203 Hidden Lake Dr; 17-2383; ROOFa
1 P47 AUG 07 2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
ll J PERMIT APPLICATION
Application No: `Z3 93
Documented Construction Value: $
aG
Job Address: Q 3 41 0) -2 v, ke Dr,,e_
Parcel ID:
Historic District: Yes No 0
Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 9erw -F- 2 "S ZK(o
C_-rnJDrJ c,e 2-
1,
Plan Review Contact Person: Title: o i-t e r
Phone: L167 2-2-1 $ ;-Y`-I Fax: 967 (S Z 95759 Email: sn-Pranfis -400. Caw+
Property Owner Information
Name
Street:
City, State Zip:
Phone:
Resident of property? :
I n
Contractor Information
Name M 3a_ q Phone: d'7
Street: P 0 66 X -5 ZZ Co 10 Fax: _ 90 7 (o RZ S u
City, State Zip: 1-0 y):$ L Jnn r), F- 3 27 SZ State License No.: CC-- Q 5 7 93 9
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
ArchitectlEngineer 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
141
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 1CC 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.
4'(= A 7Ad/7
i ature of Owner/A ent Date Signatu of Contractor/A ent Da e4gg
Print Owner/Agent's Name Prin on or/Agent's Name ,
Date
ri _ LINDSAY VANCLEVE
r ..-- Commission # FF 105300
Q Expires March 23, 2018
ps a Q.•- Bonded Th. Troy F h Inai . W0JBS7019
Owner/Agent is Personally Know to Me or
Produced ID _t Type of M L
Florida D to
r ' ,JOEL HANCOCK
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF224497
E ire /4/27t(sQ1 Contractor gen Personally Known to Me or
Produced ID Type of M
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 10-20-30-504-0000-0010 Page 1 of 2
tit
dF>,wvu aoc•ury
Parcel Information
Property Record Card
Parcel: 10-20-30-504-0000-0010
Owner: HANSON NORMAN L
Property Address: 203 HIDDEN LAKE DR SANFORD, FL 32773
Value Summary
1 Parcel 10-20-30-504-0000-0010
T
Owner HANSON NORMAN L
Property Address 203 HIDDEN LAKE DR SANFORD, FL 32773
Mailing 8005 BELLS CAMPGROUND RD POWELL, TN 37849-
Subdivision Name RAMBLEWOOD UNIT 2
Tax District S1-SANFORD i
j; DOR Use Code 01-SINGLEY
Exemptions Legal
Description LOT1.._.,._.__.,_.____._
RAMBLEWOOD
UNIT 2 PS
24 PG 25 Taxes
2017
Working 2016 Certified Values
Values Valuation
Method Cost/Market ; Cost/Market Number
of Buildings' 1 »W ~
1
Depreciated
Bldg Value $98,901 I $90,256 Depreciated
EXFT Value ! $600 ` $600 Land
Value (Market) 1 $23.000 ; , 21000 c...._._..._,....._._____.......
p-$21..._._......._..._.
Land
Value Ag JustlMarket
Value" I $122,501 1 $111,856 Portability
Adj Save
Our Homes Adj !so $0 Amendment
1 Adj $0 !so P&
G Adj $0 I $0 Assessed
Value .__..- i $122,501 I $111,856 Tax
Amount without SOH: $2,242.00 a
2016 Tax Bill Amount $2,242.00 i
Tax Estimator j Save
Our Homes Savings: $0.00 E1j I1 `
Does NOT INCLUDE Non Ad Valorem Assessments i Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund Schools
122,
501 ' 122,
501 0
i $122,501 0I $
122,501 City
Sanfo.,_...._._ M q I 122,501 122,
501 t 0
j $122,501 01 $
122,501 SJWM(Saint Johns Water Management) County
Bonds y
a
122,501 ; 0; $122,501 Sales
Description_ ~
Date k — Pag Amount Qualed VaGlmp t
QUITCLAIM DEED 13/1/2017 8883 ; 1245 i $100 No Improved z......,....._.. __
4 t ._. ..}.., ........ .,_.._.._......_....._. 151112003
w'
04826
1171 $134 500 1 Yes Improved QUIT
CLAIM DEED 2/1/2000 03802 0086 $28 500 I No Improved i___ .. _ -------- __.. _..
QUIT
CLAIM DEED i 11/1/1999 103756 1718 1 $28 700 j No I Improved SPECIAL
WARRANTY DEED i 2/1/1999 03623 i 1623 1 $100 No 1 Improved SPECIAL
WARRANTY DEED 1 2/1/1999 03623 1625 $60 500 No t Improved CORRECTIVE
DEED j 5/1/1998 103424 i 1989 $100 No 1 Improved CERTIFICATE
OF TITLE 4 12/1/1997 03337 1766 $100 ; No } Improved QUIT
CLAIM DEED 6/1/1989 02080 10443 $100 No I Improved WARRANTY
DEED i 4/1/1981 01329 1 1328 i $66,700 Yes i Improvedµ1
Find Comparable Sales; i Land `
1
Method Frontage Depth j Units Units Price Land Value http://
parceldetail.sepafl.org/ParcelDetailInfo.aspx?PID=10203050400000010 7/31 /2017
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: __
1 -
I hereby name and appoint: d er+ SL<V (''r1_
an agent of: /I)
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:
Io3 , M P_^ l,.ke. Drag FZ_ 3 z?73 Street
Address) Expiration
Date for This Limited Power of Attorney: License
Holder Name: QO er- J40e,"<%r State
License Number: CCU Q 'S 7 !R 3V Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF t,W)e The
foregoing instrument was acknowledged before me this 31 s
day
of U, 200Z_,
by A who is personally known to
me or who has produced identification
and who did (did not) Notary
Seal) ltRY
@ JOEL HANCOCK NOTARY
PUBLIC STATE
OF FLORIDA v: ?
Comm# FF224497 E
19 Expires 4/27/2019 Rev.
08.12) S
Print
or type name Notary
Public - State of Commission
No. My
Commission Expires: as
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address. 203 4), dJe,, A-,wt-
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.onq.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles VZ-
Underla ments e L 1,jrp EL -1) 4 I
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
June 2014
Florida Building Code Online Page 1 of 3
BCIS Home ' Log In { User Registration ! Hot Topics ; Submit Surcharge Stats & Facts 'i. Publications FBC Staff i BCIS Site Map ; Links i Search
a
product ApprovalObPU.R: Public User
ar i,tY'ia
Product Approval Menu > Product or Application Search > Application List > Application Detail
mFL FL15550-115
Application Type Revision
Code Version 2014
Application Status Approved
Approved by DBPR. Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived x_r
Product Manufacturer IKO Industries, Ltd
Address/Phone/Email 40 Hansen Road South
Brampton, NON -US L6W 3H4
708) 496-2800 Ext200
rmetzOO1@tampabay.rr.com
Authorized Signature Robert Metz
rmetzOO1@tampabay.rr.com
Technical Representative Bob Metz
Address/Phone/Email REMCO of Pinellas
456 Avila Circle NE
Saint Petersburg, FL 33703
727) 776-5261
rmetzOOI@tampabay.rr.com
Quality Assurance Representative Don Shaw
Address/Phone/Email IKO Industries LTD
120 Hay Rd.
Wilmington, DE 19808
717) 579-6706
don.shaw@iko.com
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Certification Mark or Listing
Certification Agency FM Approvals - CER
Validated By Locke Bowden
q= Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard) Standard Year
ASTM D3161 Class F 2009
ASTM D3462 2009
ASTM E108 2007
Equivalence of Product Standards
Certified By
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvKmQdIOUtQt... 7/31/2017
JV ,4tFlorida Building Code Online Page 2 of 3
Product Approval Method Method 1 Option A
Date Submitted 06/28/2015
Date Validated 06/30/2015
Date Pending FBC Approval
Date Approved 07/06/2015
Summary of Products
FL # Model, Number or Name Description
15550.1 Armourshake Laminated Shingle Heavyweight architectural laminated fiberglass asphalt
shingle manufactured at IKO's Sumas, WA plant.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL15550 R5 C CAC FM Letter - ASTM d3161 letter -
4-15-2015 .odfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A FL15550 R5 C CAC FM Letter - ASTM d3462 letter - 5 6
15.adfDesignPressure: N/A
Other: FL15550 R5 C CAC FM Letter - ASTM E 108 letter - 5 3
15 .odf
Quality Assurance Contract Expiration Date
12/31/2018
Installation Instructions
FL15550 R5 II IKO-134-02-01 Letter - Installation
Instructions for FBC.Ddf
Verified By: Duc T Nguyen, PE 65034
Created by Independent Third Party: No
Evaluation Reports
Created by Independent Third Party:
15550.2 IKO Cambridge IR Modified An architectural SBS modified Laminated fiberglass shingle
Fiberglass laminate Asphalt Shingle manufactured at IKO's CanRoof Toronto plant
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15550 R5 C CAC FM Letter - ASTM d3161 letter
4-15-2015 .odfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A FL15550 R5 C CAC FM Letter - ASTM d3462 letter - 5 6
15.DdfDesignPressure: N/A
Other: FL15550 R5 C CAC FM Letter - ASTM E 108 letter - 5 3
15 .Ddf
Quality Assurance Contract Expiration Date
12/31/2018
Installation Instructions
FL15550 R5 II 8TTEFS-2012-01 8.5 x 11 Application
Instruction 4-12.pdf
FL15550 R5 II IKO-134-02-01 Letter - Installation
Instructions for FBC.odf
Verified By: Duc T Nguyen 65034
Created by Independent Third Party: No
Evaluation Reports
Created by Independent Third Party:
15550.3 IKO Crown Slate Premium SBS Crown Slate is an SBS modified fiberglass roofing Shingle
Asphalt Shingle manufactured at IKO's Can Roof Toronto manufacturing
plant
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15550 R5 C CAC FM Letter - ASTM d3161 letter -
4-15-2015 .pdfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A FL15550 R5 C CAC FM Letter - ASTM d3462 letter - 5 6
15.DdfDesignPressure: N/A
Other: FL15550 R5 C CAC FM Letter - ASTM E 108 letter - 5 3
15 .pdf
Quality Assurance Contract Expiration Date
12/31/2018
Installation Instructions
FL15550 R5 II 3CS-Triling-2011-03 Crown Slate.odf
FL15550 R5 II IKO-134-02-01 Letter - Installation
Instructions for FBC.pdf
Verified By: Duc T Nguyen 65034
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party:
15550.4 IKO Marathon Ultra AR and CRC A three tab heavyweight fiberglass asphalt shingle
Superglass Ultra AR manufactured at IKO's Brampton Ont; Hawkesbury Ont;
Toronto and Kankakee plants.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15550 R5 C CAC FM Letter - ASTM d3161 letter -
4-15-2015 .Ddf
FL15550 R5 C CAC FM Letter - ASTM d3462 letter - S 6
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvKmQdIOUtQt... 7/31 /2017
Florida Building Code Online Page 3 of 3
Design Pressure: N/A '
Other:
15.Ddf
FL15550 R5 C CAC FM Letter - ASTM E 108 letter - 5 3
15 .odf
Quality Assurance Contract Expiration Date
12/31/2018
Installation Instructions
FL15550 R5 II All Marathons-Triling-3XSP-3AG-2011-03
Installation Instructions 4-12.0f
FL15550 R5 II IKO-134-02-01 Letter - Installation
Instructions for FBC.odf
Verified By: Duc T Nguyen, PE 65034
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party:
15550.5 IKO Royal Estate Fiberglass A premium laminated fiberglass shingle manufactured at the
Premium Laminated Shingle IKO CRC Toronto plant.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15550 R5 C CAC FM Letter - ASTM d3161 letter -
4-15-2015 .DdfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A FL15550 R5 C CAC FM Letter - ASTM d3462 letter - 5 6
15.0fDesignPressure: N/A
Other: FL15550 R5 C CAC FM Letter - ASTM E 108 letter - 5 3
15 .Ddf
Quality Assurance Contract Expiration Date
12/31/2020
Installation Instructions
FL15550 R5 II IKO-134-02-01 Letter - Installation
Instructions for FBC.DdF
Verified By: Duc T Nguyen 65034
Created by Independent Third Party: No
Evaluation Reports
Created by Independent Third Party:
Back Next
Contact Us :: 2601 Blair Stone Road Tallahassee Fl. 32399 Phone, 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if
they have one. The emails provided may be used for official communication with the licensee, However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
eCfie%_'
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvKmQdIOUtQt... 7/31 /2017
MID FLORIDA ROOFING ESTIMATE/SALES ORDER
768 Feme Drive STATE LICENSE: CCCO57834
Longwood, FL 32779 t ryy n p, 7ofi
Tel: (407) 830-8554 +"c
Fax: (407) 682-8554
Date of Estimate: i! " Z- ! % Sales Rep Name:
Customer Name: 1&:S Sales Rep Phone #: 0-1,r-C —vvS
Job Address: Cust. Day Phone #:
City, State, Zip: Cklu P o L Cust. Eve. Phone #:
By signing below, Customer and Mid Florida Roofing, Inc. hereby agree to the terms and conditions described in thls contract:
XRemove existing roof from above address. Total number of squares: Roof Pitch:
S I I L-
Two or more layers on roof to be removed at $45 per square. $45/sq. X / squares = $ (included in total price below)
Remove and replace the following items with like or equivalent materials:
A. Valley Metal total lineaj(eet
B. Plumbing vent pi boots:l '/z inch: Wit_ 2 inch: C_ 3 inch: 4 inch: 5 inch:
C. Kitchen & Bathroom vents: ' goose: 6" goose: 10" goose: Color:
D. Off -set ridge vents (411): Color:
E. Ridge Vents (1Oft): Color:
F. Replace eave cept behind gutters) with: pieces. Color:
4 Replace all rotten sheeti (if any) a an additional charge of $60 per sheet including installation. Charge is not included in total contract price below.
All replaced wood (includin heat g, fascia, siding, trusses, tails, etc.) will be documented and billed separately.
Replace underlayment with the following: 151b Felt El301b Felt El Titanium PolyGlass TU Plus G
Install new roof using: Architectural Shingles 3 Tab Shingles Concrete Tile Clay Tile 5V Crimp Standing Seam DpECRA
P (.LLS->1- Manufacturer/Style: Color: &CmAi—
Install new 4ft off -set ridge vents ($80 each) Total $ Install new 1Oft ridge vents ($50 each) Total $
Replace 2' x 2' skylight: Qty: Replace 2' x 4' skylight: Qty: Total $ (included in price below)
taples,
pon completion, Mid Florida Roofing will remove all job -related debris, garbage and excess materials from job site and will use magnet for nails,
simplex, etc.
Customer requests that Mid Florida Roofing remove and discard existing solar heating panels prior to commencement of installation. If this option is
not checked, customer is responsible for removal of solar heating panels prior to commencement of installation. Customer is also responsible for
re -installation of solar heating panels when roof work has been completed, if this option is not checked.
SPECIAL INSTRUCTIONS:
Roof'
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance charge of 5% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action
be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the
date of acceptance and approval by Mid Florida Roofing, Inc. Mid Florida Roofing, Inc. reserves the right to cancel all or part of this contract at any time.
The State of Florida has a construction recovery fund.
WARRANTY: Includes manufacturer's material warranties and five year workmanship warranty unless otherwise specified in special instructions above.
PAYMENT TERMS: Full payment is due upon completion of the work described on this contract, unless otherwise agreed upon in writing between
customer and Mid Florida
WRoofin. Accepted: Date:
Customer Signature d
l q e06. Od
Approval: Date: TOTAL PRICE _ $
Florida Building:Code Online Page l of 2
rkM
fr "t"r. N
nt {
ys. , C* rr + .® 4 {
y„
i r1
di,,Y '7( i 4 . 7
ry i. Y , a a M t L
r+
r" ill04mgmte, SMS.HO M 1 toy-rrr -4 User PA 6- iw ` Hot Topics. Sutimt surti,aree o "State a facts : PuWkatioris { cac SWfsaid Map a LiNss t seartit Busmes
Professi
1 = 1 AMM"
Regukdh
may >
Product or Agvllc&iaa 5k h > AublicatWn Lm Appnmtlon tmw FL'*
FL17194-RI Application
Type Revision Code
version 2014 Application
Status Approved Comments
ArchWed
Predict
manufacturer RobetexInc Address/
Phone/Email 215 Antioch Cut Off Dalton,
GA 30740 71 • , _.
k
talliottro , robetexirtc.com Authorized
Signature ` Ken Y Talbot kerry.
taibotorobetexinc.com Techni
al Rep eSentative AddreSS/
PhonOEmail Quality
Assurance Representative ` AddreWPhone/
Email. Category
Roofirig . Subcategory
Underiayments,' Compliance
Method Evahuatlon Report from a Florida Registered Architect or a Licensed Florida
Professlonai'Engineer s
Evaluation Report -mHardcopy Received Florida Engineer
or Architect Name who developed I Zachary
R.
Priest the Evaluation:
Report Florida License
PE-74U21 Quality Assurance
Entity UIL LLC Quality Assurance
Contract Expiration Date 12/31/2020 Validated By .
Locke Bowden Validation Checklist
HardcoPY Received CertlFlcate of
Independence F{ 17194 R1 COI RBX14001 12014 FBCI Evaluation Reoortodf' Referenced Standard
and Year (Of Standard) Equivalence of
product Standards Certifled By
Sections from
the:Code iW7.2.
3 4507.2.
8 1501.4.
S.1 1507.5.
3 1507:5:
3.2 150T:7:
3 1507.7.
3.2 1507.8:
3 - https://www.
floridabuiiding.org/pr/pr_app dtl-Wx?p&=--wGEVXQWMgvC6,3EapiilBT...'7/1 V2016
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 code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
THIS INSTRUMENT PREPARED BY:
Name: Robert Shoemaker
Address: PO Box 522610
Longwood. FL 32752
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number:
118 1ii l111 !!!1! I!!1 III 11Iflf 11I1 i111
Ll A[.IT I°IALOYp SEMINOLE COUNTY
LNT t'.. OF CIRCUIT COURT & C:Ot1f'TROLLEfi
BK 89LL P9 1804 (1P3S)
CLERK'S T 2017079342
RECORDED 08'/07, 017 09:13. •`17 A1''1
RECORDING FEES $10.00
RECORDED BY hdevore
10-20-30-504-0000-0010
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 description of the property and street address if available)
203 Hidden Lake Drive Sanford FL 32773
LOT1 RAMBLEWOOD UNIT 2 PB 24 PG 25
GENERAL DESCRIPTION OF IMPROVEMENT:
Reroof
OWNER INF RMATION:: 411— Name: I Vi
Address:
Fee Simple Title Holder (if other than owner) Name
CONTRACTOR:
Name: Mid Florida Roofing
Address: PO Box 522610 Longwood, FL 32752
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:
Address:
In addition to himself, Owner Designates
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) 12/20/17
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 1 have read the foregoing and that the facts stated in it are true
to best of my knowledge and belief.
Owners Signature Owners 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
State of r County of
l )
The foregoing Instrument was ack '7owledgedbeforemethisdayof (4 S , 20 / 7 R®
by / - C'' d h 1,, Who is personally known to me
Name of person making statement \`
v,\
OR who has produced identification type of Identification produced:
til`J` V
e...
LINDSAY VANCLEVE
Commission # FF 105300
a,• de Expires March 23, 2018 No ry Signature ` t` +
BondedTWTroyfanInsuranceBOB18S70i9
rw , * J
CJ10-
City of Sanford
Building, and Fire Prevention
RESIDENTIAL RE-RooF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-1NIFLASHIN'GIAND ALL FINAL ROOF COVERINGS
PERMIT 4: 1-7— 73scl_` ADDRESS: M-A?^ Lke_ A-
1
3 Z -7
ASAM.GENLRAL, Bull -DING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CIIAPTFR 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAI'ALL OF THE
FOREGOING INFORMATION IS TRUEAND ACCURATE, AND THAT ALL ROOFING COMPONENTS LISTLD ON THESCOPE, OF WORK A'1-1'111'-' ABOVE
REFERENCFDADDRESS IN ACCORDANCLWITH THEIRPRODUCT APPROVALS AND ALL APTILICABLECODE Rf-
QLJIREN4ENTS-SI'I,C,lf-'ICAI,,I,,y FI.ORIDABuILDTNG CODE, ExisTiNG Bult,,DING. REQUIREMENTS
FOR SECONDARY WATER BARRIER AND NAILING OFTHE ROOF DECK, IN ACCORDANCE WITH T11FITURRICANE 111",TROFFF MANUAL
REQUIREMENTS (BASED ON E.S. CHAPTER 553.844), LICENSI...
O's 7 &39 COMPANY /
CONTRACTOR' -1 - — -------- -_--------- CONTRAc-.'
rOR SIGNATU RE: ATE: -7 DMUST
BE SIGNED 13Y LICENSL HOLDWER66WNEWBuILDER) . ..... *OL
A
FINAL ROOF INSPEX710N.IS REOUIRED: Tuis
SIGNED AND NOTARIZED AF.FIOAVITAIUSTBE PROVIDED AT THE JOB SITE AT T"E TI-OEOF THE FINAL ROOFINSPEcTION, ALONG
WITH DIGITAL P1tOT0GR_A.PIIS OYEACH PLANE oFTIIE ROOF -SHOWING IN DETAI'l..,kl.l,.COM.PO.NFti-I'S (DECKING, UNDERLAYMENT,
FLASHING, GRIP EDGE ATTACHMENT) WITH THE PERMIT' NIUMIRFROR ADDRESSCLYARLY MARKED ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A Rt'LER,OR MEASURING 0EVICUTO CONFIRM ALL NAIL SPACING AND OVERLAPS,
INCLUDING DRIP EDG.E, AND VALLEY FLASHING. PLEASE REFER TO THE, RE -ROOF POLICY AND INSPECTION PROC:f..ouRE N
S PAPERWORKTORPITWITIEREXPLANATIONOFALLREQUIRENIF-N.T FAILURE
TO FOLLOW ALI-REQUIREMENTS WILL RESULT IN A: FAILED INSPECTION, A RE -INSPECTION FEE AS WELL
AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFv, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF Sworn
to and Subscribed before methis ./( Yn day of Au!!Ld 20)7by- Who is "
P rsonally.Known to me or has 0 Produced {type of Ic iden#"
ion) as identification. r JOEL
HANCOCK NOTARY PUBLIC
91 re
OF FLORIDA 7gTa_t ' of Notaii, Public State,of
Florida Canrn# FF224497 vSTATE 4L'Is Expires
4/27/2019 Print/Type/Stamp
Name of Notary Puhlic