111 Rabun Ct BR19-000015 - REROOFCITY OF
41NS D PERMIT APPLICATIONkjR
BUILDING DIVISION
Application No: 00
Documented Construction Value: $--i 0-00 --01)
job Address. Historic District. Yes[:] No[j
Parcel ID - Residential 93"CommercialEl
Type of Worlu NewEl AdditionEl AlterationEl RtpairE] DemoO Change of Use [I Move El
Description of Work _:a
Plan Review Contact Pertn:
Phone; Fax. Email --A
Property Owner Information
Name Phone: q' 4
Street: 00 Resident of property?:
City, State —\(4%
Contractor Information
Name )(;SgN C hone._ql q-
Street: Fax:
City, State State License
Name -
Street:
city, St, zip:
Bonding Company-
Addrew.
ArchitcWEnginecr Information
Phone.
Fax;
E-mail:
Mortgage Under.
Addrew.
WARNING TO OWNER: YOUR VAITVRETO RECORD A NC TILE Of COMMENCEMENT MAY RESULT IN YOUR PAYING
17WICF FOR IMPROVEMVISrIN TO YOUR PROPERTY. A NOTICE OF COMMENCEMEN71' MUST BE RE,C0RDED AND
POSTLI) ON THE JOB SITE BEFORE THE FIRST INSPKMON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ArlORNEY BEFORE RECORDING YOUR NOTICE OF OOMMENCEMENT
Apf4kalion is he r(+y madv to obtain a Ivroot to do the work and installations as indicated. I certify that no work or installa6an has cominctwed prior
to the issuance of a pemot aW that all work will he perrrmed to mcrt standards of alllaws troathii; construction in this urisdicrioa. I understand that *
Ktparatt permit must be secured for clectricaJ worlit, plumbing, **gas, wella, pook. farnace% bodem heatvm to air condifitmem on
FBC 10553 ShA tie insoibed with tht date of *Wicsifion and the cc& in cited as ofthat datez e Wition (2017) FtarkU Budding CO&
W, In addition to the requift-trivnis ofthis permit, there may be additional restrictions applicable to this property that nuoy be. found in the public
record$ of this county, and them Inay he additional permits required fwat other governmental entities Such as water managemri"t districts, state
agencies, or tederal ageocies,
Acceptance of peroot is verificatk)n that I will rwaify the meoct, cAthe, property of the rcquirements of Florida Lien lAw, FS 713,
Me 0ty (ASanford roquires tyayment (if a plan review fee at the time of permit subirrittAl, A cxip y of the emutird contract is required in order to k
allculatea plan review charge and will be considered the cstitnated construction value of the inh at the, tinic of submittal. The actual con, strurtkin Value will
bW' figured bA'W'Jon the current ltrt Valuation Table in diect at the time the permit is issued, in accordance with local ordinance, Should calculated chart;
s figured ott the executed contract exceed the actual comitruction value, credit will be applkd to your ltv"frait fixs WIX-11 the peruut Is issuc& Q_
WNJj"_F'jPAYff: I certify that all of the foregoing information is accurate and that all work will be done
in compliance with all applicable taws regulating construction and zoning. Sid
aturc arse wmr,'Agrot tyut Innt
OwneflAgent's Nmnc Se
flat 117O
Owner/
Agent is PeIrsitnally Known to Me or Pr(
Auced III Type of 11) MARIELLE
FAVA M.
t. 0 brie Print
4me P.
ELAJNV&W&* My
COMMISSION 0 FF WUTJ EXPIRES:
March 3,2020 SoWed
Thru &4pt NoWy SqMM Contractor/
Agent is _v/personally Known to Me or Produced
ID __ Type of ID7 -
COMM0141110IIS&
TH (W MASWH USETTS BELOW IS FOR QFFICE USE ONLY 'i,
esj MyCommissionExpiresAugust
15. 2026 Permits
Reqjinq- Building D Electrical El Mechanical El Plumbing El CI El R(xif [I Construction
Ty •_ Occupancy Use: Flood Zone: --- Total
Sq Ft of Bldg-.--,---, Min, Occupancy Load:- # of Stories: ---- New
Construction: Electric - # of Amps__ Plumbing - # of Ffixtures —____ FireSprinkler
Permit: des ElNoE] # of Heads ____ Fire Alarm Permit.- Yes []Diet E] APPROVALS: ZONING:
UTIIJTIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING:---
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: I gI
I hereby name and appoint:
an agent of
Name ofCompany)
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):
0 The specific permit and application for w rk I c ted at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: CL', C 2C \ Sa, -7 :r,:
State License Number:
Signature of License
STATE OF FLORIDA
COUNTY OF ':-Mi P1
The foregoing instrument was acknowlefted before me this 20 day
20iq by CjnCj e-(2 who is is rsona ly known
to me or o who has produced as
identification and who did (did not) take an oath.
Notary Seal)
P. ELAINE BROEM
My Ct,,VIASSION # FF 9M?t
E IRES, wata 3,2020
804000 TNU B-XV Nowy $stWes
Rev. 08.12)
Signature
P . '1 'C1':, r\ C co e1<-/ e- Print
or type name Notary
Public - State of sew Commission
No. E . My
Commission Expires: 2-
11f2712018 ESWtaW 16.3 ftwn Ar w Hwws R tw, RC29027427
American Homes Roofng Inc. RC29027427
1465 Grove t Apopka, Fl 32703
Estimate # 0000163
Item Description Unit Price Quantity Amount
Tear off existing roof,nad deck up to code,dry in with 30# 7000,00 1,00 7,000.00
felt,install arkut c shingles,new eve drip,new pipe boots -All
debris picked asp daily,magnet run on ground for
nails,rotten wood extra,depoit at Mart of the }cats for
material rest on complet on.5 yr guaranteed on labor.
NQTL5., signature Owne .
Signature Contractorlro
Subtotal 7,000.00
Total 7,000,00
Amount Paid 0.00
Estimate $7,000.00
haps:/Avww,aynax.com4vtn*suma*4,)hp III
Grant Malo Clark Of The Circuit Court & Comptroller Seminole County, FL
Inst #201260798 Book:9276 Page:959; (1 PAGES) RCD: 1/3/2019 1:28:17 PM
REC FEE $10.00
THIS 104STRU ARED BY:
N....,." "REM,
Addtew*
NOTICE OF COMMENCEMENT
Py N1, A101
rA
BY
State of Florida
County ofSeminole
Permit Number Parcel 10 Number: 07-213-31-507-0000-0290
The undersigned hereby gives. notice, that Improvement Wi be made to certain real property, and In accordance withChapter713. Florid4StsUes. the roti9wing information is provided In this Notice of CornmencemenL
TOSfj"N F P%QP%TTjk y g1dror avabble)
a
0 f 'Wa Un tjOraOUWymn
ERA DESCRIPTION OF IMPROVEMENT:
ergo
OWNER INFORMATION'
Goedde James T•
Address: 125
1Summer St Std 510 BostonW 02110-1695
Fee Simple Title Hoi4dr (ifother tttanowner) Name -'.
Name. American Homes Roofing. Inc.
Address: 1465 Grove St Apopka.F1 32703
Persons . within the State of Florida Designated by Owner upon whom notice or other documents maybe served
as prq4idad by Section 713.13(i)(b), Florida Statutes..
Name:
Address:
In addition to hirri"If, Owner Designzitos Of
To receive a copy of the Lienors Notice as Provided in
Section 713.13(l)(b).,FioddaStatutes.
Expiation Date of Notice of Commiaricement (The ekp(ration date Is I year from date of recording unl6as a
different date Is specified)
WA&bjNQ TO OMg& ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OFCOMMENCEMENTARE- CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 711,13,
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 hate true
to the best oflmy-oarledgaaadbakef.-
ZAM06
Owner's Printed NOW117
toed Stju" 713.13(1Xjj: • Thowner most signtta noticecirconu , end no one else may be pw~ to SignIn M Of her Z(OWState -
fV;r1'—JCounty6f':
The foregoing
Instrument was ackitoMe do.ed beforiime this -abol. d aV,otTWAT *3-9 WhoIs
personally known to me Name. Person
OR Who
has proditiced ldentlffcaUon type of Identification produced: U- uau. 0*.M
MAun RIELILE
FAVAI N0t4ryPublicCo"
O'"ALT" OF MASSACHUSETTS MV Comfnissinn
F 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), certifyiA FBC code compliance by personal inspection.
DATE: CONTRACTOR (OR OWNER/BUILDER) SIGNATU<
C1ITY OF
IV ANFORD PERMIT #
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS' k t \\Gt 4n l.,
STRUCTURE TYPE: G) SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: $1PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEETOF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: 0OFF-RIDGE 0 RIDGE QSOFFIT (POWERED VENT QTURBINES
SKYLIGHTS: Q YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 p 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
Q METAL FL#
Q MODIFIED BrtUMEN FL#
0 TORCH DOWN FL#
0INSULATED FL#
QTILE FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: Q LESS THAN 2:12 0 2:12 - 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE FL#
Q METAL FL#
Q MODIFIED BITUMEN FL#
0TORCH DOWN FL#
QINSULATED FL#
Q TILE FL#
Q OTHER: FL#
WSANFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
f t R f, D f PA R T,14 1 N T
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING., SHEATHING,, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:')31c,\ cx -czc_"0C ADDRESS: 1 cl 2''
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).
A
LICENSE
COMPANY /CONTRACTOR:
CONTRACTOR SIGNATURE: A 4
MUST BE SIGNED BY LICENSE HOLDER OR
A FIN it, ROOF INSPECTION IS RFOUIUD.
DATE: - A1 6
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 ORADDRESS 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 -5 !2::::M I n 0 (C
ySworntoandSubscribedbeforemethisdayofc 20 I 0A by:
Who isVArsonally Known tome or has i I Produced (type of
identification) as identification.
EWNC BROEKERSignatureofNotaryPublicMyCOMMISSION # FF 963471StateofFloridaEXPIRES! M#Mh 3,2020
Print/Type/Stamp Name
of Notary Public