155 Sand Pine Cir; 17-2200; ROOFJUL 9 2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: /-"X4-1F C,--e c LE Historic District: Yes NoIS Parcel
ID: Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: E/`G.9C ,Sii ii/GE i200 Plan
Review Contact Person: Yyt_ p =fi A_ Title: Phone:
A' 925-3% Fax: Email:T,rir r ti Property
Owner Information Name %
L/ ,e .l di ES' Phone: 7-%1 - 7"530Street:
Resident of property? : V _r City,
State Zip: 2 o "3 2 -2 % J-/
Contractor
Information Name,
011 SoOy A ovr"rif 4z4v_':10 Phone: Street:Fax:
City, State
Zip: State License No.: Cr- G 056 9'7 0 Name: Street:
City,
St,
Zip: Bonding Company:
Address: Architect/
Engineer
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: 5th 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.
7/) 7__ ZI
Signature of Owncr/Age
1)
atc Signaturo Contractor/Agent Date
1U1e l one
Print Owner/
AgE'
s me Print Contractor/Agent's Name
Q
Signature of Notitry-Staie—of-Vorid2r Date signature of Notary -State of Florida Date
AW Ott. Notary Pub#c of FWda
Michele rie Stuckey
M w E
Y 06/O On =21 074132
Owner Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID k .
2 QI
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
j OHNS ON R00fING OF ORLANDO INC
Professional Roofing Contractors State License # CCC 056970 405 Ruth Street
79§&X
Longwood FL 32779
Masher,E to TEL 407-774-0940
rFz= «_- ;,,n,,:,F,o„a o,.:,w,• www.johnsonroofingorlando.com
ESTIMATE WORK SHEET
Date 2 L7 Name /Y%iSSfZ
Address
Home
y O Zip?277 3 . Emai11
Work Phone
ROOF WORKS SPECIFICATION
Type of work- Roof Repair,AN.ew,Ro.of Reroof
Other
Roof Type- 4-Shin-9,1 m,El Tile Flat Other
Location of work
Roof Pitch- Low ,Regular Steep
of Stories OAI,.-r Access
Area of roof I &,n Q .31& A
Material descriptio s(ti_ p
Make Type2rSt-,,_
Color er Style f?
ROOF INSPECTION REPORT
Check all that apply to roof.
Poor workmanship Poor /wrong materials
Age of roof/ End of useful life Granular loss
Inadequate ventilation Woodwork Problems
Flashing problems P High -Wind/ Hail Damage
Low slope/Flat roof El Skylights Storm Damage
Location
DETAILS OF ROOFING WORK
emove existing Roofing material , layers of
Cl- IS Alz
Roof deck 6,Renailed Repair as nee ed.
Dry in with newdei
0-Flashinglashing around vent pipes Repaired ..rReplaced
Flashing around chimney Repaired Replaced
Flashing to walls(L-Type)Zepaired Replaced
AC'Metal Eave drip (type) Repaired ColorR&L...
remium Rubberized leak Barrier applied tZ. o v e s
2AI;Replace vents kitchen =Bathroom
y
C&Roof Attic venting Repaired eplaced lugreased
Typeoe
Premium Roof cement applied to: lashings
Eaves akes lalleys
install shingles hurricane Nail Sys = m n s
All new #1 Grade materials Fre netic clean up
can up and haul off roofing trash Clean gutters
Replacement of damaged woodwork etc to be a extra
charge of $ per hr labor plus materials.
REPLACEMENT PRICING OPTIONS Location
3 tab Shnglecero, f with 25 ear. ,•;u ,K Written warranty on workmanship for years.
30 _ Written'warrant on Materials for ears. e roofs , e Arelutectiaral Shin0e Y Y
Replace roof 40 Year Architectural Shingle $
Flat / Low slope Modified APP roof $
Other
Price
Repair leak guarantee for months.
Other
PAYMENT TO BE MADEAV
50% To be Paid at com letion d -in F R fpryo0
ACCEPTED BY OWNER: Date
ACCEPTED BY COMPANY: Date
When signed and accepted this becomes an agreement subject to the specifications on both sides of this agreement.
THIS!NSTRILMENT PREPARED BY:
Name: ,e roti
Address: 5 m,oV
o/J 3Q 9f Q
1110,
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 000v-C7 & -
t f•'rahaT Nkf.)Y, SE111NOLE COUN FY
C:I...FRK OF C:IF;C:LIIT COURT & CONHROLL-ER
CLERK'S Y 2017C172LO7
f:Et ORDEL' 1-1-7/ 6,21)17 1J4 -- i12 - r'I'I
01"DING FEEL; $1.Ci,in_i
REC:OUED BY hdeavor'e -
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)
L. SArVIO
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RO of
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:
Interest in property: n [i1i/li it
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name:
Address: Z J S uAr T'
5. SURETY (If applicable, a copy of the payment bond is
6. LENDER:
Address:
Phone Number: ,e4` 07- 224 /--:> 9 a 0
Phone Number.
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
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 aVOwner or Le e, or er's or Lessee's (Print Name:and Provide Slgnatorys'ntle/OtHoe)
Authorized Oflttrcer/D r artnermanager)
State of I CA(` ,t C „ County of e rn t n d
h
The foregoing20`(nstrumentwasacknowledgedbeforemethisi f day
of C1 ` , 2p by \
t i P Who is personally known to me OR Name
of person rnalang statement who
has produced identification type of identification produced: Notary
Public State of Florida Michele_
Marie Stuckey d
c, My Commission GG 074132 or
F_xpkes05104/2021 NotarySignatu . v \`
V
N
DCity of Sanford Building Division
s 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:
PERMIT #
F D
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 1-5-S S/''/J/// C//;?C4r
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): PL YbI/ 0 d 0
PLEASE NOTE: ONL Y 100 SQUAR FEET' T OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: D OFF -RIDGE 0 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 O 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER
y
FLORIDA PRODUCT APPROVAL
SHINGLE FL#
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#
0 OTHER: FL#