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HomeMy WebLinkAbout111 Andrews Rdb ; CITY OF SANFORD BUILDING & FIRE PREVENTION ' p PERMIT APPLICATION Application No: � Documented Construction Value: $ 8 900 Job Address: I I I ANDREWS RD SANFORD, FL 32773 ❑ x❑ Historic District: Yes No Parcel ID: 18-20-31-503-0000-0630 Residential ❑x Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration El Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 Rhino FL 15216-R3 28 SQ 7/12 Pitch Driftwood Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Title: Admin Phone: 407-278-7788 Fax: 800-337-3361 Email: Permit@Jasperinc.com Property Owner Information Name MASSINO, LOUIS JR Phone: Street: I I I ANDREWS RD Resident of property? : Yes City, State Zip: SANFORD, FL 32773 Contractor Information Name Jasper Contractors Phone: 407-278-7788 Street: 4185 S Orlando Dr Fax: 800-337-3361 City, State Zip: Sanford, FL 32773 State License No.: CCC1331153 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 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 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 7.13. 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, creditwill 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 signature of Owner/Agent Date Print 0%vner/Agent's'Name Signature .of Notary -state of Florida Date 01.29.18 Signanir of Contractor/Age i Date Rudith Goico ""'. SKYLAR B AMKRAUT commission # FF 127890 f = vty,commission Expires June 01, 2018 Owner/Agent is. Personally Known to Me or Contractor/Agent is Personally Known to. Me or Produced ID Type of ID Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Total .Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric -# of Amps Fire Sprinkler Permit Yes❑ No,❑ Plumbing - # of Fixtures_ # of Heads Fire Alarm Permit: Yes ❑ No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30,2015 Permit Application 1 /29/2018 SCPA Parcel View: 18-20-31-503-0000-0630 Property Record Card Parcel: 18-20-31-503-0000-0630 fP9, ,,,e,, Property Address: 111 ANDREWS RD SANFORD, FL 32773 Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 .. ........ Depreciated Bldg Value $117,728 $111,017 Depreciated EXFT Value �� Land Value (Market) $30,000 $30,000 — Land Value Ag - Just/Market Value'" $147,728�$141,017 Portability Adj�_..—_ Save Our Homes Adj $53,848 $49,068 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $93,880 $91,94- 49 -- — Tax Amount without SOH: $1,897.33 2017 Tax Bill Amount $963.01 Tax Estimator i Save Our Homes Savings: $934.32 I Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 63 ROSE HILL PB 54 PGS 41 & 42 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund {— $93,880 $50,000 $43,880 Schools $93,880 $25,000 ..... __. ..—. $68,880 -- . _ _.__.. _ City Sanford _. ___ _ __ _._ _.._ _. _,_._.-..- __�„_ $93,880 __. ___ $50,000 _._.... $43,880 SJWM(Saint Johns Water Management) $93,880 $50,000 $43,880 ..... County Bonds $93,880 $50,000 $43,880 Sales Description Date Book Page Amount Qualified VacJlmp SPECIAL WARRANTY DEED 5/1/2002 04427 l 1235 $111,000 No Improved CERTIFICATE OF TITLE 3/1/2002 04348 0238 $100 No If mproved SPECIAL WARRANTY DEED 1/1/2002 04366 1719 $100 No Improved e 65 j Improved CORRECTIVE DEED 11/1/1999 730 0338 $100 No I W WARRANTY DEED 6/1/1999 03677 1569 $105,000 Yes Improved CONTRACT OF SALE _ ........__ 6/1/1999 03774 1 0137 $104,900 No Improved SPECIAL WARRANTY DEED 9/111998 03496 1719 $1,456,500TNo�Vacant Find ComparaW Sates Land - Method - - -- --. ......... - - T--- -- - ---- Frontage Depth Units Units Price --- - --- —._.. Land Value LOT $30,000.00 ( $30,000 http://parceidetail.scpafi.org/ParcelDetaillnfo.aspx?PID=l 8203150300000630 Account Manager. it 5390 E. Colonial Dr. „ u,ict i Orlando, Fl, 32807 ins rruicc ►nlu;unv lufurttwtlun_ Conway Rd, Ste. 201 i r i Orlando, FL 32812 JASPER - Policy 1N: � (407) 278-7788 ($00) 337-33fi1 Fax Jer�arnoor com 1lIUriyagi: Cunt wnl Infurinalitrn InfOftllUsPCfllli iir4 I'L Contractor's License: Company. ® � a 0 CCC1329051 & CC'(' 1331153 l,o)iin Number ROOF ItEPLACEMEN'C CON'1'IIAC'I' Owner(s). -- -- Phone., Address fr,- J Alt hone: il & q 3?( City:(/ Sways Zip Cbdc: C or 1 7Single l mall: P i A(,.S s, vk / � �,.� RejB(�t('V ArnounU Contract Pence. ayyVVVV-L-A, Drip Ldgc Color.e..-..J -\ 'P— Assignment of Insurance Benefils for the full Roof Replacement Onl)-: I hereby ass►gii any and all insurance rights. ticnefit% and proccuis under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), die scope of which shall be limnal to a I ull Roof Replacement I snake this assignment and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this Contract, including not requiring full payment at the time of service 1 also hereby direct my insurer(s) to release any and all information requested by Jasper, or its reprercritative(s), 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. if payment is made directly to the OwnaiAgait/Insured(s), it shall lit,- endorsed over to Jasper immediately upon receipt. 1 agree that any portion of work, deductibles, licnermalt or additional work requested by the undersigned, riot covered by insurance, must be paid by the undersigned on the day of installation Deductible. It is the Owner's resoonslbillty to PAY all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on inswer's loss sheet (the "Loss Sheet"), UNi.fSS replacetnent/repair of deteriorated decking is required by code andlor Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, wane or rebate any or all of the Insurance deductible applicable to the insurance claun for payment of work In the event of a discrepancy, the deductible amount stated on the insurer's lass Sheet sh overrule deductible amount disclosed. Deductible: 5 �i► !. -- MUST BE PAID IN FULL, PL S APPLICABLE SAI.FS TAX (initial) MORTGAGE AUTHORIZATION: i. Owner/Mortgagor, grant authorization for 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 basal on the following schedule: (t) Deposit in the amount of due upon signing this contract. (it) du Contract Price, less the Deposit and any applicable depreciation retained by Owner's unstrer(s), plus upgrade costs, due and payable to Jasper upon completion of work being performed: and. (tit) 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 may be withheld until inspection has r,.wcd Optional: UPGRADE ITEM: QTY: PRICI.. TOTAL_ $ Replacement Work and Price. Upon insurer's approval and subject to die Terms and Conditions herein, Jasper agrees to furnish all materials and provide the labor necessary to perform the full roof replacement winch shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting. Ow ner'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 finds from Owner's insurance company. FLORIDA HOMEOWNERS' CONSTUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOt' LOSE. MONEY ON A PROJECT PERFORMED l;ND1:11 CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSLD CON'TRACI'OR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassec, FL 32399-1039, (850) 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do sir before midnight 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 contract 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: 1690 Roberts Boulevard, Suite 111, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) dac right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. 1, 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 he made in writing and agreed upon by both parties. Each party represents and warrants to the other (list it has the full power and authority to enter into the contract and that it is binding and enforceable in accordance with its terms. Owner V Date authorized Jasper Representative / Date Scanned by CamScanner THIS INSTRUMENT PREPARED BY: Name: � Z n Address: s 1'lZ°1 l t 1 NOTICE OF COMMENCEMENT Permit Number. GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BYE 9065 Ps 235 (iPgs) CLERK'S 4 2018010102 RECORDED 01/26/2018 01:31:20 PH RECORDING FEES $10.00 RECORDED BY ,ier_kenro Parcel ID Number: t$ - 20 31- 50.6 - woo - Q7f - 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) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: LWA5 Aar AO { 11 Al.>a raur;� rd f 5an6d , FL 51,1 13 Interest in property: OWNER Fee Simple Title Holder (If other than owner listed above) 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788 Address: 3203 S CONWAY RD SUITE 201 ORLANDO FL 32812 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. 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. 8. In addition, Owner designates Phone Number. Of 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 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 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. rl9y l S 1at4SS1_.V0 - & (Sign Lure of Owner or Lessee, or Owners or Lessee's (Print Name and Provide signatory's TlterOtflce) Authorized O[ficer/Director/PartnerlManago State of i— k (3 Y t v\ L'. County of Jeyn t n o �e The foregoing instrument was acknowledged before me this day of -Say) v a V t by LOQi S M aISS 1 In O . Who is personally known Name of person making statement who has produced identification Ik type of Identification produced: 'D L. NATALIE ANN DOYLE ?r° State of�]p �ii((�1a-Notary Public Commis'?;tbYr # GG 104918 My Commission Expires rrn"` May 15, 2021 a. u 0 � LU Q H I—tary Signature xvc a uZu at W, �fY3 —D Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01.29.18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I hereby name and appoint: Ana Chavez and/or Michelle Monsalve an a_ent of: o JasperConVacto.s. _ (Name orCoinpany) to be my laV6 fdl attomeyan-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): The specific pemut and application for work located at; 111 ANDREWS RD SANFORD FL 32773 (Sacs Address) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. CCC1331153 Signature of License Holder STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this, 29 day of January 200 18 , by . D-Wd e«d-,J who is o personally known to me or ® who has produce identification and who did ( (Notary Seal) sIMAR B AMKRAUT i+ Commission # FF 127890 3 My Commission Expires 'FOF f•�p•• June 01, 2018 (Rev. 08.12) Print or type name Notary Public - State of FL Commission.No. 127890 My Commission Expires: 6/1/2018 Scannpd by C;amScnnner Building & Fire Prevention Division /a 0a 1 re PERMIT NO. A ISSUE DATE: • ®. CONTRACTOR JOB ADDRESS: TYPE OF WORK: o n T FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. 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. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items requested during the message • The type of inspection requested must be scheduled under the appropriate permit type • Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures y4. 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: 01.29.18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 111 ANDREWS RD SANFORD, FL 32773 STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q 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 EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: D OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT 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 © 4:12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE Owens Corning FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE 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 O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD •407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000664 Date 2/01/18 Property Address . . . . . . 111 ANDREWS RD Parcel Number . . . . . . . . 18.20.31.503-0000-0630 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1029222 Permit pin number 1029222 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 EL03 FINAL ROOF _/_/ El P City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS � PERMIT #: ADDRESS: T I 6erj , 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#: CCC1331153 COMPANY/CONTRACTOR: JASPER CONTR9ANCT RS CONTRACTOR SIGNATURE: _ _ DATE: (MUST BE SIGNED BY LICENSE DER OR OWNER/BUILDER) 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 SEMINOLE Sworn to and Subscribed before me this day of 20 tby: IIr 1"101—S (1.� ram,,) . Who is ❑ Personally Known to me or has X Produced (type of L as identification. Signatu o Notary Public R B AMKRAUT '?Y G® State Flor da °` Cp'rt"i7„�s �c,n a FF 127890 My C )"' ssl0n Expires of `'' June 01 , 201 8 Print/Ty amp Name of Notar ublic Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I " t I hereby name and appoint -Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Joel Vargas, Paul Padgett an agent of Jasper Contractors (N of GomP-Y) 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): The specific permit and application for ork located at: Expiration Date for This Limited Power of Attorney: \� _ License Holder Name: DO Y\ State License Number. ccq' 3a t s3 Signature of License Holder. STATE OF FLORIDA COUNTY OF S-n-Ae The fo omg instrument was acknowledged before me this jday ofkv— by DorWd Bouchard who is ❑ personally known to me or le who has produced a _ as identification and who did (did not) tako an oaoy (Notary Sea]) Notary Public - State. of Commission No. n n. My Commission Expires: kki $KyLAR B AMI<RAUT (Rev.08.12) _ ; - �_ Con',i�lission N FF 127890 My Commiss,on Expires o June 01 , 2018 Scanned by CamScanner