163 Pine Isle Dr - BR18-002729 - REROOFCITY OF
ORD
FIRE DEPARTMENT
a
Building & Fire Prevention Division
PERMIT APPLICATION
Application No. I _S
Documented Construction Value: S
Job AddressAD BA(LL IA Dr - VAYd ft ?)113 Historic District: Yes Noz]
Parcel ID: - 511- WUD-12 0 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: QM
Plan Review Contact Person: tt.t,G \Sb t vinril Title: Owrdr&d crpyL
Phone:401 Fax:LXV1 13-,.t1\"A5 Email:C-eA rya1 0w1c3 o'ceo7s&o;.D•'+
Property Owner Information
Name 'zi YQS V Phone: Ce f68 — *-I"2L`A %4
Street: M3 iu 15Q V - Resident of property?
City, State Zip: r 3 l
Contractor Information
M
Name 'r n Mmat, Phone4V l 132''11.u/ 2,
Street: 02,- Fax: 40-1- 2 12 - '-k \'' -'A-
City, State Zip: Wv I WV50 State License No.: VlY
Architect/Engine r 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 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 ofa 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: 6i° Edition (2017) Florida Building Code
Revised: January 1.2018 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 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 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 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 at the time of submittal.
The actual construction value will be figured based on the current ]CC 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 in compliance with all applicable laws regulating construction and zoning.
Signature fowner/Agent Date— Signature of ontractor/Agent Date
s Name
0o4 Notary Public State of Florida
Tiffany BurlesonMyCommissionGG 173997
or ofr°
Eiprreso110912022_ —
Owner/Agent is t/ Personally Known to Me or
Produced ID Type of ID
Print Contractor/Aecnt's Name
v 77- _ U ' µ* op Notary Pubht $fate of Flonob c
Tiffany Burleson
My Commission GG 173997 r
Fr°ires01/0912022 (_
Contractor/Agent is Personally Known to Me or
Produced ID Type of TD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January I, 2018 Permit Application
Central Homes Roofing
1182 N. Ronald Reagan Rd.
Longwood. FL 32750
407) 732-7262
Luzdary Traslavina
M Pine Isle Dr.
Sanford, FL 32773
ftem
Scope of work
Removal
Root Sheathing Inspection
Undedayment
Ventilation
Drip edge
Pipe Jacks
Sales Representative
Louis Hendon
407) 417-2425
centralhomeslouis a@gmail.com
Valleys
Certainteed Landmark per square
Permits/Inspections
Dumpster/Haul away debris
Warranty
CentralWWaftsBl4lne- Homes
Estimate # 1985
Date 4/23/2018
Description
Tear off and haul away the existing shingle roof system (one layer). An additionalS351sq. for removal of each unforeseen additional roof layerwill be added.
Inspect the roof sheathing fastening system and supplement (re -nail).
Supply and install one layer of Rhino Synthetic felt undedayment.
Supply and Install new Shingle Over Ridge Vents and/or4' Off Ridge Vents for
proper ventilation.
Supply and install new 2 YV eave drip
Supply and install Bullet Rubber boot flashing for plumbing stacks
Supply and install a self -adhered peel & stick modified undertayment in all valleys
Certainteed Landmark Architectural Shingles per square
We will obtain and pay for a permit and obtain all required inspections
Upon completion, all roaring debris will be picked up and taken away.
7 year workmanship warranty on labor
SATELLITE DISH CLAUSE -Central Homes will detach the satellite dish. It is the responsibility of the homeowner to call the service provider
and schedule the re -installations and the calibration of theesatellite dish
after the roof is complete. Shingle
Color: A t cmk I UIt Drip Edge Color: &Ck Vents Color: v6-Clk Payment
Terms:1, THE HOMEOWNER AGREE TO PAY THE balance due upon completion of scope of work. DUE TO OUR "NO MONEY UP FRONT" POLICY, WE ASK FOR PAYMENT IMMEDIATELY AFTER THE SCOPE OF WORK IS COMPLETE. PLEASE WITHHOLD 10% OF THE SCOPE
AMOUNT IF YOU ARE WAITING FOR FINAL INSPECTION, CLEANING OF ANY PART OF YOUR PROPERTY, OR WAITING FOR SMALL
REPAIRS TO GUTTERS, SCREENS. ETC. Central Homes must pay our suppliers and workers immediately to avoid liens on your property.
If you're waiting on insurance proceeds we ask that you pay deductible and first check upon completion of work. We will wait for you
to receive final insurance proceeds.
Z Homeowner Name Sub Total $10,494.82
Homeowner Signature Date Total $10,494.82
Central Homes Rep. r.M ri./
SPEC IAL INSTRUCTIONS
Payment Terns: I, THE HOMEOWNER AGREE TO PAY THE balance due upon completion of scope of work. DUE TO OUR "NO MONEY UP
FRONT POLICY, WE ASK FOR PAYMENT IMMEDIATELY AFTER THE SCOPE OF WORK IS COMPLETE. PLEASE WITHHOLD 10% OF
THE SCOPE AMOUNT IF YOU ARE WAITING FOR FINAL INSPECTION, CLEANING OF ANY PART OF YOUR PROPERTY, OR WAITING FOR
SMALL REPAIRS TO GUTTERS, SCREENS, ETC. Central Homes must pay our suppliers and workers immediately to avoid liens on your
property.
A surcharge of 3.5% will be added to above price if paying with a credit card.
Any unforeseen decking repairs and/or wood rot repair will be done at a cost of $55.00 per sheet of plywood and/or $5.00 per lineal foot of fascia.
This proposal is null and void if not accepted within 10 days of the date referenced in this proposal due to price volatility in asphalt -related products.
I have read and accept the Additional Terms and Conditions printed on the back of this page. The prices, specifications and conditions ofthis
proposal are satisfactory and are hereby accepted and Central Homes LLC is authorized to do the work as specified. Payments will be made as
outlined in this proposal.
I THIS INSTRUMENT PREPARED BY:
Name: Triana Torres
Address• one Cagan v
Longwoo , FL 3275
NOTICE OF COMMENCEMENT
Permit Humbert.
Parcel ID Number: M-26-V— 511- Q000 —1230
Gwii•fr i1ALOYo SENINOLE COUNTY
CLFI,K OF CIRCUIT COURT & CO&TROLLER
RK 9157 F'3 1599 (1F'as )
CLERK'S v 2f'18068587
RECORDED OL/15/2013 02:16:(Q PN
RE_:ORuING FEES W1.00
RECORDED BY hdfevora_
The undersigned hereby gives ratios that improvement win be made I o certain real property, and In accordance with Chapter 713, Florida SWwwS• thefolkyMgWmA8110nisprovidedinthisNoticeofConunencernani
2. GENERALAESCRIPTIDII GF IMpianuFueur•
3. OWNER INFORMATION OR
Name and address:
Interest In property:
IF
Fes SlmPla This Holder (if other than owner fisted above)
4. CONTRACTOR: Name. Central Homes, LLC Phone Number: I07 7aa 7-2saAddress: 1182 N. Ronald Reagan Blvd., Longwood, FL 32750
S. SURETY pf applieabls, a COPY of the payment bond Is attaebed):
Address:
8. LENDER: Name:_
Address: -
Phone Number.
Amount of Bond:
7. Persons widdn tit Stift of Florlda Deslpnaled by Owner upon whom notice or other docmw is maybe served as provided Soplion713.13(1xa)7., Florida 3batutes. ry by
8. In addition, Owner designates
Phone Number
Of
to receive a copy of the Llencee Notice as provided in Section 713.13(1)(b), FloMe Statutes. Phone number.
9. EVInation Deft ofNotice of Commencement (The OViration is 1 yearfrom date ofrecording unless a diffefent date is specified)
WARNlAtQ 70 OWNF_R, ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, 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 ATTORNEYBEFORECOMMENCIGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
orLaaaa, or ea aar lastaa'a (4t Nar11a and Pra Ofatpnefo7ra Ttrtsr0lDoa)
state of WKLII) NO— County of S LCrn ttisu
The foregoing ins"Irt Miss OCk nowledged before me this l S dsy of L r. %--_
by_ - % W Le*A-wr.--
whp has Produced MOM1 fiea6on 0 type of Identification produced:
MARIA T. BUTCHER
MY COMMISSION # GGIO1540
EXPIRES May 04, 2021
Who Is personally (mown to me'XOR
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: G
I hereby name and appoint: S 1rwt ES e—
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):
l ll 2 lt1
sR4 cation
for work located at: Street
Address) Expiration
Date for This Limited Power of Attorney: !o 1 I9 License
Holder Name: ]iW h CA I
so
o /au Y tail' /I i. State
Licens Signature
of STATE
OF COUNTY
C T
e f regoing instrument was acknowled a before me this day of , 20 ,
by Y\ M who is>Iq9sonally known tome
or o who has produced identification
and who did (did not) take an oath. S
gn e PuoUc
State of Florida ayMary
Burleson mission GGt73997Expires 0t10912022
OM1 Rev.
08.
12) IFSr I
NIjfUri r Notary
Public -
State of J d Commission No.
1 My Commission
Expires: as
CITY OF
is SJO Building &Fire Prevention Division
F lv r RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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 OF WORK 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 FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGMA DATE:
CITY Of
FORD PERMIT #
FIRE DEPARTMENT Building &Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB A.DDR.ESS: 11.C3 P A% lsu Df . 41
STRUCTURE TYPE: (5S GLE 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 (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): t W v0
PLEASE NOTE: ONLY /00 SQUAR FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: *OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 04:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
OSHINGLE EQ.c vcISMO FL# J % 44%4, - R
O M ETAL FL#
OMODIFIED BITUMEN FL#
Z)TORCH DOWN FL#
O INSULATED FL#
OTILE FL#
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 FL#
O METAL FL#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
CITY Of
Building & Fire Prevention DivisionSUNFORDRESIDENTIALRE-ROOFAFFIDAVIT
FIRE DEPARTMENT
a
RESIDENTIAL RE-ROOF,INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMITM 8 - 1a ADDRESS: 1 (03 ` 1 f^E VaL -
S4hlb=0t 3 3
I AS A N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING'INSPECTOR; I 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 M C CC 13 °5 OS. O 9
COMPANY / CONTRACTOR: i1 IRS ATV wn as L LC— '^ \ S 'tl Y AA W P*,'%
I I
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HO ER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
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
IeA
Sworn to and Subscribed before me this v day of 1 20 le by:
MA I1WAV . Who is C Personally Known to me or has 0 Produced (type of
identification) as identification.
Utg re Notary Public
o a of Florida
n Bu I Q.So
Print/Type/Stamp Pame
of Notary Public
aW` °4t Notary Public Stole of Florida
Tiffnnv Rurloonn
fvly Commissiol+ GG 173997 c
0 00 Expires 01/09/2022 ,