2535 Ridgewood Ave - BR18-002711 - ReRoofCITY OF SANFORD
4 2018 JUN 15 2018BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 010
Documented Construction Value: S 9,100.00
Job Address: 2535 Ridgewood Ave, Sanford, FL 32771 Historic District: Yes No
Parcel ID: 02-20-30-502-0000-0570 Residential X Commercial
Type of Work: New Addition Alteration Repair FX1 Demo Change of Use Move
Description of Work: Complete Re -Roof, CertainTeed asphalt shingle, 21 sq, 5/12 pitch
Plan Review Contact Person: Peter Arcomone Title: Production Manager
Phone: 407-677-7663 Fax: 407-677-7664
1 Email: pete@jaeofamerica.com
Name Rekul LLC
Street: 131 Overlook Dr
City, State Zip: Oviedo, FL 32766
Name JA Edwards of America, Inc.
Street: 220 Weber St
City, State Zip: Orlando, FL 32803
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Property Owner Information
Phone: • 407-376-4735
Resident of property? : No
Contractor Information
Phone: 407-677-7663
Fax: 407-677-7664
State License No.: CCC057521
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: 5t° Edition (2014) Florida Building Code
Revised: June 30, 2015 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 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.
06-06-18
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State ofFlorida Date
Gerald Laschober
Print Contractor/Agent's Name
gn-A AD-A a,-M,0 gnature
of Notary -State of Florida Date 2o
31VPpB4c LORI-ANNARCOMONE Commission #
GG 187137 N•>
P
Expires February 18, 2022 EOFRep
BW*dnuuBudget Notary services Owner/Agent
is Personally Known to Me or Contractor/Agent is X Personally Known to Me or Produced ID
Type of ID 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 Stories: New Construction:
Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: Yes No # of Heads FireAlarm Permit: Yes No APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING: COMMENTS: Revised:
June
30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: ((YIC(ir'--
an agent of:
Namc of
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):
O All permits and applications submitted by this contractor.
or
The specific permit and application for wor located at:
Uv - 3
Street Address)
Expiration Date for This Limited Power of Attorney:: ( D j u l j q
License Holder Name: C - < d asc- )V X r
State License Number:
Signature of License H
STATE OF FL RID
COUNTY OF
The f going instrument w s cknowled ed before me this LQ day of le,
201 0 , by who isypersonally known
to me or o who h s produced as
identification and who did (did notj take math.
Notary Seal)
o et RENEE C. COLLINSti,gr
Commission # GG 172M
Expires January 7, 2022
TFOIKOp ftr&dThuM"NauySV"M
Signature
Aevrir drlwf- C'o)-klul
Print or type name
Notary Public - State of )'"Ala
Commission No. 72417
My Commission Expires:
Rev. 8/06/ 13 )
J
JA Edwards ofAitner>oca, Inc.
Your Rooting 5pectellarl
AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
Customer: R>J H e. Date:
Property Location: f- Day: 3 A, _ `t 13 5—
City: 5 a.,\ F r d Zip: 3 %7 7 S Evening:
E-Mail:
lei+- ').U,Z d
ROOF SPECIFICATIONS Brand: t :. c &' Color: +t w A -a
Ridge Material: / R Valley: Open / los Tear -Offa/ 2 Vents: Box / hingle Ov / Aluminum Felt: 40>
Ice & Water Shield: r o e Pitch: Sto :47 2 / 3 Walkout: Yes / rY
RoofAccessories to be replaced new and/or painted to match shingle color.
Drop Instructions: cx— c (-
SIDING SPECIFICATIONS Brand:
Style: Straight Lap / Dutch Lap Exposure: 4" 4.5" 5" other: _
Elevation being sided (looking at house from street): Front Left
Drop Instructions:
Style: Color:
Back Right
GUTTER SPECIFICATIONS Color: WOc,, F S t+ i ( Homeowner Initials:
Special Instructions:
TERMS
1. By signing this Agreement, you authorize JA Edwards ofAmerica Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company.
2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay JA Edwards of America Inc.
all amounts you receive from your insurance company. Ifyou desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses.
3. This Agreement isnot valid or binding on any party unless and until it is signed by both you and JA Edwards ofAmerica Inc- Once signed by you and JA Edwards ofAmerica Inc.
JA Edwards ofAmerica Inc. will be awarded with thejob described above and the scope and price ofthework will be set forth in the insurance adjuster's summary.
4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back ofthis Agreement. Please carefully read the entire front
and back ofthis Agreement.
5. Homeowner agrees to assignment ofbenefits to Contractor (JA Edwards of America) for payments from insurance company to
facilitate timely payments to contractor for all works approved in insurance scope.
ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance
benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to
be rendered by JA Edwards of America and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of
America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my
insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative(s) and/or its attorney for the
purpose ofobtaining benefits to be paid by my insurance carrier(s) for services rendered or to be rendered and authorize JA Edwards and my
carrier(s) to communicate as needed with each other in this regard.
Believe the appropriate insurance carrier is:
X First Check: $ (00
X 5 l / Check # Date
Signature
stonil,
er) Date
Balance Due: $ 1000 C, /) S / 2-01,
Check # Date
O
Signature (JA Edwards ofAmerica Inc. Rep) Date Agreed Price: $ 1 1 /
UV
plus additional supplements & permit
fees paid by insurance company
3A Edwards of America,
Your Roofing Specialist!
THIS INSTRUMENT PREPARED BY:
Name: 'USIA90— LORI.ANNARGDmI Weber Street
Address: s, L 32803
mr
r OPT Bonded Ttuu Budget NotarySe
NOTI bF COMMENCE NT
State of Florida
County of Seminole
Permit Number:
GRANT MALOYt SEMINOLE COUNTY
11`11' OF CIRCUIT COURT & COMPTROLLER
BK 9150 Ps 17400 (1P3s )
CLERK'S 2018066471
RECORDED 06/12/201E 09:26:16 fail
RF'":HRDING FEES $1ii.00
RECORDED BY hdevore
Parcel ID Number. ap —'Jo ^ ()(
The undersigned hereby gives notice that improvement will be made to ceitain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
PROPERTY: (Legal description of the property and street
GENkRL Q,E( C`RIP ION OF IMPROVEMENT:
Fee Simple Title Holder (if other than owner) Name:
Address:
Address:
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 perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the besot of my knowledge and belief.
Owners Signature Owner's Printed Name
Florida Statute 713.13(1)(9): • The owner must sign the notice of commencement and no on:: else may be permitted to sign In his or herstead.'
State of County of 0(610,Y,
The foregoing instrument was acknowledged before me this 1' day of h ,21
by ' J 1 • C I Vy` Who is personally known to me ti JQ '`^ `
Name of personinAing stat ant
OR who has produced identification `type of identification produced:' ;
zt,
taY PLa LORI•ANN ARCOMONE
At' Co. jimission # GG 187137aWS'F
P Elipiles February 18, 2022 Notary Signature
FO, 0. 111 Thru Budget Notary Services
CITY OF,
SWORD
FIRE DEPARTMENT
PERMIT # 1-a- 27( (
Building & Fire Prevention Division
RESIDENTUL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 2535 Ridgewood Ave, Sanford, FL 32771
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): 1/2 plywood or 1 x 10 plank decking
PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: DOFF -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 CertainTeed FL# 5444-R12
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
0INSULATED 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#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
0INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY OF.
S A I TFORD RESIDENTM RE -ROOF
Fire Prevention Division
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 1S 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 UNDERLAYM ENT 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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: 104001, DATE: OB-OR-1 A
wr
CITY OF•
SANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL REROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
Q.,
PERMIT #: V 21 14 ADDRESS: INO- 05 N1 1, )ft' , 461D t arr
i s?11's
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
KOOFING CONTWACTOR NGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS'UE-ANFiACCURATE 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 FLOkIDA 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 ON1,F.S. CHAPTER 553.844).
LICENSE#: CCS, OL65-75Z COMPANY/
CONTRACTOR: i T 1 . to ,,A ,I CONTRACTOR
SIGNATURE: ` DATE: I ~ MUST
BE SIGNED BY LICENSE HOLDER NEIU ',ILDER) A
FINAL0OF.INSPFC1ON 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 THERE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR
FURTHER EXPLANATION OF ALL REQUIREMENTS. r 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. 1 STATE
OF
FLORIDA COUNTY OF 5ftoI kolf Sworn to
and Subscribed before me this J*1 day of 116W"I'_ 20 8 by: GMAO1,9Uk6W-
Who is C4ersonally Known to me or has 0 Produced (type of cati as
identification. o"RY'(/
e,c RENEE C.
COLUNS Commission # GG
172M Signat re
of Notary Public -OFF Expires
January
7.2022 State of
Florida (SEAL)R P\ BonaeeTrvuEuapNouryservioea Print/Type/
Stamp Name of Notary
Public