233 Loch Low Dr; 17-2221; ROOFE13 A JUL
2 0 2017 11 CITYOF
SANFORD BUILDING & FIRE
PREVENTION PERMIT APPLICATION
Application No:
Documented Construction
Value: $ '7 , 4 0 0.0 0 Job Address:
233 Loch Low Drive Historic District. Yes No Parcel ID:
1 0-20-30-5CU-OG00-0180 Residential N Commercial[] Type of
Work: New Addition Alteration Repair Demo Change of Use Move Description of
Work: Re -roof 27 squares shingles Plan Review
Contact Person: Liza Denton Title: Admin Assistant Phone: 407-
672-0001 --Fax: 407-647-9332 Emaillundbergroofing@aol.com Property Owner
Information Name Ted &
Minda Butler Phone:407-325-5761 Street: 233
Loch Low Drive Resident of property? : Yes City, State
Zip: Sanford,F_L__'32773 Contractor Information
Name _David
C. Lundberg Phone: 407-672-0001 1709 Howell
Branch Road',, ' 407-647-9332 Street: Fax: City, State
Zip: Winter Paris, FL 32789 State License No.: CCC1 325941 Architect/Engineer
Information Name: — Phone:
Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
1 Address:
i -
Mortgage
Lender:
Address: WARNING
TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOtJ ft PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST ljF' 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 it permit to do the work and installations as indicated. 1 certify that no warn 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) Florid€3 Building Code Revised; June
3Q, 2015 1 Permit Applica i;,n F
i
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 l 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 :?onslruction 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.
A
Signature of Owner/Agen Date Signature of Contractor/Agent L)_,ie $71Dq •I" ,
mg o
pyL J G Ict Nl 3
Print Owner/Agent's Name Print Contractor/Agent's Name 3.'X v
a D
1 ALLI o n •.v1ID
Si natur of N
ry It gnStatoFloitoSignature of Nota - tale of Florida P ! e o °
g
pup. o a u ie State o+ "r da " ,n_
endy R Bens °
iy Commission FF G3f 664 ' d
i M1' Expires 07H4/201Y e •.
r .. a . a .. Q w firer v Owner/
Agent is Personally K!1own to Me or Contractor/Agent is Personally known to Me or Produced
ID Type of ID f- Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[:] ooif l Construction
Type: Occupancy Use: Flood Zone: _ Total
Sq Ft of Bldg: _ _ Min. Occupancy Load: # of Stories:_ New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENG[
NEERING: COMMENTS:
of
Heads UTILITIES:
FIRE:
Plumbing - #
of Fixtures. Fire
Alarm Permit: Yes [ _] No WASTE
WATER,: BUILDING:
Revised:;
June 30. 201 5 Permit Applica.i-m i
DAVID LUNDBERG BUILDING & ROOFING CONTRACTOR
1709 Howoll Branch Road
WINTER PARR;, FLORIDA 32789 We now accept.
I :3 ,
407) 672-0001 , (407) 64779332 Fax Visa/MastercardDiscover/AmE,<.
MEMBER CBC017995 CCC1325941 Please call'for details
CENTRAL FLORIDA lundbergroofing@aol.com
2009-2015 lundbergroofing.com
PROPOSAL SUBMITTED T PHONE DA"rEH1^-`
t
STREET ` ( ' W: t t, ; . ZS-- ! / ' i Cr,. ' t /
1
L-..r:iC' I...[3 i;/'.J h I % JOB NAME/ADDRESS
CITY, STATE AND ZIODE
f • _._'
Y s"l„ __
AFTER A VISUAL INSPE &ION OF THE JOB SITE, WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
Shingle Roofing OP tion,:1:
Remove existing roof and haul away all debris
Dry in with 311L i
3 —6/ Install new lead pipe flashing with squirrel guards
and kitchen vents., -
i New eave drip metal _
Install new galvanized steel valley metal Single Ply Roofing
L/ install algae resistant shingles
Type of shingle 1 t I- t , x;.d + t . I 1 'f'"i 4?... f /F7~ Remove existing roof arld haul away all debris
Id
in with 43 Ib asphait coated felt
I
f / Clean,yard thoroughly and sweep magnetically for
9
loose nails Apply a single ply rubber roofing system
YEAR GUARANTEE ON Install new 2` lb. lead boot flashin sWORKMANSHIPANDLABORg
Z Carpentry work is additional _ per man ' Install galvanized eavE! drip metal
hour, plus materials —Y ( ) YEAf i GUARANTEE ON
Furnish and install _ new skylights WORKMANSHIP AND LABOR
Size: Type:_
Furnish and install _ ridgevent
off ridgevents at $ _ additional cost
If applicable, customer responsible for removal of
solar panels & satellite dishes
NOT RESPONSIIIL:Is ht
L1Provide uniform mitigation inspection upon PLUMBING OR1;L.rXTPI( A; payment
in full LINES IN ATTIC We
Propose hereby to furnish material and `labor - complete in accordance with above specification, for the sum of: jC/
k,,\ , ,;: Ufa:(i U, C, E'. dollars ($ 1 , L Payment
to be mWde as follows: Half
down upon delivery of materials, balance in ifull upon completion. Price includes all taxes, delivery Charctes, permits and dumpfees. n
P, We
cannot be 'held liable for damaged driveways since access to and fni_rnthe structure is essentia?^i re -
roofing; direct, incidental, coincidental, interior or exterior water damage, property damage or peril at
injury related to the repairing or re -roofing of the structure while job is it, progress or after complelid Owner
to carry fire, tornado, and any other necessary insurance. In the event of default on the : pa customer
resulting in litigation successful to David Lundberg Building 8I Roofing Contractor the custom willpaythecostoflitigationplusattorneysfees. Payments not render in accordance with contra agreement
shall be subject to a finance charge of 18%. fiCCeptallCC
of Pro po$al - The above pillrs, specifications and conditions
are satisfactory and are hereby accepted'. You arei itjthorized to datle worrk as
specified. Payment will a made' as outlined above: j
Date
of Acceptance: i .1 Note:
This proposal may be withdi'awn by
us if not accepted within 10 days'! Signature
Signature
i
THIS INSTRUMENT PREPARED BY:
Name: Liza Denton
Address: 1709 Howell Branch Road
Winter Park. FL 32789
i=.ri' ! fii!i.-t_" I'filij.l )
CCU 'J ii r.:'i L:';; ri . •; : _'.-:.. ; . __.....
CLEFZI;' 2CII7i 171CI72
Permit Number:
Parcel ID Number: 10-20-30-5CU-OGOO-0180
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)
Lot 18 Blk G Hidden Lake Unit 1-D PB 17 PG 58 233 Loch Low Drive, Sanford, FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT: "'. ;',
Re -roof :."'`_'- 0
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Ted &
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: David Lundberg Building & Roofing Contractor Phone Number: 407-672-0001 " C
Address: 1709 Howell Branch Road, Winter Park, FL 32789 0
v
5. SURETY (If applicable, a copy of the payment bond is attached): Name: o
Amount of Bond: "= V
G _,
6. LENDER: Name: Phone Number:
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.
Na
8. In addition, Owner designates
Phone Number:
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.
Signature of see, or 0 s or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Part r/ __ager)
State of ;1/l Wit a1' County of—C\IILL iJ'l (L
The foregoing instrument w s acknowledged before me this J day of v 201
by '—`^ ! I, —t Who is perso ally known to me OR
Name of person making statement
who has produced identification type of identification produced: L I) L
00 Notary Pubiic State of Florida y
Uza Denton
f My Commission FF 071667
Expires 11/1812017
L T'ED PONVER OF ATTORNEVEVII
Alta.rrerite Springs, Casseik ,erl-v Lake NI ary, Longwolod, Oviedo, -S-1 a 60,r'(1
Selflill-Ole County. Winter Springl's,
Date: 07/20/17
I hereby ,arid appoint: Liza Denton
an agent o:', David C. Lundt)ecg Bui-,dirtcj & Roof ing contractor
Narn --o f'C
V! 'to&rrilylln.wfi.I! attorney-in-factltoa' rl tc j i'ib -6 appl, for, sign fof-an.(];do',11'ttlli-- wi% receipt necessan
1) is ap po i ntm ent fo r, (c t, ec t( ale,
only
onk2 op ion):': ca
All permits and applications sibr"itled by this contractor. ff
Th,-,,.JX,;i'_ic permit and app'icaOon for luvork I'_)C,.Lt0d at: 233
Loch Low Drive Expiratio-
a For This -Limited D t0v"*CTO[Attorney: 1-2/31/17 License
F(I'Wicr \,ame: David-C. _,undberq Q+
a+ T Signature
c, C pIrlsc H, STATE (
1, T T, f ) D T i -) A COLJNT'
Y-)- Orange The
instrument ,,vas dc!".nowledlaed before me this 20--day of July 2017
by David C . Juridberg who is personal1% kno-,4,'fj o mp,' or
vfio has produced,____ as
i0cinfification and'Nho did/did riot: take an afln, LLIre
SigynalLireWepdy_
R.. Benson Print
or T-vpe Name Nol,
py 0
oWP% Notary Public State of Florida Notary Put'fllc —State of Florida Benson -
Wendy8Rr: R Benson o
M Mycommission FF 0 35664 yCommissionFF035664xp,
so 11 01 corlin 41CExpires07/14/2017 iissmn Number FF035664 MY
Expires: 0*7/14/4-( A —
0-AAAMwry
Fltlhho State f,%f Fmft ow p4NI1,
00 Notary pwft oft at Florida WN*
R &WO CO"
dOSIN GG 1218ON4 AW%
014A ON 0%
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 3 33
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): (, od
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE{ f ( n' cL 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.) **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#
O TORCH DOWN FL# ,
OINSULATED FL#
O TILE FL#
0 OTHER: FL#
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTINc, 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 sit. ,
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, Townlic', >se, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
f ,
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Ike -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 FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
f;•;'
9 -
j
p_I, Sanford
Building and i it ,_° I'Tevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATIIING, DM. 7-IN, FLASHING, AND ALL FINAL ROOF CO-r1 R.ING:
PERMIT #: 1 7 - 2 2 2.1 233 Loch Low Dr.
Sanford, FL 32773
I David C . Lundberg_ __ _--._—._.--_-._-------_--' AS A(N) GENERAL, BUILDING F F . DI N i M,. OR
ROOFING CONTRACTOR, ENGINEER, ARCHI I I:CT, OF F.S. CHAPTER 46S ESUILDING INSPECTOR, I HEREBY AFFIRM. 1711, . i AI_i_ : IF THE `
FOREGOING INFORMATION IS TRUE AND AC( 'U RATE AND THAT ALI ROCTING COMPONENTS LISTED ON THE SCOPI CC. r,, 010,* T THE
ABOVE REFERENCED ADDRESS HAVE, BF'EN iNs-rALLED IN ACCORDANCE WITII THEIR PRODUCT APPROVALS ANDAL , 'I'I ( 1BLE CODE REQUIREMENTS -
SPECIFICALLY FLORIDA BUILDINI l CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE IN` A` _A'ID(jN MEETS ALL REQUIREMENTS
FOR SECONDARY WATER BAP RfER :AIND NAILING OF TEE ROOF DECK, 1N ACCORDANCE WITH THE HI "}; I. ICI RETROFIT MANUAL REQUIREMENTS (
BASED ON F.S. CI IeA,PTER''553.844). LicENsE #: ` CCC
1 325941 CMrCONTRACTOR: David --,
Lundberg b gBu—il—di-rig- & Roofing Contractor/David C. Lundbcr' CON TOR SIGNATURE:
n D , _1
7/
2 4/ 1 7 CONS BE SIGNED
BY LICENSE HOLDER OR C) AZINE BUILDER) A FINAL ROOF
INSPF,C HON 1S REQUIRED: THIS SIGNED AND
NOTARIZED AFFID \ 17 NR ST BE PROVIDED AT THE,; 3013 SITE AT THE TIME OF THE FINAL RC i' IN",I'i:;CTION, ALONG WITH DIGITAL
PHOTOGRAPHS OF E4C'H PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (AL.:'KI UNDERLAYMENT, FLASHING, DRIP
EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY NI-,I:.I;EII ON THE DECK FOR EACH INSPECTION.
THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM;!,] I ':AII. SPACING AND OVERLAPS, INCLUDING DRIP
EDGE .AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND 1011 PROCEDURE PAPERWORK FOR FURTHER
EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW
ALL REQUIREMENTS WILL RIESu- f IN A FAILED INSPECTION, A RE- INSi'EC'1 ION FEE AS WELL AS REQUIRING
A DESIGN PROFESSIOINAL (ARCH ITEi,"'FOR ENGINEER) TO CERTIFY, BAS , I'ON PERSONAL INSPECTION, THE INSTALLATION
OF ALL ROOFING COMPONENTS. STATE OF FLORIDA
COLIIvT"Y OF Orange Sworn to and
Subscribed before me this day of July 24 , 20 1 71 b _ y: David C . Lundberg
Vi ho is 9Persona fly tome or has Produced (type cI' identification) _ Signature of Notary
Public
State of Florida Print/
Type/Stamp Name
Of Notary Public
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