844 Rosalia Dr - BR17-003291 - ROOFw
ti r, r,u„ CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ApplYcatlan No: ^
3
Documented Construction. Value: $ 8400.00
1r
Job Address: 844 Rosalia lSanford, FL $2771 Historic District: Yes No Parcel
ID: 39 1931-5081700 oz3o Residential Commercial Type
of Fork:
New .Addition I Alteration. 0
Repair
Demo Q Change of Use Move Description of Work.
Re Roof Shingles Plan Review Contact
Person: Dale LeBlanc Phone: 407-895-
1551 Name Ronald Moran
Street. 844 Rosalia
Ave Fax: 407-895-
1320 Email:_ Property Owner Information
Phone: City, State
Zip:
Sanford, FI 32771 Name Dale LeBlanc
Street: PO sox
590325 City, State Zip.
Orlando>FL 32859 Name: NIA Street:
City, St,
Zip: .
Bonding Company: / Address;
Title- President
Admin@britetoproofing.
com Resident
of property? :
Contractor information Phone:
407-895-
1 S51 FaYA: 407-895-
1320 State License No.:
CCC058108 Architect/Engineer Information
Phone: lFaar: — E-
mail:
Mortgage
Lender: NIA
Address: COMMENCEMENT MAY
RESULT
IN YOUR WARNING TO OWNER:
YOUR jFAILU E TO YOUR PItOPEk ICETY. F N4 " OF COiV
MENCEMMENT' MUST BE PAYING TWICE FOR
IMPROVEMENTSN- IF YOU RECORDER AND CONSUL
ON TOUR
LENDER
OR AN ATTORNEY BE)FOREORECORDING YOUR NOTICE OF ENDTO OBTAIN FINANCING,
CONSULT WITH
XO COIVIMENCEMEN"f Application
is hereby
made to obtain a permit to do the work and installations asto indicated. I certifythat no work or installation has commenced prior to
the issuance of a permit and that all wont will must be uriredameetfor electrical g construction
ork plumbing,
signndards of
all laws s,, wells pools, in this jurisdiction. I
understand that a separate permit rzt ° furnaces, boilers, heaters, tanks,
and air con(Utioners, etc. I $C i05.3
Shall be inscribed with the date of application and the code in effect as of that date: Si° Edition (2RX4) Floridauitding Code Permit Application Revised; June
30, 2015
NOTIClr: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
t, 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 ofFlorida Lien Law, FS 713,
The City of Samford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal,
The actual construction value will be figured based on the current ICC
off the etion Table
d
in
ntr
effect atctthe
the actual
time the er ttructiosued, in
accordance with local ordinance. Should calculated charges figcreditwill. be applied to your permit fees when the permit is issued -
OWNER'S AFk'fOA T: f 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.
SigAat Contactor/Agent Rake
Signature ofOwner/Agent Date
t'r m Owncr/Agent's Name _
of Notary -State of tor' a q@f&IA VEGA
e~
p
eG Notary Public, State of Florida
Commission# FF 938287
My Comm: expires Jan. 24, 2020
Owner/Agent is Personally KnOT toa e or
Produced ID t;, Type of 1D
Print Contractor/Agents Name
Otf
DEBBIE BLANTON
MY COMMISSION # i F 178648
EXPIRES: February 25. 2019
Bonded Thru Notary Public Underwriters
Contractor/Agent is = personall Known to Me or
Produced ID --- Type of ID 11K
BELOW IS FOR. OFFICE JSE ONLY
Permits Required: )Building Electrical [D Mechanical n Plumbing[]
Constructions TYPe: Occupancy 'Use:
Gas[ Roof 0
Flood Zone: -
Total Sq Ft of 13idg: Min. Occupancy Load: # of Stories:-------.
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Alarm Permit: Yes [I NoFireSprinklerpermit: Yes [j No [I# of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
U ILITIES: WASTE WATER:
FIRE: 13UILDING:
Permit Application
Revised: June 30, 2015
vuY7 v,94
S 1a X ,-Z
State Licensed CCC058108 `
max P.O. Box 590325
Orlando, FL 32859
Date Y — / 7 Office) 407-895-1551, Fax) 407-895-1320
www.Brite'TopRoofing.comJib# Rep &Cell yo7-Y67`Sa94&,
Customer: 19.*A cc1d Homeowner Notices
Address: g Lf 411 Ro y 4gbI 1 ye . 1) ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
3 a 7 7/
SECTIONS 713.001-713.37, FLORIDA STATUES), THOSE
City, St, Zip: /a l L • WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS
County: liol P Subdivision: AND ARE NOT PAID -IN -FULL HAVE A RIGHT TO ENFORCE
Nn /f
Ya7 - %5- a (,7/ Work:
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.
Home: THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF
Cell: Email: YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO
F! SPECIFICATIONS o? / phQ,'/
PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, .OR MA-
TEAR OFF P
TERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LE-
K INSTALL UNDE'RLAYMEf,1T fGALLY REQUIRED PAYMENTS. THE PEOPLE WHO ARE
OWED THE MONEY MAY LOOK TO06a5
q
YOUR PROPERTY FOR
RECOVER ROOF WITH G'P l7 ttlrr C .oZ — PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR
STYLE OF 3 S ,C FULL. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY, IT
L( COLOR OF S+HNG+ C
COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR,
l I YEAR MANUFACTURER WARRAN t
MATERIAL, OR OTHER SERVICES THAT YOUR CONTRAC-
TOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.
INSTALL UPGRADED STARTER COURSE /1%' FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT
INSTALL UPGRADED VALLEY IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM
INSTALL RIDGE y
ARISES, YOU CONSULTANATTORNEY,
PIPE FLASHINGS a — p 2) Payment may be available from the Florida Homeowner's Con -
EgVENTILATION a. c p ... structioii Fund if you lose money on a project performed under con-
from
DRIP EDGE
1 where the loss results specified violations of Florida law
by a licensed contractor. For information about the recovery fund and
LOW SLOPE SY EM P filing a claim you may contact the Florida Construction Industry Li-
TPO/j¢. censing Board at:
CLEAN UP AND HAUL OFF ALL DEBRIS
CILB 1940 North Monroe St. # 42 Tallahassee, FL 32399
2YEAR(S) WARRANTY ON WORKMANSHIP 3) RIGHT -TO -CURE: CHAPTER 558 NOTICE OF CLAIM.
PREMIUM WARRANTY
Chapter 558, Florida Statutes contains important requirements you
CLEAN GUTTERS
must follow before you may bring any legal action for an alleged con -
struction defect to your home. Sixty days before you bring any legalEXTRAWORKaction, you must deliver to the other party to this contract a written
PROTECT LANDSCAPING AS NECESSARY notice referring to Chapter 558 of any construction conditions you
SPECIAL INSTRUCTIONS allege are defective and provide such party the opportunity to inspect
V OD PLIP - the alleged construction defect(s) and to consider making an offer to
repair or pay for the repair of the alleged defect. You are not obli-
A. gated to accept any offer which may be made. There are strict dead -
A# i'//-i'eP _Lyt c`G[Pf — P/! A",e' l lines and procedures under this Florida Law which must be met and
0C ?-G X PS,.
7 T - Yd L followed to protect your interests.
WE HEREBY PROPOSE TO FURNISH ALL INSURANCE, PERMITS, 4) You may cancel this contract, without cause or expense, within
LABOR AND MATERIAL COMPLETE IN ACCORDANCE WITH THE 3 business days when signed in your home. You may not cancel
o - this contract without expense following that date without written au-
thorization from this contractor. Customer Initial
PAYMENT IS DUE AND EXPECTED ON THE DAY OF
SUBSTANTIAL COMPLETION AND NOT CONTINGENT
UPON LOCAL GOVERNMENT INSPECTION.
WHEN ACCEPTED THIS BECOMES A CONTRACT SUBJECT
TO SPECIFICATIONS ABOVE AND ON THE BACK OF THIS
PAGE.
Accepted by:
Date Accepted / V — 177
To Homeowner's Ins. Co.
Accepted by Mgmt.
Claim #
1, , do hereby authorize,
Brite Top Roofing, to document, meet with, and, or otherwise ob-
tain, an "Agreed Price" approval for the repairs or replacement, that,
in my and Brite Top Roofing's opinion, are required due to the cov-
ered loss that occurred to my home. I understand that there are no
charges for these services other than the awarding of the restoration
contract, and, 1 hereby award the contract, contingent upon approval
of my insurance company
Customer Initial
THIS INSTRUMENT PREPARED Y:
If:7 Name: Brits Top F2oofing 44T&
Address:9
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
iRANT IiALOY r SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & CONPTROLLER
B K 9021 F'q Kill (1('s s )
CLERK'S g 2017113366
RECORDED 11/1=3/2017 11:55:39 AN
RECORDING FEES $10.00
RECORDED BY hdevore
Parcel ID Number: 31-19-31-506-1700-0230
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance withChapter713, Florida Statutes, the following information is provided in this Notice of Commencement.
p Q pp pgQp ,y desp p(q, I e rp ray d (rest address if available) DI-IL731 tiLK l / LA Tl. HIV LHIVHh F'tS p t''4U
oo hingleos lglurncanoeIMPROVEMENT:
OWNER INFORMATION:
Nam,- Roanld Moran
Address: 740 Old Lake Harney Rd Geneva, FI.32732 '-
Fee Simple Title Holder (if other than owner) Name: N/A
Address:
CONTRACTOR:
rinlc I cRlanrr
Address: pn RnY Fan395 Orlando. FI. 32859
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: N/A
In addition to himself, Owner Designates
To receive a copy of the Lienors 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 OFCOMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ANOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Under penalties of rjury, I declare that 1 have read the foregoing and that the facts stated in it are true
to the b%of my owledge and belief.
i ( /i G- rr/mo
wners Signature Owner's 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 hisor her stead'
State of do- County of Dnq
y
The foregoing instrument was acknowledged before me this t day of A1OdCucv' , 20 r! 7
bnedal Wazn a #d fa ki Who is personally known to me Name
of ferson making statement e / `L OR
who has produced identification El type of identification produced: `` t/ r
HERCILIA
VEGA _ yaNotaryPublic,
State of Florida Commission# FF
938287 thy comm.
ey.pires Jan. 24, 2020 Notary Signature
CITY OF
SkNFORD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARWAENT
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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
011
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
SkNFORD
FIRE DEPARTMENT
JOB ADDRESS: 844 osalia Ave
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: (X SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (;X REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): M.(,jy "
PLEASE NOTE: ONLY 100 SQUARE jtET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: D OFF -RIDGE C RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: yw LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
O METAL FL#
MODIFIED BITUMEN CA. ,,, , --•, ,, / l C\ b C' `
r
FL# c9
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""IFAPPLICABLE""
ROOF SLOPE: LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
CITY OF
Skii4FORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING9 SHEATHINGS DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ( Z - Rt,9 I ADDRESS: 844 Rosalia Ave
Sanford FI. 32771
I Dale LeBlanc , 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 #: CCC058108
COMPANY / CONTRACTOR: J ! P I Irl "' C-
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR 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 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 L
Sworn to and Subscribed before me this day of 20 0 by:
1 Qa -kkI _ . Who is Personally Known to me or has Produced (type of
identification)
Signature of Notary Public
State of Florida
as identification.
Print/Type/Stamp Name
6tJ
NofaryPubG-StateofFloridaofNotaryPublicMelanieLGrossMyc., ".ion FF 868836
Expires 03/08/2020