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110 Rose Hill Trl; 17-2275; ROOFJUL 2 6 2017 3:._— Job Address: Parcel ID: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Ld, 4\,-07 • w Historic District: Yes NoZ Residential V Commercial Type of Work: New 11 y Addi1tiion ! ` Alteration Repair g Demo Change of Use El move Description of Work: f r Plan Review Contact Person:: 1' 11 LA' I tA-(IA 1, l WAN U_ Title: f Phone4U7: 7-"G/q5 / Fax: Email: n Property Owner Information [ J Name )SKOJA jearcll , Phone: ` U — `— Z VbS Street: I b V am,//I l 1' I .? Resident of property? City, State Zip: SC4 IT)/ , F1 J 2-7/ Contractor Information ) f} G , J Name P&-Ioahc/ ,,I lVYWO/ 1 Phone: kb—1 / qc! 5 Street: 7(17 ffOffAu-/W Fax: City, State Zip: VV Iaj6&R• J _2 Z State License No.: llZ"I! 3, / Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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`h 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 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 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 2 ' zell 7 Signature of Contractor/Agent Date Print Contractor/Agent's Name 7 Signature o` 1 ` o ,:S e o f F I G BJSION # Fr 176 4ote r' 2011IXF1Fzoruary25, Londed ihru Wotary Public Undenvn ers Contractor/Agent is Personally Known to Me or 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 Permit Application 7/ 19/2017 SCPA Parcel View: 18-20-31-503-0000-0060 AN, CfA Property Record Card Parcel; 18-20-31-503-0000-0060 Owner: MARTINEZ_ ANDY W & SERRANO ISRAEL M Property Address: 110 ROSE HILL TRL SANFORD, FL 32771 Parcel Information Parcel 18-20-31-503-0000-0060 i---------- _-..,,......_............««........... .....K.... ....««««.._..«_.._«..«««««««««««_«_««........ -------- ____-_________-________________-_---..__--___-_«««««««««« Owner MARTINEZ ANDY W & SERRANO ISRAEL M Property Address 110 ROSE HILL TRL SANFORD, FL 32771 Mailing 110 ROSE HILL TRL SANFORD, FL 32771 Subdivision Name ROSE HILL Tax District S1-SANFORD — DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2002) Value Summary j 2017 Working 2016 Certified Values Values l( Valuation Method i Cost/Market Cost/Market Number of Buildings 3 1 1 Depreciated Bldg Value 139,848 127,358 i Depreciated EXFT Value i $300 313 i-----------------------..._.- Land Value (Market) 30,000 I $27,000 Land Value Ag Just/Market Value `' i $170,148 154,671 Portability Adj Save Our Homes Adj 58,388 45,210 3 Amendment 1 Adj P&G Adj, 0 0 Assessed Value - ._..................._ 111,760 109,461........... ........._._ J Tax Amount without SOH: $2,287.00 20161-ax Bill Amount $1,381.00 Tax Estimato` Save Our Homes Savings: $906.00 Does NOT INCLUDE Non Ad Valorem Assessments I— n t In Co, U Licensed & InsuredA.. First in Quality Tei.# First in Service ATLANTIC * First in Satisfaction Claim # 11171 Roofing & Construction,.,.. 8.00411-0920 Adj. Name LIC # CCC1330939 6767 Floffner Avenue Tel. # Orlando, Florida32822 e . ;erv*l cf 5 7- LIC # CRC1331435 Fax # U fUkeftACr-715-dovl I L PROPOSAL SUBMITTED O _Se' `7 DATE ' a-- STREET l U t 6 JOB # CITY, STATE, ZIP !2ga c'r , /7_ SUBDIVISION i /4' i , HOME PHONE i1 Y7 / " BUSINESS PHONE SPECIFICATIONS FOR LABOR AND MA rERIAL ear Off Shingles: Layers V Professionally Install: Brand TAII K 0 Type CiY \ ec c/ Coloriif J-c w Valleys Ft./ 0 30 lb. Felt 0tlnestall:$ Stick Synthetic UnderlaymentPeel 7] Reseal, sidew 11s counter and wall hings 0 Re Drip Edge M Drip EdgeUse7Sew1-1/2' 2" 3' 4' or a Ventilation:. Goose Necks Off Ridge Vents Ridge Vents CD] Plum g Verds Fsr Renail Plywood Sheathing to Code 0 Skylight 2 x 2 4 x 4 1J/-lywood replaced at $60 - per sheet (if neeVRollhaullClean-up and off all job related trash yard with magnetic roller Q'Protect yard and shrubs Atlantic Roofing is not responsible for Pre-existing structural condiboh Buyers agree they have seen, read & understand all terms & conditions of this contract agree to be bound by same. ALL ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID if claim is disallowed by Insurance company. Property owner's out-of-pocket expense is not to exbeed the deductible amount. The insurance company will determine and set the price of the claim. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION. BY SIGNING ABOVE. PROPERTY OWNER AGREES TO PROCEED WITH THE WORKSHEET WHEN RECENED. woRK As PER PROPERTY -LOSS We propose to hereby furnish materials and labor, complete in accordance with above specifications for sum of the insurance as per the insurance company loss scope sh ei r Ve is Inc rP herein and made a part hereof by reference, to indu a customary profit and overhead when mut6ple trade incurred S Paym ae plc' c-of each trade. Authorized Signature' Must be approved by company owner. No other work un)red verbalfy. All changes to be in witing and accepted before commenoement of changes. NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL- The above p specification ditions pre satl and arc work as specified. Payment will be made as outrme above X hereby accepted. You are authorized to do the Date /-- Name of person king statement who has produced identificationjpb of identification produced: GRACIELA GAGNE MY COMMISSION # FF90949 EXPIRES April 25, 202p THIS YName:j rVf71 lrri]i%Sz Cz NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: 11111111111111111111111111111111 11111 1 11 Jf t 1rtt_ U:C f i O R a =' (_ I: MP-f .OLt E.R CLERK'S Y 2017074688 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statute following information is provided in this Notice of Commencement. 1. DI S R PTI N OF PRO ER : L gal de5,,cjj2tion of the pro a and stre t address if available) I Igo) f'l I I I .I 1i Jr. S rt V1-f bV0 I F I.. S7 -771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Y L —I U ,` f- 3. OWNER INFORMATION OR LESSE'NF RM N IFTHELESSEE CONTRACTED FOR THE O /1 / SZ-7-7I Name andaddress: II!//tlCn/Ll SCE+ a I O IC Qs I( TI f Y L Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. Address: 5. SURETY ( If applicable, a copy of the payment bond Is attached): Name: Address: 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 Sectic 713.13( 1)(a)7., Florida Statutes. Name: Phone Number: 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) 1811111 t WARNINGTO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN Y PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOF BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i na I ., r or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Office( 0irector/Partner/Manager) State of 1 v` County of Wyl 1,K) 7 The f r going i®ns trum tQways,ackn/owl`jeddged before nie this day of f I , 20 i by 'la/ 1'l/1 I / Y .1 V Who is personally known to me O OR oO-39- 0...1 mac^ rJ' C`;\ c. \J QXA r% r. a 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), certifyin compliance personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 7— L p/ r PERINUT 4 City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: o 11 d d pl, - Z - --1 STRUCTURE TYPE: (VINGLE FAMILY RESIDENCE/TO%NHOUSE 0 MOBILE HOME Q APARTMENT/CONDOMINIUM RE —ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) l ) RE—COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Vie, 40 PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED " ROOF VENTILATION: $,OFF -RIDGE Q RIDGE 0 SOFFIT QPOWERED VENT QTURBINES SKYLIGHTS: O YES qxN1O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL': MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 412 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDAPRODUCTAPPROVAL Ei11 SHINGLE FL'' 1 J !o i ^ '`" Q METAL FL O MODIFIED BITUMEN FL--'' Q TORCH DOWN FL= Q INSULATED FL# Q TILE FLU I C- i OTHER: I FLr ROOF EXTENSIONS (PORCHES PATIOS ETC.) ""IFAPPLICABLE"" ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER City of Sanford 9' s Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 12 f ; ; 7 ADDRESS: Ito Ax A a I It!-IAAe / 1i qA- - , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER RCHITECT, 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 G 1,730 COMPANY / CONTRACTOR: !(G CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER R 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 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 ©'Awl c.,,,.,r., tn and Cnhcrrihed hefare me this 1 St day of AV0tjS+ _ 20 17 by: Who iCKPersonally Known to me or has Produced (type of identific tion) as identification. Signature of Notary Public State of,.Florida j o`;RY•'°e% STEPHENPATRICKDOLAN C / 'G ` N EX COMMISSION # r 2 , 1532 2017Cf' (J EXPIRES; December 27, 2017 Print/Type/Stamp Name"'FOFF o Bonded ThruBudget Notary Services of Notary Public Y ido 404 T. r .. S u P