2101 W 16 St - BR18-002917 - ReReoofCITY OF
Skil4FORD Building &Fire Prevention Division
PERMIT APPLICATION
FIRE DEPARTMENT Application No: P 1 J
Documented Construction Value: $ 4 93G 0 CJ
Job Address:yY a l i b'/ Historic District: Yes No--
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair emo Change of Use Move
Description of Work:aq &'
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name JPhone: C% 10-9 O 3 ,
Street: Resideni of property?
City, State Zip: a
Contractor Information • ^ Y > .•>r'. .,.'..
Name Phone: " 76 3 ?
Street: s Fax:
City, State Zip:
I
Y
r 3 - / State License No..0 C_ —d-T7? ?
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Coany: 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.
i
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: January I, 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 ofthe 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 constructs n and zonin .
Signal ure of Owner/ nt Date Signature of Contractor/Agent Date
v Print wrier/Agent's Name
f
Signat tat4 i -State ofFlorida ate «
f
Commission t GG 076M
0.T. MyComm. ExpiresApr 15, 2011
Bonded through mrionsi tioWyAttn
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
a L?,
of Notary -State of
77
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DEBBIE 8LANTG4,
MY GOMMISSIOM , t t16648
w' : •; ,o EXPIRES: Febr::`/ 25, 20t9
Btntded Thru ko'zN Public Underwriters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Storie,
New Construction: Electric - # of Amps Plumbing - # of Fixtures +
Fire Sprinkler Permit: Yes[:] No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised. January I, 2018 Permit Application
THISNName:
N
J'jt v
Address: O n
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
1111111111111111111111111111111111111111
GRANT MAL.OYf SEMINOLE COUNTY
CLERK. OF CIRCUIT COURT & COMPTROLLER
BK 9163 Fs 1089 (1P9S)
CLERK'S : 2019074785
RECORDED 06/28/2018 02:38:08 PM
RECORDING FEES $10.00
RECORDED BY hdevore
Permit Number. Parcel ID Number: 5 U^S/U G 0C 0 ':57a
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.
OF PROPERTY: (Leal dyscfiptio o ep py and street address if available)
OF
Fee Simple Title Holder (ofother than owner) Name:
Address:
5%
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedasprovidedbySection713.13(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 adifferentdateIsspecified)
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 1, 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 perjury, I declare that I have read the foregoing and that the facts stated in it are true
to st of my k and belief
vwnar sANUUMU a Owners Printed Name
Florida Statute 713.13(1 xg): ' The owner must sign the notice of commencement and noone else may be permitted to sign Inhis or her stead'
4 State of County of
The foregoing Instrument was ack wledged before me this day o ( yp
by . Who is ersonally known to me
Name ofperson m erfi
OR w o has produced identification type of identification produced:
CERTIF CO Y ANT MALOY,
r_,ti
r
N•
CLER OF THE 1 U17 COURT iBANCISCOINEA
AND OMPT Noterypublk-sw9fRoria
EMIW N , F RIDA / Na"Signature d00016iN
MyCatlnr. E1tplrrsApr ijI0i1
BY`"2018ba
Date
RONALD WEST ROOFING, LLC
225 Swoope Ave. Suite 106 Maitland FI.32751
Email: ronaldwestroofing@yahoo.com
www.ronaldwestroofing.com
Member: State Certified
B.B.B. Phone: 844- RON-WEST Lip. # CCC 057776
844- 766-9378 Lip. # RACCREDITEDs ssi
BBB. BUSINESS
PROPOSAL - CONTRACT
PROPOSAL SUBMITTED TO
DDAT_E 4 HOME PHONE WORK PHONE FAX #
vrlc
NAM% o / JOB NAME EMAIL
STRE T + STREET REFERRED BY
CITY^ ZIP. v`''1.
STATE CITY ZIP STATE
FL
We her•submit specifications and estimates for:
1. C"emoval of existing shingle roof.
Bl!' emoval of existing flat roof.
0 Nailing over existing roof.
0 Removal of existing tile roof.
O Removal of existing wood shake roof
0 Nailing on new roof.
D Removal of existing double layer.
O Removal of
2. 0 Repair decayed or defective rafters, facia, and sheathing at an additional $50.00 per man-hour plus materials.
3. 0 Install new shingle roof as follows: Secure 0 -We ther PeQI & Stick, D #15, or 0 #30 asphalt -saturated shingle felt to deck as dry
in and -shingle underlayment. NAIL shingles with gainzized`roofing'nails in accordance with manufacturer's written instructions.
D Inns/stall valleys using new galvanized valley material and closed cut shingle method.
4. Il Lead Plumbing Vent Shields O Fungus Resistant (if available) CJ Ridge Vents ( )
0 Galvanized Kitchen & Bathroom Vents O Turbines ( ) Off -Ridge Vents
CJ Galvanized Metal Eaves Drip with Baked -on Enamel Finish: O Brown Kite 0 Black
O Install 25-Year Warrantied Fiberglass Shingles O Rebuild Chimney
Install 30-Year Warrantied Architectural Fiberglass Shingles D Skylights ?
Install. 35-Year Warrantied Architectural FiberglassiShinglos
0"If j,j.Limitd.d Lifetime Architectural Fiberglass
5. LoReen, ail Wood Decking using 80 Ringshank Nails
6. P-WORKMANSHIP WARRANTED AGAINST LEAKS AND DEFECTS FOR FIVE (5) YEARS FROM DATE OF COMPLETION.
7. O LEAK REPAIR: Consisting of:
We hereby propose to furnish labor and materials -complete in accordance with the above specifications for the sum of
Plus any supplement money approved bby insurraaance.
Z;r 4V-1J1t7XJ /-,—* -M"I 4
follows:
n
dollars ($ r l 16 () ) with payments to be made as
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above
specifications involving extra costs, will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. We will not be responsible for driveway cracks. Price is based on our trucks being able to back up to the building.
The proposal is subject to acceptance within days and is void thereafter at the option of the undersigned. Ronald West Roofing, LLC is not responsible
for nail damage. In the event of a dispute or litigation arising out of this Agreement, the prevailing party shall be entitled to recover_ all attorney's fees and court costs, in
conjunction with mediation ovactlon in the State C9ur'ts, including all appeals.
Authorized Signature: l . " / 0 " r'1 • i f r}~r (.
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made
as outlined -above.
ACCEPTED. •1'
Date
r ,
9' Signature
r' mod. riir'— .
Florida Statute: 2004 Chapter 489.1425 - Duty of Contractor to notify residential property owner of recovery fund. — Payment may; be -made available from the
construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specific violations of Florida Law by a
state -licensed contractor, fo"r information about the recovery fund and filing a claim, contact the Florida Construction Licensing Board.
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 713.001.713.37. FLORIDA STATUTES , THOSE WHO WORK
ON YOUR PROPERTY OR PROVIDE MATERIALS AND A E NOT PAID IN FULL HAVE A RIGHT TO ENFOR E THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUB-
CONTRACTOR FAILS TO PAY SUBCONTRACTORS OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE PAYMENTS; THE'PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR OROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN
FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS
MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS OR OTH-
ER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN
LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY,
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 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 FBSTde complia a by personal inspection.
6CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
PERMIT #
City of Sanford Building Divisionz
Residential Re -Roof Scope of Work
JOB ADDRESS: C/ U
STRUCTURE TYPE: NGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME Q APARTMENT/CONDOMINIUM
RE -ROOF TYPE: p REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
Q RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE. ONL Y 100 SOU, OF THE EXISTING DECK IS PERMITTED TO BE REPLACED -
ROOF VENTILATION: FF-RIDGE Q RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: Q YES Q NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4: 12 OR GREATER
TYPE OF 50OF MANUFACTURER FLORIDA PRODUCT APPROVAL
HINGLE FL# S
Q METAL FL#
Q MODIFIED BITUMEN FL#
QTORCH DOWN FL#
Q INSULATED FL#
Q TILE FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
p SHINGLE FL#
Q METAL. FL#
ODIFIED BITUMEN
QTORCH DOWN FL#
p INSULATED FL#
Q TILE FL#
Q OTHER: FL#