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208 Willowbay Ridge St - BR18-004434 - REROOFCITY 4f Building & Fire Prevention DivisionORDPERMITAPPLICATION aQ 0 5 2018 FIRE DEPARTMEN Application No: 18 L( Ll 3 L( Documented Construction Value: $ 11 0 0 0 4 .0 0r„ Job Address: 208 Willowbay Ridge St. Historic District: Yes Noa Parcel ID• 2 2 -1 9- 3 0- 5 0 2- 0 0 0 0 -1 3 6 0 Residential Commercial Type of Work: New[] Addition Alteration Repair Demo Change of Use[] Move Description of Work: Re -roof 29 squares Shingles Plan Review Contact Person: Liza Denton Title: Admin Assistant Phone: 407-672-0001 Fax: 407-647-9332 Email: lundbergroofing@aol.com Property Owner Information Name Dwayne Hurley Street: 208 Willowbay Ridge St. City, StateZip: Sanford, FL 32771 Name David C. Lundbe Phone: 407-744-7 766 Resident of property? : Yes Contractor Information f Street: 1709 Howell Branch Road City, StateZip: Winter Park, FL 32789 Name: Street: City, St, Zip.. Bonding Company: Address: Phone: 407-672-0001 Fag: 407-647-9332 State License No.: CCC 13 2 5 9 41 Architect/ Engineer Information Phone: Fag: E- mail: _ Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E"ROVEMENTS 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. 1 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 61° Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the p,xblic records ofthis 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 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 d zoning. Signature of Owner/Agent Date Signature of Contractor/Agent Date NoAyk G 012LEy Print Owner/Agent'sName 1 "', Vq6l81-rVW'Jblic State of FloridaWendyRBenson My Commission GG 121854 Expires 07/14/2021 Owner/Agent is Personally Known to Me or Produced ID , Type rya v110 C- 1,u 4u&56,-4-) Print Contractor/Agent's Name rg ature "OtHUblic JrteofFkftWendy R Benson My Commission GG 121854 OF o Expires 07/14/2021 Contractor/ Agent iso,)C Personally Known 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: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING COMMENTS: of Stories: Plumbing - # of Futures of Heads Fire Alarm Permit: Yes No UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst#2018125528 Book:9242 Page:1393; (1 PAGES) RCD: 11/1/2018 12:28:01 PM REC FEE $10.00 CERTI(iEJ COPY Gtr4t' NT IMA CY CLERK O!'1 `li:li,ti,.i€i{ XIlf„i r6. THIS INSTRUMENT PREPARED BY: 5E' i:L}/ i-LO FDA / Name: Liza Denton Ii K, Address: 1709 Howell Branch Road RY. ,.... fY CLERKaWinterPark, FL 32789 0at2 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 22-19-30-502-0000-1360 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. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Preserve at Lake Monroe PB 62 Pgs 12 -15 208 WillowbaV Ridge St., Sanford FL 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Dwayne Hurley 208 Willowbay Ridge St., Sanford, FL 32771 Interest in property: 1 ll Fee Simple Title Holder (if otherthan owner listed above) Name: V Address: 4. CONTRACTOR: Name: David Lundberg Building & Roofing Contractor Phone Number: 407-672-0001 Address: 1709 Howell Branch Road, Winter Park, FL $2789 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address. Amount of Bond: 6. 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 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 OR RECORDING YOUR NOTICE OF COMMENCEMENT. lh P ignature of Owner or Lessee or Owner's or Lessee's (Pnnt Name and Provide Signatory's Title/Office) Authorized OfficenOnector/Partner/Manager) State of County of The foregoing instrument Fas acknowledged before me this 3 day of G o 1 20 ` l by le-U Who is personally known to me 17 OR Name of p rs king statement 1 who has produced identification a of identification produced: X- µ0 ttt, Notary Public State of Florida Liza Denton My Commission GG 155996v1dExpires11/19I2021 Notary DAVID LUNDBERG BUILDING & ROOFING CONTRACTOR 1709 Howell Branch Read WINTER PARK, FLORIDA32789 We now SCOW 407) 672-0001 • (407) 647-9332 Fax VlswMastsrcardlDiscovedAmEx. r M1Ma CBC017995 CCC1325941 Ptease cell for dotaascwwwnueA - lundbergrvonn9aaol.can 2009.2015 tundbergroo ing.com PROFO AL SUBMITTED TD: PNnwF lHn: lie 4r/e N Y-7-'7Yy-771f6 STREETJJ / W, 20 O I/ /Jul G. 14 Q S t 1 JOBNAMC'ADC*% CRY, STATE AND ZIP F - 32771 AFTER A VISUAL INSPECTION OF THE JOB SITE. WE HERESY SUBMIT Shingle Roofing Remove existing roof andhaulawa an debris Dry in with Y- 1A (A, i - 4 14 Install new lead pipe flashing with squirrel guards and kitchen vents New save drip metal Install new galvanized steel valley metal Install algae resistant shingles u e /rry P 1,r,r<; / . Cwe 7 CIFICATK) rIS AND ESTIMATES FOR: Options: Single Ply Rooling Type of shingis Liilfol efV . fe, ...+ a t Remove existing roof and haul away all debris W cy-r4 AA y a f- ` er- 141( - / - Clean yard ftxwghly and sweep magnetically for Dry In with 43 lb. asphalt coated felt f nails f ry2 YEAR GUARANTEE ON Apply a sftle ply rubber soling system S) WORKMANSHIP AND LABOR Install new 2 lb. lead boot tta,hings Carpentry work is additional yy' QCj per man Install galvanized eave dnp metal hour, plus materials i _( ) YEAR GUARANTEE ON i FurnishandinstallnewalrytightsWORKMANSHIPANDLABORSize: Type - 4 Furnishandinstallwdgevent off ridgevents at Sy additional cost If applicable. c le for removal of J solar panels & feline dishes N01RENPO`i IRLE FOR _ Provide uniform mitigation inspection upon PLUMBIK Ok ELECTRi.CAL payment in full We Propose hereby to furnish mooned and Iebor - compMwy+ somidanoa wRh ebwo wed*Abon, tw the sum of f Ju Y eA dahrs taL1Peynwnttobe mob m foAws: Half down upon delivery of materials, balance in hilt upon complm*n Pilot }tides 00 taxes, dsflvery charges. Pemdts ens dump has. wea. otwwxrraw++p. ern..nw.ae..r..aam wXOP 4 na.w pi—, M OWr.iYl0. tiYMN aCIR 1.41. 111r1RYb1b HMV YiiM.WPVeN VdMr a Dew' Aulhorixed /1 ' wrMrrIWYOl wl wlrara. nr4ga>neh.MMMlraIINMMeiiii VwlYwewlkn- 0— M.W a\ 7"M. we ` aw.. w.wwrr wrxs ! 9 wq A AMi wI Mpa rwssswf wa.rwr. m.w.eAee vM+wraMgFRcAT:aMInM RO11W4 w w as . 0ar rAso. Nel'aThis preposomay be withdrawn by. 4 led within 10 days. n,.. M,re wires • r,.w w.. r rw us nW 4oco A;eceptauft of Proposal - nm abwe aaaw VftftWW* sw W. YIWIamrY VW wu I ..t KKww- Ym re es tea, lift 0aaat. ft O d vwHa iibtio orearAmrerrs-- -k f// 41 V - .. LIMITED POWER OF ATTORNEY Altamonte Springs, Casseiberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County. Winter Springs Date: 1 / 1 hereby name and appoint: an agent of: David C. Lundberg Buildincq & Roofing Contractor iyame of Com !any) i i j to be my lawful attorney -in -fact to act for to apply for, receipt for, sign for and do.all tl.ingsnecessarytothisappointmentfor (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: street Adcress) Expiration Date For This Limited Power Of Attorney: 1 2 / 31 / 1 8 License Holder Name State License Number: Signature of License Hi STATE OF FLORIDA COUNTY OF Oranges David C. Lundberg 27rZoA I The foregoing instrument was acknowledged before me this day off 201 '8 , by David C. Lundber or who has produced as identification and who did/did not take an oath.. Signature Notary Seal) spay aye Notary Public State of Florida Wendy R Benson 6, n` My Commission GG 121854Expires07f1412021 Wendy R. Benson Print or Type Name who is personally known to me/ Notary Public— State of Florida Commission Niumber GC 1I D K54 MY "'ommission Expires: 07/14/21 PERMIT # I & 44 City of Sanford Building Division Residential Re -Roof Scope of Work JOBADDRESS: 208 Willowbay Ridge St. 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): Wood PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK ISPERMITTED TO BE REPLACED ROOF VENTILATION: © OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT O TURBINES 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 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL QSHINGLE CertainTeed FL# FL5444-R1 3 O METAL FL# OMODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# OTILE FL# OOTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** 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# E - City of Saoa>ord:Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING Ri.QU1REMENTS - l" O PLAN REVIEW REQUIRED This document (signed) along with an accurate and comply, t:ed Residential Re -Roof Scope of Work are required to be submitted as part of'your permit. application. The Scopelof 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. ('opies will be made to post on the job site. Projects located in the Sanford Fistoric District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLL(:: Y & PROCEDURES A Final Roof Inspection is the only inspection rewired tbi, Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condomini inq) Re -Roof Permit; The Following is required to be provide. on the job site: Permit Card, posted in a conspicuous and weatherproof location I Completed Residential Re -Roof• Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval arid Corresponding Installation Instructions Product Approval shall matcli what is on the scop.° of work) Digital Photographs (must include the permit nUrnher or address in each picture) o Each plane of the roof, showing the underlayrnt:nt installed o Roof Deck Nailing Patt'ern:(! Spacing (1jnplUd.i..,-,;g a measuring device or ruler) I o Roof Deck Nails used ('including a measuring; device or ruler showing size of nails) 0 Underlayment Pattern &: Spacing (including a !.measuring device or ruler) Drip Edge & Valley Attachment (including a measuring device or ruler) Shingles installed, nail,ipartern and location )f.oails Skylights (if applicable) o Digital photographs sh©wing all installation components, per FL :Product Approval o Digital photographs showing all required f1a4mg, per FL Product Approval to follow these specific g tdel;ines will.result i. ;in affidavit provided by a Florida Designfinal (architect or engin r) elertifyin F;B+C cp.le compliance by personal inspection. TOR (OR OWNER/BUILDER) SIG A I U E: - DAl F : S I Sanfordr. Building and 1 Uzi. Prevention RESIDENTIAL RE -ROOF 1'VSPECTION AFFIDAVIT NAILING, SHEATHING. DRY -IN, FLASHMG, AND ALL FINAL ROOF COa} RING-. PERMIT#: 208 Willowbay Ridge St. Sanford, FL 32771 I David C . Lundberg — _ , AS A(N), GENERAL, BUILDING. I{ F.- DI: N I J_ OR ROOFING CONTRACTOR, ENGINEER, ARCHI I'D:'T. OF F.S. CHAPTER.468 BUILDING INSPECTOR, I HEREBY AFFIRM; 'Fi F+ i AI .L ;F THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROC FNG COMPONENTS LISTED ON THE SCOPE C 9 010' \T THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED N ACCORDANCE WITH THEIR PRODUCT APPROVALS AND AL . >I'I ;(, ISLE CODE REQUIREMENTS -SPECIFICALLY FLORIDA BUILDING CODE, EXISTINGBUILDING. IN ADDITION I CERTIFY THE 1NS1 4i _1.1I0N MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF TIII' ROOF DECK, IN ACCORDANCE WITH THE I -II I;.I IC:,A L: RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: CCC 1 3 2 5 9 41 COMPANY/CONTRACTOR: David Luridb" UILDER) ing -& Roofing Contractor/David C. Lundberj j I —CONTRACTOR SIGNATURE: 1 0_44_ MUST BE SIGNED BY LICENSE HOLDER OR 11_)WNER A FINAL ROOF INSPEC I70N IS REOUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT ' D:.ST BE PROVIDED AT TH F JOB SITE AT THE TIME OF THE FINAL RO+:ir INSP!::CTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS ( Fh'I:1 ti(t, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY Lth1 E1-1 (iV THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM A) I A lL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND N ALLEY FLASHING. PLEASE REFER 1.0 THE RE -ROOF POLICY AND INS 'L, A 10^, PROCEDURE PAPERWORK FOR FURTHER EXPI.ANAr10 \ OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN" A FAILED INSPECTION, A RE -'{I a5i'E:C"I ION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BAS 1, ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COI;NTY OF YAA)6;C Sworn to and Subscribed before me this c 7 _ day of L'` 20 by: r/ZiV)I7 L' u+wo; 1blho is (Personally .nolvn to me or has Produced (type of identification) Signature of N tary Public State of Flor a IN6N0Y de- &N-_'6AJ Print/Type/Stamp Name of Notary Public as identification. EKoo" 0%te of Florida n_ - 9GG 121854 oc+°21