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1316 Mellonville Ave 17-1184; ROOFk; z OR CITY OF SANFORD BjUILDING & FIRE PREVENTION BY. ---------- PERMIT APPLICATION Application No: ( q " ( I B 4 Documented Construction Value: $ Job Address: 131 (P <3 MakCOI\L\%I LLE AVE, 5AKW .. His District: Yes No V Parcel ID: 31 l q — 3 (-50o-- 0100-00 O0 Residential u Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Ww L n S}a( lah okL Fl- Plan Review Contact Person: Title: PGe4 sn_E Phone:Fax: Email:NJ_rew r'©c v Property Owner Information G Name - Ae&w L'Lj Vic, A _ Phone: Street: I3I (p S I IaLC 1'4\ L AVG Resident of property? :'461 City, State Zip: 5A-NFQ FL. -327-71 Contractor Information Name &91A F1E6 S U4- 1AN09,6w /hone Street: L')qA A-ilc Fax: _ 4071 - S 6 4 36JLS- City, State Zip: O k), 3 a bo G State License No.: C_LL i 33 C 6 A Arch itect/E gineer Information Name: C,+r-ied So A . J A9 Phone: o] (J4 _ 3 (olk Street: l ( Oq OM `AW _ Fax: City, St, 7.ip:_ _ E-mail: Q 1 1 ( W(_) Cy1_1CW Bonding Company: Address: 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 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 [CC 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 inforillf4tion is accurate and that all work will be done in compliance with all applicable laws regulating cons tr ct on d zon g. Z 425 Sz nature of Owner/A.ctit atc Signatu of C act r Agent Date A 't_C_\'O-C n, Print O ,ier/Agent's Name Print Contra or/Agent's Name zV25 zs r Signat fate of Flori Dat gna to Notary- fate oFlorida D e E BLAND ANNETTE BLAND War t IiC - State Orida Notary Public -State o1 Florida mmilsslon # 060623 Comniitsion 0 GG 060623 y Comm. Ex s Jan 16, 2018 s pry' Comm, Expires Jan 16, 2018 Owner/AgKD s Personally Known to Me or ontractor/Agent is Personally Known to Me or Produced Type of iD Produced iD Type of iD OWO BELOW IS FOR OFFICE USE ONLY Permits Required: Building Construction Type: Total Sq Ft of Bldg: Electrical Mechanical Occupancy Use: _ Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Plumbing[] Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application r TIS -IN Sf_W_E!Nf Name:: L_ P !Pifi V wT%Aj,'. k1ce'Z, Address. h NOTICE OF COMMENCEMENT Permit Number: ii l I —' I (( 1 Parcel ID Number:' — I " I ._ 31 5 _o 1 ©0— 0Dt0 s i f f gIf111 ti 1 iJ rj )1 lal f8:'i t i i :° t'3 9 f i; Ptdfi6 111, C,ftiil i r r „`n ij r t.:L.Er, )Iji l i li'. J. iit I 1_lIk'r'• r i i i .;r_,: t .l.l :: ` + I s' t i;t:i..f_:±; fl REEC01i,1)I: D 'i t; _ftl i Gii 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 e C 31 TWP IGS RGE 3 It IF REC7 418 PT r, 4 1)PjG W 207M&. 131 In S M V-U U-%/iLLE AVG 9A- 4FO2D t r-L 52--77 1 2. GENERAL DESCRIPTION OF IMPROVEMENT: 2e- Roo F 3. OWNER INFORMATION OR LESSEE INFORMATION IF+ THE LESSEE CONTRACTED _ FOR THE IMPROVEMENT: Name and address: I-C-T0 W K10- 1:51 LP S Wl il.L( QV1 LU r Vt 5A-ME0 2-b. FLUID Interest in property: LW9VQ Fee Simple Title Holder (if other than owner listed above) Name: 4. 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates 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. c (Signature of Owner or Lessee, or Owner's or Lessee's (F(int Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) State of LL0A4 03A County of b CCN1Gt e The foregoing instrument was acknowledged before me this IRS day of &PCt 20 by , C- 04,LA- . Who is personally known to me W OR Name of person making statement CEwti t r c M !`SOA l'tVf, ia1°n C..type CLERK OF THE CIRCUIT COURT jQ TM(C I I AND COMPTROLLER r( SEt" NTY, FLORIDA Y, 1,,`CUu11h.0 L.......,. DEPUTY CU RK of identification produced: o PaY ptw", IRYNA S. AFONG Notary Public - State of Commission # FF 9 ForvVo My Comm. Expire Notary Signature FT APR 0 6 2017 JOB ADDRESS: G PERMIT # l rT— 1 0 LA City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: OGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: (Z)REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): PLEASE NOTE: ONLYI00 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: DOFF -RIDGE QLRIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES (DNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 PO 4-12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL N&ONGLE I n.gj,,11, 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.) "YAPPLICABLE" 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 FL# . O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# Q TILE FL# 0 OTHER: FL# F . h Dal 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 FB a compliance by personal inspection. CONTRACTOR (OR OWNERBUILDER) SIGNATURE: DATE' vf, City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 6 _Q0 ©-D IN 1V ADDRESS: 1316 K,F-J j 01,3 \_)l l 1 F 14At Te I I-X \ dCEAI ") _}K_ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCh 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 COMPANY CONTRACTOR: i 6 44 //6,p CONTRACTOR SIGNATU _ DATE: 14 MUST BE SIGNED BY LICENSE HOLDER O R/BUILD 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 ALI., 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 D& Sworn to and Subscribed before me this day of 20 j_? by: Who is Personally Known to me or has*Produced (type of identi cation) / i 0)7&) s?den tification. Si a of Notary Public tate of Florida P IRYNA S. AFONG Notary Public - State of FloridaPrint/Type/Stamp NameIMF Commission # FF 906792ofNotaryPublicMyComm. Ex itExpires Jul 26, 20 1 P