1900 W 18 St - BR18-004506 - REROOFCITY OF NOV 12 2018
PERMIT APPLICATIONSXNFORD
BUILDING DIVISION -j
Application No: I C"m! d &
ca
Documented Construction Value: $ ` ^^ i Soo
Job Address: rg1 o o t. , le Sr Historic District: Yes Q No Parcel
ID: Residential P<ommercial Type
of Work: New Addition Altteration Repair Demo Change of Use Move Description
of Work: 1 & — 12 a %-- Plan
Review Contact Person: Phone:
Fax: Email. Title:
Property
Owner Information N
me C d(? /7 Phone: t f ° 7 -- 759-- l c%/ . Street:
Resident of ro? • I -5 r
ream_• City,
State Zip: 76:5 ci9 Contractor
Information Name
Phone: Street:
fD i 3 % J o !! ^^ G °^ LA.) C-1 City,
State Zip: _ V t l ° l Z3 Z909 0-
265 Fax:
v ' b9 - O 6 S State
License No.: 0 C C l / 6 q Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company. Address:
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 permitand that all work will be performed to meet standards of alllaws 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 ofthat date:6w 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 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 ofa 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 ofsubmittal. 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 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 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.
Signatur ofOwner/Agent Date
Print Owner/Agents Name
ao a,
Signature ofNotary -State ofMori a Date
ao
xr? CASSANDRA C GORDON
R
Commission # GG 187167
oFebruary25,
5014— Owner/Agent is i nally Ko I'"' Wd°°` "°W'
Produced ID Type ofID
Signature of Contractor/Agent Date
Pr ntractor/Agent's Name
Signature ofN - p on a Date
O PFV PV;"' ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
My omm. Ex re an 16, 2018
Contracto iynl r ersona mown e or
Produced ype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft ofBldg: . Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # ofAmps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ONO # ofHeads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTEWATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIREDEPARTMENT 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: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: % q V o t(% t it S
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: a REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: Pcl C'j UO b
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT ®TURBINES
SKYLIGHTS: 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 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
MODIFIED BITUMEN r 'i FL# 16 9'70 ' O
TORCH DOWN FL# OINSULATED
FL# O
TILE FL# 0OTHER: /
3t5 1 0- S e FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF
SLOPE: O LESS THAN 2:12 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# TORCH
DOWN QQ
I' T` " 1 FL# l 6 2-7-) 0 • I OINSULATED
FL# O
TILE FL# 0
OTHER: FL#
SEMINOLE COUNTY MULTIJURISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: %,)-/
t 1g
I hereby name and appoint:
an agent of.
of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
he specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: /r;-r
State License Number: C
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF a,c . ` na\
ec- 't
The foregoing instrument was acknowledged before me this 12'h day of
20 l - , by who is *personally known t me or
who has produced
as identification
and who diG, -
A_o d (
did not) take an oath. Signatur
of Notary C
co
5SANDRAC
GORDON c
Expires
Fetx>rarY, SG '_ '
C. rdQLn Print
or type Notary name Notary
Public - State of F1D,, A q Commission
No. GCS r6rl t G-1 My
Commission Expires: 2—'2S 20 ZZ
This agreement is made on this /,P -- day of doU r-m 4.W 20 Ir between
r,,; rn ! inS of
NM Address City
S 3 3.6 (Contractor)
State Zip Phone
and of 1100 w - 191
Name Address Cityfq- t LI °- (Client)
State Zip Phone
The above contractor will perform the following work as described in this agreement for $ Sao
w
in compensation from the client.
Job Description: , i Wor-
W t4—il ' a-kA
Ili" 5,rN .
Wont
ldL;
l tJ i (, P-, e--
IWorktocommenceon13 (1 c v Zv (Hand is estimated to be completed on 16 A °''' ?<tg
Date Date
Contractor: 49
Signature
Date: I -2 0 7,0T
Date: Z&/Ze
Grant Malloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018128566 Book:9247 Page:798; (1 PAGES) RCD: 11/13/2018 8:18:27 AM
REC FEE $10.00 CERTIFIED COPY GRANT MALOY
CLERK C1 ,'.I" OR ' ' CC' Fit
THIS INENT ddREPt
rSEMa' l "1QRII A j(Name " Address:Aa ;.
BVI
18
wml fUV-9 NOTICE OF.
COMMENCEMENT State of
Florida County of
Seminole Permit Number:
t' `(Sb, Parcel ID Number: 35 - 19-- 30-5'13-2060 - ()D-ct0 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.' DESCRIPTION OF
PROPERTY: (Legal description of the property and street address if available) sr - GENERAL
DESCRIPTION
OF Ii1Q{ROMENT: G — %(moo
O Address: 1
90 a lc/ / 4r-M _Jr% %0rW e`44 e!L 1 7 7 / Fee Simple
Title Holder (if other than owner) Name: Address: CONTRACTOR:
mes•
LJ
vr Na•:%/ {mil-v Address: 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)(b), Florida Statutes. Name: In
addition
to himself, Owner Designates To receive
a copy of the Lienor's Notice as Provided in Section 713.
13(1)(b), Florida Statutes. Expiration Date
of Notice of Commencement (The expiration date 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 VVITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties
of perjury, I decl ave read the foregoing and that the facts stated In it are,true to the
b t of my kno le ig rtdef. _ r wner'
s
S" nal a Owner's Primed Name Florida Statute
713.13(1)(g): ' e owner must sign the notice of commencement andno one else may be permitted to sign in his or her stead.' State of
County of T°nlifl0 The foregoing
instrument was acknowledged before me this a day of 0,)eA wa 20 I by Who
Is ersonally known to me Name of
person making statement OR who
has produced Identification type of identification produced: Y CASWIDRACGDONOR
Conxrdssion # GG
187167 Expires February
25, 2= a oQ
ao+aaan ewo.ro sar, ii(d'Y•( Notaryignature
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: /&, C604 ADDRESS: 1 4-1 0b 6,1 ` Gr
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION 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 #: C C C— J ( 6
COMPANY/CONTRACTOR:
J I
CONTRACTOR SIGNATURE: DATE: " 0, l O
MUST BE SIGNED BY LICENSE ILDER OR O E ER)
A FINAL ROOF INSPECTION IS REQUIRED:
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
Sworn to and Subscribed before me this ih day of A), jek ,b-e(2 20 L"a by:
Who is jP sonallyKnownto me or has Produced (type of
i Ttification) as identification.
r
Signature of Notary P blicY
State of Florida
1n- / E1_41
Print/Type/Stamp Name
of Notary Public
CASSANDRAC CORDON
Commission # GG 187167
Ex etiaiW4 2W
eaaadtmn rktn8W& s