285 McKay Blvd 17-1799; ROOF1
JUN 1 5 2017 CITY OF SANFORD
Ix BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1 p• i
Job Address:`!
r i f,2i U Historic District: Yes No [9
Parcel ID: ?jj— ?.>' 7ii t G OS`'7 O Residential 9 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: P.,y_t ba i,,q
Plan Review Contact Person: mer a%, Title: 5ka&*-
PhonePU7-NS-146S Fax:
Ict'SZ
Email: perry%.jhnckp [yS-1 Lang.
Property Owner Information
Name t-G4: " Phone:
Street: Resident of property?
City, State Zip: 3L-r) 1
Contractor Information
Name W1 t iyYl O ADDR t ('%a
Street: (61r--&r
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: On— & S_ 7kW__?'
Fax:
State License No.: cc ns --) I ((nng
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: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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 pen -nit 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 O Agent ate Signat e of Contractor/ gent Date
rlOwner/A entIs Name Print Con actor/Agent's.
Zk4t/ _ 1r 1ol
Signature of Notary-Stat lorida ARCHIE SIMONDate Signature of- ry-Stat o rida Date
NOTARY PUBLIC tKRy Amber M. Martin
STATE OF FLORIDA !
NOTARY PUBLIC
ESTATE OF FLORIDA
Comm# FF165482
Comm# GG005550NCEi9Expires10/2/2018 10E1S Exp r s 6/26/2020
Owner/Agent is Personally Known to Me or Contractor/Agent is /C Personally Known to Me or
Produced ID Type of ID 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:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Pennit Application
POWER OF ATTORNEY
I hereby name and appoint Joan Mellick
Of Universal Roofing Group, Inc. to be my lawful attorney in fact
Z50-- '-2LtToactformeandapplytotheeCQ
Building Department for a Roofing permit for work to
Be performed at a location described as:
Section. Township: L-1 RangeL-J1 Lot: S a 7 Block:o m-6 - 0-5 ?O
Subdivision:
Owner of property and address)
And to sign my name and do all things necessary to this appointment.
Signature of Gertifie-d'Contractor)
The foregoing instrument was acknowledged before me this
By Ken Mellick
Who is personally know to me and who did not take an oath.
My Commission expires:
Commission#:
Thalia Cal Aceve"
4tttrasoo NOTARY PUBLIC
o STATE OF FLORIDA
5 C0M Tj# FF901799
sf CC ,0, Expires 7121 /2018
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cwo s oou trl: Fi,owaM+
Parcel Information
Property Record Card
Parcel : arceI: 31-19-31-527-0000-0590
Owner: SHAW DERIEF D & LERCH AMBER
Property Address: 285 MCKAY BLVD SANFORD, FL 32771
Parcel 31-19-31-527-0000-0590
Owner SHAW DERIEF D & LERCH AMBER
Property Address 285 MCKAY BLVD SANFORD, FL 32771
Mailing 285 MCKAY BLVD SANFORD, FL 32771
Subdivision Name CEDAR HILL REPLAT
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2005)
a
O
Seminole
Legal Description
LOT 59 _
CEDAR HILL REPLAT
PB 63 PGS 96 97 & 98
Taxes
GIS
Value Summary
2017 Working
Values
2016 Certified
Values.
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 107,820 96,557
Depreciated EXFT Value 338 350
Land Value (Market) 30,000 23,000
Land Value Ag
Just/Market Value " 138,158 119,907
Portability Adj
Save Our Homes Adj 55,178 38,634
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 82,980 81,273
Tax Amount without SOH: $1,590.00
2016 Tax Bill Amount $816.00
Tax Estimator
Save Our Homes Savings: $774.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 82,980 50,000 32,980
Schools 82,980 25,000 57,980
City Sanford 82,980 50,000 32,980
SJWM(Saint Johns Water Management) 82,980 50,000 32,980
County Bonds 82,980 50,000 32,980
Sales
Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 7/1/2004 05412 1186 126,500 Yes Improved
CORRECTIVE DEED 7/1/2004 05395 1084 100 No Vacant
WARRANTY DEED 2/1/2004 052b9 1033 341,800 No Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 1 $30,000.00 $30,000
Building Information
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
V s,
Roo, f6- Contracting Page 9 of 13
SCOPE OF WORK: Pitch: 2.7112; 5112
1. Tear off existing roof.
2. Inspect, decking. Water damaged, broken, deteriorated or rotted decking will be replaced and charged
according to previously list pricing.
3 Re -nail roof deck with 8D round head, ring shank nails.
4. Provide and install 261 lineal feet of new drip edge. Color'h '
5. Provide and install all new orr611 tboots (3-1 '/p & 1-3"). Color
6. Provide and install 1 new return flashings.
7. 9P II D
FF:-`de stall 2 new Lomanco Whirly, Bird Vents.
8. Provide and install all new goosenecks (2-4"). Color 6/ 6
9. Provide and install new valleys, using 8 step closed valley system.
1 OPTION 1: Provide and mechanically fasten double Rhino Roof synthetic underlayment on lower
loped acegs under 4112 and one layer on 5112 areas.
OPT4GH-2 -8 RFey7de and install Adhering Polymer ffleElAed wAele0eyment—.
11. Provide and install Fungus resistant shinglesi according to mariufacturer's specifications.
12. Universal to provid seven written roofing guarantee and one year workmanship warranty
on non -roof work:
13. Universal to furnish material and labor.
14. Universal to furnish a building permit.
15. Clean up and haul off all roofing debris from property.
16. Protect landscaping.
17. Roll yard with magnetic nail bar to ensure removal of nails.
owner FTYS
Universal
IQ
J
A
ui vmal
lmm%aNEW Raaf e Contracting, Page 10 of 13
INVESTMENT:
Universal Roofing Group, Inc. proposes to furnish and install labor and material in accordance with the
above specifications:, and subject to conditions found on both sides of this agreement, for the sum of:
1 ) Owens Corning Duration or Designer, fungus resistant, Architectural shingle
Upgrade ventilation to.Whirly Bird vent (3x more ventilation)
Bullet Boots (Squirrel Protection)
Synthetic Underlayment on the entire roof
Seven- year roof ,guarantee .
f.-_Yh'-Y1Gn4nii{Jllf6ac"`SYV+2$a'0"w`nY`;-i.;,,.!
Total ) 7 'O
TERMS:
Standard industry cash terms; one-third with the order, one-third due upon delivery of materials, balance due upon completion.
Building Permit is included. Job related debris to be removed from job site.
The final payment of each item should be paid at the end of that item. (i.e. the final payment of the
roof is paid when the roof is completed, gutters, screen, interior etc.)
L 36 '` 05" Total Order
i b'S Contract Signing
3 Due on Start Date (Deductible and Upgrades)
2 v Due Upon Completion of Roof*
Print Name:01-n— Print' Name:
Date'` -1. 1 Date:
By '
mversal Roof & Con acting
Owner- S
Universal:
Main Level
SHAW_KENNY
12/12/2016 Page:l
GRANT MALOYr SEMINOLE COUNTY
THIS INSTRU ENT PREPAR BY: CLERf'. OF CIRCUIT COURT ! COMPTROLLER
Name: ! BK 8928 Ps 906 (11`9s)
Address: CLERK'S T 2017057352
2Z561 t, RECORDED i16/i 9/2i117 11:2i :52 AM
RECORDING FEES $10-00
NOTICE OF CPMMENCEMENT
RECORDED BY ,ie_kenro
I'
Permit Number: _
Parcel ID Number: c7L — gZ7 pair.,
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 addrgg iffaavailable)L' _ ...
2.
GE jr
OF
3.
OWNER INFORMATION OR LESSEE I FORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: Address:
Phone Number: n 253 4.
CONTRACTOR: Name:-UbA Address:
5.
SURETY (If applicable, a copy of the payment bond is attached): Phone
Number: 6.
LENDER: Name: Amount
of Bond: 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. Phone
Number: O
r desi nates of
8.
In auumon, wne g to
receive a copy of the Lienor's Notice as provided in Section 713.130)(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 CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE UINTENDTOFINANCINGBEFOSITE
BEFORE THE FIRSTRE COMMENCINGWORKINORRECORDINIFYOG
YOUR NOTICE OFOBTAIN COMMENCEMENT. 'CONSULT
WITH YOUR LENDER OR AN ATTORNEY Print
Name and;Provide $I nato Offiee . fOvmer
or Lesse¢; or Owners or Lgssee's; g
rys Tfdg(-- " ) Authodzed
Officer/Director/Partner/Manager) State
of _R dit t, -^ County of " day
of ji A. ' The
foregoing instrument was acknowledged before me this y sos i' 3 •.
ra Who
is personally kno/wn tome OR > k`u aJ
w
Name
of person making statement ^ 0 Iduced
identificationtype of identification produced: ARCHIE SIMON
r - NOTARY
PUBLIC y T`
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City of Sanford Building Division
Residential Re -Roof Inspection PoIiey & Procedures
PEMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL REROOF 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:
o 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 EACCH PLANE OF THEROOF,.SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN &: SPACING (INCLUDING A MEASURING DEVICE OR RULER)
E
0
ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
UNDERLAYMENT PATTERN .& SPACING (INCLUDING A MEASURING DEVICE OR RULER)
r
O JJKIYJ'.Ll7LOL'YALLGS t1l'1K%,XUV olNi tuN.ug-'"Aj rasu.. ..............---.-..rr-
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 FB.0 CODE COMPLIANCE BY PERSONAL INSPECTION.
CONi'RACTOR (OR OWNER/BUILDER) SIGNATURE: `/ DATE:
1 `'
PEMT # 1 ., r
City of Sanford Building Division
Residential"Re-Roof Scope of Work
JOB ADDRESS:, z 16,,s hclxa -( 1 r "xJ^f&-cN . 2j.
STRUCTURE TYPE: ( JINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILEHOME Q APARTMENT/CONDOMINIUM
RE -ROOF TYPE:. eREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
Q RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLERSENom ONLYI00 SQUTAREFEET OFTHEEXISTINGDECKISPERMIYTED TO BE REPLACED"
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT (POWERED VENT (!(TURBINES
SKYLIGHTS: OYES Q610 IF YES,.PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAINROOFAREA
t Z,
ROOF SLOPE: O LESS THAN 2:12 Q(2:12 -4:12 e4:121OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
641-IINGLE FL#4 "?1
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
QINSULATED FL#
OTILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""IFAPPLICA)?LE**
ROOT SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
TYPE.OF-ROOF — MANUFACTURER FLORIDA PRODUCr:APPROVAL---- -- -
O SHRZGLE
OMETAL FL#
OMODIFIED BITUMEN FL#
OTORCH DOWN FL#.
QINSULATED FL#
Onm- FL-9
0 OTHER-. FL-9
City Of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAvu
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ^ — " 0 ADDRESS: /?ACCt tl 1 _Y
I V—tX'% V Y\A @ d AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER468'BUILDING 'INSPECTOR, I HEREBY AFFIRM; THAT ALL OFTHE
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.SXHAPTER 553.844).
L LosLICENSE ' h ' . .-.
COMPANY/ CONTRACTOR: I (
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLD OR ONv A 431ffffR)
A FINAL ROOF INSPECTION IS REQUIRED.
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED ATTHE 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 REFEu 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 Sf %Ir-ZA if,
Sworn.to and Subscribed before me this. day ofU_20 by:
ersonally Known to me or has 0 Produced (type of
as identification.
OZARYgss
Jpdg Pfnith
N&AR`f'PUBLIC
STATE OF FLORIDA
w` Comm#GG067937
sNCE 19 Expires 1/30/2021