185 Walnut Crest Run - BR18-004670 - REROOFCITY OF
t SkN40RD PERMIT APPLICATION
BUILDING DIVISION
Application No:
Documented Construction Value: $
Job Address: _M5- "lx&— 6y4 Historic District: Yes No[]
Parcel ID: = 1c1 sn sn, ), Q.% /26y Residential Commercial
Type of Work: New 0_ddition Alteration Repair Demo Change of Use Move El
Description of Work:
Plan Review Contact Person: ma. I, n Title: di[t L %2 s
Phone: 6 2-%TAU Fax: Email: Woir A.9(22Z !. mow,
Property Owner Information
Name 64,C'.-ut/
Street: /f!CrG mp?
City, State Zip: iZ 32771
Phone: 913 50 ?614
Resident of property?:
Contractor Information
Name L( Ay
Street: oqo rkz.
City, State Zip: / a. J'a Sf t, FL 323
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: !gsla 7a-0 FAy1
Fax:
State License No.: 6a,82,95rT
Architect/Engineer Information
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, haters, tanks, and air conditioners,
etc.
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date. 01 Edition (2017) Florida Building Code
NOTICE: Inaddition to the requirements ofthis 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 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 the job at the time of submittal. The actual construction value
will be figured based on the current IC:C Valuation'I'able 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 issue!.
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.
Signa rc « r/Agent Date Signature of Contra A t Date
J
Print Y rnt' ame Print Co etor gent's Name
go57 " ' H
ti
Sign a of Notary -State of Florida to ature of Notary -State ofFlorida Date g
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to
Produced ID T e ofID FL.TO Produced ID Type of ID
y •., COLBERT KENT HAMILTON
q Commission a GG 186TI9
g Expires February 15.2022 BELOW IS FOR OFFICE USE ONLYWBandedThuTroyFanWum00P35•7019
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
LL p
ROOFING Ss CON DSFRU
4740 Mahan Dr.
Tallahassee, FL 32308
Work Authorization & Direction of Payment
Date: On fr? is
Name:
Address: 46S
Phone:
e("
Both Lloyd Roofing and Construction, Inc. (LRC) and the homeowner agree to the following:
1. Contract: Owner authorizes LRC to be their contractor and grants all work orders to LRC, including
all proceeds upon receipt of payment from the insurance company.
an approves
2. Estimate: Both LRC and Owner agree that, per this contract, if the insurance come dpp on by
the claim LRC will perform the work listed in the estimate for the dollar amount agreeP both
LRC and the insurance company. 3.
Additional Damages and/or Upgrades: Owner agrees that they are responsible for any damages thatarenotcoveredundertheinsurancepolicyandthatamountwillbecollectedbyLRC. The owner
is also responsible to pay L ctly for any upgrades chosen by the Owner. 4.
Payment: Owner authorizes Insurance company to pay all proceeds
due LRC, under their policy directly to Lloyd Roofing and Construction, Inc. and any mortgage
company named. 5.
Deductible: Owner a r es to pay Lloyd Roofing and Construction, Inc. their deductible in the amount
of . upon completion of all roofing work. Hpmeow
r(s): Lloyd Roof" truction, Inc. Rep: Insurance
Company: 1-4
Claim
Number: 6Z ACCORDING
TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001.713 37 FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE "TERIks OSERVICESAHDAAEN07PAIDINFULLHAVEARIGHTTOENFORCETHEIRCLAIMFORPAYMENTAGAINSTYOURPROPERTY, THIS CLAIM fs LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB- SUBCONTRACTORS, OR MATERIAL SUPPLIERS, T MCTIONDNEYMAYLOOKToYOURPROPERTYFORPAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL, E
YOU
FAIL IE
PAY
KNOWN
AS A CONSTR OYMD
CONTRACTORMAYALSOHAVEALIENONYOURPROPERTY. THIS A NOSE PEOPLE WHO ARE U
MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR ALIENISFILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL R
TO
PAY AFORLBORRCONTRACTOVI
BEFORE ANY PAYMENT T
MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDFAILED TOPAY. TO E YOU
WITH A WRITr TFUT HASPROVIDEDTOYOUA •NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAWS CYO H
A AND T
ITTEN T
YOURSELF, YOU SHOULD STI EN RELEASEOFLIENFROMANYPERSONPUU IN
T1 A RECOMMENDED
THATYOUCONSULTANTORNEY. Y
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County FLInst #2018126693 Book:9244 Page:843; (1 PAGES) RCD: 11/6/2018 1:08:22 PM
REC FEE $10.00
Thh Instnmerd Prepared By:
Nam uoranEQequa umm•Jm awm
Addreaa .cow. on.tir.w. raa
Permit No.
STATE OF Florida NOTICE OF COMMENCEMENT
COUNTY OF, &
J,
CERTIFIED COPY WAN, MALOY
CLERK OF 7I;E Ci?,,(UIT COURT •
SEMINOLE U d7>' rLORIUAANDCW"
j•
y7
CLERK
BY
Oat
Tom For* Noii2i9j'ID crow ulna
THe LINDMSIGNED hereby 9" rctkO that improvement Will be fade to certain Taal proMty, and In accordance with
Chapter 713. Florida Stables, the following Irrfommtlon Is prov{ded'n this Notice of Cormranmmrn.
1. Description of properly: (legal descriptlon of property, and street address 11 available)
ISbt5- L0mklv'Grel st-+ n Lest' ti ea (rrat... m— W.ke. (horlr.
Genemldescription of improvement:
Re4wo-
3 Mama and addraaa:
er infonnadon of
Cort1y (iMet+r
Ill Lt=ssee eprdAr for the improvomcre
b. Interest in property: (/
a(wt1
c; Name and address of fee Simple tiilehokfer (idifferent Mom owner bated above} 4.
Cardrador. a,
Name and addreas_Lloyd Roofrtrg and Construction 4740 Mahan Or Tallahassee Florida 12308 b,
Phone r unber:850 728 8101 a,
Surety (if applicable, a copy of the payment bond Is attadrem: e.
Name and address WA b.
Phone natal: NA c,
Anwunt of bond S e,
Lender. a,
Name and eddrero: NA bl
Phone nurberMA 7.
Persons within the State of Floridadesignated by Owner upon w l onnotices or adrer donrnenb rmy be served as provided by
Sedlon 713.13(l)(a)7., Florida Statutes: a.
Name and addrmsN/A b.
Phone nun*ats of designated person s"A 8.
In addition to hkbwK Owner designates the blowing person(s) to receive a copy o1 the Llemi's Notim as provided In Sectlon 713.
17(1)(b), Florida Stalvtm a.
Name and addra=N/A b.
Phone number of person or entitydesignated by OwnerN/A g
En#4atbn dal@ of o commernoentent (the etpiraion date will bell year him t)te dale of recording unless a different data hSpedfed): 1 WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COL
AAENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7M PART 1, SECTION 71&13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COkM&WNCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT Wf H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCWG
WORK OR RECORDING YOUR NOTICE OF CCk1lMR9CEMEN2 7SkJWWWOwnar
orLessee. or Owneez or traaee'a AuViedred
Offlow/Dkoctor/PartimnUarnger Signatory'
s TitlelQfbrB Thp"
aing Iremutnerd was acknowledged before me this E"dayof I 4A/ewalL'— . 2_6_ &ear) by name
of person) as of e
ray.._e.g. ofkw. trustee, attorney in facU for (name of party on belch!
a1 whom Instrument was execute). gnabure
of Notary Public - State of Florida Y •" BRETTTHOM4 Print Type. or Stamp Commstioned Name of Notary Public inJrbn
f FF 993549 Commission Nunber Comr`
rEttphea May 17, 2o2o Personally Known _ or Produced tdentrf R ••' aonatdThai TMVFUnlnr+nno UC4&S70t9 NOTE: This
statu" form was revised by the 2012 Florida Lephalatitre and has
an effective date of October 1. 2012.
AIIIINIIIILCITY OF SANFORD
Building &Fire Prevention Division 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 BYTHE 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 UNDERLAYM ENT INSTALLED o ROOF
DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF
DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER S140WING 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: sl / /JAL z DATE: 1.2 - J -gyp
CITY OF
SkNFORD
FIRE DEPARTMENT
O:ADDRESS: i . e
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL REROOF SCOPE OF WORK
STRUCTURE TYPE: INGLE FAMILY RESIDENCE(fOWNHOIISE O MOBR,E HOME O APARTMENT/CONDOMINIUM
ITHRE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WNEW COMPONENTS) RECOVER (
NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): PIF11
SENOTE: ONLY 100 SQU, E KkFT OFTFIF. F-TS77Ar. DECK IS PF_RnTED TO BERF.PLACF.D** ROOF
VENTH ATION: ()OFF -RIDGE RIDGE OSOFFIT ()POWERED VENT OTURBINFS SKYLIGHTS: ()
YES 0 NO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: () LESS THAN 2:12 ()2:12 - 4:12 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRoQD UCT APPROVAL SHINGLE
J wFL# C- • I METAL
FL# OMODIE
MBm1MEN FL# TORCH
DOWN FL# INSULATED
FL# O
TILE FL# 00TI-
IER: FL# ROOF
EXTENSIONS (PORCHES. PATIOS, ETC.) **lFAPPLICABLE** ROOF
SLOPE: () LESS THAN 2:12 O 2:12 - 4:12 () 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# O
METAL FL# O
MODIF®BrIVMEN FL# TORCH
DOWN FL# INSULATED
FL# O
THEFL# OOTHER:
FL#