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125 Pinefield Dr - BR17-002748 - ROOFCITY OF SANFORD r ;?t., ' BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 8,250.00 Job Address: 125 Pinefield Dr. Sanford, FL. 32771 Historic District: Yes No Parcel ID: 32-19-31-515-0000-1160 Residential x Commercial Reroof Type of Work: New Addition 0 Alteration Repair Demo Change of Use Move Description of Work: 25 Sq. Shingle Reroof, GAF Timberline HD Asphalt Shingles, 6/12 Slope Plan Review Contact Person: Debbie Plybon Title: Phone: 407.696.7663 Fax: 407.695.7664 Email: staffrooftonservices.com Property Owner Information Name Brandon & Rebecca Hunsinger Phone: Street: 125 Pinefield Dr. Resident of property? : Yes City, State Zip: Sanford, FL. 32771 Contractor Information Name Roof Ton Services of Central FI., Inc. Phone 407.696.7663 Street: 1150 Belle Ave., Suite #1060 Fax: 407.695.7664 City, State Zip: Winter Springs, FL 32708 State License No.: CCC1326679 Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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: 51' 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 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 -n cojmp pliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date t n HK.s ngtr 2 cca l t tc i t r Print Owner/Agent's Name of 131119 TERRI L. JENSEN Notary Public - State of Florida Commission 0 GG 038175 My Comm. Expires Oct 12, 2020 4LA ox C?-ram-1; Signature of Contractor/Agent Date Kristal A. Wingate Print Contractor/Agent's Name Signature of Notary-Statof to •o;: "• °:aid,; Dat EBORAH PLYBON MY COMMISSION # GG 102302 EXPIRES: September4,2021 Bonded Thru Notary Putilic Undervvriters Owner/ Agent is Personally Known'to. Me or Contractor/Agent is x Personally Known to Me or Produced ID V Type of ID " 4 1 t— 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: 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 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 08-28-17 I hereby name and appoint: Kristopher Chuzas art agent of: Roof Top Services of Central Florida, Inc. Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. or X The specific permit and application for work located at: 125 Pinefield Dr. Sanford, FL. 32771 street Address) Expiration Date for This Limited Power of Attorney: 12/31 /2017 License Holder Name: Kristal A. Wingate State License Number: CCC1326679 Signature of License Holder: STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 2017 , by Kristal A. Wingate to me or who has produced identification and who did (didmat) take an oath. Notary Sea]) DEBORAH PLYBONQ ,...,,., W COMMISSION # 0102302 EXPIRES: September 4, 2021. offi ° Bonded Thru Notary Public Underwriters Signature Print or type name day of , who is X personally known. Notary Public- State of F/ Commission No. CC - My Commission Expires: , Y° I as Rev. 8/06/13) 8/28/2017 SCPA Parcel View: 32-19-31-515-0000-1160 11211, Property Record Card aw4dJol R ""' CPA Parcel: 32-19-31-515-0000-116si0 Owner: HUNSINGER BRANDON & REBECCA ser rxcca rx " Property Address: 125 PINEFIELD DR SANFORD, FL 32771-6813 Parcel Information ; j Value Summary Parcel 32-19-31-515-0000-1160 Owner HUNSINGER BRANDON & REBECCA J Property Address 125 PINEFIELD DR SANFORD, FL 32771-6813 Mailing 125 PINEFIELD DR SANFORD, FL 32771-6813 Subdivision Name CELERY LAKES PHASE 1 Tax District S1-SANFORD _ DOR Use Code 01-SINGLE FAMILY WW Exemptions 00-HOMESTEAD(2015) Legal Description LOT 116 CELERY LAKES PHASE 1 PB 62 PGS 75 & 76 2017 Working Values 2016 Certified Values Valuation Method i Cost/Market Cost/Market Number of Buildings Depreciated Bldg Value 144,913 125,161 Depreciated EXFT Value 325 338 Land Value (Market) 32,500 23,100 Land Value Ag Just/Market Value l $177 738 i $148,599 Portability Adj Save Our Homes Adj 36 542 10,307 Amendment 1 Adj P&G Adj 0 0 Assessed Value I $141,196 1 $138,292 Tax Amount without SOH: $2,165.00 2016 Tax Bill Amount $1,958.00 Tax Estimator Save Our Homes Savings: $207.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority i Assessment Value Exempt Values Taxable Value County General Fund $141,196 $50,000 { $91,196 Schools $141,196 I $25,000 j $116,196 City Sanford $141,196 1 $50,000 ( $91,196 SJWM(Saint Johns Water Management) County Bonds i $141,196 $50,000 4 $91,196 i $141,196 V $50,000 i $91,196 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 3/1/2014 08235 ;; 07- 1 78 " $142,000 Yes Improved SPECIAL WARRANTY DEED 5/1/2013 08035 0872 $125 700 No Improved CERTIFICATE OF TITLE 11/1/2012 07895 1320 i $80 000 No Improved A SPECIAL WARRANTY DEED 12/1/2003 05155 0150 ( $148,300 Yes Improved I Find Comparable Sales j Land j T_ — Method Frontage Depth Units Units Price Land Value LOT i 1 ; $32,500.00 $32,500 Building Information Is Bed/Bath count incorrect? Click Here. IDescription Year Built Fixtures Bed Bath Base Area Total SF Livin SF Ezt Wall Ad' Valuej Re I Valuep A ends espp9 Actual/Effective http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=32193151500001160 1/2 8/28/2017 SCPA Parcel View: 32-19-31-515-0000-1160 1 SINGLE 2003 i 13 ; 4 3 0 ! 1,364 3,424 ; 3,012 j CB/STUCCO( $144,913 [ $152,540 j Description AreaEFAMILY { FINISH i1AGEFINRSHED 1 396.00 t OPEN i PORCH 16.00 FINIS! i i UPPER i STORY 3 1648.00FINISHEDi Its Permit # Description Agency Amount CO Date Permit Date 00801 CHANGEOUT HVAC - NO DUCT WORK p SANFORD $3,000 2/6/2014 02546 NEW -RESIDENTIAL SANFORD $128,488 12/23/2003 8/4/2003 I Extra Features Description Year Built TUnits Value 7-- New Cost PATIO 1 i 6/1/2003 t j 325 $500 http://parceldetaiI.scpafl.org/ParceiDetailInfo.aspx?PI D=32193151500001160 2/2 8/28/2017 Florida Building Code Online BCIS Home 1 Log In I User Registration + Hot Topics 1 Submit Surcharge 1 Stats & Facts I Publications FBC Staff ii BCIS Site Map I Links 1 Search ba Product ApprovalpUSER: Public User t &.,.;.,, -. Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL16568-RI Application Type Revision Code Version 2014 Application Status Approved Comments Archived _ Product Manufacturer MILLENNIUM METALS INC. Address/Phone/Email 1333 HAINES STREET EXP JACKSONVILLE, FL 32202 877) 358-7663 tmccogan@aol.com Authorized Signature James Buckner jimmy@cbuckinc.net Technical Representative Tonya Steele Address/Phone/Email 10200 Eastport Road Jacksonville, FL 32218 904)358-8366 tonyac@mmi2000.net Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Roofing Accessories that are an Integral Part of the Roofing System Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer l; Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the James L. Buckner, P.E. @ CBUCK, Inc. Evaluation Report Florida License PE-31242 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 09/22/2026 Validated By Steven M. Urich, PE 4' Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL16568 R1 COI CertOfIndep.pdf 1709.2 https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvgqu2w%2bnFgUFtl4vGKu5UrT5vMEPb8idbgiEG9GRM%2fuw°/`3d°/o3d 112 8/28/2017 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Florida Building Code Online Method 2 Option B 03/02/2015 03/02/2015 03/05/2015 04/15/2015 FL # Model, Number or Name Description 16568.1 MMI-2" Off Ridge Vent Steel off ridge vent for shingle roofs mechanically attached to Plywood Deck. 4', 6', 8', 10' Nominal Lengths Limits of Use Installation Instructions Approved for use in HVHZ: No FL16568 R1 II 01 MMI-2 OffRidgeVent-ASTME330- Steel EVALREPORT.DdfApprovedforuseoutsideHVHZ: Yes Impact Resistant: No Verified By: James L. Buckner, P.E. @ CBUCK, Inc. P.E. Design Pressure: +N/A/-75 31242 Other: Refer to evaluation report for conditions and Created by Independent Third Party: Yes limitations of use. Refer to manufacturer's installation Evaluation Reports instructions as a supplemental guide. FL16568 R1 AE 01 MMI-2 OffRidgeVent-ASTME330- Steel EVALREPORT.odf Created by Independent Third Party: Yes 16568.2 MMI-2B Off Ridge Vent Steel or Aluminum Off Ridge vent with Detachable Baffle for shingle roofs mechanically attached to Plywood Deck. 4', 6', 8', 10' Nominal Lengths Limits of Use Installation Instructions Approved for use in HVHZ: No FL16568 R1 II 02 MMI-2B OffRidgeVent-TAS Approved for use outside HVHZ: Yes 100 EVALREPORT.odf Impact Resistant: N/A Verified By: James L. Buckner, P.E. @ CBUCK, Inc. P.E. Design Pressure: N/A 31242 Other: Refer to evaluation report for conditions and Created by Independent Third Party: Yes limitations of use. Refer to manufacturer's installation Evaluation Reports instructions as a supplemental guide. FL16568 R1 AE 02 MMI-2B OffRidgeVent-TAS 100 EVALREPORT.odf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: Credit Card Safe https://floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDgvgqu2w%2bnFgUFtl4vGKu5UrT5vMEPb8IdbgiEG9GRMg/o2fuw%3d%3d 2/2 Specitalf y Structural Enc)InL=L=rinq CBUCK, Inc. Certificate of Authorization ##8064 Evaluation Report MMI-2" Off Ridge Vent Ridge Vent Assembly Manufacturer: Millennium Metals, Inc. 10200 Eastport Road Jacksonville, FL 32218 877) 358-7663 for Florida Product Approval Florida Building Code 5th Edition (2014) Per Rule 61G20-3 Method: 2 - B Category: Roofing Sub - Category: Roofing Accessories that are an Integral Part of the Roof System Product: "MMI-2" Off Ridge Vent Material: Steel Support: Wood Deck Prepared by: James L. Buckner, P.E., SECB Florida Professional Engineer # 31242 Florida Evaluation ANE ID: 1916 Project Manager: Youry Demosthenes Report No. 14-104-MM12-StORV-ER-14 Date: 2 / 26 / 15 fn ntc- Evaluation Report Pages 1— 7 S— Dl ,Uvnlc Seal for Eternodc Subm1-1 P ,• ,\GENg• .• F, No 31242 C- LIJ= 0 ' • (dJSTATEOF pLORIDQ.. \ O N AL"-01 Digitally Signed by: )amcs t_ Buckner, P.E. CBUCK, Inc. 2015.03.02 10:57:51-05'00' 1399 N. Killian Drive, Suite 4, West Palm Beach, Florida 33403 Phone: (561)491-9927 Fax: (561)491-9928 Website: www.cbuckinc.net FL #: FL 16568.1 R1 Date: 2 / 26 / 15 nq Report No.: 15-104-MM2-St0RV-ER_14 Page 2 of 7 SpPc1a1t Lj St rust urall Engineering CBUCK, Inc. Certificate ofAuthorization ##8064 Manufacturer: Product Name: Product Category: Millennium Metals, Inc. MMI-2" Off Ridge Vent Roofing Product Sub -Category Roofing Accessories that are an Integral part of the Roofing System Compliance Method: State Product Approval Rule 61G20-3.005 (2) (b) Product/System "MMI-2" Off Ridge Vent Description: Steel off ridge vent for shingle roofs mechanically attached to Plywood Deck. Product Assembly as Refer to Page 4 of this report for product assembly structural components: Evaluated: 1. Off Ridge Vent 2. Fasteners 3. Roof Cement Support: Type: Wood Deck Design of support and its attachment to support framing is outside the scope of this evaluation.) Description: 0 15/32 (min.) or greater plywood, 0 or Wood plank (min. specific gravity of 0.42) Slope: 2 : 12 or Greater Performance: Wind Uplift Resistance Design Uplift Pressure: - 75 PSF Allowable design pressure for allowable stress design (ASD) with a margin of safety of2to1. ISO FL #: FL 16568.1 R1 Date: 2 / 26 / 15 Report No.: 15-104-MM2-StORV-ER_14 Page 3 of 7 Specicdlty Structural Engineering CBUCK, Inc. Certificate of Authorization #t8064 Performance Standards: The following test protocols were performed to demonstrate compliance with the intent of the code as this product is not addressed specifically in the code. O ASTM E330-02 — Standard Test Method for Structural Performance of Exterior Windows, Doors, Skylights and Curtain Walls by Uniform Static Air Pressure Difference Code Compliance: The product described herein has demonstrated compliance with Florida Building Code 5th Edition (2014), Section 1709.2. Evaluation Report This product evaluation is limited to compliance with the structural requirements of Scope: the Florida Building Code, as related to the scope section to Florida Product Approval Rule 61G20-3.001. Limitations and o Scope of "Limitations and Conditions of Use" for this evaluation: Conditions of Use: This evaluation report for "Optional Statewide Approval" contains technical documentation, specifications and installation method(s) which include Limitations and Conditions of Use" throughout the report in accordance with Rule 61G20-3.005. Per Rule 61G20-3.004, the Florida Building Commission is the authority to approve products under "Optional Statewide Approval". o Option for apolication outside "Limitations and Conditions of Use" Rule 61G20-3.005(1)(e) allows engineering analysis for "project specific approval by the local authorities having jurisdiction in accordance with the alternate methods and materials authorized in the Code". Any modification of the product as evaluated in this report and approved by the Florida Building Commission is outside the scope of this evaluation and will be the responsibility of others. Refer to applicable building code section for ventilation requirements. o Design of support system is outside the scope of this report. o Fire Classification is outside the scope of Rule 61G20-3, and is therefore not included in this evaluation. e This evaluation report does not evaluate the use of this product for use in the High Velocity Hurricane Zone code section. (Dade & Broward Counties) Quality Assurance: The manufacturer has demonstrated compliance of roof panel products in accordance with the Florida Building Code and Rule 61G20-3.005 (3) for manufacturing under a quality assurance program audited by an approved quality assurance entity through Keystone Certifications, Inc. (FBC Organization #: QUA 1824). FL #: FL 16568.1 R1 Date: 2 / 26 / 15 Report No.: 15-104-MM2-StORV-ER_14 Page 4 of 7 Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8064 Components/Materials Ridge Vent: by Manufacturer): Material Type 1: Thickness: Yield Strength: Corrosion Resistance Nominal Dimensions: Width: Height: Lengths: Fastener(s): Base Fastener: Purpose: Type: Size : Corrosion Resistance Standard: Alternate Fastener: MMI-2" Off Ridge Vent Steel 26 gauge (min.) 40 ksi min. In compliance with FBC Section 1507.4.3: ASTM A792 coated, or o ASTM A653 G90 galvanized steel 24" 4-1/2" 2' , 4', 6', 8' and 10' Attaches Ridge Vent Base Flange to Deck Annular Ring Shank Roofing Nails 11 gauge x 1-1/2" Per FBC Section 1506.5 Per ASTM F 1667 Purpose: Attaches Ridge Vent Base Flange to Deck Type: Hex -Head Wood Screw Size : #10 x 1-1/2" (min.) Corrosion Resistance: Per FBC Section 1506.6 and 1507.4.4 Standard: Per ANSI/ASME B18.6.4 Roof Cement: Type: Asbestos -free asphalt based roof cement w/ SBS rubber Application Size : 1/4" thick minimum Standard: Per ASTM D 3019 Type III and ASTM D 3409 Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization ##8064 Installation: Installation Method: Refer to drawings on Pages 6-7 of this report.) Prepare deck opening by trimming any shingles & nails that may interfere with ridge vent installation. Apply roof cement to the underside, back and side flanges of the ridge vent. Cement should be a 1/4" thick and extend 2" onto roof underlayment. (Install cement in compliance with manufacturer's installation guidelines.) Position vent flange beneath loosened shingles and align with deck opening. Attach vent top, bottom and side flanges to deck with nails or screws spaced 4" o.c. and 1-1/2" from each end. a Minimum fastener penetration thru bottom of support, 3/16". Install the "MMI-2 Off Ridge Vent" assembly in compliance with the installation method listed in this report and applicable code sections of FBC 5th Edition (2014). The installation method described herein is in accordance with the scope of this evaluation report. Refer to manufacturer's installation instructions as a supplemental guide for attachment. Referenced Data: 1. ASTM E330-02 Uniform Static Air Pressure Difference Test Architectural Testing, Inc.(FBC Organization #TST ID: 1527) Report #: D0249.02-450-18, Report Date: 8 / 29 / 13 2. Quality Assurance By Keystone Certifications, Inc. (QUA ID: 1824) Millennium Metals Licensee # 423 3. Certification of Independence By James L. Buckner, P.E. @ CBUCK Engineering FBC Organization # ANE 1916) FL #: FL 16568.1 R1 - Date: 2 / 26 / 15 O n ns rI Page Report No.: 165-1 -MM2-StORV-ER_14 of Speclalfij Structural Engineering CBUCK, Inc. Certificate ofAuthorization #8064 Installation Method Millennium Metals, Inc. MMI-2" Steel Off Ridge Vent Attached to Wood Deck T- 4 1/2 in. Profile Drawings 2-1/8" 18-1/4" 3" Side View (Not To Scale) Typical Fastener(s) 11 Gauge Ring Shank Roofing Nail OR 10 min. Wood Screws MMI-2" Steel Off Ridge Vent Typical Fastener(s) 11 Gauge Ring Shank Roofing Nail OR 10 min. Wood Screws Plywood Deck Lower Slope Front) Typical Side View (Not To Scale) Higher Slope Back) FL #: FL 16568.1 R1 Date: 2 / 26 / 15 Report No.: 15-104-MM2-StORV-ER_14 Page 7 of 7 Speclalli-j Structural Englneerinq CBUCK, Inc. Certificate of Authorization #8064 Installation Method Millennium Metals, Inc. MMI-2" Steel Off Ridge Vent Attached to Wood Deck 1 1/2" o.c. 1 1/2" 4" o.c. 4" o.c. Typical, Maximum Typical Fastener(s) 11 Gauge Ring Shank Roofing Nail OR Base Flange 10 min. Wood Screws Top Plan View (Not To Scale) Typical Fastening Pattern) Typical Ridge Vent Assembly Isometric View (Not To Scale) THIS INSTRUMENT PREPARED BY: Name: Kristal A. Wingate Address: 1150 Belle Ave., Suite #1060 Winter Springs, FL 32708-2962 r— — sd. Permit Number. Parcel ID Number. 32-19-31-515-0000-1160 GRANT IIALOY: SEMINOLE COUNTY 11"L..ER11- OF C:IRC:UI1' COURT & CCO1F'TROLLE'R BK iii Pq 1671 t:1F°s CLERK ` J 2017093837 I;:EGiJi::CED t_9/18122 ii, RECORD I FEES $10.00 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Lot 116, Celery Lakes Phase 1, Pb 62 Pqs 75 & 76; 125 Pinefield Dr. Sanford, FL. 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Reroof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Brandon & Rebecca Hunsinger; 125 Pinefield Dr. Sanford, FL. 32771 Interest in property: Property Owner Fee Simple Title Holder (if other than owner listed above) Name: a. CONTRACTOR: Name: Roof Top Services of Central Florida, Inc. Phone Number: (407) 696-7663 Address: 1150 Belle Avenue, Suite #1060, Winter Springs FL 32708-2962 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. 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)(a)7., Florida Statutes. Name: Phone Number: Address: 8. 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 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. G Gp'i f ( f'Q tl^OJI u'1;1 1' Signature of Owneror Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) State of 1— 0y County of Do—nGf ' ( «3: ,; Z) The foregoing instrument was acknowledged before me this A day of a 20 (_rr. ra by 6r4,,rs Cn a QG6LCrA q\A nSl Who is personally known tome OR Ca Name of person mg statement tY Ujty r who has produced identification B'type of identification produced: t OV) I ulk VJ < == e I111111I/ , ot"4q,, TERRI L. JENSEN S. Notary Public -State of Florida Commission`0 GG 038175 F ? My Comm: Expiies Oct 12, 2020 Notary ignature L 3 cc Uau --a Z V "A < uU rGO t 0 CV 1 City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures 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 nspection 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: A - LJ DATE: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 125 Pinefield Dr. Sanford, FL. 32771 STRUCTURE TYPE: Q 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): 1 /2" Plywood PLEASE, NOTE: ONLY 100 SQUARE FEETOF THE EXISTING DECK IS PERMITTED TO RE REPLACED** ROOF VENTILATION: (2)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 Ox SHINGLE GAF FL# 10124-R19 O METAL FL# O MODIFIED BITUMEN FL# OTORCI- I DOWN FL# O INSULATED FL# OTILE FL# O OTHER: 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# O MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# OTILE FL# 0 OTHER: FL# City of Sanford tyha,Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 125 Pinefield Dr. Sanford, FL. 32771 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # including decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles GAF Timberline HD FL10124-R19 Underla ments GAF Tigerpaw FL15487-R5 Roofing Fasteners Peak Building Products 1-1/4" Galvanized Roof Nails FL17315-R1 Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Millennium Metals Inc 4' Off -Rid e Vent FL16568-R1 Other JLine 2014 2 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Kristal A. Wingate Please Print) June 2014 e F, Dti City of Sanford E ` Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: [7- a7 / ADDRESS: 125 Pinefield Dr. Sanford FL.32771 I Kristal A. Wingate , 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 AUE 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#: CCC1326679 COMPANY/CONTRACTOR: Roof Top Services of Central Florida- Inc. nCONTRACTORSIGNATURE: +-t w 'I"`` DATE: f -a MUST BE SIGNED BY LICENSE HOL ER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REOUIRED: 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) WITI-1 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 FURTI-IER 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 Seminole Sworn to and Subscribed before me this r20Y L' day of 20/7 by: iden e of Notary Pu Florida Shane M. Stow Print/Type/Stamp Name of Notary Public Who is X Personally Known to me or has Produced (type of as identification. ts SHANE M. STOW MY COMMISSION 8 GG 064M I'f4F6Vz,.Q• BondedEXPIRES:.January 23 2021 Thru Notary N* UmWw tWs 11