1918 S Summerlin Ave - BR18-002912 - ReRoofCITY OF
kNFORD ,IUN 18 2018
Building &Fire Prevention Division
2,
PERMIT APPLICATION
FIRE DEPARTMENT
Application No:
Documented Construction Value: $ !S;yw
Job Address: ' s. " ° /Ot"e Historic District: Yes No
Parcel ID: 19 - *6 ( — So Lf — O 5-00—C);Q d Residential commercial Type
of Work: New Addition El Alteration Repair Demo Change of Use Move Description
of Work: sti' '' ( 3 Plan
Review Contact Person: Phone:
Fax: Property
Owner Information me
1 e / Phone a , ...
Street. -
5j
X onn Resident
of
property' City, State
Zip: v d l b i i-2/ Contractor Information
t Name 0
Avl_/' ' Phone: Street: y
3i 3" 4'^ Fax• City, State
Zip: iQ/^, ok State License No.: CCC 3 7 142 Title: Name:
Street:
City,
St,
Zip: Bonding Company:
Address: Email:
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. 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: 6" Edition (2017) Florida Building Code Revised: August
I, 2017 Permit Application
NOTICE: In addition to the requirements of this permit; there maybe: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 watee
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 1CC 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.
O R'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be a in compliance with all applicable laws regulating construction and zoning.
3iV"*vrc6f0wner/AgenY \J Date
Print Owner/Agent's Name
11nrte of Fluri[fa Date
Q 1Commission0GG151$02 (p • 2 p
My Cornm. Expires Nov 5.2021
Wmlr:d Ihrouyh NHlunulNtx,nyAun
del G'<l
Signature ofContractor/Agent Date
l-g'n (Lr
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID ja[yZType of ID 2 S % 53 roduced ID Type of ID
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: August I, 2017 Permit Application
EmINOLE COUNTY MULTI -JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: C;W I
I hereby name and appoint:
an agent of: Giew AIDT L 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: Street
Address) Expiration
Date for This Limi Power of Attorney: License
Holder Nam e:_ ,r
t fa State
License Number: Signature
of License Ht STATE
OF FLORIDA COUNTY
OI e, The foregoing
instrument was acknowledged before me this 2 e- day of J unG , 20 l
g , by who is ersonally kno to me or O who
has produced as identification
and who
did (di tak an oath. Signature of
otary r i
CASSANDRAC GORDON Commtselon 0
GG 187187 F.gIres
Fewtory25.2022 a ea
aepw.ew4! Mdoy erdlo a,<7,
SaM(r6LC G6A400 Print or
type Notary name Notary Public -
State of 1' IOv-icict Commission No.
C (i My Commission
Expires: 6 12-c—a-z
1\3 THIS INS UMENTPREP RED j
Name• r ((
Address:
GRANT MALOY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
NOTICE OF COMMENCEMENT CLERK'S aw 20180748135)
State of Florida
County of Seminole
Permit Number:
RECORDED 06/28/2018 02:53-k-3 Pll
RECORDING FEES $10.00
RECORDED BY hhdevure
Parcel ID Number. — 3 I —SO 1-05OD— ocno
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)
b?" 977 t/ r-s S w 7 Pr For A-t (ea., 1 m (lLS f-Se4- 4F r
GENERAL DESCRIPTION OF IIIAPROVEtiVIENT: %J
Fee Simple Title Holder (If other than owner) Name:
Address
CONTRACTOR:
Name• —
Address: ¢-, k la-j 0^-0-Q I'C-Y—
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 Lienor's 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.
er penalties f erjury, I declare that 1 have read the foregoing and that the facts stated tin it are true
to a best of k owledge and belief.
e
s Signature Owners Printed Name
Florida statute 713.13(1)(g): • The owner must sign the notice ofcommencement and, noone else may bepermitted to signin Ns or herstead'
fpP 7 %i
State of County of O
The foregoing Instrument was acknowledged before me this 45— day of ' : tA.42-- . 20 is
by Ile`,, . Who Is personally known to me
Name of person maRing stater
rrORwhohasproducedidentificationtypeofidentificationproduced: t l L q 5 q 2 S S
FERTIFI PY GRANT MALOY
CLERK OF E CIRCUIT COURT •''
Ofy LERty t , :" z
r
SEMIN C ITY, F ORIDA , w " t fi !!sN
73112•
T9 My Comm. F.rp5, MIByta,dsd Nmo.
11 n __
SCPA Parcel View: 31-19-31-504, 0500-0270 Page 1 of 2
f1kmemAPIAISER
aoa o aaasm:aannx
Legal Description
LOT 27 (LESS W 7 FT FOR
ALLEY) BLK 5
BEL-AIR
PS3PG79&79A
Taxes
Property Record Card
Parcel: 31-19-31-504-0500.0270
Property Address: 1918 SUMMERLIN AVE SANFORD, FL 32771-3969
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 43,348 25,000 16,348
Schools 43,348 25,000 18,348
City Sanford 43,348 25,000 18,348
SJWM(Saint Johns Water Management) 43.348 25.000 18,348
County Bonds 43,348 25,000 r $18,348
Sales
Description Date Book Page Amount Qualified Vadlmp
WARRANTY DEED 1/1/1990 02148 0449 45,900 Yes Improved
WARRANTY DEED 4/1/1984 MU J263 37.600 Yes Improved
CERTIFICATE OF TITLE 12/1/1982 01428 089 100 No Improved
WARRANTY DEED 1/1/1981 01316 QW 25,800 Yes Improved
CERTIFICATE OF TITLE 10/1/1976 2Z]96 22 1 No Improved
Rind comparable Sslea
Land
Method Frontage Depth Units I Units Price Land Value
FRONT FOOT & DEPTH 55.001 118.00 0 190.00 9,405
Building Information
Is Bed/Bath count incor ec19 lick Here
II Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall AdjValue Repl Value Appendages
http://parceidetaii.scpafl.org/ParcelDetaiiInfo.aspx?PID=31193150405000270 6/28/2018
CONTRACT AGREEMENT
This agreement is made on this r day of J 20 /between
f I of 39(F-7 614, set—
n Address City
fZ-
e -
7% tf°7" (I t S 3 (Contractor)
Stat Zip / PhoneanZ A-_ m 7-. of / 7 % 5, s.,,,Mm rt-/"a
F/Name / G Address City
2 2=2 7 / 9--3 - 7 941 6(Client)
State Zip Phone
The above contractor will perform the following work as described in this agreement for $,5, tfoo
in compensation from a client.
Job Description: /
Q1VPOS--Q w" w v fie- '0""' vv
C'v0 e W
I I , A.- .cs,- Work
to commence on a l " 'Zo (k-and is estimated to be completed on 3 j(y 1
z0 lJC' . Date
Date Contractor:
Date: t
1 Signature
Print
Date:
e zmri1'
R- He Print
A
PERMIT # 7-
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS' r O.cs y ,, e
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 (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): / /.1 .0 O J O
PLEASE NOTE: ONL Y IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"*
ROOF VENTILATION: OOFF-RIDGE Q 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 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE B " `-'v FL# SS
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
OTILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 ® 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
OMODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
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 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
r Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifyin FBC de compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:(/
f `
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: (Y p- l I ADDRESS:
L 1 I" AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING 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 ANDALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEET'S 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 #: f C — I I Z--I % Lt I
COMPANY / CONTRACTOR: C Y' C...
CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER OR OWNERMUI.DER)
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 PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS.
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 bfPrti+•
dSworntoandSubscribedbeforemethisAdayof _Jy _ 20 1 d by: iL
QAJWV-e-d"' . Who is 0 Personally Known to me or has 9froduced (type of ide
cation) as identification. Sig#
ature f N ry ub Ic Stat
f Fonda ""'%, MELODY O.-LE E1
J ` 7 / z Notary Public - State of Florida 1PV1 Wi Commission #
FF 902089 PrintflWe/Stadlp Name ''• fee , MY Comm. Expires Jul21, 2019 of
NotaryPublic