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189 Venetian Cir; 18-3824; RE-ROOFCITY OF SAN40RD BUILDING DIVISION PERMIT APPLICATION Application No: Documented Construction Value: Job Address: J- l , -,1 Historic District: Yes No r Parcel ID: L- 11- 'S " SC>2-- 02 g Residential Commercial Type ofWork: New Addition Alteration Repair Demo Change of Use El Move A - Description of Work: C= 3 Plan Phone: Fag: - Email: Title: ' Property Owner Information Name G Phone: q CF1 Street: Lr Resident of property?: ©ne- City, State Zip: S.,k t -f L a21`1 1 Contractor Information Nam, c W Phone: 13 - tti c e L - 1 Fax: '22-1 4490 - CO 1 ZStreet: 92100 'mac,_ A City, State Zip —r L 3L91 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: dA h >Wi c- Phone: Fax: E-mail: Mortgage Lender: Address: O mc I lo3t-k,1 t,&10=oKP—P , uJ lAddress: 3201 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 apermitand that all work will be performed to meet standardsof 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. I I ` ' FBC 1os.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6ei Edition (2017) Florida Building Code NOTICE In addition to the requirements ofthis permit, there maybe additional restrictions applicable to this property that maybe 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 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 ofthe job at the time ofsubmittal. 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 owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's ame Signature of Notary -State of Florida Q,. to WiILiAM CUSACK Nootaary Public - State of FloridaC,h ° ' Commission # GG 140794 My Comm. Expires Aug 10, 2022 Owner/Agent is Personally Known to Me or Produced ID Type of ID F L. Dr.,eg, Llce-x_ lm ockn4.l KW Print Contract is Name C)5 ICd < <$ Signature of N -State ofFlorida Date Contractor/Agent is - 1_10 Pero sonally Known to Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: _ Flood Zone: of Stories: New Construction: Electric- # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTEWATER - BUILDING: w '0 Roof Work Order Invoice Customer ID: Q `w i License q CCC1329S84 ro.082,4015 p rwua„tC Company Name mi I//tS' lVS-60 11 s Name (huured) cuirtorner sAddress tate, tip5, Ydadealtla I t9 ear raM.:ZF. 327 sew Phone . Time s Ali. Phone . N4 7 - 713 - ST!l3c C 1uc- Shingle Color Note: Homeowner confirms he / she has Personally verified the type, style, and color of the shingles initial: selected and homeowner accepts full resoor sibirgy for obtaining any necessary HOA approvals. Roof Work Total (Ail buildings): SQ Initial: Other Initial: Main Building Detached ilding - Remove ellite r Shingle Manufacturer: 1 S:+Q w = do Gar e Remove liteXttShingleMfr. Warranty ; a ' t Shy Remove enna ShingleColor: ther (See Notes) Removenna Rotten wNa ble wood: We will include therep acement o two 4 x8 s ;M of OSB ovCDX decking To match existing decking) . Each additional sheet will be installed at $45.00 each. 2x4 truss scabbing wit be billed at $3 per LF. 2x4 and 2x6, Initial: Fascia will be billed at $4 per LF. Soffit will be billed at $5 per LF. Prices do not include painting. Supplemental Authorization Initial: Installation Payment Initial: I agree to allow Southern Pro Restoration to request supplemental funds from Homeowner agrees to release the amount below my insurance company for mistakes, hems missed, documented price increases, including the insurance deductible/upgrades (unies5 overhead and profit, etc. that may or may not be reflected on my Insurance otherwise agreed) to Southern Pro Restoration on the Settlement Statement, i agree to release all supplemental funds to Southern pro day of installation. Homeowner agrees NOT to withhold Restoration if approved. This will not affect the amount I will have to pay out -of- this payment over minor construction defects / disputes. pocket. Amount Due at Installation: $ Upgrades Initial: Payment J( Initial: Shingle Mfr. Warranty:_YR. SQ. $ C9 Roof: $ Drip Edge Color: Ai 1 r LF. $ Upgrades: Total Upgrades: $ Sub Total: $ 41 -57 1 Total Paid Today: $ -%% % Additional Terms / Notes 4G — #3cfo IAY c rO nIr Total Due": $ k-:53-k,a26 _ 1Y ded :r io r'' Total Due is the amount due prior to all supplements uj117C arrd or rhea ofit. 7 e C d r= ! 7 / 7 All rights an obligations o e parties s a a su jeatlo and governed by the General Terms and Conditions on: reverse side, amendment(s) (if applicable), and this signed je i'/'Lc"ll IW O Roof Work Order invoice including any subsequent modifications are hereby incorporated by reference and attached as. Exhibit(s) duly accepted and signed by both parties. All workauthorized will be within the work scope of this Roof Work Order Invoice. Customer's Signature Date Authorized Agent Signature Phone Customer's Name (Printe) Date Authorized Agent Name (Printed) Date 41 Copyright 2010 0 SouthernPro Restoration, I.I.C. - 9260Day Plaza8W. Suite 501- Tampa, FL33619 - Phone: SMI35.1209.- Fax: 589.490.0722 Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County FLInst.#2018094650 Book:9193 Page:196; (1 PAGES) RCD: 6/17/2018 1:91:05 PM REC FEE $10.00 IZq!51 Pei "Wobw f eMD tlaa>1we .m n.00ao.we,n clagw 71a FTo+fAa el.b ea, lllaTbedw.nroraHa ea•"r""1°"t"a nwtsmouula Taal pia rol Mr,v .f r>hl.Mb aeafcownwownwL aAwoRtnopafP110CnNQeyda..afr+d+•n a srecodainsr.al o) CIR t LC)r so VENETIAN -QM FL PORIMIIWIWVMM - s. Nrmaaae hde aellnpnopnlF oMrIT9r F.a=Mpb"ftNddw piariwtom ommidedabow) a..aoKnwcrak SolAllam PM Restotsft t1C pqp NumbrG m 4xu.1 -- Adder >l 0IN Pbm Blvd 1 a!<tN TYpfalpYoebla.aaoPlfd1wPrwebow t4eHln"o AmaaddBand: a Lg!JE PhoaeHMa7lbef x pna.rdd>MensbaatRedlro.dU!O+r aepegYosoroeprdneu Mal.lrws a..mordd edb r NbonaNambw: ....._.— HL• badditOwwdsd9ndW of ba RA a aawwofvauerAft'laioaasplwldaGin $ dM7W3(iXb).FWMBMbMeaPhonenaidW- a EIFI DIN of WftafO amM•00MbiV wkMdM earreco dAgaiea•aOw"ft ftW@dMAj_____...... _. ANY PAYMENTS Mt M BYTHE MMFR AFTER THE E7gIRATIOf1 CIF THE NOTICE OF COMET Me PAYMIFNTB tpMCw1pm71a, PART I, GMTKW 713.1% RDRIDA STATUT0. AND CAN RESULT I1 YOUR PAYlifii'INIICEFORIdPRWtAEMToYOMPROPERTY. A NOTICE OF OOMRgEl10EM0W WM BE RECORDED AM POSI ON THE JOB em TIE FWAT IffA MonoK IF YOU wrEmTo cwm FINIS CONSULT MH YOUR IASOM OR AN ATM BEFtMCOMMEtg* nWOW(Ntf OORM4YC11A NMIMOF - w of at da - wutz& 9 tMW IM Odl01 1 Ite.rIsom wIft— IL.—o ct /crsr ffi1 tMIMw tspwr lelb Haarwn.ta air C OR w.amp•dwarao eM.ra.aw.a we.wp+ flo.,rA Druvsc ic.+s tfo0' BUILDINGiDIVISION_V PERMIT NO. /J '0 s1pp 4CONTRACTOR: JOB ADDRESS: TYPE OF WORK:x-A Building & Fire Prevention Division Re -Roof Permit Card ISSUE DATE: ® 90 10 • 1 ern Pre) 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 PUBLICRECORDSOFTHISCOUNTY, 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 itetps 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 i Z-q Building & Fire Prevention DivisionSANFORDRESIDENTIALRE -ROOF POLICY & PRO CEDURES PERMITTING REQUIREMENTS — No PLAN REVIEW REQUIRED i THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND: COMPLETED RESIDENTIAL RE -ROOF SCOPEOFWORK 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 JOBSTTE. 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 UNDERLAYM ENT INSTALLED ROOf . DECK NAILING PATTERN & SPACING. f.INGLUDIN.G .A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) c UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLFY 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 RE T IN AN FIDA T PROVIDED BY A FLORIDA DESIGN PROFESSIONAL ( ARCHITECT OR ENGINEER), CERTIFYIN CODE CO PI E BY PERSONAL INSPECTION. CONTRACTOR ( OR OWNER/BUILDER) SIGNATURE:)C v : DATE: J.L 1 t-q;I fS-,kN' ` PERMIT # Building & Fire Prevention Division RESIDENTIAL REROOF,SCOPE OF WORK JoB ADDRESS: STRUCTURE TYPE: SINGLE FAMILY RFSIDENCE(1bWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 4 REPLACEMENT (TEAR OFF.EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) ORE -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): _ T l uu PLEASE NOTE: ONLY ,10[0 SQUARE FEET OF NE EXISTING DECK IS PF&WITTED TO BE REPLACED** CXIROOFVENTILATION: OFF -RIDGE O RIDGE OSOFF'IT OPOV'UED VENT SKYLIGHTS: O YES I' KNO IF YES, PLEASE PROVIDE- FLORIDA PRODUCT APPROVAL #: lAIN ROOF.AiREA i ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER OTURBINES TYPE OF ROOF MZNUFACTURER FLORIDA PRODucT APPROVAL HINGLE I p FL# I,dlZA O METAL 1 FL# O MODIFIED BITUMEN FL# i OTORCH DOWN FL# OLNSULATED FL# I O TILE I FL# O ©numE FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 0 2` 12 - 412 0 4:12 OR GREATER TYPE OF ROOF I MANUFACTURER FLORIDA PRODUCT APPROVAL OSHINGLE I i FL# METAL FL# O MODIFIED BITUMEN FL# OToRcH DOWN FL# OINSULATED FL# J OTC FL# OOTHER: FL# 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 . . . . . 18-00003824 Date 9/10/18 Property Address . . . . . . 189 VENETIAN BAY CIR Parcel Number . . . . . . . . 23.19.30.502-0000-0800 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1075951 Permit pin number 1075951 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / /