142 Rockhill Dr; 17-3287; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 3,)8q
Documented Construction Value: $ , a• (
Job Address: l a aCV-(-V t L S&-xV w-o 3 a 111 Historic District: Yes No Do
Parcel ID: 35—\(:'t-30LX)QQ 0 Residential El Commercial El Type
of Work: New Addition Alteration Repair [)a Demo Change of Use Move Description
of Work: t $1i7E1 1T1tCLLt_ ltts-r-- 2QpF- _ Plan
Review Contact Person: _ IFF, 4 a Gr,S CA%Jw J1u Title:bW i—a 1M ht 6 Q . . Phone:U01- Fax:
ucnl-ki %. 9''5 Email: lP—tAAr cA\NDWtes O-C-C—t' 'c,e ;-:5 W0J 41by1 Property Owner Information
Name -'Ca lr
d ta h> lrt l-S L Phone: 35a w a lA% -- '224 to Street: Resident of
property? : V Ct $ City, State Zip-:
aw` :1D . T=L ®; B 1 Contractor Information
Name
Q-G"
rZ&t— 1- C) VK(S'S L-L C-- Phone: 4(Y1-13*Q --1a tom Street: 1 $"? VA
KiV- \ e4M4 -w 1 {Vj. . Fax: wAEn — City, State Zip:
L-0''6100 M I--L '75.2 160 State License No.: C-tC-\330 (.CR 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: S° Edition (2014) Florida Building Code Reused: June 30.
2015 13cttnit 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, ill
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.
4-0 41& - 11 t J. `1--7
Signature Ownen'Agcnt [late
7 S t
Print Owner/AgeWs Name
Signature of Notary -State of Florida Date
MARIA T. BUTCHER
y ^e MY COMMISSION # GGIDIS40
O` nt is EXPIye'R Vff 1K4ng%1to or
P
Signature of tractor/Agent Date
Print Contraetor/Agent's Name —
t
Signature of Notary -State of Florida Date
0 MARIA T- Bll'l CNER
s!;= MY COMMISSION # GG701540
EXPIRES MaY ala, 2021
Cont nt is Per e or
Prodt ype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction 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
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Re,rised: June 30, 2015 Femur Application
Central
Hotels
1182 N. Ronald Reagan Rd. Longwood, FL 32750 office: 407.732.7262 centralhomesoffice@gmaii.com
Customer Info: Johann LaRose 31 3i, Date: 10/1812017
Job Address: 142 Roc khill Dr. Sanford, FL 32771
PROPOSAL -CONTRACT
WE PROPOSE THE FOLLOWING AT THE ABOVE LOCATION:
A. Tear off and haul away the existing shingle roof system (one layer). An additional $351sq, far removal of eachunforeseenadditionalrooflayerwillbeadded.
EK Inspect the roof sheathing fastening system and supplement (re -nail). C. Inspect the roof decking and repair as necessary on a per lineal or per piece basis as described below. D. Supply and install one layer of Rhino Synthetic felt underlayment. E. Supply and install new Shingle Over Ridge Vents and/or 4' Off Ridge Vents for proper ventilation. F. Supply and install new 21/2" eave drip.
G. Supply and install Bullet Rubber boot flashing for plumbing stacks. H. Supply and install a self -adhered peel & stick modified undertayment In all valleys. L Supply and install Certainteed Landmark Architectural Shingles Lifetime Warranty. J. We will obtain and pay for a permit and obtain all required inspections. K. Upon completion, all roofing de 's will be picked up and taken away. L. Shingle Color: kLi Drip Edge Color l._ ' Vent Color; >v
PRICE: $9,727.68 Payment T rms: Salange due lAg2D_q9mi i n of lob. A surcharge of 3.5% will be added to above price if paying with a credit card
O.ptionl• Supply & install Solar Attic Fan (extracts hot airfrom attic wl 26 yr, motor warranty). Add $985.00 initial here
Any unforeseen decking repairs and/or wood rot repair will be done at a cost of $66,00 per sheet of plywoodand/or $5.00 per lineal foot of fascia.
WARRANTY: Central Homes LLC, 7-year workmanship warranty.
This proposal is null and void if not accepted within 10 days of the date referenced in this proposal due to price volatility inasphalt -relater! products.
I have read and accept the Additional Terms and Conditions printed on the back of this page. The prices, specifications and conditions of this proposalaresatisfactoryandareherebyacceptedandCentraldomesLLCisauthorizedtodotheworkasspecified. Payments wol be made as outlineed in ftproposal. - -
ACCEPTED:
DA TE
t %
Central Homes Represerrtativ8 Dam
3KD.
n 19C M
Central Homes Roofing State of Florida License CCC1330609
K
THIS INSTRU,NIENT PREPARED BY:
Name- a1.Patsl
Address:
NOTICE OF COMMENCEMENTOMENCEMENT
Permit Number. j 3 'I
Pael ID Number. 3 rc-°1q — 36-S { (, - &OI)C) — I I q p
The undarsigr*: hereby gives notice that improvement will be made to certain real
following Information 3s provided fn this Notice of Commencement.
I. DESCRIPTION OF PROPERTY: (Legal description of the property and street acj — —
2. IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE
Name and address: TCltAat lv i L A, ps t,ya
Interest in property:: Ql,1 v.r m, (t_—
Fee Simple Title Holder (if Other than owner listed above) Name:
4. CONTRACTOR: Name: CENTRAL HOMES, LLC
Address: 1225 SENNETT DR. 4111, LONGWOOD, FL
S. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
if
1111111111111111111111111111111111111111
GRANT MALOY, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLEfi
OK 9018 F'g 1621 (1F'gs)
CLERK'S : 2017111761
RECORDED 11/03/21117 03:16:33 PN
RECORDING FEES 111.1j1:1
RECORDED BY lidevore
and in accordance with Chapter 713, Florida Statutes, the
FOR THE 1MPROVEMENT:
Phone Number. 407-732-7262
Amount of bond:
Phone Number.
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(1!Xa)T., Flortda Stafutea. I
8. In addition, Owner designates
to receive a copy of the LtencWs Notice as provided In Section 713.13(l Xb), Florida
9. Expiration Date of Notice Of Commencement (The eviration Is 1 year from date of
Phone Number„
of
Statutes. Phone number
ecording unless a different date is specified)
WARNING TO OWN a• ANY PAYMENTS MADE BY THE OWNER AFTER THE! EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFOR
STED ON THEJOBSITEBEFORETHEFI
IMPROVEMENTS
ECTION.UIFRYOUINTEND TO OBERTY. A TAN FOF
IECING, CONSULT WITH YOUR LENDEMENCEMENT MUSTBERECORDEDRORANATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEI(tFNT t
O tmsoo or Owors or Lossw's Auftezed
rec "rWV-rAWQQV) State
of F— L - County of S G7M I h:' The
foregoing instrument was acimowledged before me this ^+ by -
moo uk4i Ao-i "Vi cis who
has produced identMcerdon type of Identification produced: i
MARIAT.
BUTCHER MY
COMMISSION # GG101540 EXPIRES
May 04, 2021 0
5 e. arc
day
of V"%. 0 V px %-1Who
is personalty known to meA OR R
n City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address t q a a.1 t t_ t, U {1- • -a .a—O 2 t"11
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www:tloridabuilding.org. -
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U I
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June2014
City of Sanford
it 9 Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. I ISSUE DATE:
CONTRACTOR: awtes L LL
JOB ADDRESS: ' y oxoROGk: ` 1
TYPE OF WORK: I I=r V W"y
I PROTECT FROM WEATHER
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL .
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
jjSaTY
o f-
I 0RD
FIRE DEPARTMENT
7- 3 Lf 7
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY& PROCEDURES
PERMITTING REQUIREMENTS —:NU 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 IINDF.RLAYMENi' 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, PF.R 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:
l
S
CITY
FIRE DEPARTMENT
PERMIT# 'Z
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ikk:P _l oar; vs, 1 U c toT S14-ymoQ-0
I
r-(_ -6 a,1-71 STRUCTURE
TYPE: 10 STNGLE FAMILY RESIDENCUTOWNHOUSE O MOBILE HOME O APARTMFNT/CONDOMINIUM RE -
ROOF TYPE: ® REPLACEMENT (TEAR OFF FXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): L PLEASE
NOTE: ONLY I00 SQUARE EET & THE EXISTINNr DECK IS PERWMED TO BE REPLACED" ROOF
VENTH.ATION: OFF -RIDGE 0 R Dcr•, OSoFFIT QPONVERF.D VENT OTURBINES SKYLIGHTS:
O YES 16NO 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 MANUFACI'URER FLORIDA PRODUCT APPROVAL 0 SHINGLE
n 1-Ar. V,TA-\ V."'[5-tFU FL# 5 U Q Ll OME•TAL
FL# OMODIFIED BITUMEN
FL# OTORCH DOWN
FL# OINSULATED FL#
OTILE FL#
O OTHER:
FL# ROOF EXTENSIOYS (
PORCHES, PATIOS, FTC.) "IFAPPLICABLE" ROOF SLOPE:
O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER TYPE OF
ROOF MANUFACTURER FI ORIDA PRODUCT APPROVAL O SHINGLE
FL# O M
ETAL FL# O MODIFIED
BiTumEN FL# OTORCH DOWN
FL# OINSULATED FL#
O TILE
FL# OOTHER: FIfi
CITY Of
51 1_TF®RD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I-1- 3"P8, ADDRESS: I2 _V D C_t Ht Lt_ -bIL SAK IP-
Q" , PL . '5 ';t -1-11 R-IA
10• 11 . %_C:Z3 -b A t-vn 0'K , AS A(N) GENERAL, BUILDING, RFSIDF.NTIAL, OR ROOFING CONTRACTOR,
ENGINEER, ARCHITECT, OF F.S. CHAPTER 469 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#: C_
CL 133000 COMPANY/CONTRACTOR: '
r'•'.,1%t,-Y1SS I-F•v 5 `A"1'"""'l^1 CONTRACTOR
SIGNATURE: ,
w" /(iL DATE: MUST BE
SIGNED BY LICENSE HOLD R OR OWNER/BUILDER) 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 5&-rV1t hln LE Sworn to
and Subscribed before me this day of KtO U 20 tj by: ASiJ C-%
C,0 'NNp wn"&1% . Who is)(Personally Known to me or has Produced (type of identification) as
identification. Signature of
Notary Public State of
Florida Print/Type/
Stamp Name of Notary
Public ER 11AARIA?• gUTCH
101540 MY
GOMMISSION #
GG ES May
04, 2021 a EXPIRLai: