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Home My WebLink About327 Lusitano Way (4)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / ' _ 19`// Documented Construction Value: $ 10,900 .lob Address: 327 LUSITANO WAY SANFORD, FL 32771 Historic District: Yes ❑ No x❑ Parcel ID: 18-20-31-506-0000-1380 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 Rhino 15216-R3 31 SQ 7/12 Pitch Brownwood Supreme 25 Years Plan Review Contact Person: Skylar Amkraut Title: Admin Phone: 407-278-7788 Name Jamie Kesselring Street: 327 Lusitano 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: Fax: 800-337-3361 Email: Permit@Jasperinc.com 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: 51' 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 71.3. 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 pen -nit 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 regtllating:constructi,R]R and zoning._ ______.___�__. Signature of Owner/Agent Date Print Owner/Agent's'Name 01.09.1 s Signatur ofCoutractor/Age t Date Rudith Goico Name Signature of Notary -State of Florida Date Signature of §taate ofFlo its �_- - SKYLAR B AMKRAUT Commission # FF 127890 My Commission Expires June 01, 2018 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[-] Gas ❑ Roof ❑ Construction Type: Total Sq Ft of Bldg Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yves ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 1/9/2018 SCPA Parcel View: 18-20-31-506-0000-1380 Property Record Card Wmoon, CFA Parcel: 18-20-31-506-0000-1380 Owner: KESSELRING JAMIE D .r c� Property Address: 327 LUSITANO WAY SANFORD, FL 32771 Parcel Information Parcel Owner. 18-20-31-506-0000-1380 KESSELRING JAMIE D Property Address 327 LUSITANO WAY SANFORD, FL 32771 Mailing ......... Subdivision Name 327 LUSITANO WAY SANFORD, FL 32771- BAKERS CROSSING PHASE 2 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) LLegal Description LOT 138 BAKERS CROSSING PHASE 2 PB 62 PGS 97 - 99 Value Summary r 2018 Working 2017 Certified Values Values Valuation Method Cost/Market CosUMarket Number of Buildings 1 1 Depreciated Bldg Valuei $177,898 $167,569 Depreciated EXFT Value $2,275 $2,363 Land Value (Market) $34,000 $34,000 Land Value Ag Just/Market Value i $214,173 $203,932 Portability Adj Save Our Homes Adj $65,704 $58,517 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $148,469 $145,415 Tax Amount without SOH: $3,085.80 2017 Tax Bill Amount $1,971.54 Tax Estimator Save Our Homes Savings: $1,114.26 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $148,469 $50,500 $97,969 Schools $148,469 i $25,500 $122,969 City Sanford-- -- SJWM(Saint Johns Water Management) $148,469 i $148,469 1 $50,500 $50,500 $97,969 $97,969 County Bonds i $148,469 '- $50,500 1 $97,969 Sales ........ Description Date Book Page Amount Qualified Vac/Imp I SPECIAL WARRANTY DEED 6/1/2012 07802 1741 $171,000 No Improved CERTIFICATE OF TITLE 2/1/2012 1 07718- 0033 $100 No Improved WARRANTY DEED 8/1/2004 05441 0284 $230,000 Yes Improved -a-- _ WARRANTY DEED 2/1l2004 05229 0617 $207,000 Yes Improved ..........._., __.._.y- WARRANTY DEED 1 9/1/2003 05039 0919 $227,000 No Vacant ----- ....... -- -- - -- - -- - . _... ----- -.-. jFirod Gorrepar�lste Sa� Land Method Frontage Depth Units Units Price Land Value ( , 1 $34,000.00 LOT , $34 000 Building Information Is Bed/Bath count incorrect? Click Here _ --T_ --- -- --T http://parceidetail.scpafi.org/PareelDetaiIInfo.aspx?PI D=18203150600001380 1 /2 5380 E. Cttf•..ri.a Dr. OTL-ndo. F{_ _ 3203 Conn+ Orlando, FI : (dfl71 27-9 7-: . WO) - 37-3361 1 1: deal .J. tl�j'.ir]nt, VISA ='" � c-ram wG�S� Am -- JASPER ; F1 (outrscton'. i-icensr: CCC1329651 & C-CC13311 53 1100F REPLACE NIFN I' C'ONT11,Wl' , . ';e Account Mw1agcr Ccnuact �. < < i Insurance (-omsatr Infnrm1ti0rt Claim e.fcrt^� • C�mnans ln�'nrmation Ccrrrzay L e I`' t: i t:, I-jXLn Numix r-Y Phu= I f C I e2-7— Aft Phone Sint LIP Code ntit=t: t e+t �r el 3Q 27 Hoof RC-' Am:•Ln! Contntl Pncc Drip Edgr Colo 10,900 ."signtnent of Insurance Ilrnefit% for the Full Roof Replacement Only: I hereby assign any and all tnsur—re bmefiu and to )v cs Ctr.r. zctca: Inc- dtc swiv of Wftt�h shall be limited to s Full Roof Reptaccrr=t- 1; oinks tors asi�t :3 :=itct�au ir, ccc <r :tcn cf ljap-'s aprcatte tt to Pafmn tcn�.ss. supply nutauls and oth-Imitr pa its obligaitms t-tdcz !r_s Car i2� rct•.a:%z f all i _}-ncnr at [:.c was of .csvrcr. I also hach_, ditat rn) mst^afs) to 'release arty and ail m(acttr+_tcc rcq.:_-:rd t) JisF_-r- er. re fer;t e et7-na V_po;e .f o!`.sininge achul benefits to be =pa:d b) m} mstret=(s) for tx rcrdaeti In t,�u r-,rd 1 xz.:, m)' r dhec If pi) -went u. rn:de 4:rcrt') to tht ()una ,,keno Instaed(sl, it shall be enck"ed cntr to Ja r immediately upon recenp: 1 sze= that a:. Urt)--r. of -ti cedr�tibIa b Ott cY a�1':� *1 :sack„rclu•�tcd b) the Lmderst_tstai, riot cv:c:ed by insurance, tnnst be paid b} the undast;ned im the da. of inzallati(in.Deductible- It t�'*c (t--i f`. rza-1=t1-ii'. to to all"in:vrmcr deductible.. Owner's aut-of-Pucka r'Pcnyc %ill no creed Pre 6at,.�bic as stated m rt e.'s 1k--: e`.ect It --I o:s tihcrt"t. LNI-;SS rcplacancnttrr3tr of detmaret orated carets is requtred'by code andor O%ner regaes's r.;real tr, _g3cics. JAW CAN`01' pa.. r+aisr. rehatr, or promise to pay. wahr or rebate an, or all or the insurance deductible applicable w fist c__rstz elaif: far ,,.._,.t t: zcct In t'-c r.Ttt of a c' .cr Ps t�, tits deduc tbic 'zmcN_nt ,tatcd on the mmrcr'� 1rs, Shest bill to-e rule deductible ds-& :loc Deductible- c MUST BE PAID IN FULL_ PIA S APPLICnBLE S.jkLE:- i s\ �l � (tnitiafl MORTGAGE ALTI OR1Zkil(11 T. (),,Per %lorintp"I , era:tt autherttzhon forte ti! rtTL Co tcs s�G'i. wtt J =r Or cadge-s t�.:t, b W.'. t , .-+ ", Pl. clam and dr3u trc � (initiaf)' P 11 jEFe\ I SCHEDLILF OKrQ e�cr� w Jasp-- tr -raj ear tali D p+x;it to the amrnmt ofS .',ue urswn ss;crrtz this rnnfract� (t) tu:e Ccsu.3c P-.1= its t}c Dtpwil and anti applicable dTrectancet rctaktz by O%ace's insurc(s). plus upgal: cws. due and payable to Jaa�r q1M cm-,IM, - Of sari bcinz paktrme:. =nd. {tali1 the tcrustmg Cotttra:t !'nice {rtlersl to art} alrpl±cabk deptee anan and'ta sitar r orders) due a d payable to lsixr to n cr 1xa,y of wsk performed In the e:tMt of a Patdirg tnsrecuon, no mce tilm of Contract Pncc tray be withheld uadl in_t-cram h_s pssai Optional• LWRADF FITAT- Q1Y PRICT'- TOTAL. S Replacement 'Work and 'Price: Upm innaaer's approt31 -rA,sul-3cct to"the Terms and Ccttci:tims'hercm,;Jasper assess m fiTc15b all that---ulls and Prr-ide the Liar neccs,:—ar to palkwm the full roof rcpl:remTa Witch shill take plat following O%ner•s tnsetrnce compmy's Irprosal. apFrcumatelY w.tnm 30 days, ccrd.ei t> �tnttttne O>lner's Declaration of Intent: O%ne acknoutedg and agrrs that upon approval by t:st ce ea ny fa< a till! roof rc= lacan--r-l-- J ;+a altall Mfg-. m the mof TCVlacerrcnt LT%n tevcipt of fund; fi-mi Ouna's in =nce ccanpany. FLORIDA HOMEOWNERS' C•ONSTU("IION RECOVERY FI,'ND PAY'MEN7. UP TO A LIMITED A)IOt`NT, MAY BE AVAIIABLE FROM THE FLORIDAHOMEOWNERS' CONS-TRUCTION°RECOY'LRY FUND IF YOU LOSE. MONEY ON A PROJECT PERFORMED UNDER CON-1RACr. WHERL TIIE LOSS RESULTS FROM SPECIFIED VIOIATIONS OF FLORIDA LAW BY A LICENSED CON-IRACTOR. FOR INFORMATION ABOUT 1IIE RECOVERY FUND AND FILING A CLAIM, CON -PACT THE FLORIDA CONS rRUCI ION INDUSTRY LICENSING BOARD Al TIIE 170L LOB% IN( •I EL :PHONE NT31BER :AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road. Tallahassee, FL 32399-1039, (850) 487-1395 CANCELLATION: If Otnner elects to terminate the services of .Insper, Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund o{all deposits. O"ner may also rescind Contract before midnight on tine 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 pan. All ++ritten notices of cancellation, regardless of reason,ahall be postnurked or delivered to Jasper's corporate office: 1690 Roberts Boulevard, Suite'112. Kenrwsa++r 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, Terns and Conditions of the "Roof Replacenknt Contract" and agree that all details are acceptable and satisfactun. I further understand thatthis 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 pith its terms. Autho4zAA Ja—Ter Representative I}ate- Date Scanned by CamScanner THIS INSTRUMENT PREPARED BY: Name: JASPER CONTRACTORS Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO. FL 32812 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number. 19^ SOCQ — Car— 13ao 6RANT MALOYF SEMINOLE COUNTY' CLERK OF CIRCUIT COURT & COMPTROLLER 8K 9LI54 I 1033 (1Pss i CLERK'S a 201B130207 RECORDED 01/08/2(11 04-31,0i. PI` RECORDING FEES $10.00 RECORDED BY cstfl t ) 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 P� RPERTY: (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. J Name and address: AM- 11j5i-+F-11)n t(>�c.1r �j2nfyr�r FC 32% f Interest In property: OWNER Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 5. SURETY Of applicable, a copy of the payment bond Is attached): Name: 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 maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Phone Number. 8. In addition, Owner designates of to receive a copy of the Lienor s Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 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. _ �CLI'►�tl e. 4�55e. l(� f' fZ.� (Signature or or Lessee, or Owner's or Lessee's (Pdrd Name and Provide Signatory's 6fte) Authorized Offfmd0imetorlPadnerMianager) State of _ ( County of , ei-r rf 0 49 49 The foregoing instrument was acknowledged before me this a ! day of N {jVQ m �j L' Y , 20 1-7- by Name or person making statement . Who Is personally known to me ❑ OR who has produced identification 0%pe of identification produced: bL j�,,•;, "`��., SKYLAP B AM KRAUT Commission it FF 127890 § : My Commission Expires r ? 2oia June 41 , 'pnq *fir-,tGyyF%`:,Y, Nolary Signature �.`" Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01.09.18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I hereby name and appoint: Ana Chavez and/or Michelle Monsalve an agent o£ Jasw Conraac"s (Name or Cornpmy) to be my lawful attomey-in-factto 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: 327 LUSITANO WAY SANFORD, FL 32771 (Sum 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 S--i e The foregoing instrument was acknowledged before me this 09 day of January f 20918 , by °onaW Bouchard who is p personally known to me or ® who has produced oL identification and who did (did not) take an oath.-, (Notary Seal) SKYLAR B AMKRAUT l r 1, _ �- Commission N FF 127890 ► ._ My Commission Expires �''�a.r•�' June 01, 2018 J? (Rey. 08.12) Aml taut Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires: 611 /2018 Snannpd by CamScannPr CITY OF "DEPARTMEN � SkNFO A FIRE Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. A& aw 3 %/ 7 ISSUE DATE: ®/1 6p 90 /OF CONTRACTOR: JOB ADDRESS: • Lot" I 74 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �" DATE: 01.09.18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 327 LUSITANO WAY SANFORD, FL 32771 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: (DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES 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 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# 0INSULATED 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 . . . . . 18-00000347 Date 1/09/18 Property Address . . . . . . 327 LUSITANO WAY Parcel Number . . 18.20.31.506-0000-1380 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1024157 Permit pin number 1024157 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_/_ i City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �ADDRESS: Ilam- �/ �!lh%� , 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). 1 LICENSE#: CCC1331153 COMPANY/CONTRACTOR: JASPER CONTRACTORS CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LIC K HOLDER OR A FINAL ROOF INSPECTION IS REQUIRED: DATE: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. **FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF SEMINOLE Sworn to and Subscribed before me this day of 20 4 by: Who is ❑ Personally Known to me or has X Produced (type of DL as identification. Whature of ry Public Sta rid —KyLAR B AMKRAUT 27890 Commission N FF My Commission ExPlres Print/Type/St Name ';;Eo„,op June 01 , 2018 of Notary Pub i