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2121 Lili Petal Ct; 17-3091; RE-ROOFECEIV CITY OF SANFORD OCT 2 0 2017 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ _ , Job Address: 2121 b h' 44d' Ccmrt, 96-v bY . Historic District: Yes No Parcel ID: 32- Iq 31 15z0 00b"> 03210 Residential V Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: '_.. _ p_ _. , a - Plan Review Contact Person: Z/Ab CG dog / Title: Co't„. Phone: Fax: Email: Property Owner Information Name aE51ta MIAI* Street: 2/Zf LLI' aky e_7L• City, State Zip: S6.41./. r 3 9 77 / Contractor Information Phone: Resident of property? : Name 7/kj) ELAR yAno / //k S4k&"4tone: (6 71 iW - yb t?' Street: nn r Fax: City, State Zip: V / - - State License No.: C CCL M /Q O ,5 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: 5'h Edition (2014) Florida Building Code I Revised: June 30, 2015 Permit Application 4 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Conn ctor/Agen Date 21pfb eL d4K,-J Print CyrJtractor/AgentIsame 7 V v V LISA ANTONINI- Notary Public - State of Florida My Comm. Expires May 21. 2018 u; Commission # FF 125242 Contfactor/ A ent ' Personall no n to Me or Produced ID g tl 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 Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application I TKS INSTRUMENT PREPARED BY: Name: ')A1? Addr+vsa: l?uCL K=Lnei> ) F L NOTICE OF COMMENCEMENT Permit Ntmtber. Perot ID Number.Z,o ©nt>Q 0 T D t: lti`i i'i 1`IALOY P SEMMIOU" C:(iI-IN tLE: FI'K rUF C.:111Z_!_!:i-t C:OHl' F' o 1 _1.4r Z L 'K'S v 2017106412 lt t:Or'CF_L: 1.0/211/2017 1, '033!,57 1-`11 FEES $ 10.00 REC: O DED BY hdevorfa The undersigned hereby gives nthat rnprovernent vain be -ode to fir, ;" ara.an . c a-'-r,.a-Mwit srtef'':. untbe FkSa". es. -e fonowing information is provided in this Notice of Conrrten -rL 1. DESCRIPTION OF PROPERTY: (Legal description of the properh arcs =aM aid-W-S 21Z1 Li&rAJ, c-r2 a.l oQt7, ! 3277% t GENERAL DESCRIPTION OF IMPROVEMENT. - 2,0,-Sao r OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACT® FOR THE GNPROYEatENT: Name and address: 7r M i 6 4 Z I Z U RP I A- L C0•i,t z t" .S,4,v fo g r> . f L _3 Z7 7 / Interest in property: 0 W J 9-r Fee Simple Tide Holder Cd other than owner fisted abbe) game: 4. CONTRACTOR: Name: Z i' A D t= U F- / t [4 fe S CEsyD,s (bk/ ax \.r-ti r Address 3 i OI L /+XP -vND4 b)z .Z.ao Q>j nl DO F] 3 2L?/'7 3. SURETY (tf applicable, a cagy of the payment bond is aged): hat`: Address: I 4rr%-- L-; _cnc 8. L.ENDER: frame: Address: T. persons w adn tim Stabs of Florida Designstisd by Owner egson whoeo r,odos art othw doc%wri nft may be send as provided by Section 713.13(1xa) T., Florida Statutes. Name: Address: 8. In addlUon. Owner designates Cf to receive a copy of the LJerior's Notice a$ prwided in Section 713.13i1.y(b), Florida SttfES. ?~,x'e tx- Expirat on Date of Notice of Cor vYwIlioemert (The explraltion is 1 year trcrn dam of'a=—rg Ness a 6f cate z spec"ecl WARNING TO OY MER: ANY PAYMENTS MADE BY THE OM 4F =R ;e?= E.r'e: r` ?! -s-'c \L:T -E : F C'Ji 1 1=VCENtENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SEC-11CN 71111 F'_RUZIA S7ArLi=S. A:VC CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF Ct3k JJ ' =WE3 WS- `E R'EiORC'EC 1k\C .=QS7E1) ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAiti =v%ZLk% ?\Z- 'CON-SLA : 9'.E" -0,)R _E;\C=R OR AN .ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO Afd N - 7 wogAN 2. N, t tel' - pn*» X-4 R.Mwft so-80n2 —joitaa; stag. of fLOSZ t 17A c un ty of The foregoing instrument was admaMedged iwllm nm diS db of O G To by S i h1 M 'N -. W&O ft pusixo ly lumis to me OR Nan dvstonaal—orlecst who has produced idendfirsflat O type of Idoa88a I'l Qeoduatl: L o n Q — Li ?• 1 — t 9 "© — oJar °44 Notary Public State of Florida Abdelouahed Oumedlouz y , My Commission GG 130953 1'. Apt Expires 0& 02/2021 BYy natc a 0 Constru ticiti.com 3505 Lake Lynda Drive Suite 200 Orlando, FL 32817, 800-279-6770 License#r CGC1519697/CGC1331009 Name:Insurance, Co:* Date: r Address: `. . 1 a l . t f h% i ; r'? Policy #. i?, . LL...^. r Accounts City Cell E-V PECIFXCAgION ROOF' OTHERt', t Tear off: Yes No. #Layers roofing Satellite Yes ®'No (Customer needs to setup appointment 1< tall U{nderlayment 0301b. ,®ynsthetic with company to reset it after roof completion) IN14 stall I Brand' Shingles Solar panels Sizes rt tiyle Year Skylight #_ Sizes j 1L C 6Ior i , ; ^ t n.,' t ( #SQs Flat Roof Yes No Size: Damage Yes No . y ff..Ridge Vents Size: ,__ Color I lr`, f; te- DAMAGED WOOD (Replaced as needed at additional cost) Install new Drip Edge x Color Remove and Replace Plywood Decking @ $65.00/sheet' U,Ista11 pipe boots Size: 1.5" 2„ 3" 4" Remove and Replace 1" x. Decking @ $7M/LF Q.Vle"'nt Goose size 4"_-_ 10 Color Remove and Replace Fascia Ca $7.00/LF L 4alley Open Closed TYpe____ __ __ « ---_ WARRANTY f.. l id Ca Ridge , Y LF9p9 ( ) 3 Steep Slope Yr' Workmanship Warranty Roof Pitch /12 # stories QLCow Slopep Yr. Workmanship Warranty Redeck: Yes No GUTTERS & DOWNSPOUTS Damages observed during inspection . Rem and Replace LF 5" Gutters_LF 2'x3' Downspouts ID Hail Vt7ind Rem and Replace LF 6`' Gutters-LF 3'x4' Downspouts Shingles TYRe Roof Type Color, -- _ -- Install.Leaf:Guard: Yes No Existing,interior.Damage Yes No'__,._ ...__ .. . Terms for Insurance Work Only: This agreement does not obligate the Property. Owner orEliteStyle construction unless it is approved by the Insurance Company and accepted by Elite Style Construction. By signing this agreement you authorize Elite Style Construction to pursue your best interests at a price agreeable to your Insurance Company and Elite StylerConstruction without any.cost to you except for,your insurance deductible for the work scope approved by your Insurance Company, provided you have full Replacement coverage. Supplemental claims billed by Elite Style Construction and approved by your Insurance Company for additional work oncost increases will become part of this agreement. Any additional Work requested by you and not approved by your Insurance. Company will be yourfinancialresponsibility. Acost of one half of the Cost Value is required before project start. Bysigning this Agreement, Property Owner acknowledges'Elite,Style Construction is entitled to Overhead and Profit, as,, allowed by Insurance Industry Standards { -X .''AInitials. By signing this Agreement, it is'understood and agreed that'Elite Style Construction and Elite Style Construction Insurer will be held harmless for alleged or actual damages/claims as a result of mold, algae or fungus: It is understood that Elite Style construction and its insurers will exclude coverage, including defense, damages related to bodily injury, property,damage and clean up caused directly or indirectly that may have contributed concurrently or in any sequence to the injury or damage that occurs, Elite Style Construction, product or workmanship or in wholeorpartforanyactionbroughtbymold, including fungus and mildew regardless of the cost event mater action Sub -contract all the work that requires a licensure with State of Florida. IN WITNESS WHEREOF Customer(s) acknowledge receipt of a completed copy of ,this:Agreement on the day and year written below. I/We have read, understood and accept the terms included on the front and back of this Agreement, Approved by Customer on date: LLLb :"-Customer(s) Signature: --- * r ^-~ & Approved by Elite Style Construction on dater i i ,r Elite Style Construction Sales Rep Signature "` Insurance. Contractor shall carry worker's compensation, automobile liability, general liability and any other insurance required by law. Access. Customer agrees to provide Contractor with adequate access to electricity and other utilities as needed, the work site, and the work area adjacent to the structure. Contractor is not liable and Customer is solely liable for the grading, slope or construction of the roof deck, the roofing system or appurtenances, or work installed by any person other than Contractor, unless otherwise specified by Contractor in this Agreement. Customer agrees to provide roof deck surfaces that are sufficient to receive materials as required. Site Conditions. Should concealed or unknown conditions in an existing structure be at variance with conditions indicated in the description of the work to be performed from those ordinarily encountered and generally recognized as inherent in work of the character provided for in this Agreement, the Agreement price shall be equitably adjusted upon notice thereof from the Contractor to the Customer. Payment Terms. By signing this Agreement, Contractor reserves the right to require a deposit of 50%, and Customer hereby agrees to waive the requirements of Florida Statute 489.126. Customer agrees to pay interest'of 1 1 /2 % per month (ANNUAL PERCENTAGE RATE OF 18%), umless otherwise required by law, on the balance of any unpaid amounts. Payments received shall be applied first to interest on all outstanding invoices and then to the principal amount of the oldest outstanding invoices. At Contractor's sole discretion, Contractor may accept payments over time. If payments are accepted over time, Customer agrees that Contractor may lien the property for the amounts unpaid as of the date the lien is recorded, and Customer is liable for all costs associated with the creation and filing of the lien. Once all amounts are paid in full, the lien shall be released. Customer shall not withhold any part of the Agreement amount for which payment is due under the Agreement. The total Agreement price, including the charges for changes/extras, shall be payable to Contractor in accordance with the agreed upon terms. If there is an increase in the price of the products charged to the Contractor in excess of 5% subsequent to making this proposal/contract, the price set forth in this proposal/contract shall be increased without the need for a written change order or amendment to the contract to reflect the price increase and additional direct cost to the Contractor. Contractor will submit written documentation of the increased charges to the Customer. The failure of Customer to make proper payment to Contractor when due shall entitle Contractor, at its discretion, to suspend all work, shipments and/or warranties until full payment is made or terminate this contract. The contract sum shall be increased by the amount of contractor's reasonable costs of shut -down delay and start-up. hi case Customer decides to keep the payment received from the insurance company without making the approved repairs, Contractor reserves the right to charge a fee for the work done towards the approval from the insurance company in the amount of 20% of the amount approved for the repairs. Restrictions and Requirements. In the event that state, county, or municipal codes or regulations require work not expressly set forth in this Agreement or differ materially from that generally recognized as inherent in work of the character provided for in this Agreement, all extra cost for Contractor's labor and materials shall be the sole obligation of the Customer. If the substrate roof condition results in pending pursuant to the Florida Building Code and modifications are required to correct the roof so ponding will not occur, Contractor will notify Customer immediately. It shall be the sole obligation of the Customer to determine the existence of restrictions contained in deeds, subdivision or neighborhood regulations -which might relate to or restrict the improvements under this Agreement. Contractor shall have no liability or responsibility for any such non -conformity with such restrictions/requirements. Contractor shall be entitled to payment from Customer of all sums due hereunder not withstanding any injunction/prohibition against the work as. a result of any violation of such restriction/requirement. Customer Protection of Property. Due to the nature of the construction to be done at Customer's request, the Customer takes sole responsibility for any damage done to curbs, walkways, driveways, structures, septic tanks, HVAC, utility lines, landscaping, appurtenances, person(s) or real or personal property at the job location. Contractor is not responsible/liable for any hairline cracks, or any cracks, in the ceiling due to the removal and reinstalling of the roof or any damage caused by dust or debris caused by Contractor's work. Contractor is not liable for damage to person or property caused by nails, and Customer agrees that it will take the appropriate precautions to avoid said damage. Contractor does not warrant against tile slippage with a mortar or foam type tile roof system on any roofs over 4/12 pitch not mechanically fastened. During the course of the roofing work, Customer agrees to hold Contractor not liable for water intrusion that occurs from the date of commencement of roof repairs, remodeling, or other roofing services through the date of completion of such work. Unless otherwise specified, there is no specific completion date. However, Contractor will perform the work hereunder within a reasonable time and in a workmanlike manner. The cost for testing/abatement for asbestos are the sole responsibility of the Customer. As part of the roofing process, odors and emissions from roofing products will be released and noise will be generated. Customer shall be responsible for indoor air quality and shall hold Contractor harmless, indemnify and defend Contractor from claims relating to fumes and odors that are emitted during the normal roofing process. Choice of Law, Venue and Attorney's Fees. This Agreement shall be governed by the laws of the State of Florida. Venue of any proceeding arising out of this Agreement shall be Orange County, Florida, unless the parties agree otherwise. Should Contractor employ an attorney to institute litigation or arbitration to enforce any of the provisions hereof, to protect its interest in any matter arising out of or related to this Agreement, Contractor shall be entitled to recover from the Customer all of its attorney's fees and costs/expenses incurred therein, including attorney's fees, and costs/expenses incurred at mediation, administrative, appellate or bankruptcy proceedings. Waiver of Jury Trial. THE PARTIES. KNOWINGLY, VOLUNTARILY, IRREVOCABLY AND INTENTIONALLY WAIVE THE RIGHT TO A TRIAL BY JURY IN RESPECT TO ANY LITIGATION ARISING OUT OF OR PERTAINING TO THE AGREEMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALINGS, STATEMENTS WHETHER VERBAL OR WRITTEN) OR ACTIONS OF ANY PERSON OR PARTY RELATED TO THIS AGREEMENT; THIS IRREVOCABLE WAIVER OF THE RIGHT TO A JURY TRIAL BEING A MATERIAL INDUCEMENT FOR THE PARTIES TO ENTER INTO THIS AGREEMENT. Damage Limitation. In no event, whether based on contract, warranty (express or implied), tort, federal or state statute or otherwise arising from or relating to the work and services performed under the Agreement, shall Contractor be liable for special, consequential, or indirect damages, including loss of use or loss of profits. Contractor and Customer agree to allocate certain of the risks so that, to the fullest extent permitted by law, Contractor's total aggregate liability to Customer is limited to the dollar amount of the Agreement for any and all injuries, damages, claims, expenses or claim expenses including attorneys' fees arising out of or relating to this Agreement regardless of whether it is based in warranty, tort, contract, strict liability, negligence, errors, omissions, or from any other cause or causes. Warranties. Unless otherwise provided: THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHATSOEVER INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. All warranties/guarantees provided by Contractor, if any, shall be deemed null and void if Customer fails to strictly adhere to the payment terms contained in the Agreement. All warranties and guarantees if any, provided under the Agreement are solely for the original Customer and are non -transferable, unless otherwise agreed to by Customer and Contractor in writing. Any express warranty provided, if any, by Contractor is the sole and exclusive remedy for alleged construction defects, in lieu of all other remedies, implied or statutory. Claims. It is Customer's duty to notify Contractor in writing within 3 days of the occurrence of any claim, defect or deficiency arising out of work, services or materials provided by Contractor under this Agreement ("Occurrence"). Failure of the Customer to provide written notice of the Occurrence shall result in the Customer waiving all claims that may be brought against Contractor arising out of or relating to the Occurrence, including claims arising in law, equity, contract, warranty (express or implied), tort or federal or state statutory claims. Acts of God. Contractor shall not be liable for any damage, whether actual or consequential, or claim arising out of or relating to Acts of God, accidents, civil disturbances, delays in obtaining materials, delays in transportation, fires, weather conditions, strikes, war or other causes beyond Contractor's reasonable control, including delays caused by any act or neglect of Customer, by any separate contractor employed by the Customer, or by changes ordered by the Customer in the work. Customer shall obtain prior to construction fire, tornado, flood, builder's risk and other necessary insurance for this project. Disclaimer. Contractor disclaims all liability for all claims, disputes, rights, losses, damages, causes of action or controversies ("Claims") pertaining to Mold, including Claims arising out or relating to the detection, removal, disposal, or remediation of Mold, whether those Claims arise in law, equity, contract, warranty, tort, or federal or state statutory claims, and whether those Claims are based on the acts or omissions of Contractor or individuals or entities under Contractor's control. The Customer is solely liable and responsible for all damages, whether actual or consequential, caused by Mold and incurred by Customer, Contractor or third parties. Worldng Hours. The proposal is based upon the performance of all work during Contractor's regular working hours, excluding weekends and National holidays. Extra charges will be made for overtime and all work performed other than during Contractor's regular working hours if required by Customer. Materials. All materials and work shall be furnished in accordance with normal industry tolerances for color, variation, thickness, size, weight, amount, finish, texture, and performance standards. Specified quantities are intended to represent an average over the entire roof area. Contractor is not responsible for the actual verification of technical specifications of product manufacturers, i.e., R value, ASTM or UL compliance, but rather the materials used are represented as such by the manufacturer. Metal roofing and especially lengthy flat span sheet metal panels will often exhibit waviness, commonly referred to as "oil -canning." Oil -canning pertains to aesthetics and not the performance of the panels and is not controlled by the Contractor. Contractor is not responsible for oil -canning or aesthetics. Oil -canning shall not be grounds to withhold payment or reject panels of the type specified. Construction and Interpretation. Each provision of the Agreement shall be construed as if both parties mutually drafted this Agreement. If a provision of this Agreement (or the application of it) is held by a court or arbitrator to be invalid or unenforceable, that provision will be deemed separable from the remaining provisions of the Agreement, will be reformed/enforced to the extent that it is valid and enforceable, and will not affect the validity or interpretation of the other provisions or the application of that provision to a person or circumstance to which it is valid and enforceable. Headings are for convenience only and do not affect interpretation. This Agreement records the entire agreement of the parties and supersedes any previous or contemporaneous agreement, understanding, or representation, oral or written, by the parties. All documents/exhibits referred to in this Agreement are an integral part of the Agreement and are incorporated by reference. This Agreement incorporates by reference Contractor's feedback policy governing written reviews full details of policy can be located on our website under the heading Feedback Policy.Total Home Contractors, Inc. (THC) has been in business for many years. Our mission is to create high quality projects, and we guarantee to make sure your dream is exceeded, and that your project is everything you hoped for. If you have a problem with the project or with any personnel of THC, please contact us so that we can attempt to resolve your problem. This section contains the dispute resolution process which, by contracting with us, you agree to explicitly follow. You shall notify us in writing of any issue, problem, claim, defect, damage or liability ("Claim") within 3 days upon noticing the issue. Failure to notify us in writing results in the waiver of any and all Claims you may have against us arising out of orrelating to the Claim. In addition, if you fail to notify us ofthe Claim within 3 days in writing, you waive the ability to leave negative or. neutral feedback on or through any written medium and/or website including,, without limitation: Angie's List, Better Business Bureau ("BBB"), Google, Bing, Yahoo, Yelp, or any form of social media. The reason we have this requirement is because it gives us an opportunity to timely address your issues or concerns before adverse feedback is left This Agreement also incorporates the documents entitled "Limited Workmanship Warranty" (to the extent applicable) and "Statutory Warnings." Customer acknowledges that it has read/agreed to all incorporated documents, policies and exhibits. STATUTORY WARNINGS — LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 — 71'3.37,'FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION, LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. y=R S FO CITY OF PERMIT # / / - 6 0 Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 2 1 Z 1 LI L -Pt'TAL COU 1z- i4P3 02 STRUCTURE TYPE: Q5 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): / 1 j (; Y41(,( w a PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: 10 OFF -RIDGE O RIDGE 0SOFFIT OPOWERED VENT SKYLIGHTS: O YES (5NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 m 4:12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE 14FIZ; G FL# - O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED 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 SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# CITY OF Ski4FORD DEPARTMENTFIRE Building & Fire Prevention Division RESIDENTIAL RE -ROOF 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: /h DATE: t 0 (Z-0 O CITY OF FORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: 1T 00Do r)-91 ADDRESS: 2 I X I L; l l' Pe 1 I 7, t —:,,A C L ,A , -,Yi 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINefR, ARCHITECT, 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 #: (ILL COMPANY / CONTRACTOR:) CONTRACTOR SIGNATURE: DATE: Ij 2- MUST BE SIGNED BY LICENSE HOLDER OR O WNE UILD 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 _9, day of A/,oI,ASM& r 20 17 by: 1 L Who is Personally Known to me or has 9'Produced (type of identification) ,` as identification. S' a e of ry P lic tate of Florida Notary Public State of Florida Abdelouahed Oumedlouz hAAA pp P j /1 I) Q My Commission GG 130953 IL-lOVAC me- o oz- e_e Expires 08/02/2021 Print/Type/Stamp Name of Notary Public