156 Walnut Crest Rn - BR17-003112 - ROOF11 +
CITY OF SANFORD
20 BUILDING & FIRE PREVENTION
PERMIT APPLICATION2BY—
Application No: rT 31 I c
Documented Construction Value: $ L]. u 0
Job Address: / ''Z I,atr Alk 1 Cle" ! I'00-' 32:711 Historic District: Yes No [
Parcel ID: d,-)- I Cl- 3O- 7" 0 0->- l 1 v Residential Commercial
Type of Work: New Addition
II
Alteration Repair Demo Change of /Use Move
Description of Work: Re S j l&-,("f
Plan Review Contact Person: AL,e J rYS I/61111ty, Title: S
Phone: ' a i S- / / Fax: Email: & fV'f 01 P j//,, , C. •-
rr
Property Owner Information
Name to r-c""t- CL 1-1 Phone:
Street: t 51 WAI- Uu l (j1 T" N Resident of property? : y
City, State Zip: SAXIFVtO, F& "3QZ77"71
Contractor Information
Name 'D Ecin-s k Co" E(L-1-c 77oi Phone: ` o-) )3s-
Street: q'30o, t, 1 wts AA4Xy /0)d-3 0 Fax: City,
State Zip: %A Ir- .Lt Af `r ('t 32 ) V6 State License No.: (f CC (3 d C G r Architect/
Engineer Information Name:
AZ P Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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. 1 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: 5th Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application' 4 1 1p 9.
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 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 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 Owncr/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
v
Signat reont actor/ cn
kJC4)
t Dale
Print ntractor/Agent's Name
1
Signature of Notary -State of Florida Date _
Ih.d
o" ,, ANNETTE BLAND
Notary Public - State of Florida
Commission # fa6 060623
my Comm. Exp res Jan 16, 2018
Contract o /Ay ins Personal Known to e or
Produced ID Type ofID 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures of
Heads Fire Alarm Permit: Yes No UTILITIES:
WASTE WATER: FIRE:
BUILDING: Revised:
June 30, 2015 Permit Application
Permit Number:
Folio/Parcel ID #:
Prepared by: Rafael Icaza
4300 W LAKE MARY BLVD, STE 1010-343
LAKE MARY, FL 32746
Return to: DECASA CONSTRUCTION INC
4300 W LAKE MARY BLVD, #1010
LAKE MARY. FL 32746
GRr°iIT I7r,LOYr aEMINOLE COUNTY
C:i_ERK OF' CIRCUIT COURT & C:ONF'TROLLER
BK 90:12 F'3 251 (1F'3s)
CLERK'S Y 21:117107270
IECORDED 10/24/ 2017 11 :27:2.7, AN
REC:ORDING
RECORDED RY rtt> =lt yyi =1`
A
y GRAi T I?AI.GY-
1DV; Ctg;DF;
NOTICE OF COMMENCEMENT BY ,
State of Florida, County of Orange Date___
The undersigned hereby gives notice that improvement will be made to certain real property, and in accor ance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Descri tion of property (legal description of the property, and street address if available)
Ir L u9 C/i%5 T /? ^-+ , r , l= z T Ikl PI a A-r l ake rwAIr,.C-
2. General description of improvement
Residential Re -Roof
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name B QA yo a- -
Address g,-T G%.r l%any, t..v i,/I '? ? ? 1
Interest in Property OWNER
Name and address of fee simple titleholder (if different from Owner listed above)
Name N/A
Address
4. Contractor
Name DECASA CONSTRUCTION INC Telephone Number 407-235-4405
Address 4300 W LAKE MARY BLVD, STE 1010-343, LAKE MARY, FL 32746
5. Surety (if applicable, a copy of the payment bond is attached)
Name N/A Telephone Number
Address Amount of Bond $
6. Lender
Name N/A Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 LENDE OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
6 7 i 3, z of -
Signature 6f Owner or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this 3 day of 10 d0(1 by G A 11 D. B 'ati
mont /year name of person
as for
Type
orrity, e.g., o rustee, a mey in fact
Sign re of . of P c — e Florida
Personally Known OR Produced ID a—
Type of ID Produced r--(- % ma's C_f c a., 1P
Name of party on behalf ofwhom instrument was executed
vl e e
Print, type, or stamp commissioned name of Not ry Public
ANDRES F VERNEY
3 MY COMMISSION ft GG148702
EXPIRES October 04, 2021 .
Form content revised: 01/23/14
Agreement D EforServices CASA Construction, inc. State Certified Roofing
Contractor LIC # GCG 1326465 State Certified General
Contractor LIC # CBC 1255555 (407) 391-4241 Name: A, Date:
Address: 4 A
k) U. (7A,"'f DQ(K ";!,)T Phone: Lt' Job Location: Fax:
We propose to
furnish all necessary materials and labor to complete the following
101, Tear off
existing (hEigle)t root Ld"Inspect decking
and bring up to code Q.1" Replace
badplywood for additional: $60 / sheet 1d Replace bad
fascia board for additional: $40 linear ft U"Replace Metal
Drip Edge J""Replace Lead
Pipe Boots 0" Replace Gooseneck
f ower vents O'Replace Roof
Vents Install Roof Underlayment
tocode dInstall Shingle Mal`
700f U'Color La,"
Clean Out
Gutters (if applicable) Continuous Clean-up
of JobSite d'Get All
Necessary Permits and Inspections Ll L-j
Notes:
Allwork
to
be completed in a substantial and workman manner and in
accordance with all applicable Florida Building Code specifications
for the sum of: Bid PRICE: $ q
1 '5 Options: TOTAL QUOTE
VALID
for
30 DAYS FROM DATE ASO Payments to be
made as follows. Initial Down: $ Lit
Upon Completion FinallnspectioM
payment options
Available
jj3cr_r)I
IpNTPAGES
HAXT PAID YOURR CONTRACTOR IN FULL. IFYOU FAIL TU PAY YUUR CONTRACTOR,
YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.
THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE: SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED
TO PAY, FLORIDA'S CONSTRUCTION LIEN LAW i4 COMPLEX AND 17'
IS RECsONINIENDED THAT WHENEVER A SPECIFIC" PROBLEM ARISES, YOU
CONSULT AN ATTORNEY. N )'
fE- U200
eons letion and final A -, tent of roof. Decasa Construction Inc. will isSUe a Final Release Of tie" ws
evidence that a111abor anti materials Ita>e been paid. CONSTRUCTION
INC)USTRIES RECOVERY FUND PAYNH?
NT MAY BE AVAILABLE FROMTHE, CONSTRUCTION INDUSTRIES RECOVERY FUND
IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE
THE LOSS RESULTS FROMSPECIFIC VIOLATIONS OF FLORIDA LAW BY
A STATE; LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVER'
FUND AND FILING A_ CLAIM, CONTACT: FLORIDA CONSTRUCTION INDUSTRY LICENSING
BOARD C/O 1940 N. MONROE STREET, TALI,AHASSEE,
FL 32399-0783. PHONE, (850 487-2252). CHAPTER 558 NOTICE
OF CLAIM CHAPTER 555, FLORIDA
STATUTES, CONTAINS IMPORTANT REQUIR.EMENrI'S
YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR -AN ALLEGED CONSTRUCTION DEFECT. ,SIXTY (60) DAYS BEFORE YOUBRINGANYLEGALACTION, YOU MUST DELIVER TO THE OTHER PARTYTOTHISCONTRACTAWRITTENNOTICE', R.EFERRING TO CHAPTER558, OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDESUCHPERSONTHEOPPORTUNITYTOINSPECTHEAi.I:.i<GED CONSTRUCTION DEFECTS ANDTo CONSIDER MAKING: AN OFFER TO REPAIR ORPAYFORTHEALLEGEDCONSTRUCTIONDEFECTS. YOU ARE NOT OBLIGATEDTOACCEPTANYOFFERMAYBEMADE. THERE ARE STRICT DEADLINES ANDPROCEDURESUNDERTHISFLORIDALAWWHICHMUST" BE METANDFOLLOWED ' TO PROTECT YOUR INTERESTS. IT IS REt.'OINIMENi)ED THA T YOU CONSU LT A:N ATTORNEY. Decasa Construction, Inc, is hereby
authorized to furnish all rnateriafs and labor required to complete work per the terms and conditionsofthisagreement (4 pages), for she' we s agree to day the
amounts
above; T 4Customer 3--'-.... /.- lteuthoried eprest
tatve
Date 1
V e, c& i
s Page 4Of4 r
ur ' E
SA 40RD PERMIT # E 'l 3 ( ( z
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: r -N'tiC'T G% , r -/ -, 514 /yPv 3 Z % i I
STRUCTURE TYPE: 9rS1NGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): cr' B
PLEASF. NOTE: ONLY ] 00 SQUARE FEET OF THE EXISTIA'C DECK IS PERMITTED TO RE REPLACED * *
ROOF VENTILATION: OFF -RIDGE 0 RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 0 IO 1F 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
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE F tL fA1 T FL# '5 +
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
OOTFIER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0OTHER: FL#
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE, QF ARTI,1....
e.
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 THF,SE SPECIFIC GUIDELINES WILL 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: DATE:
CITY O
S FORDI Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 3 a ADDRESS: 1 Sly WA&A/ a `% C 3 7- 124ti'
NFo no, f= z- 3z-7-) I
Al tZ- 0< C- V v )e^i , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
NTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
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 #: i3Z(I`f(Is
COMPANY / CONTRACTOR: 4J 40 4%e-STa- 4c Y7. A,,
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER ER/BUIL R)
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 ALI., 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 day of 201_ by:
I Who is Personally Known to me or has C 1 roduced (type of
identific [tion) IjkLas identification.
Signatu Notar P bl'c
State of Iorida p' I Q
ire 'bs'• MICHELERAMESAR
Print/Type/Stamp Name
of Notary Public
Notary Public - State of Florida
Commission x GG 090456
MyComm. Expires Apr25,2021