305 Plum Tree Ct17-1645; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • C'o
Documented Construction Value: $ ITC00
Join Address: Pl%^w) Ti-ee C+- Scn n-Fof6 EI - Historic District: Yes No EK
Parcel.. TD: _ Residential 9 Commercial
Tyl e ,:;, ' Work: New Addition Alteration RepairX Being Change of Use Move
Deseviption of Work: Rz—('CDO-e-
Plan Review Contact Person: Title:
Phone.-, Fax: Email:
Property (Owner Information
Name (ZOAeI 4eg-vv-,onoPhone: (H07)C(L_i9-3015-0
Street: 3pS P1cnv+n Tre2 <A Resident of property?
City, State Zip: -Scn {06r__ F1 3Z 7 7-3 Contralctor
Information Name _<-'
t-c kcP_ COv St'- U d C7C lv e, Phone: Q9Q7)36>s--6QQ(D Street:
t5L14 ?SIvr_%. l36 Fax: _ (L407i U-6 6065' City,
State Zip: CC;,,S_Sel*oetry FI- 32-707 State'License Architect/
Engineer Information Name
Street:
City,
St, Zip: Bonding
Company: AdOress:
Phone:
Fax:
E-
mail: Miartgage [
lender: Addres:
WAP,
N.ING 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 FIN..
LING, 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 rnust be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners., etc. FBC
10i.3 Shall ne inscribed with the date of application and the code in effect as of that date-, 51' Edition (2014) Florida Building Code Revised: (
une 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that a11 of t'ne foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature
ir
7
ofOwner/
Agent Date eofC.nlrctor/Agent ate Print
Owner/Agent's Name <3int Contractor/Agent Signature
of Notary -State of Florida `Dake,% r
Owner/
Agent is Personally Known to Me or Produced
ID _ Type of ID Notary
Public State S;ti4f Lesley
G Garza PJI)
Commission GG 009517 F'
xpires 07/07/2020 Contractor/
Agent is rsonally 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: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire.
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures of
Heads _ Fire Alarm Permit: Yes No UTILITIES:
WASTE WATER: FIRE:
BUILDING: Revised:
June 30, 2015 Permit Application
ea,t,, _ its r< ,,;: ,. „ ,.uv- ; +r'f t'7 f'ill's'7iI"i'i =,,,;_: s-;aS!1 'l eg1F' c_t Wit; :b.t,; Scanned
by CamScanner,
Permit Number
Folio/Parcel ID #: lC-20-3c3
Prepared by: Fi v_
Return to: IVA• Cw tP_ G3 , _
G sS21 er j 1. 32--7r7
GR I -IT NAl_OYs 150-11NOI_T.: COU1,1TY
T.::i;ft. OF Cl:RC:i_j11' 1'6*O f0 & 'COMP14iO .i...ER'
GI_ERK' S r 2017055635a5635
1'I: t} 'i ''. C' r li:.l.•!]hE<E 1!,It_I.t,,;•i_E1.r' (•.!.L .t!i.,..5 1-T'I
T::L::;(:;F:(i1:i#ii FT_'t:L :.1i1•!;!i
n BY
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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)
L o+ L' BLl< F HA acAe" I.— C9 P 8 17 L96 S'y
2. General description of improvement
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name'S ?08ek H-P_rIMC..nC:)
Address 305' Pt—m Tcee r—+. 3277'
Interest in Property '%\.vne_y-
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name erc Telephone Number(.1i07)366 6C
Address l 5''44 Pll- 3Z-&7-7
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender =PtS, p.oFt
Name Telephone Number
Address`
7. Persons within the State of Florida designated by Owner upon whom notices or other document oay
be served as provided by §713.13(1)(a)7, Florida Statutes. a
Name Telephone Number
Address Z'
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor' v
Notice as provided in §713.13(1)(b), Florida Statutes. ;z
Name Telephone Number n 2- o
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recor r 0 z
unless a different date is specified) W a z
LP
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
WITbi-YOUR LEN09k OR AN ATTORNEY BEFORF, COMMENCING WQOK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signa re of Owner or Lessee, or Owner's or Les ee's Authorized Officer/Director/Partner/Manager (Signatory's Title/Office
The foregoing instrument was acknow edged before me this day of f'l by b, AA mc c
on year name of person
as for
Type of aut rity . ^ e rfjtt stee, attorney in fact Name of party on behalf of whom instrument was executed
LG-510- ' C'1CJli2!''t
Si na re orKbtary P lic — State of Florida Print, type, or stamp commissioned name of Notary Public
Personally Known Oa Produced ID k^
Type of ID Produced ( — % -- `7 (— 2 ,,,upi ? Notary Pnb!ic State of Florida
s Lesley ! Garza
r ^ ?,-r_• My Commission GG 009517
Expires o7/07/2020
t
W
0
Form content revised: 01/23/14
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: AY)A-Vr ao-/ 6Gr-.7d%
an agent of: £',Tt G,$ GO1n5fi- GY\d VZ00-r-\vie,
Naa c: of Comparry)
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):
U The specific permit and application for work located at:
3O,5' Pltnvw\ Tree C+-_ 5 •L-Fo t' R. 327 73
St -„et Address)
Expiration Date for This Limited Power of Attorney: 3oc:3c-,yS
License Holder Name:
State License Number:
Signature of License H
N IAl h Ur rLURIDA
COUNTY OF-751 Mi 000 Q
The foregoing instrument was acknowledged before me this _day of ,
2001- , by 7sbt, 11C who is t4konally known
to me or who has produced
identification and who did (di
Notary Seal)
s
yaY F'( a`
o
Notary Public State of Florida
L.eslev G Garza
4My Commission GG 009517Expires07/07/2020
Rev. 08.12)
Print or type name
Notary Public - State of C ca`
Commission No. "RoaRsOf
My Commission Expires: - O
M
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 30S f -%e 6 c _. S C/1 GY'G Fj . 3-2-77
STRUCTURE TYPE: (D/SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 01REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): V\./C) Q
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES
MAIN ROOF AREA
w "O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 412 OR GREATER
TYPE F ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE A+IL,-5 16305 {
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OTHER: V„a er1 Cn vl pr-\$
17
FL# 1622.6 "
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDAPRODUCT APPROVAL O
SHINGLE i FL# O
METAL FL# MODIFIED
BITUMEN FJ,# O
TORCH DOWN FL OINSULATED
FL# O
TILE FL# 0
OTHER: FL#
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: DOWNER/BUILDER)
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ADDRESS: `OS- PIUM Trte Ct
Sand rd Fc 3 Z 73 3
I J aftyS T VNJ CO; a 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 #: CC C t >? (D (0
COMPANY / CONTRACTOR: 40 atcwt.
CONTRACTOR SIGNAL
MUST BE SIGNED BY
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 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
Sworn to and Subscribed before me this _ day off CI Q 20 C by:
State of
Who is U,Fersonally Known to me or has Produced (type of
as identification.
xON'j# °6ie `` K;otary Public State of Florida
Lesley G Garza
n « f0y Connmission GG 005517
yn.,Frf`42: Expires 07/07/2020
Print/Type tamp Name
of Notary Public
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 30S 'P T eri, U,r- F1 • :7 _ n 3 STRUCTURE
TYPE: (?(SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: 01REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 1/\/C) UC PLEASE
NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF
VENTILATION: j OOFF-RIDGE Q RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS:
O YES w "O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 —4:12 412 OR GREATER O
TURBINES TYPE
F ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
A+IL^ FL# 6305— O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# 0INSULATED
FL# O
TILE FL# OTHER:
Vend er FL# fjZZ6 Z ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF
SLOPE: O LESS THAN 2:12 O 2:12 —4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL OINSULATED
FL# O
TILE FL# 0
OTHER: FL#