HomeMy WebLinkAbout227 Friesian WayCITY OF SANFORD
BUILDING & FIRE PREVENTION
/P+ERMIT APPLICATION
Application No: / �' (p b
IDocumented Construction Value: $ 12,100
v Job Address: 227 FRIESIAN WAY SANFORD, FL 32773-6855 Historic District: Yes ❑ No 0
Parcel ID: 18-20-31-505-0000-0570 Residential ❑x Commercial ❑
Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: RE Roof Owens Corning FL 10674-R3 Rhino 15216-R3 27 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 Timothy Williams Phone:
Street: 227 FRIESIAN WAY Resident of property? : Yes
City, State Zip: SAFORD, 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
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 maybe additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of"permit is verification that 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_z_oning.
Signature of Owner/Agent
Print Owner/Agent's'Name
Signature of Notary -State ofFlorida Date
141
01.10.18
4-
Signatur of Contractor/Agerit Date
Rudith Goico
Name
SKYLAR 8 AMKRAUT
Commission #FF 127$90
My Commission Ei'pires
a, June t31 , 2018
Owner/Agent is . Personably Known to 'Me or ContraetoriAgent isTPer Known to Me or
Produced ID Type of ID Produced lD pe 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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
1 /10/2018
SCPA Parcel View: 18-20-31-505-0000-0570
0 son, CEA
s PA$$ iY
Property Record Card
Parcel: 18-20-31-505-0000-0570
Property Address: 227 FRIESIAN WAY SANFORD. FL 32773-6855
Parcel Information
--
Parcel 18-20-31 505 0000-0570
Owner � WILLIAMS, TIMOTHY S
Property Address 227 FRIESIAN WAY SANFORD, FL 32773-6855
,_......,__ Mailing 227 FRIESIAN WAY SANFORD, FL 32773-6855
Subdivision Name BAKERS CROSSING PHASE 1
Tax District S1-SANF6RD
DOR Use Code 01-SINGLE FAMILY----��
Exemptions 00-HOMESTEAD(2016)
Value Summary
2018 Working
2017 Certified
!_.-....... ....
Values
Values
Valuation Method
Cost/Market
1 Cost/Market
..... - _
4
Number of Buildings
1
1
Depreciated Bldg Value
; $167,080
$157,491
Depreciated EXFT Value
$4 050
j $4,200
Land Value (Market)
$34 00000
$34 000
Land Value Ag
Just/Market Value ""
$205 130
�$195 691
Portability Adj
I�
Save Our Homes Adj
i $29,183
? $23 363
Amendment 1 Adj
j $0
P&G Adj
$0
I $0
Assessed Value
$175,947
1$172,328
Tax Amount without
SOH: $2,938.41
2017 Tax Bill Amount $2,493.53
Tax Estimator
Save Our Homes Savings: $444.88
* Does NOT INCLUDE Non
Ad Valorem Assessments
SJltO I _ C.'(1h►nhtl I1t'.
C)rinndti, 1.1, 32807
3203 C.'unvvity Rd., tile. 2t)1
(:hlvldo, Fl 12511
(407)173.77M
(800) _11,17-3361 Fax
El VISA 0 E5
,vrd�ll
JASPERt
f'L: (,'I)III ritclo r's )atfn'se:
t fi`(,` 1:129651 & ("!CC 1,1;11 15.1
lto(:)I�itha'l.lk(;;1-,1i1s:N'I' (ON`1'itAC'I'
f-k1
r\t�ttunl (11ih4t�(rl, , `�t'� ,��a
Clain) rl:
NjortS:!eo C unmans Informali n
Loan Number:
Ownells)t
Phalle
sy� A i
�t(1�
AlldCi.S:
All Phone:
_
City-
Stilc1
�ilt`t.i,kiC: rryy-yry//
Slrin)sla uhlC
fr»,
koul' lW V Aritnttliu t„unlrael Price:
IJryt I';dfie Color
. l,.) . 1 � � [; r�. `_'=�it�l I'' t• t�(L/r'1. U �w,�
12,100
I '
If Owner's Inc brace Coninii6tv does not norce to nav for it full r•nu renlacenient. Ill, coutrurt +hall tic voidable.
Assignment of Insurance Benefits far file Full Roof It rill acrnirttf Only: I herehy ass fen ally and till lnswance rights, l+cticfits turd proceeds uniter
any applicable insurance polictos at Jasper lonhmaors, htc. (' Jaslk7") the scour ol'vrhich shall he limited Io a hull RoxofRrplaceuicnr, I imake this assrfnment
and authonzation in considcnnim of i:isper's tayrccnren la perRnm services, supply nt;untals and iolhcrvvisc prrorm nts ohltf:atunts ondif thIs cI,
including not regniring lull h:tyntcnt tit the time of scricc 1 also hcrchy dire•I lily insurct(s) to release any and all infbrteuicnr relucctel by Jaspet, or its
represcntativr(s), for 4tc dire:I purpose of Ohtanring, acutal b ncins to lie paid by lily insurct(s) her scivices rendered. In Ihts regard. I unrvc my privacy
rights. If payment is made directly to the Ovvllerlr\gan:lnsurrol(x), it shall be endorsed over to Jasper inuncdratrly Mona receipt. I agcc tlut any porttet of
work, dehuaiblcs, Ixncrnioit cx ;tdditit.nntl woik icqucstet by the undc7signcd, not ctovcictl by insurance, must hc, paid by the wuletsi(gncd on die day of
insYallaUvua. Deductible: It is the Owner's I`csednsi►�ilig� IO 1tav all insurtlmx d lot til,,Jc;. Ovwcr's out-of-ptx•kct expense uill not cxcccd the deductible
amount, as stated an inssrcr's loss sheet (the 'Loss Shect"), UNI USS icplaconowt-epair of cletcriorair d docking is required by code andor (honer requests
optimial upgrades. Jasper CANNOT pay, waive, rebate, or promise Ice pay, valve or rebale tiny or till of flit Insurance deductible applicable to the
instrtmcc claim for paytnenl of a`,`k. In the event of a ctisacp;uicy, the dcvluclil4c uniount stated on the inswa's Lawc ; alj ova Ie deductible
amount disclosed. Ucductihlcc 5 3 -� / 60 MUST lid: PAID IN FU1.1, PLUS APPLICABI E SALES TAX (initial)
MORTGA(W AUTHORIZATION: 1, Ovma N10rIgagdr, grunt anthonzatiQ ti)r_ Ortgagt Co. to cpeak with
Jasper on matters including hilt not liontcd to, the cl.tini and draw status. (initial) PAY\IEN"1' SCHEDULE: Owner aerecs to
pay Jasper based on the lollouing schedule: (I) Deposit in the tunount ill's duc upon signing this contract. (it) the Contract Price,
less the Deposit turd any applicable dclrrccialion retainod by Ounce's insttrcr(s), plus tgvgradc covsts, due and payable to 1aspex upon camrptetion of
work being performed, and, (ni) the rcmnining Contract ]'rice (c )ual Io any applicable depreciation tutdror change orders) due and payable to Jasper upon
completion of work perihrmed. in the event of a pending inspection, no more than 211i16 of Contract Price may be withheld witil inspectiat has passed.
Optional: UPGRADE Ill --NJ: Q1Y: PRICE: TOTAL: S
Replacement Work and Price: Upon instrer's approval and subject to the Tcmts and Conditions herein, Jasper agecs to furnish all materials and
provide the lalxrr necessary to perform the fill roof replacement which shall take place following Owner's instance company's approval, approximately
within 30 d:) , conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agroes that, upon approval by insurance cornpany for a
full roof replacement, Jasper shall perform the roof replaeenient upon rtecrpt of funds liont Owner's insuranec company.
FLORIDA HOMEOWNERS' CONSTUCTION RFCOVERi' FUND
PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAiL.ABLE FROM TIIE; FLORIDA iTOMEOWNERS'
CONSTRUCTION RECOVERY FUND iF YOU LOSE: MONEY ON A PROJECT PERFORMED UNDER CONTRACT,
WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS 01. FLORiDA LA\1' BY A LICENSED CONTRACTOR.
FOR INFORMATION ABOUTTHE RECOVERY FUND AND FILING A CLAIM, CON -FACT TIIE FLORIDA
CONSTRUCTION INDUSTRY LICENSING: BOARD AT TIIF. E'OL.LONVING'TELEMIONE: 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 Jusper, Owner may do so before midnight on the third business
Clay after Contract is executed. Owner shall receive a full refund of till deposits. Owner fully 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, shut] he postmarked or delivered to Jasper's
corporate office: 1690 Roberta Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day
right of cancellation DOES NOT APPLY to contracts fur emergency home repairs its time is of the essence.
1, Owner, have read and understand till statements, Terms and Conditions of the "Roof Replacement Contract" and agree,
that all details are acceptable and satisfactory, 1 further understand that this Contract constitutes the entire agreement between the
parties and that any further changes or alterations to this Contract mist be made in writing and agreed upon by both parties.
Each party represents and warrants to file 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.
/-) k- j
Authorized Jasper Representative Date
Scanned by CamScanner
Zlc(�441 tpIID
111111111111111111111111.1111111111111111
THIS INSTRUMENT PREPARED BY:
Name: JASPER CONTRACTORS
Address: 3203 S CONWAY ROAD SU1TE 201
ORLANDO. FL 32812
y31Vr3
NOTICE OF COMMENCEMENT
Permit Number, r�
Parcel ID Number.
GRANT NALO t r SEMINOLE COU14TY
f.'i ERf; OF CT
RC{!IT COURT & COMPTROLLER
CLERK'S 4 2018003512
RECORDED 01/10/?I_i12 11:13e15 Hill
RECORDING FEES �iCl.ljll
RECORDED BY hde;mre
The undersigned hereby gives notice that improvement well 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 PROP RTY (Legal descrip ion of the property and street address if available)
5�no ads S I no rpk ri'g hr7 ��S 2-7
2. GENERAL, DESCRIPTION OF IMPROVEMENT:
RE -ROOF
3. OWNER INFORMATION fO� SEE INFORMATION 1F THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: W }'C{ Vl'oS . ) fY)' _ a.9
IMPROVEMENT-
- e5 9
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788
Address: 3203 S CONWAY ROAD SUM 201 ORLANDO FL 32812
S. 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
713A3(1)(a)7., Florida Statutes.
6. In addition, Owner designates
Phone Number.
Of
to receive a copy of the Lienors 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.
C .,YI-0M W, llij,
(SlgnaNre or owner u lessee, or Ownefs or Lessee's (Print Name and P vide signatorys-nkolrwe)
AnOwrized OfGcadDinstedpadm Manager) c
State of k l County of SLM iylC x—
The foregoing instrument was acknowledged fb`�efforree me this day of lire .20
by �� t/��1_� Who is personally known to me ❑ OR
Name alpersb0haking statement
who has produced identification type of identification produced: _ OIL _i
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County; Winter Springs
Date: 01.10.18
Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb
hereby name and appoint: Ana Chavez and/or Michelle Monsalve
an agent of Jasw Gonraaocs
(Narm orc«npmy)
to be. my lawfW anomey-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 i'application for work located at:.
227 FRIESIAN WAY SANFORD, FL 32773-6855
(St;- Address)
Expiration Date for This Limited Power of Attorney: 1/1/2 - 0 - 1 - 9
License Holder Name: DonaldBouchard"
State License, Number. oec'33»53
Signature of License
STATE OF FLORIDA
COUNTY OF S-Ii +
The foregoing instrument was acknowledged before me this 10 day of January ,
20Q 18 , by . o>wa souav"� who is o personally known
to me or m who has produced oL as.
identification and who did (did not) take an oath.
L
Signature 1
�o Sea])
kylar Amlaaut
Print or type name
„"`�:"�- SK.YLAR B AMKRAUT �{
p f 1
- Commission P FF 12789U
: 2
- My Commissionxp Eires
o� ,
o��� June 01, 2018 ?'
(Rev. 08.12)
Notary Public - State of FL
Commission.No. 127890
My Commission Expires` 6/1/2018
ScannPcl by Cam;Scanner
nCITY OF
D SkNFORD
DEPARTMENTFIRE
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. /? r %3 & r ISSUE DATE: ® f • / ®• 1 V_
CONTRACTOR: \J &S
JOB ADDRESS:a ev)4 W1 W Fr '•ep S / &41 (041
TYPE OF WORKM
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
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, perFL 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
�J City of Sanford Building Division
F.. 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 OWNERIBUILDER) SIGNATURE: �" DATE: 01.10.18
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 227 FRIESIAN WAY SANFORD, FL 32773-6855
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O 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: D OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES O NO 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
OQ SHINGLE
Owens Corning
FL# 10674-R12
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"
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#
0 OTHER:
FL# w
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 360 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 18-00000368 Date 1/10/18
Property Address . . . . . . 227 FRIESIAN WAY
Parcel Number . . . . . . . . 18.20.31.505-0000-0570
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1024496
Permit pin number 1024496
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
SI{\ /d99
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / 7 ADDRESS: SVIM
f
�s 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 FLORMA 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 COOWRACTORS
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICET
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: ) iq_
I �L
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 JCA r 1 20 10 by:
ry; /i / V ►� ✓x J "/ . Who is ❑ Personally Known tome or has X Produced (type of
as identification.
Signatu o otary Public
State Flor a >x"`�a<<� SI(YL*k- IAMI(RAUT
Commission 8 FF 127890
My Commission Expires
_Sk3k�N (WA
Print/T /Stamp Name �.�-�"�_—
June 01, 2018
of Notar ublic
Altamonte Springs, Casselberry, Lake Mary, Longwood,. Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Scott Mei-ell, James Allen, Chris Gardner, Juan Lozano, Joel Vargas, Paul Padgett
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 The specific permit and application for work
Expiration Date for This Limited Power of Attorney:_ f �'
License Holder Name: tl / 0y\ I �Auu\AA\
State License Number. ccc1331153
Signature of License Holder.
STATE OF FLORIDA --
COUNTY OF s
The fo�ing instrument was acknowledged before me this �_ly of _
2� 1 = by °01� HO7 who is o personally known
to me is who has produced
identification and who did (di
SKYIAR ^` sr B AWRAUT
Commission A F'r 127890
My C�Or�j mission Expires
01, 2018
Notary Public State of
Commission No.
My Commission Expires: tP �/
(Rev. 08.12)
Scanned by CamScanner
3
ix
i
„ 1Al
t
(r
- ( t�
TE
k
rjk
Scanned by CamScanner
E4:
3s cC4
- tp (w^,,
i12 %5.�
ii _• $a>
C"' a '+S k
,`..��m»^.-b�x
i=d ^""` <S.x
4"1
s
co
"`K
,J
G8a
✓J
_ ..A.. 5$J
}
4T✓. -
kY.4
V5
_
Mai. ii!! La) Ca". C.d'1 CC:.i E.:.a q V � V M
r, tlx
mc
lTl
...w
•-r" '^ i'J.
LFx4?
:� wp
h..+
UJ
i RY} Y#'R aC,:q. � N �....-
a
CD
�Ci T
.M..w ..:.,...
^R
�' ..ram F
_ .....w—" �".«M--'.#a ems«%^,...
.� � a
g .�nR+.�..'..'. 'Srry u"!' � _...pis+.y�'
��i<.
�i'�i 5�;
'3t
'P �'y Cahh ��+',..
I
,�� �.,�
.�«�
'�
�' �;: ' �
=' a�
j
Ilk
41
Re ttir��. 1
air � s
r
d.�
.a-e% 1\ °n
)x,-: Xk_
kbidk e d,�x�aa„.
E
PERMIT No, j4y
_
CONTFtAGiOF," V _ _- � � t
.,SUB ADV['n6evJ
i YPE OF
_._ —PROTECT FROM WEEA 1 t#ER
�� fat (i tni 7 is f i t`y i4';Lin t
aI.
8 i i .a: job sit