802 W 20 St - BR18-002514 - ReRoofCITY OF
Skil4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
JUN 4 Ww; PERMIT APPLICATION
Application No: is T
Documented Construction Value: S GL o vo `
a
Job Address: '-o 'a- '9_0 Historic District: Yes No---'
Parcel ID: 6—N, 30- 5724- OooO- 1900 Residential Commercial
Type of Work: New Addiitiio nAlteration Repair Demo Change of Use ElMove Description
of Work: Iselz.o 4:— Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name (
i ^ 4-t3otwi -e- S Phone: Lr07— Q?7- .5) 3 7 Street:
oa '` ' 0 5fi' Resident of property? : Lp4a S
3a-,'7 ...,yarn•.
t r(,it'+.1..M.v,/1.-44 1i..I City,
State Zip: , Contractor
J nformation l Name
DS 9-rnl . tor- --.. w«.•.Phonet,.,.. o.,;.:.kiS— 33,6 Street: 6 Y
Fax: City, State Zip:
S % 3a-7"7/ State License No.: Lu--1 3 X7 1 by Name: Street: City,
St,
Zip:
Bonding Company: Address:
Architect/Engineer
Information
Phone: Fax: E-
mail:
Mortgage
Lender: 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 that date: 6" 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 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 pen -nit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent ate Signature of Contractor/Agent Date
L 'n y . Inc r e,`I
Print Owner/Agent's Name Print Contractor/Agent's Name
Spnaiu r ofNotary- to of FI ida Signature of Notary -State of Florida Date JAMES
THOMSON Notary
Public - State of Florida Commission
M GG 166964 My
Comm. Expires Dec 10, 2021 Owner/
Agent is Persona y nown to a or Contractor/Agent is Personally Known to Me or Produced
ID . Type of ID p L Produced ID Type of ID 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, Flood
Zone: of
Stories: Plumbing - #
of Fixtures, Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGINEERING:
COMMENTS:
FIRE:
BUILDING: Revised:
January I, 2018 Permit Application
SCPA Parcel View: 36-19-30-520-0000-1500 Page 1 of 2
PAPPR7USER
e wo aaowrr, Aaga
Properly Record Card
Parcel: 36.19.30.520.0000.1500
Property Address: 802 W 20TH ST SANFORD, FL 32771-3328
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193052000001500 6/1/2018
INSTR # 2011121245 OR BK 07662 PG 0352 11/09/2011 03:34:39 PM
Maryanne Morse Clerk of County Seminole County Recorded By Court
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT,
IN AND FOR SEM MOLE COUNTY, FLORIDA
CASE NO. 11-DR-4372-01 S-S
DIVISION: Domestic m r>
Merton Anthony Bowers M Z jPetitioner, S
and ri
r c yv
c-
Linda Henley_ Bowers „ nC ;
po rResndent. q U--z-
FINAL JUDGMENT OF SIMPLIFIED DISSOLUTION OF MARRIAGE " V
This cause came before this Court for a hearing in the parties' Petition for Simplified Dissolution
ofMarriage. The Court, having reviewed the file and heard the testimony, makes these"findings of factandreachestheseconclusionsoflaw:
1. The Court has jurisdiction over the subject matter and the parties.
2. At least one party has been a resident of the State of Florida for more than 6 months immediately
before filing the Petition for Simplified Dissolution of Marriage.
3. The parties have no minor or dependent children in common, and the wife is not pregnant.
4. The marriage between the parties is irretrievably broken. Therefore, the marriage between the
parties is dissolved, and the parties are restored to the status of being single.
5. Marital Settlement Agreement.
J one only]
The parties have voluntarily entered into a Marital Settlement Agreement, and each has
filed the required Financial Affidavit. Therefore, the Marital Settlement Agreement is
filed as "Exhibit A" in this case and is ratified and made a part of this final judgment. The
parties are ordered to obey all of its provisions.
J[_ There is no marital property or marital debts to divide, as the parties' previously have
divided' all oftheir personal property. Therefore, each is awarded the personal property he
or she presently has in his or her possession. Each party shall be responsible for any debtsinhisorherownname.
6. (%/) Yes ( ) No The wife's former name of Linda Dolores Henley is restored.
7. The Court reserves jurisdiction to enforce the marital settlement agreement.
ORDERED on November 9, 2011
Copies to: Petitioner (or his or her attorney)
Respondent (or his or her attorney
Other:
DR)110.020
CONTRACT AGREEMENT
Thisagreement is made on this 30 day of 20 l fl between Vi
Name
Address City 3a-771 40'7-415-59&6 (Contractor) State
Zip Phone and
L i rn0 C, fsouw eeS of 9Oo2 cJ. 2a "— Name
Address City 7-
7 to?7- 5737(Client) State
Zip Phone The
above contractor will perform the following work as described in this agreement for $ 000 . in
compensation from the client. p
Job
Description: per I' ( fDpoSo( w or It- cJ a> ar PCO
v-.e- o u... Work
to commence on `"Y 701band is estimated to be completed on 7 3Z*-e' 2e1 Date
Date Contractor:
Client:
Signature
Print
Signature
Print
Date:
3 D MA1 ' ? e f Date: —
6 m ' 20 17
0 THIS INSTIi;UJiAFW7TAR
Nerpe: (// t
Address:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
1111111111111111111111111111111111111111
GRANT' NALOYf SEMINOLE COUNTYCLERKOFCIRCUITCOURT & COMPTROLLERBK414Ps771 (iF-9,) CLERK'S : 2018062414
RECORDED 06/01/2018 02:41:35 F'hiRECORDINGFEES $10.00RECORDEDSYhdevore
Parcel ID Number: .34- N —3D —J ?o — 0020— 1 S00
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)
GENERAL DESCRIPTION OF IMPROVEMENT: — Pe -
OWNER
CONTRACTOR: D4rn2'rNnmo• a/ ` O
f:TZli llfsY ll
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates Of
To receive a copy of the Lienors Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of pejury, I declare that 1 have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
t CC)
Owner's Signature Owner's Printed Eek
OFloridaStatute713.13(t)(g): 'The owner must sign the ratite o/ mencemeni and no one else may be permitted tosignin Idsorher stead ' N
state of ID r"• q County of 6My%V=
The foregoing Instrument was acknowledged before me this
S
day of 20 0 Q.
by L n cl AcIn \I Who Is personally known to me
1_
c
p
f
Name of person making statemenl
OR who has produced identification Ripe of Identification produced:10 + n YiVCi L 1 t1 SQL
Cr
oc -
a
JAMESTHOMSON a ~ z
No" Public -State of Florida
pneture
o O --
Coomission 11 GG 161011 Notary o
My Comm. Evi es Dec 10, 2021 Uj
v >r`+ m
SEA41NOLE COUNTY MULT1%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3 ( <'r-," l
I hereby name and appoint:y
an agent of: w pa) c
Name of Company)
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):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:,
G - 7-o S"r s -0,- v,V , % 3
Expiration Date for This Limited Power of Attorney:
Address)
3 o S r.e, t zo L W
License Holder Name: r->'°r''' ' Cv I b re*-lk
State License Number:
Signature of License H(
STATE OF FLORIDA
COUNTY OF ` ^o
The foregoing instrument was acknowledged before me this day of %--) 41— 0 Z
20_L.?_, by who isj0 personally known to me or
O who has produced
and who did (did not) take an oath.
Signature Kf Notary
KENNET1416. GORDONs'•.
g; ': Notary Public -State of Florida
My r-,nr.. Expires Oct 27, 2018
Notary Saab)# FF 171843
fos 7 through National Notary Assn
as identification
Print or type Notary name
Notary Public - State of
Commission No.
My Commission Expires:
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 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 ofthe roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o RoofDeck 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 BC c de compliance.by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE 3`m ( &I U t
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
0-4
JOB ADDRESS' c3 0 —
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE p 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): W U O 0 P/j& t — I K 9
PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: DOFF -RIDGE Q RIDGE OSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES (PNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 Q 2:12 — 4:12 ® 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA) PRODUCT APPROVAL
SHINGLE FL#
Q METAL FL#
O MODIFIED BITUMEN FL#
pTORCH DOWN FL#
QINSULATED FL#
OTILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **JFAPPLICABLE**
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#
O TORCH DOWN FL#
QINSULATED FL#
Q TILE FL#
O OTHER: FL#
CITY OF
I ;tr ,
S,TFORD
f
Building & Fire Prevention Division
6 RESIDENTUL REROOFAFFIDAVIT
FIRE DEPARTMENT (
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: tg.. -)5t tf ADDRESS: go tn, W, 4o S-I-
P)-rY AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFIN CONTRACTO , 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 OFTHE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: c C— 1 I z--1 s Lt I
COMPANY / CONTRACTOR: C li'CV-)-
CONTRACTOR SIGNATURE: DATE: J&o-we- /or
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 EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMTT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALLNAIL 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 C f+.
Sworn to and Subscribed before me this —I day of J e 20 Iff by:
l_L hr'G Who is 0 Personally Known to me or has Ofroduced (type of
ide 'cation) TA—`D — as identification.
Stature f N ry Pub is
Stet t Flonda ,°"" °'••,
Peflao(-i
0 NI MELODY D.'L•EE
Notary Public - State o1 FloridaV . e e- a, Commission # FF 902089PrintffypetStaifipName "'• ,a,;;' . My Comm. Expires Jul21. 2019
of Notary Public