136 Gleason Cove; 18-4096; RE-ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:19 1) Av, Documented Construction Value: $ g _ 2 5 0
Job Address: 3 6 G le r, Son C Oy 2 Historic District: Yes No Parcel
ID: 3.0 - 5'L3 " C 00 0 - (too Residential d Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: fie - roof Plan
Review Contact Person: Q ce('Lc o a, Title: ero ec- t Ine,nc,!tr Phone: '
3— Fax: Email:_i^_ eec-IiDv-N5 Q e;e roe1,n5.(A Property
Owner Information Name
L0r; I Street:
l 6 G l e 4 5 0 r, C "Qr City,
State Zip: 5 c-n f o r dJ L 321 3 Phone:
Resident
of property? : 0 W y, e c Contractor
Information Name
r\ C • 6; n '\ P 7 Phone: 32 - M 5 Street: \
V A • Fax: City,
State Zip: 6 r 1 r, n d L r L 3 2$ 01 State License No.: C CG (3 2 9 4 2 Arch
itect/Eng I neer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
1053 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code
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 Cclone in compliance with all applicable laws regulating construction and zoning.
Date
Lori R. Throne
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
oyrP Notary Public State of Florida
Brecca E Beacham
My Commission GG 191813
oc ppQ Expires 03/04/2022
Owner/Agent is ersona ly own to e or
Produced ID Type of ID
Signatuy of ontractor/Age Date
Print Contractor/Agent's Name
Signature of Not -State o Flodd ate
ilY
rNotary Public State of Florida Brecca
xocn
E
Beacham missionGG
191813My Con s0/Expire304/
2022Contractor/Agent is\
E Personally 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: Total Sq Ft
of Bldg: Min. Occupancy Load: Flood Zone: of
Stories: New
Construction: Electric - #
of Amps Plumbing - # of Fixtures Fire Sprinkler Permit:
Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: ENGINEERING:
COMMENTS: UTILITIES:
WASTE
WATER:
FIRE: BUILDING:
Name: L r- A t- Date:.
Street: City:--£ state: Zip: 7 3
Email: 6• `" _U 'ry C. 0 Home/Cell Phone: 2- 7
Re -Roof Proposal and Contract
We her y propose to furnish materials and labor. Work specified for the job locatio listed above for the contract amount herein.
1) Tear off Layer(s) of existing roofing shingles. Tear off Layer(s) of underlayment.
2)Z Rotted/Damaged wood. First $100 of wood will be credited; $50 per sheet of plywood there after. Any
fascia or planked roof decking will be replaced at an.additional $5.00 per linear ft. *Deck re -nailing
included.
3) V Install_d Layer(s) of new underlayment nailed to deck using approved "fasteners.
Type: KD
4) L Replace all Lead Boots, kitchen and dryer vents and Re -flash as needed.
5)4 Install new Eave Drip around perimeter of roof in (color): ,'- S fc C
6) J Install new (roof type) L G
Color: -
7)__L Additional Materials, services, or special instructions (ex. skylights, number, size and type
of vents): y 0 0 1; .
8) f/ Dump Fees, Permit Fees, and property clean up with roofing magnet is included
9) tt Lti (ear Warranty from manufacturer.
10)_.Year Warranty on Workmanship.
Total Cost:$ Terms: A S, f 00
5 D Roof Repair / Upgrades
Total Repair Cost:$ Terms:
Estima . 2 4.") •'r ` t - Estimator Signature:
Acceptance of this agreement may be subject to higher ma a ement'
1-- Z 7 - Re -Roof
Initial) i / / K
Roof Repair Property Owner(s):
Initial) _/—I— _
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #20181y11976 Book:9221 Page:760; (1 PAGES) RCD: 10/1/2018 1:28:05 PM
REC FEE $10.00
Permit Number:
Folio/Parcel ID #: 02-20-30-523-0000-1100
Prepared by: Janney Construction Services
C or- r; Perezl
Return to: 640 N Semoran Blvd
Orlando, FL 32807
NO- OF COMMENCEMENT
State of Florida, County of! Sev.:n012,
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 110 PLACID WOODS PH 2 PB 58 PGS 4-6
2. General description of improvement
Re -Roof
3. Owner information or Lessee information if the Lessee contracted for the improvement
Interest in Property Owner
Name and address of fee simple titleholder (if different from Owner listed above)
Address
4. Contractor — ----
NameJohn C. Janney Telephone Numbef ' 11-i:385-7663
Address 640 N Semoran Blvd Orlando, FL 32807
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienoes
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date Will be 1 year from the 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
ARA,CON31DERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 7•13.13, FLORIDA STATU T ES, ANU CAN -
RE T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
REOMDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT Y UR LENDER OR ANATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Owner
ignatureof Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The
foregoing instrument was acknowledged before me this 22 day of j), by U3Y- t I YlYQfI e mon`
fFi7n y'c aF' name of person as
Owner forte C nncln,etion Services Type
of authority, e.g., officer, trustee, attorney In fact Name of party on bohalf of whom Instrument was executed Signature
of Notary Public — State of Florida Personally
Known OR Produced ID Type
of ID Produce Print,
type, or stamp commissioned name of Notary Public \' cs7
P 4mNotary Public State of Fiorida Brecca
E Beacham My
Commission GG 191813 1
OF Expires 03I042022 ry rJ a Form
content revised: 01/23/14
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: J 0! 1/ 2
I hereby name and appoint: v r1 ' f f, c e z
an agent of: CoL' o S e f v- ce 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: 7
6 C leCA son C()\re Street
Address) Expiration
Date for This Limited Power of Attorney: () Zy License
Holder Name: 0 r. C. J a n r State
License Number: CC`j' 4m Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF 0(c, r\ The
foregoing instrument was acknowledged before me this 20f ,
by Jb, , C _ J,,,C,: to
me or who has produced identification
and who did (did not) take an oath. Notary
Seal) Notaryhli-
Stale of Florid F
da
Beachamission
GG 191813 3/
o4,ozz w.'
Rev.
I
day of Oc- fo be r who
is ,v(personally known ail' ., _
i iL l Signature
Vfca-"
Print
or type name Notary
Public - State of Commission
No. My
Commission Expires: M27— as
CITY OF
ORD Building &Fire Prevention Division
RESIDENTL4L RE -ROOF POLICY & PROCEDVRES
FIRE DEPARTMENT
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:
CITY OF
PERMIT # Sk,i'ORD
FIRE. DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 136 V e- c% S o C 0 J e
STRUCTURE TYPE: 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): p 1 y v-4 040A
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE 0 RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (§) NO 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 MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE C e (l 'e e A FL# 5 `'i I a
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
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: V I Q ADDRESS:lQ CJ tl l 1 i V
I AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCJIITECT, 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 #: I_; 2 g L J 2 17
COMPANY/CONTRACTOR
CONTRACTOR SIGNATURE
MUST BE SIGNED BY LICE
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: / ') / Y/ 11 olk-
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"o,"
Sworn to and Subscribed before me this day of D 20 1 by:
Who isPersonally Known to me or has Produced (type of
identif atio
f)
as identification.
Si ature of Notary Public Fj Notary Public State of Florida
State of Florida . AmarylsMoya
p• `My Commission GG 191831
E d Expires 03/04/2022
PrinNType/ tamp Name j
of Notary Public