212 Conch Key Way - BR17-003299 - ROOFr
t -•
r NOV U 9 2017
CITY OF SANFORD
BUILDING & FIRE -PREVENTION
PERMIT APPLICATION
Application No: I I
Documented Construction Value: $ A I }Q.• C0
Job Address: Z l 0Historic District: Yes No Parcel
ID: Zri'i(t —3t 2(GResidential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Phone: '-
C()i- 2v --7 Fax LO), ('G 1 Email: Property
Owner Information Name
t 11'm0 /- p 1/enPhone: %0'?- (Un 4Y23 Street: Z(
Z C ( o'-w Resident of property? City, State
Zip: t Z Contractor Information
Name /l
i~`1vrS - ^ Phonce- Street: t
Sj Fax: (,(62' 66t. =?Ct471 City, State Zip:
State License No.: (rCc_ 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: 51h Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application qn
NOTICE: In addition to the requirements ofthis 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 ofpermit is verification that I will notify the owner ofthe property ofthe requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy ofthe 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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature ofNotary -State ofFlorida Date
Signature ftornrdcturtx at Date
A 1A
Print
SMJA M ROM'ATS
MY COMMISSION # FF970513
EXPIRES March 10, 2020
Owner/Agent is Personally Known to Me or Contractor/Agent is .,_____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:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
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:
ENGINEERING:
CK17u lr l 13121
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 PermitApplication
TAG General Contractors Inc.
1517 N Orange Blossom Trail
Orlando, Fl. 32804IF
Al
General Contractors Inc.
Orlando 407-420-7900 Fax: 407-601-7997
061644 Roofing CCC-1328779FLLicenseCGC
www.tazro6f.co1rI
AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT
STREET
CITY ST ZIP
CELL jHOME EMAIL
ADDRESS 1,/ Cvh(tn,::o CU.-1 Project Manager
SPECIFICATIONS M
11\,
ANUFACTUREROFSHINGLE fijTYL) OFSI-
IINGLC XM—m R_COLOR
OF SHINGLE qk@ QVALLEYS VENTS
11-
STYLE 4CTEAR OFF
RYES - LAYER (p)- 1-4-A'!L, 4<prrCH
s K, STORY X IP
IRMITFURNISHEDT J ['REPLACE BOOACKSlYNTHETICUNDERLAYMENT12ICE &
WATER SHIELD ROTECTLANDSCAPF WHERE.
NF-rDED Al ' DbRl L YES /
90
INITIALO, SPECIAL INSTRUCTIONS
X R
0 #-- Ct,
3-0.
00 t),D
0i an pm4r RIM
11111-11—!'
x— —3
Up ECIONDPAYMENWT.
V-. FINAL PAYMENT
DUE AFTER ROOF COMPLETED ROLL YARD
WITH MAGNETROLLER EDGE , KEEP,EDPL
COLOR i4 c - Taa
General Contractors
Inc. is congi&red,& Ml- qartifiq&rqnfihg contractor COCFX)ES,NQ'IkOLI LIG ATE I . 14F PROPERTY OWNERORTagGcnvnlCnnacmsIN'Xq,) %vA UN1 iLA-s -"21,14-40,K-frr110NIFOW14FR ANDWNEk5jNSURANQEqOIPNY and or Ta. 05.1rae "inY
SIQ M' )PURSUE,"FFIE T' 4S Lr P", A
IR 'ALIL ",TO,T PROPERTY OWNERS TIE'STTNTFkF-ST F81ZWOTIRI!-'REPEACEI l I I i AGREE HE, PI.1 K,1 Y 014N1 S 5 RANCE COMPANY AND 'TAG' WITH
NO ADDITIONAL COST TOTI-Ir PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE. WHEN 'PRICE AGREEABLE" I IAS BEEN DETERMINED
IT SHALL BECOME TH E FINAL CONTRACTAMOUNT AND THE PROPERTY OWNERAU`FHORIZES 'TAG" TO OBTAIN LABOR AND MATERIAL IN ACCORDANCE WITH
THE "PRICE AGREEABLE" AND SPECIFICATIONS, SET OUrr, HERIN AND ON THE REVERSE SIDE LHEREOF TO ACCOMPLIsifTl IF, RFPLAftME NT
OR RI -PAIR. `TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED -TO ALL INSURANCE PROCEEDS IN ACCORDANCE WIT14 THIS AGREEMENT.
ALL PIUCESL ARE E SUBJECT -TO CHANGEYOU. ,LTj I I r BUYER. (GILLPURCHASEAT ANY
TIME
PRIOR TO MIDNIGHT OF THE
THIRD BUSINESS DAY AFTER TH-P DATE OF THISAOREEM . . 11 1 .1 - NTRA TORS INC.61SCIAMISALL
WARRANTIES, ENT. TAG GENERAL CONTRACTORSEXPRESSEDORh1fPLIEDJfARRANTY
OF H . Eft L CHAN7'ABILII'YOk-hT;Vl-,i i'bR'A,P.4R7'leiIL4,R--,,L','RPOS'EEXCEPT A .1SSPECIFICALLY EXPRESSED ONTHEREVERSE SIDE 6f'7'HIV,4'GPEi'AIE%,VT.'IFFOR-ANYREASONTHIS ,ROOF 4S AbrCbprk-rb B'FIA'!SifkA1YCi"AVD Tf1E-H0AiEOJFjVERP101ILDLIKE US 7'0,PROCEEDIVITHTH.EIFORKITJV011LDBETHE RESPO.
N'SIBILITYOF L TFJE 110MEOINNER tO'P;4; YIN FULL FOR R THE ROOF SIGN BELOWIF YOU WOULD
STILL LIKE US TO PROCEED IP7TRTHE 1140flKAND VOUIJUL P41'FOR l00% orTILEr woRK OUOTED. By 1.4LSO 11FREBYA LITHORIZEAND UNEQUIYOCtILLY
TMURUCT nIPFCT PfAIENT OF ANYBENEFITS OR PROCEEDS TO T4G GENERAL CONTPUCTORS JAIC CUSTOMER HAS READ AND. GREES30ALL
TERMS AND C0NJD1VQN1&,ft"-R1(JNT& BACK A 2us THSAGREENIENT. ACCEPTED BY HOMEOWNER(S) ON:
DATE I I BNi:y CO-OWNER: DATE I I
BY X TAG REPRESENTATIVE:,DATE• x I
nsin-ance Company Policy -
IIClaim Dcnied I Vending Insul-ance Phone Adjuster phone
Email Inspection Date __._-_
Time Deductihie Phonc
Sj
Y OF
NFORD PERMIT #
Building & Fire Prevention Division
H R `''AI' ` N 1 RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB ADDRESS: Z 1 k r .I-( r P-3
STRUCTURE TYPE: c S SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME Q APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
tDECKTYPE (PLEASE SPECIFY): ,4J a vj
PLEASE NOTE: ONLY 100 SQUARE FEET OF THEEXISTING DECK IS PE&VITTED TOBE REPLACED *
ROOF VENTILATION: IQSOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTuR.RINES
SKYLIGHTS: O YES (X NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS 17-JAN 2:12 O 2:12 — 4:12 V4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE 1 bcI ; FL# )O i a y- R N C
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
OTHER: G/1 FL# 4Str Y Kn j
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLIC4BLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
CITY OF
p SANFORD Building & Fire Prevention Division
RESIDENTIAL RE-R OOF A FFIDA VIT
FIRE DEPAPTM1 NI
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: ( °t f ell 4
n
S'g' FL
I I /'J'r-\ " ) . 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 T IEIR 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 #:CC 33 t ( 1
COMPANY / CONTRACTOR:,
CONTRACTOR SIGNATURE:.----- DATE: l O ( %d(7
MUST BE SIGNED BY LICENSE H-OLDERrOR OWNER/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 OF TIIE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
U.NDERLAYMENT, 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 PRO.FESSIONAI., (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this day of A°C}a I 20 1'7 by:
Who is Personally Known tome or has I Produced (type of
ide ation) as identification.
S' pre of Notary Public
to of Florida
Print/Type/Stamp Name
of Notary Public
JOSHUA A WALKER
NOTARY COMMISSION 0 66I50034
PUKEXPIRES Oct.10, MiSSTTATEATEOF
nOR/MA &ONK0 TMIlOtM
RUWSURAMM OOMPAW
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
FileNo./Escrow No.: FA17-493
Print Date & Time: 9/28/2017 @ 2:25 PM
Officer/Escrow Officer: Berry J. Walker, Jr
Settlement Location:
225 South Westmonte Drive, Suite 2040
Altamonte Springs, Florida 32714
Walker & Tudhope, P.A.
22S South Westmonte Drive, Suite 2040
Altamonte Springs, Florida 32714
Property Address: 112 Golfside Circle, Sanford, Florida 32773
Buyer: Kevin Andre Harris and Sophia L. Gomes-Harris, husband and wife
Seiler: JSM Group Inc., a Florida corporation as Trustee for Trust #15-2995, a Florida land trust
Lender: Bank of England Mortgage
Settlement Date: 9/29/2017
Disbursement Date: 9/29/2017
Additional dates per state requirements:
Seller Description Borrower/Buyer
Debit Credit Debit Credit
Financial
270,000.00 Sales Price of Property 270,000.00
Deposit including earnest money 3,000.00
Loan Amount 216,000.00
Lender Credit 1,130.00
3,100.00 Seller Credit 3,100.00
Title - Insurance Seller Credit 1,425.00
1,425.00 Title - Insurance Seller Credit
Prorations/Adjustments
82.41 HOA Dues from 9/29/2017 to 12/31/2017 82.41
2,980.33 County Taxes from 1/1/2017 to 9/28/2017 2,980.33
Loan Charges to Bank of England Mortgage
Underwriting Fees 895.00
Prepaid Interest ( $21.75 per day from 9/29/2017 to 10/1/2017)
to Bank of England Mortgage
43.50
Other Loan Charges
Appraisal Fee to Broad Street Valuations, Inc. (POC by Borrower:
460.00)
50.00
Impounds
Homeowner's Insurance 244.74
Property Taxes 669,02
Aggregate Adjustment 497.67
Copyright 2015 American Land Title Association. Page 1 of 3 File #: FA17-493
All rights reserved.
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
Title Charges & Escrow / Settlement Charges
375.00 Title - Closing Fee to Walker & Tudhope, P.A. 375.00
Title - Endorsement 5.1 to First American Title Insurance
Company
25.00
Title - Endorsement 8.1 to First American Title Insurance
Company
25.00
Title - Endorsement FL Form 9.to First American Title Insurance
Company
167.50
Title - Lender's Coverage Premium to First American Title
Insurance Company
1,155.00
185.00 Title -Title Search to First American Title Insurance Company
Title - Owner's Coverage Premium (Optional) to First American
Title Insurance Company
520.00
Commission
6,750.00 Real Estate Commission (Buyer) to Orlando Urban Realty, LLC
6,750.00 Real Estate Commission (Seller) to Sand Dollar Realty Group
Transaction Fee to Orlando Urban Realty LLC d/b/a Keller
Williams Classic Realty V
299.00
Government Recording & Transfer Charges
Recording Fees to Clerk of the Circuit Court 130.50
1,890.00 Transfer Taxes - Deed State to Clerk of the Circuit Court
Transfer Taxes - Intangible Tax to Clerk of the Circuit Court 432.00
Transfer Taxes - Mortgage State to Clerk of the Circuit Court 756.00
Miscellaneous
2,106.26 2016 Real Estate Taxes to Seminole County Tax Collector
100.00 HOA Estoppel to Mayfair Club HOA, Inc.
235.00 Municipal Lien Certificate Fee to PropLogix
Homeowner's Insurance Premium to Florida Specialty Insurance 979.00
Property Taxes to Seminole County Tax Collector 4,014.00
Survey Fee to Swerdloff & Perry 250.00
Seller Description Borrower/Buyer
Debit Credit Debit Credit
25,896.59 1 $270,082.41 Subtotals 280,615.00 $227,635.33
Due From Borrower 52,979.67
244,185.82 Due To Seller
Copyright 2015 American Land Title Association. Page 2 of 3 File #: FA17-493
All rights reserved.
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
Acknowledgement
We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement
Statement. We/I authorize Walker & Tudhope, P.A. to cause the funds to be disbursed in accordance with this statement.
Borrower:
Borrower:
Kevin Andre Harris
Sophia L. Gomes-Harris
Seller:
1SM Group Inc., a Florida corporation as Trustee for
Trust #15-2995
Samson Munshi, President
I have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other forms
relative to the escrow funds, including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the
escrow funds in accordance with the terms of this transaction and Florida law.
Escrow Officer
Copyright 2015 American Land Title Association. Page 3 of 3 File M FA17-493
All rights reserved.
THIS INSTRUMENT PREPARED BAY:
Name: V Yl l i>dl V-05AEI t'1(_
Address: Z`Q-r 1 TC)t llrjowlf NUXC7162r4
Wiiewlo•od, FL
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
Gfit'-NT HAL.OY, SEINIP--IOi_E COUNTYCLERKOFCIRCUITCOURTt. COMPTROLLER. L')t 9r?U:r F'j 1 .Al
C:LERI('S u 2 17106249
RECORDED 10/20/2017 09:iiq:,..
Parcel ID Number: G • Z U • i e h )1! JFOB ; "
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.
OF PROPERTY: (Le al description of the propertyand str et ad ss ' a'v able)
s-i-eY I i n (moo od_ 5 P55V 3 7 }"Y q 113
CV kv1 j SbV-Nlp rd fit. 32 t r`3 GENERAL
DESCRIPTION OF IMPROVEMENT: off
x o v" Earn e- \X ma Fee
Simple Title Holder (if otherthan owner) Name: 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:
In
addition to himself, Owner Designates To
receive a copy of the Lienor'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 1 have read the foregoing and that the facts stated in it are true to
the best of my knowledge and belief. Owner'
s SignatureOwners Printed Name Florida
Statute 713.13(1)(g): • The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead' State
of VW Y-1 dO County of L5;' InU L / The
foregoing instrument was acknowledged before me this day of 0 1( 20 "T b
r1 )nk0 e-6(uQ p, YWhoispersonallyknowntome ; Name
of person making statement S OR
who has produced identification pEl of identification produced: 0
i.
MY COMMISSION p GG 094001 EXPIRES:
June 17. 2020
4AJ'%ej'jCity of Sanforf
Ri Building 1 Divisio
Re -Roof Permit CarlJ.,
PERMIT NO. I *lop IZI S 9 ISSUE DATE: 11,9,617
CONTRACTOR: Q Q Coto e_hleml r—D&M Gf k, Q
JOB ADDRESS:
TYPE OF WORK: •
PROTECT FROM WEATH R
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL .
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
PERMIT # ( I- s2 qq
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: SINGLE FAMILY RES[DENCE/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):
PLEASE NOTE: ONLY 100 SQUARE FE
ROOF VENTILATION: (OFF -RIDGE
OF THE EXISTING DEC%IS PERAlITTED TO BE REPLACED"
O RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES l0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
PLAIN 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
G /SIINGLE CJ 'V ` i i
jFL#
FL# Q METAL
Q MODIFIED BITUMEN FL#
O TORCH DOWN FL#
QINSULATFD FL#
Q TILE FL#
THER:
t jC ' tJ C•}
0
FL# 7-'Z7
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
Q METAL FL#
Q MODIFIED BITUMEN FL#
Q ToRcH Dowry FL#
O INSULATED FL#
Q TILL FL#
0 OTH ER.: FL#
THIS INSTRUMIbNT PREP ED BY:
r
Name:G j aC-
Address: 1 S I I D S
NOTICE OF COMMENCEMENT
Permit Number: 3
Parcel ID Number: Zl2—fit - 3( - 50 f -0000 —Z(uJ
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. DESCRI TION OF PRg PERTY: (Legal description of the property and street address if available)
LOT z(o (t-Y KX,-1 86 6q 65s 'S-16:,
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE:ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FORTHE IMPROVEMENT:
Name and address: LA- A-P S 14A.Q .A
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: TAG GENERAL CONTRACTORS INC. Phone Number: 407-420-7900
Address: 1517 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO. FL. 32804
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 byOwner;upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
Address:
6. in addition, Owner designates of
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
CONSIDEREDIMPROPER 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. Sig
naWreOwner a L , or Owner's or Lessee's (PAnt Name and Provide Signatory's TiWOlfiee) Au
zed Officer![krectodPartner/AAanager) State
of f UlV Gtl- County of The
foregoing i-nest-r-uymentwas ack iowied ed before me this by
who
ha de Identification O 1 ypitf i' lion produced: 4i'.• ...
7:.)20 day
of 06 e 'G C/ 02 tiWho
is personally known to meXOR Notary
Signature LARRY`-
JONES PEARSON My
COMMISSION # G000562f EXPIRES
June 26, 2020 GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2017112405 BK 9019 Pg 1466; (1pg) E-RECORDED 11/06/2017 03:04:46 PM 10.
00
CITY OF
Sk,NFORD Building &Fire Prevention Division
RESIDENTLM RE -ROOF POLICY & PROCEDURES
FIRE OEPARTIVIENIJ
PFRMITTING REQUIREMENTS— NO PLAN REVIEW REQUIRED
THTS 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. ALLAPPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILI, 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 INSTAI.J.,ED; NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INST.AI1ATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WELL 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: 4MAUM DATE:
SkNFORD
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ADDRESS:
32-7'1
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).
LICENSE #: ((-4r. t32- 17-1q
COMPANY /CONTRACTOR: S" TPi PJ n
CONTRACTOR SIGNATURE: &VL ' DATE: l ` I Lt It
MUST BE SIGNED BY LICENSE HOLDER O WNE [LDER)
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 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
I h
Sworn to and Subscribed before me this of llXiJ& 20 (I by:
A t`Ot-e.rWho is LiYPersonally Known to me or has Produced (type of
identi cation) as identification.
c
SONJA M ROBERTSSignatuaofNotaryPublic
State of Florida" c MY COMMISSION # FF970513
Y, 1
Print/T /Stamp Name
Mo EXPIRES March 10, 2020 IACT13V9^
OtR3 rksrl l:+Nu4 Yt?nrviry wn of
Notary Public