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153 Wheatfield Cir - BR18-002633 - REROOFCITY OF SkNFORD Building & Fire Prevention Divisionr PERMIT APPLICA TION FIRE DEPARTMENT IApplicationNo: ' 0)i (";,I Documented Construction Value: S 10750 Job Address: 153 Wheatfield Circle Sanford FL 32771 Historic District: YesF—]NoF,/]' Parcel ID: 32-19-31-518-0000-0240 Residential Commercial Type of Work: NewD Addition Alteration Repair Demo Change of Use Move Description of Work: Re -roof with 30 SQs of GAF shingles and underlayment on a one story roof with a 6/12 pitch Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Joann Underwood Phone: 407-341-5775 Street: 153 Wheatfield Circle Resident of property? : yes City, State Zip: Sanford FL 32771 Contractor Information Name Shawn Jemison So-{',,N Sou-rC-f_ Phone: 813-704-5994 Street: 3108 Central Dr t Fax: 501-421-0814 City, State Zip: Plant City FL 33566 State License No.: CCC1331001 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 OFCOMMENCEMENT. 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 constructioninthisjurisdiction. 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: 6" Edition (2017) Florida Building Code Revised: January I, 2018 Permit j 0" 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 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 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 Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State ofFlorida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Stgnatuctor/Agent Date Print Contractor/Agent's Name Signatur f No ry-State of Florida Date v ' •.. r CINDYANNEMCN P • ; 1 Notary Public . State of Florida def Commission X GG 209080 o. n, My Comm. Explr Jul 16, 2022 C ••• B 0 tht h N no "— wnto Me r Produced 1D Type o 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads Fire Alarm Permit: Yes No UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: January I, 2018 Permit Application mot ; •1 : '' • REM" FLQRII A`SERVIES1' . L6t,16 NSTA STOAL't CrREeT ADDRESS _ ," h Dry STAIE iHEDIIOI+., _ DATC OWES CONittACTOR LICEnsE rrUlraEA f t:cctsoe.rtr _ r . Tlry • ecru e b the metrArrare erd esvlmr amnw+ c,t rr aI Ilaaatr +xAte.d.a o+.ma-Tetiatbmic.IgNd PLEASE READ ALL TERMS AIM CortarTroie of Tt$ REVERSE SIDE OF PACniI aISTALLAI SIRCET ADDRESSiYI''a xr r.: + 3'. . c .. ire: . q .+ • t CONTRACT N J,_ J - a III arsroAtER / A/ k/ rle 1?{ t OdeSTREETADDRESS s'3 !// 1E9T r D arY Zip r77,f' 7 TATE TELEPttGrE ,(/G //' V t aNai1L e.6Mi:' w!e!w+,-.dsv Vr;b opnyyrw P±Or dmil t» r.rrtnAtdt;:to 1'.r air :cornea: ; oEPtlas tllawyo.- .' •' . a' ze 3;777/ r8 . i % fi '!1' '/ l // EiylG ,JAL i9 1!/ 19 1/t a'O (iPEi.',.' f /f1''tc s' ci l/ i/fit i. ! a/!d t /E/O i S Eil Jril.%Ei/ s/..r/ (d6' rr'' l l.,r?r viS, .f t;e,/' /1i06e" '.t'/, v: /E .riio /rJO.v:/G //lic'i NOTICE TO CUSTOMER — PRICE CALCULATIONS: In ard# to property pcAOnn the installation Of certain Goods, the Contract Price may include more Goods than iictuatly willbeInstalledbasedonthemeasuredsquatetootago;of the Project Area. As a result, the parties agree that the lump -sum Price stated in this ContractiscalculateduponboththevaluoofesumatodGoodsrequiredtofulfilltheContras (including waste), which may exceed the actual squato foota o oftheProjectArea, and the labor which may tie estimated based on the amount of Goods required to fulfill the Contract (including waste). By signing tttt.ichmaysContractbelow. Customer acknowledgesreceiptofWsnoticebndagreesandunderstandsthatthePriceincludesthesecostswhnotbetolundedoncetheInstallationServicesareDerlormedi, I ,/; NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pomphlot R(novate Right. By signing this Contract. Customer acknowledges having recall fed a copy of this pamphlet before work began Informing Customer Contract Total /-? of the Peron lot risk of the load hazard exposure from renovation activity io be 'applicable Xes Included OrIG1 performed Is Customer'sdwellingunit. NOTE: If rcittod wood s d acoverod during installation additions charges 11 apply You will be given a quoto and a change order must be etimploted andslgnodbythecustomerforanyaddslorialcharges. `Customer must Initial. wo,k a irotorialnetspoufiodIsnotadmWscontract. 'Aoy cluntles or oddhbro wta 0o at tonal charge for the material and labor. NOTICE T,0 OWNER: - ACCORDING TOFLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR:PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHTTOENFORCETHEIRCLAIMFORPAYMENTAGAINSTYOURPROPERTY. THISCLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR At SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUB ' ONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPER FOR PAYMENT, EVEN IF YOU HAVEWREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRA OR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTCOULD BE SOLD AGAINST YOUR WILL TO PAYIFOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CdNTRACT THAT BEFOREANYPAYMENTISMADQYOURCONTRACTORISREQUIREDTOPROVIDEYOUWITHAWRITTENRELEASEOFLIENFROMANYPERSONOR'COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'$ CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. PHOTO REL ASEr Customer grants to Lowe's and Lowe's employees and in6pondont contractors the right to lake photographs of the Promises where Installation S rvices Vail be performed and all work performed lot the Promises related to this Contract, and irrevocably grants to Lowe's all right, title and Intorest Inn to tiro photographs lot use in all markets and media, waridwide,1in perpetuity. Customer authorizes Lowe's joopyrighL use and publish the photographs i print arKVW oteWoniealy, and agrees thatLowo s may use suci photographs for any lawful purposaj inci but not limited to, marketing, advertising, p blicrty, illustration, framing and Web content. By 6rdtialing hero, Customer agrees to the foregaing. ` (Customer to initial to the lahj. Work Is to cammonco upon reasonabb availability of Contractor andior any special order or customer made tiod(s) which Is anticipated to be 41_/ 6l ,ter jllll Indate). Estlmatod complolloi data Is f• A 4/FAvf [fill In data). Sold esllmatgd substantial compialion date is not of the esser6, A statement of any contingencies that would materially change sold estimated substantial completion ddlo is as follows, I I if applicable, Insert a statement of such contingencies). This Contract providos that all claims by Customer or Lowe"s will be resolved by BINDING ARBITRATION. Custoriter and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matlore that may be taken to SMALL CLAIMS COURT). Lowe's and Customers rights will be determined b r a NEUTRAL ARBITRATOR and NOT a judge or Jury. L"a's and Customer are entitled to a FAIR HEARING. But the arbitration procedures aro SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court ardor and are subject toy VERY LIMITEDREVIEWBYACOURT. FOR MORE DETAILS: Review the section filled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found In the Torras and Conditions of this Contract. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON ALL PAGES OF THIS CONTRACT. BYSIGNINGBELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET, FORTH ON ALL PAGES OF THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF T THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESS OUR HAND(S) ANDSEAL(S) BELOW THIS . /i.,ryy//DAY OF I / 'walk i Lowe's time Centers, LLC 69c 1 Ownor Lowe's Author' ed Reprosanlative I Co-owner or wdnoss Customer acknowiedges receipt of a true copy at tAls eontrea which was eomplotoly (Iliad In prior to Custom es execution heroot. You, the buyer, mat cancel this transaction at anylimopriortomidnightofthethirdbusinessIfafterthedataofthistransaction. See the attached notice of cancellation form for an expianatlon of this right. 55106 REV, 12113 I FILE COPY o ow e Lo.eroto.e. ere ee satb amgn I City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address_ 153 Wheatfield Circle, 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 beutilizedontheconstructionprojectforwhichyouareapplyingforabuildingpermit. 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.floridabuildina.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 Description Florida Approval # include decimal Swinging Slidin 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 Description(including Florida Approval # 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 GAF QAF Timberline HD Felt Buster 10124.1 15487-1 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 Roofin E.P.S. Roof Panels Roof Vents Other GAF Cobra 6267.1 June 2014 Category / Subcategory S. 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 'f CA_ LA4VOat-I t o Please Print) June 2014 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 6/8/2018 1 hereby name and appoint: Sammantha Jemison an agent of: Solution Source Roofint; Name of Company) to be my lawful attorney -in -fact to act for ine 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: 153 Wheatfield Circle Sanford FL 32771 Street Address) Expiration Date for This Limited Power of Attorney: 6/8/2019 License Holder Name: Shawn Jemison State License Number: CCC1331001 Signature of License Holder: STATE OF FLORIDA COUNTY OF sho kj) 40 The foregoing instrument was acknowledged before me this $t•day of 200_L% byy t m i St who is personally known to me or o who has produced as identification and who did (did not) take an oath. i''• CINDYANNEMCH Notary public • State of Florida Signat eCommission k GG 209080 My Comm. Expires Jul 16, 2022 Otar y through National Notary Assn• Print or type name Notary Public - State of _ Commission No. My Commission Expires: Rev. 08. 12) N THIS INSTRUMENT PREPAREDTY: Name: Address: a 3,3961, NOTICE OF COMMENCEMENT Permit Number. GRANT MALOt SEMINOLE COUNTY CLERIC OF CIRCUIT COURT & COMPTROLLER BK 9147 Ps 1896 11P9s) CLERK'S : 2018064556 RECORDED 06/06/2018 04:31:29 PM RECORDING FEES $10.00 RECORDED BY hdevore Parcel ID Number: 3 2 - 12 - 31- 51R - 00oo - 02y0 The undersigned hereby gives notice that Improvement will be made to Certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginfomrationisprovidedinthisNoticeofCommencement 1. DESCRIPTION OF PROPERTY: (Legal descripti of the property and street address H available) i _1 nt] /r--- - .. c - 2. GENERAL RESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address:Ao Rfln 11neYPr-r,)oesd l 3 wheo.4-&-W C. r San Card P 3Z77( Interest in Property. 6 t.W n er- Fee Simple rdb Holder (11other than owner listed above) Name: A-. Phone Number. R 13- i 04 - 5994 S. 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 wlam notice or other documents may be served as provided by Section713.13(1xa)7., Florida Statutes. Phone Number 3- 70q -592(-i 6. In addition. Owner designates ` of S c pp1pinatoreceiveacopyoftheLienoesNoticeasprovidedin•Section 713.13(1 xb), Florida Stabrtes. Phone number.-?0S-,5-qqqj 9. Expiration Date of Notice of Commencement (The exPiratlon Is 1 year from date of recording unless a different date Is specified) 1 1' f 3 0 11'3 WARNING 70 OWNER• ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. of Owroff orftftrtmeda Osmars ar Leesss's (Rirq wnr sro PraNds s*wiorys rmsm m) 4 Psrb+edl4napsr) State of _ oISCounty of cJ liyB f The foregoing instrument was acknowleddged before me this -- /y day of /y'/G by O on " at 0wrom . Who is personally known to nwiff OR Wro CasonmaknoaaEnwnwhohas produced Identification 0 type of Identification produced: DONALD T. LOOS MY COMMISSION * GG081ITO t EXPIRES: MAR 09, 2021 Bonded through 1st State Insttrallte V• Q a `On V c QJ aG lit lq ifCITY OF SkNF0RD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. / / ISSUE DATE: O& ' 4 1w4p CONTRACTOR: Sf) /Ckftf) aA SOC4 r C. r R*O*A JOB ADDRESS: TYPE OF WORK: PROTECT FROM 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 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 FBC 105 3 3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 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 - 5:36 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III 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 Y OF 15SXNFORD Building & Fire Prevention Division RESIDENTIAL RE -I? 00r, POLICY & PROCEDURES FIRE DEPARTMENT PERMITI'ING REQUIREMENTS —NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK AREREQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALI, ROOF COMPONENTSTHATWILLREINSTALLEDONTHEPROJECI'. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON TIDE JOB SITE. PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICTWILL REQUIRE PLAN REVIEW AND APPROVAL BY TIIE SANFORD HISTORICPRESERVATIONBOARDINSPECTIONPOLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOT' PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATI•IERPROOF LOCATION COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT ALI. FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT APPROVAL SHALL MATCH WHAT IS ONTHE SCOPE. 01: WORK) DIGITAL PHOTOGRAPHS (MUST INCLUDETHE HE PERMITNUMBER OR ADDRESSIN EACH PICTURE) o EACH PLANE OF T TIE 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 AT- T'ACHME'NT (INCLUDING A MEASURING DEVICE OR RULER) O SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS SKYLIGHT'S (IF APPLICABLEs) 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 TIIESE SPECIFIC GUIDELINES WILL RESUI;I' IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYINGFBCCODECOMPLIANCEBYPERSONALINSPECTION. o CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: (01 SXRFORD PERMIT # FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 153 Wheatfield Circle Sanford FL 32771 STRUCI'l1RE TYPE: ® SINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: © REPI.ACEMEN-r (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): plywood PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK /SPERMITTED TO BE REPLACED * * ROOF VENTILATION: QOFF-RIDGE ® RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES (DNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 ® 4:12 OR GREATER TYPE OF ROOF MANI)FACrURER FLORIDA PRODUCT APPROVAL SHINGLE GAF FL# 10124.1 O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# OBILE FL# OOTHER: FL# - ROOF EXTF,NSIONS (PORCHES PATIOS FTC) "IFAPPLICABLE" 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# 0TORCII DOWN FL# O INSULATED' FL# OTILE FL# O OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 UILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . 18-00002633 Date 6/13/18 Property Address . . . . . 153 WHEATFIELD CIR Parcel Number . . . . . . . 32.19.31.518-0000-0240 Application description . . ROOFING APPLICATION Subdivision Name . . . . . Property Zoning . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1056894 Permit pin number 1056894 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 Ill BL03 FINAL ROOF _/_/ CITY OF it Ski!40RD Building & Fire Prevention Division RESIDENTM RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: IS' -Z(o33 ADDRESS: 153 Wheatfield Circle Sanford FI 32771 I Shawn Jemison , 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 #: CCC 1331001 COMPANY / CONTRACTOR: Solution SourC oo Shawn Jemison CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDS WNER/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 OFTHE ROOFSHOWING 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 I I I Sb0 t(11A t Il Sworn to and Subscribed before me this 3i` day of :YU re _ 20 1'9 by: S' 10 Who is B'Personally Known to me or has 0 Produced (type of identification) as identification. Signatur of Notary Public ::: CINDYANN EMCH State of Florida : _°: y. Notary Public • State of Florida Print/Type/Stamp Name of Notary Public Commission # GG 209080 My Comm. Expires Jul W 2022 Bonded through National Notary Assn.