316 Placid Lake Dr; 17-2061; ROOFJUL 1 0 2017
RY.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I ! _ ;o
Documented Construction Value: $ 6,500.00
Job Address: 316 Placid Lake Dr. Sanford, FL 32771 Historic District: Yes No 0
Parcel ID: 02-20-30-520-0000-0850 Residential 0 Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: Re -roof Architectural Shingles with Synthetic Underlayment 25 Squares
Plan Review Contact Person: George Monico Title: Contractor
Phone: Fax: Email: admin@dehlingerconstruction.com
Property Owner Information
Name Property Owner 2 LLC. Phone:
Street: PO BOX_.4090,
U .. .M..., Resident of property.
ri'A; 1. to 4 { r
City, State Zip ~ Scottsdale„AZ 85261., i '''i
r
Contractor Information
Name Killarney Contractor's Phone:
Street: 355 Mashie Ln. Fax:
City, State Zip: Orlando, FL 32804 State License No.: CCCO56852
Architect/Engineer Information
Name: N/A Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: N/A Mortgage Lender: N/A
Address: 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
1
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.
1,6t n-ZL2 6L,,-711,
S4.1rrure of Owner/Agent Date
Print Owner/Agent's Name
Date
I"Sk"r'P"e,, ETHEL JUNE MARANAN
Notary Public • State of Florida
Commission # FF 239602N
11,9 My Comm. Expires Jun 10, 2019
Bonded through Mafinnal Nntary A,, ;n
er ei4l' i ""`"" Tersouaily Known to Me or
Produced ID Type of ID
7 /010
Signature of CA-tractor/Agent Date
Print Contractor/Agent's Name
t% l
Si nature Notary -State of orida ate
MY COMMISSION # FF92.4M
EXP S OckAw 06. 2019
40/) 398 Otb3 F ='
Contractor/Agent is V 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
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
PERMIT # T a 0 (,
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADD SS: J I P(aCI J LGI kQ r• 5Cilm` 2`i , FL
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):
PLEASE NOTE: ONLY 100 SQUARE FEET OF EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: O OFF -RIDGE 0 RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES dNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 d4:12 OR GREATER
O TURBINES
TYP OF ROOF FLORIDA PRODUCT APPROVAL
SHINGLE pMANUFACTURER
L l dYl ird( " C l'lh'e(7 FL# 4
O METAL FL#
O MODIFIED BITUMEN 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#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
I I- go cQ i
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 FBC cod-e compliancepliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 741o67—
N
THIS INSTRUMENT PREPARED BY:
Name: Dehlin er Construction LLC.
Address 33 13annetE W1.
750
tfE
NOTICE OF COMMENCEMENT
GRANT, 11AI...Wfp 5EIIINOLE COUNTY
C I...ERI,. OF i 1R'(:1J :T C:OUR T & COVIFTROLL.ER
CLERK'S, 4 2017069640
RECORDED la7i 1 C, / 2 0 17 ii33 v 17:: i; r i l
RE'CItRDl:NG FEES' 110.013
State of Florida i EGOR[iEiD I'Y
County of Seminole
l —I " 'aD ( ( Permit Number: Parcel ID Number 02-20-30-520-0000-0850
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.
RE6CP1gy? %!r&W0T6 ll.ega(gyron nef tipgg y and,strRt3t1dress if available)
VVrC F'ti 1 F' L 3 I tiKU Ly
3115 Placid Lake aLntord, FL 32(7-1—
ie-roAof 5riIngles 1b
F quaresMENT'
OWNER INFORMATION:
Name: Property Owner 2 LLC
Address: PO Box 4090 Scottsdale, AZ 85261
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Killarney Contractors Inc.
Address: 355 Mashie Ln. Orlando, FL 32804
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)(b), Florida Statutes.
Name: C/O Construction Department
address: 750 S. Northlake Blvd. Suite 1000, Altamonte Springs, FL 32701
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true
to the best of my knowledge and belief.
SignatureOwners Owner9Owners Printed Name
Florida Statute 713.13(1)(g): The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' f l e
b") ,'
E4 -
State of County of r t
The foregoingInstrumentwas before me this ZI day of v ' v c 20) tacknoowwledgedby-- .
Who Is personally known to me w; ;_ Name
of person making statement OR
who has produced identification type of identification produced: ETHEL
JUNE MARANAN y
Notary Public • State of Florida o0imission #
FF 239602 a
r
LuNota
nature F
o,• My Comm. Expires Jun 10, 2019 = ry Z4 ° ;"
Bonded through National Notary Assn.
Kiln o ay t itrr c, e ildc. Florida Certified Roofing License , # Cc C056852
355 Mashie iLane Orlando FL.32804 Florida Certified Building License# CB C045636
407-254-0877 — Fax: 407-254-0876 Cell: 407-908-2920 — e=mail: kcigm@bellsouth.net E -
Propasmv
1.60041fact Proposal
Submitted to: CUSTOMER:
ADDRESS: CITY STATE: ZIP PHONE #: llty
G,'vd CC' 3/6 ./11G'!p Z!?eCr l/2z%T SCOPE
OF WORK: 2 year warranty on workmanship; see manufacture's specific. material warranty Sloped
Roof: Remove
existing roof covering to sheathing and re -nail sheathing to 2014 FL building code Install
ASTM approved synthetic underlayment; Install "peel & stick" Secondary Water Barrier Install
standard 30# iC _
felt
underlayment; Install ridge vent; . 4' off ridge vent; _ bath vent; kitchen vent Install
new lead vent stack covers, X Install new galvanized metal drip edge color TBD , Install
3 tab fiberglass; 25 year_; 30 year _ shingles - color TBD 3`
Install Architectural "Limited Lifetime" fiberglass shingles — color TBD clenstall "
other" type of shingles file metal an
Cleansite and remove debris Flat
Roof. Rerno
existing roof covering to decking and re-n riksheathing to code, Install
43 ase sheet; Install galvanized drip edge color TBD Install
TA SB odified Bitumen System; Install S,, BS Modified Bitumen system --granulated with color TBD Install
built up roo ; ystetr s with. Install
75# b e sheet; Install plys of ply IV or ply;V Install
galvanize vel stop and:tlashin as required; Ins 11 pitch pans drain covers ; scuppers TSlag
roofwitb roo stones (400 lbs. Per 100 sq. ft.} Install
lead vent stack covers - th vents ;kitchen vents col TBD Install
TPO; _ EPDM; P C, „ Urethane; Acrylic —Single System Clean
site and remove debris NOTE:
Access to the building is implied. We WILL inspect the decking, fascia and ratter tails for existing damage: if found we will replace
the damaged wood at a rate of S,15.00 per man-hour plus material cost. This amount will be above the: Contract Sum stated. WE
PROPOSE to furnish material and'labor for the above -specified work for the sum of: i
x fi r•+l y Dollars Payment
Schedules S` L j dyI I— CA This
proposal is good for. 15 days and maybe voided; thereafter at the option of the contractor. All material is guaranteed to be as specified. All work will be completed
according to standard building practices and in a timely manner. Any alterations or deviations from the above specifications involving additional costs will be
executed upon oral and/or written orders and will become an extra charge item — over and above the 'Contract Sum. Although we'will exercise all due caution, we cannot
be held responsible for breakage of sprinkler systems, or cracked driveways and/or walks. Acceptance
of Proposak The above prices, specifications acid conditions are hereby accepted. Killarney Contractors, Inc., is authorized to do the work as specified.
Payment will be as noted; I agree, that if Killarney Contractors, Inc., is required to take any action to enforce this contract, I shall pay Killarney Contractors; Inc.,
attorney's fees and costs, whether or not suit is filed. Venue in any lawsuit shall be in Orange County Florida, The Owner also agrees to pay 1.5% interest Aer month
on the unpaid, balance,,
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 7 -/0 /'7
I hereby name and appoint: KD'&V
an agent of: / /.7iZA-,,-'&-/ 1-07'es
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 loc ted at:
16 e L'C (G x e N SCV11 0Yd
Street Address)
Expiration Date for This Limited Power of Attorney: /Z-J/- 20/ %
License Holder Name: 441oj ' / "tyC' /''") State
Licens Signature
of STATE
OF COUNTY(
The
foregoing iWI)Qzk, ument
wa 7s,
bYto
me orj?<ho has produced _ identification
and who did (did 0,
1{} ea MICHELINE D ALBERY Notary
Public - State of Florida My
Comm. Expires Nov 12, 2017 k
Commission #
FF 069896 U Bonded
Through National Notary Assn. Rev.
08.12) before
me this &day of who
is personally known not) -
takean oat Signatu
e i
Print
or type name Notary
Public - State of Commission
No. My
Commission Expires: / as