123 Shannon Dr; 18-3539; RE-ROOFCITY OF
S&4F ORD PERMIT APPLICATION
BUILDING DIVISION40 Application No:
Documented Construction Value:
Job Address:Historic District: Yes No°®
Parcel ID: Ql'" -LQ • Z7 ><ii O Residential E Commercial
Type of Work: New Addition] Alteration Repair [IDemo Change of Use Move
Description of Work
Plan Review Contact Person• e— l-~9—RA0-nQ-
Phone: W7 •<PI15 - 16 Y % ,Fax:Dh & O Email. En lp n D < < +00 rCZ-5-'r i
Property Owner Information
Nam Phone:
Street: la3 ghQr)rjm J. Resident of property?:
City, State Zip: r-d ; • `
Contractor Information
NID
Name `` DQ `OC r- Phone:4 73 9- j 5y`_
Street: 'ti a L 03 Fax: qW, "`-
City, State zip: bt S q State License No.:_,CjjCz)63 / D
Name. N
Street:
City, St, Zip:
Bonding Company: N kk
Address:
Architect/Engineer Information,
Phone:
Fax:
E-mail:
Mortgage Lender:- 0
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A, NOTICE OF COMMENCEMENT MAY RESULT 1N Y01UR 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: 6th Edition (2017) Florida Building Code
IYUTICZ: 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.
Print Owner/Agent's Name
Z/
Signature o&-State of Florida Date
5%nature of Contractor/Agent Date
Print Contractor/Agent's Name
Signat ry-State of Florida Tate
Owner/Agent is -__X_ Personally Known to Me or Contractor/Agent is h— Personally Known to Me or
Produced ID Type of ID Produced ID Type o IUD
O`
Plor,; , n,;,icStojeofFtarltla
l GrossyiA'PC l ISSIOXI PNI OIDS BELOW IS FOR OFFICE USE O TI, ,,` MY `,'
P .,',
ec zozo asaese
i, EXPIRES:-Maro2Q11119
pes'o:ADAd aOtClfgtdt}td:tlltet '"w'.''er,"°y,aq
Permits Required: Building ElElectrical 0 Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of ,A,mps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes [I No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
w f`
City of Sanford
r Building and Fire ]Prevention
Product Approval Specification Form
Permit #
Project Location Address Ia3 OLnrn;) Q_
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 guilding'Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding :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 Florida Approval #
Description (include decimal
1. Exterior Doors
Swigging
Sliding'
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
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Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018 96541 Book:9196 Page:i 137; (1 PAGES) RCD: 8121/2018 :16:07 PM
REC FEE $10-00
THIS INSTRUMENT PRE VM T® . I mo+
Name:_ llL Y G
Address: . v\l.s 5
ORLANDO FL32M
NOTICE OF COII MEOEMENT
State of Florida
County of Seminole tt
Permit Humber:
Parcel ID Number.0t C710 -J7' The
undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter713, Florida Statutes, the following Information Is provided in this Notice of Commencement. OF
Address:
bi 1--D* 10 " Fee
Simple Title holder (if other than owner) Name: Address:
1
Address:
Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(7)(b), Florida Statutes, Name:
Address:
of In
addition to himself, Owner Designates To receive a copy of the Lienat's Notice as Provided in Section
713.13(1)(b), Florida Statutes - Expiration
Date of Notice of commencement (The expiration date is 1 year from date of recording unless a different
date Is specified) NVARNlNG
TO Ot_., ER: ANY PAYMENTS MADE BY THE OWNER AFTER THE ExPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, LrINYOURPAYINGTWICEFORFLORIDANOTICE
OF COMPERTY. A
ES.
AND GNT MUST BE RECORDRESU ED
AND
POSTED ONR HE JOSITE BEFORE ENTS To
YOUR THE FIRST INSPECTION. IF
YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Under penalties
of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the
b f my knowledge and belief.i pwners Printed
Name owners Signature
Florida Stature
713.13(t){g?:'The owner must sign the ratite of commencement and no one else may be permitted W sign in his or her s 4- SP State
of
County of _':Sl The foregoing
instrument was acknowledged before me this day of by c
Name or
person mffidng statement Who I$
personalty known to me OR who
has produced identification type of identification produced: Starr TRACY
L 90Ctii EON 14'u'
t
tYppAlN
SIOI;;.fF3MOS XPlf#S:
Marc[ # 2 q f'ar+
BondedtliluBgdgdtfobry5errkn
Category/Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Oth er
S. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
June 2014
Holida roValProductAVsU5eR; Pvbse userPRRPlh
APPlitetlon
crud A _ val nu s vro
FL *
APPlicatlon Type
Code Version
Application Status
comments
Archived
Product Manufacturer
Address/Phone/Emall
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Small
Category'
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence Of Product Standards
FL2533-R19
Revision
2017
Approved
CertainTeed Corporatlon-Roofing
20 Moores Road
Malvern, PA L9355
610)893-5400
mark.d.harner(gsaint-gobain-com
Mark Harrier
mark.d.harner®saint-gobain.com
Mark D. Harrier
1B Moores Road
Malvern, PA 19355
610) 6S1-5847
Mark. D.Harner()saint-9obain.corn
Roofing
Modified Bitumen Roof System
Evaluation Report from a Florida Registered Architect or a Licensed Flarlda
Professional Engineer
4. , Evaluation Report - Hardcopy Received
Robert Nieminen
PE-59166
UL LLC
03/09/2020
ohn W. Knezevlch, PE
61 Validation Checklist - Hardcopy Received
LdCd 8
ASTM D6162
2008
2008
ASTM D6163
2011
ASTM D6164
2011
ASTM 06222
20 09
ASTM P6509
2 12
FM 4470
1 11FM4474
hops;llwww.floridabuilding.orglprlpr_app_dtl.aspx?param=wGEVXQMDgvweiwRFXRVHOHSbalV%2f8EtfOKaMJBDZjrs19i1JrEkrQ%3d%3d l.
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CITY OF
SkNFORD pp
BUILDING DIVISION Building & Fire Prevention Division
Re -Roof Permit Card
It Awft
PERMIT NO. , ISSUE DATE:
CONTRACTOR: %• V Rooft.464
JOB ADDRESS: 4 a, V
TYPE OF WORK: Ae&lo
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
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
Building & Fire Prevention Division
RE'SIDEATIAL RE -ROOF 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 T -m JOB SITE.
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL By THE
SANFORD RISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A F L ROOF INSPECT -IONINSPECTION 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 SHALT, 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 DI? VICE OR RULER)
O DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
0 SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SK'YLIGHTS (IF APPLICABLE)
0 DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
0 DIGITAL 13HOToGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROUSSIONAL (ARCIDTECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
PERMXT #
Building & Fire ,Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: 4 SINGLE FAMILY RESIDENCE/TOWNHOUSE p MOBILE HOME p APARTMENT/CONDOMn'JIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: O.NZY 100 SQUA.R,E FEET OP TJ UXrSTING DECK IS PERMITTED TO ZtE ItEPLACBD Rib
ROOF VENTILATION: Q OFF -RIDGE O RIDGE JOSOFFIT OPOWERED VENT OTURZ wEs
SKYLIGHTS: O YES (D NO IF YES, PLEASE PROVIDE FLORIDA PRODucT APPROVAL # :
ATN A...
ROOF SLOPE: O LESS THAN 2:12 02' 12 - 4:12 Q 4:12 OR OREATra
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAI. FL#
O MODIFIED BI IUMEN FL#
O TORCH DOWN FL#
OINSULA,TED FL#
OTU.F FL#
O OTHER: FL#
O 0 F EMNSIONS (PORCHES PATIOS NTC) it"IF APPMCAELE
ROOF SLOPE: O LESS THAN 2' 12 0 2:12 - 4:12 O 4' 12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O M13TAL 1~L#
MODIFIEDBrrUMYN l Iir"Q,-rC FL# . a • '--r
O TORCH DOWN FL#
O INSULATED FL#
OTRZ FL#
0 OMR' FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
55.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 18-00003539 Date 8/22/18
Property Address . . . . . . 123 SHANNON DR
Parcel Number . . . . . . . . 01.20.30.517-OCOO-0080
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . SOUTH PINECREST
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1073170
Permit pin number 1073170
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/_
ITT O
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 3s3 ADDRESS: Qa3-
I L e_6 "cc_ '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 #:
COMPANY / CONTRACTORS v 4 Ii
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: U6 / V
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 I
Sworn to and Subscribed before me this a day of l X I tC 20 11 by:
identification)
Signature of Notary Public
State of Florida
mtj it , _ .4O ro
Print/Type/Stamp Name
of Notary Public
Who is Personally Known to me or has Produced (type of
as identification.
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