201 Sir Lawrence Dr; 17-2470; ROOF1
C7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
AU PERMIT APPLICATION
Application No:
Documented Construction Value: $ -1 c\00 •O C
Job Address: o U 1 rC L4 L "oC P't Historic District: Yes No -
Parcel ID: ice— d — ( Residential E Commercial
Type of Work: New Addition Alteration D Repair Demo Change of Use Move
Phone: Fax: Email:
Owner Information
Name isQ 1,00.Al N -
Street: I ovq P .,,:._ 1
City, State Zip,
C litrac
a -
Name
Street:
City, State Zip:
Phone:
Resident of property?
r Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: [f` '"'0e e Ole Phone:°
Street: Nvi" q A Fax: _
City, St, Zip: 1', E-mail:
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
t log,
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 construct' and ing.
r.
Signature of Owner/Agent Date Signa of/Contractor/Agent Dat
4 A) j2,
Print Owner/Agent's Name
Etractor/,
AgenCs Name
Signature of Notary -State of Florida Date SigQatute £Nfltar -St e olFlorida _ r . Date
i2lANNETTE SLANb,
Nowy Public • SWe of f1p1ConmissioliptipOiBOS2aMyComm. Expires Jan 16.2otiiOwner/Agent is Personally Known to Me or Cwn to Me or
Produced ID Type of ID Produced ID Type of ID L_. L
k jp2L
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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Z
00
t" IJ City of Sanford Building D'
1 Residential Re -Roof Inspection Policy & Pr ck
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
This do ment (signed) along with an accurate and completed Residential Re -Roof Scope o /Work are required
to be sub tted as part of your permit application.
The Scope of ork must include all applicable Florida Product Approval numbers fo all roof components that
will be installed 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 anford Historic District will require plan r iew and approval by the Sanford
Historic Preservation Boa
only
SPECTION POLICY & PROCE URES
A Final Roof Inspection is tection requiredfor Resid tial (Single Family, Townhouse, Mobile Home,
Apartment and/or C) Re -Roof Permits. The
Following is required to be provide o%hejobsite:• Permit
Card, posted in a conspicuweat rproof location Completed
Residential Re -Roof Scope of rk Completed
and Notarized Inspection Aff avI All
Florida Product Approval and Co r espondin nstallation Instructions Product
Approval shall match wh is on the scope f work) Digital
Photographs (must inclu a the permit number o address in each picture) o
Each plane of the roof, s wing the underlayment inst led o
Roof Deck Nailing Pa ern & Spacing (including a measu ' g device or ruler) o
Roof Deck Nails us d (including a measuring device or ruler owing size of nails) o
Underlayment P ern & Spacing (including a measuring device ruler) o
Drip Edge & alley Attachment (including a measuring device or r er) o
Shingles i talled, nail pattern and location of nails Fyilthts (
if
applicable) ol
photographs showing all installation components, per FL Product Approval o
l photographs showing all required flashing, per FL Product Approval Failure
to follow these specific guidelines will res t in an davit provided by a Florida Design Professional (
architect or engineer), certify' C co compliance by personal inspection. CONTRACTOR (
OR OWNER/BUILDER) SIGNATURE: DATE:
aS PERMIT # ' 34.' 10
City of Sanford Building Division
Residential Re -Roof Scope of Work
J6 ADDRESS• o`l Lvetz-
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APAR ENT/CONDOMINIUM
RE -ROOF TYPE: PL EMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE-COV (NEW ROOF IN/
WED
OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONL Y IOO SQUARE AENTOF THE E ISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: 0OFF-RIDGE 1
SKYLIGHTS: O YES N0 _IF YES, PLEASE
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
OSOFFIT OPOWERED VE T OTURBINES
FLORIDA PRODUCT APPROVA #:
02:12-4:12 \04:12
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED F
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS PORCHES PATIOS ET "*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#
i
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
0 OTHER: FL#