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Home My WebLink About248 Bella Rosa CirCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / � P T? / Documented Construction Value: $ 13,500 �.� 248 BELLA ROSA CIR SANFORD FL 32771 ❑ x❑ Job Address: � Historic District: Yes No Parcel ID: 29-19-31-502-0000-0290 Residential ❑x Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 33 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 Name THUESON,BRYAN Street: 248 BELLA ROSA CIR Property Owner Information Phone: Resident of property? : Yes City, State Zip: SANFORD, FL 32771 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: City, St, Zip: Bonding Company: Address: 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: 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. ccep'tance of permit is verification that will notify the owner of the property of the requirements of Florida Lien Law, FS 7li. 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 pennitfees 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 gonstructon and_zonng,�_...._ Signature of Ovmer/Agent Print Owner/Agent's'Name Signature of Notary -State of Florida Date 02/ 14/ 18 Signaturglof Contractor/Agerit Date Rudith Goico Print Contractor/Agent's Name SKYLAR 8 AMKRA.UT Commission N FF 127890 My Commission Expires June Al , 2018 Owner/Agent.is Personally Known to Me or Contractor/Agent s Personally Known to Me or Produced ID Type of ID Produced ID �f—ype 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: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING:— COMMENTS - Revised: June 30, 2015 Permit Application 2/14/2018 SCPA Parcel View: 29-19-31-502-0000-0290 Property Record Card (N&E Parcel: 29-19-31-502-0000-0290 r Property Address: UNKNOWN UNKNOWN, FL e Seminole County GIS Legal Description LOT 29� CELERY ESTATES NORTH PB 71 PGS 38 - 45 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $125,315 $50,000 $75,315 Schools $125,315 — $25, 000 1 $100, 315 City Sanford � $125,315 $50 000 $75,315 Water Management) mm$125,315 $50,000 $75,315 County Bolndsohns $125,315 $50,000 $75,315 Sales Description Date Book Page Amount Qualified VaGlmp QUIT CLAIM DEED .._.... ........... ..... ---_... SPECIAL WARRANTY DEED 9/1/2015 ___-_. 5/1/2010 08544 --�- --------. 07396 1224 € 1736 $100 No _ _.__ _ __ $155,000 Yes Improved Improved WARRANTY DEED 6/1/2008 07014 0848 $3,018,400 No Vacant Find ComparaMe, Land Method Frontage Depth Units Units Price Land Value LOT .. --- -_ -' -------- --- 1 $ 32 000.00 ----- -_ _. _ .. I _ $32,000 ....._ Building Information Is Bed/Bath count incorrect? Click Here. # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rep] Value Appendages Actual/Effective 1 ! http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PI D=29193150200000290 1/2 5380 E. Colonial Dr. Orlando, FL 32807 Conway Rd.. Ste. 2111rrlano. Fl32812 JASPER N07)278-7788 -Jaepor Rc,pr Cos (800) 337.33(11 I-ax inr'„�, i•t.ncrtnr nit VISA Owttct(sj: IifrV C,rl Address CC -2 (i l- r i, 1 i 1:1. Contractor's Licenst C:CC 1329651 & CCC1311153 ROOF REI'LACi.AIEN•I'CON'1'It.AC'i' C S (i Sta1e" Zip Code: Rool' UN Amount,'( onoact race 13,500 Account Manager.". Y ` /L �Yt_v Contact 9: iU f 3 3 1 Insurance Contnanv Information C.nmpany-la.,2,f' Policy ;, c Claim Mniticape Cornnanv information Company l.rian hunt;-,'r Phone - - - - Alt Phone: -- Shnnp,le Color Drip l:d�t Color: Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all tnsurance rights, ticnefity and proceia& under z:iy applicable insurance policies to Jasper Contractors, Inc. (" Jasper"), die scope of which shall be limited to a Full Roof Replaccrnent. I make this axnpimerit a:id authonzattoxn in consideration of Jasper's agreement to perform services, supply materials and otherwise perform io obligations under thin Ccintrut, in. tiding not requiring full payment at the time of scnace I also hereby direct my nnsurcr(s) to release any and all information requested by lw�pa, or ite rgprescotanic(s), for the direct purpose of obtaining actual benefits to he paid by my insurer(s) for services rendered. In this regard I nerve rty pnv-&c) n�ht. If pa)mcnt is made directly to ilia O"no/Ag an/lnsured(s), it sliall be endorsed over to lasper unrncdiatcly upon receipt- i aacr that any poruan of deductibles, bettenncstt or additional work requested by the undevsngrnal, not covered by insurance, must be paid by the undersigned on the day of intiallaurnn Deductible: it is the Owver's resr)onsihihty to pay all insurance deductibles. Owner's out-of-pocket cxperise will not cxeced the deductible uu:utuit, As stated on insurer's loss sheet (tlie "Loss Shea') UNI.ESS feplacemein/r pair of deteriorated decking is required by code arid,Vr 0*r1cr iequenu -. crpnunal upgrades Jasper CANNOT pa)•, wake, rebate, or proutise to pay, waive or rebate any or all'of the insurance deductible appJ:-a.tk to trwe :,isumnce claim for payment of %}kl n the even of a discrepancy, the deductible amount stated on the insure 's I ois Shect sh2H ===rule dal_zibir amour:t disclosed. Deductible: S r G C' L' MUST BE PAID IN FULL, PLUS APPLICABLE SAI.I.S TAX �-� (Initial) MORTGAGE AUruowI<&T'IUN. I, OwnerMorivagori grant authonzatton for�� _Monpc: Co. to Speak �ith Jasper on matters including bur not limited to, the claim and draw status. c 'mot (initial) i'.AYYIF.\ 1 SCHEDULE- Owner apcc-- tr, Pay Jasper based on the following schedule, (i) Dermxit in the amount of$ i' due upon signing this contract', (it) the Ccrrsract Pri:e. Ices the Deposit and an) applicable deprecration retained by Owner's innsurer(s), plus upgrade costs, due and payable to JasM upon oampicuort of we4k being performed, and, (ui), the remaining ContractPrice (equal to any applicable ckprcciation and,o€ change orders) due and parable to JaaMc up x: completion of work pertormed. in the event of it pending inspection, no more than 2%, of Contract Price may be withheld until mslecticn bat pa.,� Optional: UPGRADE- fiT:rih MY PRICE-. TOTAL 5 Replacement Work and Price Upon insurer's approval and subject to die Terms and Conditions herein, Jasper agrees to fiunssh ad1 trams and provide the latxn necessary to perform the full roof replacement which shall take place following Ownea's insurance company's spprovzl, apprnziMa(rd) within 30 days, conditions permitting. Owner's Declaration of Intent. Owsicr acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of fund. from Owner's insurance company FLORIDA HOMEOWNERS' CON'S'll'CTION RECOVERY FIND PAYN[EN'I, IT TO A LiMITE:D AMOUNT, MAY BE AVAII.ABLF FROM THE FLORIDA IIOl1I.Ol1"\I-RS' _ CONSTRU( LION W.COVE.RY FUN[) IF YOU LOSE'MON'F1' ON A PROJECT PERFORMED 1 \DI it ( ()tiTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOL:\'[ IONS OF FLORID; 1.:1��' ail A I.ICENSED CO\ I RAC`TOR. FOR INFORMATION ABOUTTHF. RECOVERY FI ND AND FILING A Cl. V M, CONTAC I 'I [IF FLl)RIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT'171E FOLLOWING Th.LE.Ii11ONL NUM Bt. It AND ADDRF�.\S: Construction Industry Licensing Board: 2601 Blairstonc Road, Tallahassee, FL 32399-1039, (tt5111 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper, Owner niay do so before midnight on the third businesx 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 (lie contract is executed after notification front insurer{s) that the claim for paynient 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 E\CEPi IO\S: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I, 01vner, have read and understand all statements, Terins and Conditions; cif (he "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 partied. Each party represents and warrants to late other that it has the full power and authori(y to enter into cite contract and that it IN binding 'and enforceable in accordance with its terms. Ai-�Represcntativcitho dJasper Date Owner i)ate Scanned by CamScanner TKS INSTRUMENT PREPARED BY Name: Address: NOTICE OF COMMENCEMENT Permit Number. � �� il�) illld IIII1 IIIII Illll Illl IIII --- 11411T MILUYr SEMIf10LE COUNTYGLERI( OF CIRCUIT COURT 6 C011PTROLLER BK ci)?{. Ps iC137 (1Pes) CLERK'S A 2018016726 RECORDED 0`/13j202 09:38:31 AM RECORDING TEES s10.rlrj RECORDED BY hdnvore Parcel lD Number 2q'1 �' �j j ' �7(��- [�'X Yl ^0290 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. DESCRIPTIOgOFF PROPERTY: (Legal description of the property and street address If available) 2'.) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: �rt��.Aj�r= �-Lig i�i' 52 �1 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: 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. Phone Number. fi. In addition, Owner designates 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 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. tslgisaue or sea, or Owners or Lessees (Rint Name and Pm de Slpnaloys Tida/OMce) IWp�on ctwfflannerft"nagar State of County of The foregoing nstrument was acknowlidged before me this day of by ama ofen making statement Who Is personally known tome ❑ OR rsoq �� who has produced Identification type of Identification produced: Ir/111 SKY AR AMKRAUT r o iniisslon p FF 1278e0 V Commission Expires x 1 ,tune 01 , 8 COPY GRANT L OF TtSle� WIT t AND .0�"Pi'l SEMI; 1FIB BY _ , its;W 111 P101a Scanned by CamScanner Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 02/ 14/ 18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I hereby name and appoint: Ana Chavez and/or Michelle Monsalve an anent of: Jasperconaaaos Game of company) to be my lawfiil 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 work located at: 248 BELLA ROSA CIR SANFORD, FL 32771 (Suva 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 sertlin The foregoing instrument was acknowledged' before me this 14 day of February 200 18 , by DoruAd Bouchard who is o personally known to me or ® who has produced DL identification and who did (did not)takean oath. f 1v v Signature (Notary Sea]) Sky ar Amlaaut SKY�LAR B AWRAUT t Commission # FF 127590 - oc My Commission Expires June 01, 2018 (Rev. 08.12) Print or type name Notary Public _ State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Srannpd by Camscanner CITY OF &kNFORDBuilding & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. A ISSUE DATE: 6 CONTRACTOR: as 4 JOB ADDRESS: C2 41 st 4 ee r� TYPE OF WORK: -pew Aaa7c IF a 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 111 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: 02/14/18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 248 BELLA ROSA CIR SANFORD, FL 32771 STRUCTURE TYPE: Q 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: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES 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 Q 4:12 OR GREATER 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# O INSULATED FL# OTILE FL# 0 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 . . . . . 18-00000879 Date 2/15/18 Property Address . . . . . . 248 BELLA ROSA CIR Parcel Number . . . . . . . . 29.19.31.502-0000-0290 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1032085 Permit pin number 1032085 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, IDRY-IN, FLASHING, �AND�LL FINAL ROOF COVERINGS j �(' PERMIT #: 11� � � � � ADDRESS: V I C I�2 ll`_ 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 #: \ rc COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/ UIL R) 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 _sm\ Sworn to and Subscribed before me this 12u_ day of 20 L by: Who is ❑ Personally Known to me or hasroduced (type of as identification. Signat a of otary Public Sta)oF&ija ' SKYLAR B AMI<RAUT ` pY, ue Commission # FF 127890 Print/Tylu Stamp Name My Commission Expires of Notaryblic ` °F June 01 , 2018