113 Holly Ave; 17-1893; ROOFrJ- fkJUN CITY OF SANFORD
2 2 2017 BUILDING & FIRE PREVENTION
ai _
PERMIT APPLICATION
Application No: _ 9
t 00
Documented -Construction Value: $ gas(
Job Address: 1 6 2- 9,91f b,Z Historic District: Yes No
Parcel ID: Residential9—Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: N F, a Plan
Review Contact Person: 1 2i' (jL, 1` Title: Phone: (
p p ` d Fax. — Email: ' 60 ozd.ftnet Property
Owner Information Name
U '" L L- Phone: 2 & 1 9 5 Street:
ILI 2 5F -EV Resident of property? : o City,
State Zip: f 2L4- f_5(-P , F`I 1 2 Contractor
Information Name
6 271. [t>'i , Phone: Street:
City,
State Zip: 566 ' :
l ID I04-T Fax:
e
State
License No.: I
I , ArchitectlEngineer
Information rr
Name:-.-
Jy%Iiz'1i 1) l-
z
Phone: Street: _
1 b V r
Fax:
City,
St, Zip: J i>2 , I 'i 1 E-mail: 0> , col) Bonding
Company: Address:
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: 5t' 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.
i
Signature of Owner/Agent Date ature .17C.ntract• r/ent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Co tractor/Agen Name
gn
y LISA ANTONINI
i'. Notary Public -State of Florida
My Comm. Expires May 21, 2018
J
Commission #FF 125242
Con racto'r gent i Persona ly Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
NJI THIS INSTRJJMENT PREPARED BY:
Name: —3
Address
lOF—
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole ,
j
Permit Number: l !! 2 Parcel ID Number:
GRANT MALOYY 15-0-111,10LE COUNTY
CLERK OF' CIRCUIT COURT 0', C:OI'PIROLLER
Ll; 8938 Pq 9' 1 (Ip,.is)
CLERK'S 4 2017+7162855
RECORDED I)6f 22/2ii i.7 19 ; +8 ;::? _. f-111
RECOR ING FEES $10I flrl
RECORDED BY t;mith
o . 5 a °,a -3 to •oo o
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:
DESCRIPTION OF PROPERTY: (Legal depeription of the property and streetaddress if available)
GENERAL DESCRIPTION OF IMPROVEMENT:
IK. I t-4 c-I
OWNER INFORMATIIOOJN::
J
1y-
Name: C ] z K: l 1
Address: :1 1 V 612o
Fee Simple Title Holder (if other than owner)
CONTRI
Name:
Address:
Persons within the State of Florida Designated by Ow
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
upon whom notice or other documents may be served
of
To receive a copy of the Lienor's Notice as Provided in
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 Wjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of mvkhoWledae.and belief., h
X ' V 1t 1.,
Owner's ign a Owner's Printed Name h, w
Florida Stat e713.13(1 Th own usl sign the notice of commencement and no one else may be permitted to sin in his or her stead." 9Y 9 Y P 9
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State of County of z o
The regoing instrument was acknowledged before me this day of 20
v O
w
by Who is personally known to me
ame of person making statement Q- w
OR ho as produced identification type of identification produced: o G
W O 0
u Y v'
sY>U' DEBBIEBLANTO14gL. c -
MY COMMISSION # 1=r 178648 v uLa
a EXPIRES: February 25, 2019
Bond Thru Notary Public Underwriters Notary Signature
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: Hu 6 7 .
STRUCTURE TYPE: XSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: XREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0``RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): IXC2 lx b= iP66"t4 tx
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES ANU jjVf A-rAp
SKYLIGHTS: OYES XNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:12 - 4:12 ;& 4:12 OR GREATER i=ir_ 0*4 T QDMT try
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE " FL#
METAL" ?jJV.' FL# 7 )
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
INSULATED 4 , d G FL#
FL# O TILE
OTHER: (00 0in' FL#
ROOF EXTENSIONS ORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
0 MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
0 TILE FL#
O OTHER: FL#
1\
PERMIT #:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
ADDRESS: ' l __5 452 - 46 LAL-Y '&N/E W r_
I V wy.Y WA4=zit H, LL—A., , t? K , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, 6R.0 I , 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 AV• /1
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:,Z 2•
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) iG r,'A. 14 t
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
Sworn to and Subscribed before me this day of
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
20 by:
Who is Personally Known to me or has Produced (type of
as identification.
Affordable Roofing & Construction
CGC 1509441/CCC 1327602
108 Grebe Court
Daytona Beach, FL. 32119
386-316-1047
Owner/Company name: Jerry Mills
Project Location: 113 Holly Ave
Sanford, FL 32771
Date: 06-06-2017
Contract Value $8,250.00
Scope of Work:
Labor only- No Materials
1. Remove existing Roof System
2. Repair/Install wood per owner plan
3. Install base sheet & metal roof system
50% Due on start date $4,125.00
50% Due upon completion $4,125.00
In event of legal dispute the prevailing party shall have the right to collect from the other party its
reasonable cost and necessary disbursements and attorney's fees incurred in enforcing this agreement.
I have reviewed and accepted th s nd cond'ti ns of sales presented by Affordable Roofing &
Construction, Inc. '
r
Owner/agent signature _Date
Contractor Signature Date
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City of Sanford
Building and Fire Prevention
RESIDENTIAL RE —ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY —INS FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 0 _/ 0 3 ADDRESS:
e41`E73 fl mil. 2
Iy .Y , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACTOR, ENGINEER, C I=, 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). ice.
I • COMPANY /
CONTRACTOR: ,() jL , , f- 96-1 CQRS, " CONTRACTOR
SIGNATURE: DATE:,., MUST
BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) -- IgArt-'r, Cet*'1-1A _ t t
tL5 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 Sworn
to and Subscribed before me this day of identification)
Signature
of Notary Public State
of Florida Print/
Type/Stamp Name of
Notary Public 20
by: Who
is 0 Personally Known to me or has 0 Produced (type of as
identification.