123 Edgewater Cir - BR18-002512 - REROOFF..:
CITY OF
S,ki!40RD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 4- Z `J
Documented Construction Value: $ 91 ,p 5
Job Address: la 3 dAP, rCiI . SaArd. •F C' 3M Historic District: Yes No Parcel
ID: U— ;10 Q= — 00,9L0 ResidentialnCommercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work:_ Plan
Review Contact Person: Phone: `
q(o Fax: Property
Owner Information'/ \ Namejam
rr' /1r _ Phone:
D%
1 % I ' 7 3 f Street: I . (
YVa f: lr 01' Resident of property? : PV11Q,r- City, State
Zip: sanlrir, P_l • 3 a i %3 Contractor Information 1
Name PhoneC
7
I o2 oGj sso Street: Fax: City,
State Zip:
k?nAhmod, '7Sa State License No.: S`T 6 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 A'I-1.ORNEY 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.
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 he inscribed with the date of application and the code in effect as of that dale: 6"' Edition (2017) Florida Building Code Revised: January I,
2018 Pennit Application
1
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 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 al 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 al 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.
OWNE ' AVIT: I certify that all of the foregoing information is accurate and that all work will
b ne in complia a with all applicable laws regulating construction and zoning.
W%r8 f
S urcof0 cnt Date Signatur ontmctor/Agent Datc
t
MY COMMISSION # GG iSM7
EXPr1`0
GgtdW TlwEtio ry 7•
WWrP1tE0ctJ11dBIMRR6r1
Owner/Agent is Personally Known to Me or
Produced I D - Type of I D ll D tL
Print t eto Agent's Name
S natur•
I.
taateAAYf:OONNGGEID83ti67 rye
r: EXPIRES FeWuarY 7,, 22D22 i:`-,SOP• Tku Na 7 Public Contractor/
Agent is Ty
rsonally
Known to Me or Produced
I D of I D k - L-,— BELOW
1S FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction
Type: Occupancy Use: Flood 'Lone: - 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:
FIRE:
WASTE
WATER: BUILDING:
Revised:
January I, 2018 Permit Application
CONTRACT PROPOSAL
UNITED 740 Florida Central Parkway, Suite 1004, Longwood, FL 32750
Office: 407.269.8552 Cell: 321.961.2106
ROOFIg www.UnitedRoofing.org GoUnitedRoofing@gmail.com
License No. CCC-1329576
Name: Tape Phone: Yoh- 444/- 70/
Address: I L3 U r Email:
5--Q K o,rd . Date: .
5. _ 8Y
Des ription of work to be performed:
eludes obtaining and posting permit with localjurisdiction.
Includes roll off dumpster or dumpster trailer on wheels for brick paver driveways.
P-16cludes deck inspection for damaged wood and proper nailing pattern to code w/ 8d ring shank nails.
Includes replacing underlayment with synthetic paper throughout roof and peel & stick in valleys per code.
i/ Includes replacing all aluminum ridge vents, shingles over ride ais or off -ridge vents.- N( Del*-
Includes starter shingles and ridge caps per code. .. `Taw
Jpcludes installing new architectural shingles and/or rolled torch membrane per code in color of choice.
Includes 1-1/41, collated roofing nails for shingles installation.
cludes replacing all lead boots and goose neck kitchen vents (does not include gas -related vents).
Includes installation of galvanized valley metal where any sloping roof meets flat roofunions per code.
Includes replacing all metal drip edge per code in color of choice.
jacludes saving condition ofgutters, soffit and fascia on existing home (some damage may occur).
Includes property clean up, checking gutters, magnetically sweeping €or nails and hauling away debris.
Misc: Includes labor and dumpster to remove (1)1 er of roofing. material.
Additional layers of shingle will cost , peer square if found during removal.
Deteriorated plywood decking will.be replaced at 60 per sheet of OSB plywood.
Deteriorated plank wood decking will be replaced at $66 per linear foot (lx or 2x).
If chimneys need a cricket or need flashing replaced, a separate price will be given.
All flashing metal at stucco or siding walls will be replaced at $66 per, inear foot.
Does not include stucco, siding or painting repair work where deteriorated L-flashing had to be replaced.
Labor Warranty:ears for shingles, 3 years for torch, nonprorated, transferable warranty. GA 11-3
Manufacturer's Warranty: 30 years on architectural shingles and 12 years on torched flat roofs. 6( ° 6
oNotes: Grand Total: $ yo Deposit: $ 2
v 3 'fl6 v( LXW h e-4i .3o Iirs A-,& Sul ` ck U- rro •K ce
C = 4 )c (, Yo le 0,.1 Z-p o V-c in _ -$ LSTJ 7:- %..
Payment Terms: 30% deposit upon signing, 30% upon passing dry -in inspection, 40% upon final inspection.
Please make checks payable to UNITED ROOFING. I have read and understand this contract proposal, the terms and
conditions and all documents referenced therein and by signing I agree to be bound by their terms. The above prices,
specification and conditions are satisfactory and hereby accepted. Contractor is authorized to perform the. work as
specified. By signing this contract proposal as well as the Notice of Commencement to the respective municipality, I
acknowledge that I am the owner ofthe property where the work is to be performed. All payments are due upon
completion of the roof. If payment has not been made in full within 30 days of completion, a lien will be placed on the
property through the respective municipality and 1.5% interest will be added each 30 days. This agreement constitutes the
entire contract by and between Contractor and Owner and parties ar ound by oral expressions or representation by
any party or agent of either party unless put in writing.
Print: Si Date: S (
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 3 l SGllr'POYd , 1. •,
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
Description
Florida Approval #
include decimal
1. Exterior Doors
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 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
underla ments TY t — BW
Roofing Fasteners
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 yam(
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
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 2014
cv-%1t 11111111111111111111111111111111111 1 1111
THIS INSTRUMWPE GRANT NALOY, SEMINOLE COUNTY
nadess: i} ip0t{ L.ERK OF C:IRCUI T COURT & COMPTROLLER
BK 9129 P9 71 (IPss)
CLERK'S : 2018052384
NOTICE OF COMMENCEMENT RECORDED 0FEES $10. ?
13tl r9-]4 ='11
RL.(:DRDTPaG FEES $1[I,ilil
RECORDED BY hd:-vor-.
State of Florida
County of Seminole
Permit Number. Parcel ID Number: 1 1 d0 _ r 7 h — o — aoao
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.
DESC IPTION O RsP RTY: (Legal description of the roperty and street adtressif available) I_o 1Uin LaK p1A IQrittla ES 3 Fr' p6 s :Z1 17P ia, +
r. S _ 32-7-7 -3 MAL
DESCRIPTION OF IMPROVEMENT: OWNER
Address:
JAL .0— CL • a'3 .il / / Fee
Simple Title Holder (if o er than owner) Name: Address:
ya,'
C-tq^,bV 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:
Address:
In
addition to himself, Owner Designates To
receive a copy of the Lienors 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) 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
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
MMENCIN' WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. L1
penalties of p jury, I declare that I have read the foregoing anW he facts stated in it are true tot
best of my k wledge and belief. — Owner'
s Signature Owner's Printed Name Florida
Statute 713.13(1)(g):' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State
of County of The
foregoing Instrument was acknowledged before me this 999day ofn., 201.t 1 W. by
1-0t 4 P tiC Who is personally known to me ra ,r, " Name
of person making statement v OR
who has produced identification type of identification prod uc9d7 O tr _ _ C Cri• ANGELAM.
GOMEZ„ MY
COMMISSION E GG111 a P
EXPIRES:: February 7, 2022 BOrWW
Thu Notary PubOC tk*rnRars 1%
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: l,,Q m&do A-Icbt Q&
an agent of:
Name
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
J a -f.rAeuwAn Ci -- -SXL\ard0 EI.3 a-I-13
Expiration Date for Th
License Holder Name:
State License Number: CCU L?,? gS74o
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF S, injok
JThefogoinginstrumentwasacknowledgedbeforemethisldayof (i(,h,
200-1, by kV$ tb'("\Ot_ 1cos who is personally known
to me or o who has produced
identification and who did (did ot) taie an oath.
Notary Seal)
M.
r. w COMMISSION # GG 163§67
os EXPIRES: February 7, 2022
ift° ' Am in 1ku NoWy PW& tk derwrllae
Rev. 08.12)
A'-pirl !Dos--t
Print type name
Notary Public - State of !El OY i ,
Commission No. 6 Ifal-fd-1
My Commission Expires:
as
CITY OF
A ORD Building &Fire Prevention Division
RESIDENTIAL RE-ROOFPOLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS -NO PLAN REVIEWREQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLE I'ED RESIDENTIAL. RE-R001= SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALI, 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 ONTHE HEJOB SITE. PRO.
IECTS 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 ALI,
FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT
APPROVAL. SHALT. MATCH WHAT IS ON THE SCOPE OF WORK) DIGITAL,
PHOTOGRAPHS (MUST INCLUDE "THE PERMITNUMBER 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) a
ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SI•IOWING SIZE Of- NAILS) O
UNDERLAYMEN'T PAT -TERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) O
DRIP EDGE & VALLEY A'I-I'ACI•IMI:N'I' (INCLUDING A MEASURING DEVICE OR RULER) o
SHINGLES INSTALLED, NAIL PATTERN AND LOCATION Of-- NAILS SKYLIGHTS (
IF APPLICABLE) O
DIGITAL PI-IOTOGRAI'1•1S SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL O
DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLAS1.1ING, PER FL PRODUCT APPROVAL. FAILURE
TO FOLLOW TIIESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (
ARCHITECT OR ENGINEER), CERTTFYINC FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (
OR OWNT:R/BUILDER) SIGNA"TURF,: DATF,: 5 ? /-/-
CITY OF
SWORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:' FJ(AS/r Ya Cam/ l 1 r r. • ` . / /
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: &<C"'PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):PlNVj%A
PI,F.ASF, NOTE: ONLY IOO SQUAR ' FEF, OF THE EXISTING DECK 1S PERMITTED TO BE REPLACED**
ROOF VENTILATION: OOFF-RIDGE (9<1DGE QSOFFIT QPOWERL'D VENT QTURBINES
SKYLIGHTS: O YES 10 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: p LESS THAN 2:12 O 2:12 - 4:12 e 4.12 OR GREATER
TYPE OF ROOF MANUF.}A-CPURER FLORIDA PRODUCT' APPROV AL
SHINGLE 1 Q FL# l '
Q METAL FL#
O MODIFIED BITUMEN FL#
0TORCH DOWN FL#
QINSULATED FL#
Q TILC FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPI,ICABI,F.**
ROOF SLOPE: O LESS THAN 2:12 O 2: 12 - 4:12 l ,f4: 12 OR GREATER
i.
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE 1= L#
0METAL FL#
QMODIFIL•D BITUMEN FL#
0TORCH DOWN FL#
Q INSULATED FL#
QTILL FL#
O OTI iER: 1= L#
CITY OF
S TFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: a s l a ADDRESS: I S % A 'Ia4e-t 0, 1 r.
So- r= L . 3Q -?-7 3
I ( lut I VJ l J , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, 1 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 / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT TIIE JOB SITE AT THE TIME OF TIIE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPIIS OF EACII PLANE OFTIIE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASIIING, DRIP EDGE, A'ITACIIMENT) WITIi TIIE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON TIIE DECK
FOR EACII INSPECTION. THE PHOTOGRAPIIS 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 Q
o ac Sworn d Subscribed before me this day of 20 _1'by:
n)
ign t e of Notary Public
SwelUjFlorida
4WID I OL
Print%p / tamp Name
of Notary Public
is 91 ersonally Known to me or has 0 Produced (type of
as identification.
r' •?i"ANGE AM. GOMEZIp: MY COMMISSION A GG 18M7
EXPIRES: February 7,210122odn?. 6WWThN Public ur4eiwrlt m