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Home My WebLink About412 South Oak AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Y- 13 g ,_� Documented Construction Value: $ 5,750.00 Job Address: 412 South Oak Avenue Sanford, FL 32771 Historic District: Yes ❑ No 0 Parcel ID: 25-19-30-5AG-0605-003A Residential ® Commercial ❑ Type of Work: New 0 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re -Roof Tamko Elite 3 -tab shingles 25sq Plan Review Contact Person: Kelly MCAvoy Title: Office Phone: 407-960-2611 Name Yoram Yahav Street: 412 S. Oak Avenue Fax: 407-960-2612 City, State Zip: Sanford, FI 32771 Email: briansikesroofing@cfl.rr.com Property Owner Information Phone: 407-625-0635 Resident of property? : Contractor Information Name Brian Sikes Phone: 407-960-2611 Yes Street: 1550 S Hwy 17 92 Fax: 407-960-2612 City, State Zip: Longwood, FI 32750 State License No.: CCC1325977 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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. 1 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: 5t° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permii, 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 1 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. -IZ4 z b z Signature of Owner/Agent I>atit Signature of Con r gent Date r62,R'�l S•' Print Cantdc—tor/AjEcWs Name DINELIA I. t)OMINSKYNotey F�wk state a Florida * * MY COMMISSION o FF 064147 a . Steven Catnpbell EXPIRES. Febraary 18, 2018 • My � unlsston FF 990959 'Now 000900 1"Vow riNo"Sexlen F�plrsSoWi012020 a Owner/Agent is ersonally Known to or Cont ent is,- Personally:Known to Me or Produced LD Type of 1D Produced ID a 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 ❑ APPROVALS. ZONING: ENGINEERING: COMMENT # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: ?1 60 2SS1 BUILDING: Ravised: lune 30.2015 Permit Application 12/6/2016 tz keipl,PRAour+�v iaatm� Parcel Information SCPA Parcel View: 25-19-30-5AG-0605-003A oerty Record Card Pn rcol: 25 -19 -30 -SAG -0605-1)034 Owner:. CLAYTON HENRY E-8 MARILYN A Property Address: 412 S OAK AVE SANFORD. FL 32771-1826 Value Summary Parcel 25-19-30-5AG-0605-003A Owner CLAYTON HENRY E 8 MARILYN A Property Address 412 SOAK AVE SANFORD. FL 32771-1826 Mailing 412 S OAK AVE SANFORD, FL 32771-1826 Subdivision Name j SANFORD TOWN OF Tax District I S1 -SAN FORD DOR Use Code 1 0103-TOWNHOME Exemptions 00-HOMESTEAD(1995) Legal Description PT LOTS 3 8 4 DESC AS BEG 150.023 FT S 8 53.083 FT W OF NE COR BLK 6 TR 5 RUN W 37.083 FT S 46.083 FT E 37.083 FT N 46.083 FT TO BEG BILK 6 TR 5 TOWN OF SANFORD PB 1 PG 58 Taxes Taxing Authority I Assessment Value City Sanford SJWM(Saint Johns Water Management) County Bonds County General Fund Schools— Sales Tax Amount without SOH: $649.75 2016 Tim Bill Amount $535.81 Tax Estimator Save Our Homes Savings: $113.94 ' Does NOT INCLUDE Non Ad Valorem Assessments Exempt Values $71,210 $71,210 $71,210 $71,210 $71,210 2017 -Working 2016 Certified $25,000 Values Values Valuation Method i cost/Market Cost/Market Number of Buildings I 1 1 Depreciated Bldg Value $68,332 1 $65,877 Depreciated EXFT Value 02476 43Z Land Value (Market) $14,500 $14,500 Land Value Ag 5/1/1990 I Just/Market Value " $82,832 1$80,377 Portability Adj TRUSTEE DEED 7/1/1987 Save Our Homes Adj $11,622 J $9,662 Amendment l Adj I WARRANTY DEED P&G Adj 1$0 $0 -Assessod'Value I $71.210 $70,715 Tax Amount without SOH: $649.75 2016 Tim Bill Amount $535.81 Tax Estimator Save Our Homes Savings: $113.94 ' Does NOT INCLUDE Non Ad Valorem Assessments Exempt Values $71,210 $71,210 $71,210 $71,210 $71,210 Descriptidn Taxable Value $46.210. $25,000 $46,210 $25.000 $46,210 $25,000 $71,210 SO $25,000 $46,210 Descriptidn I Date Book Page 'Amount Oualified VacAmp WARRANTY DEED 6/1/1994 02782 .0843 $46,000 1 Yes Improved WARRANTY DEED 9/1/1992 02476 43Z $52.500 Yes Improved TRUSTEE DEED 5/1/1990 02199 0709 $100 No Improved TRUSTEE DEED 7/1/1987 01873 1113 $100 No Improved WARRANTY DEED 4/1/1984 01539 0030 $50,700 Yes Improved Find Comparablo Saha Land --- - - -- - - - - --- - -- — - - - -r II Method FroritageDepth LOT 0.00 0.00 Units Units Price 1 $14,500.00 , Land Value $14,500 http://parceldeWl.scperll.org/ParcelDetaillydo.aspx?PID=2519305AG0605003A 1/2 THIS INSTRUMENT PREPARED BY: Name: Saundra-Rosberg Address: 1550 S Hwy 17 92 Longwood, FI 32750 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number. 25-19-30-5AG-0605-003A Iltl�l II11� II@tl I�Il1 IIIII IIIII illi 1111 MARYANNE MORSEr SEMINOLE COUNTY CLERK OF CIRCUIT COURT G COMPTROLLER BY. 8823 P9 760 (1Pgs) CLERK'S A 2016128857 RECORDED 12/13/2016 10:21:42 AM RECORDING FEES $10.00 RECORDED BY hdevore 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) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof Tamko Elite 3 -tab Shingles 25sq 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Yoram Yahav 412 S. Oak Avenue Sanford, FI 32771 Interest In properly: Owner Fee Simple Title Holder Of other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750 Address: 1550 S Hwy 17 92 Longwood, FI 32750 b. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: S. LENDER: Name: Phone Number: Address: 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. Name, Phone Number: Address: 8. In addition, Owner designates of to receive a copy of the Llenol's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number: 8. Expiration Date of Notice of Commencement (The expiration 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, (Slpnotum of Gamer Of Les leo, or Ownols a leasse's (PAN Nemo and Ptovido Slpnetory's TAW, lace) AuUlahod OIIIeerlDlreclodPaMerRAenopeQ 04 State of iCYL --/ County of The foregoing Instrument was acknowledged before me this by who has produced Identification O type of Identification produced: DIMELIA L COMINSKY MY COMMISSION 0 FF 064147 # * EXPIRES: February 16, 2018 N'��ior r eoedad my Wad Notary stivlaa D&P 13 2016 day of , �— Who is personally known tom OR Q.C7*rr,1rz ) PY • MA YANNE MORSE . C ,:' l C ic-UTT c1;1j1tT AND SE . RIM ,r�hii�w pY DEPUTY CLERIC Brian Sikes OOFIAGInc:DATE PROPOSAL1 1550 S. Hwy 17 92 Ph: (407) 960-2611 Longwood, FL 32750 Fax: (407) 960-2612 PROPOSAL 12/2/2016 7901 Contractor submits this proposal for work on the property herein described. Upon acceptance, Contractor agrees to furnish labor and materials necessary to improve the above premises in a good, workmanlike and substantial manner according to the terms, specifications, prices and plans (if any). Start and Completion: The approximate start date:of and approximate completion date of are subject to permissible delays as per provision (5) on the reverse side. Submitted by X Approved and Accepted (Contractor) Date Remove existing shingle roofing and underlayment to expose decking. 5,750.00 5,750.00 All damaged plywood decking if any will be determined at completion of tear off and can be replaced at a rate of $60.00 per 4x8 sheet. (Price includes labor and materials.) Install 2 1/2in. 8D Rink Shank coil nails along all trusses every six inches to properly secure decking. Install one layer of Synthetic underlayment over entire roof. Install 2 1/2in. galvanized eave-drip around entire perimeter of roof. (Save drip will have a baked enamel finish) Install New lead boots and vents. Install 25yr Tamko Elite 3 -tab shingles with a wind resistance of up to 60mph. Shingles will be installed six nails per shingle. Ground will be swept with a magnet at the end of each working day. Clean entire work area and haul away all debris. 2 YEAR LEAK WARRANTY (LABOR AND MATERIALS) Price includes labor, materials and taxes. TOTAL $5,750.00 ACCEPTANCE OF PROPOSAL This Proposal is approved and accepted. There are no oral agreements. The written terms, specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be X made by written chance order only. Credit cards may be subiect to a 3% convenience charge. Approved and Accepted(Owner) Date You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See Owner's Right to Cancel on the reverse side for details. concurrently with the binding dispute resolution but, in such event, mediation shall proceed in advance of binding dispute resolution proceedings, which shall be stayed pending mediation for a period of 60 days from the date of filing, unless stayed for a longer period by agreement of the parties or court order. if an arbitration is stayed pursuant to this Section, the parties may nonetheless proceed to the selection of the arbitrator(s) and agree upon a schedule for later proceedings. § 21.4 If the parties have selected arbitration as the method for binding dispute resolution in the Agreement, any claim, subject to, but not resolved by, mediation shall be subject to arbitration which, unless the parties mutually agree otherwise, shall be administered by the American Arbitration Association, in accordance with the Construction Industry Arbitration Rules in effect on the date of this Agreement. Demand for arbitration shall be made in writing, delivered to the other party to the Contract, and filed with the person or entity administering the arbitration. The award rendered by the arbitrator or arbitrators shall be final, and judgment may be entered upon it in accordance with applicable law in any court having jurisdiction thereof. § 21.5 Either party, at its sole discretion, may consolidate an arbitration conducted under this Agreement with any other arbitration to which it is party provided that (1) the arbitration agreement governing the other arbitration permits consolidation; (2) the arbitrations to be consolidated substantially involve common questions of law or fact; and (3) the arbitrations employ materially similar procedural rules and methods for selecting arbitrator(s). § 21.6 Any party to an arbitration may include by joinder persons or entities substantially involved in a common question of law or fact whose presence is required if complete relief is to be accorded in arbitration provided that the party sought to be joined consents in writing to such joinder. Consent to arbitration involving an additional person or entity shall not constitute consent to arbitration of a Claim not described in the written Consent. § 21.7 The foregoing agreement to arbitrate and other agreements to arbitrate with an additional person or entity duly consented to by parties to the Agreement shall be specifically enforceable under applicable law in any court having jurisdiction thereof. § 21.8 Claims for Consequential Damages The Contractor and Owner waive claims against each other for consequential damages arising out of or relating to this Contract. This mutual waiver includes. .1 damages incurred by the Owner for rental expenses, for losses of use, income, profit, financing, business and reputation, and for loss of management or employee productivity or of the services of such persons; and .2 damages incurred by the Contractor for principal office expenses including the compensation of personnel stationed there, for losses of financing, business and reputation, and for loss of profit except anticipated profit arising directly from the Work. This mutual waiver is applicable, without limitation, to all consequential damages due to either party's termination in accordance with Article 20. Nothing contained in this Section 21.8 shall be deemed to preclude an award of liquidated damages, when applicable, in accordance with the requirements of the Contract Documents. This Agreement entered into as of the day and year first written above. OWNER (Signature) (Printed name and title) CONTRACTOR (Signature) (Printed name and title) AIA Document A107"' — 2007. Copyright ®1936, 1951, 1958, 1961, 1963. 1966, 1970, 1974, 1978, 1987, 1997 and 2007 by The American Institute of (nit. Architects. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or 20 distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum 1 extent possible under the law. This document was created on under the terms of AIA Documents -on -Demand"' order no. and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to Its completion. Tk;. ie a Den...dn..li— and ie -0 f— —1. Brian Sikes OWRG Inc.DATE PROPOSAL 1550 S. Hwy 17 92 Ph: (407) 960-2611 Longwood, FL 32750 Fax: (407) 960-2612 PROPOSAL 12/2/2016 1 7901 Contractor submits this proposal for work on the property herein described. Upon acceptance, Contractor agrees to furnish labor and materials necessary to improve the above premises in a good, workmanlike and substantial manner according to the terms, specifications, prices and plans (if any). Start and Completion: The approximate start date of and approximate completion date of are subject to permissible delays as per provision (5) on the reverse side. Submitted by X Remove existing shingle roofing and underlayment to expose decking. All damaged plywood decking if any will be determined at completion of tear off and can be replaced at a rate of $60.00 per 4x8 sheet. (Price Includes labor and materials.) Install 2 1/2in. 8D Rink Shank coil nails along all trusses every six inches to properly secure decking. Install one layer of Synthetic underlayment over entire roof. Install 2 1/2in. galvanized eave-drip around entire perimeter of roof. (Save drip will have a baked enamel finish) Install New lead boots and vents. Install 25yr Tamko Elite 3 -tab shingles with a wind resistance of up to 60mph. Shingles will be installed six nails per shingle. Ground will be swept with a magnet at the end of each working day. Clean entire work area and haul away all debris. 2 YEAR LEAK WARRANTY (LABOR AND MATERIALS) Price includes labor, materials and taxes. This Proposal is approved and accepted. There are no oral agreements. The written terms, specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be be subiect to a 3% convenience 5,750.00 1 5,750.00 TOTAL $5,750.00 _Iz Jz Date You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See Owner's Right to Cancel on the reverse side for details. SPECIFIC POWER OF ATTORNEY I, Yoram Yahav, holder of U.S passport no. 712305896, do hereby appoint Mrs. Denise McKinley I.D. No. M254-176-62-510-0 of 4524 Old Carriage Trl Oviedo. Fl 32765- 8473, to represent me with respect to the property on 412 S Oak Avenue Sanford FL 32771 ("the property"). I grant Mrs. McKinley the specific power of attorney to sign any document concerning the roofing of the said property by Brian Sikes roofing This document shall become effective upon the date of my signature. Dated this ":� day of December 2016. Yoram Yahav Authentication of Amature I the undersigned, Hagit Kochba, Adv. L.N. 19595 OF Israel Hereby certify that on 7 of December 2016 there appeared before me Mr. Yoram Yahav U.S passport no. 712305896 and signed of his free will this power of attorney. F. #Is4Kocb�t 90Hacha et or uds Hagit Kochba, Adv. Prepared by and return to: Jeffrey L. Kaplan Kaplan Law Firm, P.L. 130 Remington Drive Suite 1000 Oviedo, FL 32765 407-706-6700 File Number: 2104-68 Will Call No.: [Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this 15th day of November, 2016 between Henry E. Clayton, Sr. and Marilyn A. Clayton, husband and wife whose post office address is 850 Loretta Drive, Titusville, FL 32780, grantor, and Yoram Yahav, a single man whose post office address is 33 Tabenkin Street, Tel Aviv, 69353, Israel, grantee: (Whenever used herein the tenns "grantor" and "grantee" include all the patties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Seminole County, Florida to -wit: UNIT 2, HOMES ON THE PARK, OAK AVENUE, SANFORD, FLORIDA, DESCRIBED AND DELINEATED ON SURVEY AND PLAT OF HOMES ON THE PARK, RECORDED IN OFFICIAL RECORDS BOOK 1537, PAGE 325, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. ALSO DESCRIBED AS: FROM THE NORTHEAST CORNER OF BLOCK 6, TIER 5, E.R. TRAFFORD'S MAP OF THE TOWN OF SANFORD, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 1, PAGES 56-64, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA, RUN SOUTH ALONG THE EAST LINE OF SAID BLOCK 6, A DISTANCE OF 150.023 FEET; THENCE RUN WEST 53.083 FEET FOR A POINTOF BEGINNING; THENCE CONTINUE WEST 37.083 FEET; THENCE RUN SOUTH 46.083 FEET; THENCE RUN EAST 37.083 FEET; 'THENCE RUN NORTH 46.083 FEET'1'O THE POINT OF BEGINNING, BEING A PART OF LOTS 3 AND 4 OF SAID BLOCK 6. Parcel Identification Number: 25 -19 -30 -SAG -0605-003A Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the salve in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2015. In Witness Whereof, grantor has hercunto set grantor's hand and seal the day and year first above written. DoubleTimeo Signed, sealed and delivered in our presence: s� Witn- s Name: IN 76 Witness Name: .5L.,, (Scaly Henry E. ayton, Sr. ' I) n10 yn A. y o State of Florida County of Seminole The foregoing instrument was acknowledged before me this day of November, 2016 by Henry E. Clayton, Sr. and Marilyn A. Clayton, who Uare personally known or [X] have ced a driver's license as identification. [Notary Seal) Nota is / AMY B. MACCAGNANO Printed Name: c My Co AMIssioy u FF2: �z�s :3,.;,.`, EXPIRES Novarnoor 23. 10 8 My Commission Expires: 114)4)('1Y : Warranty Deed - Page 2 DoubleTimem 6/30/2016 Florida Bullding Code Online F pi er SCIS Home I Log In I User Registration I Hot Topics I Submit surcharge I Stats a Fad I publications I FeC Starr I SCIS Site, rap I Udm I Search I Busines�> Product Approval Prof � ' %' 1 USER: public User Requ y�nra� nenttwn Innru > 69WICAian o > Appllcotron aetaa FL # FL15216-R2 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer InterWrap, Inc. Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 (551) S74-2939 mtupasOi nterwrap. com Authorized Signature Eduardo Lozano elozano@lnterwrap.com Technical Representative Eduardo Lozano Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 (778) 945-2891 elozano@lnterwrop.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Undedayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nleminen the Evaluation Report Florida License PE -59166 Quality Assurance Entity Intertek Testing Services NA Inc. - ETL/Warnock Hersey Quality Assurance Contract Expiration Date 11/17/2016 Validated By John W. Knezevich, PE -' Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507.5.3 1507.8.3 1507.9.3 1507.9.5 httpsl/www.goridabullding.org/pripr app o.aspx7param=wGEVXQwtDgv3yWKJZiORAdhyMSkQGQyljaHhVelOpVSvxwSdCoQ%3da/93d 1/2 6/30/2016 Florida Building Code Ordlrte 71507.8 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved FLti Model, Number or Name 15216.1 RhlnoRoof Underlayments Limits of use Approved for use In HVHZ: No Approved for use outside HVHZ, Yes Impact Resistant: N/A Design Pressure: N/A Other: See ER Section 5 for Umits of Use. Method 2 Option B 04/28/2015 04/29/2015 05/04/2015 06/23/2015 Description Synthetic roof underlayments Installation Instructions FLIS216 R2 11 2015 04 FINAL ER INTERWRAP RHINOROOF FL152.16- S2. od Verified By: Robert Nleminen PE -59166 Created by Independent Third Party: Yes Evaluation Reports FL 5216 R2 AE 201S 04 FINAL ER INTERWRAP RHIN_OROOF FL15216- Created by Independent Third Party: Yes p,rcr Ntrt Contact :: 1940 North Monroe Sheet 7blleheKee FL "— phone: 850.487-1624 The Soto of Florlde Is an AA/EED employer. CoovdaM 2007.2013 State of Florlde.:: Prlyea Statement :; Aceesslblllty StatepLnt :; Refund Shitamepb Under Florida law, email arkbecses are public records. It you do rmt want your rmoll address released in reslwme to o publrc•recoros request. do not send dectronlc mad to this entity. Imintid, Cmtxl Out o10M by phone or by tradlllonal mall. 11 you have any gtr¢dtloM„ please crMu 2 850,497..1395. •Ptasuint to Section 455.275(1), Florida Statutcs. eticalvo 0,10ber 1. 2012, licensees ha rued under Omptcr 455, F.S. must provide the Deparmtusnt with on email acklmss It they have one. The smalls provldms may bd used for ollldal communication vAth the Ileenwu. 14owever enroll addres+es mo pills record. 11 you do not wish to supply a personal acklm s, please provide ties Oc;partmgm wltlt an email address which can bn made avatlable'to the public. 1D determine of you are a nconseo under Chapter 455• F.S., llel,Se dish bUr•. Product Approval Amilptat ®®®® w.rmrit v hnpaJANww.florldWxAldlrg.org/pr/pr appdtl.espx?peram=wGEVXCtwtDgv3yWKJZ1QRAdhy12u8k000yljaHhVelOpVSvxwSdCoQ%3d%3d ?12 TRINITY ' ERD EVAWATION REPORT Interwrap, Inc. 32923 Mission Way Mission, BC V2V-6E4 Canada EXTERIOR RESEARCH & DESIGN, I.I.C. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 140510.02.12-R2 FLiS216-R2 Date of Issuance: 02/17/2012 Revision 2:04/27/2015 SCOPE: 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: RhinoRoof Underlayments LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. 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. Trinityl ERD requires 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 "Trinity IERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in Its entirety. 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. This Evaluation Report consists of pages 1 through 3. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 'the laatmNe teal ra appeasb%cat authorlrad by Ilobnrt hlelnbrcrl. P.ton04/27/2074, 11hisdwsstat tmveasanoleclroNcallyu4nad docmr ent. Slpnod, scoled hardcoples hove been transmitted to the Produrt Aplwaval Admbrbtrator and to tho rumM Client CERTIFICATION OF INDEPENDENCE: 1. Trinity lERD 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 lERD 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 Nleminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. S. This is a building code evaluation. Neither Trinity lERD 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 specifically for that purpose. Agency Code 12-0004-00 Policy Number 122312-20167484 COMMERCIAL GENERAL LIABILITY 55373 (1-07) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM. A. Under SECTION II - WHO IS AN INSURED, the following is added: A person or organization is an Additional Insured, only with respect to liability arising out of 'your work" for that Additional Insured by or for you: 1. If required in a written contract or agreement: or 2. If required by an oral contract or agreement only if a Certificate of Insurance was issued prior to the loss indicating that the person or organiza- tion was an Additional Insured. B. Under SECTION III - LIMITS OF INSURANCE, the following is added: The limits of liability for the Additional Insured are those specified in the written contract or agreement between the insured and the owner, lessee or contractor or those specked in the Certificate of Insurance, if an oral contract or agreement, not to exceed the limits provided in this policy. These limits are inclusive of and not in addition to the limits of insurance shown in the Declarations. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended as follows: 1. The following provision is added to 4. Other Insurance: This insurance is primary for the Additional Insured, but only with respect to liability arising out of "your work" for that Additional Insured by or for you. Other insurance available to the Additional Insured will apply as excess insur- ance and not contribute as primary insurance to the insurance provided by this endorsement. 2. The following provision is added: Other Additional Insured Coverage Issued By Us If this policy provides coverage for the same loss to any Additional Insured specifically shown as an Additional Insured in another endorsement to this policy, our maximum limit of insurance under this endorsement and any other endorse- ment shall not exceed the limit of insurance in the written contract or agreement between the insured and the owner, lessee or contractor, or the limits provided in this policy, whichever is less. Our maximum limit of insurance arising out of an "occurrence", shall not exceed the limit of insurance shown in the Declarations, regard- less of the number of insureds or Additional Insureds. All other policy terms and conditions apply. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 55373 (1-07) Copyright Insurance Services Office, Inc., 1984.2003. Page 1 of 1 THIS INSTRUMENT PREPARED BY: Name: Saundra Rosberg ' Address: 1550 S Hwy 17 92 Longwood, FI 32750 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number. 25-19-30-5AG-0605-003A 111111111111 lllil lllil lilll 11111 1111 1111 MARYANNE MORSE, SE11INOLE COUNTY CLERIC OF CIRCUIT COURT & COMPTROLLER BY. 8823 P9 760 (iP9s) CLERK'S T 2016128857 RECORDED 12/13/2016 10:21:42 All RECORDING FEES $111.00 RECORDED BY hdevot-e 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) COR BLK 6 TR 5 RUN W 37.083 FT 412 S. Oak Avenue Sanford, FI 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof Tamko Elite 3 -tab Shingles 25sq 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Yoram Yahav 412 S. Oak Avenue Sanford, FI 32771 Interest In property: Owner Fee Simple Title Holder (If other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Brian Sikes Phone Number. 407-878-3750 Address: 1550 S Hwy 17 92 Longwood, FI 32750 6. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe 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 Lienors Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Dale of Notice of Commencement (The expiration 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. (51WW M of Owner or lessee. or 0"N'e or Lessee'e (Print Nano and Provido Slpnetory'a Tido/Omce) Authodzed 016cerOmdor/Partner/Mmep 4 ly State of� County of The foregoing Instrument was acknowledged before me this day of 4 by %i La J�j Who is personally known tom OR who has produced Identification O type of Identification produced: DINELIA I. COMINSKY *MY COMMISSION / FF 064147 . EXPIRES: February 18,2D18 Q:ERTiFtEo it"to�"*6v4sd Thru8vdret NourySerlttt BE 13 2016 IYANNC MUK�C " COURT AND •' stun BY //V DEPUTY CLERK CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: Ili- 2)5;;3 I, hereby acknowledge that I personally inspected Roof deck nailin&r jnSecondary water barrier work at 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 F.S. Signature of Contractor Date Printed Name of Cont ctor License # License Type: 0 General 0 Building 0 Residential XRoofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF��h�/� �_ / Sworn to (or affirmed) and subscribed before me this day of fj , 20 , by who io--e,.Personally Known to me or has 0 Produced (type of 5znMature:: as identification. (SEAL) ry Public State of Florida LII 0Com/ W � Notary Public Stats of Florida 16— Steven Campbell Print/Type/Stamp Name My commiaror, FF 990959 of Notary Public �+a Expires 05/10/2020