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142 Wornall Dr - BR17-003023 - ROOF7" i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION / Application No: I — J v 3,3 Documented Construction Value: $ J -1(•00 , p WS,MCceejs) Job Address: n Historic District: Yes No K Parcel 1D: 5 —2)-- i Q -- 30 - oQOO — 0 U `I C7 _ Residential V Commercial 5 Type of Work: New Addition Alteration Repair oe Demo Change of Use Move Description of Work: a Plan Review Contact Person: E'+C lS L t4L/Yt Title: C Lt)wLYL Phone: UDl-,3a-1 b Fax:llO-l$7)Email: sD - C' yy t Cath Property Owner Information Name % 0 F3C_'AM_ Yi'1 - i t 'C_ Phone: kso-7 " 3 C1 --A A31 S Street: k'A'P- W0Vb ,ta..t_ 17 VL Resident of property?: City, State Zip: vyt-QVZ< t - L• 3'dn Contractor Information Name pt vl S Phone: Street: g q' Fax: LACE"? -'? i1 City, State Zip: Lbh 1Qt.,, rZjf (-l. '3 SU State License No.: CCCC 13 30 fo 09 Name: Street: City, St, Zip: Bonding Company: Address: Arch itectlEngineer 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 OFCOMMENCEMENT. 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 ofall laws regulating construction in this jurisdiction. 1 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: 5`s Edition (2014) Florida Building Cnde Revised: June 3D, 2015 Peratit Application TICE: 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 pcnnit fees when the permit is issued. OWNER'S AFFIDAVIT: 1 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. Sign re ofOwner/Agent tYatc Signa c ofContractor/Agent Hate Print Owner/Agent's Name Signature ofNotary -State of Florida Date MARIA T. BUTCHER MY COMMISSION # GG1o1540 EXPIRES May 04, 2021 Own nt is Personally Known to Me o Produced ID Type o Print Contractor/Agent's Name Signature of Notary -State ofFlorida Due MARIP. T. BUTCHER MY COMMISSION # GG101540 EXPIRES May 04, 2021 Contractor/Agent is Pcrsonally Known to Me or Produced lll Type of I BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof 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: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application ral Homes 1182 N. Ronald Reagan Rd. Longwood, FL 32750 office: 407.7323262 centralhomesoffic @ .1 I p gyt.coM Date: 19,1/riCustomerInfo: Job Address: SERVICE AGREEMENT WE PROPOSE THE FOLLOWING AT THE ABOVE LOCATION: A. Tear off and haul away the existing shingle roof system (one layer). An additional $351sq, for removal of eachunforeseenadditionalrooflayerwillbeadded. B. Inspect the roof sheathing fastening system and supplement (re -nail). C. Inspect the roof decking and repair as necessary on a per lineal or per piece basis as described below. D. Supply and install one layer of Rhino Synthetic felt underlayment. E. Supply and install new Shingle Over Ridge Vents andlor 4 ft. ORV Vents for proper ventilation. F. Supply and install new 2 1/2" eave drip. G. Supply and install Bullet Rubber boot flashing for plumbing stacks. H. Supply and install a self -adhered peel & stick modified underlayment in all valleys. L Supply and install Certainteed Landmark Architectural Shingles. J. We will obtain and pay for a permit and obtain all required inspections. k. Upon completio a be picked up and taken aViay. gL. Shingle color iliofing d bris will rk Drip edge color Vent color Arj-t-jY Deductible Insurance Proceeds Please note: Central Homes LLC has the right to submit a supplemental invoice to the insurance company for unpaiditemswhichrepresentsworkperformedbyCentralHomesLLCforwhichtheinsurancecompanydidnotpay. Upon customer receiving the supplemental disbursement (if any), it is the responsibility of the customertoremitsaidfundstoCentralHomesLLCinatimelymanner. Payment Terms: Deductible due upon cornpletionqfjob; First Check due upon completion of job; All insurance proceeds due won arrival of checks after job is complete. A surcharge of 3.5% will be added to payment if paying with a credit card. Any unforeseen decking repairs and/or wood rot repair will be replaced due to county codes which states that we cannot nail into any soft or rotted wood; and which is covered under your policy under Ordinance and Law; and will be invoiced via supplement invoice by Central Homes to the insurance company. WARRANTY: Central Homes LLC, 7-year workmanship warranty. ACCEPTED: DATE Central Homes Roofing State of Florida License CCC1330609 a THIS INSTRUMENT PREPARED BY: Name: Kaalal Patel Addre— tongwood, ft 12750 NOTICE OF COMMENCEMENT III fill 111111111111111111111111111111111 GRANT MALOY, SEMINOLE QUNTYCLERKOFCIRCUITBY, q1:lt15 Ps 11 COURT 1, COMPTROLLE162 (1p9s) CLERK'S t 2017102997 RECORDED 10/12/2017 03:08:03 pNRECORDINGFEESsit) orlRECORDEDBY1fidevare Permit Number. P&m-*IIDNumber '3-5—\g- 50 00- W-4-1_0 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the followinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RESIDENTIAL RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address. Interest In property: 0L4) %,-A"rV_ Fee Simple Title Holder (if other than owner listed above) Namw Address: 4. CONTRACTOR: Name' CENTRAL HOMES, LLC Phone Number. 407-732-7262 Address: 1225 SENNETT DR. #111, LONGWOOD, FL 32750 41. SURETY (if applicable, a copyof the payment bond Is attached): Name: Address: Amount of Bond, 6, LENDER. Name, Phone Number. Address: 7. Persons within th*,Stato of Florlda Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1lXs)7., Florida Statutes. Name: Phone Number. Address- 11. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided In Section 713.113(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is I year from date of recording unless a different date is specified) WARNING 70 0106ER.-ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713-13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT, Z- j e C.'-r 'Lit) P v 649MWOtjfOwnerwLe=**, cr Owrwf's w Lazzoo's (FMINm* W Fr"da 5ignatwy'*Tid&0%c*) State of C—V0kAL0tA— County of -S (--" I V-,xc' (_67 The foregoing Instrument was acknowledged before me this l 1 dayof zo Vi by Who Is personally known to me OR who has produced klentlIfIcartlon type of Idenb4ication produced:m Is 100 :26IG &1/0/ 30 MARIA T. BUTCHER My COMMISSION# GGIO1540 k_* EXPIRESMay 04, 2021 Y OF Bilildi"R & Fire Prevention DivisitmSNFORDRESIDENTIALRE -ROOF POLICY& PROCEDLjj?L.-,y T II rl I- "A R PE RINI ITTI NO REQ U IRENI ENTS - Ni '0 PLAN REV] EwR FQUI RE 1) TUTS DOCUNIEN"T (SIGNED-) ALONG WITIJ ANACCURATT, AND COMPLETED RFsiDEN-rIAL R,E-RooF SCOPE OF WORK ARRFQ01RFDToBEsuHN'tITTED AS PART OF YOUR PFR M ITA PPL ICATI ON, Tiii, scopE OF WORK NFUST INCLUDE ALL APPLICABLE FLORIDAPRODUCT APPROVALNVMBLRS FOR ALL ROOF CONIPONENTS I'HATWILL BF INSTALLED ON THE PROJEC-1. A PER' NITT WILLNOT BE ISSUED WITHOUT- -rusr- DOCUMENTS. COPIES WILL 1-11'. MADETO POST ON" _rFtE JOB SITE. PROJECTS LOCATED INTHE SANFORD HISTORIC ffisTillcir WILL 14EQUIRE PLAN REVIEW AND APPROVAL BV,mE SANFORD HISTORIC PRESERVATIONBOARDINSPEcrtoNPOLICY & PROCEDURES A ElNAj_ ROOF 1.1,4SPrCTioN ISTIlEONLYINSPECTIONREQUIRED FOR RESIDENTIAL (SINGLE FAMILY. TOWNHOUSE, MOBILE HOME:. APARTNiENTANDIORCOND()M1NIUm) RE -Roof, PERMITS. TFuE FOLLOWING IS REQUIREDTO BE PROVIDE ON TI liz JOB SITE: PERMIT CARD, POSTED IN A CONSPICUOUS AND wrAT-HERPROOF LOCATION COMPLETED RLSIDENTIAL RE-RoopScopEof: WORK COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT ALL FLORIDA PRODUC'l APPROVAL AND CORRESPONDING TNSTALLATIONi INSTRUcrioNs PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) DIG ITAL P1101-06 RAPHS (M US 5TINCLUDETI I EPERM I FNUNI 13 ER ORADDRESS SS IN EACI IPICTURE) o EACH PLANE OFTBE ROOF. SI(owiNG't-Fir ROOF DECK NAILIN6 PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) ROOF DECK NAILS USED ( INCLLDING AMEASURINGDEVICLOR RLLLR SHOWING SlZf'l' OFNAILS) UNDERLAYmENtT PATTERN & SPACING (INCLUDING ANLEASURING DJ-:VICF OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DrVICr OR RULER) 0 SIIIN(il,ESINS' I'AL,LL,:D,,\rAILPATTLItNAND L()CATIONOFNAILS 0 SK)eL[Gli`t' S(IFAIII)I.ICABI,E,I DIGITAL PHOTOGRAPHS SIIOWIN(.; ALL INSTALLATIONCOMPONFNTS. PER FL PRODUCT APPROVAL DIGITAL PH() VOGRAPHS, SI [OWING ALL REQUIRED FLASHING, PER FL PRODUCT' APPROVAL FAII,t[RF,-roFOLI,ONN'- rflrsF.SPECIFIC GUIDELINES \\'ILI.,RESIJIl`INA,N'AFFII)AN'ITPROVIDED BN,,% FLORIDADESIGN PROI,ESSIONAL(AIACIIITECI-ORENGI,NFER),(7f-R- l'iF%'INC.FBCCODE C,O,\IPLtANiCEBYPEItSONAt,INSPECTION. CON rRAc-rop, (OK 0%kl rR/I31jjLDER) SIGN ATURF:i4 DATF SANFORD PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF IVORK JoB ADDRESS: 1 .L4 -,-). UD 1— vi— - STRUCTUTREl*NTE: OSINGLI-117A.\III.N'Rl,-,Slf)l'.-NCII)TOlNNI[OUSF 0 monfl-l- 0 APARTrlr\T/COMj),\41\[UMf RE -ROOF l-i*m: 0 REPLAcrMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW CO.'.IPONEN`I*S) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) occK TvPp (PLEASE SPFCIU\'): woo(b Pu*,jsf,AloTi.. RE Rl-,"PLACI.'D** ROOF VENTILATION': DOFF-RIKE 0 RID(jr. OSOFFIT oPowr-.RKi)VFNj, oTIJRnn\,Es SKN'IJ(,lI*I'S:oYES oNo IF YES, PLEASE PROVIDE FLORIDA PRODUc-r APPROVAL": MAIN ROOF AREA ROOF Si,orF: 0 Lrss -MAN 2:12 02.12-4:12 4:12 OR GREATER TYPE OF ROOF 1IANUFACIFUIRFR FLORIDA PRODUCTAPPROVAL PSHINGLE, tv FL# (k kA C) 0 M ETAL FLU 0 MODIFIED BITUMEN FLU 0- 1-OPCHDow,,\ I-U; 0111SULAi- Er) FUr 01- ILE FLY 00THER: FLI;; floor EXTFNSIO.NS (PORCIIES-PATIOS, ETC.) **lE,4jlfllXAHLE** ROOF SLOPE: 0 uSS TIIA%` 2:12 02:12-4:12 0 4:12 OR GREATER TNw., OF ROOF FLORIDA PRODUCT APIPROVA1. 0SHINGLE FL# OMLTAL F "t 0MODirIED BITU.mE,\l FU 0- 1-OkCII DO!! N 11-101 OINSULATED OTILE FU FL# 001- flER: F Ll", CITY OF o 0SjkNFORD' Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. / 7 .. Joal ISSUE DATE: ' 0. 0 • 177 CONTRACTOR: dft+ma JOB ADDRESS: / It Pi ®r 11 &, 1 440010 TYPE OF WORK: &420)c PROTECT FROM WEATHER 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 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00003023 Date 10/16/17 Property Address . . . . . . 142 WORNALL DR Parcel Number . . 33.19.30.514-0000-0470 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1007129 Permit pin number 1007129 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / CITY OF SX FO FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDAVIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAIILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: ' `"" ADDRESS: 7. W (l I-V`\V 1, (L I 7—rLva." C.\ S `m - . AS A(N) GENERAL. BUILDING. RESIDENTIAL. OR II_OOFPVG CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HER 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#: CC ' \3s.30(" 0 9 COMPANY CONTRACTOR: lr.\TQJ ft-}jYY L 3 L fhlGlS<i7 LVmv), ICONTRACTORSIGNATURE: iGL-rDATE: , O \ 1 MUST BE SIGNED BY LICENSE HOLDE OROWNER/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 ADDRESSCLEARLY 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 % Ch day of © (::- t— 20 \1 by: V' Qr 4 C \S CDb& VhWho is eersonally Known to me or has 0 Produced (type of dentification) as identification. Signature of Notary Public . State of Florida Print/Type/ Stamp Name of Notary Public MARIA T. BUTCHER MY COMMISSION # GGIO1540 EXPIRES M8y 04, 2021