1111 S Palmetto Ave - BR18-004550 - REROOFORp
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BUILDING
Fsr. tx
PERMIT APPLICATION
Application No: qSS__D
Documented Construction Value: $
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ob Address: /! No
2A
Parcel ID: / lf S Tc 'j d ' Residential 4 Commercial
Type of Work: New Addition Alteration Repair KrDemo , Change of U e Move
Description of Work: Ae
Plan Review Contact Person: x252/ Title:
Phone: a/f
Fax: W2-_,W9-1 ail: l ' b0, 6"f
Property Owner Information
Name S Phone:
Street:
City, State Zip: J FZ- 3;L771
Name
Street:
City, S1
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Resident of property?:
9'nntrar*nr Information
Phone:
Fax:
State License No::
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: 6' Edition (2017) Florida Building Code
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 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 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 and zoning.
Signature ofOwner/ ent Date Signature of Con Date
Print Owner/A nt's Name Print ontractor/Agent's Name
Signature ofNotary -StateState of Florida Date \ Signature of Nota State of Florida Da 4ff`` g D 0111 04th ,p $ rY tQ .J ; < /fi'>drQZMISSIGyF ' 25
25
Owner/Agent is Personally Kn tf*;* kontractor/Agent is Personall l*pwrift! nor ,
r
ZZ
Produced ID ° 3590 rrr .Q'roduced ID Type
ri,,i ••. l Bonded\'°:°
pU I S ACE s0ti
BELOW-1 '1Ir R-' \bEFICE USE ONLY
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:
10/16/2018 SCPA Parcel View: 25-19-30-5AG-1301-0080
CFA
Seriov t
Parcel Information
Property Record Card
Parcel: 25-19-30-5AG-1301-0080
Property Address: 1111 S PALMETTO AVE SANFORD, FL 32771
Parcel
Owner(s)
25-19-30-5AG-1301-0080
DIECKHAUS, HENRY III
Property Address 1111 S PALMETTO AVE SANFORD, FL 32771 —
Mailing 1111 S PALMETTO AVE SANFORD, FL 32771
Subdivision Name SANFORD TOWN OF
Tax District S1-SANFORD
DOR Use Code 0102-SINGLE FAMILY- SANFORD HISTORICAL DISTRICT
Exemptions 00-HOMESTEAD(2006)
117
Legal Description
f LOT 8 BLK 13 TR 1
TOWN OF SANFORD
I PB 1 PG 60
Value Summary __...._..__._.._.__...._._..._.-_-..._....._._.._.._._.____.._..__.......__
Values Values_--
2019 Working 2018 Certified !
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1 I
Depreciated Bldg Value 9 0
Depreciated EXFT Value —} $2100_ $2 150
6 Land Value (Market) $23 040 ? $23 040
Land Value Ag
a
Just/Market Value " $122,299 $118,870
Portability Adj
Save Our Homes Ad' $35,284 $33 645
Amendment 1 Adj 0 1 $0
I P&G Adj 0 $0
Assessed Value_— $87,015 ! $85,225
Tax Amount without SOH: $1,450.46
j 2018 Tax Bill Amount $818.97
Tax Estimator
Save Our Homes Savings: $631.49 4
Does NOT INCLUDE Non Ad Valorem AssessmentsI
Taxes i
i Taxing Authority Assessment Value Exempt Values. Taxable Value
County General Fund $87,015 } $50,000 ( $37,015
Schools $87,015 $25,000 $62 015
City Sanford $87,015 i $50,000 ; $37,015
i SJWM(Saint Johns Water Management) $87,015 $50,000 I $37,015
fCounty Bonds $87,015 ±
y $
50,000 # —— $37,015
Sales — I
I i DescriptionreIption --. DateBookage-- Amount Qualified Vac/Imp No
Sales Fob
comparablei j
Land_- Method
Frontage Depth Units Units Price Land Value i FRONT
FOOT &DEPTH !!-- 64.00 117.00 $360.00 I $23,040 Building
Information Is
Bed/Bath count incorrect? Click Here. T--
Year
Built Descnption --- Fixtures Bed BathjBase Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/
Effective I I
I 1 1 SINGLE j 1930/1980 i 3 i 2 { 1_0 ! 916 1,164 ( 1,087 ; WD/STUCCO $97,159 i $119,214 { I
i ! Description Area http://
parceidetaii.scpafl.org/Parcel DetailInfo.aspx?PID=2519305AG13010080 1 /2
10/16/2018 SCPA Parcel View: 25-19-30-5AG-1 301-0080
FIINISHNISH BASE 36.00
BASE 135.00
OPEN
PORCH 77.00
FINISHED
Permits
Permit # Description Agencyiiilli
Amount CO Date Permit Date
00484 CONSTRUCTING NEW DECK !SANFORD 2,499 12/21/2009
Permit data does not originate from the Seminole County Property Appraiser'soffice. Fordetails or questions concerning a permit, please contactthe buildingdepartment ofthe tax district Inwhich the propertyIs located.
Extra Features
Description Year Built Units Value New Cost
PATIO 2 3/1/2009 1 1,500 r $2,000
FIREPLACE 1 3/1/1930 1 600 1,500
hftp://parceldetail.scpafl.org/PareelDetailinfo.aspx?PID=2519305AG1 3010080 2/2
FLORIDA SALES: 85-8013708974C-0 Board of County Commissioners
FEDERAL SALESIUSE: 59-6000856 PURCHASE ORDER
S COMMUNITY SERVICES
H T 534 W LAKE MARY BLVD _
1 0 SANFORD FL 32773-7400
p
ORDER NUMBER: 43283
ALL PACKING SLIPS INVOICES AND CORRESPONDENCE
MUST REFER TOTHISORDER NUMBER
ORDER DATE 10/16/2018
REQUISITION 59337 - OR
REQUESTOR BALDUS,CYNTHIA
VENDOR # 354182
V PAT LYNCH CONSTRUCTION LLC ORDER INQUIRIESE909DENNISAVE
N ORLANDO FL 32807 PURCHASING AND CONTRACT DIVISION
D 1301 EAST SECOND STREET
SANFORD FLORIDA 32771
R ,
q , A /
I
h PHONE 407 665-71161 FAX 407 665-7956
f t f U ANALYST NICHOLS, ERIN
DELIVERY Joe Sandley 407-665-2376 Cindy Baldus 407-665-2361
ITEM # QTY UNIT ITEM DESCRIPTION UNIT PRICE EXTENDED PRICE
1FB-602172-15 H.DIEKHAUS ROOF-1111 S.PALMETTO AVE.,
SANFORD
Order in accordance with pricing, terms; and conditions of IFB-602172-
151GCM Term Contract for Roofing Repair and Replacement Services
1.00 EA for Residential Properties expiring April 8, 2019. CONTRACTOR MUST 0.00 9,280.00CONTACTJOESANDLEY407-665-2376 PRIOR TO
COMMENCEMENT OF WORK. A NOTICE TO PROCEED WILL BE
ISSUED BY THE COUNTY.
06671617.580833.00001
IFB-602172-15 H.DIEKHAUS ROOF-1111 S:PALMETTO AVE.,
SANFORD
Contractor shall provide actual hours used to perform the work (by
2.00 EA category of personnel), date and time work was started and completed, 0.00 5,700.00copyofsigned -off permitsi and a detailed breakdown of materials used .
to complete the work, including receipts/invoices for materials used.
06671617.580833.00001
G
THIS ORDER IS SUBJECT TO THE TERMS & CONDITIONS TOTAL AMOUNT 14,980.00
ON THE REVERSE SIDE OF THIS ORDER.
SUBMIT ALL INVOICES IN DUPLICATE TO: 1`
CLERIC -B.C.C. FINANCE DIVISION
POST OFFICE BOX 8080
SANFORD, FL 32772 j
Accts. Payable Inquiries - Phone (407) 665 7656 AU"THORiZED SIGNATURE FOR THE SEMINOLE COUNTY 80ARDOF COUNTY COMMISSIONERS
Page 1 of 1
Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018129803 Book:9249 Page:546; (1 PAGES) RCD: 11/15/2018 11:07:52 AM
REC FEE $10.00
CE FIEO CO GRANT MALOY
C RK OF T CI',JIT GCIURT
e
THIS INSTRUMENT PREPARED BY: U JfitP ?,,'ALE ,
Name: S Mt?OL U
Address: // qy, DEP CLERK
L_ 3M7 BY
Oate
NOTICE OF COMMENCEMENT
PermitNumber
Parcel ID Number.
U
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 descggtion of,}eproperty and street a4dress if available)
2. -GENERAL-DESCRIPTION OF IMPROVEMENT: v
3. OWNER INFORMATION OR LE§jSEE INKORI tlA (ly JF, LESS/EE"ONT C D FOR SHE IMPROVEMENT*
y. _Z7 Z
Name and address: vN ai v
Interest in property: (
Fee Simple Title Holder (dother than owner listed above)
4. CONTRACTOR Name' .p Phone Number
Address:
6. SURETY (if applicable, a copy ofthe 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.
Phone Number.
8. In addition, Owner designates of
toreceive a copy ofthe Uenor's Notice as provided in Section 713.130)(b), kbrida 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 ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713:13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
r
Sgnetwe or orLessee, ar s orl.essea's nt de Signatory'sTttleroftice)
Autl o e omcerlDireaodPartneeMane9M
State of r`,3"(2- b County of —
The foregoin frumentwas acknowledged beforefore ma :Ws day of
by lAiifa )y' V ` o'u's . ho is pets atly knovm to me OR
who has produced identification type of
z0 9
Off 113690
10/16/2018 parceldetail.scpafl.org/FootprintPage.aspz?PID=2519305AG13010080&BLDGNO=1 &PAGENO=1
Parcel: 25-19-30-5AG-1301-0080 Building No.: 1 Page No: 1
9
sti) Pe
BAS 15135sf
BAS 6
36 sf
2 6 2
Sketch byApex Sketch
http://parceldetail.scpafl.org/FootpdntPage.aspx?PID=2519305AG13010080&BLDGNO=1 &PAGENO=1
This Instrument Prepared By:
Lonnie N. Groot, Esquire
Stenstrom, McIntosh, Colbert,
Whigham, P.A.
1001 Heathrow Park Lane, Suite 4001
Lake Mary, Florida 32746
Return To:
Ms. Christine Dalton
Historic Preservation Officer
Planning and Development Services
City Hall
300 North Park Avenue
Sanford, Florida 32771
Tax Parcel Identification Number: 25-19-30-5AG-1301-0080.
HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD DEVELOPMENT
ORDER RELATING TO 1111 PALMETTO AVENUE AND ISSUING
CERTIFICATE OF APPROPRIATENESS
The Historic Preservation Board (HPB) of the City of Sanford issued this
Development Order issuing a Certificate of Appropriateness relating to and touching
and concerning the following described property: 1111 Palmetto Avenue, which is
assigned Tax Parcel Identification Number: 25-19-30-5AG-1301-0080 assigned by the
Seminole County Property Appraiser.
FINDINGS OF FACT
Property Owner/Applicant: Henry Dieckhaus, III
1111 South Palmetto Avenue
Sanford, Florida 32771
Project: To replace the existing shingle roof on the addition with new shingles, and
re -roof the main building with a clay Spanish tile roof relative to property located at 1111
Palmetto Avenue.
Requested Development Approval: The applicant has requested Board approval to
replace the existing shingle roof on the addition with new shingles, and re -roof the main
building with a clay Spanish tile roof relative to property located at 1111 Palmetto
Avenue.
Additional Findings: The project is located at 1111 Palmetto Avenue in the Old
Sanford Residential Historic District. The applicant has requested approval to replace
the existing shingle roof on the addition with new shingles, and re -roof the main building
with a clay Spanish tile roof relative to property located at 1111 Palmetto Avenue.
The Seminole County Property Appraiser lists the year of construction as 1930 with
alterations in 1980. The architectural style of the house is Spanish Eclectic. An addition
was constructed several decades ago, prior to creation of the historic district. The
addition has a gabled, shingle roof.
CONCLUSIONS OF LAW
a). Pursuant to Section 8.0 of Schedule "S" of the City's Land Development
Regulations as set forth in the Code of Ordinances of the City of Sanford, the Historic
Preservation Board has reviewed the proposed Certificate of Appropriateness and all
matters relating thereto in accordance with the procedures for altering historic
landmarks or structures within historic districts as set forth in Schedule "S".
b). Specifically, Schedule "S" states that
i). The original roof shape and material of the principal and accessory
buildings shall be retained if it is in good condition or repairable.
ii). Deteriorated roofing material shall be replaced with new material that is
consistent with the style of the structure, and shall be similar to the existing or original
roof in composition, size, shape and texture, except in the case of asbestos shingles,
which may be replaced with new materials, such as fiberglass shingles, cement fiber
tiles or shingles, or clay tiles that are similar to the original roofing. All shingles shall be
2
architectural.
iii). Roof repairs are allowed only if the new roof matches the existing in
material, shape, texture, design, dimension, color, and other identifying features.
iv). Architectural features that give the roof its character, such as dormers,
cornices, towers, decorative brackets, eaves, chimneys, parapets, and exposed rafter
ends shall be retained or replicated and not concealed.
v). Roofs on additions shall have similar shape, materials and pitch as the
existing structure. New features, such as skylights or solar collectors, shall be flush with
the roof and shall not be installed on roofs visible from the public right-of-way.
vi). Roof vents shall not be located on a primary fagade visible from the right
of way.
vii). A flat roof that is not visible from the ground may have a different material
than the rest of the existing roof.
viii). All pitched roof planes shall match in material, shape, texture, design,
dimension, color, and other identifying features.
ix). Plastic roofing membranes shall not be visible from the right of way.
x). Metal roofs shall be appropriately maintained at all times. It shall
constitute prima facie evidence of a nuisance for a roof to show evidence of significant
deterioration (such as rust or other corrosion). It is prohibited and unlawful to allow a
metal roof to be in a nuisance condition.
xi). Metal roofs shall be standing seam, stamped metal shingle, full
corrugated, 5V crimp or must simulate the appearance of standing seam.
xii). Metal roofs may be copper, galvanized, silver or gray in color, or otherwise
3
simulate a historic patina.
The materials of the roof addition do not match the original, historic structure. The
gabled, shingle addition was constructed prior to creation of the historic district and
does not comply with the current design guidelines, which state that roofs on additions
shall have similar shape, materials and pitch as the existing structure, and that all
pitched roof planes shall match in material, shape, texture, design, dimension, color,
and other identifying features.
c). The proposed work is consistent with the purpose and intent of Schedule
S" and complies with the design guidelines in Schedule "S" and is in character with the
surrounding Historic District, the required architectural standards, and will not adversely
impact the Historic District. It is found, however, that a special circumstance exists in
that the addition (structural integrity) will not support a clay tile roof.
d). To the extent that a conclusion of law as set forth herein also constitutes a
factual finding, then such shall be taken to be so as part of this Development Order.
d). The proposed Certificate of Appropriateness is hereby found and
determined to comply with the aforestated requirements.
e). Additionally, the Certificate of Appropriateness sought is hereby found and
determined to be consistent with the City of Sanford Comprehensive Plan and
development of the property as proposed would be consistent with. and in compliance to
applicable land development regulations and all other applicable regulations and
ordinances as set forth in the Code of Ordinances of the City of Sanford.
4
JOINDER AND APPROVAL OF CONDITIONS BY PROPERTY OWNER
IN WITNESS WHEREOF, the subject Property Owner has signed and sealed
these presents the day and year written below and AGREES to all of the terms and
conditions of this Development Order the undersigned named persons having full
authority to execute this document.
ATTEST. -
Signature of Witness
Printed Name:
A01,)m
Signature of Witness
Printed Name: ArVSrrvZ-?*-rVAJ
HENRY DIECKHAUS, III
i
Henry Dieckhaus, III
ACKNOWLEDGMENT
STATE OF FLORIDA ) L, j;o
COUNTY OF SEMINOLE )
I, the undersigned authority, a: Notary Public, in and for said State at Large who
is authorized to take acknowledgments, do- hereby certify that Henry Dieckhaus, Ill,
being duly sworn, acknowledged before' me"that he executed the foregoing document,
said person being personally known to me, on this day that he, being informed of the
contents of said instrument, he executed the same voluntarily. Given under my hand
J
and official seal this' day of August, 2018.
N ARY PUBLIC
My commission expires:
JORDANS.8MITi1
2o CommissloOGG22128 N
a Expires June 11, 2022 fFOFf
OP` Bonded R" Budget NohrySolvbO!
NOW, THEREFORE, IT IS ORDERED THAT:
1). The aforementioned application for a Certificate of Appropriateness is
APPROVED.
2). This Development Order granting approval of a Certificate of
Appropriateness touches and concerns the aforedescribed property and is subject to
code enforcement action in accordance with the controlling provisions of law.
Done and Ordered on the date first written below.
As approved and authorized for execution by the Historic Preservation Board of
the City of Sanford at its meeting of August 15, 2018.
ATTEST. • HISTORIC PRESERVATION BOARD
A) V
Traci Houchin, City Clerk
Jennifer Golloway, Board Clerk
OF THE CITY OF SANFORD
lmmy Ag,nini, , airman
ust 15, 2018.
ADDITIONAL SIGNATIK FOLLOWS:
R
CITY,OF
SkNFORD Building &Fire Prevention Division
RESIDENTIAL REROOF 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 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/O.R.CONDOMINI.UM). 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), CEIRTHWEVG FBC CQDiF, COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) DATE: /D
Skl FOIRD
FIRE DEPARTMENO
PERMIT#
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: eSINGLE 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):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE WSTING DECKIS PERMITTED TO BE REPLACED*
ROOF VENTILATION: O OFF -RIDGE O RIDGE eOFFFF OPOWERED VENT
SKYLIGHTS: O YES IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: WESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE % FL#
OMETAL FL#
e
MODIFIED BITUMEN ft FL#
O TORCH DOWN FL#
OINSULATED FL#
C% f} 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
SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0 OTHER: FL#