116 Holloway Ct - BR18-002528 - REROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S U V
Job Address: Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New R_ Addiil n Alteration Repair Demo Changee of``Use Move
Description of W{{/o/fr c:
tG L
Plan Review Contact Person: Title:
Phone: Fax: Email: Ad M I to tucs co r1 C v 11
rr , .1h Property Owner Information C 6*1
Name 0 `mil W C,- Phone O-) — S
Street: Residentoproperty?f` fr_
r City, State Zip: A IL.GQ Contractor
Information Name "
QO PhoneC;3L( )2-6, ei A-V Street: 3U(-
1Un lI r (_ Fax: kl e " —7q3 City, State Zip: _ {
V to nq e. 3)_4 ; I State License No.: Architect/Engineer Information
Name: Street: City,
St,
Zip:
Bonding Company: Address:
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 T11E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application ishereby
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.
1 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: 5' 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 watermanagementdistricts, 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 ofpermit 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, inaccordancewithlocalordinance. 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 Owne Contractor/Agent
Print Owner/Agent's Name Print' l - 'tor/Agent's Name
Signature ofNotary -State ofFlorida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
S d Id
Signatu o otary-Ste a of Flo4ja Date
rrva KRISTINA. MORLEY
Commission # GO 161894
ExPesV,
EQ tom r 20.2021
6' - I m"ItrbtaOMW
Contractor/Agent is __X Personally Known to Me or
Produced ID Type of ID
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: UTILITIES: WASTE WATER:
ENGINEERING: FIRE:
COMMENTS:
BUILDING:
Revised: June 30, 2015 Permit Application
305 North Drive Ste. C r
Melbourne, FL 32934W •lE S 4C 4 ITT Tel: 321-259-6789C >N}iTliLJr7•IAN, ,ivc. Fax:866-602-7933
CCC1330785/CGC1506914
WORK AUTHORIZATION
hereby autrizg Wescon Construction, Inc. to perform repairs on my property located at: atFt- per
the sco a of repairs provided to my insurance company forclaim # I
further authorize my Insurance Company to release payment direct to Wescon Construction, Inc. for the services thatareperformedinconjunctionwiththeaboveinsuranceclaim. Should the Insurance Company re Paymenttome, I hereby request that the name, Wescon Construction, Inc. be added to the draft that will be sent to meinpaymentofsaidclaim. P
Y quire direct This
contract and any written agreement made pursuant thereto between Wescon Construction Inc. Co" or "Company') and the customers named herein on the reverses side. This contract and an writtenhereinafter willbesubjecttoallappropriatelaws, regulations and ordinances of the State of Florida and all 'parties anylegalactionarisingoutoftheContractandanywrittenagreementtheproperjurisdictionanagreement
Brevard
County, Florida courts, A11 parties hereby waive any jurisdiction or venue defense or arguments,agree
that in be
raised. d venue shall be which
may In
the event the Customer fails to pay Company an Payment when due: interest on said amount at the rate of 2a/o y
permonthorthehighestratepermittedbylaw, whichever is lesser, and the Company's reasonable attorneys fees, expertwitnessfees, disposition, transcript fees and all costs associated with legal filling fees. The
re-roof/repairs*Performed by Wescon Construction, Inc. are based on Wescon Construction inspectionoftheareaofthereportedproblem. We cannot guarantee that no additional problemsand damaged areaswillbediscoveredoncerepairsbegin. Customer acknowledges and understands t l-
ond
visual
Construction
Inc. commences its work, new or additional problems may be discovered and that thepricendtime completionmaybeincreased. Customer also acknowledges and agrees that Wesconthat, after Wescon responsible
for damages or leaks due to existing conditions or existing sources of leakagesimplyben . is anot worktime
of started
or performed. because work was We
understand that contractor has no connection with our insurance Company or its adjusters and that we alone havetheauthoritytoauthorizeContractortomatterepairs. Due
to nature of work, no completion date is specified. No verbal agreements are bindin . Penal
approve scope ofworl{: T Dj4' - The undersigned
hereby assigns any and all insurance n h ts,,benefits, under anyapplicableinsurancepoliciestoWesconConstguction, Incorservices rendeproceeds and red
orto becauses freden Wescon Construction,
Inc. Inthisregard, the undersigned waives his/hers privac red by Y ngh makes this assignmentinconsiderationofWesconConstruction, Inc. agreementto perform services and supply materials and otherwise perform Itsobligationsunderthiscontract; including,butThe undersigned Paymentattare time of service. The
undersigned also hereby directs his/her insurance camaar(s ntotrelease g nll and all Informationrequested byWesconConstruction,lnc, ) any Purpose of obtaining actual benefitstobepaidbyhis/hers insurance carrier(s) forsdervicesttrendered orthto bierect rendered. Insured Isresponsible for anyamount
not covered by insurance company. Company limited warranty Re -Roof CompanylimitedwarrantyRepair _Xyear Owner s Name: 4" Wesco Representative: Signatures - _S :x_ gate:
si 7 Wescon Officer: gnature: Date: ' O ?JjK
Signature: Date:
101111-allf Mill Ififf,
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City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
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 theapplicablelistedproducts. 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.ora.
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
1. Exterior Doors
Manufacturer Product
Descri tion
Florida Approval #
include decimal
Swinging
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
June 2014
Category/Subcategory
3. Panel Walls
Manufacturer Product
Descri lion
Florida Approval#
includin decimal
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
Roofing Fasteners
SS _
e
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory
5. Shutters
Manufacturer Product
Description
Florida Approval #
include decimal
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. 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 20I4
CITY OF
SjkNFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. 9 I %I A k ISSUE DATE: b T•
CONTRACTOR: C or)
JOB ADDRESS: /+V//*&J4"
TYPE OF WORK:
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 TOTHIS 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.S41.2112
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 '
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 - 54.30 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 — NO PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are requiredtobesubmittedaspartofyourpermitapplication.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject.
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 SanfordHistoricPreservationBoard
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 DesignProfessional (architect or engineer), certifyin C code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
f PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: /W SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMMIUM
RE -ROOF TYPE: QREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEWROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASENom ONLYIOO S &M FEET OF THE MSTINCDECK ISPERM/TTED TO BE REPLACED**
ROOF VENTILATION: OFF -RIDGE O RIDGE O SOFFIT POWERED VENT
SKYLIGHTS: O YES (ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
OTURBINES
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 04:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORWA PRODUCT APPROVAL
SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OTHER: L& dAll
r
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPL[CABLE**
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#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
0 OTHER: FL#
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 . . . . . 18-00002528 'Date 6/04/18
Property Address . . . . . . 116 HOLLOWAY CT
Parcel Number . . . . . . . . 33.19.30.515-0000-0090
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1054964
Permit pin number 1054964
Required inspections
Phone insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/_
CITY OF
A FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING.) SHEATHING, DRY -IN.) FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: l a — 00002-5216 ADDRESS: I& 9101106d'IX-v
S414ord
I O 1/ " AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFIN CONTRACTOR, INEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORM6T1 S TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
AH V C REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS —SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION 1 CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASSED ON F.S. CHAPTER 553.844).
LICENSE #: Vcwo I () s
r
COMPANY / CONTRACTOR: I / 1
fn / CONTRACTOR SIGNATURE: I DATE: W
MUST BE SIGNED BY LICENSE hOLbER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
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 f I Uv W d
TA
Sworn to and Subscribed before me this
C
day of m 20 a by:
Who is ersonally Known to me or has 0 Produced (type of
identification) _ as identification.
SignaturoMitary Public d 'IF pABLOARES
State ofFlorida MOO,
WCOMMISSION/
FF996006. EXPIRES:
June 1.2020 6pd
AlMuB dDa>•SeMo s Print/
Type/Stamp Name of
Notary Public