1920 S Summerlin Ave - BR18-002975 - ReRoofCITY OF
SkNF0RD PERMIT APPLICATION
BUILDING DIVISION
Application No: o
CaDocumentedConstructionValue: $
Job Address: 9 S . Sv r, P-'L+ Ave- Historic District: Yes No
Parcel ID: 3 3 So q- D Soo- 6.-IC Residential 0<0mmercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: "_ ( °l=-
Plan Review Contact Person:
Phone:
SameStreet:
Fax: Email:
Property Owner Information
Fr;e L- Gam; ct•..s
City, State Zip: S A'"'%,-. Pi- 3,)-77
Phone:
Title:
io-) u /k- 3 -) 65-
Resident of property? : VeS
1
Contractor Information
Name .9-raz(
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.: Cep / 3>-7 162
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.
Revised: June, 2018 Permit Application
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61' Edition (2017) Florida Building Code
NOTIC An addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 ofthe 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 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 of Owner/Agent Date
r-e / d , Q L C</ //" a iq
Name
Notary -State of Florida
Owner/Agent is Personal
Produced ID Type of I
w q 5/- -zsa q*I
s 1 lk
7Si&
nare of Contrac r/Agent Date
Print ntractor/Agent's Name
t Si ature of Notary -State o oea,s ee,•gt
DEBBIEBLANTON—
y'
SHANJERICAJOHNSON MY COMMISSION 0FF173548NotaryPublic - State of Florida QA EXPIRES: February 25, 2019
Commission p GG 029668 R' ``' Bonded Thru NotzryPubtt: Undenn tars
Mart W. Expires Sep 13, 202 ntractor/Agent is ersona
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June, 2018 Permit Application
SCPA Parcel View: 31-19-31-504-0500-0280 Page 1 of 2
Property Record Cardf%amraCffi Parcel: 31-19-31-504-0500-0280
ecr xaaaors+n,s ona Property Address: 1920 SUMMERLIN AVE SANFORD, FL 32771-3969
Parcel Information
Parcel 31-19-31-504-0500-0280
Owner(s) IWILLIAMS. FREDDIE L -
Property Address 1920 SUMMERLIN AVE SANFORD, FL 32771-3969
Mailing 1920 S SUMMERLIN AVE SANFORD, FL 32771-3969
Subdivision Name DEL -AIR SANFORD
Tax District St-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions OD-HOMESTEAD(1994)
In
148
Legal Description
LOT 28 (LESS W7 FT FOR
ALLEY) BLK 5
BEL-AIR
P83PG79d79A
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund _
Schools
42.837 20,455 22.382
43.509 20,455 23,054
City Sanford 542,837 20,455 22.382
SJWM(Saint Johns Water Management) 42,837 20,455 22,382
County Bonds 42,837 20,4551 22.382
Sales
Description Date Book Page Amount Qualified Vadlmp
WARRANTY DEED _ — J 9/1/1984 01581 tt I $36.000 I Yes Improved
WARRANTY DEED 3/1/1984 01529 1899 22,000 Yes Improved
WARRANTY DEED 8/1N979 01 45 QW5 100 No Improved
QUIT CLAIM DEED 3/1/1979 Q]g30 1809 100 No Improved
Find Comparable Saps
Land — -- — — -- - -- -- — - - --
Method Frontage Depth Units Units Price Land Value
FRONT FOOT d DEPTH 55.00 1 118.00 0 190.00 9.405
Building Information
tr I Description Year Built I Fixtures Bed Beth Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=31193150405000280 7/3/2018
CONTRACT AGREEMENT
This agreement is made on this day of f ( 20_Le between
Vi (-W TE-41t5 of 59cfi PIC6 r S,9L,-
Name Address City
p-7% ( Gfb"_ f (S- 53,3 6 (Contractor)
State Zip Phone
and of
Name Address City
I-y zj 7 I (Client)
State Zip Phone
o
The above contractor will perform the following work as described in this agreement for $-S C 00
in compensation from the client.
Job Description: ?'
n
rOpa5A-r"/ Nb{ t w I 6e Peoe4;
1)-o4, coop jo 2e... .
Work to commence. on l S 761 and is estimated to be completed on Ilo ` 'Z
ate D to
Contractor:
Signature
IZtx
Print
Client:
Signature
f txf e, L Wr*6,-,-5
Print
Date: I '
Date: ; o r
1
THIS
Name•
NSTjiJ MENT,FptEP/ eB B
Address: T
Div. —ram%=. rs. : —i r
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number.
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT h COMPTROLLER
BK 9166 Pa 357 QP9s)
CLERK'S : 2018076765
RECORDED 07/03/2018 12:20*5 PM
RECORDING FEES $10.00
RECORDED BY ,ieckenro
Parcel ID Number: 3( l _3 / — 50 1— C600 r 6.;-60
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 ofCommencement.
cription of the roperty and street address If available)
r,%- A- e e--
w
GENERAL DESCRIPTION OF IMPROVEMENT:
G(% I l: ")"
Address:
Fee Simple Title Holder Of other than owner) Name:
Address
CONTRACTOR: /
Name: /D
Address: -LUM-
r
ar44-e-,
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 Llenor'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.
Under penalties of pedury, 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.
Owners Signature Owner's Printed Name
Florida Statute 713.13(1)(gy — The owner must sign the notice of commencement and no one else may be permitted to sign In Ids or her stead'
GtStateo.f on*ounty of
TheAreqolnq InItrumen was ac o le d before me this%dayof, 20
bymQmt1 Who is personally known to me
Name ofperson making statement ) r , , `] 1 \ - 0
OR who has produced identification Vype of idelttiiicatlon pr dt ced: _ .. V vl \ -0` l VI 1
o; " °s/;.,, SHANJERICA JOHNSON
Notary Public - State of Florida
Commission # GG 029868
My Comm. Expires Sep 13, 2020
CERTIFIED COPY GRANT MALOY
CLERK OF THE CIRCUIT COURT
AND COMPTROLLERi EMINQLE
COUNTY FLORIDA Qa
DEPUTY CLERK O
11
SEA4INOLE COUNTY MULTI JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date I3 S, 2.Ol Sr
I hereby name and appoint: (A
an agent of:az
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessarV to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
b/The specific permit and application for work located at:
Expiration Date for This Lin
License Holder Name:
State License Number:
Signature of License He
cy nr..' vr\
Power of
STATE OF FLOi31DA
COUNTY OF JY1 l ol'
Re
h
The foregoing instrument was acknowledged before me this day of Diu
20J8_, by who is O ersonally kno to me or
O who has produced as identification
and who did (di ot) a an oath.
Signature ry
o"" CASWDRACOORDON
0'.cW=bd=6GG1df167
a Egkn FdPivy n,2M
e°'- ThN&e dNdWy8 1.
i\oWry 5Fell
0-annaC— GU-A00 rint
or type Notary name Notary
Public - State of P Commission
No. 64-1 My
Commission Expires: Z 14122, Z
D
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 ofnails
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), certifyin FB a ompliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: / w J • 14-"IQ-
STRUCTURE TYPE: ®SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: OREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /? w, 00 n
PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OOFF-RIDGE ® RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGIITS: O YES PNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 40 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0SHINGLE A-n, I'0 FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCIIFS, PATIOS, FTC.) **IFAPPI.ICABLE**
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#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY OF
JIS,NFORD Building & Fire Prevention Division
RESIDENTL4L RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ' e ` / ADDRESS: I 70 • O n-` ^^emu T Ave— rs
s-aw, q 0-4
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 #: Ccc 1 3OLr? 1 6
COMPANY / CONTRACTOR: /G T
CONTRACTOR SIGNATURE: I DATE:y I y J' 2-6' 0
MUST BE SIGNED BY LICENSrVaDER OR QWNER/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 S2,m%nc,l-e. `
Sworn to and Subscribed before me this J — day of tJU 20 _ by:
Who is 0 ersonally Know to me or has D Produced (type of
P
tification) as identification.
ature of Notary P lic o,R,ue CASSWDRACGORDON
of Florida . Cmmlls"tGGt87t67
GXS62CI60 Egbw Febuxy 25, (
U orf eP BnddlbuBv SsAeK
Print/Type/Stamp Name
of Notary Public