307 Placid Lake Dr - BR17-000204 - ReRoofz.aht
M
sDocumentedConstructionValue.
Job Address: Historic District: s rr
Parcelm ? Residential lala/'commercial El
Type of Work:New El Addition El Alteration pair El Demo Change of Use tr
Descriptioniption of Work:
Plan Review Contact Person:
roperty Owner Information
EM
Name Phone',
Street, sident tit ro r°t 1. t
Contractor Information
Name _ 4_ 4, 4"e— ra
Fax: 7
State License o,:
ArchitecttEngineer Information
Name', rigs:
Street: Fax:
City, St, Zip E-mail:
Bonding Company- Mortgage Lender:
Address', ss Address -
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT ;MAC'" REST 'r IN YOUR
PAYING TWICE FOR IMPROVEMENTSROVEE'NTS TO YOUR PROPERTY. Y. ,A NOTICE OF COMMENCEMENT MUST BE
RECORDEDED E POSTED O 't"HE JOB SITE BEFORE,rHE IRST INSPF "TION. IF YOU INTEND TO OWLAIN
FINANCING, CONSULT 1 FI' YOUR LENDER OR ANATTORNEY BEFORE RECORDING YOURd NOTICE OF
COMMENCEMENT, iENT.
Application is he.;tebN made to obtain ar permit to do the workand installationsas indicated, i ccr°tits that no work- or installation has ccacracaacraced
prior to theissuance of a. lvrrt°st& and thatall work will be jvrfonned to meet standards of all laws rc rstaating construction arr thaw jaariwclic,,
6ora. I understand that as swparate permit must be acvured for etcvtr°iraal work, plumbing, sigma, wells, pools, rr aa€ce
s, boilers, heaters, tanks, and air conditioners, etc. I^`BC 10.
5.3 Shalltw, in crihaal with the date of application and the code in effect as of that eiaW 5111 Edition n (2014) Ilorida Building Code a Rceice9 Junc,
10.
201 t'ermitApataiicaion ; t 3,
NOTICA'": In addition to the re(jLlirenients of this perr-nil, there rmay be additional restrictions applicable to this piopeqy that inay be
found in the public reeords ol'this county, and therc inay 1-w additional pennits required frorn, offier )vcn-unental entities such as water
management districts, state apencies, or Federal agencies.
Accej)tanee (,)r perniit is verification that I will motify the OWT101'Ofilia* properly of the requiren'tents ol'Florida 1,ierl Lases, FS 713,
The ('try of'Sanford requires I'mynient of as plan rcview fee at the firne off)ennit submillal. A cofiy of the executed contract is required
in order to calculate as plan review charge and vvill be considered the estirnated construction value ofthe job at the finie OfsUhMitufl, The
actital constn.iction value will tv figured leased (in 1he current JCC Valuation Table in effeet :ai the tinre the IwTrflit iS iSSUCCL, ill accordance
tvith local ordinance, Should calculated charges figured off the executed contract exceed the, actual construction value, credit
wiR be applied to yotw I-)ermit fecs,,vhen the I)emiit is issiled, 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 Cox t i and zont ctan'dtzgoni o
S
Ng it ignatuofCmner,Agent Date Si tali C Of Cvntractor Ag DatQ 0
vna Ammt's, Name 116TA (NmtractosAgent's Name r-'
t
iu -L 7-
X -
t' L%
g
4ntu', otarv- meofllotida Date 'i'na u Notarv-S, ate ol'I'lorida Dme tucSire, R
YN D, BURLESON NqOBROWN D. BURLESON ComMisskr. #
FF 023747 Commission # FF 023747 Expires
September 12, 2017 7 Expires September 12, 2017 SwWTft
Twy, F* IftwamaND-W M9 RmudTW, Vay FmtmnWe WNW-7019 I
ProducOwner/Agent isersonally Known to Me or Contractor/ g is Personally Known to Me or Produced D
k;/T ID I 1'ype of' Produced 11) ____ ' Type, of ID BELOW IS FOR
OFFICE USE ONLY Permits Required: tail
in Electrica]E] ache iced PlumbingE] Qas[] Roof [] Occupancy Use: Flood
Zone: -- Total Sq Ft
of Ridg:___— Min. Occupancy Load: 4 of Stories: --- New Construction: Electitic -
4 of Plumbing —4 of Fixtures____ it Sprinkler Permit:
Yes El No -#of Heads ,,1,- 1-1-111-1 ---- -- Fire, Alarm Permit: Yes [] No 0 APPROVALS, ZONING: UTILYFIES:
WAsn WATER: ENGINEERING FIRE: COMMENTS,
Rev ise&
June .
10, 2015 1'emlit Applicnfiou
THIS INSTRFMIENT,PREPARED BT:
Name: Mc adden s Roo ng, tic.
11 1mmm XVIST41710TIN
DOW
11111 Jill 11111
GriHjfflll' 1 iAIAIYF S"011140LECOUNTY i'i QRC'Uj'T C:OLJR*I' r (WIFTROLLE[Z 1ERK'
S AW 201700652-2 B
DTitilevi'-w 2 Permit
Number: - Parcel to Number: 02-20-30-520-0000-0040 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. DESCRIPTION
OF PROPERTY: (Legal description of the property and street address if available) Lot
4 Placid Woods Ph 1 PB 51 PQS 23 32773
OWNER
INFORMATION: Name:
John P & Celeste V Buran Address:
307 Placid Lake Dr, Sanford, FL 32773 CONTRACTOR:
Name:
McFadden's Roofing, Inc. Address:
PO Box 520997, Longwood, FL 32752 Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. Name:
In
addition to himself, Owner Designates of To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. different
date is specified) BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of erjury, I declare that I have read the foregoing and hat the facts stated in it are true Name
person rn 9 OR
who has produced identification me of identification produced: BURLESON
Gomm
FF 023747 Bo
t1°Yf4I"' Wary Signature12,2017W"
Willh; to
the best of my o ledg efief. making
M
q1 Signature
ersSigners Printed Name Florida
Statute 7131 (1)(g): 'The owner must sign tPnoticeof commencement and no one else may be permitted to sign in his or her stead." j)(g) 1. a StatuteT am must sign State
of—. County of The
foregoing instrument was acknowledged before me this ay of 20,d-, Whis
is personally known to meE1 bystatern
zl"!
LIMITED POWER OF AT r FORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole Count-y, Winter Springs
Um
I hereby name twirl appoint,
an agent oP.
Name of
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and (to all things
necessary to this appointment for (check only one option):
I
Expiration Date for This Limited Power of Attorney,
State License NUniber-
Signature of License H
STATE Of FL O DA -
COUNTY OF;
the -foregoing i urnentwas cknowldd before me this/ Z d-ayof
n vho is4Pe sonall in wn
to me or i..'i who has produced
no) keanoidentiFicanonandwhodid (di d t)
4,
ath,
Ignatu
Notaty Seat)
aURVESO"
Print or type name
R VNI # FF 023747
otary Public - State of
OE
ommission No, 3My Cominission
Clity of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit
Fruit Location Address
As required by Florida Statute 553.842 and FloridaAdministrativeti Code gN- , please provide the
information and product approval number(s) on the building components listed below if they are to b
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 ra du t
Approval can be obtained at'.`.,. ., ..'. .,..,-..1 _
Tate following information must be available on the jobsite for inspections:
w This entire product approval form
f the manufacturer'sinstallation details and requirements for each
W
Category I Subcategory an t rr r Product Florida Approval
irrt
1. Exterior Doors
art Ong .
lidin
Sectional
Autti
Other
Windows
Horizontal Slider
lsrtlrtt .. _.
w__...w.W.. ...,w,.....W......
w ._ .ro _....... _.._ _..__ ....__ A_ ._.
i u hurt
Fixed
A etc
bass ._.._.....
irrct
u1l€arts..
e_.e..--
Wind Brea.ker
Dual Action
thr
AW
Category Manufacturer Product Flonda Apprl rrfrrrr . _
rnlrrrr €rrrl) _. 3.
Panel Walls Soffits
Storefronts
CainWIls
Wall
Louver Membran
P.
S Composite Parcels
C
thr 4.
Roofinq roducts s
halt hins ndrlrns
Roofin
trrs lnnstrr.
tt r1 Metaltftn _..-__ ..
w_ __...,_ _....... .__ _......
ww. _._._...w. ..----- ..v.. u.._.. _wv... M.. _..._.. ._.,_.w._------- ... w___...w... _ ..w.. Shakes
and Shia
Ids Roofingliles
C
fir1 tion
InsulationJt
Cafirt W
iit
Up roofing Est
Modified
Bitumen Sind
l f sts
Roofi
Cements/
Adhesives
Mira
Liquid
Applied CfPri
str m__........
Roof
Tile adhesive
Spray
Applied Polyurethane
Ronfing
Panels
Roof
Vents thr
m
Category Subcategory
Accordion
101 i l
c ri art u
Other
k li ht
Other
f try. t r —
n t
Ord rarrntr i
Anchors
rt it r d hjumber
ilia
Coolers/Freezers.
Concrete Admixtures _
Insulation Forms
M.
k I rat
Prefab Sheds
ether ,
New Exteriorr
Envelope Products
Applicant'si n tur
Applicant's blame
Please Print)
June 2014 3
Product Florida Approval
include decimal)
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPEcrION AFFIDAVIT
NAILING, " 'HING, '-ICE, FLASHING, AND ALL FINAL ROOF COVERINGS
yROO I v''aG i`:)
sy;vyll,yieta",,..ryryF R., 1„ GINyy FEpR, A
Y",
i`IIFFEC \-,p01; kh...S1.. fy vI nl,tlx'I`'i", ra 6 1x)at IL,L I",Mu dIS'`haix`9a.C' '''t:aR. I yl iE\'i kw;.,BY iA1,F'I NI,, 1'IyIA'st d 1t.[),L
k.7Fv '11-11' t°,3.tY,fl G DING kN5'(.&0.%.t`LHON I It UE, fSk Pi ..B .. t,(4.'S A!` n'ititilJ AAP..^lu ,"l..d,&, M:S.{.FINI .YC ,,,,LIRx.1VE &S d.:ASPS"D , \, rml SCOPE . }X` WORK AT F111".
AI30VFRFFERF•.:"at"ED ADDRESS I1AN+'Bla,laNIN'S1„Al,i,EDIN.ACC'tC13i)-A t"I" AA11'Ft fit3llltPtt4iDi"CTA, PR(_, .AI,SANI):A],], .I'1'I.IC"AIALI;CODE
F(I=:f Ulill; lt: l --S i;t`I ICGALS i' H,0 IDABU,ILDINGC.ODF., XISI'ISe GBUILDINt,, I.Atik311`Tt S iC"Tit'1°I1 Y `!IT}. E s1',AL1 A`iIC', Alt,t°;'6'I» hi.L
ItEIQ IREillEM'S FOR S}:t"t>ND AIti' W A`tER BARRIERIER AND tiAIJA°tit3 OF `t'1 lF R('K)F DI:CK, IN ACCORDANCE' iA 111 I 'IIIE HURRICANEE I2i:'rR F1'I`
M ANI 1 AL ItI('.Q[.'Liti^M NI'S (BASED ON F.S. CIIM 1J,,It 5 3.844),
L'C)°w ilt Ac" I'OR SI<IN,A i t lat;.
l1/1U SFtINED 13A Ltt ENSF iii?T.I r.S t)Ai'T 4".Id 1riLR)1°,It)
A FINAL Rom, INSPEC"110N IS RFA T,I1tF Ill
Gills SIGNED AND o'I'ARIZED .AFFIDAVYr ititt SI' I II PROVIDED to„F TlIF, JO l lsi"M A"1°'IME 1"1ME OF 111E FINAL ROOF INliPi+rCUION,
aAl.1l'tiAa W1111 DIGUFAL P1101'0C.RAP SOFEEACH PLANE MIME ROOF SHOWING IN DEI'All, ALLCOMPfINEM'S (DEt"KVXG,
UNDERL A"F"'AEN'l', FLASHING, DRIP FDGF. Al'T AC J1MF N't') W1 1't1 111 , I*1;1t;A OF N M91F,I1 OR Ai111CiESS 1'LF ARLY MARKET) leET) ON '1`11E, ill+,X'K FOR
F;AC H C owl*le,l1`ION. Tim 1"llfft`dll:PUPHS NIUSI NC"I,1't"1 . A RULER OR hit ASURING 11FA'iCE'170 f°ONFIR BALL NAIL SPACING AND d
N-FitI.zAPS, IN('I.I'IAI:A(3 I)RIP @E. ;E .,Aga'I)A" AI,I,EY Irl$,%Slll (;.. PLEASE ItI(I+,R'i,o,rnv, RF: w)CIF" POLICY AND IN: PEP"1'11?N P1z0l"F:liURFs P
At3ERNVC)RK FOR F it°I`Ill RF:XPLAN A°I10N OF TALL ItF:Q I.12F'All=:1AI'S, FAILURETOFOLLOW.
AI,I, IC QLJ LLT LIB N T II,L. ESUL,' ' I FAILED EINSPEcriON,A RE-UNSPEMON FEEAS EL L
AS REQUIRING A DESIGN IC IaROFFSaIONAL (ARCHITECT f' OR ENGINEER) TO CERTIFY, , BASED CAN PERSONAL INSPECTION,THE
INSTALLATION OF ALL ILC.?OFING COMPONENTS. e STA,
rE
OF FLORIDA COUNTY OF Carla to
and Subse toed before aw this . day o`;64 20 21 by: Who is
4111<1141nallyI novvtt to me or has , Produced (type of id l
tifictiaatt) as identification, i llaa
re of atalty, Public State of
FloridaAsaaAaa sits 6; #
Ff 023147 xlc s
plb r 1, 2017 Print/Type/
Stamp Name t of
Notary
Public
ResidentialCITYOFSANFORDBUILDINGSERVICES
Hurricanet n Affidavit
Permit if,
m
1, f hereby acknowledgedgthat l pensonally inspected Roof
deck nailing and/or Secondary water barrier work r
2
t .w. and have determined that the work Job
Site Address) was
donee according to the Hurric rle Mitigation Retrofit Manual, (based on 553,844 '. . I
certify that my statements herein are true and accurate to the best of my belief and that I fatly understand
that mating any false statements in writing with the intent to mislead rr public servant in the performance
manceof his or her fficial duty shall constitute a rrrisderwre rr r of the second degree ursua t to sect` .
0 F Sig
iatrre 6f , ntr ct r taste r
Printed
Nerve ofC`ontr c: or License ii Licerise
Type: General Building Residential oofirrg, Contractor or
any individual certified rr accordance F, th .t to make such ail inspection, STATE
OF FLORIDA COUIN'ry OF rµrr
to rrr° f r r r and subscribed .ferr e _.. s* w.
e
t ris _ f —' y cam
who is er°son ` ly now n t me r has ; ' r o arced (type of id
t' rc 'io ._ iderrti rc t rr. SLA
i
xrrw ire rr of r' ubl c State
of Florida Print/
Type./StarryPrint/Type./Stamp Name of Notary
Public ROBYN D,
BURLESON FF 03747
Ex1 „ 017
6 TF, r