132 Hays Dr 17-1724; ROOF017JUN122
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / 91-- /
Documented Construction Value: $Sd
Job Address: E>2— 45 r,JP Sal I-6dwA . R— 32-7 71 Historic District: Yes [INo
Parcel ID: 3 S— S"ZZ-O.c C Residential 9 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: toe - 906
Plan Review Contact Person: To d1 P>e. Title: C:y(4 ac--or
Phone: 07-9 0-7 -O,_00 Fax: Email: dlC'1&S M6C Sir' ,0l.CdM4-11
Name brat Jk Pilo a
Street:
City, State Zip:
Property Owner Information
Phone:
Resident of property? : NO
Contractor Information
Name ,i /
1/4S/Ao COO& f_V C4t0V1 Phone: 61 — g2Z.--OTOO
Street: 3715- & l7ok A L Fax: City,
State Zip: Orloodo , FL 32_X'10 State License No.: 6CL— l Z-90-33 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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 Permit Application
NO CC: In addition to the requirements of this permit, there may be additional restrictions applicable to this property.that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 atthe time, of permit submittal. A copy or the executed contract is required in
order to calculate a plan review chargeand will be considered the estimated construction value of the job at the time of submittal. Theactualconstructionvaluewillbefiguredbasedonthecurrent [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 AFI+IDAVIT: 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. 0(
p loci lr Si
a ure of Owncr/Age Date taLre of Cont or/Agent Date ROSG
Y-Oren 9nisloui Print
TMAR
n.
urn 6Dae Commission #
FF 99t2414 Expires
May 15, 2020 Banded
Thm Aar Fain Insurance $00.386.1045 Owner/
Agent is Personally Known to Me or Produced
ID Type of ID / Print
Contractor/Agent's Name d
ol')-7 DEBBIE
BLA.NTON MY
COMMISSION it I'r 178648 ya
EXPIRES: February 25, 2019 Bonded
Thru Notary Public Underwriters Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID 1 7' A , Pam.
3/a- 7 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
Masimo Construction,lnc.
3715 Pernbrook Drive
Orlando, Florida 32910
PROPOSAL SUBMITTED TO:
Masirno Construction, Inc.
Roofing — General Contracting
www.Masi moConstruction, com / Office (407)922-0500 State
Certified General Contractor CGC 1509548 State
Certified Roofing Contractor CCC 1328033 Proposal
Prepared by John
Byrne - Sales Manager / (407)922-0500 WORK
TO BE PERFORMED AT: PROPOSAL
PAGE
Page
i of 2 DATE
6/
1/2017 NAME
EMAIL USA
Properties Brock_parslow@hotmail.com ADDRESS
SITE ADDRESS 132
Hays Drive CITY/
STATE/ZIP SITE CITY/STATE/ZIP Sanford,
FL 32771 PHONE
ADDITIONAL NOTES SPECIFICATIONS:
Remove
shingled roof to existing deck Re -
nail existing deck to meet uplift codes Install
6" metal drip edge around perimeter of roof Install
lead boots to pipes Apply
ASTM 35# glass base to plywood deck Apply
approximately 18 SQFT of torch down rolled roofing Style
of Roof: Torch Down (Flat) Color:
To be determined Manufacturer
of roofing system: GAF We
Propose hereby to furnish material and labor in accordance with specifications above, for the sum of: Five
Thousand Eight Hundred Fifty Dollars $5,850.00 Payment
Pion as follows: Balance
Due upon Completion of Work All
material is to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon
strikos, accidents, or delays beyond our conrral. This proposal may be withdrawn ifnot accepted within 30 days. PRICE
INCLUDES ONLY THE ABOVE All
work to be completed during normal business hours: 7:30am to 5:30pm, Monday -Friday, unless specified otherwise, Masimo Construction, Inc is not responsible for
latent defects or concealed conditions found in existing system, structure, grounds, or equipment due to original installation or otherwise. The above prices, speclficatlons
and conditions are satisfactory and hereby accepted. You
are authorized to do the work as specified. Payments will be made as outlined above. Q& /
0GD - Date
of Acceptance Client Signature ; ') This
written agreement hereby serves as notice that I may cancel this agreement at any time prior to midnight of the third business day after the date of acceptance of
this agreement.
810
GRANT I1AL.OYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT " r_.OMI"TROLLER
SI: 1192' F's 13"-2 (1P'9s ) CLERK'
S t 2017057490 RECORDED
06/09/2 i17 02:4-1.06 r I RECORDING
FEES RECORDED
BY Jeickenro State
of Ffarida of NOTICEOF COMRiIEf CEMENT The
undm4ned he mby gives notice that improvement will withChapter713. Florida Statutes the II be made to certain real Property, and in accordance 1. Dsf p fdlowing IrdorM3tlon is provided in this Notice of Commencement LL, et description pr . and store address it W aUable) 2. General V/ id
oflrnprowarrrmnt I• ?S J
8.
lnfbrrlraHan or ass Info Nambnlf K sa ee oorrttaabd for the impra vemant Addresso , acre
In Property S NM"
N and addroas of fee simple tttlohoider d Name (If Ifferent tram C=v Mar listed ebova) Address
4-
Contracbor Name
Maslmo Construction, Inc. Address
em ma e a o a Telephone Number 407.92ZOSDO 8' Na (epPlicabie. a copy the payment and a ad) Addre®
Telephone Number 6.
Lander Amount of Bond $ Name
Addroas
Telephone Nufter 7. Persons
wthin the Rats of FI0r1do designated by owner upon whom noticea or other doawnrinb nlay beservedasprovidedby171&13(1)(arl. Florida f3trttutees. Name AddressTelephone
Number S. In
addition to gm — If or herself, owner designwmn the ronowing 10 receive a Copy of the Llanoes Nodes asprovidedin1713.13(1)(b), Florida Statutes. Name AddressTelephone
Number 9- Enless
ion deba t C
0 is x e Commancenrsnt (the exphation dots will be 1 year tiro- the date a( recording unless sdlftanuntdateisspeciRed) 11 M
O
NI: TO
OMM 00 ANY t PAYI
N tAA!>g BY THE OwMOt AFTER THE EXPIRATION OF THE NOTICE Cr COAUUMppENT ARi IMPROPBJ! PAYIMEN176
UNDER CggP?'ER Tt i, PART RECOR EDANROMMrO
TYYICE
FOR IMPROVqItt M TO YOUR PROPETY. ANW= ECTION Cr
L ETNeg AW CiT M RECORDED ANDn4liTBDOU1THEJOYBITEatFanT'MQ FMW INBPECT WN. IF YOU RrTlM TO ORTAHi FI WrrJt YOUR1 1d@II CR AN ATTOnWEry YERORg COMMEMMO WORK OR RECORDWO YOIIH UR NCMCE ORCOMNcenWr. 7 Sipnatu Orvnerar
e,
of Ownel'a or Lraaeeb Authorrmd OrAcalDircct nrPerktedAfiartaQet gtQttatoty s TtldOrliee The foregoing (nsVurrlent
was acknowledged before me this of J 2- by sa, jo as m eerRanceofTypeWayfarperson
kill
a• our.
tn:
stec, away lent NanoW putty an bah o w IttsCumen! was executed ar Notary Pi .
glalef ' lotrde /./ John Boma Pam•
NMl. or
stump commtostatms! Home or Notary Paretic Pelaa y Known
OR Produce ID L Type of
IDPradusK L CERTIFIED COPY . GRANT
MALOY'!O'—n" " YP' 4• CLERK OF THE
CIRCUIT COURTS ^; •, JOHN R. BYRNE
AND COMPTROLLER > •;,; . : ;__ Commission #
FF 992414 ExPiresMay 15,2020
flO FOn" IUM MVWW: 011ZW14 SEMINOLE COUNTY, FLORIDA`' ,;;; off;<•_ _ / 'P `k'•• Banded
iixu Troy FeM Mawance 800 385 019 DEPaUftEff 9 2017
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
A
an agent of: // )r, s", M ") <
Name of Company)
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:_
State License Number: G4'G / 3 9-4?3
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF nc e
The foregoing instrument %cknowledged before me this day of T /an e- 200b y &ar( oK— who is pCpersonally known to me
or who has produced identification and
who did (did not) take an oath. Signature Notary
Seal)
Print or
type name wry :Pu
O state 01 floritla Fi 9511s5
MyCOMM.Eapirea
Jan 19, 2020 OW through
National Notary Assn.wo Rev. 08.
12) Notary Public -
State of 6i1 4 Commission No.
FF f4-141<r My Commission
Expires: as
Detail by Entity Name Page 1 of 2
Florida Department of State
tzit js[%
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Profit Corporation
FLORIDA BKP PROPERTIES CORPORATION
Filing Information
Document Number P12000013909
FEI/EIN Number 45-4553848
Date Filed 02/09/2012
Effective Date 02/03/2012
State FL
Status ACTIVE
Principal Address
2403-1238 RICHARDS STREET
VANCOUVER, BC V6B6M6 CA
Changed: 03/26/2014
Mailing Address
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Changed: 03/26/2014
Registered Agent Name & Address
PARSLOW, KAREN
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Name Changed: 03/26/2014
Address Changed: 03/26/2014
Officer/Director Detail
Name & Address
Title P/D
PARSLOW, ROSA KAREN
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Annual Reports
Report Year Filed Date
DIVISION OF CORPORATIONS
http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 6/ 12/2017
Detail by Entity Name Page 1 of 2
Florida Department of State
y mod`%i'JJjo `f ofI
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
USA/FLORIDA PROPERTIES BKP, LLC
Filing Information
Document Number L12000019868
FEI/EIN Number 45-4554048
Date Filed 02/10/2012
Effective Date 02/06/2012
State FL
Status ACTIVE
Principal Address
2403-1238 RICHARDS STREET
VANCOUVER V6B6M6 CA
Changed: 03/07/2016
Mailing Address
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Changed: 03/26/2014
Reaistered Aaent Name & Address
Karen , Parslow
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Name Changed: 03/26/2014
Address Changed: 03/26/2014
Authorized Person(s) Detail
Name & Address
Title MGRM
FLORIDA BKP PROPERTIES CORPORATION
7279 HAWKSNEST BLVD
ORLANDO, FL 32835
Annual Reports
Report Year Filed Date
DIVISION OF CORPORATIONS
http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 6/ 12/2017
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 de co fiance by ersonal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: _ DATE: 1 1 1 7
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: !s Drlye -5w bra . FL 32-f 7 STRUCTURE
TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 7 6 ()SPA N wcoy PLEASE
NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF
VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT TURBINES SKYLIGHTS:
O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: 6 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# MODIFIED
BITUMEN L
eis+T(( FL# O
TORCH DOWN FL# O
INSULATED FL# O
TILE FL# O
OTHER: FL# 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 FL# O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE FL# 0
OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ADDRESS: 13 Z XIWO
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, FNGINEER, 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 #:
COMPANY / CONTRACTOR: &C I M 6 COAT. j &y C h9 04
CONTRACTOR SIGNATURE: &
MUST BE SIGNED BY LICENSC HOLDER OR
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 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 OF1iJ
Sworn to and Subscribed before me this day of ` _ .. 20 L;7 by:
zl_ Who isP ersonally Known to me or has Produced (type of
ident I ation) as identification.
S' n ture df KoVary Public
t e of Florida
0 IleSSLAL.All
Print/Type/Stamp Name
of Notary Public
IJOHN R. BYRNE
R
Commission # FF 992414
Expires May 15, 202011S.50 Ba"TtruTroy Fain lnwmra8UO38&1ot9