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HomeMy WebLinkAbout253 McKay Blvd (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT ITT APPLICATION Application No: / 4 - �5 c) I Documented Construction Value: $ 14600 Job Address: 253 MCKAY BLVD SANFORD, FL 32771 Historic District: Yes ❑ No x❑ Parcel ID: 31-19-31-527-0000-0670 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 15216-R3 33 SQ 7/12 Pitch Dessert tan Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Title: Admin Email: Permit@Jasperinc.com Property Owner Information Name Rosaura C Caraballo Phone: Street: 253 MCKAY BLVD 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 Name: Street: City, St, Zip: Bonding Company: Address: 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: 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 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_costrction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 01.19.18 Signaturp,ofcontractor7Agetlt Date Rudith Goico Print Contractor/Agent's Name SKYLAR B AMKRAUT Commission # FF 127890 My Commission Expires June 01. 2018 Contractor/Agent is Personally Known to Me or Produced ID type 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: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 1/19/2018 SCPA Parcel View: 31-19-31-527-0000-0670 Property Record Card �(}R Parcel: 31-19-31-527-0000-0670 scxsoourrv. Property Address: 253 MCKAY BLVD SANFORD, FL 32771 Parcel Information Value Summary Parcel 31-19-31-527-0000-0670 j 2018 Working -- - - - -- -- - - Values I Owner CARABALLO, ROSAURA C--________. CASTILLO, ANTONIA Valuation Method rt Cost/Market Property Address 253 MCKAY BLVD SANFORD, FL 32771 Number of Buildings 1 - -Mailing 253 MCKAY BLVD SANFORD, FL 32771 -- - -- j ( Depreciated Bldg Value $129,448 Subdivision Name CEDAR HILL REPLAT Depreciated EXFT Value $901 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY — Exemptions 00-HOMESTEAD(2005) niw Legal Description LOT 67 CEDAR HILL REPLAT PB 63 PGS 96 97 & 98 Taxes 0 Seminole Countv GIS Land Value (Market) $30,000 2017 Certified --' Values Cost/Market 1 $121,977 $951 $30,000 i y Tax Amount without SOH: $2,114.61 2017 Tax Bill Amount $974.06 Tax Estimator Save Our Homes Savings: $1,140.55 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value - - - - - - - - I- - - - --+ County General Fund $94,984 $50,500 $44,484 Schools $94,984 $25,500 $69,484 City Sanford $94,984 $50,500 $44,484 L (Saint Johns Water Management) $94,984 $50,500 $44,484 i Bonds $94,984 $50,500 $44,484 Sales Description Date Book ;Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 9/1/2004 05469. 1081 $125,600 Yes Improved i CORRECTIVE DEED 7/1/2004 05395 1084 $100 No Vacant WARRANTY DEED 4/1/2004 05266 1258 $461,300 No Vacant ; Find C21,,r7rh!* Sam Land - --- -- -------- - -- ---- ---- --- ---- - Method Frontage Depth Units Units Price and Value LOT 1 $30,000.00 $30,000 Building Information Is Bed/Bath count incorrect? Click Here. -i-- - Year Built # Description Fixtures T Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective http://parceidetaii.scpafl.org/ParceiDetailinfo.aspx?PI D=31193152700000670 1 /2 5380 E. Colonial Dr. Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407) 278-7788 (800) 337-3361 Fax inln(u iacncrinc.ore JASPER JasperRoof.com FL Contractor's License: CCC1329651 & CCC1331153 ROOF Rrl�l .Arr�rr�r r' rn v rr� nr r Account Manager. 7 3 s 5-61'2 —?% Contact #: -, c, r' n `t t ' 4 d 11 u Insurance Company Information Company: Policy s' Claim tt: (7.1- C ?6 1 7 c� Tn.) 73 3 Morteace Compartv information /�, Company: 1,�c- ,, >-t' e 'i^ 0 -,/ ,,/< Loan Number: / G c, ; L. 554, Own (s): C�, s � �` l f C� Phone: t z/ c V -J �, (5 C) Address: �'� ' �. 1.� ) Alt Phone: ti .7 G 2, City: State. "Lip Code. Shingle Color: /-- .3 Email: Roof RCV Amount/ Contract Price: Dnp Edge Color: " ; C r„ 1 14600 > v if Owner's lnsurarice IffbnInally does not agree to Ray for a full roof replacement. Ihis 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/lnsuucd(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 undersimed on the day of installation. Deductible: It is the Owner's responsibility to ply 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 work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet �611 overrule deductible amount disclosed. Deductible: 5 `/ 0 MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAXI ✓���-cam (initial) MORTGAGE AUTHORIZATION: 1, Owner/Mortgagor, grant authoriz tiou or Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw status f (initial) PAYiN ENT SCHEDULE: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of$ // 10 e,y due upon signing this contract; (it) the Contract Pnce, 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 Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: PRICE: TOTAL: S 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 die full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting. Owner's DmIaration 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 HO;b1EOWNERS' CONSTUCTiON RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEO%VNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FL,ORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT TILE RECOVERY FUND AND FILING A CLAIM, CONTACTTLIF. FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction industry Licensing hoard: 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. 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. 1 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. uthorizcd Jasper Representative Date -11 4.er Date Scanned by CamScanner THIS INSTRUMENT PREPARED BY: Name: 3?.QVr CA>-kru'10fS Address: rr Szrt . Pt- 37,'I-1'3 NOTICE OF COMMENCEMENT u3z1s8 Permit Number: Parcel ID NumberQ(Q?n_ Gil LE . O, i! s i LE:"f�l., i�F s:%tt;:UI1 'UNRT is COMPTROLLER 4LERi,'S Y 201t,0071)g2 ►.i:GRWf C� �i1:.tg }11 REC_:iF@114e i EEC: u ilj, i)J 01 F, 3f: 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: ►�'�sZAN-2-, C CZr"21,2din IWkA Da, -A xA_ C Cas4i1lO 7<3 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 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: Name: Phone Number: Address: 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 8. In addition, Owner designates to receive a copy of the Lienoes 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. '9&aadtl _� - e6d�l5 U Yq L CQ,5Z Ile (Signature of Omer orLesse Owners or Lessees (Print Name and Provide Signatory+& rule/Office) Authorized Officer0rector/Partrw/Manager) State of 1 � l A Gk_ County of The foregoing instrument was acknowledged before me Tist1 _ �I/ day of by Name of person making statement who has produced Identification type of identifi ANA CHAVEZ �=c State of F NI a -Notary Public Commission # GG 112152 nc My Commission Expires a �hrntl� June06.2021 �' t k `� . Who is personally known to me 0 OR LIMITED POWER OF ATTORNEY .Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01.19.18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I hereby name and appoint: Ana Chavez and/or Michelle Monsalve an anent of: c°"tracto,s (\— or company) to be my laafitl 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: 253 MCKAY BLVD SANFORD, FL 32771 (Strew Address) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. CCC1331153 Signatwe of License Holder. STATE OF FLORIDA --) COUNTY OF s—*"e The foregoing instrument was acknowledged before me this 19 day of January 200 18 , by oo-a B-fh-d who is o personally known to me or ® who has produced ot_ identification and who did (did not) take an oath. Signaiurc (Notary Sea]) S1cylar Amlaaut SKYLAR B AMKRAUT °�"•4Q` Commission N FF 127890 is 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 as Scanned by CamScanner CITY OF NANFORD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. /g *. !F03 ISSUE DATE: O/ 6 A A* ' CONTRACTOR: z r JOB ADDRESS: 3M a k v TYPE OF WORK: 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, 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. 01.19.18 CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 253 MCKAY BLVD 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 O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q 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# OMETAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE 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 . . . . . 18-00000503 Date 1/22/18 Property Address . . . . . . 253 MCKAY BLVD Parcel Number . . 31.19.31.527-0000-0670 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1026483 Permit pin number 1026483 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_/_ RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: I ' v` t-k"'s � " `e"'� , 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: JASPE ONTRACTORS ell CONTRACTOR SIGNATUR DATE: (MUST BE SIGNED BY LICEN HOLDER 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 S day of kAn 2�)� by: J.Who is ❑Personally Known to me or has X Produced (type of identification) DL Signature of Nota blic State of Florida Print/Type/SITm--p Name of Notary Public as identification. � KRAUT SI Y� AR P` 127890 Cv)nlr q�00'1 Fxplfes MY Cori,n,IssIo2018 June 0 UNWED POWER OF ATTORNEY Altamonte Springs., Casselberry, Lake Mary, Longwood, Sanford, -t-' 1 0 'r&"" Seminole Countv, Winter Springs Date: 1 hereby name and appoint -Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Joel Vargas, Paul Padgett an agent of Jasper Con °rs 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): X and Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number. CCC1331153 Signature of License Holder STATE OF FLORIDA L COUNTY OF s-nnae The fo mg instrument was acknowledged before me this 2001 by Donald souchwd to 'ra or M who has produced a - identification and who did (di (Notary Sea]) ........ SKYLAR B AWRAUT " _ <Gi c Commission 4 FF 127890 ° My Commission Expires June 01 , 2018 (Rev. 08.12) v day of, who is o personally known Notary Public - Sta of Commission No. My Commission Expires: Scanned by CamScanner