214 Willow Bay Ridge St - BR18-004672 - REROOFt Okq
BUILDING DIVISION
Job Addre:
Parcel ID:
PERMIT APPLICATION
Application No: I Y — `7 (_,-7
Documented Construction Value: $ R.,,Z S
Historic District: Yes No[]
Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work
Plan Review Contact Person: Title: 0-M2e o?cwar
Phone: &50 7 i qigiu Fax: Email: Liu (Cl ydd A"q d`PAi e - Yi'.c.' I. co n
Property Owner Information
Name 1911ki-q_ LS ,,,197
Street: 214 W.\56jn GW
City, State Zip: 54/ -A d 61- 3,2 77/
Resident of property?:
Contractor Information
Name _ kT l v Cx f-m ri-a (c> tr .-fir `w— Phone: eq 50 7,9- E) EA di
Street: 97VO !' a he.^ .l7r Fax:
City, State Zip: / a f,,-.e, #::,t _Y??d 8 State License No.: C( 13-ciSs e/
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 ofall 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 M3 Shall be inscribed with the date of application and the code in effect as of that date. 61° Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public
records of this county, and there may be additional permits required from other govemmental entities such as water management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I tall notify the owner of the property ofthe 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 'rabic 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.
ZZ" fA Z=d
Signat c pwncr/Agent Irate
shky S,H.
Print Ot /Agent's Name
Signature of Notary -State of Florida Dat
Owner/Agent is X_ Personally Known to Me or
yF COLBERT KENT HAMILTONCommissiontiGG186779
Expires February 15, 2022
Banded 7M Troy Feln Inttama 000.3t1S7010
T' /,2 Z3 /
Signatureof Dote. r/ nt ate
Print Contractor! enl s Name G
ig
a'
p
stun of Notary -State ofFlorida Date qb
Contractor Agent is Personally Known t t'p•.,:
Produced ID ype of ID U: ' a.
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 Fire Alarm Permit: Yes No
APPROVALS: ZONING:
COMMENTS:
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
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Canbtdor. IN
Nama der add==.. j1cy;[jRccfmp and Centbudian 4740 NW= Dr TeOahasaee Florida 32308 b. PA.= nwnber N 728 e1o1 CER f:V: , CrVI GF -`': • B.
Surely (0 aWllubla a copyof the payment bard Is eeadm4: CLE Rr ci '" i 00 1,, ? ' a.
Name and address ova b,
awronaroerNIA SEN;i;J:JL' l'i !f,
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Name der adds : WA Oate b: Phone mt twMA 7.
Persona rM M the Stab of Fh1Ada ddpnrdad by Owner up- afwm no0ras a other doosnards nW be carved as omiWded bySection713.13(1)(e)7., Florida Bbades S.
Naneartdaddmss:WA b.
Phap m otm of deaVaned Patsora"A a.
In sddfbn to hIrosalL Ownerdeslpnabs 00 fo VAV Pdaen(s) b rerelve a copy of Oro Umds Notice as provided In Sadian 71A13(1,(W. Florida SWAM. a,
NO and addrema"A b.
Flo tLx of person m en0ty deslpneted by Ownw."A 8,
E dabpt rSplloe of cpmmanarnattMe a*rsdcn date rdll bat yen fan do date of reoa I urtecs a aftmt dab WARNING
TO OWNER: ANY MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713. PART I. SECTION 713.13, FLORMASTATUTES, AND CAN RESULT IN YOUR PAYWG T ICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INS?ECTIOIL IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMIMENCENGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. a4;
616 WWlhmatumarLeLme.
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trnhmwd ma admwj&dped before no 049k day of / Vvat isr, 2 -_!& 6.0 by J&fjo- name ofperson) as ce sumority....e.
p. offim. 0%wee. attorney In fact) for (nwe d an of whomInsburedwasaxaardad). r• of
Notary Ptift -S= of Florida QBRETTT80W 4e«
a TYPO. w Comntssloned
Name
of Notary Public 8m&drM"
Fa7 C dWW#FF280"f)ZParsona0yKnorer_orProducedIdaddlc wQ NOTE: This
statutory form was revised by the Will Florida Uglafature and has
an eNective date of October 1. 201L
C)FING 6rSC r ' -" 4740
Mahan Dr. Tallahassee,
FL 32308 Work
Authorization & Direction of Payment Date:
NaME
AddrE
Phonf
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. roves
2.
Estimate: Both LRC and Owner agree that, per this contract, if the insurance company approves theclaimLRCwillperformtheworklistedintheestimateforthedollaramountagreeduponbyboth
LRC and the insurance company. 3.
Additional Damages and/or UpKrades:_Owner agrees that they are responsible for any damages thatarenotcoveredundertheinsurancepolicyandthatamountwillbecollectedbyLRC- The C
direct) ownerisalsoresponsibletopayyjjox- any upgrades chosen by the Owner. Insurance
company to pay all 4.
Payment: Owner authorizes p /ram i 2t1 proceeds
due LRC, under their policy directly to Lloyd Roofing and Construction, Inc. and any mortgage
company named. f-
nd Construction Inc. their deductible in the 5.
Deductible: Owner agre to pay Lloyd Roo-5 a amount
of , upon completion of all roofing work. Lloyd
Roofing v Constr Insurance
Company: Claim
Number: M:
CORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 71 J-001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE "TERtALS AND
SERWES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FJR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION Li&.
IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS. SUB•SUBCONTRAcTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE Who ARE OWED WDWYMAYLOOKTOYOURPROPERTYFORPAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL- IF YOU FAIL TO PAY YOUR CONTRACTOR. YOUR VKTRACTORMAYALSOHAVEALIENONYOURPROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, ATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY KAYE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPUL 01 WTRACTTHATBEFOREANYPAYMENT15MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF UEN FROM ANY PERSO4 OR ATHASPROVIDEDTOYOUA "NOTICE TO OWNER-" FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTOR
CITY OF
SANFORD Building &Fire Prevention Division
RESIDENTIAL RE-ROOFPOLICY & 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 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, S140WING 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 BV A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:
E COMPLIANCE BY PERSONAL INSPECIION.
DATE: 42 i / 8
CITY OF
SkNFORD
FIRE DEPARTMENT
PERMIT #
Building A Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: z q ty?Sw bLk W_ SS
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: LACEMENT ('FEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECWY)' i N
PLF-ASF. NrnF-- OM.Y 100 SQUARE F§tT OFTAE FXIS77NG DF_CS IS PF.RMI7TF.D TO HE RF.PI-ICED**
ROOF VENTILATION: OOFF-RIDGE RIDGE OSOFFIT OPOWERED VENT OT M NES
Sk-I'LIGATS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 1§ 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PnR,ODUCT APPROVAL
SHNGLE C, FL # 7L • '
OMETAL FL#
O MODIFLED BITUMEN FL#
O TORCH DOWN FL#
OINSUL.ATED FL#
O TE FL#
OOTHER: FL#
ROOF EXTF,NSIONS (PORCHES, PATIOS, ETC) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF NLUNTUFACTURER FLORIDA PRODUCT' APPROVAL
O SHINGLE FL#
O MLTAL FL#
OMODIFIF[ED BMJMEN FL#
OTORCH DOWN FL,#
O INSUL.A7ED FL#
OT LE FL#
OOT14ER: FL#