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Home My WebLink About204 Cabana View Way (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 6 ) �!�4 Documented Construction Value: $ 11400 v Job Address: 204 CABANA VIEW WAY SANFORD, FL 32771 Historic District: Yes ❑ No 0 Parcel ID: 29-19-31-501-0000-0630 Residential 0 Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration x❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 Rhino 15216-R3 34 SO 7/12 Pitch Beachwood Sand Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Title: Admin Phone: 407-278-7788 Fax• 800-337-3361 Email• Permit@Jasperinc.com Name Marisa Biever Street: 204 CABANA VIEW WAY City, State Zip: Sanford FL 32771 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Property Owner Information Phone: Resident of property? : Yes Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 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: 51h 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 113. 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.aJ applicable laws regulating conatru.etion Signature of Owner/Agent Date Print Owner/Agcnt'sName Signature of Notary -State of Florida _ 01.17.18 Signatur of Contractor/Age t Date Rudith Goico Name SKYLAR 8 AMKRAUT commission k FF 127890 My Commission Expires June 01 , 2018 Owner/Agent is Personally Known to Me or Contractor/Agent is N 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: New Construction: Electric -# of Amps. Plumbing - # of Fix # of Stories: Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015.Permit Application 1 /17/2018 SCPA Parcel View: 29-19-31-501-0000-0630 osaJanr�o+n'p.cFn Property Record Card P� Parcel: 29-19-31-501-0000-0630 sctco rrrr,rusrv. Property Address: 204 CABANA VIEW WAY SANFORD, FL 32771 + 60 60 1 60 1 60 PllmNlim 60 60 60 60 1 60 Seminole County GIS - Legal Description LOT 63 CELERY KEY PB 64 PGS 85 - 96 Taxes Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value i $119,385 $112,504 Depreciated EXFT Value I Land Value (Market) $32,000 $32,000 Land Value Ag Just/Market Value " $151,385 $144,504 Portability Adj Save Our Homes Adj ; $59,239 $54,253 Amendment 1 Adj $I 0 'I P&G Adj $0 $0 Assessed Value $92,146 $90,251 I _1 Tax Amount without SOH: $1,963.72 2017 Tax Bill Amount $930.66 Tax Estimator Save Our Homes Savings: $1,033.06 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $92,146 $50,000 $42,146 Schools $92,146 $25,000 $67,146 City Sanford $92,146 ,_-_-- $50,000 $42,146 SJWM(Saint Johns Water Management) $92,146 $50,000 $42,146 ........ .......... County Bonds $92,146 ............ $50,000 ........... . $42,146 Sales Description Date Book Page Amount Qualified VaGlmp WARRANTY DEED 12/1/2005 06107 i 1126 $262,300 Yes Improved Find Gomparabile Sates Land Method Frontage Depth Units Units Price Land Value LOT _ .".... 1 $32,000.00 ... L..-_..-. -.. ....."...... $32,000 Building Information Year Built -# Description Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 2005 7 3 2 0 ; 1,751 2,369 1,751 ! CB/STUCCO ' $119,385 $125,010 FAMILY i FINISH Description ,Area ( ( SCREEN 90.00 http://parceldetail.scpafi.org/PareelDetailInfo.aspx?PlD=29193150100000630 1 /2 -3,a r1 t,07 Account Manager: 5380 E. Colonial Dr. Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407) 278-7788 (800) 337-3361 Fax inforiasperinc.org JASPER Jasper MOCCom FL Contractor's License: CCC1329651 & CCC1331153 RMF REPLACEMENT CONTRACT Contact #: q rl- 335 Insurance Companv I formation Company: P Y: Policy #: _ (,0- Claim #: : ff \ 0 j Mortgage Company Informalian Company: Loan Number: Owner(s): i Phone. . . Address: ^ � � � * r ` � `I b w Alt Phone: City: �C��` C:5w S Zi Coder: Shingle Color: Email: Roof RCV Amount/ Contract Price: Drip Edge Color: in l(� •Gc�Ni 11400 If Owner's insurance Comnanv does not agree to nay for a full roof replacement, this contract shall be voidable. Assignment of Insurance Benefits for the Full Roof Replacement Only: 1 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 otherwise perform its obligations under this Contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested by Jasper, or its representative(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 Owner/Agent/Insured(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 pay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet (the "Loss Sheet"), UNLESS replacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate any or all of the insurance deductible applicable to the insurance claim for payment .of wor ttjg event of a discrepancy, the deductible ,amount stated on the insurer's Loss Sheet shall overrule deductible amount disclosed. Deductible: $ MUST BE PAiD IN FULL, PLUS APPLICABLE SALES TAX Nul� iC(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. �'l� c %�tinitial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of`$ �� C4�—due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(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 Pric may be withheld until inkpassed. Optional: UPGRADE ITEM: NU_,AJ!0 't"Tv �- QTY: �--PRICE: TOTAL: $ � �'. Replacement Work and Price: Upon insurer's approval and subject to the Terns 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. FLORIDA HOMEOWNERS' CONSTUCTiON RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INTFORMATION 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, Tallahassee, FL 32399-1039, (850) 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so 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 112, Kennesaw, GA 30144. 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 accordance with its terms. YoZ �'� on ! epresentative ate Owner Date Scanned by CamScanner 1111111111111111111111111111111111111111 THIS INSTRUMENT PREPARED BY: Name: Jasper Contractors Address: 538n F C oloniA jllivP Orlando_ El 39A07 3a`J t9 NOTICE OF COMMENCEMENT URFIN'r 1 AIJOYt SEMINOLE COUNTY CLERK OF (:TRCUIT COURT & OMPTROLL.E R 3K 9058 Ps 1.122 (1Pss l CLERM 8 2013005293 RECORDED 01 16/2018 02:25�07 PH RECORDING I'E! $11 .00 RECORDED V hdevore Permit Number. Parcel ID Number: 19 — 'J) - 'S"01 - 0000 - 0 (P O 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. DESCRIPTI N OF P�3ERTY: (Legal description of the property and street address If available) 2. OVERAL DESCRIPTION OF IMPROVEMENT- . ,•e_- R-coi 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: %4rPA , 1" irici S1c a0y CzL_,an a Uxiw El- �3 9--47 Interest in property: Owner _ Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Jasper Contractors Phone Number. 407 278-7788 Address: 5380 E Colonial Drive Orlando, FL 32807 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 maybe 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 7o bWNFR: 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. (Signagiandoriessee, or owners or Lessee's (Print Name and Provide Signatory's Tivato five) Authorized OflloedDiredor/ParfnedManaged state of !F 11X k d .1 County of The foregoing Instrument was acknowledged before me this L day of 1]1j.r ' . 0C V-- .20 in1 l by r f , Q'y l5� & eyf V . Who is personally known to me O OR Name of person w1king statement who has produced identification CXtype of identification produced: D L KARLA M ALMQDQV/ iu_�ry O A;�;T ,IAL #GG 117 State of Flolioa-Notary Pu ,, Commission! v=Tfii 33 't� �� i i �•�^� My Commission Expir i`•c .C!-t f ` ;l A+ June 04, 2021 r IDA tit: ^k: BY to'°t DEPUI-' CLFEK �a:� Altamonte Springs, Casselberry, Lake Mary, Longwood, Samford, Seminole County, Winter Springs Date: 01.17.18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb l hereby name and appoint: Ana Chavez and/or Michelle Monsalve an anent of: Jasper contraao,s to be my laafiil attomey-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 work located at: 204 CABANA VIEW WAY SANFORD, FL 32771 (Sucet Address). Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name- Donald Bouchard State License Number. occ1331153 Signature of License Holder STATE OF FLORIDA COUNTY OF S-ri L- The foregoing instrument was acknowledged before me this 17 day of January 20018 , by �� eol,a,wd who is ❑ personally known to me or is who has produced oL as identification and who did (did not) take an oath. C) v Signature (Notary Seal) S1cylar Amkraut SKY AR B AMI<RAUT t c Commission k FF 127890 •c a; My Commission Expires June 01 2018 ':nwa'n+R+rlaulC+.6Y^+�lAvac[u+lDwPi��^uU'( (Rev. 08.12) Print or type name Notary Public- State of FL Commission No. 127890 My Commission Expires: 6/1/2018 St,annpd by CamScanner CITY OF S,,kNFORD DEPARTMENTFIRE Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. /8--* Y%T� ISSUE DATE: 0/4 /78 le CONTRACTOR: %, 10'zoe e' JOB ADDRESS: 4 0 44 , OOLbQ4142.1 UiCIA.) (0#Ja0dof TYPE OF WORK: fl�e PROTECT 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 F I I 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 regtiested 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 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: 01.17.18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 204 CABANA VIEW WAY SANFORD, FL 32771 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: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT 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 OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL OQ 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# O INSULATED 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 . . . . . 18-00000454 Date 1/17/18 Property Address . . . . . . 204 CABANA VIEW WAY Parcel Number . . 29.19.31.501-0000-0630 Application description . . . ROOFING APPLICATION Subdivision Name Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1025675 Permit pin number 1025675 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / Lam rF LL City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: @uq C0J3R'1n0,_" Wu_ I -LOC,l rgb,J , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, EEER, 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 CONTRACTORS CONTRACTOR SIGNATURE: DATE: `l (MUST BE SIGNED BY LICEN "DER OR OWNE LDER) 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 na Sworn to and Subscribed before me this day of 64_20� by:' Who is 0 Personally Known to me or has X Produced (type of lentification. " SKYLAR B AMKRAUT 4 ' i Commission N FF 127890 My Commission Expires '; 70 JUnC OI , 2O1 8 nnn"` Altamonte Springs, Casselberry, Labe Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint -Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Joel Vargas, Paul Padgett an agent of: Jasper Contractors (-%*— of Come-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): 0, Expiration Date for This Limited Power of Attorney: License Holder. State License Number: CCC'33 tss Signature of License Holder: STATE OF FLORIDA i COUNTY OF seminoie The foregoing instrument was acknowledged before me this -15y o;�Iown 200 , by oo�aW 13a,crmril who is ❑ tom or ci who has produced a identification and who did (did not) tak4 an obi (Notary Seal) SKYLAR B AMKRAU Commission # FF 127891 _« «_ My Commission Expires June e 01 , 2018 oo t� ('Rev. 08.12) or nim name W Notary Public -State of Commission No. ��/ My Commission Expires:- as Scanned by CamScanner