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167 Pinefield Dr - BR17-002845 - ROOF2 A n3A*J W d.b9 r CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / - v (?LK Documented Construction Value: $ - 100. Job Address: ip P 111 E P E Dr CWA M J FL Historic District: Yes No Parcel ID: "' '3 - - t 3d Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: __ Plan Review Contact Person: Title: Phone: Fax: Email: 1 Property Owner Information Name Q t\' k Ck- Street: 6 l Yee @( `r Save YCity, State Zip: 3 2_4 Phone: Resident of property? : Contractor Information Name 6 5© kqFkAeQVv S LLe Phone: 4c-,-? - 4-gE - 6 Street: eA w % Fax: -409 - Z City, State Zip: 6\A 6 v ) y,- 3 ai i - State License No.: 133d9-6. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5t° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements ofFlorida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit 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 ICC Valuation Table in effect at the time the permit .is issued, ijf accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction valaet , credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing info ation is be done in compliance with all applicable laws regulating cons do and c <<_ ov . as • !a it - Signature of Owner/Agent Date Si a ontractor/ r AvPoi c. 1 r eQ 0n Print O er/Agent's Name Print C ctor/Agent's Nat apO9. , 2,Q CC Signature of Notary-S Y Iori aULIM ZHAKUPOVAte Signature of Notary -St e hf t orb NOTARY PUBLIC ar o - ESTATE OF FLORIDA a Comm* FF966449 N e 9 0 Expires 3/1/2020 Owner/ Agent is Personally Known to Me or Contractor/Agent is _ Produced ID v-Type of ID DL Produced ID that all work will Del/ Date 09. aa. rida Date GULIM ZHAKUPOVA NOTARY PUBLIC ESTATE OF FLORIDA 10 Comm# FF966449 Expires 3/1/2020 Personally Known to Me. or Type of ID ,DL_ BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: rap asZone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application ST JaH N PS Roofing Services LLC 559 Fieldstream Blvd • Orlando FL 32825 Phone: 407 496 7861 • 407 256 8667 • Fax: 407 277 5594 ESTIMATE Name: Address: / 6 ? Ioe i •c Date: o - PH: 9/9 - Sl e -?-?3 Job location: 5wv t rdv dl. Job #: 1. Remove existing Roof [' Shingle Tile Rock Metal Roll Additional layers 2. Replace damaged decking (plywood) or where needed 3. Replace damaged Flashing Fascias Rafters 0 4. Install new underlayment # 30Lb ©'Peel stick 0 5. Redeck fastening will meet or exceed local building code requirements (6•'0.C)G_ 6. Install news singles in accordance with the manufacturer's specifications 20 years 3TAP 0 Color 30 years Architectural/ Dimentional Color Other Color 7. New Eaves Drip Size: eo White own 0 Gray 0 Black 0 Beige 0 New 26 Ga. Galvanized Valley Metal Ft New Galvanized L Flashing Ft Save existing Eaves Drip Turbine Vents Lead plumbing Boots 4" _3" 2" 1 Yz" 0 Galvanized kitchen vents 3 4" 10" Color Off Ride Vents 4" 2 Color /3 u OptionaI Add Center Ridge Vents 10" Color Nail Over Ridge Vents Ft Skylight 2x2 2x4 solar tubs Other Other 0 8. Modified Bitumen singles ply flatroof system -Torch Down or peel stick base sheet and capsheet to be installed using the manufactures specifications secured to deck and granulated. Color 9. Remove all roofing debris from premises. Drag ground with nail magnet. 10. Workmanship warranted against leaks for five (5) years from date of completion applicable Manufacturer's warranty Applies to materials. We propose herby to furnish Material and labor, complete en accordance with the above specifications for the sum of: $ %f1D = Dollars. All materials are warranted to be as specified. All work is to be completed in a wormanlike manner according to standard practices. Acceptance of proposal. The above prices. Specificatins and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made upon completion of Project. Past due accounts will accrue an interest charge of1.5% per month. Until balance is paid in full. This proposal shall be attached to all contracts and /,eT-p chase order. Price is valid for 30 days from the date of proposal. j 'j Date of Accepta N f Conti ctors signature Owner Or out orized Agent J THIS INSTR ME PREPAR BY: Name: O t1 0 t Lc Address: ° 5 S tr M46r NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number. GI;AhdT NALO'r r SEP1INOLE COUNTY CLERK. OF CIRCUIT COURT & CONPTROLLER EK 13994 Ps 132 (1Pss) CLERK'S T 2017096048 RECORDED 119/2 /2017 11 a a; ; i+ls All RECORDING FEES $10.00 RECORDED BY Parcel lD Number. Jam «-0000 - 0D 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 PROP RTY: (L I d scripbon of a property and st et address ff a ila le 1 (n 4- 1) 1 to P i-- P fr 4 ',D Y" !'u to r-t)dd a=1 _ 3 GENERA! SCRIPTION OF IMPROVEMENT: e - ` 02WF OWNER IN RM TION: Q Name- r\\C< FJ rL' e YI Address: j n V` CAN CRL Fee Simple Title Holder (if other than owner) Name: O\A v,'s - fZor)I`tv) Av tce LL Address: 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: o/ k )O - iVl QV i e5 Address_ 5 k'- } V OVA CtMA U Z . In addition to himself, Owner Designates of To receive a copy of the Lienoes 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 I have read the foregoing and that the facts stated in it are true to the be"'knowledge and belief. Owner's Signature Owners Printed Name Florida Statute 713.13(1xg): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State of t4-o m — County of Se^^-ii t D l e The foregoing instrument was acknowledged before me this o2al— day of "1T4- a -u p fL— . 20 /4-- by PO -+ CA— ZYW-*7 Name of person making statement OR who has produced identification QTtype of identification produc otf` Y GULIM ZHAKUPOVA sr NOTARY PUBLIC c STATE OF FLORInn Comm# FF966449iNtj9eExpires3/1/2020 Who is personally known to me EN CITY OF SkNFORD Building &Fire Prevention Division RESIDENTM RE -ROOF POLICY & PROCEDURES FIRE 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 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 PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING VBC CODE CI PROVIDED BY A FLORIDA DESIGN BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE /'I DATE: ` zO 9- CITY OF f SkNFORD FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 1 104 O11/\e pI Q IJ 6aVk poi A FL STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O 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 FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'" ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN 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 ISHINGLE V 0C, FL# - O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: O 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# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# r CITY -OF SANFORD C10r. ncnnuT"rWT Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING; SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: , _ 0 11V jk ADDRESS: the t et r L -3 r I— © C t e AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRA R, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION ISTRUE 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 1 MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: _ CC ' _'>3 ® COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICE? V1c eV`(iC •LLC DATE: 0 T / INAL ROOF INSPECTION IIS R—EQUIU•II'RED: 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 Subscribed before me this W day of 00 +,D LZ-V__ 20 14- by: 710 V&- 1 rQ Z- Who is Personally Known to me or has'R(Produced (type of ti I ation)T-_'0TL VtA7 - L as identification. Signature of Nota u lic Z GULIM ZHAKUPOVA State of Florida NOTARY PUBLIC n 7 -STATE OF FLORIDA U - -Q.W 4 Comm# FF966449 Print/Type/Stamp Name lExpires•3/1/2020 of Notary Public