330 Live Oak Blvd 17-1188; ROOFb CITY OF SANFORD
BUILDING & FIRE PREVENTION
4 PERMIT APPLICATION
Frt ECEl
l7APR6201iApplicationNo:
ocumented Construction Value: $
BY: /
Job Address: J t/ i (/ ' Historic District: Yes No
Parcel ID: l' `" 3 O 5((D —O '[S'y Residentia Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: 't!Z
Phone: _go-) Nl o f Fax: Email:
Title:
Property Owner Information
Name SC`Tt` O_ " Phone:
Street: _ 20 Li U CnA- ic. Resident of properly. .
City, State Zip: SF)n d1 s0 (-cA
Contractor Information
Name 1C. on ( Phone: i
Street: Fax:
nn
City, State Zip: O P4- 3 01 State License No.: & - —2VVJ
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 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 de
2 5 Permit ApplicationRevised: June 30, Ol pp 1
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,eM1qu irements 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
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 Date
Print
LISA ANTONINI
c Notary Public - Stale o1 Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
Cohtractor/Agenf is- -PersonaIly Known to Me or
Produced ID hype of ID KL
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical_ Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
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 Final 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
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 OWNER/BUILDER) SIGNATURE: DATE: - 5---
t s PERMIT #
s v City of Sanford Building Division
T
Residential Re -Roof Scope of Work
JOB ADDRESS: 3 is n L l IJ r o m< 8 LV 0 s j -Aj Fn" 3 22-73
STRUCTURE TYPE: 9SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 32$EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY: C40 V
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE RIDGE DO.SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER' FLORIDA APPROVAL
SHINGLE
1 yam/
v '/
PRODUCT
FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 ,-4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
0 OTHER: FL#
ARCHWAY INTERNATIONAL, INC.
Certified Roofing Contractor - CCC-1326774
Certified General Contractor - CGC-1504809
PROPOSAL/ CONTRACT
No. P17-042
Proiect Location
330 Live Oak Blvd.
Sanford, Florida 32773
SCOPE OF WORK
See attached scope of work.
CONTRACT AMOUNT
Five Thousand Dollars $5,000.00
General Conditions
1. This proposal is valid for 30 days.
2. Payment: Client agrees that if the amounts due and owing hereunder are not paid when due, client also shall
be liable to pay all costs of collection, including but not limited to reasonable attorney's fee and costs,
which amounts together with all sums due and owing hereunder shall bear interest at 1.5% per month.
3. a. The Shingles will carry a (30) years Manufacturer's warranty.
b. The contractor guarantees the performance of the new system for a period of 5 years.
4. PAYMENTS: '/z due at acceptance, '/2 after completion.
5. COMPLETION DATE: 2 weeks from date of acceptance.
X4x Max Mazraeh 4-25-2017
Contractor's Signature Print Date
ACCEPTANCE OF PROPOSAL/CONTRACT
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as
specified.
Client's signature
ffo3jc N t c-Fz-'
Print
4_Z-1/1-fl
Date
480 Lake Bennet Ct. *Longwood, Florida 32750 • Tel. 407-610-8157 • Fax. 888-340-6538
101111 H111 air0 i! x'' II I I i
L..(a'i', i'"IUi...E:: i:iili; i
LI rRK' 1i
THIS INSTRUMENT PREPARED BY:
Name: MAXMAZRAEH CLERK'U U 2I1704"ij94.2c,
Address: 522 HEATHER SRITE CR :.(;l.1 i1.11:_I U i :•'.t5i ihiJ. f I;I
4POPK4,FLi2712
i, RECUFiDED r;' i : tri i 1"1k:
NOTICE OF COMMENCEMENT
Permit Number.
ParceliDNumber.
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:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: P(Zo P&t -T t &7T L l" LIL. L i :3 2 Z 4,6
Interest in property: '
Fee Simple Title Holder ('d oth r than owner listed above) Name:
4. CONTRACTOR: Name: ARCHWAY INTERNATIONAL, INC. Phone Number: 407-610-8157
Address: 522 HEATHER BRITE CR. APOPLA, FL 32712
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
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:
In addition, Owner designates
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 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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.
X
Signadrs of Owner or 1.e3see, Or owrara or Lecsee's
Avftnzed officerponctor/Pannar/Manager)
Print Name and Provide Signatory's Title/OtAte)
State of 1777L County of S L--A I Ai 0 Ltd
The foregoing Instrument was acknowledged before me this _ 2 .4 — day of /2 ,L — 20
by &S iN( 4- e-JJ . Who Is personally known to me OR
Name or person malung statement
who has produced Identification 0 type of Identification produced:
A
ary ro I]
8!4753
ARCHWAY INTERNATIONAL, INC.
Certified Roofing Contractor - CCC-1326774
Certified General Contractor — CGC-1504809
Proiect Location
330 Live Oak Blvd.
Sanford, Florida 32773
Scope of Work
Shingle Roof
1. Roofing permit and inspection fees by city/ county are included in this contract
2. Dump trailer fees for debris removal are included in this contract, please clear the area for parking the
dumpster for duration of roofing installation
3. Contractor is not responsible for any existing cracked driveway and from material delivery trucks.
4. Remove existing shingles, flashings and underlayment down to plywood/wood decking
5. Re -nail plywood/ wood deck 6" OC. Per FL Building Code
6. As part of installation, we are removing any satellite dish and Solar panels for pool and water heaters,
owner is responsible for re -installation of those items, if any
7. Install 30 lbs. underlayment
8. Install Drip Edge and Metal flashing, color to be selected by owner (Black, Brown or White)
9. Install Lead Boots and Ridge Vents, skylights replacement are not part of this contract
10. Install 30 years Shingles — Brand and color to be selected by owner
11. Any unforeseen condition like damaged deck replacement cost is $55.00 per'/z" Plywood or $35.00
perlx...... x8' and $40.00 for 2x...... x8'
12. Balance of contract amount is due at completion of job and inspection and walk through conducted by
owner and contractor or contractor's representative and final inspection by city or county inspectors.
Shingle Manufacturer Color/ Style Owner's Signature
480 Lake Bennet Ct. *Longwood, Florida 32750 9 Tel. 407-610-8157 • Fax. 888-340-6538
Property Record Card
Owner PASHMAK PROPERTIES LLC
Subdivision Name HIDDEN LAKE PH 3 UNIT 2
Tax District Sl-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
ro
Seminole Count Gli's
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market cost/market
Number of Buildings 1 1
Depreciated Bldg Value 77,350 67,776
Depreciated EXFT Value
Land Value (Market) 25,000 21,000
Land Value Ag
Just/Market Value 102,350 88,776
Portability Adj
Save Our Homes Adj so
Assessed Value 102,350 82,875
Tax Amount without SOH: $1,70600
z'7oouo
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non vuValorem Assessments Legal
Description HIDDEN
LAKE PH 3 UNIT 2 Taxing
Authority Assessm E.emptValues Taxable Value Schools
102,350 so 102,350 County
General Fund 102,350 so Sales
Description
Book Page Qualified Vac/Imp
I
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ,d /
r ,_
I
i
I hereby name and appoint:
an agent of:
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: A&K (1 oc W PA
State License Number: t °
Signature of License Holder:_E,=—`2_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this J_day of
201 _, by ,M,, , r — who is personally known
to me or who has. prod cuedAas
identification and who did (did no e ?n oath.
ignature
Notary Seal)
Print or type name
Notary Public - State of
ROBERT J COUCH Commission No. MY COMMISSION # FF984753'
t , EXPIRES Ap i121, 202o My Commission Expires:
401) 39A p153 F orMeNOtA 9ewaa,20m
ROBERT J COUCHRev. 8/06/13) L40?39""im
My COMMISSICN #FF984753EXPIRESAp;(i121,2020
FloridyNot0rySe vice
I
a
City of Sanford
Building and Fire Prevention
PERMIT #:
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
ADDRESS:
4A x 1 , , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS 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 ON F.S. CHAPTER 553.844).
LICENSE #: Ccz' / :?)!Z(a 77 :7 L
COMPANY /CONTRACTOR: i _'
CONTRACTOR SIGNATURE: / DATE: Lt
MUST BE SIGNED BY LICENSE HO E UILD
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.
F+'AILURE 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 :6;nWoL c,
Sworn to and Subscribed before me this 2_7 day of "0_t L 20 t.._? by:
MAY MkZlF'ke--f 1 . Who is Personally Known to me or has Produced (type of
identification) p as identification.
0 Ag!L
ature
tate of Florid,-\\
Print/Type/Stamp Name
of Notary Public
ROBERT J COUCH
MY COMMISSION # FF984753
EXPIRES April 21, 2020
407439"153 FW1ftN0f2 S9Nke,WM