340 Conch Key Way - BR18-004480 - REROOFdw ."44
Job Address:
PERMIT APPLICATION
t8
Application No: Li
Documented Construction Value:$_45975_
77
Historic District.- YesEl NoF1
J V
Parcel ID-C' Cxx.*a I \qC) I ri 31 5D Residential 0 Commercial n
Type of Work: New n Addition [I Alteration Repair [I Demo[] Change of Use9 El
Description of Work:
Plan Review Contact Person:Cst(-4t>nTide:—Okce
Phone: -6-Sm 7,2_ Fax.
V
Email: Llq%Uoe "a' 1, comet Property
Owner Information U
Name
VIfY-A Phone: Street: '
2b CC Resident of property?: City,
State Zips Contractor
Information Name /
Jri tA ' V.,Sf) Phone: ACA anStreet,
I---
b (
h) D,_ Fax: City,
State Zip: J& State License No. Name:
Street:
City,
St, zip: Bonding
Company; Address:
ArchitectlEngineer
Information Phone:
Fax:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOT10 ____,-jGi-4-,V.MAY RESVLTIN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC,_E6f COMMENCEMENT musT BE REcoRvED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE REC _ . ORDINGYOUR 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 cix-nniericcdprior totheissuanceofapermitandthatallworkKillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. J understand that
a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
101
L125
FBC 105.3 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 may be found in the publicrecordsofthiscounty, and there maybe additional permits required from other governmental entities such as water in-anagemcrit districts, state
agencies, or federal agencies.
Acceptance of permit is verification that ] will notify the owner of the property of the requirenicrit5 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 thejob at the time ofsubmittal, The actual construction value
will be.figured based on the current ,IC(.Valuatioll,.J'able in effect at the time the permit ,is i5s"vd,inaccordance with local ordinance. Should calculated
charges figured offthe 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 that4ll of the foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
45igofOw,WA;gertt Date
Print Owner/Agent's Name
Of
A Commission # FF993549z ,
Expirett May 17, 2020
30M Thri Troy Fain Insum(H
Owner/Ave._I ifi'lrlw
Produced ID X Type of ID k—=
gg
ofSignatureof Contractor/ , t Vale
7— yew, 6
Print Contractor/Agent , VName
RETrTHOMAS
Commission # FF 993549
7f plre3 May 17,2020
Bonded Thru Troy Fain InsuraraContractor/Agent is ......... - KA
Produced JD Type of ID
Permits Required-, Building F] Electrical 0 Mechanical F1 Plumbing E] Gas 1:1 Roof -1:1
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 El No n # of Heads Fire Alarm Permit; Yes [] No E]
APPROVALS: ZONING.:
ENGINEERING:
COMMENTS:
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County FLInst #2018102570 Book:9206 Page:283; (1 PAGES) RCD: 9/10/2018 9:45:48 AM
REC FEE $10.00
This Instrument Prepared W.
Name uorcwarwanarbewmm•mmmaurma
Addre$q.nra. w..aea.e.mwmmmr
taennil Pb.
NOTICE OF COMMENCEMENT
STATE OF Florida
COUNTY OF
Tax Fofio No.M-11=3tr ` 01 r 6wo+ 11q0
THE UNDERSIGNED he" gives notice that IMPMCmerrt will be madeto certain test property. and in accordance with
Chapter 713, Florida Statutes, the following infamlatlon Is provided in this Notice of CommencemenL
1, Description of property: (legal description of property, and street address 0 available)
L61C %\*t r;06\CrVI ?C-I5
Z, General des"don of Improvement
3, Owner information or Lessee Information itthe Lessee contracted for the Imprwe+nenr: F ( a L 7 7 %
a. Nam and arktress:'S1 eh{ 1: SIJt - &{O cor.Gh k.cY w Swr
b, interest In OroPefV'
c4 Name and address offee simple titleholder (ddifferent from owner fisted above}
4. Contractor
a. Name and address: Loyd Roofing and Cor*tWion 4740 Mahan orTebtmame, Ftwida 32308
b. Phone number850 728 8101
5, Surety (fapplicable. a copy of the payment bond Is attached):
a, Name and address: WA
b, Phone wnber. WA
c, Amount of bond S
0, Lender:
a, Name and address: WA
b, Phone mlrnberWA
7, Personswithin the State ofFlorida designated byOwner upon whom notices Or oOter documents may be served asprovided
by Section 713.13(1)(a)7., Florida Statutes:
a. Name andaddress:WA
b Phone numbers of designated person MA
8, in addition to himself, Owner designates the bilowing persons) 10 receive a copy of the Licmes Notice as provided in Sedan
713.13(1)(b). Florida Statutes:
a, Name and ad*esa:WA
b, Phone number of person orentity designated by OwnerNfA
9, Expiration date qj npticeror_coMmencenent ghe expiraBm date will bet year from the data of recording unless a dHerert date
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OFCOMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713. PART I, SECTION 71313, FLORIDA STATUTE& AND CAN RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS To YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO ON THE 6 SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TD OBTAIN FINANCING, CONSULT WI YOUR OR AN ATTORNEY SUCRE
COMMENCING WORK OR RECORDING YOUR NOTICE OF fX1MMENC B4T.
S f Lea s or Lessee's
cer/DirectorlPmfrmerlMomager
Slgnatory/sTOfe/OMcQ —
Thg forego ng Instrument was acknowledged before me this —!1-4 day Of e,lot/ . 2 S(year) by 1"
G.ZiwiL (name of persmt) as (
guft**, .. a g, oliiCelltt'0*1e attorneyinf84for (name of party an beha0
of whominstrument waS executed). _ Signature
of Notary Pudic d Fladda /a nr '
COLBERT KENT HAMILTON Print Type. or stamp Co mxmed Name of Notary Pudic 1.`' (
bnuttission#
CiG 188T79 Commtaslon Number Z4, ti } s
T:=kyi+•• >j9 C mJ :
tiy'+` ExpiresFebruary1521MPersonallyKnown _ or Produced Wentifcatiomm h r
Boded Thru TmyFilmInsurams 600385-7019 NOTE:
This statutory form was revised by the 20,12Florida Legiafature and
has an effective date of October' 1. 2012 gip` x: G J
7
sz,
Q ;/
CITY OF
S,NFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
t:lIif' 00ART&IENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: h
I `
AS A(N) GENERAL, BUILDING, RESIDENTIAL, ORROOFINGCOli"IRACTO GII`?EER, ARCHITECT, of F.S. CHAPTER 468 BUII.,DING INSPECTOR, I HEREBY AFFIRM, "INA'T ALL OF THEFOREGOINGINFORMATIONISTRUEANDACCURATE4NDTIiATALLROOFINGCOMPONENTSLISTEDONTHESCOPEOFWORKATTHE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODEREQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALLREQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOrMEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFITMANUALREQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: Ll—CC LCi55
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE. -
MUST BE SIGNED BY LICED
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: W—ZE_
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 I.N 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 ANDOVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS.
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 PERSONALINSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OFG
Sworn to and Subscribed before me this a2 day of 4*e'41u 20 S by:
f u Who is, t., Personally Known to me or has Produced (type of
identification)
Signatureof Notary Public State
of Florida Print/
Ty ]StampSame of
Notary Public as
identification, rye
BREUTHOMAS Ccrrmisalon
I FF 983549 off-
expiroi May 17, 2020 dn"•:
3 nGwTrr Troy Fein Inau inte b00483.1019
CITY OF
Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURESSkNFORDFIREDEPARTMENT
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 OWNER/BUILDER) SIGNATURE
k4l-
DATE:
CITY OF
SANFORD
F11RF DE PARThrlEN7
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFSCOPE OF WORK
STRUCTURE
TYPEJRF-CovER
INGLE FAMILY RESIDENCF:/TOWNHOUSE O MOBILEHOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE:PLACEMENT (TEAR OFF FfiISTING ROOF AND REPLACE WTfH NEVI' COMPONENTS)
NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Pl'
PLEASE NOTE: ONLY 100 SQUARE FED OF THE EXISTLVGDECK IS PF.RMI7TED TOBE REPLACED**
ROOF VENTILATION: DOFF -RIDGE UIJRTDGE OSOFFIT OPOWERED VENT
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 V) 4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE O FL#
OMETAL FL#
OMODIFIED BITUMEN FL#
O TORCH I?OWN FL#
OINSULATED#
O Tu,E FL#
OOTHER: FL#
ROOF EA'TENSIONS (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#
OMETAL FL#
0MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FI-#
O Tn E FL#
OOTHER: FL#
Lju""V"
7E200PING jz, i-ONSTRUCTTC?N
4740 Mahan Dr.
Tallahassee, FL 32308
Work Authorization & Direction of Payment
Dater
Name:_
Address:
Phone:
Both Lloyd Roofing and Construction, In . (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 o payment from the insurance company.
2. Estimate: Both LRC and Ow er agree that, per this contract, if the insurance company approves
the claim LRC will perform t e work listed in the estimate for the dollar amount agreed upon by
both LRC and the insurance ompany.
3. Additional Dama es and/or rades: Owner agrees that they are responsible for any damages
that are not covered under he insurance policy and that amount will be collected by LRC. The
owner is also responsible to pay LRC directly for,. ny upgrades chosen by the Owner.
4. Payment: Owner authorizes Insurance company to pay all
proceeds due LRC, under th it policy directly to Lloyd Roofing and Construction, Inc, and any
mortgage company named.
S. Deductible: Owner aV ps t pay Lloyd Roofing and Construction, Inc. their deductible in the
amount of Z019 upon completion of all roofing work.
s
Lloyd fing and C Inc. Rep: 17
Insurance Company:_
Claim Number:
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTION 713.001-713.37. FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS
AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO EN ORCE THEIR CLAIM FOR PAYMENT.AGAINST YOUR PROPERTY, THIS CLAIM IS KNOWN AS A CONSTRUCTION
LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TOP Y SUBCONTRACTORS, SUS -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED
MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF OU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR
CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. I M MEANS IF ALIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAMT YOUR WILL TO PAY FOR LABOR,
MATMALS, OR MH€R SERVICES TVAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS
CONTRACT THAT BEFORE ANY PAYAIENT 15 MADE, YOUR CONTTV CTOR I5 REWIRED TO PROVIDE YOU WITH AWRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY
iHAT HAS PROVIDED TO YOU A "NOTICE TO OWNER.* PLORIOA` I CONSTRUCTION LIEN LAW {S COFAPLEX, AND IT 15 RECDMATNDED THAT YOU CONSULT AN ATTORNEY.