122 Queens Ct; 17-2645; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: (
01-i
Documented Construction Value: $ } /
L 3 9
Job Address: 122 Queens Court, Sanford, FL 32771 Historic District: Yes No Q
Parcel ID: 33-19-30-513-0000-0630 Residential X Commercial
Type of Work: New Addition Alteration 0 Repair Demo Change of Use Move
Description of Work: Re -roof with asphalt shingles 3 O SQ .
Plan Review Contact Person: Michael E. Torres Title: Owner
Phone: 407-574-4856 Fax: 407-831-7663 Email: Info@ Roof ProsUSA.com
Name
Bryan and Kara Irish
Property Owner Information
Phone: 321-217-5267
Street: 359 Woldunn'Crcle` i.
Resident of property? : Yes
City, State Zip' Lake- Maryy= F1' 32.7145
Contractor Information
Name Roof Pros USA, LLC. Phone: 407-574-4856
Street: 794 Big Tree Drive, Unit 106 Fax: 407-831-7663
City, State Zip: Longwood, FL 32750 State License No.: CCC1326640
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. 1 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
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 Date Signature of Con 66 Date
Bryan Irish Michael E. Torres
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print
611q zo 17
iv1L 1R PRICE
MY COMMISSION # GG076912
q,n . EXPIRES February 26, 2021
Contractor/Agent is VPersonally Known to Me or
Produced ID Type of ID
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CUSTOMER AGREEMENT / CONTRACT PROPOSAL
Serving:
ROOF PROS USA, LLC Orlando: 407-574-4856
M ff2 F CORPORATE HEADQUARTERS Jacksonville: 904-371-3235
I% VISO U 794 Big Tree Drive / Unit 106 South FL: 954-234-2616
Longwood, FL 32750 FL Lic. #CGC1507133SA
RoofProsUSA.com PH: 866-407-0250 • FX: 407-831-7663 FL Lic. #CCC1326640
Customer Name: Dr, S Date:
Job Address: 1AX
City / State: _ 1A FUr _ _ _--", _ _ _ . __ - -Zip:
Cell Phone: "a—^^s-) Home Phone: Email:
Insurance Company: 0 Claim No.: Policy No.: n 0
ROOF SPECIFICATIONS OTHER PROPERTY CONDITIONS
Remove one layer of roof materials and dispose. Existing Driveway Damage: Yes No
Re -nail existing deck to meet uplift codes. Skylights:
Install painted metal drip edge around perimIter of roof.
Install boots to pipes 11/2" 2" 3"
Interior Damage:
Emergency Repair
Install Gooseneck vents 4'-1-101,
Apply ASTM D2 erlayment to wood deck.
ll
iq Apply METAL SHINGLES / ILE SHAKES FLAT ROOF SYSTEM
Style of roof to be installed:
Color: Pitch:
41 Install ridge or off ridge vents Qty: 2 Size:
WORK INCLUDES:
Remove trash from roof gutters and yard Furnish Permit
Protect landscaping where applicable 2 Year Warranty
Roll yard with magnetic roller
UPGRADE RECOMMENDATIONS / NOTES
per sheet of plywood (or for <10" wide deck boards)
if decking replacement is needed. if G• C (( t{'
TOTAL INVESTMENT SUMMARY
We propose to furnish material and labor u
in accordance with the specifications above. RT
Insurance Proceeds + Deductable: $ 19
Change Orders / Upgrades: if
TOTAL COST. Ins. Proceeds + Deductible Change Orders / Upgrade:
ACCEPTANCE OF AGREEMENT: This Agreement DOES NOT OBLIGATE THE CUSTOMER OR ROOF PROS USA, LLC IN ANYWAY
UNLESS PAYMENT FOR DAMAGE IS APPROVED BY THE INSURANCE COMPANY AND ACCEPTED BY ROOF PROS USA, LLC.
By signing this agreement, Customer hereby grants the right and authority to ROOF PROS USA, LLC to do the following:
a) To cooperate with Customer's insurance company for insurance proceeds for the restoration of the damage covered by the insurance proceeds, with
the intent to have Customer's requested work paid by the insurance proceeds at no additional cost to Customer except for Customer's insurance policy
deductible and those items that Customer's insurance policy excludes for coverage. Customer agrees to payfor all items excluded by Customer's insurance
policy. Roof Pros USA, LLC will provide customer with a cost break down of those itemsexcluded from the insurance policy after that information is made
known to Roof Pros USA, LLC.
To request payment from customer's insurance company for items not included in the Insurance Company's estimate. All monies received from the
insurance company as contractor overhead and profit and/or cost increase supplements will be paid to ROOF PROS USA, LLC.
c IF THIS CONTRACT IS CANCELLED BY THE CUSTOMER LATER THAN MIDNIGHT ON THE 3rd BUSINESS DAY from execution, customer shall pay to
RPUSA twenty percent (20%) of the insurance proceeds or $2,000.00, whichever is greater, as liquidated damages, not as a penalty, and RPUSA agrees to
accept such as a reasonable and just compensation for said cancellation.
Accepted by Property Owner: Date: -S / 1 A0 t By:
Accepted by ROOF PROS USA, LLC: Date: / / By:
Sales Representative: Dater /3/—Li By:
4
ALL PAYMENTS SHOULD BE MADE TO ROOF PROS USP, LLC - NOT THE SALESMAN
00C. I -aa--) Winv
THIS INSTRUMENT PREPARED BY: Gf:i-Off 11ALO s lEl" INOL1 COUNT"(
Name: Michael E. Torres CLERK OF' Cl:k?C:1t11' C:OURti e, COCiF'tRt=))CLEF:
Address: 794 Big Tree Drive, Unit 106 BK 8975 Po 13i71. (11`"-}
Longwood, FL 32750 CLEWS T 0170849 78
7REC01:PED 08 22 21--11; 1:_'42 :11.9 ('!1
RECO11MI aG FEET '.1t-00
NOTICE OF COMMENCEMENT RECOME-Dr c."f tst„ith
Permit Number:
Parcel ID Number: 33-19-30-513-0000-0630
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)
122 Queens CourtSanford FL 32771 LOT
63 MAYFAIR OAKS PB 50 PGS 38 THRU 41 2.
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
WITH ASPHALT SHINGLES 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Bryan Irish & Kara M - 122 Quens Court Sanford FL 32771— J-'bFL Interest in
property: Owner 3 S Fee Simple
Title Holder (if other than owner listed above) 4. CONTRACTOR:
Name: Roof Pros USA, LLC Phone Number: 407-574-4856 Address: 794
Big Tree Drive, Unit 106, Longwood, FL 32750 5. SURETY (
If applicable, a copy of the payment bond is attached): Name: Amount of
Bond: 6. LENDER:
Name: Phone Number: Address: 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. Name: Phone
Number: Address: 8.
In
addition, Owner designates 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. Under penalties
of perjury, I declare that I have rea a foregoing and that the facts stated in it are true to the best of my knowledge and belief. e
of
Owner o Lessee, or 0 s or Lessee's (Print Name and Provide Signatory's Title/Office) uthorized Officer/
Director/Partner/Manager) Stateof Florida
Countyof Seminole The foregoing
by ument
was
ac kndWIedged before me this An ] Name
of
person making statement who has
produced identification ff type of identification produced n:'r$' •.
NEIL BLANCHM L MY
COMMISSION N FF 201521 a EXPIRES:
June 15 2019 g qF ,
Bonded Thru Notary Pubt'w Underwritersday of2017
Who is personally
known to me OR Q(r Y Notary Signat11:
11
A
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: August 10, 2017
I hereby name and appoint: Neil Blanchett
an agent of: ROOF PROS USA, LLC
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):
M The specific permit and application for work located at:
122 Queens Court, Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Michael E. Torres
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF Seminole
77-'-'An
The foregoing instrument was acknowledged before me this 10 day of August ,
20017 , by Michael E. Torres who is ® personally known
to me or who has produced as
identification and who did (did not) take an oath.
Signature
IVIVA P
NILDA R :`•'"'i;: PRICE
My COMMISSION # GG076912
3,'yr,,•° EXPIRES February 26, 2021
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
Florida
3y
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: O 2.
Irish
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOBADDRESS: 122 Queens Court, Sanford FL 32771 STRUCTURE
TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): Wood Deck - Plywood PLEASE
NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: D OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
0 YES (S(NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: 0 LESS THAN 2:12 0 2:12 — 4:12 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCTAPPROVAL SHINGLE ICI
1 L# 5
444h 10 O METAL
FL# O MODIFIED
BITUMEN FL# O TORCH
DOWN FL# O INSULATED
FL# 0 TILE
F L# Q OTHER:
Up Q 1(3Ae x FL# S ']- R S I ROOF
EXTENSIONS (
PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE:
0 LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREATER TYPE OF
ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE
FL# 0 METAL
FL# O MODIFIED
BITUMEN FL# 0TORCH DOWN
FL# OINSULATED FL#
0TILE FL#
0 OTHER:
FL#
CITE' OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit#: — " 2&_...4 S-_.._._
w.......__.
i. Michael E. Torres hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at 122 Queens Court, Sanford, FL 32771 and have determined that the work
Job Site Address)
was done according to the Hun-icane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
SectAC4
ZF.. SignaureobateMichael E
Torres CCC1326640 11 intend
Name of Contractor Licemw License Tylic:
General Building Residential (Roofing Contractor) or any
individual certified in accordance with F.S. 468 to make such an inspection. STATE OF
FLORIDA COUNTY OF Seminole Sworn to (
or affirmed) and subscribed before me this 'Z ay of 5 Fi%L r2017 , by Michael E.
r es , who is (Personally Known to me)or has Produced (type of identifjga$j4n)
as identification. 1U/lam
f (SEAL) Signature of
Not y Public State Flor'
NILDA R PRICE c MY
COMMISSION # GG076912 EXPIRES February
26, 2021 Print/Type/Stamp Name of Notary
Public 3