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127 Queens Ct 17-451; ROOFa CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATIONae: t Application No: Documented Construction Value: $ 7,000 Job Address: 127 Queens Ct Sanford 32771 Historic District: Yes No Parcel ID: 33-19-30-513-0000-0720 Residential Commercial Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move Description of Work: clean deck, re -nail, synthetic underlayment and asphalt shingle Plan Review Contact Person: Randy Miller Phone: 386-265-1955 Fax: 904-713-2784 Name Paul Buster Street: 127 Queens Ct Title: Production Mgr Email: randy@carlsoncgc.com Property Owner Information City, State Zip: Sanford FL 32771 Name Carlson Enterprises LLC Street: 631 Beville Rd Phone: 407-732-1601 Resident of property?: yes Contractor Information City, State Zip: South Daytona FL 32119 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 386-265-1955 Fax: 904-713-2784 State License No.: CCC1.329376 Architect/Engineer 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 constructioninthisjurisdiction. 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: 5'h 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 befoundinthepublicrecordsofthiscounty, 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 Ownev'Agent 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 7 Signature of Contractor!Agent tate Adolph Carlson jprig, nt Cont 1;eei 5//1 t gnature of Notary -State of Florida ate O"'RY P49li RANDY S. MILLER MY COMMISSION # FF950189 EXPIRES: February 13, 2020 u' 7rFaF oeO Bonded Ihru Budget Notary Services Contractor/Agent is X 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: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 5 -t Tzf,4 Permit No Tax Parcel Number -j 3 17 - 3 0 _5_1_ j e o 012 — NOTICE OF COMMENCEMENT State of Florida 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. Denription of Property: (Legaldeserlpton of the property, and street address If avallable.) 11111,11H1111,11111 11111 11111 1111 11111111 GRANT IlA Oyr, SEMI/OLE f:GlUNTY CLERK OF ORC-IJIT CIDU€ T & COMPTROLLER CLERPe' S V. 2171-701:1Cy339i E" 0R[( M11,1' /'lrl'r' ll82;U4L1 ANQlltrlt4iiE;S , J.l.lrtlj RE- R6EWr 1 107 1 sy /G' , ' C7 ,y'Cr. J g, -rl n,:,{yf 2. General descriptlon of improvement: Re -Roof 3. Owner Information or Lessee information If the Lessee contracted for the improvement: a. Nameandaddress Pgvtilr`,e 1-R,7 b. Interest in property Owner '` "rod 3 7-7 i c. Name and address of fee simple. titleholder (if other than owner) 4. a. Contractor: Name and address Carlson Enterprises 631 Beville Rd South Daytona FL 32119 b; Contractor's phone number 386.265-1955 S. Surety (if applicable, a copy of the payment bond is attached): a. Name and address NIA b. Phone number c. Amount of bond $ .00 6. a: Lender: Name and address N/A b. Lender's phone number 7. Persons within the State:ofFlorida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13(l)(a)7., Florida Statutes: a. Name and address NIA A ytil iLu b. Phone numbers of designated persons: 8. a. In addition to himself, Owner designates NJA of to receive a copy of the Lienor's Notice, as provided in Section 713:1.3(1)(b), Florida Statutes b. Phone number 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OFTHE 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 8E'RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANC jG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICEfOR C,r a MCEMENT. o ssee, or Ow -s Le,sse ' Authorized OfrcerlDirector/PartnerfManager (Section 713.13111 Id]) State of y+e '3 County of '542461 I V`6L-0- / The forgoing Instrument was acknowledged before me this day of G 20r by T f authority ...e.g, officer, trustee, attorney in fact) it tl Sr nature of Notary Publlc. Sato of Florida Print. T Io o' of NotaryPu he t1l1NGAH oI .`% Notary Public State o1 FIo 017 Personally Known_IZOR Produced ID Type of 1D Produced n * '" z my rrimm. Ex ices Nov 28, v ' Commisclon # FF 4 04;04.14 u n ormrt Center Fax tt 386.8225734 CUSTOMER AGREEMENTC,4G!1CARLS,;N CARLSON ENTERPRISES, LLC GENERAL CONTRACTOR CGC1514755ENTERPRISEScarlsoncgc.com JACKSONVILLE DAYTONA ORLANDO5028RichardLane1Y. Ste. B 631 Seville Road 7485 Conroy Windermere. Rd.. Ste. CJacksonville, FL 32216 South Daytona, FL 32119 Orlando FL 32835904) 527-1662 (386) 265.1955 (407) 926.6199 Customer Job Addre! ROOF SPECIFICATIONS Remove all layers of roof material to deck Re -nail existing deck to meet current code Install painted metal drip edge Install boots to pipes Install vents as existing Apply ASTM D226, 15# UL felt paper to wood deck Apply Metal/Shingle/Tile/Shake/flat roof system Remove trash from roof, gutters.and yard 161205 TAMPA 4830 W. Kennedy, Blvd. Sts, 600 Tampa, FL 33609 813) 509.2338 Date: i V Date of Loss: Phone: 0?- it koOtTy e of Loss: .(Wind)/ Hail Email: 60 44 & kr-&& 0 e- ,Gov ROOF SPECIFICATIONS Existing, Driveway Damage: YES: —NO:_ Skylights: Interior Damage: Siding Damage: Emergency Repair: YES: —NO:_ Protect landscaping where applicable Roll yard with magnetic roller Furnish permit 2 Year Workmanship Warranty Lien Waiver a, a,rv,awr ur occurudnce witnin the above speCrticatlons for the sum of $ XQTAL . lasudrn E1 FST ENT SUMMARY G _ Deductible: -71 ©oo' 70,j Change Orders/ Upgrades: A.000_ Upgrades: it .e) 0 ,D ACCfRTANCE OF OFFER: I hereby assign any and all insurance rights• benefits, and proceeds. both accrued or unaccrued, under any and all applicable insur- ance policies to CARLSON ENTERPRISES, LLC pertaining to the loss identified in this Agreement. I also hereby authorize direct payment of any benefits or proceeds to CARLSON ENTERPRISES, LLC. i make this assignment and authorization in consideration of CARLSON ENTERPRISES. LLC's agreement to per- form Services and supply materials and otherwise perform its obligations under this Agreement. including its concession of not requiring full payment at thetimeofservice. I also hereby direct my insurance carriers) to release any and all information requested by CARLSON ENTERPRISES. LLC, its representative. or its attorneys for the purpose of obtaining benefits to be paid by my insurance carner(s) for services rendered or to be rendered, and for this purpose, I waive my privacy rights. If payment Is made directly to the Owner/Agent by an insurer. I agree to endorse said payment to CARLSON ENTERPRISES, LLC with- in three business days of receipt. I agree that any portion of work, deductibles, betterment, depreciation or additional work requested by the undersigned, not covered by insurance. must be pard by the undersigned on or before its completion. I hereby appoint CARLSON ENTERPRISES, LLC as my attorney in -fact and authorize CARLSON ENTERPRISES, LLC to endorse my name, and to deposit insurance checks or drafts on my behalf to the account of CARLSON EN. TERPRISES, LLC. Payment terms are net -30 days and late charges of 1.5 monthly accrue on all unpaid balances. I agree to reimburse CARLSON ENTER. PRISES, LLC for costs of collection (including reasonable attorney's fees and costs) of unpaid amounts by Owner/Agent and for reasonable attorney's fees and costs for the breach. or enforcement, or any terms of this Agreement. I understand that where warranted. CARLSON ENTERPRISES, LLC will impose addi- tional charges of $40.00 per sheet of O.S.B. and $70.00 per sheet of plywood decking replacement when damage is discovered upon tear -off of existingroofingmaterial. Customer acknowledges that some insurance policies exclude items such as non-recoverable depreciation, decking, re -nailing and engi. neering fees and Customer hereby agrees to pay for ail work performed and other items excluded by Customer's insurance policy. THIS AGREEMENT 1S VOIDABLE BY CUSTOMER OR CARLSON ENTERPRISES, LLC IN THE EVENT CUSTOMER'S INSURANCE CLAIM FOR DAMAGES IS NOT APPROVED BY CUSTOMER'S INSURANCE COMPANY. 1. Customer, also hereby assign all my rights, both current and those arising in juture, in any and allbenefitsarisingfromtheinsuranceclaimhereinreferencedtoCARLSONENTERPRISES, LLC in consideration of the work performe CARLSON ENTER- PRISES, LLC. -- Accepted by Property Owner (-Customer'): Date: , ?0/ (0 Feld Representative: Date: By _ w' Accepted by CARLSON ENTERPRISES, LLC Date: , _/__/ I ""-- ALL PAYMENTS SHALL BE MADE TO CARLSON ENTERPRISES, LLC- NOT THE FIELD REPRESENTATIVE insurance Co. ;0!=N C:N 3 moi Claim k: gage Co Account q Phone #; jaafetone_.._.__....---._. m_ for (nst jgg¢m tnsura e@(rj Fn_-temti-c°N. LLCwi)I not tak r uSh.lILCP,8L8Ctpf}StL, V082016 a City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. I I 'w 1 5' ISSUE DATE: 0. 1011/7 CONTRACTOR: I JOU ADDRESS: TYPE OF WORK- i 14 44 les PROTECT FRO WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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: February 2017 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 Y Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Final Roof 111 Miscellaneous Notes: REVISED: FEBRUARY 2017 Inspection Line: 855.541.2112 City of Sanford.Building Division Residential Re=Roof inspection Policy & Procedures PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will: not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Filial Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site:, Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida. Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in,each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed,"nail'pattern and location of nails e Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNERIBUILDER) SIGNATURE: DATE PERMIT # City of Sanford Building Division Residential Re -Roof Scope,of Work JORADDRESS: 04 u e n STRUCTURE TYPE: AQ INGLE FAMILY RES[DtNCE/TowNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM RF-ROOF TYPE: REPLACEMENT (TEAR'OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) RE-COVER (NEW ROOF INSTALLED OVER, EXISTING ROOF) I/ k . - DECK TYPE (PLEASE,SPECIFY): I PLEASE NOTE: ONLY] 1 00 SQUARE F EXISTING DECK IS PERMITTED TO BE RFPLA,CED** ROOF VENTILATION: DOFF -RIDGE 10, IDGE OsorFIT OPOWEREDVENT SKYLIGHTS: O YES e'NO IF YES.. PLEASE PROVIDE,FLORIDA PRODUCT APPROVAL#: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 02:12-4:12 OR GREATER OTUPBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE OAPHINGLEJWCA's Cora ticj FL4 OMETAL F L# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# OINSULATED FL# OTILE FL# OOTHER: FL9 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF, APPLICABLE", ROOF SLOPE: 0 LESS THAN 2:12 0 2:12-4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# OMETAL FL# OMODIFIED BITUMEN FL# 0 TORCH DOWN FL# 0 INSULATED FL# OTLLE I FL# 0 OTHER: I FI ,# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 30D N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00000451 Date 2/20/17 Property Address . . . . . . 127 QUEENS CT Parcel Number . . . . . . . . 33.19.30.513-0000-0720 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 972984 Permit pin number 972984 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHINGS DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: / _ — q'51 ADDRESS: owlQp4-v s C_ I a 4„ 5 C) p, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR Rff6 G CaTIT CTOR, NEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE MKLO01N NIS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ONF.S. CHAPTER 553.844). LICENSE #: IM / QS 162 COMPANY/ CONTRACTOR: L r IS 6AQM S CONTRACTOR SIGNATURE: DATE: O MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUIL ER) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF yo 1,5 rr7 Sworn to and Subscribed before me this ay of reA 20 c1—by: yil K l3'L Who is NAO-orsonally Known to me or has Produced (type of identification as identification. ignature of Notary Public otSRY P B RANDY S. MILLER2 ; "'•, c State of Florida * NF MY COMMISSION k FF 950189 11 , 1 ”; EXPIRES: February 13, 2020Ue Bonded Thru Budget Notary Services Print/Type/Stamp Name of Notary Public