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HomeMy WebLinkAbout107 Circle Hill Rd 15-3526CITY OF SANFORD 4f BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 16 Documented Construction Value: $ Job Address: 101 C i ✓(Ac RI O u Historic District: `'es ❑ No ❑ Parcel ID: 0 L4— 7,0 --30 —5-1 C(— nD O()— 00-10 Residential Q Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration El Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: ReRofing Owens Corning Shingles FL10674, Underiayment FL 15216 Plan Review Contact Person: Arielle Dysart Title: Manager Phone: 407-278-7788 Fax: 800-337-3361 Email: permit@jasperinc.com n Property Owner Information i Name \�� iVl (A � C � d Phone: cio1-13`2- 't 7_1 Street: -1 C Y(At Hi 11 ( U Resident of property? City, State Zip: sv\ y�-6(l� >: c-- Contractor Information Name Jasper Contractors Phone: 40-278-7788 800-337-3361 Street: 5308 E Colonial Dr Fax: City, State Zip: Orlando, FL 32807 State License No.: CCC13296-1 Architect/Engineer Information Name: a Phone: �(H= Street: Fax: 01 l� City, St, Zip: E-mail: t) ! eq- Bonding Company:lk Address: In / 4 Mortgage Lender: / (� Address: n 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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 q h -L47 ti / 15 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 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. ✓ L ` S� Sig e of Owner/Agent Date Signature of Contractor/Agent Date 14 41-4, 2 •� S Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of N d'' • DEBBIE BLANTON ' = MY COMMISSION 0 FF 178648 x•, EXPIRES: February 25, 2019 pF,h'• Bonded Thru Notary Public underwriters Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Jasper Contractors, Inc. 53,90 E. Colonial Dr. Orlando, FL 32807 (4071 27s-Uas (800) 337-3361 Fax JasperRoof.com info((r.,iasperinc.ore :nor M �... _ _ _M .__, Contractor's License #t CCC1329651 ROOF REPLACEMENT CONTRACT r Account Manaser Gn Contact #_q01_Z7 _tom insurance Com anv Information Companye_ rt c. l c ho l CL' Policy# t29M,-- Claim # Q Mort -,a -,e Com tan, Information_ Company _-'P" om j g 6 Loan %lumber r?J fjf `i i 3z7 `� _ Owner(.):+ C n ri Phone: 0-%,732-- 9 Z-70 Address: 0-7 Ci l�. �, Alt Phone: d7-,, 730 r if e-� City: r Sta e: Zinc de: Shingle Color`. Email: �' e� r, t cfiJ I r �t � Ccs» t Roof R V amount: T vi , � `ri Drip Edge Color: If Owner's Insurance Company does not agree to pay ford full roof replacement this contract shall be voidable. Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jasper's agreement to perform services, supply materials and otr arwise perform its obligations under this contract, including not requiring full payment at the time of service. I also hereby direct my insurers) to release any and all information requested by Jasper, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy rights. Ifpayinent is made directly to the Owner/Agent/Ltsured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's responsibility to Rat all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet, UNLESS replacetnent/repair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claire for payment of work. in the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall overrule Deductible listed above. Deductible: $ 10,00 MUST BE PAID IN FULL, PLUS APPLIQ LE SALES TAX K (initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for rzeJ4 Yrt. *qq+L Mortgage Co. to speak with Jasper on matters including, but not limited to the claim and draw status. , (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of$ due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's ins er(s), plus Upgrade Costs, due and payable to Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work performed. in the event of a pending inspection, no more than 2% of Contract Price maybe withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: � PRICE: $ TOTAL: $ Replacement Work and Price: Upon insurer's approval and subject to the terms and conditions herein, Jasper agrees to furnish all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting.- Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company. CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so beforemidnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof �ontract has been denied, in whole or in part. All written notices of: cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 1955 Vaughn Road, Suite 209, Kennesaw, GA 30:144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. I further understand that this contract constitutes the entire agreement between the parties and that any further changes or alterations to this contract must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power and authority to enter into the contract and that it is binding and enforceable in aceorda a with its terms. thorized'3asper epres tativ Date Owner Date ERMS _ CONDITIO S: Acceptance of Terms: I, Owner, hereby agree to retain JaspeI fit1I roof replacement on the terms and co ed herein. I farther agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full access to the property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with Owner's insurance in the, event that the estimate is incorrect and/or additional damage is discovered after Scanned by CarnScanner r s Sanford, FL 32773 INSTALL DATE CHECK PICK UP 12/9/15 / DATE TIME Production Request CONTRAtCTORS Company: Jasper Contractors Acc Manager: Juan Ortiz A.M. Phone SQ Replace: SQ Roll Roof Customer: Reinaldo Beckford File # Address: 107 Circle Hill Rd Sanford, FL 32773 INSTALL DATE CHECK PICK UP 12/9/15 / DATE TIME Production Request v6.. Remove: Date: 11/21/15 Mod Bit Claim Date SQ Replace: SQ Roll Roof Roll Roof 6/1/15 File # 415479 ft White Cust. PH # 407-732-4270 qty C_ ontract Signed Date Insurer: Homeowners Choice Turbines: 9/22/15 Policy # HCPC H03 290050 5 4 Claim # 855670 ROOFING CREW Fax# Ridge Vent: Adjuster: Claims Department 54 ft Ridge Cap: Roof Total Roof Total Remove: 27.41 SQ Replace: 31.67 SQ Mod Bit Mod Bit Remove: SQ Replace: SQ Roll Roof Roll Roof Removed SQ Replaced SQ Year 25 Brand OC Supreme Install Code 157 BDLS Starter ACCESSORIES Felt Rhino Ib. BDLS Color Drip Edge: 290 ft White Turtles qty Power vents: qty Turbines: qty Pipe Jacks: 4 # of Leads Sz Ridge Vent: If Valley 54 ft Ridge Cap: 217 ft Coil Nails 2 Plastic caps 2 Furnace Vents Chimney Flashing: if Step Flashing: If Roof Outside Buildings?: N YIN Color Driftwood SHINGLES Field shingles 84 BDLS Starter 3 BDLS Hip and Ridge 8 BDLS ACTUAL PITCH SA Mod Bit Cap 0 ROLL(s) SA Mod Bit Base 0 ROLL(s) COLOR Roll Roofing 0 ROLL(s) Gravel Guard 0 PIECES Ice and Water Rolls Elast. Coating SQFT Roof.Flat Roof...?: N Y/N SPECIAL NOTES D&R sat dish R&R 2 skylight flashings : r R&R 2 off ridge vents aSnegksn TOTAL JOB COST $11,117.78 ,.`<ii:3u71hi+:�Lf�. L;L�LiN f`"i'. 1=(.C7fiiC1A Parcel: 04-20-30-514-0000-0040 Property Record Card Parcel: 04-20-30-514-0000-0040 Owner: BECKFORD REINALDO A & WINONA B Property Address. 107 CIRCLE HILL RD SANFORD, FL 32773 Property Address: 107 CIRCLE HILL RD Owner: BECKFORD REINALDO A & WINONA B Mailing: 107 CIRCLE HILL RD SANFORD, FL 32773-4771 Subdivision Name: MAYFAIR CLUB PH 2 Tax District: S1-SANFORD Exemptions: 00 -HOMESTEAD (2000) DOR Use Code: 01 -SINGLE FAMILY 110MW W-11 � • ,>,. Value Summary Legal Description 2016 Working 2015 Certified Values Values _----- -_------_,-,,._,_._ .. Valuation Method _..... _...... __.__.....,_._.._,...__..... Cost/Market _....... __,_,._„- ..... Cost/Market .... Number of Buildings ..... ......._ . ....... 1 _ 1 Depreciated Bldg Value $124,984 $121,587 Depreciated EXFT Value $651 $701 Land Value (Market) $25,000 $25,000 Land Value Ag Just/Market Value $150,635 $147,281 ** ... _— ..... .- ---------- - ............... _.... _ Portability Adj Save Our Homes Adj $38,763 $36,304 Amendment 1 Adj Taxable Value Assessed Value $111,872 $110,984 Tax Amount without SOH: $2,176.17 Schools 2015 Tax Bill Amount $1,437.34 Tax Estimator City Sanford Save Our Homes Savings: $738.83 * Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 4 MAYFAIR CLUB PH 2 PB 54 PGS 84&85 Taxes ........... _........_.__....__........_.._..._......._....----- -- ---- - — -- ____------- - _. -- — - ... _— ..... .- ---------- - ............... _.... _ Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund L._....... _....._..__ ._._111,87Z _ __._.. $50,000_.:.._ .. X61,872 i Schools _. ............................ $111,872 _ .. $25,000 872 City Sanford $111,872. $50,000 'r SJWM(SaintJohns Water Management) $111,872 $50,000 $61,872 I CountyBonds . ..:.____.......:_.._. W_. _ $111,872 ....,_.__ _.. $50,000 _ $61,872 Sales _ __...__,-__,�____ ._.......�......._.. __._._._._ ......� _�_ _ Description ._____........___ _ Date Book t Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 4/1/1999 03641 1490 $104,600 ; Yes Improved ............._........................................ Find Comparabk, Sales within this Subdivision ...... ... ..... ....: ........ .......... ..........._. ._.. _._._. _....._..._..... .. _. . _......................... .. ._.............. .. .. ._.. ... _............. _._.__ . __._ Land................ Method Frontage > Depth Units Units Price Land Value ............ ..................... ..... ........ LOT ........... ..... - . -. .. _ ................. ............ 1 . .............. .... .. .. $25,000.00 __-- — _.................... ............. ........ _._,__._._, _........._.._ ..__. . $25,000 Building Information Year Built— # Description Fixtures Actual/Effecbve IE Base Area ? : Total SF Living SFExt Wall i Adj Value Rep[ Value i Appendages t 1 SINGLE 1999 7 1,874 ; 2,290 1,874 € CB/STUCCO $124984 $132,962 FAMILY ? FINISH Description Area OPEN PORCH 36 ' THIS INSTRUMENT PREPARED 8Y- ... itl n Hughes Addrais: ---- 538A_E t nlnnial Drive, ran Permit Number parG6l'10 Ntiml 0..r; O po-30-514-0000 0040 The ur<dQngignpd ticrpGy (vos 50140 (tint It»p�vonZent tvl€ be modo in coni n: m-.1praporty, 4nd in mw(lanco wuh (`.fis{)teu 13, .4. tstirir3'itttrpfa t, MG Falla�hnq intaminttall 13 Ptovitted in this Noticool:Ccxnmoncars+unt. 1. DESCRIPTION OF f'ttOfaERTy. F�agAl:dtscrfpitnn af:tha property nn<1 siioel arYlroxa tC.ava tibki} 4 MAYFAIR CLU, B'P•H�' 2, GENERAL {i}±SCRIPTION OF imPROVEMENTi Re -Roofing �. 5. Qwlvi»9 lNFt7Rf;1AT10.t OR LESSEE= 3FSFr]t?tta7tcytl as'rt�a r rears �nuraarsttn rna rur iu[vrtrtVi'xAr'NTa Namit and nddtags BECKFORD REINALDO A & WINONA B 107 CIRCLE HILL RD SAN FORD, FL 32773 lnfurast In propttrty: Owner _~ :Fes 61mpto Title l•latxfer (4 other thery owyw tillod suave) Nsimw <:w: Add(.04s:.. COPtIf2AG7t?Ft Nnmo:: Jasper Contractors pha�:c� Nusf Ewr 407 278 7788 m N� Addams: . 5380 E Colonial Drive, Orlando Florida 32807 5. Stfl2Cli (li;appiiGnhto, .� CApy Of thQ tsaynaafbond Fp alteChad): t4atntr w...M. ,,. _.� .:........ w, Aticirilss:. Rritaunf cif Tian _ d: S- Le NOER; Nnnk>: Pttono Nurnt or; W 7. Poisons withtn the stale of norlda Dnalgnatad by f}wner upon whom notice or otIhot documents may be servod as pmvi4dad by daaffon Fiorlda Statutes, NsrnoPhona NumNev, r�ddi� s; t3 ti1 oddillon, Nniir drisigi mor of to, receive u copy of 'ho Lior*r's 1`01iCo as provided In Soction 713,13(l)(b), Florida Sta4aios, Phone numbors _ 9. E>pimlron Omit of Notice of Coninzurx «mart({Tho nxpirntioa +s t yttnr tram dans of rocardittp untnas a diffornnf dato is astxauf aely is.Y)1 R ANY PAYMENTS MADE. 113ROPER, PAYMENTSUNDER C J Stats of: FLORIDA .County of SEMINOLE. Nf131C t .UF COMMFciQCf4AENT Al f: VIUIT11-5, AND AN REIMiLl iN Y0w4 iE RECOl"tDI D AND:POSTE.D ON 1tiE 11 YOUR LENDC• 1 Oil AN A1'f.oliflLy' BECKFORD REINALDO A & WINONA B (3'm+! NsaA a.�.i i'ai.ai� SKyr.,ox.Y► SitasYyY.x) The foregotng lnstrumant was acknowiod$od bofora MO INS ? days! November � 1 b BECKFORD REINALDO A & WINONA B W110 l3 peflotUllykhown to ma n 09 yllilwN Memel mvavh7 fowtxy� whd has produtoti tdsntiftcatlant typo of tdentlAcall on pMducad: DL r v CAnYN ti06M MY cofA AISSION #Figi6857 ` ,� L �t•; ' ' ; t j j ti}l ° a i EXPIRES SEP a912019 ✓ � t . a "' a�+xiLlliultgitt t;tStslt 1n9tt8nC3 M ° RYA NC N10Ft> &A P, OF Np tRt1F1ED OOP(':. yry,�.•,�. TA OE iNE CIRGWIZ G© t pt'c colpi ltt��Ias l - CLERK 4GC•� •�'f��kd 10r� :.- CON"MARYANNE MORSE, CLERK OF CIRCUIT .`��6t� CLERK'S # 2015COURT COUNTY 113 0 0 BK 8 8 ) 9 Pg 0976, (1p E R CORDED 11/30/205 11.-44:@3 10.000 Q o SEMINOLE COUNTY MULTI -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 11120/2015 I hereby name and appoint: Arielle Dysart an agent of: Jasper Contractors (Name 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): 0 All permits and applications submitted by this contractor. ❑ The specific permit and application for work located at: f c) (Street Address) (Parcel Identification) Expiration Date for This Limited Power of Attorney: 12/31/2016 License Holder Name: Michael Stephen State License Number: Signature of License H( STATE OF OL (CLdU COUNTY OF The foregoing instrument was - 20 -1!5— , by 4 ell who has produced .(..)�� _---and who did (did not) take an oath. Signature OV N tary JESSACA DUNLOP NOTARY PUBLIC STATE OF COLORADO NOTARY ID'.20154003940 MY COMMISSION EXPIRES JANUARY 28, 2019 me thiel ' day of , who is ❑ personally known to me or as identification Print or type Notary name Notary Public - State of _ �� r Commission No. My Commission Expires:. /,� 3sace LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 12/8/2015 I hereby name and appoint: Scott Meixsell, Jimmy Allen, Luis Rios an agent of;_ Jasper Contractors R (NarnenfC(mpany) �— 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): 0 The specific permit and application for work located at: 107 Circle Hill Rd Expiration Date for This Limited Power of Attorney: 12/31/2016 License Holder Name: Michael Stephen State License Number: CCC1329651 Signature of License Holder: STATE OF FLORIDA COUNTY OF '17be foregoing instrument was acknowledged before me this day of 200 r? , by1, <<,: who is 0 personally known to me or c who has produced as identification and who did (did not) take an oath. (Rev. OR_ 12) Signature (Notary Seat) A L Print or type name An*& Ursev'c NaoTNqY COM~O Notary Public - State of � • E*� Commission No. ivly Commission ammi9 ExpiDA c s:_ , 1 (Rev. OR_ 12) CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 1J " t,•S' hereby acknowledge that I personally inspected ;Roof deck nailing and/orAl econdary water barrier work at /0 ? (�4'MVk6l 149 93-�1�9 F -t- and have determined that the work (Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official d shall constitute a misdemeanor of the second degree pursuant to Section 837.06 ignature of Contractor Date (_ t -) Printed Name of Contractor License # License Type: ❑ General ❑ Building%C1YZesidential Roofing Contractor ❑ or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Y r & Sworn to (or affirmed) and subscribed before me this 9t--L—day of d , 20 by who is ❑ Personally Known to me or has roduced (type of identification) as identification. o , n (SEAL) Signature of Notary Public State of� Florida Mule � � ^ , Mule Davol � �/� / IY 1"�LI vl I l �y'r \ NOTARY PUBLIC Print/Type/Stamp Name STATE OF FLORIDA of Notary Public Camp FF90rJW vo E*MS 8/512019 Revised: February 2015