158 Long Leaf Pine Cr - BR18-002644 - REROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
D
PERMIT APPLICATION
i
Application No: it? 07 (2
Documented Construction Value: S (p, 7TS • 000
Job Address: 158 Long Leal Pine Cir, Sanford F132773 Historic District: Yes No
Parcel ID: 11-2a30-509.0000-0300 Residential zcommercialEl
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: re -roof —
Plan Review Contact Person: LaV r4 S a v% L. Title: PP.r-m. i- 5gyex-1 h
Phone: 1(07 $10q 83flb Fax: LEo7 g78 !07'7 Email: MTh ;yts flt . co•+,
Property Owner Information
Name Robert I Cooper I -
Street: 114 via Duomo,
Phone: 407-670-8145
Resident of property? : O 20 AT A
City, State Zip: New Smyme F132169-5108
Contractor Information
Name Century Roofing Specialists Phone:
Street: 4260 Church St, Unit 1402 Fax:
City, State Zip: Sanford FI 32771 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
407-393-8888
407-878-1077
City, St, Zip: E-mail-
Bonding Company: Mortgage Lender:
Address: Address:
CCC1326909
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. 1 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 ofall laws regulating construction
in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, 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: 51D 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 be
found in the public records ofthis 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 ofthe property ofthe requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment ofa plan review fee at the time ofpermit 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 at 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.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done ian ith all applicable laws regulating construc 6n nd zoning.
Date
Signature of N of Floridh Date
ALEXIS PICARDI
MY COMMISSION # FF 918504
EXPIRES: September 15, 2019
Banded TNuNational Notary Assn. 4
N lr Si
atu ontractor/Agent Date Print
Co ctor/ ent's N e o
i
o :FWtdo Date NotaryPublic
State o1 a''
u4Laura Aurora Sanc MY - CommissionGGEltpreb02t
Owner/
Agent
1s ersona ISW& Contractor/Agent is Personally Known to Me or Produced ID '
Type of ID rGQ U Produced IDType of ID L bL BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building 0 • 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: ENGINEERING: COMMENTS:
FIRE:
WASTE
WATER:
BUILDING: Revised:
June
30, 2015 Permit Application
ROOFING SERVIO- S PROPOSAL
CUSTOMER:
lance: Bait Cooper
Address: 158 Lonr. Leaf I'inc. Sanford. I'1.:371.
Milne: d0 ,671)-SIJ15
F,m:ril: h,-cK+perr`:?crl.r..rr:rn
Date: May 11, 201it
4260 Church Strcct. Unit : 1102
S,infn:d FI. 32771
phol-a •-W-393-33SS
F.nr:ril: info;ii rntur oolin^Ilc.com
Stale 1. icense Y :C'C 132009
Century Rcnrlinn Spr;t:i:slisis. IA.0 hereby proposes to pc::'onn the lirllowiq -work
for the Customer at the Soft ];.cation abiwe. Seth: of -work:
tiFiIN(i1.F. ROOF RUTLACUMENT
III' Rim I'l-I'l ING:
apply ;or any applicable permits
apply Wr'inspections per Ima! buildingt
REMOVE:
Exktfn,;.hin,lc%
I,Inrlerlaymcrtt
Mill P11.1"c
Pipe Flash;rrg
l itdn:n Vent
REPAIR 1 CHANGE ORDER
In rcgards to any changes to the original t6ec ol'ncc comract. please be aware dial there may he extra char, ;: for rtt,ucrial
and labor once we bave done the tt<rr ofrand have done the evaluation oflhe apderlyinr.. wond. Any rotten wuod or darna;,ed
rmaterkil that rx*0%; to bu mplacud will be chag-ted tit you for an extra lee.
Du6n^ the cour.0 ut•yotsr -•ill attempt to mach you via releplrunc ar:4 we :will forward you the change order
elceuunic;rely via ernril liar your approval. Howo-er, if we can't r aeh y()U via these• mcthrds -Y will =;o ahead with the
necessary eh7ngcs to comply with tl:e hrtildin:: code. na rcrl:rin:na rtts I'ur tic ire_} •ct;an approval from the cormsporid-ini
building (fe;tanmcnt. He aware tlert you ::ill h: r:., umif>Ic for these chin;,e urden even it' we can't rench you ghat day.
Plcrvw sec triple ht:ktw for change once- pricing,:
Matcriali Size Pricin!;
Plywood- g x S SSOAO per sheel
rut;sus x 4 S1 ,0 per Elea: hoot
Trusses x 6 S,13 O per lineal RX'l
Fasc!a I x ? yl.Rtl per title IT furl
i actin 1 . h 4A per iinar fool
F;r5;ia I 3 S4- 30 per linear foot
Uccking I x 6 S4 30 per lilse-1 lout
Ueckitr; 1 x t_ SG.80 per li -car fuol
T-o s)ieer. i,f ply-•wtl an included into this prupos31. Anythike else will tic ehuri r-J extra. Ducking will be -plaeed in
accrnlancu with nrurnmendations by both the N3tion3l Rttolin^Ctwileaecor;: Assu6;i6on (NKCA)and the American
Plywood Association (APA). New decking shall be APA rnwcd for struoural use. Deck fastening will meet or cacecrl foal
building code reauircmemc, (f." n.(;.) and I I-clilr: -ill pr used brUsren all ratlers.
I:Ice 1 of 5
t
1i 1+ icl'fQ ITr C'ustumrr's Initials: %e _
SHINGLE ROOF INSTALLATION OF:
Flullin'. materials, il'applic;tbl+:: I,• flashing. kitchen vents. and pipe jacks. Drip erlrc colds to be cl uscu by owner. All
materials to nrevr or excecd manufactucrIs requirements and to he inaaliud in acuordaltcc with the local huildin, coil:;.
t)rrc laver of self -settling ice and % aicr pmection membrane shall 1+c imRdlcd it: all valleys.
Iwaall:niu:r of vac luvvr of Atlas 03U asphalt saturated roofh- voitIcelavmvtit cm deck surface. Felt will he fasivord nsins'; I
inch plastic -lapped nails with a 1 inch diameter head.
Certaintrrrl Swrwr 5ltin1rle
Ct:rt:rintevil ur; bitvcturtl-stylu alert:-rcssistani shir.glcc with lifeliruc warrrnly. Shingles will ac costa?led in strict
accordance with the manuthclurer's specifications anti' -:ball he l:eavncd using 6 nails per shin^Ic. Paint all vent flotJoin_ss and
mof licunrations.
Install rertainicrd )lip R. Rides: Shingles.
Install Ridpg vent for 1=3 mmis:a:
Repair cxislin: pool lotto
Replacing :all Fascia and d:nnarge Rarking,
REM.OVA1.0V;
Nails and uthcr metallic debris using a maglictic n it :wvgx:..
All crush and debris from site.
GUARANTEE:
Lifitiivie ManufachnLr's v#arrarty and
5 year wodkmareshili, uanamy under nucrnal weather eondaions Iran completion date.
lccs:pU:a
r__ `l
t
DateLie / /.-• -. By
sionrn<& I personally mpresent and warrant that I ant an
auIh(KirA:d repr:scntali+c and :u!cm orthe Cwuorner as
such term is defined at the hullo: of thisIg5u). and th:
a 1 have the foal atedvii(y tv contractually bind the smite.
I also mpresetlt and acknowledge that ! have read and
understand this entire Proposal. and that I an' rec to the
Troposal Tents A Conditions' U--aed below. TOTAL
PROPOSAL AMOUNT: order is
not included. Price is valid rite 31) days ;rum the date of the
propoml. Paynncnt is due in full up re completion of The
work. P _it due accounts will a<tcrtsc an interest charec of
1.55% per month until hal:tnce is paid in full. Please read See:
nn Q ol'thc `Pnlposal Temt:; & Conditions' aglow. C'
untractor 0!ft01/ Cie
n;lturt Date0-7/Elft.- All
material is,uariniced to peas!:pecifietl. R11 eeurk is to
he comp'Lhcd in a worknnaolikt. niauncr accurding to wulard
pr eiieLs. Assy altcrrtius or dcvivtion rom the abnvt:
specifcatium, involving, extra costs will he chars ed aceurdin
ly. Not responsible lbr roof leaks in areas tinier than
tine worked on. Century ftcN+fim, Sprcialicts LI.0 is
Rally instated with 1VuskrnuWs Cutnitnsation as •.vcl] a.. Li:
bi!ily im:urunuc. this
proposal is Made by C enwryRoirtirr., Sievviaiists. U.C: (-C untur; ") the
Cu%u)nil:a *5 acecptuncc of and am/oilto the provisions of Ibis I'ruM)sal. including, the 'Proposal Terms R•. t'catrlitirms P:
n;e 2 of 5
acwmpanying this Vvpusal. As used in this document. "Customer" refers to and mcia ., collectively, O) the Icgal entity or person
described above next to lire worts 'Customeroho'e, in,; cthcr with its :3fliliaics, pascia , ::nJ sub+yuli;:rivs. and relat-f cntity(ics) havin,,,
a plrce of husiness tl the C tisionser's nddr ::s listed allovc (if the Coslurnur is it business), tii) the o menuof theproperty at wliich
the Worl, dz-,crilux9 L•e:uin is to let: purfortutd. al:d (iii) the person signing this. Proposal. lfthc Customer direct.. or requerrs. Century
to perform the work contemplated hercander. either orally or in writinr„ such direction nr n:qucsr shall cunslitute the Customer'
s full acceptance ofthis Proposal and tic Trnlio&al Tenik%Rs rontlitiuns' Job
ri cfl04.i 1 Custnntc.'s Initials: PROPOSAL '
1'l; MS & CONDITIONS i.
These Propusai Tcrrns and Conditions are luny incorporalcd into and made:l part nl'tslc ('nopnc:,l hawing til ')ui+ j+' referenced
above (the " Pmposar'). as ifnrigivally>ct forth Sllercin in (heir enSiiely. 'Phu Cmslomer, as delitn i at the bottom of Pri;
t: 1 ahovu. hetch}' exlrrt may a,;n:t, to thusr, I'ruppsal Tc nts and Conditions. nd thu inwtjoration ofthe same into the I'
nrpu::al. 2.
The Proposal, tope,hcr with these Propm-ilTanis and Conditions, cnnsrinite the antis.:, final, 31)(1 cxt;lusivv aorecmcnl between
the Ctminnler and Cenn,ry Ronfin,; Spec:ialisrs, IA.0 ("Guntur}•") reVtrding the provisions contained herein, as well as
the scivicus statctl in Ilie Pruposal (collectively. the **A rccmtmt-).'Ihc provisions ofthis ACreentent hereby mr.erncdetltn prior
understanding. representation, or agreement between Cenituy and She Customer, whellms •ripen Or orll. izpr ss or implied,
which is iSlcansis[rnt with itr cunh:lty tt the Inovi,ina. ul"Il:i;: A_It taeSll. 3.
Cetlltrry will work with 4'11im Mn•c atliustcn incase. [t, .usn tu,ur ehwwo f tl:c tleclaimwith their insurance company to uut'rr
tha cyst ol'their r+cwfpruject.'Ihe costumer should nu:il'y Ccnluryin advance of'any existing, claim.. If the euaonit:r requests z
4 point inspection or wind miti,otion repnn Ccmun' can pravide this service for an additional cost of SI?O.N. a. Century
offers mtr.c than 50 differcat linanc•ing, options on the company wvbsitc :, ti.':.crntur'rnnlin:an+to ia..cn:n. 5. The
work and services described in the Proposal (the -Work") will he performed exclusively heriveun the wu:Zday hours of S:00
a.m.::nd 5:00 p.m., tnlless otherwise expressly aatctl in the Prolpn: cl ter w..reed io in writino by an utrnvr of Ccrourv. Ir Cmlontpco
cnants to take :ell nurc:4+ry steps to %tutirc• Century's fall acu ss tothe propurtv at which the Work is to per(iirmcd
lthe "Job Site"). In thu event that Century is pTLvenled from or delayed in accessing the Job Site Ivor ony reason ocher than
the direct actions of Century or its a,+,cols, C'uumncr drill pcnml:ay rcimbultic Century, sclton dcrn:tnd, for:%• labu:. uvt:
rhuad. material, cvuilrrnun[. hovel. Niti:d or outer coats incurrW by Century in attvrnp;ink to access the Job Site. Century iS
expressly authoTLmd by C:uatornur to engv:gc subeontrtctm,, in the perforn;lncc of the Work. Uri less expressly stat d
in the Proposal. this Agreement vxeludcs :any work. labor. services, or materials not expressly stated therein, includin- but not
limited to: debris removal. leak detection. mashing installation. prc-c dsting leakrepair. domkged or rotted woad repair. or
electrical or I•IV AC; sysienlsrepair. 6. Noh'
ithslandinc anythir.g, to the contrary contained in this A_rcemcnt, Century's pvrlimnancc or non-perfilmlance of the Work shall
b, excused in the event of'snv ofthe INIci •irn_, as determined solely by Century: malarial shorn;;e;, imprlcticahilit}- inabilit;•
to fully and conlplereli access the Joh Cite (inclnrlins :sect:.:: tar all v0dul" kind tttl[ipn:
rta ;1%:t:cs%:uv rt> t:n:lgtlety the brit). Ial+nr.r:ikt.%(a she+tts`s.:nty t:ronttrric: ernllkions which rosy adversvl; affect Cvntllr}''s
anticipated profitability. inclumcnt tvvall:; r, c,r a:ty out of Civd.'1'he liiT1!guim, list is uoi wxbaustivc. and is not intenu6ed to
negate. or abridge any other cxcusel of Century•':. pe: tixmance which may be applicable at law or inequity. Additionally, and
no -,withstanding anything, to the contrary contained in this a recl:lent. Century shall :lot be Eabie to uetnnlcr or
any third parry for pnrxrty datnarc, tbied party claims, tines, lees, or any olhu• liability nrising from or rehtto l to unknowte
cundilions :n She .lob Silc, inulla ing. but not limitud to prc-existing, leaks or danialecd or rotted wood. nor shall Century be
responsible I'm anydamage or injury to persons or propmy on, at, or near the Job Site arising_ tom or related to C'eniury
s working. includin-, but not limited to debris and rails left on, ai, or near the Job Site. oatr. the
I'llopilscll isallp;ov,d by Crmtnrtler, Cenluty is hereby aiiihorii6i it) begin-Crforrni::g the tj.k. t: usiomcr acknowledges that
unforusuen circumshntrvs or vvents. including, but not Itmi;ed to those stated in Section G above. may cause the
actual cost of completing the Work of this Agrccrncrttto increase. In the event of such increasein cost, C'ustamer 15 -Cs
Shat C:c:nury will Slot be respnnsible %r hearing, the:amc. Notwiths[ ndirs,::tn}'thing ti> the cannrn'y curtained in chit: AgTucul.,mi.
CuS unwr', rt:fussl to prontpil}• cxvt;ttl,; a uhnnlgu nmt c-v orsimilar ducianwrtl ttt :;cc*unt fuzz such cost inclvases- shall immediately
parrot Century to wrminate this A-mcm-ent uponttvcniy-fclur (24) hours' advance written notice to Customer p:
ovidud that Century shall be cntitled to lull reimbursement firm Customer f'or anyexpenses ircorred by Century in rite
performance of work, payment for labor expenses, purehc sc of materials, or other activity conducted 1-lisuant to Ibis r,; t
ee tllent. Page 3
of 5
Jnh 8 ci1U:}3 Cuitonn:r's Initials:
S. Payment it due from Customer upontximpletion ofthe N'u:k. unless othetwisc vxpnssly stated in Ihv Proposal" by Culilury. In the evcul payment is nol mace by Customer in accurdaucc with the prirvisigny of this Agreenrcnl. Customer shill Ir•
dccnt-A to have mrtcrially bruachcd this Agrcenacut. Customer that, in addition to any other remedy
available to it c;lhet at laty or in equity, Century shall he L-Milled to champ, and CeLmO' nvr aerccs to pay a finance charge in
the amornt of 1.9* per majuh on Ills; tutal outstandin i amount due Century nrising from oz rclaled to this Agreement which
remains outstanding pact the foreeoing due date, and .which finance share ;brill accrue until :ill outstanding amounts are paidintill, lu the even[ that Icgal action is taken by Century to enfbrer :ury provision ofthis Ag-mument a_oinst the t_ ustoatcr, liftC%mlurnur hereby eovenanl:; to indt:mnify and reimburse Century fol- all fees and cots ari:itig out ofor relined to such action,
including, but r:nr li ailcd to attorneys' fees and court costs. 'Pic ubligatiori ofthisSection 8-shallsurvive lit-, termina. don of this
Aereenirm n tardlcss of rex-on nr cause. 9.
Customer hereby rnvcnunls to indemnify dc•leiid with counsel chusvn by Century, and hold harntless Center,., its contraetnmi,
cntployccs. dircctrnx, pllitxrs. agents, ai'fih::s. subsidiaries., :LCSiz;rr.,;tad agcnts (eolk:i:Gwcl}, tic"Indcmniticd Parties,") front and against any and all claims. losses, Irnvcu;ts. liabilities, daney rs. liens, demand~, fcvs. fines. and ensts including
altomcyti reL•s :ancl euua costs), whether• a[:Ivitl ur allc_ t4 broulthi or threatened ar aia3l;rny ofthc Indemnified Parties
arising out of nr iclarcd to any cordit;nn, wlrcthrr natural or a tifi vial, which is pres nt up the' :u which Ile Rork
is perfnrmt:4. u:: +well as ;in)' act, o ntiseiun. or delault of. a)
Customer nr Customer's empinw.cs, agents. invite cs, lic:cnsecs, family mcnihers. sui+sidiaries, or atiiliatcs: b)
Any of Cuslonier's contneli.ers. sub ontraetenx, art:ut::, vmployces, or [he : s:Is or eanploycc. Of an} of them; nr c)
Cuntu. or its oMeets. din slurs, a-glets, cnntrac us, s;rpplicr,, sulleonImciors, or employ.:.:;. I towever, Bach indemnification shall
runt inchAt: chsitm of. or dama,!es r.:::uhing IFom. oss ric-lig,cncv. or willlial, wanlcm or intentional r li,cunducl o!'the Suhcnntraclors
of Century ar the nfficers, direclors. agcnrn, ewilmoors, suppliers, nubconlractots, or employ Lss ofany of liemfurslatuloryviolationerrpunilivedimages, cxca:pr and to the extent tx satlutory violation ir r punitive damgres ar.: 6ituwdbyorresult `rntn tha acts or omissions nl'Custorncr or C'astatticr's uniplrlyecs, a,_^.sifts, eontriaors, invitem. liccusecs. ramify
memhem, sub- idiaries. or aliiliates. Customer a_arvvschat lire indemnification riven in this Section 9(c) shill be limited
in the mmount of loss suffered by an Indemnified Pwy. or S 1.(X)n,000 per tv.eurnnec, whichever is less. which amount
is sliputated by Century and Customer 1st heat a reasonable commercial rvlalionship to this Rumcmcnt. 'The obligations
of this St:etion 9 shall survive the wrnaination of this At1rcenicnt rcgtrdkcs of reason or cause. 10. '
Phis Ag.ectnvnt may be amend -xi only by a writing signori by aatIaorivcd mpresentativc:: of both Cetttury;end Customer. Shnuliianyp;rrt of this Agreement In rendered or dechu cd invalid by, a court of iaw, svcit invalidation of sui•h part or portion of
this A_umcmentwill not invalidate the remaining portions thereof; :urd they sliall retrain in fill force and sheet. !n the event
ofthc 1'nrqping, this Agrrcment shall be roditied only Io ill.: minilnum extent nest.%ry to comply will; ihi: invalidating
law or court order. C'usiomrr hcruby irrevocably .gives. Customer s righ( to triad by,jury ;n ::m• Irgal action rising
v:r1 ofor rcbtin:: na this Aoncmcnt. 'Chis Af,:c<:mcn; shall be governed e.clusivrly by [hc h+vy of P:orid:. 'Withr+ut irgaW to
its choice of law p:ineiplcs. 'the cirri, ref Omngv County. Florida shall be• idle proper, eonvvniunt. and exclusive forum fire
any dispute :ari::inC, out ofor related to this A-creement. 03sitimer expressly and irrevneablN, cons,.Twc:a the p; scnal:
t.•td tiuhjci:l n atterjurisdiction M'such cuu:tc. All objection; to scch je4diclinn in vcnua arc hereby waived by C:uslnnier. 11. Unless
expressly sraied on the face of'the ProluKal. Ihcra t rc no warmnties or evartntccs made by C'catur; inmp artls its the Work. CEXTURY
l XPKESSLY UI:NII C AND DISCLAIMS ALL IMPLIED WARRAN'I'li:S R`EllCl•1 iAY 131; APPLICABI E •
110 fl'S WORK. INC':LUOING. Bur NOT LINI)TCG'I'U'l'EFI: IMPI JFD WARKANTIFS OF Mf•.RCF1AN'
1:.1F31L1'1'Y AND FI•I'NCiSS FOR A PAR'I'ICULAK PURPOSF. I'. Nwewithstandint!
anything lu llv ranlrny cnnt:rinvd in this a_r rmcnt, uodir no c rcunisuucs will C:cntur• or its :ffiliatc•. agents, empinvee.
s. Vssig,-ts, o: suhsidiarics he liable to Cusin9aer or Customer's heirs, personal rt-presentativei. survivors. or assigns 1'
nr arty consequential, indirect. escuiplary. or punitive. darnagcs (inclu.fin. [lost profits.) in any lee -:a ;rction arisin:, out of urrelatedtothisAmesincnl. thetermiration Av.-v+f. or the performance of failure toNr:`o.n) [Its Work: by Centun, without rc,!
ard in the: ttatatr of such claim (%;x.. breach ofconiract, negligence, or otherwise). Jr you
have tiny quc: tions plcme cuntacl your Estimator: F+age
4 of 5
Manic: Chris Fahoui *
Dimul Mom 407-49' ) - 13'A
Email: sjlc-C(i{en*.urvruoFin,,Ilc.com
OF CENTURY PROTECIT.D!
jo;)p cno-o .1customcr's. initials:
THIS INSTRUMENT PREPARED BY: SG 11111 HE HE 1111Name: Century FloatingS ecialisis
Address: 4260 Church St, Unit 1402. Sanford FI 32771 GRANT 11ALOY r SEMINOLE COUNTY
C:L.ERY, OF CIRCUIT COURT & COMPTROLLER
BY, 9150 F'3 1473 11P3s )
NOTICE OF COMMENCEMENT CLERKS Ar 2018066511
RECORDED 06/12/2018 09:44:33 AN
State of Florida RECORDING FEES $10.00
County of Seminole RECORDED BY hdevore
Permit Number: Parcel ID Number. 11-20-30-509-0000-0300
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) LO 3 - D N LAKE V - PB 2 PGS 2 TO 28 _ 58 Lea,
S atti ,d E-L 12- 77
GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
OWNER INFORMATION:
Name: ROBERT I COOPER
Address: 114 VIA DUOMO NEW SMYRNA FL 32169-5108
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: CENTURY ROOFING SPECIALISTS
Address: 4260 CHURCH ST, UNIT 1402 SANFORD FL 32771
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedasprovidedbySection713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates Of
To receive a copy of the Uenoes Notice as Provided In
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice ofCommencement (The expiration date Is 1 year from date of recording unless adifferentdateIsspecified)
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 COMM ORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
t
Under pen erjury, I
OR
that ave read the foregoing and that the facts stated in It are truetothetoyknoandbell
ya 110CA
Signature Owner's Printed Name
Florida Statute 713.13(1)(gy ' The owner must sign the notice of commencement and no one elsemay be permitted to sign In his or her stead.'
State of E WV % 60L County ofy0 ku S (C `\ The
foregoing Instrument was acknowledged before me this L day of ` , 20 yeO
by "'\a--- H CQ)d V' Who is personally known to me Name
of person mddnp ta,ten,t Y
ORwhohasproducedIdentificationL7typeofIdentificationproduced: ALEXIS
PICARDI MY
CliMMISSION # FF 918504 EXPIRES:
September 15, 2019 Notary Signature ni%',,,
Bonded Tlw NaliOnal Notary Assn.
D
Permit #
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Project Location Address / SS L o -n ! LeA r 10 i C; r-d <
1-1
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 S h 5-LIq . 12/
Underla ments A4 I
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shin les
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofinq 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 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
En ineered 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 --'i2LW4 L/r NY
Please Print)
June 2014
C .. 0 f
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 ofWork 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 provided by a Florida Design
Professional (architect or engineer), certifying FB code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: ,L DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOBADDRESS: 5- Loo, STRUCTURE
TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER(NEWROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): W QD d PLEASE
NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTEDTO BE REPLACED** ROOF
VENTILATION: FF-RIDGE IDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MA1N
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT FLORIDASHINGLE
Cell- 6; n R C Cf rAPPROVAL 1 FL# S I `' O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# OINSULATED
FL# O
TILE FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **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 O
METALFL#
FL#
O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# OINSULATED
FL# O
TILE FL# O
OTHER: FL#
19 1
1;40f
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: bt f
I hereby name and appoint: La(/ r4-
an agent of: Ce-v\-j ry IZooer. LLc
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):
O All permits and applications submitted by this contractor.
01- The specific permit and application for work located at:
5-8 LOnGi Lta 7, Pi n-C C1 r/c Sti n '' 3 773
I., (Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Se t—V or )0 v
State License Number: C- C C . a-(o 90
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF —' i~ F (c
The foregoing instrument was acknowledged before me this tt day of Jy n t ,
200- LL by ohas c Q e-lo who is o personally known
to me or produced L as
identification and who did (did not) take An oath.
UAW ZHAKUPOVA
c
WISV-
NOTARY PUBLIC
cSTATE OF FLORIDA
Comm# FF966449
Expires 3/1/2020
Rev. 3/27/07)
Signature
Print or type name
Notary Public - State of
Commission No.
My Commission Expires: