2814 Central Dr; 18-4004; ROOFCITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 10a— 7 d
Documented Construction Value: $ 9,765.00
Job Address: 2814 CENTRAL DR SANFORD, FL 32771 Historic District: VesFNoFv/1
Parcel ID: 06-20-31-505-OA00-0340 Residential Commercial
Type of Work: Neww] Additions Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof 17Sq Certainteed Landmark
Plan Review Contact Person: Angela Lupo
Phone: 321-441-2300 Fax: 321-441-2313
Name Seminole B CC
Street: 1101 E 1ST ST
Title:
Email: alupo@collisroofing.com
Property Owner Information
Phone:
City, State Zip: Sanford, FL, 32771
Name Collis Roofing, Inc.
Street: 485 Commerce Way
City, State Zip: Longwood,FL 32750
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Resident of property?
Contractor Information
Phone: 321-441-2300
Fax: 321-441-2313
State License No.: CCC058022
Architect/Engineer Information
Phone:
Fax:
E-mail;
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIMENCENIENT MAY RESULT IN YOUR
PAYING TWICE FOR INIPROVEIIIENTS 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
C0111N1ENCENIENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstruction
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.
PBC 105.3 Shall be inscribed with the date of application. nd the code in effect as of that date: 011 lafition (2017) Florida Building Code
Revtsetl January 1.2013 Permit Apphcauon
NOTICE: In addition to the requirements of this permit. there may be additional restrictions applicable to this property that play 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 ofthe requirements of Florida Lien Law. FS 713.
Tile City ofSanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ACC Valuation 'fable 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.
Si alurc ChvnerlAgcnt Date signature ofContra todAec Date
Print ContractodAe s Name
1 q - t
ienatur• otan•. t vale
V .• pdpY P,11 1ltWY STANSBOBBIEWENS °'s pldpryppk.Etatedflorlda
MY COMMISSIONFF170911 Car glon 0 fF 93770%
EXPIRES November 22, 2018 'P, my Comm. Expires Mar 18.2020
Bonded tttraugA Notary Assn. 3983-0153 Floridallotaryse ice.corn " ""
Owner/Agent is _ Personally Known to Me or ersona ly Known to Me or
Produced ID Type of ID 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: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of I -leads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: January 1. 20 18
Permit Application
COLLIS ROOFING, INC.
P.O. Box 520668
Longwood, FL 32752.0668
Ph. (321) 441-2300
Fax (321) 441-2313
Lic. # CCCO58022
SHINGLE RE -ROOF SCOPE OF WORK
A) Remove old shingles and underlayment to bare deck and dispose ofproperly. B) Remove existing solar panel and satellite dish and dispose of.
C) Inspect existing decking for water damage and re -nail according to code with 8d ring shank nails. D) We will remove and replace rotten or deteriorated wood as indicated on page 2 of this contract. (Note: WoodreplacementisrLoot; included in the total below).
E) Collis Roofing, Inc. will provide all applicable permits.
1. Supply and install code approved Rhino -20 to deck using simplex nails. 2. Supply and install standard galvalume preformed valley metal. 3. Supply and install code approved 2 V2" galvalume painted drip at all eaves, directly to the deck.
P g - 4. Supplyand install code approved 2'r4" galvalume painted eave drip at all rake! able ends :(Drip Color. White _ ); 5. Secure the eave metal with mastic and then apply starter shingles at all eaves with the seal strip at the edge of the roof. 6. Supply and install BRQet A flashings for plumbing and HVAC penetrations. 7. Supply and install CertainTeed Landmark dimensional_shingles per manufacturer's specifications and all applicablebuildingcodes,(Shing)e col_or:_ silver Birch I: 8. Remove and replace soffit.
a. 60' of 10" soffit.
b. 80' of 24" soffit.
c. 32 SQ/Fr of soffit ceiling.
9. Clean up all debris and walk perimeter with a roll magnet.
10. All materials to be installed to manufacture recommendations. 11. Collis Roofing, Inc. will provideall applicable permits.
12. All workmanship to be warranted for two (2) years from date of completion of building (Sample Attached).
PROJECT TOTAL: $9,765.00
PRICING MAY EXPIRE THIRTY (30) DAYS FROM THE DATE GIVEN ABOVE**
Payment Terms: $11°lddnwn Sner , n mm iptinn I
Note - Contractor reserves the right to retain qualified subcontractors toperform any portion of the work contained herein. TotheextentthisprovisionconflictswithanyotherprovisioninanyContractDocument, this provision takes precedence. controlsandgoverns.
Respectfully Submitted: J. Doug Lanier, Collis Roofing, Inc.
The above prices and scope of work are satisfactory and Collis Roofing, Inc. is hereby authorized to do the work as set forth aboveandinaccordancewiththetermsandconditionsattachedhereto; payments will be made as outlined.
Date; 9/19/2018 AP.PDYO By (Sign and_Print) __......
ORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND
PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERYFUNDIFYOULOSEMONEYONAPROJECT. PERFORMED UNDER CONTRACT, WHERE THE LOSSRESULTS FROM SPECIFIED VIOLATIONSOFFLORIDALAWBYALICENSEDCONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE, FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: 1940 NORTH MONROE STREET TA LLA_HASSEE U 21--0789 tgtMyr, 1395, ensecom Initial
kao
COLLIS ROOFING, INC.
P.O. Box 520668
Longwood, FL 32752.0668
Ph. (321) 441-2300
Fax (321)441.2313
CCC058022
WOOD REPLACEMENT
Upon removal of the existing roofing, conditions which require additional work, such as rotten or
deteriorated wood, termite damage, or deficiencies in existing roofing sheathings are sometimes encountered.
Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia,
trim, sheathing, rafters, structural members or siding of any type. Replacement of deteriorated wood will not
be optional for the security of warranties and will be supplied as disclosed on below. This is above and
beyond the roofing quote and does not require an additional signature.
Sheathing and Framing Rates
V2" - 5/8" plywood roof sheathing - $65.00 per sheet
3/4" plywood roof sheathing - $75.00 per sheet
1"x4" Pine sheathing - $5.00 per linear foot 2"x4" Pine framing - $3.00 per linear foot
1"W' Pine sheathing - $5.00 per linear foot T'0" Pine framing - $5.00 per linear foot
1 "W' Pine sheathing - $5.00 per linear foot 2"x8" Pine framing - $5.00 per linear foot
1 "x10" Pine sheathing - $5.00 per linear foot 2"x 1.0" Pine framing - $5.00 per linear foot
1"x12" Pine sheathing - $5.00 per linear foot 2"x12" Pine framing - $5.00 per linear foot
1 "x 6" and 1 "x 8" Pine T&G sheathing - $6.00 per linear foot
Fascia Replacement Rates
1 "x4" Pine fascia - $6.00 1 "x4" Cedar fascia - $8.00
1"x6" Pine fascia - $6.00 1"0" Cedar fascia -$8.00
I'W" Pine fascia - $6.00
1"x10" Pine fascia - $6.00
1 "x 12" Pine fascia - $6.00
2"x4" Pine fascia - $6.00
2"W' Pine fascia - $6.00
2"x8" Pine fascia - $6.00
2"x10" Pine fascia - $7.00
2"xl2" Pine fascia - $7.00
I'W" Cedar fascia - $8.00
1"x10" Cedar fascia - $8.00
1"x12" Cedar fascia - $8.00
2"x4" Cedar fascia - $9.00
2"W' Cedar fascia - $9.00
2"W' Cedar fascia - $9.00
2"x10" Cedar fascia - $9.00
2"x 12" Cedar fascia - $9.00
1 "x2" Pine furring strip - $3.00 per foot
I have read and understand the above and acknowledge that wood replacement is an
additional charge.
Homeowner's Signature: 'Ile Date: 9/19/2018
Homeowner's Name (please print) Keith Owens
Page 2 of 5
Initial Kao
COLLIS ROOFING, INC.
P.O. sox 520668OLongwood, FL 32752-0668
Ph. (321) 441.2300
Fax (321) 441-2313
Lie. # CCC058022
TERMS AND CONDITIONS
1. Collis Roofing, Inc. ("Contractor's assumes no responsibility for structural integrity of the roof deck or of the building on which the roofingistobeinstalled. Customer represents all structures to be in sound condition capable ofwithstanding normal roofing construction andoperations. Collis Roofing is not responsible for any roof or structural related issue that may occur as a result of combining a sealed atticsystemwithaself -adhered undenayment.
2. Customer is solely responsible for providing Contractor prior to the commencing of construction with such water, electricity, or other utilityasmayberequiredbytheContractortoaffecttheworkcoveredbythiscontract. Customer hereby grants to Contractor the right to displaysignsandadvertisingattheprojectsite.
3. Where colors are to be matched, Contractor shall make every reasonable effort using standard colors and materials, but does notguaranteeaperfectmatch.
4. This proposal and contract is based upon the work to be performed by Contractor notinvolving asbestos -containing or toxic materialsandthatsuchmaterialswillnotbeencounteredordisturbedduringthecourseofperformingthework. In the event that such materials areencountered, Contractor shall be entitled to reasonable compensation for all additional expenses incurred as a result of the presence ofasbestos -containing or toxic materials.
5. Customer shall be entitled to order changes and the contract price shall be adjusted accordingly. Upon removal of the existing roofing, conditions which require additional work, such as rotten or deteriorated wood, termite damage, or deficiencies in existing roofingunderlaymentsaresometimesencountered. If the scope of work outlined on the face of this proposal does not contemplate such conditions, Contractor will promptly report the condition to the Customer and take such steps as are reasonably necessary and prudent toprotect thebuilding. Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia, trim, sheathing, rafters,. structural members, siding, masonry, vents, dry -in felt, caulking, metal -edging or flashing of any type. Additionally, if it is determined that theroofhasmultiplelayersofpreexistingroofingmaterialoranyalterationtoordeviationfromthespecificationsdescribedonthefrontsideofthisproposalinvolvingextracostswillbebilledasanextrachargeonatimeandmaterialbasis. Replacement of deteriorated wood will notbeoptionalforthesecurityofwarrantiesandwillbesuppliedasdisclosedoncontract. This is above and beyond the roofing quote anddoesnotrequireanadditionalsignature. All wood replacement will be considered authorized unless cap is specified in writing byhomeowner.
6. Contractorshall not be responsible for loss, damage or delay caused by circumstances beyond its reasonable control, including but notlimitedtocrackeddriveways, acts of God, weather, accidents, fire, vandalism regulation, strikes, failure or delay of transportation, shortageoforinabilitytoobtainmaterials, acts of Owner or agents of Owner: Contractor is not required to remove water from the roof. If the roof(s) need to be unloaded due to high winds or storms, Customer agrees to reimburse Contractor for labor and equipmentcosts forunloadingandreloadingtheroofs(s). If gutter and/or downspouts are to be removed to facilitate a re -roof, Contractor shall not be held responsible foranydamagecausedbyremovaland/or re -installation ofgutter and/ordownspouts. Contractor shall be solely responsible for the repair ofanyandalldamagecausedbyContractorinperformanceofthedutiesunderthiscontract. If Contractor discovers a pre-existing conditionthatiscausingdamagetopropertyorthestructureofahome, or prevents Contractor from completing its duties hereunder, Contractor shallcontactCustomerimmediately.
7. Customer is to carry property and casualty insurance, including coverage for fire, wind damage and vandalism. 8. Customer acknowledges that re -roofing may cause vibration, disturbance, dust or debris to fall intothe interior. Customer agrees toremoveorprotectpropertydirectlybelowtheroofinordertominimizepotentialinteriordamage. Contractor shallnot be responsible fordisturbance, damage, clean-up or loss to interior property that Customer did not remove or protect prior to commencement of roofingoperations. Customer shall notify tenants of reroofing and the need to provide protection underneath areas being re -rooted. CustomeragreestoholdContractorharmlessfromclaimsoftenantswhowerenotsonotifiedanddidnotprovideprotection. 9.. Contractor and Customer are committed to acting promptly so that root leaks are not a source of potential interior moldgrowth. Customerwillmakeperiodicinspectionsforsignsofwaterintrusionandactpromptly, including notice to Contractor if Customer believes there areroofleaks, to correct the condition. Upon receiving notice, Contractor will make repairs promptly so that water entry through the roofinginstalledbyContractorisnotasourceofmoisture. Contractor is not responsible for indoor air quality. To the extent that Contractor did notcausedamagetotheroofthatcausedtheoccurrenceorexposuretomold, mildew, fungi, spores, and for any other hazardous chemical orbiologicalagent, Customer shall hold harmless and indemnity Contractor from claims arising out of or relating to property damage, personalinjury, illness, allergic reactions, disease and/or death resulting from the occurrence or exposure to mold, mildew, fungi, spores, and/or anyotherhazardouschemicalorbiologicalagents. If Customerfails to make periodicinspections for sign of water intrusion and/orfails to actPromptly (including notice to Contractor) when Customer believes there are roof leaks, the Customer shall hold harmless and indemnityContractorfromclaimsarisingoutoforrelatingtopropertydamage, personal injury, illness, allergic reactions, disease and/or deathresultingfromtheoccurrenceorexposuretomold, mildew, fungi, spores, and/or any other hazardous chemical or biological agents. 10. Contractor is not responsible for adequacy of draining or ponding as a result of the original roof design for the building. Contractor doesnotprovideengineering; consulting, architectural or design services, and it is not the intent of the Contractor to alter the original drainage orpondingdesignfortheroof. It is the Owners responsibility to retain a licensed architect or engineer to determine proper design and codecomplianceifitdesirestoaltertheoriginaldrainingorpondingdesigns. Contractor is not responsible for the original roof design, and shallnotalterthedrainingorpondingschemesforthebuildings. Any change in specification or construction necessary to conform toexisting orfuturebuildingcodes, zoning laws, or regulations of the inspecting Public Authorities shall be considered additional work to be billed as anextrachargeonatimeandmaterialbasis.
11. Contractor's work will be warranted by Contractor in accordance with its standard warranty. A copy of Contractor's standard warranty isattachedor, if not, will be furnished upon request. Contractor SHALL NOT BE LIABLE FOR SPECIAL OR PUNITIVE DAMAGES. Notwithstanding any contrary language in the standard warranty, Customer agrees that itshall notify Contractor within five (5) days ofdiscoveringanyleaksduetotheroofingsystemand/or the Contractor's scope ofwork pursuant to this contract. Customer's failure to timelynotifyContractorofaleakduetotheroofingsystemand/or Contractor's scope of work pursuant to this contract, as required by thisparagraph, shall absolve Contractor of ANY liability for damages created as a result of that leak or system failure. Nothing in this paragraphorcontractshallextendContractor's responsibility beyond the time limits of thewarranty and/ or Florida Statute. Customer and ContractoragreethatContractor's liability for all damages found to be due to a leak in the roof system and/or Contractor's scope of work pursuant tothiscontractshallbelimitedtonomorethan $15,000.00 per occurrence. if an individual or entity other than Collis Roofing Inc. performsroofcleaningontheCollisRoofingappliedroof, any and all warranties will bevoid.
12. Customer acknowledges and understands while the Contractor is actively completing the work under the contract, the workenvironment, including all roof areas, is adangerous environment. Customer agrees not to interfere with the contractor from performing thedutiesunderthiscontract. Customer agrees not to enter the work environment while work is being performed under this contract. 13. This contract shall be governed by Florida law and any action filed by either party as a result of a dispute resulting from or arising out ofthiscontractorthetransactionscontemplatedherebyshallonlybefiledintheCircuitCourtinandforSeminoleCountyFlorida. i agree thatifCollis. Roofing, Inc. is required to take any action to enforce this contract I shall pay Collis Roofing Inc.'sattorney feesandcosts, whether or not suit is filed.
14. Contractor willprovide a written release of lien, upon request, following receipt of final paymenton the contract. 15. This agreement constitutes the entire contract by and between Contractor and Owner and the parties are not bound by oralexpressionorrepresentationbyanypartyoragentofeitherparty. The above pricing, specifications and conditions areherebyaccepted. You are authorized to do the work as specified. REV. 07117
Page 3 of5
Initial kao
COLLIS ROOFING, INC.
P.O. Box 520668
Longwood, FL 32752-0668
Ph- (321) 441.2300
Fax (321)441.2313
Lie, # CCCO58022
STATUTORY WARNINGS LIEN LAW
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001.713.37, FLORIDA STATUTES), THOSEWHOWORKONYOURPROPERTYORPROVIDEMATERIALSANDARENOTPAIDINFULLHAVEARIGHTTOENFORCETHEIRCLAIMFORPAYMENTAGAINSTYOURPROPERTY. IF YOUR CONTRACTOR OR ASUBCONTRACTORFAILSTOPAYSUBCONTRACTORS, SUB SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEYMAY LOOK TO YOUR PROPERTYFOR PAYMENT, EVEN IF YOU HAVEALREADYPAIDYOURCONTRACTORINFULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTORMAYALSOHAVEALIENONYOURPROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BESOLDAGAINSTYOURWILLTOPAYFORLABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTORORASUBCONTRACTORMAYHAVEFAILEDTOPAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THISCONTRACTTHATBEFOREANYPAYMENTISMADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITHAWRITTENRELEASEOFLIENFROMANYPERSONORCOMPANYTHATHASPOWNER." FLORIDA'S CONSTRUCTION LIEN ROVfDED TO YOU A "NOTICE TO
LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
ANY CLAIMS FOR CONSTRUCTION DEFECTS E T
NOTICE
T NOICE CLACURE IMPROVISIONS
OF CHAPTER 558, FLORIDASTATUTES. FLORIDA
HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUNDIFYOULOSEMONEYONAPROJECTPERFORMEDUNDERCONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONSOFFLORIDALAWBYALICENSEDCONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER ANDADDRESS: (850) 487-1395, 2601 Blair Stone Road, TALLAHASSEE, FL 32399-2202. TERMS
AND CONDITIONS / SKYLIGHTS Intheeventthatthehomeownerisunavailabletobepresentduringtheskylightinstallationthen the installers will use reasonablecareinpositioningtheskylight. Collis Roofing shall not be responsible for the final positioning of the skylight if the homeownerisnotabletobepresentduringtheinstallation. We
use reasonable care when removing an existing skylight for replacement. However, homeowner acknowledges and understandsthatdamagemayoccurtotheexistingdrywallandcaulkingintheskylighttunnelduringthisprocess. Collis Roofingisnotresponsibleforsuchdamage. If
damage does occur during the removal process we can install interior skylight trim for a fee. Paymentfortheroofreplacementisdueuponcompletionoftheroofandisnotcontingentuponthe completion of additional trimwork, drywall or painting. TERMS
AND CONDITIONS / POSSIBLE AFFECTS TO YOUR PROPERTY CollisRoofing, Inc. must have access to your property in order to complete your roof. Theroofingprocessmayaffectyourpropertyinthefollowingways: Currentbuildingcodesrequiretheuseofspecificsizenailsfortheinstallation of your roofing products and the repair of any roofdecking, if necessary. The homeowner is responsible for notifying us if conditions such as electrical wiring, air conditioninglines, or plumbing lines are in danger of penetration of these fasteners. Collis Roofing, Inc. will use caution and reasonablecare, however, we are not responsible for damages tosuch components. CollisRoofingisnotresponsibleforbrokenorpuncturedwaterlines, air conditioning lines, or electrical wires. Skylightorvent -hole penetrations may result in loose debris falling into the interior of the home. Existingroofingdebrismaybeencounteredaroundthesurroundingareasofthehomeduringtheroofing process. Wearecommittedtoprovidingyouthehighestqualityofservice. We want to make you aware of these conditions which requirecautionsothatwemayexpediteyourroofingprocessandmakeitasatisfactoryexperience. Ihavereadandunderstandtheabove. Homeowner'
s Signature:+— Date: 9/19/2018 Homeowner'
s Name (please print) Keith Owens REV.
07/17 Page
4 of 5 Initial
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #20181Y08386 Book:9216 Page:305; (1 PAGES) RCD: 9/20/2018 12:24:56 PM
REC FEE $10_00_ __ _
CERTIFIED CODY GRANT MALOY
CLERIC OF THE CIRCUIT COURT
l THIS INSTRUMENT PREPARED BY: AND COINIPT ROLLER }J
Name: Keith Owens
SEA
TY, FLORIDAAddress: 14338 Hampshire Bay Circle
Winter Garden. Florida 34787 DEPUTY CLERK
f BY
NOTICE OF COMMENCEMENT pa
State of Florida
County of Seminole
Permit Number: Parcel to Number: 06-20-31-505-OA00-0340
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 34 BLK A
WOODMERE PARK 2ND REPLAT
PB13PG73
GENERAL DESCRIPTION OF IMPROVEMENT:
Interior renovation to included new cabinets and doors
OWNER INFORMATION:
Name: SEMiNOLE B C C
Address: 1101 E 1ST ST SANFORD, FL 32771-1468
Fee Simple Title Holder (ifotherthan owner) Name:
Address:
CONTRACTOR:
Name: Blackstreet Enterprises
Address: 14338 Hampshire Bay Circle Winter Garden, Florida 34787
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)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNWG 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
BliFORF.COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under p nalties of ury, I declare that I have read the foregoing and that the facts stated in it are true
to the b st of I go and belief, QiCAX_ tivrrieYftignature Own s Prifnieb Name
Florida Statute 713. he owner must sign the notice of commencement and no one else maybe permitted to sign in his orher steed.'
State of County of J(C M 1 no h
C
The foregoing instrument was acknowledged before me thisday of :Se pilit -be r _, 20 )
by h t rOI tD Gt ) I Ie Who is personally known to me
Name of person making statement !!i"
OR who has produced identification type ofidgfttigclon Auced: n I trpy
GRETCHEN R VENNNotary
Public - State of F i nPi
Commission A GG 20 39 V.
Fc?' My Comm. Expires Jun . 202 Bonded
through National Notary
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 9/19/2018
I hereby name and appoint: Ray Henderson
an agent of: Collis Roofing, 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):
I The specific permit and application for work located at:
2814 Central Dr. Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: J. Douglas Lanier
State License Number: CCC058022
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this / g day of,
201[, by J. Douglas Lanier who is l5 personally known
to me or who has produced
identification and who did (did not ake an oath.
ak' il
IcAl ,
Signature
Notary Seal) i Q&kL e- rt a-,
Print or type name
Par Pue Notary Public State of Florida
Notary Public - Stat Kathleen A Bach
Q My ommissionGG 002060 CommissionNo. 1 6/2020 My
Commission Ex Rev.
08.12) as
CITY OF
SkNg Building & Fire Prevention Division
C"ORD RESIDENTIAL RE -ROOF POLICY & 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) SIGNATURE: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): P)j WaoAl
PLEASE NOTE: ONL Y100 SQUARE FELT & THEEXISTINGDECKIS PERMITTED TO BE REPLACED
ROOF VENTILATION: O OFF -RIDGE XFjDGE O SOFFIT OPOWERED VENT O TURBINES
SKYLIGHTS: O YES NO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE C V [ u 1'fj LC' FL# LC/
O METAL FL#
ODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE ems. a FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#