549 Glenway Dr 17-1029; ROOFai!;if cpKco?i• r t
2017t ,
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ' l 9
Documented Construction Value: $ . $ 4 ,1 p
Job Address: 549 Glenway Dr. Historic District: Yes No E!
Parcel ID: 31 -1 9-31-300-01 9A-00'00 Residential x Commercial
Type of Work: New El Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -roof 14 squares shingles
Plan Review Contact Person: Liza Denton Title: Permit Tech
Phone: 407-672-0001 Fax: 407-647-9332 Email:1undbergroofing@aol.com
Property Owner Information
Name James & Brenda Boland
Street: 703 S . Oak',_. Avenue_
City, State Zip: Sanford, ' FL 12771
Name David C. Lundberg
Phone: 407-800-8356
Resident of property? No
Contractor Information
Street: 1709 Howell Branch Road
City, State Zip: Winter Park, FL 32789
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-672-0001
Fax: 407-647-9332
State License No.: CCC 1 3 ' !5 9 41
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Yolift
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCFMENT MUST Of,
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN LND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y(JUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wcrrll 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 Applica i:.;n
I
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
fund in the public records of this county, and there may be additional permits required from other governmental en=.ties 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, IS 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 hermit 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 oning.
r Signature of Owner/Agent Date Signature of Comractor/Agent
Print Owner/Agent's Name / Print C ntractor' gent's Name
Signature of N ry Sfia f 17101-dsory Public State or NoDa€e
Wendy R Benson
A - My commission FF 03 '•' ?
N k k-I- Expires 07/14/2017
Owner/Agent is Personally Known to Me or
Produced ID Type of 113
My commission FF 035664
Expires 0711412017
Contractor/Agent is X Personally known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas 'Zoof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire,.Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Stories:
Plumbing - # of Fixtures____._._.
of Heads Fire Alarm Permit:, Yes No
UTILITIES: I IWASTE WATTk,:.
FIRE: BUILDING:
Revised June 30 'Ol Permit Applic t: x
THIS INSTRUMENT PREPARED BY:
Name: Liza Denton
Address: 1709 Howell Branch Road
Winter Park, FL 32789
NOTICE OF COMMENCEMENT
Permit Number:
I illlil lily hill lull iilil illll ills illi
GRANT MALOYr SEIIINOLE COUNTY
CLERK OF CIRCUIT COURT &.. COrIF'TROL.LER
BK 8893 F's 1492 (1F'ss)
CLERK'S 4 2017036292
RECORDED 04/12/ 2017 12 32 22 F'11
RECORDING FEES $10-00
RECORDED BY J>='ck1:'.r r,:)
Parcel ID Number: 31-19-31-300-019A-0000
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)
Lengthy metes and bounds 549 Glenway Drive Sanford FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: James & Brenda Boland 703 S. Oak Ave. Sanford FL 32771
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
Address:
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:
6. LENDER:
Address:
Phone Number:
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.
Phone Number:
Add
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 1, 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.
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of County of % J
c.r
The foregoing instrum70'ad
s acknowledged before me this day of r1Jl "`i '' •
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ff
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by (R.(-l.u' Who is personally known to me OR a a o
Name of person making statement O
who has produced identification [ type of identification produced: O 0 `L
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vLv--
MliNotary
Public State of Florida Notary Signature Liza
Denton z YdIPMyCommissionFF071587cc0Expires
11/19/2017 `" z UV<
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1,111111A-E D POWER OF ATTORNEY
AltarwL*Mte Springs Casselberry, Lake Nlary, Longwood, Oviedo, Saniord.,
Se'Di"01C Count.y., Winter Springs:
Date: 04 13/17
I hereby i-,ii-r::!,:;.ndappoint: Liza Denton
an agent oi_., David C. Lundberg 'Rui & Roof ing Contractor
to be my attorney -in -fact to act i'ol' tile to appl}- I'(W, receipt for, sign For and d
necessary to rJliis appointment for ,;check only one option):
E, All p(I-oits and applicailoils by this contractor.
Thespc;;-..,ific permit and appficailon for work- ln,Ca-i:ed at:
3 2771.
Expiration 1"Ma.- For This Limited Power Of Attorney: _1 2/31 /17
License Hohior Name: David C, t,undberq
State UcCrse Ni iniber: CCCI 2 941
Signature of.f._.i-onse Holder:
STATE OF F '')RJDA
COUNTY01'. Orange
The 1 I . M. o1ria instrument -wasackjiowledcy d be,1'61-e me this 13 day of April
201 7__ David C. Lundberg who is personally known to iiric/
or wh n .as produced
as 'Identl (ication and who did/dicnot take an oah, cao
Notary
Public State of Florida 1-
0Wendy R Benson My
Commission Fi: 035664 3lFoFt`
p Expires 07/14/2017 Wendy-
R,-, Benson Print
or T,,,,T),.' Name Notary
Public -State of Florida Commission
Number FF035664 MY
C-on-, m I ssion Expires: 0 7/14 /1 7
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JOB ,k i-MRESS:
PEJlMrr #
City of Sanford Baildin; Division
Residential Re-Ro,if Scope of Work
C ICAI10U NfzUK __ . --_ •-.
STRUCTURE TYPE: # SINGLE FAMILY RI:SIDENCEi/TONVNHOUSE O MOBILF HOME O APARTME"• '( .)':DOMINIUM
RE -ROOF TYPE: REPLACEMENT 1T1iAR OFF EXISTING ROOF AND REPLACE WITH NEW CGMPONENTS)
R F COVER (NEM ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE:,(PI F ASt, SPECIFY):
PLEASE NOTE. OT /. V 100 SQU.9RE FLET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOFVENTII.ATU0ti: DOFF -RIDGE RIDGE OSOFFIT OPOWEREDVENT OTURBI?
SKYLIGHTS: ice) fI.S (MNO IF YES.. PLEASE PROVIDE FLORIDA PRODUCT APPROVAL jV
MAIN ROOF ARE:
ROOF SLOPE: (—) LESS THAN 2:12 O 2:12 -4:12 (g)4:12 OR GREATER
TYPE OF ROO: MANUFACTURER FLORIDA PRODUCT AP
SHINGLE------- FLU
O METAL FL` --
0MODIFIED;31T1:NEN FL_
OTORCH L)O',VN FL=— --
OINSULATIiD FLU
OTILE FLU --
OOTHER: FL= _
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.) "" IFAPPLICABLE**
ROOF SLOPE.: L _SS THAN 2:12 140 2:12 —4:12 O 4:12 OR GREATER
TYPE OF Roo I,, — IANUFACTURF.R FLORIDA PRODUCT- Ai
O METAi- F L4 --
OMODIFIED BiT: 1`91-N
OTORCII [)(NN 114 --
O INSUL,A FL' i ___. . ______-_ -__ 114
TILE I_L - --
OOTHER:--
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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 Vl cork 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 si:w.
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 i nspection. required for Residential (Single.Family, Townhc:Aise, 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)
o Digital Photographs (must include the permit number or address in each picture)
o Each plane of the root, 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 & Val,ley Attachment (including,a measuringdevice or ruler) o
Shingles installed, nai I pattern and location of nails Skylights (
if applicable) o
Digital photographs showing all installation components, per FL Product Approval o.____
Digtal photographs. showing all:requ_red 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 co compliance by personal inspection. CONTRACTOR
OR OWNERIBUILDER SIGNATURE: t J _ DATE. -1;_ _(._
r
Cit'r t_I' Sanford
Building and Fick. Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: 17-1029 ADDRESS:549 Glenway Dr.
Sanford L 32771
I David C . Lundberg __- AS A(N) GENERAL, BUILDING, RE,;: Df . NHAL. OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THA l ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF \'FORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL ;,Pl1lA: ABLE CODE
REQUIREMEN rS — SPECIFICALLY FLORIDA B UILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTA]. LAIT:)N MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BAPRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HUR.F_IC.At Ei RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE 4: CCC 1' 3 2 5 9 41
COMPANY / CONTRACTOR: David C . Luii I er
CONTRACTOR SIGNATURE: DATE qq?_
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER
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 INSPLC."FION 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'
c
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
j
STATE OF FLORIDA COUNTY OF Orange _
Sworn to and Subscribed before me this 17 day of _ 20 17 by:
Who is 3 Personally Known to me or has Produced (type of
identification as identification.
6 Notary=Of
Wend
DJfc
Signature of N t y Public
State of Florid
WV,_AJO 12 t
Print/Type/Stamp Name
of Notary Public ro
r Po°
1
Notary Public State of Florida
s
Q Wendy R, Benson
a o; eLol
My Commission FF 035664
Expires 07/14/2017