2401 S Elm Ave - BR18-004754 - REROOF0 1'' OF
A
PERMIT APPLICATION
KJILDING DIVISION
Application No:
Documented Construction Value: $
Job Address: 0 Sin &4 R Historic District: Yes[]NoD
Parcel ID: Residential El Commercial El
Type of Work NewE] Addition E]Alteration [I Repair 91 DemoEl Change of Use 0 MoveEl Description
of Work. MMA 0 111P Q 2=k - - Plan
Review Contact Person: Tide: OtiWAA, Phone: -
RU-1 - I*O'A, ?401 2 Fax: 711074ff 1,114M Property
Owner Information Name
It'-sQ11, Claion Phone: 7 2 J
Street:
Resident of property?: LOS City,
State Zip: SO^-G(& Ge- Contractor
Information Name
Phone: L*7- Street: -*;
I!-29L S Qr_lAa& Dr- Fax: City,
State Zip: !-QnQWA & 3?_,221 State License No.: Cre /330:2;Eq Architect/
Engineer Information Name:
Phone: Street:
Fax: — City,
St, Zip: E-mail: Bonding
Company: Address:
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 alllaws 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 Shoff be inscribed with the date ofapplication and the code in effect as of that date: 6' Edition (2017) Florida Building Code
NQIK,'L In addition to the requirements of this permit, there may he additional restrictions applicable to this property that may be found in the public
records of this county, and there may he 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 ofthe job at the time ofsubmittal. 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.
Q"EKS AEFIDAYIT. 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
Print Owner/Agent's Name
Signature of Notary -State of Florida
Date Sip ture ofC gent Date
Print Cpntractor/Agent's Name
Date Signature of Notary -State of
Owner/Agent is Personally Known to Me or Contractor/Agent is rsons
Produced ID Type of ID Produced ID Type of ID
RELQW 15 EQR MICE USE ON
Id-ii"ico
01FARY PUBLIC
STATE OF FLORIDA
Comrn# GG 1651 3e
Expires 12/4/n2lIvVnowntoeor
Permits Required.- Building El Electrical El Mechanical [] Plumbing [I GasEl Roof 11 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: YesEl No n #of Heads APPROVALS: ZONING:
UTILITIES: COMMENTS: Fire
Alarm
Permit: Yes 0 No [3 WASTE WATER:
ENGINEERING: FIRE:
BUILDING:
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 2 9 10 S C-- 113n aigjua-L 3a4a f2kj E
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.or -g.
The following Information must be available on the Jobelte for Inspections:
1. This entire product approval form
2. A copy of the manufacturer's Installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Des fi tion
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
qqLcription
Florida Approval #
LncluqLng decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4, Roofing Products
Asphalt Shingles
Underlayments
Roofinq Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Wate!:proofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category Subcategory Manufacturer Product
qqscrifion
Florida Approval #
include decimal
S. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors
Anchors
Truss Plates
Enqineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
EnveloProducts Applicants
Signature Applicant'
s Name U 21 Le f Please
Print) June
2014
fwork
6
This Apeement lodudes thePPGQSCOPOOfWOOaddendumiPMU
N'rRACr PRtCE4r `,
GrantValoy, Clerk Of Tate Circuit Court & Comptroller Seminole County, FL
Inst #2018132869 Book:9253 Page:977; (1 PAGES) RCD: 11/26/2018 2:11:01 PM
REC FEE $10.00
MUMZ iTI a
NOTICE OF COMMENCEMENT
1. `..
fi
BY
Oate —
v
Permit Number. _
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.
Interest In property: 1-0
Fee Simple Title Holder (if other than owner listed above) Name:
Address: z>• Q
5. SURETY (if applicable, a copy of the payment bond is attached):
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. 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)(a)7., Florida Statutes.
Name: Phone Number:
Address:
S. In addition, Owner designates
to receive a copy of the Lienor's 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 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.
Signature of net aWessej. orOwner's or Lessee's (Print Nance and Provide Signatory'sTitle/Office)
Authorized Offter/DirectoNPartnerNaneger)
State of 1 1 County of
nTh ,r/egoin g^ Instrument was acknowledged before me this E day of wl_x Y lt% i( ^ 20in
by T. i 1Sl .i a \ y L' "Z(i . Who is personally known to me OT ORIMmeofperoopmakingstatement
who has produced Identification 0 type of identification produced:
4
Gina Delmedico
NOTARY PUBLICESTATEOFFLORIDA `^' Notary Signature
Commo GG165138
Expires 12/4/2021
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
1 hereby naine and appoilit- fycci
an agent of.,
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option):
The specific ermit and appi * ration fiqLwork located at:
StIcO Add,,;,$)
Expiration Date for This Limited Power of Attorney:
License Holder Name:U711A',e—L---')
State License Number:-'Icicr
Signature of License Holder:
STATE OF FLORTDZA
COUNTY OTCZ-Mi
The foregoing instrument was acknowl
20 by k
to Me Or L-vqTlo has produced
identification and who did (dinoO tA Notary
Scal) ELIWETH
TREVINO UNCommission # GG 46850 My
Commission Expires November
14, 2020 Rev
08, 12) attire
Print
or type before
the this day of D —
I,--
who is personally known ath.
Notary
Public - State of -aaGda- CommissionNo, My
Commission Expires:A- Jtif- U_ as
f I
CITY OF
S Building & Fire Prevention Division0RDRESIDENTIALRE -ROOF POLICY& PROCEDURES
F I t f", 1) f PA 1t T%l E N I
PERMITTIN(, REQUIREMENTS —NO PLAN REVIEW REQUIRED
I_IJIS DOCUMENT (SIGNED) ALONG wrn I AN ACCURATE AND COMPLETED RFSIDENTIAi, RE -ROOF SCOPE OF WORK ARE
REQUIREDTOBE SUBMITTED AS PARTOF YOUR PERMIT APPLICATION. Ti
IF SCOPE OF WORK MUSTINCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT
WILL BE INSTALLED ON THE PROJECT. A PERMIT
WILL NOT BE ISSUED wrrviou'l-TIIESE DOCUMENTS, COPIES WILL BE MADE TO POST ON THE JOB SITE. PROJECTS LOCATED
INTIIE SANFORD HISTORIC DISTRICT' WILL REQUIRE PLAN REVIEW AND APPROVAL BVTIIF SANFORD HISTORIC
PRESERVATION BOARD INSPECTION POLICY &
PROCEDURES A FINAL,
ROOF INSPECTION ISTHE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, ToWNIIOUSE, MOBILE HOME, APARTMENT
AND/OR CONDOMINIUM) RE -Root PERMITS. THE FOLLOWING IS
REQUIRED TO BE PROVIDE ON THE JOB SITE: PERMIT CARD, POSTED
IN CONSPICUOUS AND WEATHERPROOF LOCATION COMPLETED RESIDENTIAt. RE -
ROOF SCOPE OFWORK 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) EACH PLANE, OFTHE
ROOF, SHOWING THE UNDERLAYMENT INSTALLED Rom, DECK NAILING
PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) ROOF DECK NAILS
USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) UNDERLAYMENTPATTEIRN & SPACING (INCLUDING
A MEASURING DEVICE OR RULER) DRIP EDGE & VAH,
Fy ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) SHINGLES INSTALLED, NAIL
PATTERN AND LOCATION OF NAILS SKYI,I(it['
I-S(IF APPLICABLE) o DIGITAL PI-
IOTOG RA PIJS S I IOWING ALLINSTALLATION 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), CERTIFYINc, FBC (.'ODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/
BUILDER) SIGNATURE: DATE:
16
S,i4FORD PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 12 11 a I a 4-1 6.6g4d4.'e , I a Ld EZ _L Z 71
STRUCTURE TYPE: *iNGLEFAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -
ROOF TYPE: *REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): tAlr" !, 4 "PLE,
4sENOTE.- ONLY 100SQUARE FEET of THE FClSr INGD IS PERMITTED TORE REPL4CED ROOF
VENTILATION: 00FF.RIDGE 0 RIDGE OSOFFIT OPOWERED VENT 0-TURBINES SKYLIGHTS:
OYES *NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#: MAIN
892F,&Ua Roov
SLOPE: 0 LESS THAN 2:12 02:12-4:12 0 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0
SHINGLE F11 METAL
FL# MODIFIED
BITUMEN FL# Aa'g - 0
TORCH DOWN FL# 0
INSULATED FL# OTILE
FL# Q
OTHER: FL# QUE
E2aFNSIQNS (e2RCLILI EATI2& EM.) =dmum* ROOF
SLOPE: j LESS THAN 2:12 02:12-4:12 0 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT' APPROVAL o
SHINGLE F1_'# METAL
FL# MODIFIED
BITUMEN FL# OTORCH
DOWN FL# OINSULATED
FL# TILE
FL# OOTHER:
FL#