101 Placid Woods Ct 17-397 RoofEIV CITY OF SANFORD
FEB 9 2 17 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Inc, 4 Application No: Jq
4
Documented Construction Value: $ O &9
Job Address: 0 &C(izt4l" Historic District: Yes Nok
Parcel ID: 01 " 0 30 5-a O 0 z00 Residential Commercial
Type of Work: New Addition Alt ration Repair Demo ElChange of Use ElMo e
Descrip '
r,
on olf Work: Ll3,,, t
Plan Review Contact Person: _ K
Phone:%-7` 1.% Fax:
t.,,t_. Title:
Email:Allhe_PGI fVe- CA-2 too i G/h-1
Property Owner Information
Name Phone: 7 — -3, (/V - 9 9 7
Street: % i Gc G! S• Resident of property? : S
City, State Zip: S
Contractor InformationItn
Name /4 C 1- CPhone: ,/l Lf 4 7'7 1. / Street: ,
7
Fax:
City,
State Zip: /Il X -i 3 Z L State License No.: eCG / 33 a-3 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: 51" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit
Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, 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 1 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 ai the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Print ntractor/Agent's Name
Signature of Notary -State of Florida Date Signattii BLANTON
at
Rt 1 Y
MY comki ION 0 I'F 178618
o EXPIRES: February 25, 2019
Bonded Thru Notary Public Undennilea
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally I rt n to Me or
Produced ID Type of ID Produced ID Type ID /
3/a y
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
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: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015
Permit Application
v•..
ATLANTIC
Roofing & Construction,.,,.
LIC # CCC1330939
LIC # CRC13314,15
PROPOSAL SUBMITTED TO
STREET
Ins. Co.. ,7 V' C" l tT
Licensed & Insured (
First in Oualiry Tel.# U
First in Service
A First in Satisfaction Claim # -7G01 K
800-411-0920 Adj, Name
6767 Hoffner Avenue Tel. # Orlando, Florida 32822
Evra 5 , co on
w t01 T35ff5 = 0 -07 0
JOB #
DATE
CITY, STATE, ZIP L =73 SUBDIVISION
VcFe
HOME PHONE N0 2 3 (!I-''yi -7— BUSINESS PHONE
SPECIFICATIONS FOR LABOR AND MATERIAL
QTear Off Shingles: Layers
D
EB Professionally Install: Brand r i G( 1 Type 4e 0. Color
G/New Valleys Ft
ErInstall: O 30 lb. Felt O Peel & Stick 121 Synthetic Undedayment G(
Reseal, sidewalls, counter and wall flashings O Re -Use Drip Edge [a Drip Edge C(
New 1-1/2' 2' * 3' 4' or Plumbing Vents yentilatiom.
Goose Necks Off Ridge Vents Ridge Vents Color Renail
Plywood Sheathing to Code Plywood
kylight2x2 4x4 replaced
at $60 - per sheet (if needed) 12/
Clean-up and haul off all job related trash Doll yard with magnetic roller G'Protect yard and shrubs Atlantic
Roofing is not responsible for pre-existing structural conditions. Buyers
agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT
This
proposal Is contingent upon the insurance company paying for damages. This proposal will be VOID ony If claim is disallowed by tnsurance company. Property
owner's out-of-pocket expense is not to o beed the deductible amount. The insurance company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -Loss WORKSHEET
WHEN RECEIVED. We
propose to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance comparry
loss scope h for which is . cprporated herein and made a part hereof by reference. to include customary profit and overhead when multiple trade
incurred S J1 e m M upo comp!pI n of each trade. 81
r1 Avthort7WSignature' - Must
be approved by Company owner. No work eXpressed or Implied verbally. AU changes to be in writing and accepted before commencement of changes.
NOTE: This Droposal may be ' drawn try us ifnot accepted wiNin 3D.days. ACCEPTANCE OF
PROPOSAL- The above PriceL specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified Payment will
be made as outline abov ._ /i Date -
V1
THIS INSTRUMENT PREPARED BY: ,
Name: <i! ' GRANT 114LOY r Sf•.OPIOLE COUNTY
Address: CLEI:I( OF CIRCUIT COURT & CONPTROLLER
11, LL BK 8859 Ps 1119 (1Pss)
CLERK'S a 2017014368
RECORDED 02/09/2017 12:02:36 PM
NOTICE OF COMMENCEMENT RECORDED By 11dnvor'r_
C
Permit Number. ,,
ce 1 )
Parcel ID Number. -Ql -36 •. 42"' /`%002 aV-00
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 Pf PRQPERTY: (Legal d scription of the propert ands et ajjddressifavailable)
2. GENERAL DESCRIPTiON OF IMPROVEMENT:
R((4
3. OWNER INFORMA ON OR LESSEE IN F%RMATION IF THE LESSEE CO TRACT D FOR THE I PROVEMENT:
Name and address: c Vl e l (/P.o O 3l G( a 7 7
Interest in properly: /I7,.r7il i/
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: O Phone Number: _e
Address: Z ZZ—
IV
5. SURETY (If applicable, a copy of the payment bond is attached): Name: W
Address: Amount of Bond: Q
8. LENDER: Name: Phone Number:
o O
Address:
S o O
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided~' y ectin
713.13(1)(a)7., Florida Statutes. j
UA
Name: Phone Number:
Address:
s ~
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:
n ac
o
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
ujaV$
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.
Signature
ho
o/ Own or ^seeor Owner's or Lessee's (Print Name and Provide Signatory's TlderOfBce) . Aulnoriied
Offi /Olrectorwanner/Manager) State
of 0 L - County of i
The
foregoing Instrument w acknowledged before me this day of v V , 20I by
Joyi e ire Who Is personally known to me O OR Name of
person making statement i l who has
produced IdentificatiolTotype of Identification produced: FL i+ ( ` l l0 I —(1 - 0 — 2 1 _ 4 4 q — 0 GRACIELA GAGNE
MY COMMISSION #
FF98WO ( EXPIRES April
25, 2020 lf., 407 l-
016 I FICACIONOWIServitte,cont Notary Signature 13
i'
1
i
D City of Sanford Building Division
Residential Re -Roof Inspection 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 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
Professional (architect or engineer), certifyW-FBC-code complian
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:
by a Florida Design
onal inspection.
DATE: 2 - / r /,7
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: VSINGLE FAMILY RESIDENCEIIbWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ga-REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Z
tj Los
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: QOFF-RIDGE .RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: 0 YES ONo IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 g4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
06urNGLE e
j
FL#:522/-
O METAL FL#
0 MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE**
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 — 4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0 SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0 OTHER: FL#