2417 Palmetto Ave 17-1609; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 6270.00
Job Address: 2417 Palmetto Avenue Historic District: Yes No
Parcel ID: 36-1 9-3.0-541-0000-0690 Residential x Commercial 11
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of `V'11"ork: Re -roof 24 squares shingles
Plan Review 4::ontact Person:
Phone:407-672-0001
Liza Denton
Fax:407-647-9332
Title: Admin Assistant
Email: lundbergroof ing@aol - com
Property Owner Information
Name S a.rQL_g1 avi n-, P. Ali ca & Tamar nxfr,rd Phone: 407-862-6698 _
Street':'241 7 Palmetto Avenue Resident of property?" es
City, State Zip. _Sanford, FL 32771
Contractor Information''
Name Dei.Nrid C. Lundberg Phone: 407 672-0001
Street: .l .'10c- Howell Branch Road Fax: _ 407-647-9332
City, State ;Tip: Winter. Park, FL 32789 _ State License No.: CCC1 325941
Name:
Street:
City, St, Ziff:._,_
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:'
WARNING 'i-O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOjJ14
PAYING TWICIs FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST B
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
COMMENCEINI FNT.
Application is h,-r,;by made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has
coinmenced 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 bpi secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall ue inscribed with the date of application and the code in effect as of that date. 54h Edition (2014) Florida Building Code
Revised: June i0. 2C 1 `
Permit Application
i
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 r(:cords 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 noti Fy 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 calcuiaie 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 applimi 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.
7 eve
Signature ofOwnr. cn' Date Signature or Contractor/Agent Date
rl`CbL _J KLA VI P5 Avon G I-Udwre&I
Print Owner/Agcn 's Nwr, e Print Contractor/Agents Name
7 IX-7
Signat e o I r S% to of F lorida ate Si afar P ota
o,Nt e Notary Public State of Florida owl ob i Pilbkiiki9tb ! of FloridaIate
Wendy R Benson 3' ; dy R Benson
a M commission FF 035664
Expirespires07/14/2017 F
NFL c Commission 035664
o Expires 07/14/2017oaExoF` Owner/
Agent i i Personally Kva nn to Me or Contractor/Agent is Personally Known to Me or Produced
II: 5C _ __ Type'of ID — Produced 1 D _ Tvpe of 1 D , BELOW
IS FOR OFF ICE USE ONLY Permits
Required:, Building Electrical Mechanical —Plumbing[] Construction '
Fvpe: Occupancy Use: _ Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads APPROVAUS:.?
ONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Gas[]
Roof Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30,''0 5 Permit Application
DAVID LUNDBERG BUILDING &._ ROOFING CONTRACTOR
1709 Howell Branch Road
We now acceptWINTERPARK, FLORIDA 32789F407) 672-0001 • (07} 647-9332 Fax Visa/Mastercard/Discover/AmEx:
CBC017995 CCC1325941 Please call fo'r details
CMUL 11WWDA lundbergroofing@aol.com 7q
2009-2015 - C4 lundbergrciofing.com
PROPOSAL SUBMI7,E TO: PHONE DATE
i" JOB NAME .....
r'; /
STREET/ W
s . E/ADDRESS
CITY, STATE AND ZIP CODE
f
Ia '
AFTER A VISUAL INSPECTION OF THE JOB SITE,'WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
Shingle Roofing Options:
i Remove' existing'roof' and'haul away ,0 debris,,:;'
Dry in with
Install new lead pipe flashing with squirrel guards
and kitchen vents
New eave drip metal
Install new galvanized steel valley metal Single Ply Roofing
Install algae resistant' shingles
Type of shingle, '+ ; Remove existing roof and haul'away all debris
Dry in with 43 lb, asphalt coated felt
Clean yard thoroughly and sweep magnetically for
loose nails i Apply a single ply rubber roofing system
YEAR GUARANTEE ON i Install new 2 lb. lead boot (lashings
WORKMANSHIP AND LABOR p ;
Carpentry work is additional per man Install galvanized eave drip metal
hour, plus materials
t ( .. )
YEAR ,GUARANTEE .ON
r Furnish and install newskylights WORKMANSHIP AND LABOR Size:
Type: Furnish
and install Id_.. f.1 lridgeventoff-
4dgei"
t& at $ `., f__ additional cost r If
applicable, customer responsible far`removal of solar panels &
satellite dishes Provide uniform
mitigation; inspectionhupon payment inJull
it I WePropose
hereby to furnish material and! lab& - compI te'Inl acccirdance with above specification, for the sum of: dollars ($JI
Payment
W-
be made as follows: iel Half down
upon delivery of;mate'rials, balance In Bill upon completion price includes all taxes, delivery charges, permits and dump fees:
We cannot
be held liable foridamaged driveways since access to and frorr? the structure is esseniiai for Authorized i re -
roofing;
direct, incidental, coincidental; intenoriok exterior water,damage' property damage ar perso i ..Signature .,,:..V. al injury
related to the repairing or re -roofing of ttieistructure while job isin rogress or after cdmpleUol. Owner to carryfire, 'tornado, and any other necessary insurance-in the a ent of defaultibn the part) I customer resulting in
litigation successful to David Lundberg 8wlding & Ro( ing Contractorijthe custoin i ' I will pay the
cost of litigation! plus attomeys fees. Payments not rendered in accordance vnth cd trait i Note: This.proposal may be withdrawn agreement shall be
subject to a finance charge of 18 / i ii ( !' b us if not accepted within .10 da s. y p YAcceptanceofFropok -;
The above 1I ribe , pecific tlo s lin i conditions are satisfacto",Y nd arelhereW, accepted You arr e aU horded t d thI wbrkl I Sicinature as,specified. Payment
w`11 be made as outlmed;above Date of Acceptance
i git Signature i i'pl '!
I t i.:i l F i 1
i 1. iil
THIS INSTRUMisNT PREPARED BY:
Name: Liza Denton
Address: 1709 Howell Branch Road
Winter Park, FL 32789
Permit Number:
Parcel ID Number: 36-19-30-541-0000-0690
GRANT 11ALOYv SEMINOLE COUNTY
CL..E:hI; OF' CIRCUIT COURT & COMPTROLLER
BK 8924 F'9 121 (1F'ss)
CLERK'S A 2017054520
RECORDED 06/01/2017 12:34:513) P11
RE-4:01"DING FEES $10.00
RECORDED BY tsmith
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)
S 16 ft of Lot 69 All of Lot 70 Pine Heiohts PB 3 PG 51 2417 Palmetto Avenue, Sanford, FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof <r''
n""'
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Z p N
Name and address: Carol Klavins & Alice & Lamar Oxford 2417 Palmetto Avenue Sanford FL 32771 a
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: David Lundberg Building & Roofing Contractor Phone Number: 407-672-0001
Address: 1709_Howell Branch Road, Winter Park, FL 32789
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name: Phone Number:
Address:
Amount of Bond:
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.
8. In .addition, Owner designates
Phone Number:
of
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 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.
t
r
Signature of OwneV6r ossee, or 0 er's or Lessee's
Authorized O.f er irector/Partner/Manager)
State of i—--. County of ICA dv6-lE
Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me this / day of rl 20
by r["2[_ J. t ) V )A 5 Who is personally known tome OR
Name of person making statement
who has produced identification type of identification produced:
rar nuy Notary Public State of Florida
Wendy R Benson
S' rK'#•, .o My Cornmission FF o35664
r,F r4cs. L:<pires 07/1412017 4•.„'haJ4rd'1"a
yy,atir,r"'r,+,a''ina', Ja•J!!`'+,!°t 4t''arsNotary
Signature
LINJITED-POWER OF ATTORNEV
Allawi linte Springs, Case} -rkr, Lake Mary, Longwood, Oviedo, Sanford.. 5 sellm Seminole
Coun t.y. VVinter Springs Date:
6/1 / 1 7 I
hereby 11a1T'(! Jnd appoint: Liza Denton an
agent o FF: David C. Luri&)eig Buil-dil-ic, & Roofing Contractor Nam . .....
to
be my attorney-in-J'act [o,,jci.1"or me t& apply 10r. receipt for, si(yr, for and do all till- 1:rs Zolnecessan0ytoappointmentonlyoneop'tlon): C3 All
per -tits and applications submitted I)v this contractor. ff The
spt -,Jfic permit and applicailon for work- ](Y",atod at: 241-3--
Pa-Imetto Avenue Sanford,_FL 32771 Expiration D`,
For This Urnited Pov,/er 0 [/attorney: 12 /31 / 1 7 License Hold,---
r Narne: David- C. Lundberg State Licenselimber:
CCC132594l Signature of [
J,:cnse Holder: STATE O.
F'F-,0RIDA COUNTY OF ',-)
range The Instrument
was acknowledc-,ed before me this 1 day of June 2017 t.
David C. I undbercT is personally knowilto or \vh
he asproduced as ider."]'
Ication and Nvhc) did/did not take an oath, sicynal-LIFe
re Niouar, ;cal)
pXf 0%,
Notary Public State of Florida lt Wendy
R Benson My Commission FF
035664 ot NOF Expires07114/
2017 KerLdy -TZ. Benson
Print or T.,.,/
p(:, Name Notary Pu'Dlic —
State of Florida ConlnliSS'(-)31 -'Umber
Umber FF035664 es: Expii 07 /
14/1 7
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
J011 )i,IIDRESS:
STRUCTURE T`Y PE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O,MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF T)'PI?: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) Aa RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLL,ASI', SPECIFY): Lj(3Od
PLEASE NOTE: ONL Y 100 SQUARE FEET
04p
TTHE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTIL 0ION: DOFF -RIDGE l/1J Rll)GE 0SOFFIT OPOWERED VENT OTURBINF.S
SKYLIGHTS: () j'E'i ANO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL 4:
MAIN ROOF A RI;,A
ROOF SLOPE: O r_ ESS THAN 2:12 2:12 -4:12 O 4:12 OR GREATER
TYPE OF RO()F MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLI.'
O METAL FL# --- —
0MODIFIITC BII11id iN I'L#- _-
O TORCH DAWN
OINSULATEC)
O TILE FE.# ---- ---
0OTHER:
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) .**IFAPPLICABLE**
ROOF SLOPE. C' LESS THAN 2:12 2:12 - 4:12 O 4:12 OR GREATER
TYPE,OF RO`)I-'
XSHINGLE
O METAL
OMODIFIFI> E
OTORCH Dt)i
0INSULATI D
O TILE _
O 0T HER:
MANUFACTURER FLORIDA PRODUCT APPROVAL
FL#
FL# _ --
IIT!'iMEN FL# — --
vrl FL# _ --
FL#
FL#
F3 Mo
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 BC c_ de compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 6)1 In
i
City of Sanford
BUilding and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
hi AIL-ING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT4: _ J1 4(Q01 ADDRESS: 2417 S. Palmetto Ave
Sanford, FL 32771
I David C . L_undberq _- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING COi`I7 R,IC"Fok, ENGINEER, ARCHITECT, 01 F.S. CHAPTER 468 BUILDING INSPECTOR. I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INI OI MAT:ION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK .AT THE
ABOVE REFERENCE') ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT' APPROVALS AND ALL APPLICABLE CODE
REQUIREMEN P:, - S'I CIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN,ADDITION I CERTIFY T14E INSTALLATION MEETS ALL
REQUIREMENPI FOR :ECONDARY WATER BARRIER ;%ND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUiRiENIENI'S (BASED ON F.S. CHAPTER 553.844).
LICENSE #: CCC 1 3 2 5 9 41
COMPANY% CC:V'iRA,.TOR: Da Lun %Contractor
CONTRACTOI:'iIG[:A CURE: DATE:
MUST BE SIGNED BY LICEN
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, FL ASHING, DRIP EDGE ATTACWMENT) 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, I VC:LUDI14G DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK F0 2 FVRT'HER EXPLANATION OF ALI, REQUIREMENTS.
FAILURE i'O '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, TFIE INSTALLATION OF ALL ROOFING COMPONENTS.
STA't_E; OF FLORIDA COUNTY OF O&A k) 9
Sworn to and Subscribed before me this 0 day of 20 11 by:
1'00 C- L-UkHOOC a . Who is . Personally Known to me or has Produced (type of
iden4e,
as identification.
Signry Public
Statx Poe Notary' Public state of Florida We
dy R BensonL—
gMy{;ommission FF 035664 ExpfresOV1412017
Prins/
Type/Stamp Name of
Notntry Public