108 Pamala Ct; 18-3909; RE-ROOFFORO 1CITY OF
Fsr.ts7
SEP 13 2018 PERMIT APPLICATION
1-1/v
q qoqApplicationNo: o
Documented Construction Value: $ 1_
7()
IS
Job Address: 0!82.U la U.i Historic District: Yes No]
Parcel ID: 3 - 9 — 3 0 - 12 - D000- 005 U Residential 19Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: _'(`il,,e QU_\V_Zk\ Title: cns
Phone: A67- %0 ' 5 33 Fax: Email: m ess w W XRCF L COnrn
Property Owner Information
Name Q F(R Phone:
Street: t C (1fYlLUQ(1 11 Resident of property?:
City, State Zip:
Contractor Information
Name Phone: b rqroU-5933
Street: Fax:
City, State Zip: S d FL 3;Z.11 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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.
gio,i3
l 5G1. 3 2.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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
9/13hlod-
Sig'
nnaatture
of Contractor/Argent Date
FY IigS Q bll'
Prin
C
ntractor/Agent's Name
Signature of Notary -State of Florida Date Signatur[
Wi i
oq-,, a e gNNETTE h1 BWtiD
Notary Public — State of Florica
Commissior = GG t 7C9CQ
My Com r. Expires Jan t6 ZC22
5cn
CF.
ceC :hrc c V c^ vc. a
Owner/Agent is Personally Known to Me or Contr
Produced ID Type of ID 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:
New Construction: Electric - # of Am
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
to Me or
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County FL
Inst #2018102073 Book:9205 Page:823; (1 PAGES) RCD: 9/712018 10:41:06 AM REC FEE $
10.00 THIS INSTRUMENT
PREPARED BY: Name: CLAUDIA
P. FLORES Address: NOTICE
OF
COMMENCEMENT Permit Number.
Parcel ID
Number. 33-19-30-512-0000-0050 The undersigned
hereby gives notice that improvement will be made to certain real property, and in following information
is provided In this Notice of Commencement 1. 4EAV *
UQN jqF.PRQPPgj Yp eqa) dA _ Rion of the property and street address if available 2. GENERAL
DESCRIPTION OF IMPROVEMENT: RE -ROOF
3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and
address: CLAUDIA P. FLORES 108 PAMALA COURT, SANFORD, FLORIDA 32771 Interest in
property. Fee Simple
Title Holder Of other than owner listed above) Name: A,,.,- _ 4.
CONTRACTOR:
Name: XRC, LLC Phone Number. 4U 1-U0U-Otias Address: 4019
W 1st STREET, SANFORD, FLORIDA 32771 5. SURETY (
if applicable, a copy of the payment bond is attached): Name: Amount of
Bond: Address: 6.
LENDER:
Name: Phone Number. Address: 7.
Persons
within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(
1)(a)7., Florida Statutes.. Name: Phone
Number.
Address: 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 IMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. CLAUDIA P.
FLORES Signature of
Own Leases, or Owner's or Lessees (Print Neme
and Provide Signatorys TWOftice) Autlwdzed 016cedDlrectorlPartnerAbnager)
1 _ State
of
I 1&V L,XA County of11Y1A11L/ The foregoing
instrument was acknowledged before me this day of 0 f 20 IR by mWho
Is
personally
known to megOR Name of person
makttg sNNrtant . `^ Gl `S C
0 who has produced
identiticatioriX ype of identification produced: r - RUTH-ANN
RUBIN
NOTARY PUBLIC [ a ,.
STATE OF
FLORIDA 3 Comm* GG15g793
N0181ji SIQOatury t
Expires 11/
13/2021
CITY OF
S ORD Building & Fire Prevention Division9RESIDENTIALRE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ADDRESS: 1() 9 ?nmala ptL.
I A I kocmqwL, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINE CHITECT, 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 #: C C C 1 --5 a 11()
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
i=-z)_o I rn
MUST BE SIGNED BY LICENSE HOLDER 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 ( IQ,
Sworn to and Subscribed before me this `
4
day of 20 A& by.
1 11,1 t tQ Q Who isKPersonally Known to me or has Produced (type of
ide tification) as identification.
RUBIN
Signature of Notary Public 1
N
T-ANN
State of Florida
NOTARY PUBLICLtC
ESTATE OF FLORIDA
Comm# GG159793
UJf I N E 195% Expires 11/13/2021
Print/Type/Stamp Name
of Notary Public
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: _! DA Q_() y a
I hereby name and appoint: U
an agent of:
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: U'(L
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 1 1` day of ,
201 & by mAolk) ' OAS who is personally known
to me or who has produce
identification and who did (did not) take an oath.
4L)
Signature
Notary Seal) Alnln uklyl
RUTH-ANN RUBIN Print or type name
NOTARY PUBLIC
STATE OF FLORIDA
i Comm# GG159793
Expires 11/13/2021
Rev. 08.12)
Notary Public - State of
Commission No. G
My Commission Expires: 11
DIM
P1_ Xtreme hoofing & Construction
remft_ 4019 West 1st Street
h-
Sanford, Florida 32771
CGC 1511861 CCC 1329126
FLORES_53197
FLORES_53197
DESCRIPTION QTY RESET REMOVE REPLACE TAX TOTAL
Eagle View Pictometry was used as a basis for the construction of this claim
Total: FLORES 53197 0.00 0.00
Roof
DESCRIPTION QTY RESET REMOVE REPLACE TAX TOTAL
1. Remove 3 tab - 25 yr. - 23.99 SQ 50.76 0.00 0.00 1,217.73
composition shingle roofing - incl.
felt
Our roofing crew will be doing the tear -off. not a demolition crew. Unit pricing updated from DMO to RFG.
2. 3 tab - 25 yr. - comp. shingle 27.67 SQ 0.00 212.90 160.96 6,051.90
roofing - w/out felt
This house has a hip roof. The industry standard minimum waste for hip roofs is 15%. Also, the industry standard minimum waste percentages
specifically exclude ridge cap and starter materials in their waste calculations. Ridge cap and starter must be billed separately.
Per EagleView wording exactly (can be found on the report summery page of every EagleView): "The waste factor is subject to the complexity of
the roof, individual roofing techniques and your experience. Please consider calculating appropriate waste percentages. Note that only roof area is
included in these waste calculations. Additional materials needed for ridge, hip, valley, and starter lengths are not included.
3. Asphalt starter - universal starter 187.00 LF 0.00 2.29 7.85 436.08
course
4. R&R Ridge cap - composition 100.50 LF 2.99 4.34 6.97 743.64
shingles
5. Roofing felt - 30 lb. 23.99 SQ 0.00 40.75 21.73 999.32
6. Re -nailing of roof sheathing - 2,399.00 SF 0.00 0.27 3.36 651.09
complete re -nail
7. Remove Drip edge 244.00 LF 0.37 0.00 0.00 90.28
8. Drip edge 244.00 LF 0.00 2.47 12.13 614.81
9. Remove Continuous ridge vent - 30.00 LF 1.12 0.00 0.00 33.60
aluminum
10. Continuous ridge vent - aluminum 31.50 LF 0.00 8.78 6.48 283.05
11. Remove Flashing -pipe jack -lead 3.00 EA 6.68 0.00 0.00 20.04
12. Flashing - pipe jack - lead 3.00 EA 0.00 71.05 7.57 220.72
13. Remove Exhaust cap - through 3.00 EA 8.54 0.00 0.00 25.62
roof - up to 4"
14. Exhaust cap - through roof - up to 3.00 EA 0.00 80.53 5.16 246.75
4"
15. Detach & Reset Gutter / 45.36 LF 2.91 0.00 0.00 0.00 132.00
downspout - aluminum - up to 5"
16. Taxes, insurance, permits & fees 1.00 EA 0.00 0.00 0.00 0.00
Bid Item)
FLORES_53.197 8/24/2018 Page:2
jP!__ Xtreme Roofing & Construction
tB 'QIIE
4019 West 1st Streetaoorayatantructlon
Sanford, Florida 32771
CGC 1511861 CCC 1329126
CONTINUED - Roof
DESCRIPTION QTY RESET REMOVE REPLACE TAX TOTAL
17. Dumpster load - Approx. 20 yards, 1.00 EA 488.22 0.00 0.00 488.22
4 tons of debris
Totals: Roof
Addendum
232.21 12,254.85
Roof
DESCRIPTION QTY RESET REMOVE REPLACE TAX TOTAL
18. R&R Valley metal 9.00 LF 0.56 5.49 1.01 55.46
R905.2.8.2 Valleys.
Valley linings shall be installed in accordance with the manufacturer's installation instructions before applying shingles. Valley linings of the
following types shall be permitted:
1. For open valleys (valley lining exposed) lined with metal, the valley lining shall be at least 16 inches (406 mm) wide and of any of the
corrosion -resistant metals in Table R903.2. I.
2. For open valleys, valley lining of two plies of mineral surfaced roll roofing, complying with ASTM D 3909 or ASTM D 6380 Class M, shall be
permitted. The bottom layer shall be 18 inches (457 mm) and the top layer a minimum of 36 inches (914 mm) wide.
3. For closed valleys (valley covered with shingles), valley lining of.one ply of smooth roll roofing complying with ASTM D 6380 Class S and at
least 36 inches wide (914 mm) or valley lining as described in Item I or 2 above shall be pennitted. Self -adhering polymer modified bitumen
underlayment complying with ASTM D 1970 shall be permitted in lieu of the lining material.
19. R&R Flashing,14" wide 7.00 LF 0.56 3.87 0.52 31.53
R903.2 Flashing.
Flashing shall be installed in a manner that prevents moisture from entering the wall and roof through joints in copings, through moisture permeable
materials and at intersections with parapet walls and other penetrations through the roff plane.
R903.2. ILocations:
Flashing shall be installed at wall and reef intersections, wherever there is a change in roof slope it direction and around roof openings. Where
flashing is of metal, the metal shall be corrosion resistant with a thickness of not less than provided in Table R903.2.1.
20. Step flashing 16.00 LF 0.00 10.34 1.51 166.95
R905.2.8.1 Base and counter flashing.
Base and counter flashing shall be installed as follows:
1. In accordance with manufacturer's installation instructions, or
2. A continuous metal minimum 4-inch by 4-inch (102 mm by 102 mm) "L" flashing shall be set in approved flashing cement and set flush to the
base of the wall and over the underlayment. Both horizontal and vertical metal flanges shall be fastened 6 inches on center with the approved
fasteners. all laps shall be a minimum of 4 inches fully sealed in approved flashing cement. Flashing shall start at the lower portion of the roof to
ensure water -shedding capabilities of all metal laps. The entire edge of the horizontal flange shall be covering all mail penetrations tith approved
flashing cement and membrane. Shingles shall overlap the horizontal flange and shall be set in approved flashing cement.
Base flashing shall be of either corrosion -resistant metal provided in section R905.2.8.1 or mineral surface roll roofing weighing a minimum of 77
pounds per 100 square feet. Counter flashing shall be corrosion resistant metal with a minimum thickness provided in table R903.2. 1.
Totals: Roof 3.04 253.94
Total: Addendum 3.04 253.94
FLORES_53197 8/24/2018 Page:3
rv'i Xtreme Roofing & Construction
treme
17- RwfiN 6 CmetrucLm 4019 West 1 st Street
Sanford, Florida 32771
CGC 1511861 CCC 1329126
Labor Minimums Applied
DESCRIPTION QTY RESET REMOVE REPLACE TAX TOTAL
25. Gutter labor minimum 1.00 EA 0.00 64.22 0.00 64.22
Totals: Labor Minimums Applied 0.00 64.22
Line Item Totals: FLORES_53197 235.25 12,573.01
Additional Charges Charge
Permit 450.00
Additional Charges Total $450.00
FLORES_53197 8/24/2018 Page:4
Xtreme Roofing & Construction
i?Plle
4019 West 1st StreetGam" eAr&Camtructlon
Sanford, Florida 32771
CGC 1511861 CCC 1329126
Summary
Line Item Total 12,337.76
Permit 450.00
Material Sales Tax 235.25
Replacement Cost Value $13,023.01
Less Deductible (3,940.00)
Net Claim $9,083.01
Kari Patterson
FLORES_53197 8/24/2018 Page:5
9/5/2018
r
Jotmsar, CFA
SEna EODurtYr,
Parcel Information Information
SCPA Parcel View: 33-19-30-512-0000-0050
Property Record Card
Parcel: 33-19-30-512-0000-0050
Property Address: 108 PAMALA CT SANFORD, FL 32771
Parcel 33-19-30-512-0000-0050
Owner(s) FLORES, CLAUDIA P
Property Address 108 PAMALA CT SANFORD, FL 32771
Mailing 108 PAMALA CT SANFORD, FL 32771
Subdivision Name PAMALA OAKS
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2013)
Legal Description
LOT 5
PAMALA OAKS
PB 47 PG 46
Taxes —
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method i Cost/Market 1 CostlMarket
i
Number of Buildings 1 1
Depreciated Bldg Value j $126,451 1$109,276
Depreciated EXFT Value 425 438
Land Value (Market) 30,000 j $23,500
Land Value Ag
Just/Market Value ** 156,876 133,214
Portability Adj j
Save Our Homes Adj 63,591 41,848
Amendment 1 Adj -- 0
i
P&G Adj 0 0
Assessed Value i $93,285 91,366
Tax Amount without SOH: $1,748.00
2017 Tax Bill Amount $951.00
Tax Estimator
Save Our Homes Savings: $797.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 93,285 50,000 43,285
Schools 93,285 25,000 68,285
City Sanford 93,285 50,000 43,285
SJWM(Saint Johns Water Management) 93,285 50,000 43,285
County Bonds 93,285 50,000 i 43,285
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUITCLAIM DEED 10/1/2002 04557 1858 i $100 No i Improved
FINALJUDGEMENT 12/1/1998
j_._-------------------
j 03556 0566 100 No Improved
SPECIAL WARRANTY DEED 11/1/1996 03166 0668 77,400 Yes Improved
WARRANTY DEED 9/1/1996 03126 1749 18,000 1 Yes Vacant
Flnd Comparet la Sam I
Land
Method Frontage I Depth Units I Units Price I Land Value
LOT 0.00 0.00 j 1 30,000.00 30,000
1 Building Information
Is Bed/Bath count incorrect? Click Here. _----
Description Year Built Fixtures Bed Bath Base Area Total SF I Living SF I Et Wall Adj Value I Repl Value Appendages
http://parceldetaii.scpafl.org/ParcelDetailInfo.aspx?PID=331 93051200000050 1 /2
CITY OF
S_________0RD
FIRE DEPARTMENT
o
JOB ADDRESS: \ 13
PERMIT # ] d -JAR Q
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
rin
STRUCTURE TYPE: 6 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: W REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): I
PLEASE NOTE: ONLY 100 SQUARE OF THE EXISTING DEC%IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: O OFF -RIDGE 00 RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES ANO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 ()2:12 - 4:12 IX4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# 4 -
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
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#
TORCH DOWN FL#
INSULATED FL#
OTILE FL#
O OTHER: FL#
CITY OF
Sa® Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
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 1S 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: 9 11 ;I ao 1 B
o
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: Ci1YlC11[2_ L.0 I 1 VI+_
I M&j6y A.Q nolL , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEEIRjkRCHITECT, 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 CODEREQUIREMENTS - 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 (. L '-5 a q 1 Ito
COMPANY/CONTRACTOR: 7C RCS
DATE:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER 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 DECKFOREACHINSPECTION. 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 day of _ 20 kP) by:
Who isyPersonatly Known to me or has Produced (type of
ide tification) as identification.
RUTH-ANN RUBIN
Signature of Notary Public NOTARY PUBLIC
State of Florida a '+STATE OF FLORIDA
R,'"" 2 Comm* GG159793
l N11i1 J\i N E AS Expires 11/13/2021
Print/Type/Stamp Name
of Notary Public