406 W 20 St - BR18-002517 - Re-RoofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
W kApplicationNo• I " ozs
Documented Construction Value: S 3500.00
Job Address: 406 W 20th Street, Sanford, FL 32771 Historic District: Yes No X
Parcel ID: 36-19-30-506-0000-1520 Commercial
Type of Work: New Addition Alteration RepairEl Demo Change of Use Move Description
of Work: complete roof tear off & replacement Plan
Review Contact Person: Rebecca Smith Title: Owner/Officer Phone:
321-363-3871 Fax: Email: info .xlr 8roofing.com Property
Owner Information Name
Marisol Irizarry Phone: Street:
406 W 20th Street Resident of property?: Yes City,
State Zip: Sanford, FL 32771 Contractor
Information Name
XLR8 Roofing Phone: 321-363-3871 Street:
485 Specialty Pt Fax: City,
State Zip: Sanford, FL 32771 State License No.: CCC1331278 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 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. 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 thatdate: 511 Edition (2014) Florida Building Code Revised:
June 30, 2013 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 ofFlorida 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 ofsubmittal.
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 in compliance with all applicable laws regulating construction and zoning.
Signature ofOwner/Agent Date
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
10 1
Signature ofContractor/Agent Date
PAViJ Q. 6h-)1 bJ
Print Contractor/Agent's Name
pv f
ignature of Note to or a PDate
Contractor/Agent is
Produced ID
V
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
pyt `o yfa h" = PCL[A IG
Permit Not -S QI UygC(1/
f-
1 '
Tax Percel Number (M ' " r a I I .
31Q--30'C'D-000O- ISZO NOTICE OF COMMENCEMENT
State ofFlorida
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
1 Description ofProperly. (Legal description of the property, and street a dress ifapplicable.)
t52+15 PPS 2 n3
2. Ge W, l "descrlplion f m t ma t
RE -ROOF
3.Owner information or Lessee informed iftheLessee contracted for the Improvement):
a. Nome: / / al Address:
f-l l 6 `ii L-0 1. S /i. b.
Interest in property. 3 a• 7 c.
Name and address of fee simple titleholder Of otherthan owners 4.
Conlrector Information: a.
Name: XLR8 Roofing Address:
485 Specialty Point Sanford, FL 32771b.
Contractor's phone number. 321-383.3871 5.
Surety (f applicable, a Copts of the payment bond is attached): a
Name: Address:
b.
Phone number. a
Amount of bond: E .00 8.
Lender Information: a.
Name: Address:
b.
Lender's phone number. Persons
within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)7., Florida Statutes: a.
Name: Address:
b.
Phone numbers of designated persons: 8.
In addition to hi nselt Owner designates, a.
Name: of
the Uenor's Notice as provided in Section 713.13(1)(b Florida Statutes. b.
Phone number tt
tti 1 I110 il ll I I I1tl ll l tl GRANT
MALOYr SEMINOLE COUNTY CLERK
OF CIRCUIT COURT G COMPTROLLER BK9144Pa801 (1r9s) CLERK'
S T 2018062422 RECORDED
06/01/2013 02:54:23 PI'I RECORDING
FEES $10.00 RECORDED
BY Hevore FOR
CLERK'S OFFICE USE ONLY fo
receive a COPY 9.
Expiration date of Noticeof Commencement (heeuyiralic datais 1 yearban Aredataof mcwft unlessa ddferartdate is speaTied): WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER IME EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713 , FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMM C NT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FIy W¢ING, CON L TH YOUR BE
OR
AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMENT. % Authorized
Signabys
TitlelOttice r State
of PAIri County of E V7 ) j •` air
TheforgoingInstrumentwasacknowledgedbeforemethis —25L day of 20 by tA QH$d Type
of euuroriry ...e.g. officer,, bastes, allorney-InladNOTARY PUBLIC ) uc o K64 STATE
OF
FLORIDA Signature of
Notary Public - State of Florida Print Type or StampName of Notary Public o .— Personally Known
OR Produced ID Type of ID Produced _ ' . - o co m
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5/31 / 18
I hereby name and appoint: Paula Rodriguez
an agent of: XLR8 Roofing & Construction, LLC
Name ofCompany)
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):
12C The specific permit and application for work located at:
406 W 20th Street, Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney: 12/31/18
License Holder Name: David Hambley
State License Number: CCC 1331278
Signature of License Holder: o&.,t.
STATE OF FLORIDA
COUNTY OFffHi pOL F
The foregoing instrument was acknowled ed before me this tday of
ll20Q _, by DAV p7 .ajwho is ersown to
me or o who has produced identification
and who did (did not) take an oath. Notary
Seal) Re.
f rcASMIT" 6"" R.
i» ':
COMMISSION
10 EVIRES: MarPcu Oc UndeiwrlWs ThruNOUfYRev.
08.12) Signature
ra--
aPrint
or type name Notary
Public - State ofFL- Commission
No. My
Commission Expires: Z=1 as
XLR8 Roofing & Construction, LLC
485 Specialty Pt
Sanford, FL 32771
Bill To:
Marisol Irizarry
406 W. 20th St
Sanford, FL
Contract
Date Invoice #
6/4/2018 354
I Service Address: I
406 W. 20th St
Sanford, FL
sc-.oiM,.. Aep0 RAmountW@1
LaborLabor
Removeand replace old shingles with new 30 year 3,500.00 1 3,500.00 dimensional shingles
Thank you
for your business!! Total $3,
500.00 Payments Applied $
0.00 Balance Due $
3,500.00
CITY OF
Ski4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 8 0 07 SI *7 ISSUE DATE: ,
CONTRACTOR: Xf L km !V
JOB ADDRESS: 00 `O ao* I Sf
TYPE OF WORK:
FROM WEA
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
F
ECTION TYPE APPROVED
AL ROOF
REJECTED INSPECTOR
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 REOUIREMENTS 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 REOUIRED 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 855.542.2112
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 - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
fSXRFORD Building & Fire Prevention Division
RESIDENTL4L 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
0 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 T14ESE 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: . D /
isCITY OF
Ski4FORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 406 W 20th Street, Sanford, FL 32771
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (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: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"*
ROOF VENTILATION: OOFF-RIDGE ® 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 ® 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# NOA No.: 16-0329.13
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED 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 FL#
O METAL FL#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTH ER: FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL•32771
DRIVEWAYS -SIDEWALK 407,688,5080
Page 2
Application Number . . . . . 18-00002517 Date 6/11/18
Property Address . . . . . . 406 W 20TH ST
Parcel Number . . . . . . . . 36.19.30.506-0000-1520
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . SANFORD HEIGHTS
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1054832
Permit pin number 1054832
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 Ill BL03 FINAL ROOF _/_/_
CITY OF
S.k FORD Building & Fire Prevention Division
Vol
1 RESIDENTM RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-2517 ADDRESS: 406 W 20th Street
Sanford, FL
I David Hambley , 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#: CCC1331278
COMPANY / CONTRACTOR: XLR8 Roofine & Construction. LLC / David Hamble
CONTRACTOR SIGNATURE: DATE: W011
MUST BE SIGNED BY LICENSE HOLDER 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 EACII PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACIIMENT) 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 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 5CH) NOL 7
Sworn to and Subscribed before me this day of , Ju11,31-77 20 a by:
DRy ( tom 112311R1 Ey --..Who is 946rsonally Known tome or has D Produced (type of identification)
IR21
L"'a, Jz 4-- Signature
of N94irry FUSTic State
of Florida rint/
Type/Stamp Name T of
Notary Public as
identification. RESECCASM"
tAY
COh1MISStON s Ff 969994 EXPIRES: March 0, 2020 c ' BoMOO Thru Notary Pubk UaderwrileFs rpV .