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919 E 10 St - BR19-000012 - REROOFBUILDING DIVISION PERMIT APPLICATION Application No: 06 ) 61 -oo co t L_ Documented Construction Value: $ -3 Job Address: Historic District: Yes [I N(4 Parcel ID: z Residential CommercialEl Type of Work: NewEl AdditionEl AlterationEl Repair zr Demo[] Change of Use E]Move E] 7 Description of Work zfzw bel) Plan Review Contact Person: Title: ZZPhone: Fax: email: Property OwnerInformationName Phone: Street: Resident of property?: City, State Zip: -7,, 2 7 Contractor Information Name Phone: 7- :2 7a Street: Fax: A A 9' 4ZCity, State Zip:.-- State License No.: Name: Street: City, St, Zip: Bonding Company: Address: 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: Wh Edition (2017) Florida Building Code NQII(,E: 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 of the executed contract is required in order to calculate a plan review charge and will he 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 he 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. I- 1\ — Z Signature ofOwner/Agent Date Print Owner/Agent's Namco Signature ol'Notary-State of Florida Owner/Agent is Produced ID t A Q3 To y KnAk -Z of P/ W&A/ Print Contractor/Agent's Name Signature of Notary State of Florida M Contractor/Agent is ---Rer Produced ID Type 0 BELOW IS FOR OFFICE USE ONLY Date NR Permits Required: Building D Electrical D Mechanical 11 Plumbing 11 Gas 11 Roof W 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: YesFJ No F1 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: M UTILITIES: FIRE: Fire Alarm Permit: Yes [] No [] WASTE WATER: BUILDING: GrantrMaloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #201813$217 Book:9262 Page:661; (1 PAGES) RCD: 12/7/2018 2:31:09 PM REC FEE $10.00 THIS INSTRUMENT PREPARED BY: Name: Address: I i NOTICE OF COMMENCEMENT Permit Number. vT Parcel ID Number. 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. 1. DESCRIPTION OF PROPERTY, .'('ggpl descnp gJ, ,tpe gGp grty and ireat d n a amble} 77 2. GENERAL DESCRIPTION OF 3. OWNER INFORMATION OR LESSEE INFORMA710M IF Name and address: Interest in properly: © 1,/,f " Fee Simple Title Holder Of other than owner listed above) Name: Address: S. SURETY (if applicable, a copy of the payment bond is attached):. Name - Address: Amount of Bond: 8. LENDER: Name; Phone Number. Address: T. Persons within the State of Florida Designated by Owner upon whom notice or other doeuments may be served as provided by Section 713.13(1}(a)7., Florida Statutes. Name: Phone Number. Address: 8. In addition, Owner designates to receive a copy ofthe Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO 'QtNNER- 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. yaa State of `Gi._ County of The foregoing instrument was ackn edged before me this by Name ofperson oWdng who has produced Identification 0 type of Identif daft 41 arsonnallyknowrlto Al Wh 0 OR 10/11/2018 SCPA Parcel View: 25-19-30-5AG-120E-0010 P—ropALty-Rqc-gy-4Gird Parcel: 25-19-30-1,5AG-120E-0010 Property Address: 919EIOi4-I4T4>ANFc)f2E),Ft-3277!-2130 Parcel Information Value Summary Parcel 25-19-30-5AG- 1 20E-00 10 2019 Working 2018 Certified Values Values Owner( s) LONG, GLORIA Valuation Method Cost/Market Cost/Market Property Address' 919 E 10TH ST SANFORD, FL 32771-2130 Number of Buildings 1 1 Mailing 919 E 10TH ST SANFORD, FL 32771-2130 Depreciated Bldg Value 96,012 92,227 Subdivision Name SANLQ—RD-LQ)—VV N-0 E Depreciated EXFT Value Tax District SI-SANFORD Land Value (Market) 16,910 16,910 DOR Use Code 01-SINGLE FAMILY Land Value Ag Exemptions 00-HOMESTEAD(1994) JLJI:1!121Value 112,922 109,137 Legal Description LOTS I +2BLK12TRF TOWN OF SANFORD PS 1 PG56 Taxes Taxing Authority County General Fund Schools City Sanford SJWM( Saint Johns Water Management) County Bonds Sales Description QUITCLAIM DEED PROBATE RECORDS QUIT CLAIM DEED QUIT CLAIM DEED WARRANTY DEED WARRANTY DEED QUIT CLAIM DEED WARRANTY DEED QUIT CLAIM DEED CERTIFICATE OF TITLE Fwwd Portability Adj Save Our Homes Adj $21,489 $19,585 Amendment 1 Adj $0 $0 P& G Adj $0 $0 Assessed Value $91,433 $89,552 Tax Amount without SOH: $0.00 liwt $ 0.00 Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values Taxable Value 91, 433 91,433 91, 433 91,433 91, 433 91,433 91, 433 91,433 91, 433 91,433 Date Book Page Amount Qualified Vac/Imp 3/ 1/2006 37,500 No Improved 9/ 1/2004 5, 100 No Improved 11/ 1/1993 QZ:)22 1146 100 No Improved 1/ 1/1991 2u 1-6? 118 100 No Improved 5/1/ 1989 2zQ -If2 1-4 -1100 No Vacant 5/1/ 1989 02075 14W 46,700 Yes Improved 5/1/ 1989 100 No Vacant 3/1/ 1989 Lj E2 100 No Vacant 7/1/ 1979 L) LILZI) L 2-2 "i100 No Vacant 811/1978 0 I 1L51 1057, 400 No Vacant 0 0 0 0 0 http:// parceldetail. scpafl.org/ParcelDetail Info. aspx? PI D=2519305AG 1 20FOO 10 1/2 10/11/2018 SCPA Parcel View: 25-19-30-5AG-120E-0010 Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 100.00 117.00 0 190.00 16,910 Building Information L; jn!T- }ISgunt Ln(()Lect" Gkc* Here, Descriptionption Year Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1989 6 3 2,0 1,072 2,352 1,528 CONC $96,012 109,104 Description AreaFAMILYBLOCK ENCLOSED PORCH 456.00 FINISHED GARAGE 384.00FINISHED DETACHED UTILITY 400.00 FINISHED OPEN PORCH 40.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date No Permits PIm,rflt data does not original* from the SeIninote County Property Appridauir's office, For details or queoftne concamlng a permit, pW&" contact the building department of the, tax district In which the prop" Is located. Extra Features Description Year Built Units Value New Cost No Extra Features http://parceldetail.scpafl.org/ParceiDetaillnfo.aspx?PID=2519305AG1 20FOOl 0 2/2 6Z-12T,411tf?, U-1-i NflAMITIADF MIAMI-DARE COUNTY PRODUCT CONTROL SECTION 11905 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) CertainTeed Corporation 18 Moores Road Malvern, PA 19353 This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ), This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the tight to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material -fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Flintlastic Self -Adhered Roofing Systems Over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance ofthis product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture ofthe product or process. Misuse ofthis NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official - This NOA revises NOA #15-0108.03 and consists of pages I through 19. The submitted documentation was reviewed by Alex Tigera. NOA No.: 15-0622.21 Expiration Date: 04/13/20 Approval Date: 08/20/15 Page 1 of 19 a In Category: Roofing Sub -Category: Modified Bitumen Material: SBS DeEL Tyge: Wood Maximum Design Pressure 127.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT: TABLE I Product Dimensions Spec (Description Flintlastic SA NailBase 39 1/8" x 66'6"-. Roll ASTM D 4601, Type Fiberglass reinforced, SBS modified weight: 82 tbs. iI bitumen base sheet. 2 squares) All Weather/Empire Base 39'/8" x 65'10"; ASTM D 4601 Type Asphalt coated, fiberglass reinforced base Sheet Roll weight: 70 tbs. 11 sheet. 2 squares) UL Type G2 Yosenifte Venting Base 39'/s" x 32'10"; Roll ASTM D 3909 Mineral Surfaced fiberglass reinforced Sheet weight: 85 tbs. ASTM D 4897, Type buffer sheet. I square) it UL Type G3 Flexiglas Base Sheet 391/8" x 98'9"; Roll ASTM D 4601, Type Modified Bitumen coated fiberglass base weight: 90 tbs. 11 sheet. 3 squares) UL Type G2 Flintlastic Poly SMS Base 39 34" x 64'3"; Roll ASTM D 4601, Modified Bitumen coated polyester baseSheetweight: 90 tbs. Grade S, Type 1-1 sheet. 2 squares) UL Type G2 Glasbase Base Sheet 3 )9 '4" x 98'9",- Roll ASTIVI D 4601 Type Asphalt coated, fiberglass base sheet. weight: 75 lbs. 11 3 squares) UL Type G2 Flintlastic Ultra Poly 3 9 '/s" x 3 2' 10"; Roll ASTM D 6164, Smooth surfaced SBS Modified BitumenSMSBaseSheetweight: 90 tbs. Grade S, Type I Membrane with non -woven polyester mat Flintlastic SA PlyBase I square) 39 3/8- x 66'6"; Roll ASTM D 1970 reinforcement for mop applications, Self fiberglassadhering, reinforced, SBS weight: 86 tbs. modified bitumen base/ply sheet, 2 squares) Flintlastic SA Mid Ply 39 '/8" x ' ) 2'l ASTM D 6163, Self -adhering, polyester reinforced, SBSRollweight: 62 tbs. Grade S, Type I modified bitumen ply sheet. I square) JCNAIAMI bADECOUN7,' NOA No.: 15-0622.21 Expiration Date: 04/13/20 Approval Date. 08/20/15 Page 2 of 19 Product Dimensions Flintlastic SA Cap FP. 39 3/8" x 32'11"; Roll weight: 88 lbs. I square) Flintlastic SA Cap FR 39 3/S" x 32'11 "; Roll Coo]Star weight: 90 lbs. t square) Flintlastic SA Cap 39 3/s" x 32'11"; Roll weight: 95 lbs. I square) Flintlastic SA Cap 39 '/s" x 32'11"; Roll CoolStar weight: 98 lbs. I square) FlintPrime Asphalt 1, 3 ) or 5 gal pail FlintPrime SA 1, 3 or 5 gal pail A.,DPROVE, D INSULATIONS: roduct FlintBoard ISO, FlintBoard ISO,, ACFoam-11 ENRGY3 H-Shield Multi -Max FA-3 DensDeck, DensDeck Prime SECUROCK Gypsum -Fiber Roof Board Spec Description ASTM D 6163, Self -adhering, fiberglass reinforced. SBS Grade G, Type I modified bitumen cap sheet. ASTM D 6163, Self -adhering, fiberglass reinforced, SBS Grade G, Type I modified bitumen cap sheet with reflective coating. ASTM D 6164, Self -adhering, polyester reinforced, SBS Grade G, Type I modified bitumen cap sheet. ASTM D 6164, Grade G, Type I ASTM D 41 Proprietary TABLE 2 Product Descrigtion Polyisocyanurate insulation Polyisocyanurate insulation Polyisocyanurate insulation Polyisocyanurate insulation Polyisocyanurate insulation Gypsum coverboard homogenous fiber reinforced Self -adhering, polyester reinforced, SBS modified bitumen cap sheet with reflective coating. Asphalt primer Water -based, polymer modified primer, Manufacturer with current NOA) CertainTeed Corp. Atlas Roofing Corp, Johns Manville Corp, Hunter Panels, LLC. Rmax Operating, LLC, Georgia Pacific Gypsum LLC. USG Corp. NOA No.: 15-0622.21QIAMIEOUN'C' 4C' ' FR& Expiration Date: 04/13120 Approval Date: 08/20/15 Page 3 of 19 Fastener Number 1. 2. 3. 4. 5. 6. 7. S. 14. Product Name Dekfast 14 Tiufast #14 HD Fastener 14 Roogrip OMG Heavy Duty FlintFast #14 Fastener Dekfast 12 12 Standard Roofgrip 3 in. Round Metal Plate Tt ufast # 12 DP Fastener FlintFast #12 Fastener Dekfast Hex Plate Flat Bottom Metal Plate Trufast 3" Metal Insulation Plate FlintFast 3" Metal Insulation Plate Product Description Roofing screw Roofing screw Roofing screw Roofing screw Roofing screw Roofing screw Insulation fastener 3" round galvalume AZ50 steel plate Roofing screw Roofing screw hexagonal steel plate 3" square steel plate 3" round steel plate round steel plate Manufacturer with current NOA) SFS Intec, Inc. Altenloh, Brinck & Co. U.S., Inc. OMG, Inc. OMG, Inc. CertainTeed Corp. SFS Intec, Inc. OMG, Inc. OMG, Inc. Altenloh, Brinck & Co. U.S., Inc. CertainTeed Corp. SFS Intec, Inc. ONTO, Inc. Altenloh, Brinck & Co. U.S., Inc. CertainTeed Coil). 4A NOA No.: 15-0622.21MLAMI - D. Ov0E C 0 UN Om =FfffExpiration Date: 04/13/20 Approval Date: 09/20/15 Page 4 of 19 APPROVED SURFACING/COATING OPTIONS: 7TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Any coating, listed below, used as a surfacing, must be listed within a current N®A. System, manufacturer A l is ti> caieon Number 1. Generic Gravel. applied at 400 lbs/sq., adhered with flood coat of asphalt at 60 lbs/sq. 2. Generic Slag applied at 300 lbs/sq., adhered with flood coat of asphalt at 60 lbs/sq. 3. Karnak Corp. Karnak (#97 AF) Fibrated Aluminum Roof Coating applied at an application rate of 1.5 gal/sq. 4. CertainTeed Corp. FlintCoat A-150 applied at an application rate of 1.5 gallsq. 5. Gardner Asphalt Corp. APOC #212 Fibered Aluminum Roof Coating applied at an application rate of 1.5 gal/sq. 6. Gardner Asphalt Corp. APOC #400 Sunbrite applied at an application rate of 3 gal./sq. NOA No.: 15-0622.21AMtIff Expiration bate: 04113120 Approval Date: 08/20/15 Page 5 of 19 EVIDENCE SUlB11YI1TTED: Test Agency Pest Identifier Description Date Underwriters Laboratories R11656 UL790 Annually Momentum Technologies, Inc. DX08C4A Physical Properties 03/22/04 DX20E3A Physical Properties 03/22/04 Factory Mutual Research 3009610 FM 4450 10/15/01 2D5A9.AM FM 4450 06/22/99 3014751 FM 4450 08/12/03 3014692 FM 4450 08/05/03 3012321 FM 4450 07/29/02 3008869 FM 4470 03/19/01 3037127 FM 4470 01/11/10 3039046 FM 4470 06/15/10 3048520 FM 4470 09/19/13 3025766 FM 4470 11/13/06 Trinity ERD 3518.12.03 TAS I I4-F/G/I 12/01/03 C3519.12.03-RI TAS 1 14-D/J & TAS 117(B) 04/15/11 03515.07.03-1-RI TAS 114-J & TAS 117(B) 06/27/12 3521.07.04 TAS 114-J & TAS 117(B) 07/28/04 3522.07,04 TAS 114-D 07/28/04 C31410.06.10 ASTM D 5147/4798 06/03/10 C7290.01.08 ASTM D 4601/1970 01/16/08 C8370.08.08-RI TAS 114-H/J & TAS 117(B) 10/05/09 C8500SC.I 1.07-R1 ASTM D 6862/TAS 117(B) 08/07/09 C30310.12.09 TAS 114 / TAS 117 12/17/09 C10080.09.08-R4 ASTM D 5147/6163/6164 03/25/10 ASTM D 6222/3909 C 10080.09.10-RI ASTM D 5147 & 6163 11 / 18/ 10 C30560.06.10 TAS 114 / TAS 117 06/10/10 C32830.07.10 FM 4470 / TAS 114 07/20/10 C32970.09.10 ASTM D 6163 09/16/10 3513.08.02-R1 TAS 114/TAS 117 03/17/1 1 02970.04.11 ASTM D 6164 04/01/11 C35500.02.1I TAS 117(B) 02/09/11 C35460.05.11 ASTM D1876 06/16/11 C45620.03.14 ASTM DI876, TAS 114 (H), 03/27/14 FM 4474 C47350.50.14 FM 4470 05/22/14 C44580.07.13 ASTM D 1876, 07/25/13 TAS 114, FM 4474 C42110.08.12 TAS 114 & TAS 117 08/13/12 PRI Construction Materials CTC-034-02-01 REV ASTM D 6163 11/24/08 Technologies CTC-032-02-01 ASTM D6163 01/22/08 CTC-066-02-01 ASTM D6163 08/09/11 CTC-070-02-01 ASTM D6222 08/09/11 NOA No.: 15-0622.21 Expiration Date: 04/13/20 Approval Date: 08/20/15 Page 6 of 19 I Test Agency Test Identifier Description Date CTC-093-02-01 ASTM D6164/4798 08/09/11 CTC-122-02-01 ASTM D2178 033/13/12 CTC-123-02-01 ASTM D2178 03/13/12 CTC-127-02-01 ASTM D4601 03/13/12 CTC-128-02-01 ASTM D61633 06/11/12 CTC-129-02-01 ASTM D6163 06/11/12 CTC-132-02-01 ASTM D6164 06/11/12 CTC-162-02-01 ASTM D6164 05/09/13 CTC-1 61-02-01 ASTM D6164 05/09/13 CTC-183-02-01 ASTM D6162 10/02/13 CTC-190-02-01 ASTM D6164 12/02/13 CTC-199-02-01 ASTM D 1970 01/22/14 em "I, - c) 6 "DE CEOUN =! NOA No.: 15-0622.21 4mmumm Expiration Date, 04/13/20 Approval Date. 08/20/15 Page 7 of 19 Admomb, I CITY OF , k 40RD JOB ADDRESS: PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: x SINGLE, FAMILY RESIOENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM Ith.- — RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE, WITH NEW COMPONENTS) 0 RE-COVER (NEW Ro )FINSTALLF"D OVER EXISTING ROOF) n DECK TYPE (PLEASE SPECIFY): ?w —t—LA-, / , w/, " PLEAsi,,, Nom,: ONLY 100 SQUARE EtET OF THE WSTING DECK IS PER1W0T,0D*O HE *EPLACED ** ROOF VENTILATION: OOFF-RIDGE kDGE 0SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: 0 YES WO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 02:12--4:12 e4-12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL JINGLE 7& F Q/ OMETAL FL# 0 MODIFIED BITUMEN FL# 0TORCH DOWN FL# OINSULATED FL# 0 TILE FL# 0 OTHER. FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAppLicABLE** ROOF SLOPE: IESS THAN 2:12 0 2:12 --- 4: 12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLEZZF_n 21,,21 OMETAL FL# 0 MODIFIED BITUMEN FLff 0 TORCI I DOWN FL# 0 INSULATED FL# OTILE FL# 0OTHER: FL# CITY OF I NANTRD Building & Fire Prevention Divisiot, RESIDENTIAL RE -ROOF POLICY& PROCEDURES DEPARTNAENT 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 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) 0 DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS 0 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 PROFESSIONAL (ARCHITECT OR ENGINEER), CERfi CONTRACTOR (OR OWNER/BUILDER) SIGNA RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN COMPLIANCE BY PERSONAL INSPECTION. f t DATE: Af, I / l C 77 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: dill _ ow f ADDRESS: I -'j (,fe'L bub , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR GINEER, 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 #: COMPANY CONTRACT MUST BE I OR SIGNATU ": DATE: Z 7 SIGNED BY LI 771, L OW ILDER) A FINAL Rnnr IN-.PVPT1nN m Rrnmorn. 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 Sworn to and Su scribed before me this 4-iz ay of 20 by: Who is' Personally Known to me r has 11 Produced (type of i nti Icafl n) as identification. stplNp O PE4/rFyp: ON ature of o ry Public ;•GoegY "N; State of Florida Print/ Type/Stamp Name %i20 Aw bonded Vk" 0i • CT i9ofNotaryPublicy ..... ,`