223 Palm Pl - BR18-004213 - ROOFCITY OF
p t , ORD
DEPARTMENTFIRE
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I U qo, /3
Documented Construction Value: $ 6,888.00
Job Address: 223 Palm PI. Historic District: Yes No
Parcel ID: 06-20-31-505-01300-0120 Residential Commercial
Type of Work: New Addition Alteration[] Repair Demo Change of Use Move
Description of Work: Re -Roof CertainTeed Landmark Architectural Shingles 16sq.
Plan Review Contact Person: Saundra Bracken
Phone:407-878-3750 Fax:407-960-2612
Name Gerald & Beth Martin
Street: 223 Palm PI.
City, State Zip: Sanford, FL 32773
Name Brian Sikes Roofing
Street: 1550 S HWY 1792
Title: Office Manager
Email: BrianSikesRoofing@cfl.rr.com
Property Owner Information
Phone: 321-377-0125
Resident of property? :
Contractor Information
Phone: 407-878-3750
Fax: 407-960-2612
City, State Zip: Longwood, FL 32750 State License No.: CCC1325977
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 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: 61h 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 public 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 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 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.
Signature of Owner/Ag ate
664'4 /11 M", I-hA
Print OwnerhA_wEFids Name
Signature of Contractor/Agent Date
Print ContractaWent's Name
Notary Public State of Florida +l' e
Notary Public Stele of Florida
i Steven Campbell ,[` Steven Cam
My Commission FF 990959 } i My Commission FF 990959
OF #V Expires 05/1012020 ?a rielr Expires 0511012020
Owner/Agent is Personally Known to Me or Contractor/Agent is ersonally Known to Me or
Produced ID Type of ID Produced ID ype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: January 1, 2018 Permit Application
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #20181y16350 Book:9228 Page:714; (1 PAGES) RCD: 10/10/2018 12:26:12 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Saundra Bracken
Address: 1550 S Hwy 17 92
Longwood, FI 32750
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 06-20-31-505-OB00-0120
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)
223 PALM PL SANFORD, FL 32773 - LOT 12 BLK B
WOODMERE PARK 2ND REPLAT
PB13PG73
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof CertainTeed Landmark Architectural Shingles 16sq.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MARTIN, GERALD MARTIN, BETH - PO BOX 951360 LAKE MARY, FL 32795
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750
Address: 1550 S Hwy 17 92 Longwood, FI 32750
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
S. In addition, Owner designates
to receive a copy of the Lienors 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 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 OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Signature essea, orOwners or Lessee's (Print Name and Provide Signatory's TldeCfflce)
Drector/Partner/Manager)
State of F(I County of SC -WIN O LG
The foregoing instrument was acknowledged before me this day of Q 6C 05Fn, . 20 -y db
by
C LV /mow rf;"orWho is
personally known to me OR Name of
pe making statement who has
produced identification type of identification produced: v oP ^4
Notary PublItWW of Fbrlda Steven Campbell
Notary Sign t t r 1 h v i iv t Y My Commission
FF 9M59 IrLERK.Of'r 'RCUITCOURT a@n Exl*
eso5n)AN 012020 DO',E.
0 T; F RiDA . r 4Y -= DEPUTY
CLERK" Date .,._. W
C 1I
Product Approval Specification Form
Permit #
Project Location Address 223 Palm PI. Sanford, FL 32773
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.floridabuildin.g.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 Up
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 CertainTeed Landmark FL5444-R14
Underla ments Mid -States Peal N Seal FL17401-R4
Roofing Fasteners Grip -Rite 8d Rink Shank Coil Nails F1667-95
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 Flamm offridge & exhaust vents FL21580
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
Sk 4FORDBuilding &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-WORKARE -
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 OWNER/BUILDER) SIGNATURE: ,DATE: /&-'%-IP
CITY OF
ki4FORD
FIRE DEPARTMENT
JOB ADDRESS: 223 Palm PI. Sanford, FL 32773
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
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): Plywood
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'"
ROOF VENTILATION: Q OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE CertainTeed FL# 5444-R14
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
O OTHER: 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#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
Brian Sikes
A0q1M111G Inc.
1550 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 Fax: (407) 960-2612
Gerald Martin
223 Palm Pl.
Sanford, FL 32773
321) 377-0125
GeraldMartin8@gmail.com
PROPOSAL
DATE - • • ,
10/3/2018 1 9093
Contractor submits this proposal for work on the property herein described.
Upon acceptance, Contractor agrees to furnish labor and materials necessary
to improve the above premises in a good, workmanlike and substantial
manner according to the terms, specifications, prices and plans (if any).
Start and Completion: The approximate start date of and
approximate completion date of are subject to permissible
delays as per provision (5) on the reverse side.
Submitted by X Annroved and Accented (Contractor) Date
Remove existing shingle roof and underlayment to expose decking. 16 90.00 1,440.00
All damaged plywood decking if any will be determined at completion of tear off and will be replaced at a rate
of $60.00 per 4x8 sheet. (Price includes labor and materials.)
Additional damaged wood if any will be determined at completion of tear off and will be replaced at a rate of
55.00 per hour and the cost of materials.
Install 2 1/2in. 8D Rink Shank coil nails along all trusses every six inches to properly secure decking. 16 10.00 160.00
Install one layer of self adhering peal n seal underlayment over entire 2/12 pitch roof. 16 75.00 1,200.00
Install 2 1/2in. galvanized eave-drip around entire perimeter of roof. (Eave drip will have a baked enamel 250.00 250.00
finish)
Install two 4ft. off -ridge vents. 2 60.00 120.00
Install four loin. exhaust vents. 4 25.00 100.00
Install one 2in. lead boot. 1 15.00 15.00
Install one 3in. lead boot. 1 20.00 20.00
Properly fasten and seal flashing along all walls, eaves, valleys, vents, and boots.
Install limited lifetime CertainTeed Swiftstart starter shingles with a wind resistance of up to 130 MPH. 0.34 175.00 59.50
Install limited lifetime CertainTeed Landmark architectural shingles with a wind resistance ofup to 130 MPH. 15 225.00 3,375.00
Shingles installed with six nails per shingle.
Install limited lifetime CertainTeed Shadowridge hip and ridge shingles with a wind resistance of up to 130 0.66 225.00 148.50
MPH.
Ground will be swept with a magnet at the end of each working day.
Clean entire work area and haul away all debris.
7 YEAR LEAK WARRANTY (LABOR AND MATERIALS)
Price includes labor, materials, taxes and all permitting "fees.
Contractor shall provide all releases of lien from contractor, subcontractors, and material suppliers.
TOTAL $6,888.00
ACCEPTANCE OF PROPOSAL
This Proposal is approved and accepted. There are no oral agreements. The written terms,
C d lspecifications, provisions, prices and plans (if any) are the entire agreement. Changes will be X
made by written change order only. Credit cards may be subject to a 3% convenience charge. Appr nd epted(Owner) ate
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date
of this transaction. See Owner's Right to Cancel on the reverse side for details.
CITY OF
S/''jR t"' Building & Fire Prevention Division
11 VV 1..!! RESIDENTLAL RE-R OOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-4213 ADDRESS: 223 Palm Pl.
Sanford, FL 32773
Brian _,SkeI — AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR,E ZINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INF ION 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#: CCC1325977
COMPANY / CONTRACTOR: Brian Sikes Roofing
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 Seminole
Sworn to and Subscribed before me this _ day of C4 W/
r
20 18 by:
Brian Sikes . Who is X Personally Known to me or has Produced (type of
identifiicat':71--_ as identification.
gnature o Public
State of Florida
Steven Campbell
Print/Type/Stamp Name
of Notary Public
Notary Public State of Floridar4LnCampbell
mmission FF 990959s05/10/2020