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HomeMy WebLinkAbout351 Placid Lake DrCITY OF SANFORD I(� BUILDING A FIRE PREVENTION A, PERMIT APPLICATION i Iwb Application No: / (�- 3 9, 7 d� Documented Construction Value: S 7400 Job Address: 351 Placid Lake Drive Historic District: Yes ❑ No Parcel ID: 02-20-30-520-0000-0260 Residential ® Commercial ❑ Type of Work: New © Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: .Shingle.Roof Replacement Plan Review Contact Person: Title: Phone: Fax: :mail: Property Owner Information Name John & Shelly Danilson Phone:407 454-4471 Street: 120 Pinedele Rd Resident of property? City, State Zip: Debary FL 32713 Contractor Information Name Performance Roofing LLC Phone:. 407 210-1503 Street: 2784 Wrights Rd Suite 1012 Fax: 321239-1973 City, State Zip: Oviedo FL 32765 State License No.: CCC1329979 Architect/Engineer Information Name: 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 KFSI;I.'1' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCFMENT MUST BE RECORDED AND POSTED ON THF..106 SITE. BEFORE, THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, C'ONSUI,,T WITH YOUR I,FNDER OR AN ATTOK,NEY 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 issuatn:e of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must lie secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanla, and air conditioners, etc. FBC I05.3 Shall be inscribed with the date of application and the code In effect as of that date: S'" Edition (2014) Florida Building Code kcvnr.J Ii:nr.:Ut, Y115 !'t.fuut Apui.vaton 5 "1 't;: In addition to the requirenwnts of this permit, there Wray be additional restrictions applicable to this property that may be found in the pubfic records of this county, and there nuty be additional permits required from otter 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 submittol. 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 perm► is issued. OWNER'S AF FJDAV1.T: 1 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. X111a 4 'W 1 o7D76 114, FJR . IAI"&-d OA /a io SrcorCuntmelor/Agent qac r" Print Cuntracum/Agent's Nemc ' '' : i mu c tf Nutnr •SI to i F ni r nc u LORIE•ANNEGREEN "::;4 L PATRICIA CLELLAN Notery Public . Stall of Florida t.% �� Commission # FF 108545 g Commisolon # GG 005154 �,y�,r My Commission Expires • ,Y;,�t,,: My Comm. Expires Jun 22.2020 �•,�,,;,..• April 01. 2018 0 ne t Mc or Contractor/Agcnt is LZ Personally Known to Me or Produced ID _� Type of [D 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: # of Stories: New Construction: Electric - # of Amps: _ . Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: - UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: H�:vt wd: June 30, 201 S omit Application ROOFING PFAFoRpNoicr na��:rr, miccrnh 2784 Wrights Road, Ste. 1012 Oviedo, FI. 32765 -Office (407) 210-1503 - Fax (321) 239-1973 CCC 111329979 STATE CERTIFIED ROOFING CONTRACTOR PROJECT: I Danilson Rental Property JOB NO: I RFM16-1-8368 STATUTORY WARNINGS LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 -- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. CHAPTER 558 NOTICE OF CLAIM ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487- 1395, 1940 N. MONROE ST., TALLAHASSEE, FL 32399-0783, WWW.MYFLORIDALICENSE.COM. I have read and understand the c ntract di cI sure referenced above. Accepted Date _L,& Page 1 �-� / F IMF - P ROOFING PERFORMANCE DRIVES SUCCESS 2784 Wrights Road, Ste 1012.Oviedo, FL 32765.Office (407) 210-1503 - Fax (321) 239-1973 CCC 81329979 STATE CERTIFIED ROOFING CONTRACTOR PROPOSAL FOR ROOFING SERVICES: 11/3/2016 PROJECT: Danilson Rental Property TO: Homeowner LOCATION: 351 Placid Lake Drive ATTN: John Danllson Sanford, FL 32773 PHONE: 407-454-4471 JOB NO: RFM16-1-8368 ORIGIN: Paul Hickey E-MAIL: I ltdarillsorift-gifnall.com PERFORMANCE ROOFING WILL PROVIDE ALL SUPERVISION, LABOR, MATERIAL, AND EQUIPMENT TO COMPLETE THE FOLLOWING SCOPE OF WORK: GAF "Systems" Shingle Roof Replacement: 1. Prior to mobilization, perform on-site pre -construction meeting with homeowner / occupant / agent to determine general guidelines for working times to start and end work day. 2. Establish staging area to locate dumpster container or (trailer on wheels) and surplus materials (in the driveway as close to the home as possible). 3. Performance Roofing will provide supervision for your reroofing project. 4. Remove existing single layer of shingle roofing and all accessories from roof. Remove all existing shingle fasteners from decking. 5. Inspect decking for deterioration and "include" re -fastening deck to ensure that it meets Hurricane Mitigation Retro -fits (Florida Building Code). Rotten or deteriorated decking will be replaced on additional change order basis with owner approval (See pricing below regarding the replacement of deck sheathing). 6. Clean and inspect flashing along walls to prepare for new roofing system (Flashing that is secured behind siding or stucco will be cleaned and reused. Any damaged flashing will be replaced on a change order basis). 7. Mechanically fasten new ASTM D6757 underlayment over the entire roof area to properly dry -in roofing system. "11-79 79we 01, ',ice .moi, -'� --77 •' �� , "4t 1. Prior to mobilization, perform on-site pre -construction meeting with homeowner / occupant / agent to determine general guidelines for working times to start and end work day. 2. Establish staging area to locate dumpster container or (trailer on wheels) and surplus materials (in the driveway as close to the home as possible). 3. Performance Roofing will provide supervision for your reroofing project. 4. Remove existing single layer of shingle roofing and all accessories from roof. Remove all existing shingle fasteners from decking. 5. Inspect decking for deterioration and "include" re -fastening deck to ensure that it meets Hurricane Mitigation Retro -fits (Florida Building Code). Rotten or deteriorated decking will be replaced on additional change order basis with owner approval (See pricing below regarding the replacement of deck sheathing). 6. Clean and inspect flashing along walls to prepare for new roofing system (Flashing that is secured behind siding or stucco will be cleaned and reused. Any damaged flashing will be replaced on a change order basis). 7. Mechanically fasten new ASTM D6757 underlayment over the entire roof area to properly dry -in roofing system. "11-79 79we \ Danilson Rental Property (Sanford) RFM 16-1-8368 Page 2 8. Install new GAF Storm Guard S.A. (self adhered underlayment) to properly flash and for warranty applications. 9. Install new lead boots, new painted galvanized gooseneck vents, and new painted galvanized eave drip to perimeter of roof in owner's choice of available colors. 10. Install new GAF Prostart Starter Strips along eaves per manufactures specifications for proper wind lift and warranty applications. 11. Install new GAF shingles (options provided for available shingle types and warranty applications) over the entire roof area in owner's choice of available colors. 12. Install (40) linear feet of new "GAF" Cobra III Shingle over Ridge roof vents in existing locations to provide proper ventilation. 13. Complete "GAF" roofing system by installing manufacturers specified ridge cap per manufacturer's specifications for proper wind lifts and warranty applications. 14. Run large yard magnet to ensure no nails left behind that may have possibly fell off the roof during shingle removal. 16. Includes obtaining necessary permit to complete scope. 16. Provide wind mitigation roofing inspection with pictures for you, to provide to your insurance company for possible discounts on your policy. 17. Performance Roofing will lawfully remove and dispose of all debris and rubbish created by the above proposed scope of work. Performance Roofing will provide a live (5) year workmanship warranty Roofing Materials will be covered by applicable manufacturer's warranties. EXCLUSIONS: 1. Any item not specifically stated in the scope. Bid includes no bond. 2. Replacement of any damaged plywood will be an additional charge of $2.00 per square foot. 3. Replacement of any damaged 1x6 decking will be an additional charge of $5.00 per linear loot and increases by $ 1.00 per linear foot for every 2" increments in widths. 4. Replacement of any damaged 1x6 fascia will be an additional charge of $8.00 per linear foot and increases by $ 1.00 per linear foot for every 2" increments in widths. 5. Replacement of any damaged 2x6 fascia will be an additional charge of $9.00 per linear foot and increases by $ 1.00 per linear foot for every 2" increments in widths. 6. Strengthening or improving the nailing surface of any existing trusses with new 2x4 framing will be an additional charge of $5.00 per linear foot. And increases by $ 1.00 per linear foot for every 2' increments in widths. 7. Removal of any additional layers of shingles or underlayment will be an additional charge. CLARIFICATIONS/ASSUMPTIONS: 1. Due to the ever increasing cost of supplies, this proposal is only good for 10 days. Proposal will be re- calculated after 10 days to reflect appropriate material escalation. 2. To property facilitate waste and debris removal for the re -roofing process, tarps, trash trailers, and/or roll -off dumpsters will need to be placed as closely to the structure as possible for safety of property. Performance Roofing will make every effort to avoid damage, but cannot be held responsible for minor peripheral damage to gross, shrubs, small sections of sidewalk, driveways, etc. INVESTMENT— GAF Royal Sovereign 3 -Tab Shingles 60 mph wind lift warranty): S 6.975.00 1 Six Thousand Nine Hundred Seventy Five Dollars. ACCEPT DECLINE (please initial one) Danilson Rental Property (Sanford) RFM16-1-8368 Page 3 OPTIONS: . Upgrade shingles from GAF Royal Sovereign 34ab shingles, to GAF Timberline HD Lifetime Dimensional shingles. GAF Lifetime Dimensional Shingles offer extended pro -rated material warranty for the life you are In the home, a wind warranty increase to (130) mph, and thicker asphalt concentration for longevity. INVESTMENT — GAF Timberline HD Lifetime Dimensional Shingles (130 mph wind lift 1 $ 7.400.00 1 Seven Thousand Four Hundred Dollars. I ACCEPT�DECLINE (please initial one) 2. Install new S.A. (self adhered underlayment) over entire roof area to properly dry -in in lieu of ASTM D6757 underlayment. Self adhered underlayment provides a secondary water barrier discount from most homeowner's insurance companies. $ 650.00 1 Six Hundred Fifty �/D�ollars. ACCEPT DECLINE , IJ (please initial one) t, Yfklt {SEM 610PP,611'J% • As in base scope of work, install GAF shingles, GAF Seal -A -Ridge Hip & Ridge Cap shingles (if applicable), and GAF Pro -start starter shingles for complete system. • Install GAF StormGuard peel and stick underlayment in all valley locations to properly flash areas. ALSO install GAF StormGuard around all penetrations including plumbing flashings. • Increases manufacturers non -prorated up front coverage for Material and Labor replacement on GAF Royal Sovereign 3 -tab shingles from 5 -years to 20 -YEARS; and from 10 -years to 50 -years on GAF Timberline HD LIFETIME Dimensional shingles, in the event of a manufacturer's defect, (i.e. Shingles blistering, premature granule loss). • Performance Roofing provides a 5 -year workmanship warranty on installation defects. ADDITIONAL INVESTMENT— GAF SYSTEM PLUS WARRANTY. $ 0.00 1 Zero Dollars., lncrludedlin Basi, ACCEPT DECLINE (Please initial one) Danilson Rental Property (Sanford) RFM16-1-8368 Page 4 If you have any questions or need any additional information please contact Performance Roofing, LLC at (407) 210-1503. Presented by: (Raufyfickey Paul Hickey, Sales/Estimator Paul Hickey, #201606117 11/3/2016 Date Acceptance of proposal: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are hereby authorized to do the work as specified. Payment will be made upon terms of invoice. By signing below you also agree that you have read and understand the terms stated on the attached "Exhibit A". I Ib L, a, thoriz dVg-nature- 0atd JOuu DAM/L%*0 JR . Printed Name and Title Signing as Agent for Above BILLING I FORMA ON (Where Invoice should be sent Please complete Information below when signing proposal) Check one To the property ❑ To the Management Company ❑ To the Owner Please provide Management Co. / Owner Information even if the invoice goes to the property. Management Co/Owner: Phone# Attn: Fax # Address: Email: City, State, Zip: (Check one) Send by: email Fax mail THIS INSTRUMENT PREPARED BY: Name:. Pal Clellan Performance Roofing t Address: 2784:WPlghts:Rd: SGite t 1012 'Oviedo-FL•32765 --"—' " NOTICE OF- COMM Permit Number. MARYANNE MORSE► SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BY. 8817 Ps 891 (iP3s) CLERK'S 2016125428 RECORDED 12/05/2014 10:5'7- r:3 AM RECORDING FEES 810.00 RECORDED BY hdevove Parcel ID Number: --_--.-•_02-20-30-520-0000-0260 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 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) _Lot•26•Placid Woods•PH 1 -PB 51 Pas 23 thru 29 351 Placid Lake Drive 2. GENERAL DESCRIPTION OF IMPROVEMENT: . Sli1riple'R6of,R60W 6meni 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: -0 •Name and,ed¢ce9s John.&.Shelly Dariilson _120,Pinedale.Rd.Debary FI 32713 Interest in properly: ,Fee Simple Title Holder of other than owner listed above)_IY&hi.xf_•-___ — -- ?Addre'sa^- CONTRACTOR: Name:, Performance Roofing LLC Phone Number.. 407 210-1503. - Addmss:..27..84 Wriahts.Rd.Suite 10.12 Oviedo..FL.32765 SURETY (If applicable,a copy of the payment bond is Amount of Bond' S. LENDER: Name: Phone Number. Address: T. 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. Name; Phone Number: -Address;, - 8. In addition, Owner designates of to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number:, 8. Expiration Date of Notice of Commencement (The explration Is 1 year from date of recording unless a different date Is specified); WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION;AF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. f. '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 ,ib0119f. 1 1 D 19AI l �A�r Sy �v. V I►� . • (SlprOlYfO 01 OW11Cf•tA' .O• K Owner{ W LOrildt -- - ' - - 1!'""► Norco Ord Provide $Ignalory'{ TOdONCD) • AuUrmlzedgOw UodPonrrorlArwwOM Stateof.� ;Countyof,./OLA The foregoing Instrument was acknowledged before me thls _ vL S day of �1Id ✓�r • �� n �.;� V ✓ _ _ Who Is personally known to me 0 OR 'Name 01pemwho has produced Identification EF type of Identification produced: ....... nrn �.. • LAURIE -ANNE GREEN a8 =:�tt . ?Notary Public - State of Florida , NWory sronor % ' .' '•°��r4 Commission M GG 005154 l ..�vt�1/i'•' ll.0 lY NNE MORSE My Comm. Expires Jun 22.2020 `! r.:cic r� ' at'- C�GG• 411 AN0 DElr O {�% f.o1V 'LN�:IaV!L :r3U� :tf 1 r•t' ,; :'�•�a By w:PurY CLCRK LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: S- I- I hereby name and appoint: "-Af oelllad an agent of: Performance Roofing LLC (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): !� The specific permit and application for work located at: 351 Placid Lake Drive Sanford FL 32773 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Andrew M. Kelly Slate License Number: CCC1329979 Signature of License Holder: STATE OF FLORIDA COUNTY OF 4,L 2-/-20/% The foregoing instrument was acknowledged before me this 5 day of , 20B,J_, by Aadmio—M V.Amu who is 4r!personally known to me or o who has produced as identification and who did (did notl take an oath. (Notary Seal) CYNTIMKILMM R ; MY COMMISSION t FF 900288 EXPIRES: Sete ft 22, 2819 �'+Zan�'` Aond�dTlaa9udletNodryBurUp (Rev. 08.12) m Sri . nature �U 1��► C `M �� n1M r� Print or type name Notary Public -State of Commission No. 4:19 0o a sr2 My Commission Expires: QI.-QII.T S PERMIT NO. A0 ~ CONTRACTOR: Perro �y2LIM .• ' 0 • City of Sanford Building & Fire Prevention Division ISSUE DATE: Re -Roof Permit Card &.,o "&1701 'a Lk 4*0044 • Post this Permit in a conspicuous place outside PROTECT FROM WEATHER • Approved plans must be posted with permit for inspection • Leave all work uncovered until inspected • Permit expires six (6) months from date of issue or last approved inspection * * * A ROOF DR Y -IN INSPECTION IS REQUIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Miti atAffidavit will not suffice as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED RFJFCTED INSPECTOR MISCELLANEOUS INSPECTION TYPF. 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: • Dial 855.541.2112 • 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 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof 111 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 . . . . . 16-00003272 Date 12/07/16 Property Address . . . . . . 351 PLACID LAKE DR Parcel Number . . . . . . . . 02.20.30.520-0000-0260 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 964981 Permit pin number 964981 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / / CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: IL 3Z72- 1, Z7Z 1, Andrew M. Kelly hereby acknowledge that I personally inspected rd,f(oof deck nailing and/or 8'Secondary water barrier work at 351 Placid Lake Drive Sanford FL 32773 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 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 837.06 S. IAn,1_zn.A_ 01 /9. of 7 Signature of Contractor Date Andrew M. Kelly CCC 1329979 Printed Name of Contractor License # License Type: 0 General D Building 0 Residential RKRoofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Se.K Iiva lam. Sworn to (or affirmed) and subscribed before me this /9 day of 20 17 , by irtw 4 el/u , who is Ptersonally Known to me or D Produced (type of i e hfication) as identification. Signature of Notary Public State of Florida //yy A+R;cii4 0jr_ ,, Print/Type/Stamp Name of Notary Public +;:=•.,fin" L PATRICIA CLELtA Commission # FF 1U85t5 '' My Commission Expiies i ';a ,�d'�`, Apsil 01, 2018