126 Wheatfield Cr - BR18-004287 - REROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: d _ qcA
X'
Documented Construction Value: $ r 1 Ly
Job Addresslak 1,J hea - - r_Id C ( %nit r0 fL Historic District: Yes No
Parcel ID: -1 '1 -') 1- S IM -
Type of Work: New Addition
Description of Work: K p (
0 Residential [Commercial
Ition Repair Demo Change of Use Move
Plan Review Contact Person T.p p i`,,_. - Title: 0/ T iG
Phone: 321 1D-1?)10 Fax: Email• Qf rcul, CO
Property Owner Information
Name %iC, Riot)) I-L Sy m LQO n Phone: Street: (
A Aa1 Uk-J C. C Resident of property? City,
State Zip: x),Aj; f(-LContractor
Information / Name
e _rChiA Phone: J 1 'lJ D 3D Street: ^
50 TG(" CJ1,d c' pt -7A Fax: ++ Q City,
StateZip: k' n 'e 3 2P6 (a State License IWO.: Name: Street:
City,
St,
Zip: Bonding Company:
Address: Architect/
Engineer
Information 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: 5" Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 61 Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that inay 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 of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the esti.m.ated construction value of the job at the time ofsubmittal. The actual construction value
will be figured based on the current IC 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.
1-2
Signature of Owner/Agent Date
hoe —&ram 4/
Print Omer/Agent's Name
Notary Public State or Florida
Dorkas Torres
My Commission GG 187519V ) Expires 02/1812
Produced ID Type of ID
J_yJJ '
Date
to Me or
Signature of Contractor/Agent Date
Print Contractor/AOnt's Name
Si azure of Notary -State of Florid ate
o00 °&L* Notary Public State of Florida
Dorkas Torres
My Commission GG 519
C , o l x ves o2f1 202 nown to Me or
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
Florida State License# CRC 058297
EPA Certified Renovator.
IICRC #210776
EXTERIOR
SCOPE OF WORK
Property Address:__1 0 i4T1L
City !2ANI V-Q' C , FL. 3 2-7. 1_
for the Owner (s) ' 'IjU11 to S
Customers E-mail: a 4 LAF Q& E1`: AAL, 60(V\ Claim # h7- 0
2018- 004.0
Advanced Home Solution
6432 Pinecastle Blvd. #A
Pinecastle, Florida 32809
Toll Free) 844-357-9141
1XIS
Work Agreement Exterior Rebuild:
1.. Provide Permits Do .Not Remove Posted Permits pp
2. Dumpster location: PT 24/6 initial. ..
3. Drip, Edge : Color: C' --
7> 5 3 initial
4. Install New Pipe Jack/Boots: Color: X 4 initial
5. Install New Ridge Ventilation / Color: Warranty: Certalnteed Vent 5 initial
4 ft. Off -Ridge Vent X it
Rolled Filtered Ridge Vent 1' 2Y *' 6w5c- NecK \157,5
6. Install New Cap Shingles: Warranty: Shadow Ridge 6 initial
7. Install Material Valley: Warranty: Winter Guard _ 7 initial
8. Install Underlayment:. ' Warranty: Roof Runner 8 initial
9..Install .New Starter: TWarranty: Certainteed Starter _ 9 initial
10: Install New'50 yr. Limited Life Time Shingles:
Color: &,AAk) PI! S0,AW G Color initial
Manufacturer: i_ - / Certainteed
Brand: (-r- ----(i Iee, arranty:Landmark initial
I-,r Enhanced Warranty: 3 - Star 20 rs $20 S. $ 4 -Star( 50 rs $25 S. $ Y ( Y ) / q• ( Y ) / 4•
12. Unforeseen Rotten 12 initial
Wood 1/2" Plywood or OSB $ 60.00/Sheet, % S Q (,C) v t 166Plank1" x $6.00/L.F,
T &.6 $8.00/L.F. .
Number of Satellite: Detach Delete
Replace Flashing: 14& initial
Roof to Wall Counter Flashing_ * Requires Annual Maintenance
Roof to Wall Flashing: _
Chimney Flashing:_
kylight' Install New: 2' x 2'_ 2' x 4' _ 4' x 4' _ 15/ / / initial
Replace. Skylight Cap: Poly Temp Glass and/or Mounts: Curb Flush
7: Install New Gutters: or Detach Reset ( not warrantied )
18rLighting Rods: Detach Reset
19Install New Vents: Detach Reset Solar Electric Gas Fire Other: 2 :
Solar Panels: Detach _ Reset _ Pool _ Water Heater _ Electric _ Y:
Replace Screens:_ Yf
eplace Fencing: or Detach Reset Replace
Siding: la -
Painting: 20.
Windows: 2e
Doors: 26:
Tree Removal: 21.
Change Orders or Additional Work (See, Change Order): NOTICE
TO OWNER: The Insurance Estimate, the Company's Scope of Work are considered to be a part of the original Work Agreement and you are entitled
to a copy of this agreement and all related paperwork at the time you sign. Keep it to protect your rights. Executed in duplicate, one copy ofwhichwasdeliver/2ir"
and
receipt is hereby acknowledge by Ownerirks) on / /20WW
Owner Signature
Contractor's Agent Signature 7 Insurer
Invoice
for Exterior Work Completed as of: 1. ' RCV $:
5. AHS Supplements $ — Due Upon Receipt Z. ACV * <
Less Deductible > $ 6. Deductible * < Paid By Customer> $ 3. Depreciation $
4. 0&
L(P.W.I.)$ Due Upon
Receipt Due Upon
Receipt 7.Omitted
coverage < Paid By Customer> $ 8."Total
Balance Due Upon Receipt $ Customer Invoice
for Exterior Work Completed as of: / I. Required,
Deductible$ 4. Other Charges $ 2. AHS
Credits..$ 5. Omitted Coverage Insured Charge $ 3. Requested
Change Order $ 6. To al Balance Due Upon Receipt: $ Revised 6-
8-18
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018117384 Book:9230 Page:26; (1 PAGES) RCD: 10/12/2018 10:08:44 AM
REC FEE $10.00
his inst-ument prepared by:
Name: Ted Denault
Address: Z75 TdV Or Ave
NOTICE OF COMMENCEMENT
STATE 0= FLORIDA D Parcels: -19 -3 I ILAO
COUNTY OF t nuL.L PARCEL ID ti:
THE UNDERSIGNED hereby gives notice that improvements will be made to curtain real property, and inAccordancewithChapter713, Florida Statutes, the foPorring information is provided in this Notice of Commencement.
1 escription of Property: (Le al desc 'pton of the property and stre t a r s if a ailable): o t f ( CR I11 V _01VIS P 0, Sr 1- A, b 7 C gi4
2 Cereral Description of Improvements: e-
3 Owner: Name: a lQ hone:
Address: 1,%6r . %-ICr 4
Interest in property: Owner /.7.jAdjj b ijrl Name &
Address of fee simple titleholder (if otl-,er t,Ian owner', 4
Contractor's Name: Address:
Phone:
813-928-4802 5
Surety Name: Address:-
6
Lender Name: Phone: Address:
7
Persons within the State of Florida designated by Owner upon who notice or other documents maybe served as provided
by Section 713.133(1)(8)Florida Statutes. Name: Phone: Address:
8
In addition to himself or herself, Owner designates the following persons) to receive a copv of the Uenor's Notice(e) asprovidedinSection713.13(1)(b) Florida Statutes: Name: P.tone: Address:
9
Expiration Date of Notice of Commencement: I M — the
expiration date is 1 year from date of recwdinR unless a different date is specified) WARNING
TO OWNER: ANYPAYMEXTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE 0= COMMENCENIENT
ARE CONSIOF REDIMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713,13 FLORIDA STATUES.
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 OBTAINFINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOURNOTICEOFCOMMENCEMENT, Verification
Pursuant io Section 92.525. Florida Statutes Under
penalties of perjuryi declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledgeandbeliefOwner
Signature
of caner or Owner's Authori:ea Signatory's Title/Office Officer/Direrior/Partner/Manager n
TheforegoinginstrumentwasacknowledgedbeforemethisabdayofOC40W20bt'1 by 12U 9105 na aof ) (type of atnhority, officer, trusiee,attorrtey in fact) for 17 person) name of
party or. behalf of whore; ins t was executed). SEAL) Signre
of Notary Public, State of Florida llotary F„
h:,c State of Florida -- Dorfas'one>:
orn&Myr.
wnm•
ssronGut875ta Print. Type or Stamp Commissioned Name of NotaryPublic Ermres 02718)
2022 Personally Known _ or Produced Identification V 71
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address\,-&(Q_ W F14 G I g l <, SOl r -rk F(, 3 Z 7 7 /
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
Descriptio
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
Tune 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description 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 I
Underlayments-
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
Sstem Modified
Bitumen Single
Ply Roof i
Systems Roofing
slate Cements/
Adhesives /
Coating
Liquid
Applied Roofing
Systems _ Roof
Tile adhesive
Spray
Applied Polyurethane
Roofing
E.
P.S. Roof Panels
Roof
Vents Other
June
2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll u
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
Please Print)
June 2014
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 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 :cope 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 hoof 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 c e compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:#t
DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 1 1(0 W In PO4 1 e,\ L I SQ In t04
STRUCTURE TYPE: QrSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: dREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXIST G ROOF)
S
DECK TYPE (PLEASE SPECIFY): C 1 wlll!` 11]l ' '
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DEcKINITERMITTED TO BE REPLACED"
ROOF VENTILATION: 'VOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 0I0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 OU 4.12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER
ru (n" t, l I I u 1..
FLORIDA PRODUCT APPROVAL
OiT,INGLE FL# Li '1(4 415
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILr FL#
468THER: Ull 1 Q
FL# 1
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
O SHINGLE FL#
0 METAL FL#
r
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0OTHER: I _ I FL# — -- -
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ' ADDRESS: ` (P W 1'QGT't' 1 Q` C r
Dc,xnQ,)rlk PL.
I Tp a De-noi t AW- , 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 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#: C'u, 132(y9(qta
COMPANY / CONTRACTOR: V \ ,
CONTRACTOR SIGNATURE: "; '` ties` '`... DATE: / 2 a
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
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 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 b c CInQ o Sworn
to and Subscribed before me this -7 day of / 20 15 by: cv
1 (S Who is Personally Known to me or has Produced (type of identi
ation) as identification. S
g ature of Notary Public "& Notary Public State of Flonda Stateof'Florida aP . Dorkas Torres f, +
My
Commission GG 187518 iOF
Expires 02/18/2022 Print/
Type/Stamp Name of
Notary Public