156 Monroe View Trl; 17-3120; ROOFg
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: h -31ao
Documented Construction Value: $ /% ,
Job Address: Historic District: Yes No K
Parcel ID: 2,3 3 D -Sbl — b00C) — 0.S 3 -D Residential 2( Commercial
Type of Work: New Addition Alteration Repair Rr Demo Change of Use Move
Deurintion of Work:
E
Plan Review Contact Person: &. Q &aAiA Title: +
1
Phone: (J 7167—to (Z Fax: L)Di ") 0_) / b4mail:
Property Owner Information
Name (p
rl 'e a l,rk &i tk) C 2 -i /-JJ" Phone: /-/D % — Z .Z l v1 29
Street: 2. Resident of property?
City, State Zip:t " 0,,1,`A 7 %
gg
Contractor Information
Named 1 tz, 5-- Phone: ` 1)
Street: 0 r v- ak Fax: / o-2^.710 ` 7163
City, State Zip: State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
4 q q'
A
f
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 0/accurate and that all work will
be done in compliance with all applicable laws regulating construction nd zoning.
ature of
Owner v
Date Signature f Contract Agent Date
fho s Ar l6%a1%7 _ I !A m.
Print 0 r gent's Name
2
sO1 PAY,H e(LORRAINE GAETA
Notary Public State of Florida
u ; , : My Comm. Expires Jan 25, 2019
FOFF o< Commission # FF 165086
Owner/Agent is Personally Known tv e yr ,
Produced ID Type of ID 0, h,V
is Name- - - --/
0/
RY P„ tP L i LORRAINE GAETA
Notary Public - State of Florida
a *•'
o,r My Comm. Expires Jan 25, 2019
Commission 165036
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:
I3I::1
to Me or
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, Florida 32701
NOTICE' OF COMMENCEMENT
Permit Number:
Parcel ID Number: 23-19-30-502-0000-0530
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)
Lot 53 Venetian Bay Pb 63 Pqs 84-85
156 Monroe View Trail Sanford F. 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof with asphalt shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Quanece & Charles Elberry 156 Monroe View Trail Sanford FI. 32771
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-691
Address: 406 Hermitage Drive Altamonte Springs
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. 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)(a)7., Florida Statutes.
Phone Number:
8. In addition, Owner designates
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.
Sign ure of ner or Les , or wner' r Lessee's (Print Name and Provide ignatory's Title/Office)
A ed Officer/Di r/Partner/ .Hager)
State of County of
The foregoing instrument was acknowledged before me this ' day of
by a,, ))A40 ,Q C j, ( t-{ Who is personally known to me OR
Name of person making statement
who has produced identification type of identification produced:L— `'
aryYpUy'LORRAINE GAETf,
Notary Public -8( t of Florida
My Comm. Expiresan 25, 2019 Notary Signature
r=. oc;' Conultission # FF 105086
ROOFING
m
JTI Roofing Contract
Address: 406 Hermitage Drive
Altamonte Springs, FL 32701
Phone/Email: (407) 767-6912/ljones@jtiroofing.com
State -Certified Roofing Contractor - CCC1325756
State -Certified General Contractor — CG 036067
Jan Tukker, Contractor
Customer Name: MCA I
r ,
P"Iq
Address:
Home
Email:
Project
Insurance Co.
Adjuster:
Claim #:
Phone:
SPECIFICATIONS/PRICE BREAKDOWN
ITEM TYPE QTY AMOUNT TOTAL
Tear -off shingle
Replace shingle
Replace underlayment
Hurricane Retrofit
Steep
2nd Story Charge
Valley Material
Drip Edge
Vents 1"
Vents 2" v
Vents 3"
Goosenecks 4"
Goosenecks 10"
Flat Roof
Interior/Exterior
Skylights
Solar Panels
Notes:
Remove Trash from Roof, Gutters and Yard
Roll Yard with Magnetic Roller
Protect Landscaping Where Applicable
Delivery/Special Instructions:
Date:
ITEM TYPE QTY AMOUNT TOTAL
Ridge Vent
Off -Ridge Vents
Decking Y $
Lead Boots
Debris Removal
Wood
Shingles -Manufacture: /" ° d r- Style:'- T-T- k _,., /,1
Type: Arc— L Color: Wa ..Atr,,.t . I
Warranty I Labor
Roof / 771 i'
Insurance Co.
Initial/Estimated Date: $
Amount
Insurance Co. Agreed
Amount Date:
Upgrades
Insurance Supplement
TOTAL Date: $
r
PAYMENT SCHEDULE
50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT: $500.00 $1000.00 $
DOWNPAYMENT $ FINAL PAYMENT $
JAN TUKKER, PRESIDENT
TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS
AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDINGOVERHEADANDPROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY.
ACCEPTANCE OF AGREEMENT
The above prices, specifications and conditions ofthis agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditionslocatedonthebackofthisdocument/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulationsofthisagreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor andmailinsuranceproceedstoContractor. Homeowner hereby assigns to Contractor their rights to any insurance' proceeds from Insurance Company for goods andservicesasdescribedinthespecifications.
THREE DAY RIGHT OF RESCISSION
THIS WRITTEN AGREE T HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANYTIMEPRIORTOMIDNIFTTDAYAFTERTHEDATEOFAGAGMENT. Homeowner Approval:
Date: 11 W
14
Contractor Approval:
Date:
I ll 0
SCPA Parcel View: 23-19-30-502-0000-0530 Page 1 of 2
Property Record Card
Parcel: 23-19-30-502-0000-0530
Owner: ELBERY QUANECE M & CHARLES S
0N=OO"NW. ROMA Property Address: 156 MONROE VIEW TRL SANFORD, FL 32771
Parcel Information Value Summary
Parcel 23-19-30-502-0000-0530
Owner ELBERY QUANECE M & CHARLES S
Property Address 156 MONROE VIEW TRL SANFORD, FL 32771
Mailing 156 MONROE VIEW TRL SANFORD, FL 32771
Subdivision Name VENETIAN BAY
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2006)
Sorry: we have no imagery here..
091
Legal Description
LOT 53
VENETIAN BAY
PB 63 PGS 84 - 88
Taxes
Sales
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 159,284 150,165
Depreciated EXFT Value
Land Value (Market) 37,000 37,000
Land Value Ag
Just/Market Value ** 196,284 187,165
Portability Adj
Save Our Homes Adj 71.027 64,484
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 125,257 122,681
Tax Amount without SOH: $2,776.04
2017 Tax Bill Amount $1,548.19
Tax Estimator
Save Our Homes Savings: $1,227.85
Does NOT INCLUDE Non Ad Valorem Assessments
Method Frontage Depth Units Units Price Land Value
LOT 1 I $37,000.00 37,000
Building Information
Is Bed/Bath count incorrect! Vncrc Here.
Detion scripYear
Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1
SINGLE FAMILY
2004
9 4 2.0 1.974 2,568 1,974 CB/STUCCO FINISH
159.
284 167,227 Description Area GARAGE
FINISHED
459.
00 OPEN
PORCH
105.00 FINISHED
OPEN
PORCH
30.00 FINISHED
Permits
it #
Description Agency Amount CO Date Permit Date 7
I NEW -RESIDENTIAL SANFORD $102,760 8/20/2004 3/5/2004 Extra
Features Description
Year Built Units Value New Cost http://
parceldetail.scpafl.org/PareelDetaillnfo.aspx?PID=23193050200000530 10/20/2017
SCPA Parcel View: 23-19-30-502-0000-0530 Page 2 of 2
No Extra Features
http://parceldetail.sepafl.org/ParcelDetailInfo.aspx?PID=23193050200000530 10/20/2017
JT1 aooFING•
lesYo%-/S I6Y3aa2t
JTI Roofing Contract
Address: 406 Hermitage Drive
Altamonte Springs, FL 32701
Phone/Email: (407) 767-6912/ljones@jtiroofing.com CState-Certified Roofing Contractor - CCC1325756
State -Certified General Contractor— CGC036067
Jan Tukker, Contractor 1,rylzinCustomerName: r / l %
Address: 1 C
Home Phone: L fj 3—Jr-0 1
Email:
Project Address:
City
Insurance Co.
Adjuster:
Claim #:
Phone:
i D:
ate/ZIP: Z.
Work Phone:
SPECIFICATIONS/PRICE BREAKDOWN
ITEM TYPE QTY AMOUNT TOTAL
Tear -off shingle
Replace shingle
Replace underlayment
Hurricane Retrofit
Steep
2nd Story Charge
Valley Material
Drip Edge
Vents 1"
Vents 2"
Vents 3"
Goosenecks 4"
Goosenecks 10"
Flat Roof
Interior/Exterior
Skylights
Solar Panels
a A
Remove Trash from Roof, Gutters and Yard
Roll Yard with Magnetic Roller
Protect Landscaping Where Applicable
Delivery/Special Instructions:
ITEM TYPE QTY AMOUNT TOTAL
Ridge Vent
Off -Ridge Vents
Decking
Lead Boots
Debris Removal
Wood
Shingles -Manufacture: Style:
Type: Color:
Warranty Labor 5'"
Roof G-A -5 7 t- r- i
Insurance Co.
Initial/Estimated Date:
Amount
Insurance Co. Agreed
Date:
Amount
Upgrades
Insurance Supplement
TOTAL Date:
PAYMENT SCHEDULE
50%DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT: $500.00 $1000.00 $
DOWNPAYMENT $ FINAL PAYMENT $
JAN'IUKKEK, PKESIDEN 1
TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS
AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING
OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY.
ACCEPTANCE OF AGREEMENT
The above prices, specifications and conditions of this agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditions
located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations
of this agreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor and
mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and
services as described in the specifications.
THREE DAY RIGHT OF RESCISSION
THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNIG T OF TUEMURD BUSINESS DAY AFTER THE DATE OFT IS AGREEMENT.
Homeowner Approval: i_ Date:(
Contractor Approval: Date:
THIS AGREEMENT AND ANY AGREEMENT PURSUANT HERETO IS BETWEEN JAN TUKKER, INC., HEREINAFTER REFERRED TO AS "COMPANY",
AND THE CUSTOMER(S) NAMED HEREIN ON THE REVERSE SIDE AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND
ORDINANCES OF THE STATE OF FLORIDA, THE LOCAL JURISDICTION AND THE FOLLOWING TERMS AND CONDITIONS:
ALL AGREEMENTS ARE SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY TO BE EFFECTIVE UNDER ANY CONDITIONS.
PAYMENTS SHALL BE MADE UPON THE FOLLOWING TERMS: NET CASH ON OR BEFORE THE TENTH (IOTH) DAY FOLLOWING THE
COMPLETION OF WORK PAYABLE TO JAN TUKKER, INC.. IF WORK IS OF SUCH NATURE THAT IT WILL EXCEED ONE CALENDAR MONTH,
PARTIAL PAYMENTS SHALL BE MADE ON THE TENTH (LOTH) OF EACH CALENDAR MONTH, BASED ON THE WORK COMPLETED AND
MATERIAL ON THE JOB AS OF THE LAST DAY OF THE PRECEDING MONTH AS EVIDENCED BY OUR STATEMENT. IN THE EVENT THERE
NEEDS TO BE AN INSPECTION THEN THE MAXIMUM ALLOWABLE HOLDBACK WILL BE 10% FOR A MAXIMUM OF 30 DAYS FROM
COMPLETION.
WE HAVE THE RIGHT TO STOP WORK, WITHOUT FIRST GIVING NOTICE TO YOU, IF ANY PAYMENT REQUIRED BY THIS AGREEMENT 1S
NOT PAID BY ITS DUE DATE. WE ARE NOT REQUIRED TO START WORK AGAIN UNTIL THE REQUIRED PAYMENTS HAVE BEEN MADE. YOU
AGREE TO PAY ANY REASONABLE ATTORNEY'S FEES AND COSTS INCURRED BY US IF WE HIRE AN ATTORNEY TO TRY TO ENFORCE
ANY PART OF THIS AGREEMENT. IF WE FILE A MECHANIC'S LIEN AGAINST THE PROPERTY, YOU AGREE TO PAY THE COSTS OF
PREPARING, SERVING AND FILING THE MECHANIC'S LIEN, INCLUDING REASONABLE ATTORNEY'S FEES. IF.ANY PAYMENT REQUIRED
BY THIS AGREEMENT IS NOT RECEIVED BY ITS DUE DATE, YOU AGREE TO PAY INTEREST ON THE UNPAID BALANCE AT THE RATE OF
EIGHTEEN PERCENT (18%) PER YEAR.
WE ARE ENTITLED TO RECEIVE PAYMENT FOR THE COST OF ANY CHANGE IN THE WORK; PLUS A REASONABLE AMOUNT FOR
OVERHEAD AND PROFIT, FOR ANY CHANGES AUTHORIZED OR DIRECTED BY YOU EVEN IF YOU DO NOT SIGN A WRITTEN CHANGE
ORDER.
WE HAVE THE RIGHT TO OBTAIN ADDITIONAL COMPENSATION FROM THE INSURANCE COMPANY IN THE EVENT THE COST OF
MATERIALAND LABOR INCREASES OVER FIVE PERCENT (5%) FROM THE DATE OF DAMAGE, SUCH ADDITIONAL COMPENSATION MAY
BE PAID DIRECTLY TO US BY THE INSURANCE COMPANY.
IN ORDER TO INSURE THAT WE HAVE ENOUGH MATERIALS TO COMPLETE THE WORK, WE MAY ORDER MORE MATERIALS THAN MAY
BE NECESSARY TO COMPLETE THE WORK. ANY EXCESS MATERIALS WILL NOT BE CHARGED ABOVE THE AGREED -UPON CONTRACT
PRICE. ALL MATERIALS REMAINING AFTER THE COMPLETION OF WORK SHALL BELONG TO US.
FULL AMOUNT OF INSURANCE PROCEEDS" SHALL BE DEFINED AS THE FULL -PRICE FOR REPAIRS ALLOWED BY THE INSURANCE
COMPANY BEFORE ANY DEDUCTIONS FOR DEDUCTIBLE OR DEPRECIATION ARE SUBTRACTED.
ALL CONTROVERSY SHALL BE SETTLED BY ARBITRATION, GOVERNED BY THE FLORIDA ARBITRATION CODE, CHAPTER 682
RISK OF LOSS FOR WORK AND MATERIALS INSTALLED ON CONTRACTED PROPERTY IS THE RESPONSIBILITY OF THE OWNER OF THE
PROPERTY.
SHOULD DEFAULT BE MADE IN PAYMENT OF THIS AGREEMENT, CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF
ONE AND ONE-HALF PERCENT (I'h%) PER MONTH (18% PER ANNUM) WITH A MINIMUM CHARGE OF $2.00 PER MONTH, AND IF PLACED
WITH AN ATTORNEY FOR COLLECTION, ALL ATTORNEY'S FEES AND LEGAL AND FILING FEES SHALL BE PAID BY CUSTOMER
ACCEPTING SAID AGREEMENT.
THE COMPANY SHALL HAVE NO RESPONSIBILITY FOR DAMAGES FROM RAIN, FIRE, TORNADO, WINDSTORM, HURRICANES OR OTHER
PERILS AS IS NORMALLY CONTEMPLATED TO BE COVERED BY HOMEOWNER'S INSURANCE OF BUSINESS RISK INSURANCE, OR
UNLESS A SPECIFIED WRITTEN AGREEMENT IS MADE PRIOR TO COMMENCEMENT OF WORK.
THE QUOTATION ON THE FACE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS
BEYOND NORMAL INSURANCE COVERAGE AND ANY SUCH ADDITIONAL PREMIUMS OR COSTS SHALL BE ADDED TO THE TOTAL
AGREEMENT AMOUNT.
REPLACEMENT OF DETERIORATED DECKING, FASCIA BOARDS, ROOF JACKS, VENTILATORS, FLASHING OR OTHER MATERIALS,
UNLESS OTHERWISE STATED IN THIS AGREEMENT ARE NOT INCLUDED AND WILL BE CHARGED AS AN EXTRA ON A TIME AND
MATERIAL BASIS.
THE COMPANY SHALL NOT BE LIABLE FOR FAILURE OF PERFORMANCE DUE TO LABOR CONTROVERSIES, STRIKES, FIRES, WEATHER,
INABILITY TO OBTAIN MATERIALS FROM USUAL SOURCES, OR ANY OTHER CIRCUMSTANCES BEYOND THE CONTROL OF THE
COMPANY, WHETHER OF A SIMILAR OR DISSIMILAR NATURE.
CONTRACTOR SHALL NOT BE LIABLE FOR ANY DAMAGES TO PERSONAL PROPERTY OR PHYSICAL INJURIES RESULTING FROM
VIBRATIONS CAUSED BY HAMMERING OR WALKING ON STRUCTURES OR ANY OTHER NORMAL WORK OPERATIONS NECESSARY FOR
COMPLETION OF WORK.
THE COMPANY IS NOT RESPONSIBLE FOR DAMAGE ON OR BELOW THE ROOF LINE DUE TO LEAKS BY WIND -DRIVEN RAIN OR HAIL
DURING THE PERIOD OF THE WARRANTY. EXCESSIVE WINDS ARE DEFINED AS 60 MPH. THIS WARRANTY IS TRANSFERRABLE.
IF MATERIAL HAS TO BE REORDERED OR RESTOCKED BECAUSE OF A CANCELLATION BY THE CUSTOMER, THERE WILL BE A
RESTOCKING FEE EQUAL TO TWENTY-FIVE PERCENT (25%) OF THE TOTAL AGREEMENT AMOUNT.
IF THE AGREEMENT 1S CANCELLED BY THE CUSTOMER AFTER MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS
AGREEMENT, THE CUSTOMER SHALL PAY TO THE COMPANY TWENTY-FIVE PERCENT (25%) OF THE TOTAL AGREEMENT AMOUNT AS
LIQUIDATED DAMAGES, NOT AS A PENALTY AND THE COMPANY AGREES TO ACCEPT SUCH AS A REASONABLE AND JUST
COMPENSATION FOR SAID CANCELLATION.
IN THE EVENT THAT CUSTOMER(S) REFUSE(S) TO FULFILL THEIR OBLIGATION UNDER THE TERMS OF THIS AGREEMENT, THE
CUSTOMER AGREES TO PAY CONTRACTOR THE AMOUNT OF TWENTY-FIVE PERCENT (25%) OF INSURANCE PROCEEDS AS
COMPENSATION FOR UTILIZING CONTRACTOR'S TIME, EFFORTS, SKILL, KNOWLEDGE AND EXPERTISE IN ACQUIRING PAYMENT ON
BEHALF OF THE CUSTOMER/INSURED PLUS ANY OUT OF POCKET COSTS INCURRED BY CONTRACTOR IN RELATION TO THE WORK
SCOPE SET FORTH ON THE FACE OF THIS DOCUMENT.
COMPANY IS ENTITLED TO RECEIVE ALLADDITIONAL INSURANCE PROCEEDS FOR ROOFING ALLOWED BY INSURANCE COMPANY TO
INCLUDE MATERIAL SALES TAX AND OVERHEAD AND PROFIT.
THIS AGREEMENT OR WARRANTY SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY.
THIS AGREEMENT CANNOT BE CANCELLED ONCE WORK IS COMMENCED EXCEPT BY MUTUAL CONSENT OF BOTH PARTIES IN
WRITING.
DURING THE DURATION OF THE WORK, THE CUSTOMER'S HOMEOWNER'S INSURANCE WILL BE RESPONSIBLE FOR ANY INTERIOR
DAMAGE AS LONG AS THE COMPANY HAS TAKEN APPROPRIATE ACTION TO PROTECT THE ROOF DURING THE REPAIR OF THE ROOF.
THE COMPANY IS NOT RESPONSIBLE FOR PRE-EXISTING CONSTRUCTION DEFICIENCIES THAT MANIFEST THEMSELVES DURING THE
CONSTRUCTION PROCESS, E.G. NAIL POPS, WOOD ROT, DECKING DEFLECTION, ETC. IF A CONSTRUCTION PROBLEM IS POINTED OUT
PRIOR CONSTRUCTION AND COMPANY IS NOTIFIED IN WRITING, COMPANY WILL TRY TO ASSIST CUSTOMER TO CORRECT THE
PROBLEM(S) ON A TIME AND MATERIALS BASIS.
THE COMPANY WILL NOT BE RESPONSIBLE FOR THE SLIGHT SCRATCHING OR DENTING OF GUTTERS, OIL DROPLETS IN DRIVEWAYS,
HAIRLINE FRACTURES IN CONCRETE, DAMAGE TO PLANTS OR SHRUBBERY, OR TIRE DAMAGE CAUSED BY ROOFING MATERIALS
INCLUDING NAILS. IF EXCESSIVE DAMAGE 1S CAUSED BY COMPANY, COMPANY WILL REPAIR OR REPLACE DAMAGED AREA ONLY AT
COMPANY'S EXPENSE.
THE MAXIMUM LIABILITY FOR THE COMPANY SHALL BE THE ORIGINAL COST OF LABOR AND MATERIALS FOR THE REPAIR WHICH
CUSTOMER AGREES SHALL BE A LIQUIDATED SUM UNDER ANY EVENT OF DEFAULT OF COMPANY HEREIN.
ANY REPRESENTATIONS, STATEMENTS OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE
IMMATERIAL, AND NOT RELIED ON BY EITHER PARTY, AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT.
IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCEABLE, THE VALIDITY AND
ENFORCEABILITY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY.
THE CUSTOMER REPRESENTS AND WARRANTS THAT HE OR SHE IS (OR THEY ARE) THE OWNERS OR HAVE LEGAL POWER OF
ATTORNEY, ORARE LEGALLY AUTHORIZED TO APPROVE CONTRACTS FOR THE IMPROVEMENTS OR RESTORATIONS ON THE ADDRESS
OF THE LAND AND PREMISES LOCATED ON THE FACE OF THIS AGREEMENT. FURTHERMORE, THAT HE, SHE OR THEY HAVE READ THIS
AGREEMENT, FULLY UNDERSTAND ITS CONTENT AND AGREE TO BE BOUND BY THE TERMS, CONDITIONS AND STIPULATIONS
CONTAINED HEREIN.
ehCITY OF
JOB ADDRESS:
PERMIT # /I —
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: BCSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE:PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: ® OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES kNO 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
OTURBINES
TYP OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# 1 -/L-
O METAL FL#
0MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY Of
Building & Fire Prevention DivisionSkNFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
rIIIE OEMkTMENT
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 INA 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 RE LT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (
ARCHITECT OR ENGINEER), CERTIFYING C CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (
OR OWNER/BUILDER) SIGNA DATE:
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIDE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: 3' Ma_l//ta— 6C_Cj-V-d
1. ,_) I L" I' (,Q A , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, 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 4: L C
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER 70WNER/BUKDER)
THIS SIGNED AND NOTARIZED AFFII;WYfT MUST I#E PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGTTAL 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
NSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY O
Sworn to and Subscribed before me this day of f 20 a by:
Who is ersonally Known to me or has Produced (type of
entifl on) as identification.
na re of Notary Public o` d PG9, LORRAINE GAFTA
i
State of Florida "X_U)otary RubliC - State oI Flori a
My Comm. Expires Jan 25, 2019 1.
r S, Commission # FF 165086
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Print/Type/Stamp Name
of Notary Public