461 Summerlin Ave; 18-3587; ROOFwCITY OF
AUG 2 2 2018
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 13 -'3
Documented Construction Value: $ 15,819.9.0
461 S Summerlin Ave. Job Address: Historic District: Yes No
Parcel ID': 30-19-31-525-0000-0920 ResidentiaG4 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof CertainTeed Landmark Architectural Shingles 46sq.
Plan Review Contact Person: Saundra Bracken Title: Office Manager
Phone: 407-878-3750 Fax: 407-960-2612 Email: BrianSikesRoofing@cfl.rr.com-
Property Owner Information
Name Larry Cooper Phone: 407-267-8858
Street: 461 S Summerlin Ave. Resident of property? : Yes
City, State Zip: Sanford, FL 32771
Contractor Information
Name Brian Sikes Roofing phone: 407-878-3750
Street: 1550 S HWY 1792 Fax: 407-960-2612
City, State Zip: Longwood, FL 32750 State License No.: CCC1325977
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 isherebymade 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. BC.
1.05.3 Shall be inscribed with the date of application and the code in effect as of that date: 6"' Edition (2017) Florida Building Code Revised:
January 1.2018 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 theproperty 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. Si
re of Owner/Agent Date s
Name I v-
signature
ofContractor/Agent Date Print
Conuawij!Agent's Name 1Lo,
NotaryPOW
State' of Florida 0(*N014Public State of Florida 818aCampbell Stevan
Campbell 2yc0_misaiorFF
9'S!q My CoMmissim FF 990969 00,0511012020
YExpires o6no/2020 Owner/Agent
is — / Personally Known to Me or Contractor/Agent is _',personally Known to Me or Produced ID %
N/r— Ty, pe
of ID Produced ID Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
BuildingF1 Electrical[] Mechanical Plumbing n Gasn Roof F1 Construction Type:
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 Fire Alarm Permit: YesF1 NoF] APPROVALS: ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
FIRE:
WASTE
WATER:
BUILDING: Revised:
January
1, 2018 Permit Application
THIS INSTRUMENT PREPARED BY: tal'ill l i' I:il`t 3 I1.CeI LEa C(J JhaT`r' Name: Saundra Bracken C:t...f 1kl'; 011 t .1:4,i:11) T C:r1tiF' i rL i;0)1F`TFi 1t.LEFiAddress: 1_550 S Hwy 17 92 F I{ 9170 F'q 91:1 (1.F' s )
Longwood, Fl 32750 CLERK'S AV 2013079551
RLH': "t RDI—.i,% ('!7/1:1./2,018 02 57 31. 111'
r 4*-CQ1Z1)1HC2 t EIE6 $111 00
NOTICE OF C'O NICE AAf1E BT 1:E'.t.L)RDE0 Ily hdrw.=ore
Permit Number
Parcel; ID Number. 3049-31-525-0000-0920
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)
461 SUMMERLI'N AVE SANFORD FL 32771-S 1/2 OF LOT 92 + ALL LOT
3. OWNER CONTRACTED FOR THE IMPROVEMENT -
Name and address: COOPER LARRY- 461 SUMMERLIN,AVE SANFORD, FL 32771
Interest In property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750
Address: 1550 SHwy '17 92 Longwood, F( 32750 5.
SURETY (if applicable, a copy of the payment bond is attached): Name: Address;
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 71313(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. Gam-
V. - t^-z 0-'q 4 Y" Signature
of owtWor Lessee; or Owner's or Lessee's (Print N and Prov de Signatory TNIeMffice) AuUmdzedOfficer/Director/Partner/Manager) state
Of- , _ _ :County of riJO f The
foregoing Instrument was acknowledged before me this _ 2 7 +w D day of j yNL byr4
Who is personally known tome Q OR ante
or Person making sta.mant n
who
has produced Identification, pe of identification producec Notary
Public State of FWkla WOPSteven
Campbell My
CommissionFF f 90 OExplt*30611012026
1550 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 Fax: (407) 960-2612
Remove cxisting.shingle roof and underlayrnent to expose decking. 46 60.00 2,760.00
Remove seamless aluminum gutters from around entire perimeter of roof.
All damaged plywood decking if any Will be determined at completion of tear off and will be replaced at a rate
of $60.00 per 4x8 sheet. (Price includes labor and materials.)
Additional darnaged wood if any will be determined at completion of tear off and will be replaced at a rate of
55.00 per hour and the cost ol'thaterials.
Install 2 1/2in. 8D Rink Shank coil nails along all trLiSsesevery six inches to properly secure decking. 46 10.00 460.00
Install one layer of Synthetic underlaynient over entire 5/12 pitch roof, 46 45.00 2,070.00
Install 2 1/2in. galvanized cave -drip aroundentire perimeter of' roof' (Rave drip will have a baked enamel 400.00 400,00
finish) WL-*e
Install peal n s
I
eal and valley metal in all valleys. 2 100.00 200.00
Install three Oft. off -ridge vents. 3 40,00 120.00
Install one 4in. exhaust vent. 1 20.00 20.00
1 ristal I one I Oin. exhaust vent. 1 20.00 20.00
Install four 2in. lead boots. 4 15.00 60.00
ffistall. one 3in. lead boot. 1 20,00 20.00
Install one Retrofit boot around electric,pole. 1 40.00 40.00
Properly fasten and sea] flashing along all walls, eaves, valleys, vents, and boots.
Install limited lifetime CertainTecd Swiftslart starter shingles with a wind resistance of tip to 130 MPH. 1 175.00 175.00
Install limited lifetime CertainTeed Landmark architectural shingles with a wind resistance of Lip to 130 MPIL 4334 210.00 9,101.40
Shingles installed with six nails per shingle. ajor,,,A 15 1,N V <,
Install limited lifetime CertainTeed Sbadowridge hip and ridge shingles with a wind resistance ol'up to 130 1.66 225.00 373.50
MPI 1,
Ground will be swept with a magnet atthe end of each working (lay. Clean
entire work area and haul Away all deb6s. 7
YEARLf,-'AK WARRANTY (LABOR,AND MATERIALS) Price includes
labor, materials, taxes and all permitting fees. Contractor shall
provide all releases of lien from contractor, subcontractors, and material suppliers. TOTAL$15,
819.90 XEPTANCE OF
PROPOSAL is Proposal
is approved and accepted. There are no oral agreements. The written terms, scificatioris, provisions,
prices and plans (if any) are the entire agreement. Changes will be X You, the
Buyer, may cancel this transaction at any time prior to midnigiff of the third business day after the date of this
transaction. See Owner's Right to Cancel on the reverse side for details.
City of Sanford
Building and Fire Prevention
Permit#
Project Location Address 461 S. Summerlin Ave, Sanford, FL 32771
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.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
DescrioLlog
Florida Approval #
Include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
UpRQII
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
HungDouble
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category/Subcategory Manufacturer Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts _
Curtain Walls
Wall 'Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles CertainTeed Landmark FL5444-R13
Underla ments Mid -States Quick -Felt FL17188-R2
Grip -Rite 8d Rink Shank Coil Nails F1667-95Roofing,Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Builtup roofing System
Modified
Bitumen Single
Ply Roof Systems
slate
RoofingCements/
Adhesives/
Coating
Liquid
Applied Roofin
Systems Roof
Tile adhesive
Spray
Applied Polyurethane
Roofing
E.
P.S. E.P.S. Roof Panels
Roof
Vents Other
June
2014,
Category Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
6. Shutters
Accordion
Bahama
Colonial
UpRQII
Equipment
Other
6. Skylights
Skylights
Other
T. Structural
Components
Wood Connectors
Anchors
Truss Plates
Engineered,Lumber'
Railing
Coolers/Freezers
AdmixturesConcrete
LintelsPrecast
FormsInsulation
Plastics
RoofDeck
Wall
ShedsPrefab
Other
8. New Exterior
ProductsEnvelope
Applicant's Signature
Applicant's Name Sives
Please Print)
June 2014
County Bonds
SCPA Parcel View; 30-19-31-525-0000-0920
PXop! rty jjp2Td f 4ar
j Parcel: 10-19411 25- 000-0920
Property Address: 461 SUMiviERLIN AVE .,AN 0 kD, FL 32771
Value Summary
5-0000-0920 2018 Working 2017 Certified
Values
ARRY
Values
Valuation Method Cost/Market Cost/Market
ERLIN AVE SANFORD, FL 32771
Number of Buildings 1 1
ERLIN AVE SANFORD FL 32771-
Depreciated Bldg Value $166,819 163,965
Depreciated EXFT Value $8,800 6,000
RD Land Value (Market) $44.676 39,420
FAMILY
Land Value Ag
TEAD(2014) it$220,295 199,385
Portability Adj92-
Save Our Homes Adj $56,217 38,682
Amendment 1 Adj $0
P&G Adj $0 0
Assessed Value $164,078
35 . _.
160 703
Tax Amount without SOH: $3,008.00
lL?11 tax L3i{{ Amount $2,272.00
Tax E timalor
Save Our Homes Savings: $736,00
Does NOT INCLUDE Non Ad Valorem Assessments
s' Assessment Value Exempt Values Taxable Value
164,078 50,000 114,078
164,078 25,000 139,078
164,078 50.000 114,078
164,078 50,000 114,078
164,078 50,000 114,078
Sales
Description Date
WARRANTY DEED1/1/2013
WARRANTY DEED 8/1/1988
j WARRANTY DEED 7/1/1984
WARRANTY DEED 111/1974
Moai
Land
Method
I FRONT FOOT & DEPTH
FRONT FOOT & DEPTH
Book Page Amount Qualified Vac/Imp
ttl t; i ,74 169,500 Yes Improved
OtrM 0!'! 95,000 Yes Improved
015.(> 1rt 100 No Improved
L11(1211 LQs 43,500 Yes _. Improved
Frontage Depth Units Units Price Land Value
60.00 80.00 0 340.00 14,688
90.00 138.00 0 340.00 29,988
Building Information
http://parceidetail.scpafl.org/ParcelDetail Info.aspx?Pl D=30193152500000920 112
6/21/2018 SCPA Parcel View: 30-19-31-525-0000-0920
is 3 ci I c120rrf rt > CcHere, I
Year
Built DescnpUanActual/
Effective Fixtures Bed I BatBase h AreaTotal SF I Living SF ' Ext Wail Adj Value Repl Value Appendages j I SINGLE
197211977 6 FAMILY 4
2.
0 1,621 3,555 2,371 SIDING $166,819 $208;524 Description i Area GRADE 3_.
BASE 600.
00 i DETACHED i
UTILITY
266 00 FINISHED ENCLOSEDl
1
PORCH
150.00 l ' 1 FINISHEDGARAGE800
00
3 FINISHED
i OPEN
1' i
PORCH 96.00 ; FINISHED Permits
i
Permit # ,
Description Agency ro Amount
CO
Date Permit Date l j
i
02974
REROOF SANFORD 4.500 9t1/1997 i PaMill
data
does not orighrstafrom the Seminal. County Property Appraiser's office. For details at questions concerning a permit, please contact the building department of the tax district in which the properly U loeatod. i Extra Features
Description I
Year Built Units Value New Cost ii POOL1
12l1/
1979 1 $8,400 14000 COVERED PATIO
1 12(1t1979 1 $400 1 000 HHi http://pareeldetail.
scppfl.org/Parcel Detail Info.aspx?P[D=301 93152500000920 2/2
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . .
Property Address . . . . . .
Parcel Number
Application description . . .
Subdivision Name . . . . . .
Property Zoning . . . . . . .
18-00003587
461 SUMMERLIN AVE
30.19.31.525-0000-0920
ROOFING APPLICATION
FORT MELLON
SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Date 8/23/18
Additional desc .
Phone Access Code 1073147
Permit pin number 1073147
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
CITY OF
Sjk 4FORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. v ISSUE DATE: •
CONTRACTOR: tl"tJOBADDRESS:
e
TYPE OFMORK: r
PROTECT FRI 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
FOFCTION TYPE APPROVED REJECTED
INSPECTORLROOF
FAILUREFTO
FOLLOW THE RESIDENTIAL EE
AND MAY REQUIRE N AFFIDAVIT, SIGNED GNEDAND SEAF POLICY & L ED,
FROM CEDURES
A REGISTERED FLORIDA DESIGN PROF SSIONALLL RESULTINAFAILEDINSPECTION, A ECTION 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 PUBLICRECORDSOFTHISCOUNTY, 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 Inspection
Line 407.792.6069 or 855.541.2112 REVISED:
4-17
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
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
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
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS—N4--PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITHAN 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 Comoro NIUM) 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) o
DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) a
EACH PLANE OF THE ROOF, SHOWING:THE UNDERLA'YMENT 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) b
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 OWNEWBUILDER) SIGNATURE: ,s "" - DATE:
PERMIT #
ems: City of Sanford Building Division
Residential Re --Roof Scope of Work
Jon ADDRESS: 461S Summerlin Ave. Sanford, FL 32771 STRUCTURE
TYPE; (3} SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE I OME 0 APARTMENT/CONDOMINIUM RE -
Roof TYPE: (3) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF). DECK
TYPE (PLEASE SPECIFY): Plywood PLEASENOTE:'
ONLYI##SQUARE FEET OFTPIE.EXISTING DECKISPERMUTED TO BE REPLACED** ROOF
VENTILATION: (8) OFF -RIDGE O RIDGE OSOFFIT {,POWERED VENT QTURBINES SKYLIGHTS:
0 YES (3) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MA
w ROOF AREA ROOF
SLOPE: Q' LESS THAN 2: I2 0 2:12 - 412' (g) 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA: PRODUCT APPROVAL t
SHINGLE GertainTeed Landmark FL# FL5444-R13 Q
METAL FL# Q
MODIFIED BITUMEN FL# TORCH
DowN FL# QINSULATED
FL# QTILE
FL# 00THER
FL# LO-
OF EXTENSIONS (PORCHES, PATIOS ,ETO **IFAPPLIC.AB.LE** ROOF
SLOPE; 0 LESS THAN 2:12' 0 2 I2 - 4:12 0 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q
SHINGLE FL# METAL
FL# 0
MODIFIED BITUMEN FL# a
TORCH DOWN FL# QINSULATED
FL# QTILE
FL# OOTHER:
FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: led - 3S S-j ADDRESS: N6 1 S Se7men rr 1, -n Pic
5AII,(.J 32-77 1
I Brian Sikes AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
FING C0—Nfia-C—TO-J10 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).
LICENSEM CCC1325977
COMPANY/CONTRACTOR: Brian Sikes Roofing/ Brian Sikes
CONTRACTOR SIGNATURE: ® DATE: q• 116 1I -d
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 Seminole
Sworn to and Subscribed before me this ay of —> 20 by:
Who is Personally Known to me or has Produced (type of
identification)
Sign ure of Notary Public
State of Florida
Steven Campbell
Print/Type/Stamp Name
of Notary Public
as identification.
R Notary Public State of Florida
Steven Campbell
My Commission FF 990959
Expires 05/10/2020