133 Kays Landing - BR18-004387 - REROOF1
OCT 3 0 2018
CITY OF SANFORD
f 1 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
7y 43 1ApplicationNo:
Documented Construction Value: $ 16,330.00
Job Address: 133 Kays Landing Sanford, FL 32771 Historic District: Yes No X
Parcel ID: 34-19-30-519-0000-0790 Residential x Commercial
Reroof
Type of Work: New Addition El Alteration ® Repair Demo Change of Use Move
Description of Work: Reroof 41 SQS GAF Timberline Shingles .8 Peel & Stick
Plan Review Contact Person: Debbie Plybon Title:
Phone: 407.696.7663 Fax: 407.695.7664 Email:
Property Owner Information
Name Michael Brown & Donna Kottler Phone:
Street: 133 Kays Landing
City, State Zip: Sanford, FL 32771
permitting@rooftopservices.com
Resident of property? : Yes
Contractor Information
Name Roof Top Services of Central FI., Inc. Phone: 407.696.7663
Street: 1150 Belle Ave. Suite #1060 Fax: 407.695.7664
City, State Zip: Winter Springs, FL 32708 State License No.: CCC1326679
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 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: 51' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
I a4o .
S
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 of permit 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.
Sig ature of Owner/Agent ` Date Signae of Contractor/Agentr
01E- Kristal A. Wingate
Print Owner/Agent's Name Print Contractor/Agent's Name
DYsdORAN PLYBON
MY COMMISSION # GG 102302
EXPIRES: September 4, 2021
Bonded Thru Notary Public Underwriters
DEBdRA'H PLYBON
MY COMMISSION # GG 102302
EXPIRES: September 4, 2021
Bonded Thru Notary Public Underwriters
Owner/Agent is Personally Known to Me or Contractor/Agent is x Personally 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: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 10-29-18
I hereby name and appoint: Kevin Beaver
an agent of. Roof Top Services of Central Florida, Inc.
Name ofCompany)
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):
All permits and applications submitted by this contractor.
or
j The specific permit and application for work located at:
133 Kays Landing, Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Krista) A. Wingate
State License Number: CCC1326679
r
Signature of License Holder: 1 4
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 29th day of Oct ,
201 8 , by Kristal A. Wingate who is X personally known
to me or who has produced
identification and who did (slid_noi) take an oath.
Notary Seal) ,
Py PU DEBORAH PLY80N
MY COMMISSION # GG 102302
EXPIRES: September 4, 2021
Bonded Thru Notary Public Underwriters
Signature
Deborah Plybon
Print or type name
Notary Public - State of Florida
Commission No. r;c j n2-
My Commission Expires: Sept. 4, 2021
as
Rev. 8/06/13)
Grant Maloy, Of The Circuit Court &
nst # 01811 6113 Book:9227 Page:709 (1PAGES) RCDn10/9/ 018 110:25:13 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY -
Name: Kra A Wingate
Address: 11115UEUIDAVe..30991060
Winter Springs. FL 32708-2962
PermitNumber:
Parcel ID Number. 34-19-30-519-0000-0790
The undersigned hereby ghres noltoe that improvement will be made to cerfa)n real property, and In accordance with Chapter 713, Florida Statutes, the
following information Is provided In this Notice ofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the properly and street address tiavallabte)
Lot 79 Ken
1
tanding Phase 1 P867 PGS 41-43 133 Kays landing Dr Sanford. FL 32771
2. GENERAL DESCRIPTION OFIMPROVEMENT:
Reroof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT.
Name and address: Michael Brown & Donna Kohler 133 Kays Landing Blvd Sanford, FL 32771
Interest in property: _ Property Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
a CONTRACTOR: Name: Roof Top Services of Central Florida, Inc. Phone Number: (407) OW7663
Address; 1150 Belle Avenue, Suite #1060, Winter Springs FL 32708-2962
S. SURETY (Ifapplicable, a copy of the payment bond to attached): Name
Address Amount ofBond:
8 LENDER: Name Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
T13.13(1)ja)7., Florida stabAss.
Name Phone Number.
Address
S. in addldon, Owner designates of
to receive a copy ofthe aUenors Notice as provided in Section 71113(1)(b Florida Statutes. Phone number. S.
Expiration Date of Notice of Commencement (The expiration is 1 year from data of recordingunless a different daft Is spedtied) WARMING
M OWNM 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 BEFORE
COMMENCING WORK ORRECORDING YOUR NOTICE OF COMMENCEMENT. bc)
n n"';- b+-fl°' ate
a• owmrerLume, aroeme e arlaeam's (Port Was mad ProNde &gesmys TtldORoo) atzee
State
of county of The ¢
i
oing
Instrument this edgedbeforemesday of by
11t!/fl A , Nfhoi who
has produced Identification ja'typo of IderNNcnflon produced: i'
Y"•'••.• BRANDIKENT t
rota Public - State of Florida CnmmlSSton
I GG071414 My
Comm EzphesFeb 9,2021to me
O
r7—
I [
JCI 1 ICheck.
C " ROOF TOP SERVICES ® 9.5 Q 4
PITS OF CENTRAL FLORIDA, INC. ® Clear -WeFlo,id. Rwfnd. Shn, Mnnl BEIB
en"„:A."«"; 1150 Belle Avenue, Suite #1060, Winter Springs, FL 32706 Siht5
ROOFING CONSULTANT:
www.rooftopservices.com * 407.696.ROOF (7663) • Fax: 407.695.7664 * state cert.# CCC1326679
LID bti / hl CONSULTANT'S CELL:
PROPOSAL PREPARED FOR:
h L
INSPECTION DATE:
ADDRESS: 3 HOME PH: CELL PH:
dfM1
N"
CITY, STATE, ZIP: C / WORK PH: E-MAIL:
10B LOCATION (if different from add(ess above):
1'[.10:PII11
PREPARATION
04tain necessary insurances, permits and inspections in accordance with the current Florida Building Code.
nspect property and take necessary precautions to.protect structure's_ exterior and landscaping.
emove (__) layer(s) of existing roofing in its entirety & properly dispose of all related trash and debris.
DECKING & WOOD REPLACEMENT
GKspect the existing roof deck, soffit and fascia board for any rotten/damaged wood and replace as
needed per the following pricing schedule:
Plywood - $ Q PerSheet 1X -..$ "i7y /linear foot 2X - $ ?"(V /linear foot FFasccii (
Pine/Spruce) $ X OU linearfoot Fascia (Cedar) $ /0I0Y linearfoot 70vide & install additional
decking fasteners as needed to ensure compliance with the current Florida Building Code. UNDERLAYMENTS
f rovide &
install
a Synthetic Roof Underlayment to the prepared roof deck; fastened to ensure ompliance with the
current Florida Building Code Nail Pattern. ovide & install a
double layer of 15LB. UL Felt Paper Underlayment to prepared deck of low slope roof; fastened to ensure c pliance with
the current Florida Building Code Nail Pattern. rovide & install a
self -adhering Waterproof Leak Barrier to prepared roof deck. VENTILATION Provide & install
10-
ft. Aluminum Pre -Finished Ridge Vent Wvide & install 4-
ft. Galvanized Metal Pre -Finished Off Ridge Vent Provide & install LF
of Shingle -Over Vent provide &. install _ 4-
in. Finished Galvanized Metal Gooseneck Bath Vent Provide & install 10-
in. Finished Galvanized Metal Gooseneck Kitchen Vent Provide & install Other
Venting Color Selection: h,-
Standard factory painted
finishesavailable formetal ventilation are Brown, Black, White or Mill Finish. FLASHINGS & MISCELLANEOUS2'
01'rovide &
install l!V 1%" pipeboot collar(s) rovide & install t— 3" ,pipe boot collars(s) ovide & install 2"
pipe`boot collar(s) Provide & install 4" pipe boot collars(s) Inspect flashings and
replace as needed at a replacement cost of $ .% linear foot 0/provide & install
LF of Self Adhering Waterproof Leak Barrier & 26-Gauge Galvanized Valley Metal to. 01 valley(
s). Provide & install LF
of new standard pre -finished, 2%: in. 26 Gauge Galvanized Metal Drip Edge to perimeter of roof.
Color Selection: Standard
factory painted
finishes available for metal drip edge are Brown, Black, White, Beige, Grey or Mill Finish. SKYLIGHTS & SUN TUNNELS
Acrylic / Glass Quantity:
Size: Model # Acrylic / Glass Quantity:
Size: Model # SUN TUNNEL Quantity:
Size: Model # HIP & RIDGE Provide &
install Standard
Ridge. Provide & install High Definition Ridge. ADDITIONAL WORK TO
BE INCLUDED CONTRACT CLEAN-UP gean
gutters free
of all debris/waste generated by this construction. rform a daily
magnetic sweep of entire jobsite. 1 7 Clean
up andproperly dispose of all work related trash and debris generated by this construction daily. LL Manufacturer Warranty:
f-
Workmanship Warranty: ) L
Shingle Series:»1!//
i9L iE. Color: (U L'
1 (1 1 Sub -Total: `'
3"r 0() Manufacturer Warranty: Workmanship
Warranty: Shingle
Series: Color:
2 Sub -
Total:
Manufacturer Warranty: Workmanship
Warranty: Shingle
Series: Color:
3 Sub -
Total:
Manufacturer Warranty: • Tapered
Package/Insulations
Workmanship Warranty: Material
Type: Color: /// /
Low Slope
Sub -
Total: " `i//k 4A Roof Top Services
of Central Florida, Inc. hereby] proposes to furnish material and labor complete and in accordance with above description and specifications, for
the total sum of $ I f . 3.0- oll PAYMENT IS DUE IN FULL IMMEDIATELY UPON COMPLETION OF WORK ACCEPTANCE OF PROPOSAL:
By signing this contract, I am authorizing ROOFTOP SERVICES OF CENTRAL FLORIDA, INC. to do the work as described above. The above specifications, conditions
and prices are satisfactory and hereby accepted. You are authorized to do the work as specified. I understand d agree that payment will be
made in full immediately upon completion of work. OVIA -!PY) Signature: Acceptance Date:
ROOF TOP SERVICES
IS NOT RESPONSIBLE FOR LOW SLOPES OR PONDING WATER. we Keel -fie
a-0 av-Md 1e'+*e sUA shim, iA. L_._ ..._
Grant MaloY, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018115613 Book:9227 Page:709; (1 PAGES) kCD: 10/9/2018 10:25:13 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name• Kemal A. Will
Address; 11 U le Ave., Suite OB
n r prangs. FL 32708-2962
PermitNumber:
Parcel ID Number. 34-19-30-519-0000-0790
The unden3gned hereby gives notice Ill Improvement wol be made to certain real property, and in accordance with Chapter 713. Florida Statutes, theb1otM9InformationisprovidedinthisNoticeofCommencement,
1. DESCRIPTION OF PROPERTY: (Legal description of the property and sheetaddress N available)
Lot 79 Ki Landing Phase 1 PB67 PGS 41-43 133 Kays Landlno Dr Sanford, FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Reroof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEIIIENT:
Name and address: Michael Brown & Donna Kottler 133 Kays Landing Blvd Sanford, FL 32771
Interest in property: - Property Owner
FeeSimpleTitle Holder (if otherthan owner fisted above) Name:
Address:
4. CONTRACTOR: Name: Roof Top Services of Central Florida, Inc. Phone Number: (407) 696-7663
Address: 1150 Belle Avenue, Suite #1060, Winter Springs FL 32708-2962
S. SURETY (N applicable, acopyofthe payment bond Is attached): Name
Address Amount of Bond:
6. LENDER: Netne: Phone Number:
Address:
7. 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)(a)7., Flodda statutes.
Name Phone Number.
Address
IL In addition, Owner designates
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(bj Florida Statutes. Phone number.
Expiration Date ofNotice ofCommencement (The expiration is 1 year from date of recording urdess a different dale Is specNed)
WARNING 7D OWNED ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 71&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
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
la ofOarmr arlmem arowmremLeaees's (PMMill OW Pardoalgeetays noetomm)
Auewrm0
State of County of
Theforipicing instrument edged before me this day of
by A31V%% .f , Yljho I
who has produced Identification fftype of IderrtHicallon produced:
BRANDI KENT
ota l Public - State of Florida
4' CormolitiGG 071414
My Comm Expires Feb 9, 2021
y
9/14/2018
IL
E.aEremM,X,C C xaesrv, re:[w
Parcel lnformation
SCPA Parcel View: 34-19-30-519-0000-0790
Property Record Card
Parcel: 34-19-30-519-0000-0790
Property Address: 133 KAYS LANDING DR SANFORD, FL 32771
Parcel 34-19-30-519-0000-0790
Owner(s) BROWN, MICHAEL - Tenants in Common
KOTTLER, DONNA - Tenants in Common
Property Address 133 KAYS LANDING DR SANFORD, FL 32771
Mailing 133 KAYS LANDING DR SANFORD, FL 32771
Subdivision Name KAYS LANDING PHASE 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2010)
04
60.88 60.01 60 60
s,
60 60 60 60 60
Legal Description
LOT 79
KAYS LANDING PHASE 1
PB 67 PGS 41 - 43
Taxes --
Value Summary
s
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1-1 1
Depreciated Bldg Value 248 225 233 911
Depreciated EXFT Value
Land Value (Market) 45,100 52,000
Land Value Ag
Just/MarketValue 293,325 285 911
Portability Adj
Save Our Homes Adj 82 164 79 093
Amendment 1 Adj 0
P&G Adj 0 0
v
Assessed Value — 211,161 — 206,818
Tax Amount without SOH: $4,656.00
2017 Tax Bill Amount $3,150.00
Tax Estimator
Save Our Homes Savings: $1,506.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 211,161 50,000 j 161,161
Schools 211,161 25,000
i-----
186,161
City Sanford 211,161 50,000 161,161
SJWM(Saint Johns Water Management) 211 161 50,000 161,161
County Bonds 211,161 50,000 161,161
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED } 9/1/2016 08774 0771 $112,000 4 No ; Improved
WARRANTY DEED 1 12/1/2009 07304 1994 $257 500 No — Improved
SPECIAL WARRANTY DEED i 3/1/2006 06195 0709 $443,800 Yes Improved
SPECIAL WARRANTY DEED 9/1/2005 05992 j 1397 $279,600No I Vacant Find
Comparable Sales Land
Method
Frontage Depth Units Units Price Land Value LOT
1 1 $45,100.00 $45,100 Building
Information Is
Bed/Bath count incorrect? Click Here. 1 # !
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rep] Value Appendages http://
parceldetail.scpafl.org/Parcel Detail Info.aspx?PI D=34193051900000790 1 /2
i 9/14/2018
Actual/Effective
2006
FAMILY
Permits
SCPA Parcel View: 34-19-30-519-0000-0790
3-5 # 1,978 i 4;f2'33;6-f5ICB7STUCCO-If-$22fg-,22eF—$ FINISHDescription
Area BASE
I FINISHED
228.00 GARAGE
358.00 FINISHEDOPEN
PORCH
40.00 FINISHED..._-...
OPEN PORCH
110.
00 FINISHED UPPER
STORY
1409.
00 FINISHED Permit #
Description
Agency Amount CO Date ' Permit Date 00595 CONVERT
1 CAR OF 3 CAR GARAGE TO PERSONAL OFFICE SPACE (SANFORD $8,150 1 1/14/2010 03948 NEW -
RESIDENTIAL SANFORD $289,279 3/6/2006 7/8/2005 Permit data
does not originate from the Seminole County Property Appraiser's office. For details or questions concerning a permit, please contact the building department of the tax district in which the property is located. Extra Features
Description - Year
Built Units Value New Cost No Extra
Features http://parceldetaiI.
scpafl.org/ParcelDetailInfo.aspx?PID=34193051900000790 2/2 J
1
F D
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
i
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 OWNERBUILDER) SIGNATURE: c 1y DATE: —
r
PERMIT # b
City of Sanford Building Division
fir" Residential Re -Roof Scope of Work
JOB ADDRESS: 133 Kays Landing Dr Sanford, FL 32771
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: O OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
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
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0 SHINGLE GAF FL# FL10124-R20
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
OTHER: Peel & Stick GAF FL# 5680-R19
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
S j ,
lJCity of Sanford
Product Approval Specification Form
Permit #
Project Location Address 133 Kays Landing Dr. Sanford, FL 32771
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
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
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 GAF Timberline HD FL10124-R20
Underla ments GAF Tiger Paw FL15487-R6
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
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
Peel & Stick GAF Liberty FL5680-R19
June 2014 2
S
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
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 Kristal A. Wingate
Please Print)
June 2014 3
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: I U - T $;
7 ADDRESS: 133 Kays Landing Dr
Sanford, FL 32771
Kristal A. Wingate , 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 1S 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 ALI, APPLICABLE CODE
REQUIREMENTS— SPECIFICALLY FLORIDA BUILDI,NG.CODE,:EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF TIME ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: CCC1326679
COMPANY / CONTRACTOR: Roof Top Services of Central Florida, Inc.
CONTRACTOR SIGNATURE: "vLe_' DATE:
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,
UNDF,RLAYMENT, 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 Seminole
Sworn to and Subscribed before me this aay of /y : 20 by:
r
r 1S a A. 1 Kq Q'. Who is LXPersonally Known to me or has 0 Produced (type of
identification) as identification.
Signature of Notary P6blic
State of Florida
Print/Type/Stamp Name
of Notary Public
r'
DEBORAH PLYBON
i t MY COMMISSION # GG 10,
C , EXPIRES: September 4, 2G
f ppdad Thru Notary Public Underxr'