2553 Oak Ave - BR18-004229 - REROOFSPrfOR j,.o
PERMIT APPLICATION
BUILDING DIVISION
Application No:
Documented Construction Value: $ l
Job Address: _ oL-ty'-/UJ' Historic District: Yes Nod
Parcel ID: %` - 0 - -7.0 - 313 d Residential commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description ofWork: r)f=
Plan Review Contact Person: -0bif h. to C- Gti1 Title:
Phone: wsg - I 3' l Sf 2— Fax: 32/- 2-a 7 -ay31 Email:Tab i M 0, ot rt c.j!; CimgiI. C d V-4
QProperty Owner Information
Name 4v (S
h
Street: r) U, S lDLq
City, State Zip:
Phone:
Resident of property?: A&
Contractor Information
Name Ati.PS UC)I'1 / __-- Phone:
Street: ( 4- , 1--, LN) Fax:
City, State Zip: 1 j
f V
State License No.: 7'
Arc ct/Engineer Information
Name: Phone:
Street:
City, St, Zip: _
Bo ng Company:
Address:
Fax:
E-mail:
Mortga Lender:
Ad ress:
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 9
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: 61 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 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.
G0- 3-i 8 I0.- 3-1 6
ignature of Contractor/Agent Date
Gln d
Print Contractor/Agent's Name
Sig .u1.:so'..S*...
1pFY p TABITHA MCAULEY
State of Florida -Notary Public
Commission # GG 125800
Co AIM, gemyisommlfsep ia y Kn wn to Me or
Pr p o
BELOW IS FOR OFFICE USE ONLY
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
SCPA Parcel View: 01-20-30-506-0000-3130 Page 1 of 2
cy Property Record Card
P Parcel: 01-20-30-506-0000-3130
sEia aREoounnv.ra wx Property Address: 2553 OAK AVE SANFORD, FL 32771
Parcel Information
Parcel 01-20-30-506-0000-3130
Owner(s) ANDERS, LOUIS K
PANDERS, BETTIE J
Property Address 2553 OAK AVE SANFORD, FL 32771
Mailing 1035 WINTER SPRINGS BLVD WINTER SPRINGS, FL 32708
Subdivision Name WOODRUFFS SUBD FRANK L
Tax District S1-SANFORD
DOR Use Code 0804-MULTI FAMILY 4 UNITS
Exemptions
3 1
w ;+...
a Sp.
CD
U-)
O
31 ~j
127.5
Legal Description
S 41.50 FT OF LOT 313 & ALL LOT
315 & W 1/2 OF VACD ALLEY ADJ ON E
FRANK L WOODRUFFS SUBD
PB3PG44
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 181,541 169,954
Depreciated EXFT Value
Land Value (Market) 22,000 16,000
Land Value Ag
s
Just/Market Value "" 203,541 185,954
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 6,665 6,976
P&G Adj 0 0
Assessed Value 196,876 178,978
Tax Amount without SOH: $3,453.00
2017 Tax Bill Amount $3,453.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 196,876 0 196,876
Schools 203,541 0 203,541
City Sanford 196,876 0 196,876
SJWM(Saint Johns Water Management) 196,876 0 196,876
County Bonds 196,876 0 196,876
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED
QUIT CLAIM DEED
7/1/2000
12/1/1998
8/1/1998
03894
03554
03478
0301
0146
1503
v
134,900
100
125,000
Yes
No
Yes
No
No
No
Improved
Improved
Improved
Improved
Improved
Improved
WARRANTY DEED
WARRANTY DEED 9/1/1991
9/1/1991
11/1/1990
02338
02338 —
02238
0
0972
0970 _
1177
82,000
100
98,000
QUIT CLAIM DEED
Y ~ M
CERTIFICATE OF TITLE
WARRANTY DEED 1/1/1985
W
1217 165,000 Yes Improved
Method Frontage Depth Units Units Price Land Value
LOT 0.00' 0.0011 22,000.001 $22,000
http://parceldetaii. scpafl.org/ParcelDetaillnfo-aspx?PID=01203050600003130 9/24/2018
SCPA Parcel View: 01-20-30-506-0000-3130 Page 2 of 2
Building Information
s tseattsam count Incorrect e iit;K nere.
Description Year Buitt Fixtures Bed Bath Base Area Total SF Living +
6B
Wall Adj Value Repl Value [AppendagesActual/Effective
1
FAMILY^
0 U ITS
1985 24 I 4 I 6_0 1,898 4,472 3,SHUCCO $181,541 $211,094
Permits
Description Area
OPEN
PORCH 104.00
FINISHED
OPEN
PORCH 104.00
FINISHED
OPEN
PORCH 130.00
FINISHED
OPEN
PORCH 104.00
FINISHED
OPEN
PORCH 104.00
FINISHED
OPEN
PORCH 130.00
FINISHED
UPPER
STORY 1898.00
FINISHED
Permit # Description Agency Amount CO Date Permit Date
No Permits
Permit data does not originate from the Seminole County Property Appraiser'soffice. For details or questlons concerning apermit, please contact the building department ofthe tax district In which the property Is located.
Extra Features
Description Year Built Units Value New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=01203050600003130 9/24/2018
ALAN's ROOFINGW.
uo r2
C:®NT'R4CT
14498 Ponce De Leon Blvd.r®
d 9lferC° Residential
Brooksville, FL 34601P "Home of the FREE Roof Inspection"
www,alansroofinginc.com
LICENSE NO. CCC046942PleasePrint ,n / , — a
Hernando: (352) 686-3331
352) 754-8881
Citrus: (352) 341-1401
Pasco: (727) 816-9271
Toll Free: (800) 309-566
v> a T ,>[n X: (352) 754-890
II
H.PHONE C.PHONE AR3DATE
ADDRESS o;
ail
MAILING -ADDRESSMAILINGADDRE fTY ZIP
SALESMAN M.HOME HOUSECONTACTPHONEtJOTHEERCIAL JOB # BRANDANDDESCRIPONOF
PRODUCT COLOR
PITCH 1.
PULL A CITY OR COUNTY PERMIT SQ. RENAIL WOOD 2.
TEAR OFF: SQ. OF OLD SHINGLES SQ. OF FLAT ROOF SQ. OF OLD TILE 3.
DRY IN: REINFORCED FIBERGLASS UNDERLAYMENT I R 2 LAYERS PEEL &SEAL 4.
INSTALL: GALV. VALLEY METAL LF __ , SELF A HERING VALLEY LINER LF METAL OVER RIDGE LF 5.
INSTALL: ALUM. DRI EDGE LTEEL DRIP EDGE LF PAN FLASHING LF — L. FLASHING LF COLOR 6. INSTALL
REPLACE: LF OF R.V. PLUGS COLOR FT VENT SURE t 7.
REPLACE: 1 1/2 IN. 2 IN. 2 3 IN. LEAD BOOTS 4 IN. GRV'S_ 10 IN GRV'S ELEC. RISE STARTER ROLL
STARTER STRIPS CIRCLE ONE 9. LAY
SQUARE OF EW FIBERGL}ASS SHINGLESCAP (' G ti*j 3 -- TAB / PERF / HIP & RIDGE 10. INSTALL:
SM. D VALLEY LG. DEAD VALLEY M DIFIEn LIBERTY 11. INSTALL:
TPO LAYER OF INSULATION TBAR / SEAM TAPE 12, INSTALUREPLACE:
2 X 2 2 X 4 4 X 4 SKYLIGHTS ACRYLIC SFA FIXED GLASS DOMES CMCLASSIC1HAUL
OFF ALL TRASH AND RUN NIAMETAROUND GROUNDS 1 . ALL
WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL 1 ` ALA
ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TOE CONDUCT ANYORALLINSPECTIONSTHATMAYBEREQUIREDUNDERLOCALORSTATELAW16. SPECIAL
INSTRUCTIONS 9 S 5 r
D( (
Diu- (%Ati+ TOTAL CO RACT AMOU T g d, Price isgoodfor30days `cr— -up 4CCESS: Customer
agrees to allow access to the property and realizes that heavy equipment is being used. ® E ontractor shall
not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, 1 r7 . /
tavgardens,
septic
systems and anyrther structuresthereof, as a result of rooftop orjob deliveries. AMAGE ETC.: customer e for removal, BALANCE DUE UPON ion andrecalibrationofsatelliteecomeawarefdamagetopropertybyContractor, his agents, or employees'duringtthe course of installation of the roof, said dam damageshallbe broughttothe COMPLETION i theContractorpriortothetimeofpaymentfortheroofinorkiquestion. If Customer fails to notify Contractor of said damage within 5 vorking daysofoccurrencethenshall ' waive a rights against Contractor concerning said damage. Alan's Roofing is nond/or detachment
of parts, etc. t responsible forroofingnailspenetratingA/C lines in the attic. Customer agrees to secure and protect their assetsincludingshelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage a DELAYS, ETC.: HerebyacknowledgesthatContractormaybesubjecttodelaysoccasionedbyinclementweather, labor disputes, and material supply shortages or other causes which are beyond the control of the Contractor andherebyacceptsdelaysoccasionedbyoneorallofthesecircumstancesintheinstallationoftheroof. PAYMENTOF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon completetion of installation. Any amounts unpaid will bear interest at a rate of 1 112 % permonth. Contractor shall be entitled toallcostsofcollectionincludingattorneys' fees. RIGHT TO CANCEL:
If this is a Home Solicitation Sale, and if you do notwant the goodsorservices, you maycancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate thatyoudonotwantthegoodsorserviceandmustbedeliveredorpostmarkedbeforemidnightofthethirdbusinessdayafteryousignthisagreement. If you cancel thisgreement, the seller maynot keep all or part ofanycashdownpayment. // IF THIS IS NOT
A HOME SOLICITATION CONTRACT: Once it is signed. you are bound to it by the laws of the State of Florida. If in the event you breach or attempt to ca' ricelthis co ta trthe.Contractor shall be entitled to all lostprofitsfromthecontract. i1 /J11 ACCEPTANCE
PROPOSAL: The aboveprices, specifications and conditions are satisfactory and hereby accepted. All contracts are subject
to Alan's Roofing, Inc. management approval. Customer agrees to allowAlan's Roofing, Inc. to use photos, lettersofrecommendation, satisfactions forms, etc. to be used for advertising purposes. In case any oneormoreoftheprovisionscontainedhereinshallbp. invalid, illegal or unenforceable in any respect,the validity, in and enforceability oftherea7i(j}ing provisions and
other
plication thereo hall not in any way be affected or imparied. SALESMAN SIGNATURE CUSTOMER SIGNAT RE -.7
DATE - MANAGEMENT APPROVAL Construction
Industries Revery Fund:
Payment may be available from the construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specifiedviolationsofFloridaLawbyaStateLicensedContractor. For information about the Recovery Fund and filing a claim, contact the Florida CILB at the following telephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole CountyFL Inst #2018114035 Book:9224 Page:800; (1 PAGES) RCD: 10/5/2018 9:04:53 AM REC
FEE $10.00 THIS
INSTRUMENT PREPARED BY: Name:
Tabitha McAuley Address:
145 E Sandpiper St, Apopka FL, 32712 NOTICE
OF COMMENCEMENT CERTIFIED
COPY GRANT MALOY CLE !C rF T'rFCIRCUIT COURT SE
N' C 'j +X' FL BY
DEPUTY CLERK Oate
Permit
Number. Parcel
ID Number. 0 ( - ^ d , _000 1 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) GENERAL
DESCRIPTION OF IMPROVEMENT: lnr C•7J of ru r=trr -rh 6 Pay 4 q Reroof
Shingle OWNER
INFORMATION OR LESSEE INE,QRMATIONIF THE LESSEFpCONTRACTED FOR THE IMPROVEMENT: Name
and address: Interest
in property: 33,
Fee
Simple Title holder (if other than owner listed above) Name: Address:
4.
CONTRACTOR: Name: Alans Roofing Phone Number. 407-774-2158 Address:
145 E Sandpiper. St, Apopka, FL 32712 SURETY {
If applicable, a copy of the payment bond is attached): Name: Address:
Amount of Bond: lr
LENDER: Address:
Phone
Number 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. Name:
Phone Number. 8.
In addition, Owner designates to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9.
Expiration Date of Noticeof Commencement (The expiration Is 1 year from date of recording unless a different dale is specified) YARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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. Sionaiure
of er e , o essw's ed
Qfficor/DiredogPatMerlAAanager) t9'
Ll/S ame
and Rovide Signatorys Tide(Ofgce) State
of iiv Al County of 6 The
foregoin instrument was M16
edged
fore ma this day of ZO l r
by
S Who is pars natty known to me R NamcrWkerzon
nulangstatamani who
has produced identification type of identification produced: RUDY
KELSICK PFTERSE14 F
MY COMMISSION # FF228448 EXPIRES
May 21. 2019 n
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
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(including
Florida Approval #
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 2
Underla ments 21
Roofing Fasteners
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
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
POWER OF ATTORNEY
Date: o Q 3 — j e
Alan Field, do hereby authorize to Tabitha McAuley pull the Roofing permit for
3 SS' D kv e
X G
Alan Field
Alan Field -Contractor
Lic#: CCC046942
Personally known to me or driver's license #
State of Florida, County of
on day of , 201E
Notary Public State of Florida
14 David T Mura
My Commission GG 114730yeto` Expires 07/24/2021af`
CITY OF
Building & Fire Prevention Division
RESIDENTLIL REROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS -NO PLAN REVIEW REQUIRED
THIS_DQCUMENT.(SIGNED)-ALONG-WITHAN ACCURATE -AND -COMPLETED --RESIDENTIAL RE=ROOF SCOPE OF WORK AREREQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOFCOMPONENTSTHATWILLBEINSTALLEDONTHEPROJECT.
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 THESANFORDHISTORICPRESERVATIONBOARD
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 DESIGNPROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: I DATE: % O- `
CITY OF
S-kNFO PERMIT #
Building & Fire Prevention DivisionFIREDEPARTMENT
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ` cn Kam` L% J eat v)
STRUCTURE TYPE: Q`S INGLE 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: U.) a., G
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DEC%ISPERMITTED TO BE REPLACED * *
ROOF VENTILATION: RIDGE O RIDGE Q$OFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES LJ'NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA FLORIDA PRODUCT
SHINGLE lU (.d;/t' J '
APPROVAL
FL# e i
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** A '
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREA ER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
tki
3
M x City of Sanford
Building and Fire Prevention
RESIDENTIALRE-RooF INSPECTION AFFIDAVIT NAILING,
SHEATHING, DRY -IN, FLASHI1G9 AND ALL FINAL ROOF COVERINGS GSPEPWT #:
f g — L 2 2--`3 ADDRESS: S' Ca k' a vA I.. '
lO` ' 1-i ., / J AS AM GENERAL, BUILDIING, RESIDENTIAL, OR ROOFINGCONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING LisPECTOR, I HEREBY AFFIRM- , THAT ALL OF THE FOREGOING
INFORMATION IS TRUE ACID ACCURATE AND THAT AT T _ 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 RUiLDMG CODE, ERISTTNG BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTSFORSECONDARYWATERBARRIERANDNATLNGOFTHEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUALREQUTREMENTS (BASED ON-F.S. CHAPTER 553.844). LICGNSL', #:
d; c: C, G `j (L;, 4-f4 COMPANY /
CONTRACTOR: CONTRACTOR
SIGNATURE: DATE: a MUSTBESIGNEDBYLICENSE- HOLDER OR OWNER(BUTLDER) A
FINAL ROOF INSPECTION iS REQUIRED• THiS
SIGNED AND NOTARIZED AFFIDAVIT iMUST BE PROVIDED AT THE JOB SiTE AT THE TMIE 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 1%'L R KFII 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 (ARCHTTECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF Fi.ORiiDA COUNTV OF :3e Al- 4- Sworn
to and Subscribed before me this day of lfisj 20 by: Who
is F1 Personally Known to me or has X'Produced (type of identification)
f-)P, t' a! , t _ as identification. Signature
of Notary Public State
of Florida t
RY Notary Public State of Florida DavidTMuraPrint/Type/Stamp Name = MY Commission GG 114730 of
Notary Public ocn Expires 07/24/2021