HomeMy WebLinkAbout120 Wood Ridge TrlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / Ste' 1 / S/
Documented Construction Value: $ 8,250.00
Job Address: 120 Wood Ridge Trail Sanford, FL 32771 Historic District: Yes No X
Parcel ID: 32-19-30-5GS-0000-0110 Residential X Commercial
Type of Work: New Addition Alteration X Repair Demo Change of Use Move
Description of Work: Re -roof with asphalt shingles 33 SQ.
Plan Review Contact Person: Michael E. Torres Title: Owner
Phone: 407-574-4856 Fax: 407-831-7663 Email: Info Roof ProsUSA.com
Property Owner Information
Name Eric D. Broberg Phone: 321-689-0101
Street: 120 Wood Ridge Trail Resident of property? : Yes
City, State Zip: Sanford FL 32771
Contractor Information
Name Roof Pros USA, LLC. Phone: 407-574-4856
Street: 794 Big Tree Drive Unit 106 Fax: 407-831-7663
City, State Zip: Longwood FL 32750 State License No.: CCC1326640
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 incompliance 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.
4',t' f7Zf2l, Itr
ignatureof Owner/Agent Date Signature o t a
Eric Brober
Print :Owner/Agent s'. Name
p ',
Sign'aturc of Notary -State or Florida Date
Mtyphs NEILBLANCHETT
MY COMMISSION 1 FF 207527
EXPIRES: June 15, 2019
gimm, pd Bonded ihru Notary Public underwriters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID S/
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
Michael E. Torres
Print. Contractor/Agent's Name (
nIY
ature of N 7-State of Elo da Date' '
JONE PEREZ'
MY COMMISSION i1 FF94a325
a EXPIRES Decernber 16. 2C 1,9
t407l:398-053 fpricLalloa'Servicq.com
Contractor/Agent is X ., ersona y no to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
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.
Signature of Owner/Agent
Eric Broberg
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent
Michael E. Torres
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is 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: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 201.5 Permit Application
M"\v `P,AJ 6vryp
CUSTOMER AGREEMENT / CONTRACT PROPOSAL Serving:
ROOF PROS USA, LLC Orlando: (407) 574-4856
0s, CORPORATE HEADQUARTERS Jacksonville: (904) 371-3235
1000 Savage Court Suite 102
Miami: (954) 234-2616
PR?% 'USA Longwood, Florida 32750 FL Lic. #CGC1507133
Phone: (866) 407-0250 - Fax: (407) 264-6800 FL Lic. #CCC1326640
Customer Name: lj, f,, I(, (20b_e [Date: 162
Job Address: 1 0i) r t0i Cell Phone:
City / State:S qr6/%A Z. Zip: 3_)--)7j Home Phone:
Insurance Company k Ov)(r 11 Policy No. kt i i ogoU
ROOF SPECIFICATIONS
Remove one layer or roof materials and dispose.
Re -nail existing deck to meet uplift codes.
Instal; panted metal drip edge around perirnete of roof.
Install boots to pipes 1 r;z 2" 3"
Install Gooseneck vents 4"
Apply AST D22 r nderlayment to wood deck.
Apply METAL / HiNGLES ! !LE 1 HAKES t FLATrr R+O'O SYSTEM
Style of roof to be In ed
Color _ _ Pitch:
Install ridge or off ridge vents Qty:_ Size:_
70 per sheet if decking replacement is needed
OTHER PROPERTY CONDITIONS
Existing Driveway Damage Yes _. No
0skylights' a 4 jti S
Interior Damage:
Emergency Repair _ Yes No
WORK INCLUDES:
Remove trash from roof, gutters, and yard.
Protect landscaping where applicable.
Roll yard with magnetic roller.
Furnish permit
2 Year warranty
We propose to furnish material and labor in accordance with specifications above for the sum of $ Y) , 2. 5-0 • `Q
UPGRADE RECOMMENDATIONS / NOTES
o Fr s sldr c l Ell 2? , 11 rat Insurance Proceeds + Deductible: Change
Orders i Upgrades: TOTAL
COST: Ins. Proceeds + DeductEr" Change Orders /Upgrade: ACCEPTANCE
OF AGREEMENT: This Agreement DOES NOT OBLIGATE THE CUSTOMER OR ROOF PROS USA, LLC IN ANY WAY UNLESS
PAYMENT FOR DAMAGE IS APPROVED BY THE INSURANCE COMPANY AND ACCEPTED BY ROOF PROS USA, LLC. By signing
this' agreement, Customer hereby grants the right and authority to ROOF PROS USA, LLC to do the following: a)
To cooperate with Customer's insurance company for insurance proceeds for the restoration of the damage covered by the insurance proceeds, with
the intent to have Customer's requested work paidby the insurance proceeds at no additional cost to Customer except for Customer's
insurance policy deductible and those items that Customer's insurance policy excludes for coverage. Customer agrees to pay for ail
iterns excluded by Customer's insurance policy. Roof Pros USA, LLC will provide customer with a cost break down of those items excluded from
the insurance policy after that information is made known to Roof Pros USA, LLC. b) To
request payment from customer's insurance company for items not included in the insurance Company's estimate. All monies received from the insurance company
as contractor overhead and profit and/or cost increase supplements will be paid to ROOF PROS USA,: LLC. c) IF
THIS CONTRACT IS CANCELLED BY THE CUSTOMER LATER THAN MIDNIGHT ON THE 3rd BUSINESS DAY from execution, customer shall pay to
RPUSA Mien y percent (20%) of the 'insurance proceeds or $2,000,00, whichever is greater; as liquidated damages, not as a ,penaly, and RPUSA agrees
to accept such as a reasonable and just compensa:lon for said cancel(ation. Accepted by
Property Owner: DaIt __1/(,_ 5y: Accepted by
ROOF PROS USA, LLC: Date: / ! By: Sales Representative`
Date:__ _%/ G By ALL PAYMENTS
SHOULD BE MADE TO ROOF PROS USA, LLC - NOT THE SALESMAN L-1),_ )
s Ul_
THIS INSTRUMENT PREPARED BY; i?i'1h` l t;fi s Ilth t..Eir S['MINOLt; `;tJili>fC `
Name: Michael E. Torres E R K f"tF C t f;t:U):1 t7:N.lI I : (:(+Ill l ti{'i)t_k EaR
Address: 794 Big Tree Drive, Unit 106
Longwood, FL 32750` t t_`: h`f;' S x 2(116096rt`
tii 12,44 . PI-1
NOTICE OF COMMENCEMENT I11EC+JIlk 0',Eti i', Itcit Fuf Permit
Number: Parcel
ID Number 32-1.9-30-5GS-0000-0110 The
undersigned hereby gives notice that improvement will be made to certain real properly, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement. 1.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 120
Wood Ridge Trail, Sanford, FL 32771 LEG
LOT 11 KAYWOOD REPLAT PB 30 PGS 27 & 28 2,
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
WITH ASPHALT SHINGLES 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Eric D. Broberg - 120 Wood Ridge Trail, Sanford, FL 32771 Interest
In property: Uwner Fee
Simple Title Holder (if other than owner listed above) 4.
CONTRACTOR: Name: Roof Pros USA, LLC Phone Number: 40.7-574-4856 Address:
794 Big Tree Drive, Unit 106, Longwood, FL 32750 5.
SURETY (If applicable, a copy of the payment bond is attached): 6.
LENDER: Name: Address:
Phone
Number: Amount
of Bond: 7.
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)(a)7., Florida Statutes. Phone
Number: 8.
In addition, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from dale of recording unless a'different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713, PART t, 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. Signature
of
goner or Less2 wners or Lessee's Print Name a :ProAd!i natory's TillelOffice) Authorizedofticer4artnertManager) stateof
Florida County
of _ Seminole The foregoing instrument
was acknowledged before me this by NLY4 Name
of person
making st4tement day of Sei
J c N `- 20 16 Who is personally
known tome OR who has produced
identification Lf type of identification produced: _ T— Z RL NEIL BLANCHEIT MY
COMMISSION,#FF207527
g" ir•1yq
EXPIRES: June 15,
2019 Bonded Thru Notary
Public Undery ricers Notary Signature SENMI
r-
Application No.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $
r '
2i5' 0
Job Address: 120 Wood Ridge Tra-i1 Historic District: Yes No
Parcel ID: 32 -19 - 3 0 - 5GS - 0.00 0 - 0110 Zoning,
Description of Work: Re -roof with asphalt shingles ?; (q
Plan Review Contact Person: Michael E . Torres Titles Owner
Phone: 407-574-4856 Fax: 407-831-7663 E-mail: info@ro'ofpro:susa.com
Property Owner Information
Name Eric D. Broberg Phone: 321-689-0101
Street: 120 Wood Ridge Trail Resident of property? : Ye:s ..
City, State Zip: Sanford, FL 32771
Contractor Information
Name Roof Pros USA, LLC Phone: 407-574-4856'
Street 794 Big Tree Drive, Unit 106 Fax: 407--831-7663
City, State Zip: Longwood, FL 32.750 :State License No.: CCC1326640
Architect/Engineer Information
Name: Phone
Street:
City, St, Zip:
Bond"ng Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units: 1
Electrical
New Service No. of AMPS:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: Re -Roof No. of'Stories
Flood Zone:
Mechanical (Duch layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. A" 1ft7S Of ISSUE DATE: 01,0204(p
CONTRACTOR: A " Provs iks A
JOB ADDRESS: / 4;. b
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
r
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Miti ate ion Alf davit will not since as an alternative to receiving a dry -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
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - 'Thursday 7:30 am - 5:30 pni for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ROOF
Roof Dry In 116
Mitigation Affadavit 129
Final Roof III
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
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 . . . . . 16-00002548 Date 9/20/16
Property Address . . . . . . 120 WOOD RIDGE TRL
Parcel Number . . . . . . . . 32.19.30.5GS-0000-0110
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . KAYWOOD REPLAT
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 955088
Permit pin number 955088
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 _/_/_
Broberg, . Eri•c
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit 4: [ w ~
I Michael E Torres hereby acknowledge that I personally inspected
Ll loof deck nailing and/or econdary water barrier work
at 1.2Q_.,. Wood .__R.idge.-,Tr..a.ih___.Sanford..,.—FL...._3.2771. ___._ 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 certify that my statements herein are true and accurate to the best of my belief 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 8 7.0 F.
Sianaurc. of Date
is ae E Torres CCC1326640
Printed Name of Contractor License
License Type: General Building Residential (Roofing Contractor)
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA C'OIINTY OF Seminole
Sworn to (or affirmed) and subscribed before me this day of , 20 16 , by
Michael E . Torres , who is (Personally Known to me)or has Produced (type of
ident' ) as identification.
4L)
14 nature of No ary Public
State f Florida _
JUNE PEREZ
Print/Type/Stamp Name My COMMISSION # FF944325
of Notary Public ;y!,,,,. EXPIRES December 16, 2019
407 39"'53 rloridalloaa SerY vK.e.com