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323 San Lanta Cir - BR18-003635 - REROOFpug 14 20la l tT v OF--- SkNFORD PERMIT APPLICATION i 8UH DING DIVISION 1 6- 2/„26 Application Na /J J s.t./ Documented Construction Value: $ AX00 lob Address: 5Z3 S40 LA04T74 dph o-'f =5YFD26 F 7/ Historic District: Yes NoO--- Parcel II): --Tor- OQ00 --(y -20 Residential 9 6inmercw Type of Work: New Additiun Alteration Repair Demo Change of Use Move Description of Work: ge- - Roo'c Plan RvvriLe`w Con(Peon: 0-1 Ti Q-rSOPhone•7 tle•. Fes; Email: `T urr eaaG repo eel Property Owner Information Name U5 &/k lZcts4d -Tnusl- P Phone: 51D7-YL3-04934/ Street: 755 5 . aieyj;' iye src gag Resident of property?: City, State "Lip. A'Z44djvAl-, 72,61 - qqs Contractor Information Name S t35 C- awe5r,"'7-10&r ,,.,,% Phone: _ 30S 52783E Street: -111 /VG isr Far City, State Zip: Aflow4 . 3313 2 State Liewse No.: C CC /?Z 7SX'81 Architect/Engineer Information Name: i Phoney Street: City, St, Zip: Bonding Company: & Address: Fax: E-mail: Mortgage Lender•. Address. WARNING TO OWNER: YOUR FAILURE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR IPAWJQ TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS77:D ON THE 108 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEOF COMMENCEMENT Appliation is hereby matir to obtain a permit to do the work anJ installatiu- as im6catrd. 1 certify that no work or insta8at * km Qpgtmetwed primtotheissuanceofupermitandthatallwantwillbeperk"ted to meet standards ofan laws regUltytil cwtstrnctkM 10 thmj1l1YdI*b* ItlydM M91AdottrsepuNependtmustbesecuredterekctriWworkPlumbhWWVMwells, pod.. fimmem boa"16 ast+es, bM#& wdriir ge640940% etc. LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date.Z I hereby name and appoint: _-7Z an agent of 65 4 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): 9' The specific permit and application for work located at: 323 SIN Cr"g, , 5MFo2,, e 5277 Expiration Date for This Limited Power of Attorney: /J/ZO License Holder Name:_ ,q/z c Q 1.04 5—j State License Number: C! C t 3Z7 S 9 Signature of License Holder:_ — Z:F;, STATE OF FLORIDA COUNTY OF The foregoing ins ment iv acknowledged before me this Z3day of AK.av, 20g 1 d , by ,.rc,.,,.,., who is onally known to me or o who has produced asidentificationandwhodid (did not) take an oath. IC PffISNpFF9b3d0'1MYGOMM55102C30EXPIRESFebnatyADO ie117oe o a+ Rev. 08.12) Signature nL I Print or type name Notary Public - State of _G____ Commission No. 68' ( 34,y My Commission Expires: Z —Z 3 -t© CITY OF Building & Fire Prevention DivisionSkNFORDa' tM 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) SIGNATURE: DATE: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE p MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: tJrLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): _h&N00 /` I/U L iV leS PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EdSTING D CX IS PERMITTED TO BE REPLACED" ROOF VENTILATION: Q OFF -RIDGE ORIDm OSOFFIT QPOWERED VENT QTURBINES SKYLIGHTS: O YES TO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: LESS THAN 2:12 0 2:12 - 4:12 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE FL# iora - yea v Q METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# INSULATED FL# Q TILE FL# J) THER: FL# ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# O MODIFIED BITUMEN FL# 0 TORCHDOWN FL# QINSULATED FL# OMLE FL# 0 OTHER: FL# 4m9% Exhibit A — Scope of Work AMERITRUST RESIDENTIALSERVICES Property Address: Subcontractor: Job Total: Contract Start Date: Days in Contract: Ameritrust PM County Owner Pu Rve TiMeI dMitc NIIC-onstructlon M z M- KIM A= 1exisSarigNHudson rLIFfiTZW- IjM. inIMY7.., a &",., aL TB a •i AMERITRUS RESIDENTIAL SERVICES SUBCONTRACTOR WORK AUTHORIZATION FORM Project Name and Address: 323 San Lanta Cir, Sanford FL 32771 Project Manager: Alexis Sanchez Project Owner: LSF9 Master Participation Trust Contractor Name and Address: Ameritrust Residential Services, LLC 3525 Piedmont Rd, Building 7 Ste 700 Atlanta, GA 30305 Subcontractor Name and Address: Butterfield & Mitchell Construction LLC This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Agreement") between Ameritrust Residential Services, LLC ("Contractor") and terfeld & Mitchell Construction I. ("Subcontractor"), dated August 14, 2018 with respect to the Project identified above. This Work Authorization Form between Contractor and Subcontractor modified and supplements the provisions contained in the Agreement and all other Contract Documents incorporated therein by reference with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity between the terns and provisions of this Work Authorization Form and any other Contract Documents, this Work Authorization Form shall control. r TB ARTICLE PAYMENT SCHEDULE 1.1. Contract Payment. In consideration for the performance of the Work (defined below), Contractor shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by Change Order, as provided in the Agreement. Total Price for the Work described in this Work Authorization Form is $8,355.00 , which shall be paid in accordance with the provisions of the Agreement. 1.2. Final Payment. A final payment of $8,355.00 shall be made by Contractor upon Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice and a full release of all Subcontractor claims from the Subcontractor. 1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500 Piedmont Rd, Ste 725, Atlanta, GA 30305 ARTICLE 11 CONSTRUCTION SCHEDULE 2.1. Schedule. All construction activities will be completed within 10 days starting on 8/14/2018 ARTICLE III SCOPE OF WORK 3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the Project: See Exhibit A attached. 3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to, related to, or necessary to complete the above Work, for the above Work to be functional, or where typically provided under industry custom and practice, even if the Work described in the above scope is discussed in other provisions ofthe Contract Documents or is not specifically called out in any Plans or Specifications referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all applicable, codes, regulations, laws and ordinances. ARTICLE IV CONTRACT DOCUMENTS Ameritrust Master Subcontract Agreement Exhibit A — Scope of Work Exhibit B — Waiver and Release Upon Final Payment Exhibit C — Contractor's Final Payment Affidavit ARTICLE 1 PAYMENT SCHEDULE I.I. Contract Payment. In consideration for the performance ofthe Work (defined below), Contractor shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by Change Order, as provided in the Agreement. Total Price for the Work described in this Work Authorization Form is $8,355.00 , which shall be paid in accordance with the provisions of the Agreement. 1.2. Final Payment. A final payment of $8,355.00 shall be made by Contractor upon Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice and a full release of all Subcontractor claims from the Subcontractor. 1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500 Piedmont Rd, Ste 725, Atlanta, GA 30305 ARTICLE 11 CONSTRUCTION SCHEDULE 2.1. Schedule. All construction activities will be completed within 10 days starting on 8/14/2018 ARTICLE III SCOPE OF WORK 3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the Project: See Exhibit A attached. 3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to, related to, or necessary to complete the above Work, for the above Work to be functional, or where typically provided under industry custom and practice, even if the Work described in the above scope is discussed in other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all applicable, codes, regulations, laws and ordinances. ARTICLE IV CONTRACT DOCUMENTS Ameritrust Master Subcontract Agreement Exhibit A — Scope of Work Exhibit B — Waiver and Release Upon Final Payment Exhibit C — Contractor's Final Payment Affidavit TB IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written above. GENERAL CONTRACTOR: Ameritrust Signed, sealed and delivered in the Residential Services, LLC presence of: Witness Signed, sealed and delivered in the presence of: Witness A 2,Y%J `1G 12L 000Wsiffiabe18) , Project Manager CONTRACTOR: Butterfield & Mitchell Construction LLC Tyr n.But erlield(Aug 15.2018) , Authorized Signer U TS IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written above. GENERAL CONTRACTOR: Ameritrust Signed, sealed and delivered in the Residential Services, LLC presence of: Witness Signed, sealed and delivered in the presence of: Witness 44wi Szlmhez AU*iY`Sb*0l*2111) , Project Manager CONTRACTOR: Butterfield & Mitchell Construction LLC TyrtpifBur erheld(Aug15,2018) , Authorized Signer Fit A F City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: / O — 3P 3S ADDRESS: 323 3+11 LAIOTA d i k SAW , FL . L77/ I / 9U'rr&LXW'C/ AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING IONTRACTOR, 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 1 CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: C&(7 1 J l 3 74 7 COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: DATE: O MUST BE SIGNED BY LICENS 694A OR O LD 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 PIIOTOGRAPHS OF EACII PLANE OF THE ROOF SIIOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACII 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 FURTIIER 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 'Ot h Sworn to and Subscribed before me this 3 day of 20 J D by: 0 &P 'cowho is 0 Personally Known tome or hasXProduced (type of iden ' ication) R. L- as identification. rt . Signature of Notao Putwic State of Florida I Dalia Figuereo Notary Public State of Florida Print/Type/Stamp Name My Commission Expires 10/24/2021 of Notary Public Commleelon No. 00154363