-8554
Fax: (407) 682-8554
Date of Estimate:
Customer Name:
Job Address:
City, State, Zip: _
V
Sales Rep Name: ZCkLA4
Sales Rep Phone #: —g-
Cust. Day Phone #: 1'--;7 - '7 /d Sa Q
Cust. Eve. Phone #:
By signing below, Customer and Mid Florida Roofing, Inc. hereby agree to the to a d conditions described in this contract:
Remove existing roof from above address. Total number of squares: I I Roof Pitch:
Two or more layers on roof to be removed at $45 per square. $45/sq. X squares = $ (included in total price below)
XRemove and replace the following items with like or equivalent materials:
A. Valley Metal
boots:
total linear feet
B. Plumbing vent ipe 1 '/ inch: 2 inch: 3 inch 4 inch: 5 inch:
C. Kitchen & Bathroom vents: 4" goose: 6" goose: 10" goose: Color:
D. Off -set ridge vents (4ft): Color:
E. Ridge Vents (1 Oft): Color:
F. Replace eave-drip (except behind gutters) with: pieces. Color:
Aill
G'J PaW'- Le4Jeplaceallrottensheetinahthing, at an additional charge of $60 per sheet including installation. Charge is not included in total contract price below.
replaced wood (includin fascia, siding, trusses, tails, etc.) will be documented and billed separately.
4p Replace underlayment with the following: 151b Felt 301b Felt Titanium PolyGlass TU Plus
Install new roof using:XArchitectural Shingles 3 Tab Shingles Concrete Tile Clay Tile 5V Crimp El Standing Seam Ell DECRA
Manufacturer/Style: r'V / G, %w 9L -,d J{ Color: C1 I—
Xlnstall new 4ft off -set ridge vents ($80 each)) Total L3 Install new 1 Oft ridge vents ($50 each) Total $
Ek 14d c
Replace 2'x 2' skylight: Qty: Replace 2'x 4' skylight: Qty: Total $ (included in price below)
Upon completion, Mid Florida Roofing will remove all job-related debris, garbage and excess materials from job site and will use magnet for nails, J\ staples, simplex, etc.
Customer requests that Mid Florida Roofing remove and discard existing solar heating panels prior to commencement of installation. If this option is
not checked, customer is responsible for removal of solar heating panels prior to commencement of installation. Customer is also responsible for
re -installation of solar heating panels when roof work has been completed, if this option is not checked.
CIAL INSTRUCTIONS: -
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance charge of 5% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action
be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the
date of acceptance and approval by Mid Florida Roofing, Inc. Mid Florida Roofing, Inc. reserves the right to cancel all or part of this contract at any time. The State of Florida has a construction recovery fund.
WARRANTY: Includes manufacturer's material warranties and five year workmanship warranty unless otherwise specified in special instructions above.
PAYMENT TERMS: Full payment is due upon completion of the work described on this contract, unless otherwise agreed upon in writing betweencustomerandMidFloridaRoofing, Inc.
Accepted: i Date:
us mer Signature
Approval: Date: TOTAL PRICE _ $ SOS-? r
County of Seminole
Permit Number: Parcel ID Number: 06-20-31-505-OF00-0180
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)
2847 Gale Place Sanford, FL 32773
OWNER INFORMATION: DEPUTY CLERK
Name: VML Pro LLC 14A1 t1 / 20 16Address: 4862 Shoreline Circle Sanford, FL 32771 %
Pfeil i
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name: Mid Florida Roofing
Address: 768 Ferne Dr. Longwood, FL 32779
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) 3/10/16
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNED 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 of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
Owner's Signature Owners Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
F_1
State of I Oi < <- 4- County of _SLrrt , to
The foregoing Instrument was acknowledged before me this & L1_ day of-
by 111(TGAf tx
Name of person making stqtemept
OR who has produced identificationpe of identif
W"R'01
oR JONAS WONDER
NOTARY PUBLICSTATEOFFLORIDA
Comm# FF104514
Expires 3/20/2018
Who is personally known to me
f ,t .11611 10 11 r ,. I I I 1 1 I I I A .1
I
il!
THIS INSTRUMENT PREPARED BY 11 1 2 11 1, 1
Name: Robert Shoemkaer
Address PO Box 522610 t ui:, i -1,1111- r_ i`IJ . ,t ? ,_'a'll:HOLE
4.
t::!OI.N ; f
Longwood. FL 32752 iCi: - ;.iZC l}. ( :a11(; j' &:t)(IF'((tC)L.LE" i
CLERK'S
NOTICE OF COMMENCEMENT02"07,11.7
t`
V;2016000371,-:'
r,11
7-r! .1,114-GaFEE w:L 1, ii_i
State of Floridaf:ut::tif:L"PO I' hd.ev.re
County of Seminole
Permit Number: Parcel ID Number: 06-20-31-505-OF00-0180
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)
2847 Gale Place Sanford, FL 32773
OWNER INFORMATION: DEPUTY CLERK
Name: VML Pro LLC 14A1 t1 / 20 16Address: 4862 Shoreline Circle Sanford, FL 32771 %
Pfeil i
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name: Mid Florida Roofing
Address: 768 Ferne Dr. Longwood, FL 32779
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) 3/10/16
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNED 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 of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
Owner's Signature Owners Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
F_1
State of I Oi < <- 4- County of _SLrrt , to
The foregoing Instrument was acknowledged before me this & L1_ day of-
by 111(TGAf tx
Name of person making stqtemept
OR who has produced identificationpe of identif
W"R'01
oR JONAS WONDER
NOTARY PUBLICSTATEOFFLORIDA
Comm# FF104514
Expires 3/20/2018
Who is personally known to me
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 12- 31-1 S
I hereby name and appoint: 9 O6e r4- S u r c,
an agent of for? i2ao n
Name of
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):
The specific permit and application for work located at:
EM fele Oce 4rJ, F4. 3-Z7-73
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: O;Sty--J<C.r
State License Number: CCC— 057 3311
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF . 5n Je—
The foregoing instr ment was acknowledged before me this 31 S ay
205 , by who is personally known
t_ o me or o who has produced as
identification and who did (did not) take an oath.
Si re
JOEL HANCOCK
NOTARY PUBLIC
Notary Seal) STC ANTE* FFLORIDA
Print or type name Expires 4/2712019
Notary Public - State of _
Commission No.
My Commission Expires:
Rev. 08.12)
SCPA Parcel View: 06-20-31-505-OF00-0180 Page 1 of 2
Davld Jotlnoon. CFA Property Record Card
PROPERTY Parcel: 06-20-31-SOS-OF00-0180
gpPIMI5ER Owner: VML PROP LLC
SEMINOLECOUNTY, FLORIDA Property Address: 2847 GALE PL SANFORD, FL 32773
Parcel: 06-20-31-505-0 F00-0180
Property Address: 2847 GALE PL
Owner: VML PROP LLC
Mailing: 4862 SHORELINE CIR
SANFORD, FL 32771 -
Subdivision Name: WOODMERE PARK 2ND REPLAT
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
11
34 12 u 12
29 BAS 29
21 EPF 21
4
0
4
11 1
Legal Description
LOT 18 BLK F
WOODMERE PARK 2ND REPLAT
PB 13 PG 73
Taxes
Value Summary
Tax Amount without SOH: $1,100.38
2015 Tax Bill Amount $1,100.38
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market I Cost/Market
Number of Buildings'
Depreciated Bldg Value
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
Just/Market Value
Portability Adj
Save Our Homes Adj
Amendment 1 Adj 1$55,940
1
46,128 -
IF -
1
45,626
200
9,612 -^
200 -
9,612 _
Schools
55,940 55,438
55,940
0 _
0 j
0
2,228
53,210AssessedValue
16/1/2010
Tax Amount without SOH: $1,100.38
2015 Tax Bill Amount $1,100.38
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
Book
County General Fund 55,940 I 0 1 55,940
Schools 55,948 0 f - 55,940
T---- -
CERTIFICATE OF TITLE 16/1/2010
City Sanford 55,940
i $100 No
01-- 55,940
SIWM(Saint Johns Water ManManagement) 55,940 0
0 1
55,940
55,940CountyBonds—_ I $55,940
Sales
Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 2/1/2011 07538 1073 37,500 No Improved
CERTIFICATE OF TITLE 16/1/2010 1 07389 1206 i $100 No Improved
Improved
Improved
WARRANTY DEED 11/1/2005 1 06021 1567 $156,500YI es
1/1/1998 03357__ 0685- _ i- $60,000 YesWARRANTYDEED
WARRANTY DEED - -- 9/1/1988
c
02003- 0883 1 $44,900 Yes ' -_- I Improved -
rniu wmNdiduie adios wnnm uns auwrv1510n
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH ( 60 1 .1171 1 ! $180.00 1 $9,612
Building Information
Description Fixtures Base Area Total SF TUving SF Ext Wall Adj Value Rep] Value Appendages
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=0620315050F000180 12/29/2015
tl . Ilr f W'1'bR'TIY IIII IINIAIh
Permit #
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
ecamC -
Project Location Address 7-89-7 C,)e, pt, S ,4r3l FL 3"z -?73
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 recommend that
you contact your local product supplier should you not know the product 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 Product
Approval can be obtained at www.floridabuilding.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.
Category/Subcategory Manufacturer Product Florida Approval #
Description (include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products GO y.t 3 ly—ayt a
Asphalt Shingles Ko
Underla ments
Roofing Fasteners I/y" aL10<05
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 Florida Approval #
Description (include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll u
E ui ment
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 Signature
Applicant's Name
Please Print)
June 2014
Ihr Jil r'u 7 ghari sww s
07/15/2014 19:54 FAX 407 682 8554
STATE OF FLORIDA
DEPARTUP-NT OF A
CONSTRuCTIONkN1
1940 NORTH MO RI
TALLAH,ASSt=F
MIC) FLORIDA
SHOEMAKER,
ROOFING,
LLRBERT
C B
PO BOX 522610
LONGWOOD FL 32752-261
Congratuiatloturl With this IICOM YOU Itectxne
one r 0flon Florktians tieanaed by ft Departme
Profeselor al Regulation. Our pmfeaalonele ant
from architOCis to yacht brokers, front boxers to
nd thay keep Florl n d+COAOhW OMNI.
Every day we work to tmmpp r vee the way we cls h
serve you better. For Ir>forrnallM abeut Our SW
www.ignorhMIIu*mw.eom. There you mn li
about our divlaione and the reguMons that ht1A
to dinitiatives. gmrW*nt new6lothts and IVVtn MOM VUM
Our tmi5slon at#* Departme(d ie: Uoenee 5fiie
watomers. kyou fnrdoinghua
aabew
ae
in FF
tha
and Congrntulailons an your new liaeruml
RICK SCOTT, GOVERNOR
007834
The ROOFING CONTRACTOR ^
Name! below IS CERTIFIED
Under the prcwlalons of ChaOr 489 FS.
Expiration date: AUG 31, 2016
SHOEMAKER, RQBERT HAYED
MID FLORIDA ROOFING, L' 4C
PO BOX 522690
LONGWOOD "FL 327 610
ISSUED. ON1e 2ota
coo/loop
MID FLORIDA ROOFING IM001
AND PROFESWONAL REGULATION
ICENSING BOARD (850) 487-1395
thp Meth/
ktsirrese 61 d
q. DEAPART FLOOD
BUSINESS ANDratante
PROFS%11F tRGULATION
a In order to CC:M7934 _ ; " IW 06/151 014
piesse Ioo onto
M irtom arl CEFtYtFiEG CONMOTOR
u auarbtmonYa SHPEMAKF-K-. IL4Y S
MID FLORIDA F(Isi¢,'trlA"
Regulate Faltty.
in serve your
IS CFRTIFIkP under It,• provisions of Ch.4a9 F8.
sl,py.mn d.w ; AU421, ecu Lz/MIA=1713
DETACH HERE
KEN Li><WSON, SECRETARY
STATE OF FLORIDA
BUSINESS AND PROs EOGIONAL REGULATION
IGTiW4 INDL18TItY LIR±SN8M BOARD
Lel
APLAYAS REQUIRED BY LAW SEOP f.taoet5i30o1213
II3811n1 x0118 1.10BezoLop XVJ L04Z bl03/61/10
MIAMINAM1 DAL7iEr
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA
Iko Industries Ltd.
40 Hansen Rd. S.
Brampton, Ontario CANADA
L6W3H4
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
wwnv.miamid ade.eov/economy
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami Dade County RER - Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product
or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Cambridge, Cambridge HD, and Biltmore AR Asphalt Shingles
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then
it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This revises NOA #11-0517.09 and consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 14-0603.02
Expiration Date: 05/05/16
Approval Date: 01/22/15
Page 1 of 4
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Asphalt Shingles
Materials Laminate
Deck Type: Wood
SCOPE
This approves a roofing system using Cambridge AR, Cambridge HD, and Biltmore AR asphalt shingles
manufactured by IKO Industries Ltd. as described in Section 2 of his Notice of Acceptance.
PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
Cambridge 13 3/4" x 40 '/8" TAS 110 A heavy weight, fiberglass reinforced laminate
Manuf. Loc. #1, 2, 3 asphalt shingle.
Cambridge HD 13 3/4" x 40
7/
8" TAS 110
Manuf. Loc. #1, 2, 3
Biltmore AR 13 3/4" x 40
7/
8" TAS 110
Manuf. Loc. #1, 2
MANUFACTURING LOCATION
1. Kankakee, IL
2. Wilmington, DE
3. Sylacuaga, AL.
EVIDENCE SUBMITTED
A heavy weight, fiberglass reinforced laminate
asphalt shingle.
A heavy weight, fiberglass reinforced laminate
asphalt shingle.
Test Agency Test Identifier Test Name/Report Date
PRI Construction Materials Inc. IKO-050-02-01 TAS 100 12/21/09
IKO-076-02-01 TAS 100 02/21/12
IKO-114-02-01 TAS 100 09/25/14
IKO-099-02-01 TAS 100 05/12/14
IKO-096-02-01 ASTM D 3462 09/27/13
IKO-095-02-01 ASTM D 3462 09/27/13
IKO-121-02-01 ASTM D 3462 09/25/14
IKO-100-02-01 ASTM D 3161 (TAS -107) 05/21/14
IKO-115-02-01 ASTM D 3161 (TAS -107) 09/25/14
FM Approvals 3041689 ASTM D 3462 02/23/11
3036971 ASTM D 3161 (TAS -107) 01/04/09
3042673 ASTM E 108 04/12/11
NOA No.: 14-0603.02
Expiration Date: 05/05/16
Approval Date: 01/22/15
Page 2 of 4
LIMITATIONS
1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for
fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of 33 ft.
3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 9N-3 of the Florida Administrative Code.
INSTALLATION
1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
2. Flashing shall be in accordance with Roofing Application Standard RAS 115
3. The manufacturer shall provide clearly written application instructions.
4. Exposure and course layout shall be in compliance with Detail W, attached.
5. Nailing shall be in compliance with Detail V, attached.
LABELING
1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County
Product Control Approved".
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
NOA No.: 14-0603.02
Expiration Date: 05/05/16
Approval Date: 01/22/15
Page 3 of 4
DETAIL A
CAMBRIDGE, CAMBRIDGE HD, BILTMORE AR COURSE LAYOUT
1612:1.1119
W
I1
L_____.
9RST COURSE
Note: Roofing Cement not shown in this layout.
This drawing is for course layout only. See Detail B
for nailing and cement placement details.
THIRD COURSE
SECOND COURSE
DETAIL B
CAMBRIDGE, CAMBRIDGE HD, BILTMORE AR
40 7" s
END OF THIS ACCEPTANCE
MIAMI•DADE COUNTY
W-11112:0YJAIN
rr
58" EXPOSURE
NOA No.: 14-0603.02
Expiration Date: 05/05/16
Approval Date: 01/22/15
Page 4 of 4
City of Sanford
Roof Permit Application Checklist
F D ,
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:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
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).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were compiled to assist the applicant in preparing a roofpermit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Petail by Entity Name
etail by Entity Name
L PROPERTIES, LLC
cument Number L10000047936
I/EIN Number 27-2581398
to Filed 05/04/2010
ective Date 05/04/2010
ite FL
itus ACTIVE
SHORELINE CIRCLE
FORD, FL 32771
SHORELINE CIRCLE
ORD, FL 32771
E, VICTOR
32 SHORELINE CIRCLE
NFORD, FL 32771
Address
e MGRM
VICTOR
SHORELINE CIRCLE
FORD, FL 32771
Managing Member
Michelle D
52 SHORELINE CIRCLE
NFORD, FL 32771
Report Year Filed Date
2013 02/25/2013
http://search. sunbiz.orglInquirylCorporationS earchISearchResultDetail?inquirytype=Entity.
Page 1 of 2
1/4/2016
01/04/2016 11:06 FAX
r
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: l b - I o
Q001
C, l ,I hereby acknowledge that I personally inspected
M Roof deck nailing and/or H'Secondary water barrier work
at 'A !. 9-7 6; `A e- P i a ( c . Sc y4v-)% Fl- ?, `7 7 3 and have determined that the work
Job Site Address)
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 belies' and that I fully
understand that making 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
Section 837.06 F.S.
Signature of Coj r'actor ((
T.
Printed Name of Contractor
l— 4e
Date
efCC_- 0
License #
License Type: I.J General ii Building 0 Residential A oofrog Contractor
i I or any individual certified in accordance with F.S. 468 to make such an inspection,
STATE OF FLORWA COUNTY OF Sea m;-IJ)e .._.
Sworto (or affirmed) and subscribed before me'this L4+" day ofha' -414' 1,C' who is ersonally Known to me or his 0 Produced (type of
idea 2ap as dendflca ton.
v vr a _ (SEAL)
Si qrc of Notary Public
J° HANCOCK
k, a of Florida
JOEL
NOTARY PUMICNOTARY PUBW
8YATE OF
FLORIDAWEq4m* STAT& OF FLORIDA
Print/'ij pe/StstmpNime Oa„ r tCairtMt Fri
of Notary Public Expires 4/27120193 4/2':/2410
3