124 Hazel Blvd - BR18-004657 - REROOFo4
tronb_
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DIVISIONi
iA PERMIT APPLICATION
Application No:
Documented Construction Value: $ [ t z D 0
Job Address -I 24 0 A ZED Historic District: Yes No®
Parcel ID: (u - Z O -. 3 Q - S c) q - (90 01D () [ 60 Residential 91 Commercial
Type of Work: New Additioon ijAltal
Repair DemoEl lC.hangetof Use Move Description
of Work: It S (C'PNai d rood . 0. S fl h UhaS n(• r,Ld t Plan Review
Contact Person: _ ) 1 " L 0 Title: U Phone: '- 01
2-5 -1 8 (6 Fax: 'A 7 i6O { q 6 ` Email:_ uw No f in at M a.l 1 z M 1 Property
Owner
Information Name n _. ( "
1.
i c- ova & 011 q Phone: - _ 76 l S Street:_4
4&zLLLV Resident of ro e P Pmay? ' City, State
Zip: _5- 1(\1 o A- L 3 27 Contractor Information -
Name C7
VJ — Co Phone: _ `C S ZZ3 9 Street• l
S C Fax City, State
Zip: LQ1 0,, C 17 b State License No.: C- CC 3- ZS 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 INYOUR 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
heieby 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 permitand that all work will be performed to meet standards of all lawsregulating 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 iri effect as bf that date: 61 Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictionrapplicable 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. I } - ..
Acceptance of permit is verification that I will notify the owner ofthe property of the requirements ofFlorida Lien Law, FS 713.
The City of Sanford requires payment ofa 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 thejobat the timeof submittal. The actu 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
Print Owner/Agents Name
Date
Signature of Notary -State of Florida Date
Signature ofContractor/A ent Date
Print Contractor/Agent's Name
Signature ofNotary -State ofFlorida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type ofID Produced ID Type ofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft ofBldg.-,--. Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinlder Permit: Yes No # ofHeads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE-,
Fire Alarm Permit: Yes No
WASTEWATER:
BUILDING:
SCITY
OFF
w I S- 46577
l F ® PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOBADDRESS: l ckZ/l I STRUCTURE
TYPE: *SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF t-
INSTALLED
OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): % It
L
V_ t qdJ" coof a p-UE S n p_A+ t A PLEASE
NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: ® OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT 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 O
TURBINES TYPE
OF ROOF MANUFACTURER FLORIDA PR, ODUCT APPROVAL SHINGLE
r
Q (tCil l.kA(lAALlrk FL# S `-I( O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# 0INSULATED
FL# O
TILE FL# I
OOTHER: 0`1JQ4\S CortNin FL# (S 216 ROOF EXTENSIONS (PORCHES,
PATIOS, ETC.) **IFAPPLICABLE** V 20 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#
OMODIFIED BITUMEN FL#
O TORCH DOWN
FL# OINSULATED FL# O
TILE FL#
O OTHER: FL#
CITY OF
SkBuilding Tr® &Fire Prevention Division
1' + RESIDENTML RE -ROOF POLICY& PROCEDURES
I16 -LA'(05
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 (OROWNERIBUILDER) SIGNATURE: Wv'WV DATE: C
Grant Maloy, Of The Circuit Court & Count , FLnole
nst # 018138I44 Book:9256 Page:1128; (C1oPAGE:S)fRCD:i
11/30/2018 10 57:47 AM
REC FEE $10.00 •
CERTIFIED ?Y P, MALOY
CLERK 0 fNE CiR±i . COURTS'
AND COi;iz T lCl` s
l &
5EIV! IN0E C )'i' Y, EL ,;;DABY THIS
INSTRUMENT PREPARED BY: Gate Name: 2 5 5 Prt i Address: l SENNOLE
COUNTY StateOforidarLORIDXSNATURALOtOIrrNOTICE
OF COMMENCEMENT Permit
Number Parcel ID Number (PID) I Q — 2 0— 3 O—So 9— O O o O— O t 6 b The
undersigned hereby gives notice that Improvement w111 be made to certain real property, and in accordance with Chapter 713, FloridaStatutes, the followingInformation is provided in this Notice of Commencement. GENERAL
DESCRIPTION OF IMPROVEMENT f S t CI O YA-A1 a.V. i` 4L - i` OL C
OWNER
INFORMATION Name
and address; /-. Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided bySection713A30)(b), Florida Statutes. Name
and address: _ _ (\ ( f AIn
addition to himself, Owner Designates NI! A Of Section
Florida Statutes. To receive a Copy of the Uenoes Notice as Provided in 713.13(1)(b), Expiration
Date of Notice of Commencement: The
expiration date is 1 year from date of recording unless a different date is specified 3 c)( 9 WARNING
TO OWNER• ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713. PART I, SECTION 713.13, FLORIDASTATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. STA
FLO , COUNTY OF SEMINOLE q
ERS SIGNATURE 0 ERS PRI D NAM NOTE: Per Florida Statute 713.13(1) (a), owner must sign...... and no one Ise may be Permitted to sign in his or her stead.- The
foregoing Instrume ntt was acknowledged before me this day of Al"y 20 II(
j /G y by --&Z/Who
is personally known to me NameofpersonmakingstatementOR
who has produced Identification type of Identification produced VERIFICATION
FURS TO CTION 92.525, FLORIDA STATUTES. UNDER
P AL OF P DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARETOBEFMYKNiNLEDGEANDBELIEF. pi/
aJEFF L MONTALTO Commission #
GG 102838 ATURENATURALPERSONSIGNINGABOVE + + 40oz
Expires May 9, 2021 f
orFLoO Bonded ThruBudgulNolarySollM
SCPA Parcel View: 10-20-30-509-0000-0160 Page 1 of 2
PROPERTY
APPRAISER
Parcel Information Value Summary
Parcel 10-20-30-509-0000-0160 2019 Working 2018 Certified
Values Values
MIRANDA, ALEX - Tenants in Common :25.00
MIRANDA, RAFAEL - Tenants in Common :25.00 Valuation Method Cost/Market Cost/Market
MIRANDA, JOSE - Tenants in Common :25.00 Number of Buildings 1 1
PEREZ, YEZIKA - Tenants in Common :25.00
Depreciated Bldg Value $117,508 112,230
Property Address 124 HAZEL BLVD SANFORD, FL 32773-7411 Depreciated EXFT Value $800 800
Mailing 124 HAZEL BLVD SANFORD, FL 32773-7411 Land Value (Market) $30,000 30,000
Subdivision Name Land Value Ag
Tax District S1-SANFORD 148,308 143,030
DOR Use Code 01-SINGLE FAMILY Portability Adj
Exemptions Save Our Homes Adj $0 0
U1 UU............. _. . Amendment 1 Adj $0 6,023
P&G Adj $0 0
80.00 80.00 80.00 Assessed Value $148,308 137,007
00 Tax Amount without SOH: $2,609.55
CD O CD
CD 6.0
2,609.55
1 O 1 5 Save Our Homes Savings: $0.00
p O
Does NOT INCLUDE Non Ad Valorem Assessments
80.00 80,00 5033 OHO
Legal Description
LOT 16
HAZEL GLEN
PB 33 PG 63
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 148,308 $0 148,308
Schools 148,308 $0 148,308
City Sanford 148,308 $0 148,308
SJWM(Saint Johns Water Management) 148,308 $0 148,308
County Bonds 148,308 $0 148,308
Sales
Description Date Book Page Amount Qualified Vac/Imp
PROBATE RECORDS 5/1/2018 100 No Improved
WARRANTY DEED 10/1/1989 82,400 Yes Improved
WARRANTY DEED 10/1/1987 76,100 Yes Improved
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 0.00 1 $30,000.00 30,000
Building Information
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=10203050900000160 11 /29/2018
POWER ROOFING & CONSTRUCTION LLC (Contractor) agrees to furnish all materials and labor necessary to do the home
improvements at the following address:
Name Ae c /UL 0 • u Phone VQ7 b97 Phone (w) _
a2 %Gl J DJ%C. J _
7
Date / t'"
AddresS i Florida Zip JIA 3 Email S% ' e1 Nf 5 Sa
City t
In Accordance with pecifications iven below Re root}
A. Type of Roof: Glyn F t ra f* i % 5 ` _t Pitch 112. 1 story _ 2:'Story
1. Permits fees; cost to file Notice. of Commencement, dumpfees and all applicab e taws.
2. Protect the surrounding structure, tear -off & remove old roof to workable surface. 3. Re -nail roof deck with eight penny ring shank nails. (L w &Ordinance). nitial
4. Replace ro ed wood at $ /L.F OSB or PLYWOOD) and $ 70 _.— 1 if any. )
5. Install 4% c-- undedayment over entire roof. Roof pitch < 4/12 double 19" Lap (initial)
6. Install FHAIVA eaves drip. Color xc Size
7. Install New Valley metal and flashing as necessary.
8. Install New . boots over vent pipes and reseal vents. Color: C''4,i c oAL_ L3f`G
9. Install 30 year fiberglass shingles. Manufacturer: C" 4 f
tial
10, Install L.F. of Ridge Vent and/or ____ (number) Of 4 ft. Off -Ridge Vents. Color a )
11. Clean job site of all work debris. 12. The roofing Contractor will coordinate the removal and reinstallation of roof related peripherals such as (but not limited to) Solar units, skylights, T.V. Satellite Dish and Air Conditioners, etc. Removal and reinstallation of existing gutters will not be guaranteed against leaking and damage.
13. Removal and reinstall existing soffit and fascia at $ IL.F. in addition to contract price, if required. The
cost for such ork will be in addition to contract price and herein approved by homeowner.
Gutters YIN.
PIPEJACKS: _I,, _1.5" 2 _ 3" 4"
Satellite
IN. GOOSENECKS: _4" _ 10,
IN
Solar Panels: 1 WH - Size x , # Panels. Other
Other: _
Homeowner requested approximate start date (weather permitting): 20_ Pre - _Home Inspection: (irnuar)
Roofing Contract Price ------
Deposit $
Depreciation / Supplement ( If applicable) $
Balance Due $
Other Charges $
UPON COMPLETION
Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledge by Buyer on 20_.
Approved and Accepted: NOTICE TO OWNER.
a•. Do not signIN me: imp ement contract in blank.
b. You are en . to a c of t ontractat the time you sign. Keep it to protect your rights.
fx) x) Purchaser SignatureurcserSign .
O Emai
Accou Manager Signatur Cell Phone
i"
CITY OF
S,kNFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 0 7 f ADDRESS: 2_q 0_a Z u v' j A
So nfov d -L SI-1 13
I ` V
t / AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
FING CONTRACTOR NGINEER, 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 ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICEI:
A FINAL ROOF INSPECTION IS REQUIRED:
K Afo
DATE:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE F1NAL 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 DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF e A /n •'
Sworn to and Subscribed before me this r day of ! 20 -&- by:
hl.I d IR .4,. ti . Who is Lf Personally Known to me or has Produced (type of
identification) as identification.
Signature of Not Public JEFF L MONTALTOotraY?j"
State of Florid * *
N
Commission # GG 102838
Expires May 2021Qvy9rFF CO\ Bonded Thru BudgetNotary S0rvIC98of
Print/Type/Stamp
of Notary Public