114 Mayfield Dr - BR17-003245 - ROOFCITY OF SANFORD
E-CEEVE BUILDING & FIRE PREVENTION
PERMIT APPLICATIONNOV062017
Application No: Y
Documented Construction Value: S
Job Address: 6 by. Swt a I Historic District: Yes No ]
Parcel ID: 37 -1 "I -7J 1-5) (D - 000 Q - 0 2 (o 7) Residential A' Commercial
Type of Work: New Addition Alteration Repair [A D\em o Change of Use Move
Description of Work: )(e — Y 00f W 'f Y \ M" Y \iYi Jl
Y)q
Plan Review Contact Person: I 1 1k-,
Phone: JO-7 -_XYi- HG-F)l Fax: Email:
Title: N
Property Owner Information
Name t MPmPhone: Ll b-7-H6f Z S5
Street:71m+1LIA v• Resident of property? : —
City, State Zip: !
J
T_
Contractor Information —
7 /
Name Phone:L46 '-7q / —/ q 5
Street: Fax:
z j
City, State Zip: G60 ®i Ft, C3 JZStateLicenseNo.: [ 3 0 Cl _'S9
Architect/Engineer Information
Name: Phone:
Street: Fax: _
City, St, Zip: E-mail:
Bonding Company:
Address:
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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application /
0
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 ofpermit 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 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, 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.
4,44/ z I(./ ,/7
Sign o caner/Agent Date
1C.4-A 6 r% &kP,1
Pri t
OwJ
A,2,ent's Nam
Si aturtary- of Florida Date
K pis 1UDY L. MERCER
NotaryPublic- StateofFlorida
Commission 8 GG 096251
Owner/Agent is ;;r FY n=ftuqh2 lor
Produced ID aryAssn.
atu e of Contractor/Agent Date
i
Agent's
1(1310
of Notare-Mate of Florida Date
P'UDYL.MERCER
2 . : No y Public - State ofFlorida
Contrac 1% 6 om 9s SKno to Me or
Produc.,R F bon aegy26, 2021
I mmim
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
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
l9l'"7o
COMMENTS:
BUILDING:
Revised: June 30, 2015 Permit Application
LIC # CCC1330939
LIC # CRC1331435
Licensed & Insured
First in Quality
r First in Service
First in Satisfaction
800-411-0920
6767 Floffner Avenue
Orlando, Florida 32822
PROPOSAL SUBMITTED TO
STREET 110
CITY, STATE, ZIP'
t
QiPo1
r:
D77
HOME PHONE
Ins. Co. S
Tel.#
Claim # T ( 7)= Cat-1/1 Y
Adj. Name l rfr c // /)
Tel.# o > f 7
Fax# VCCJ`1 Z
h DATE
JOB #
SUBDIVISION
BUSINESS PHONE
1
SPECIFICATIONS FOR LABOR AND MATERIAL
Pr O#f Shingles: t Layers/+
1/ essionally Install: Brand -r4,wn k r0 Type AV C T-eC L n ` Color _kVST t C l ,C c Valleys
Ft. 30
lb. Felt Peel & Suck la Synthetic Undedayment pRieteal, sidewalls, counter and waif flashings Re -Use Drip Edge R Drip Edge V. 1-
1/2" 2" 3' 4' or Plumbing Very Zrenilfation:, Goose Necks Oft' Ridge Vents Ridge Vents Color IQ rolo Plywood
Sheathing to Code S45s/
fight 2 x 2 4 x 4 ood
replaced at $60 - per sheet (if needed) Clean-
up and haul off all job related trash otl yard with magnetic roller Z--protect yard and shrubs gi4kiiA
Atlantic
Roofing is not responsible for -pre-existing structural conditions. Buyers
agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE Al YR LABOR WARRANTY CONTINGENT
This
proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claimis disallowed by insurance company. Property
owner's out-of-pocket expense is not to exceed the deductible amount. The insurance company will determine and set the price of theClaim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE 1F THIS
TRANSACTION. SY SIGNING. ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEEr
WHEN RECEIVED. We
propose to hereby furnish materials and Labor, completein accordance with above specifications for the sum of the insuranceas per the insurance company loss
scppe sheet for which is incgr herein and made a part hereof by reference, to include customary profit and overhead when multiple trade incurred $
1AK& X rF el Paymentuponcompletionofeachtrade. Authorized Signatur
t Must be
approved by company owner. No ed or impG ve @y. Ali changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be wlthd us knot accepted within 4D days. ACCEPTANCE OF
PROPOSAL- The work as
specified. Payment will
be made as outfine abov I and
and are hereby accepted. You are authorized to do the Date `l "
1 G --1
S INSTRU f #11 1119t# I## III## I 111111#11 ii iame•
ddress: {:1=i..;..{ j i`ii'i! .C!' as={'i s!'E+?L..1E ;".1.
L.I-f:1:. OF r:TF:C'1{:i.'1' C:Ij1.RT & C0rIP If?OL(_EF:
CLERK'S 2017112032qOTICEOFCOMMENCEMENT171_'. fF.:l)ING FEED_ t>10oi'10
9v
permit Number.
q )
arse ID Number 2' I W U U V
he undersigned 'hereby gives notice that improvernerr will be made to ceriain real property, and in accordance with Ch-apter 713, FI0:1d2 Statutes, ne
ollowing information is provided in this Notice of commencement.
1. DESCRIPTION OF P.q
1 IPEFTY: (
Legal descdctip OT Me property and eel ddres: availabie I '
P:IPi1/U 16 1fpC 1)V)(Ase- 2 z.
3.
interest
in proper : ea
Simple : tle i-:older m other than owner listed above) Name: S.
SURETY (if applicable, a copy of the payment bond is attached): Name: Amount
of Bond: Phone
Number. S.
LENDER: Name: Address:
7.
Persons within the State of pIo:',da Designated by Owner upon whom notice or other documents may be served as provided by Section 713.
13(1)(a)7., Florida Statutes. Phone
Number: Address:
f
d "•'
Owner designates C. 8.
in a ci ion, to
receive a copy of the Lieno>'s Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expi, anonDate of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specil.ed) _ WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUT, ES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBS! t E,'BF_FORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH,, YOUR LENDER OR AN ATTORNEY BEFORZCQMMENCINGWORKORRECORPINGYOURNOTICEOFCOMMENCEMENT. K - !
C 4 re
e` Owner or Lessee. e: +ne s or Lessee's (Print Naas and Provide Signatory's TitieJ05ice? ti
c zed 019 reGON?an-ernvtanaae state
of The
foregoing instrument was by
n
J ledged
before pie this ly day of who
has produced identificationv type of identification produced: Who
is personaIIy known to me O
PERMIT
City of Sanford Building Division
Residential Re -Roof Scope of Rork
JOB ADDRESS:
Q MOBILE HOME O APS-R TENT/CONDOML\IUM'
ST1Miam TYPE' LNGLE FAMILY RESIDENCEITOWNu..OUSE RE -
ROOF TYPE: CEMENT (TEAR OFF EXISTLNG ROOF AND REPLACE W i i 1 CO v O?r r ) RE -
COZIER (NEW ROOF INSTALLED OVER EXISTLNG ROOF) l
It )C 6 DECKTYPE (PLEASE SPECIFY): I G v J PLEASE
NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"" RTDGE
oSOFFIT QPOW RED VAT QZi.TRBLNES ROOF
VENTILATION, - RIDGE O X}
T O IF YES> PLEASE ?ROVJE FLORDa PRODticT P.??ROV? L___---^--------- SF:
YL IGI= S Q YES-_'-`_-_____, MALN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 02:i2-4:12 MANUFACTURER 4:
i
2 OR GRHATER ROOF EXTENSION'
S (PORCHES. PATIOS. ETC.) ""IFAPPLICASLE"" Q I.
i7_-e:2 i:i20RGtLFA?ER ROOF SLOPE:
O LESS ?'r?AIv 2: i2 O --- TYPE OF
ROOF SIS'??GI.
E VIODI`rI _
D BIivl r TORCH Dow?`
jN, , SU
LATED11:LL
OTHER: FLORIDA
PRODUCT.
APPROVAL FT---." FL-
FL-
FL--"
F
FL=
FL -
CITY OF
NFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFPOLICY& 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 AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE: i / O 1j7
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ; q ' ADDRESS:
I / q A ' f fie 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, A CHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THEFOREGOINGINFORMATIONISTRUEANDACCURATEANDTHATALLROOFINGCOMPONENTSLISTEDONTHESCOPEOFWORKATTHEABOVEREFERENCEDADDRESSHAVEBEENINSTALLEDINACCORDANCEWITHTHEIRPRODUCTAPPROVALSANDALLAPPLICABLECODEREQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALLREQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOFTHEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE
COMPANY / CONTRACTOR: v
DATE: 7 G
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLD R OWNE UILDER)
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 DECKFOREACHINSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING ANDOVERLAPS, 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 00 I /P'!
V
Sworn to andSubscribed before me this day of 20 a by:
A t./ J4 S/7 it— Who is §>Aar&onally Known to me or has Produced (type of
identif tion) as identification.
S'ignature_of Notary Public
State of Florida
1
rint/Type/Stamp Name
of Notary Public
8o,,a •'bey% STEPHEN PATRICK DOLAN
MY COMMISSION # FF 071532
9EXPIRES: December 27, 20017Nj"OF FLOP Bonded Thru Budget Notary Services