1917 W 14 St - BR18-004776 - REROOFCITY OF
S LNF0RD PERMIT APPLICATION
BUILDING DIVISION
Application No:
0 Documented Construction Value: $
Job Address: 7 4- Historic District: YesF] NoO
Parcel ID: Residential [I Commercial D
Type of Work: NewEl Addition [I AlterationEl Repair [I DemoEl Change of Use n Move El Description of Work:
kkr- j- p Plan Review
Contact
Person: Title: Phone: Fax: Email:
Property Owner Information
Name Phone: Street:
7 4V
Resident of property?: V &5 City, State Zip: -
Yci, '-A"j 3, Contractor Information Name
A/0
6 IcN ) vie ki Phone: 6 f 7 3 Street: 2. s
Crcj-_e-,j V, JFax: Y 2—e 2 City, State Zip: ""o
Vq State License No.: Architect/Engineer Information Name:
Phone: Street: Fax:
City, St,
Zip: Bonding
Company: ''4- Address:
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 his 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, beater,,, tanks, and air conditioners, etc.
a
FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date:6`t' Edition (2017) Florida Building Code
NO'fl(;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 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 ICE Valuation "fable 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 Sig future ofContractor/Agent Date
eel Ira 6"
Print Owner/Agent's Name Print C actoVAgent'sNgame
Signature of Notary -State of Florida Date Signature of N xwErS __
DEBBIE
t ffi MY COMMIK:," 1 i t7z648
a o•` EXPIRES h i; i y 2019
t ' Bonded Thru ubov Underwriters
Owner/Agent is Personally Known to Me or Contracto ` o Me or
Produced ID "Type of ID Produced ID Type of ID " 1
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 Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
CII'Y OF
SAN.TORD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY& PROCEDURES
FIRf-. 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 TIIE 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
PROFESSIONAL (ARCHITECT OR ENGINEER), Cpat
CONTRACTOR (OR OWNER/BUILDER) SIGNA
RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
DATE: 12- 1 r/ —/ -'
PERMIT # , 43' "
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: / ,7 1,7 ., / / 7 `-, + Sa-,, ' "r) F,,/—''
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): t/ "—) 00 C / IS2 (t / 4 1 ClI -
PLEASE NOTE. ONLY 100 SQUARE FEET F THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: QOFF-RIDGE (RIDGE (SOFFIT QPOWEREDVENT QTURBINES
SKYLIGHTS: Q YES ' NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL, #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 a 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE f ja - FL#
O METAL FL#
0 MODIFIED BITUMEN FL#
0 TORCH DOWN FL#
Q INSULATED FL#
Q TILE FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 — 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0 SHINGLE FL#
Q METAL FL#
O MODIFIED BITUMEN FL#
0 TORCH DOWN FL#
Q INSULATED FL#
Q TILE FL#
O OTHER: FL#
CITY OF
Sk 40RD Building & Fire Prevention Division
RESIDENTIAL RE-R 0OF A FFIDA VIT
FIRE DEPAIITMENI
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVE/R/INGS
PERMIT##: ADDRESS:
Al -10 R "
I /.41 6 It,°j (,-I, AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING c6NTRACTOR, 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 #: r C C 4) 7It
COMPANY / CONTRACTOR: '' t I't
j
L...-. -•
CONTRACTOR SIGNATU DATE:
MUST BE SIGNED BY LI SE OLDER .[R/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 OFTHE 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 ()r— e—
Sworn to and Subscribed before me this `Z,(c day of b c 20 1' by:
Who is @011'ersonally Known tome or has Produced (type of
identification)
Signature of Notary P is
State of Florida
Print/Type/Stamp NaWe
of Notary Public
as identification.
1 a. DEIINAD. AGEE
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e Notary Pubiic State of Flori aCommissionKGG280442022MComm. Expires Nov 29, or-i
y h National Notary Assn. Bondedthroug
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