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HomeMy WebLinkAbout367 Placid Lake DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 8,000 Job Address: 367 PLACID LAKE DR SANFORD, FL 32773 Historic District: Yes ❑ No 0 Parcel ID: 02-20-30-520-0000-0340 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 24 SQ 7/12 Pitch Onyx Black Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Name PLYMPTOM, LARRY D Street: 367 Placid Lake Dr City, State Zip: Sanford FL 32773 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Title• Admin 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 713. The City of Sanford requires payment of a plan review fee at the time of pert -nit submittal. A copy of the executed contract is required in order to calculate a plats 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 constructign._and .zoning. 14 �„- 01.19.18 Signature of Owner/Agent Date Signatur of Contractor/Agerlt Date Rudith Goico Print Owner/Agent's Name Print Contractor/Aent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID SKYLAR B AMKRAUT commission A FF 127890 o = 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: 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: 02-20-30-520-0000-0340 i Property Record Cardrpi Parcel: 02-20-30-520-0000-0340 crx,arrr,atir+a Property Address: 367 PLACID LAKE DR SANFORD: FL 32773 Parcel Information Value Summary Parcel 02 20 30 520-0000-0340 2018 Working 2017 Certified Owner PLYMPTOM, LARRY D �- �-- Property Address 367 PLACID LAKE DR SANFORD, FL 32773 I Valuation Method Values Cost/Market Values i + Cost/Market - - - -- -- - - I I Number of Buildings 1 1 Mailing _ 367 PLACID LAKE DR SANFORD, FL 32773-4415 Depreciated Bldg Value $108,178 $102,027 Subdivision Name PLACID WOODS PH 1 ; I - - Tax District i DOR Use Code - - - - - - S1-SANFORD 01-SINGLE FAMILY - j Depreciated EXFT Value I Land Value (Market) Land Value Ag $1,050 $25,000 $1,100 I $25,000 Exemptions ; 00-HOMESTEAD(2001) • - _ _- _._i ____ __ ._. - - _.. _ . _ Just/Market Value "{ $134,228 $128,127 • Legal Description LOT 34 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 Taxes r Taxing Authority i County General Fund Schools City Sanford SJWM(Saint Johns Water Management) I County Bonds Sales Description _ SPECIAL WARRANTY DEED WARRANTY DEED Fi" ;f Resat l80.i06 Land Method Frontage LOT Building Information Is Bed/Bath count incorrect? Click Here GIS -- - Assessment Value --- ----- ----- ----j--------- --- ------ Date -- 3/1/2000 8/1 /1998 -� Depth - Portability Adj Save Our Homes Adj $60,088 $55,512 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $74,140 $72,615 Tax Amount without SOH: $1,651.88 2017 Tax Bill Amount $624.60 Tax Estimator Save Our Homes Savings: $1,027.28 Does NOT INCLUDE Non Ad Valorem Assessments Exempt Values $74,140 $74,140 $74,140 $74,140 $74,140 Taxable Value- $49,140 -- $25,000 $25,000 $49,140 $49,140 $25,000 $49,140 $25,000 1 $49,140 $25,000 I Book Page Amount Qualified Vac/Imp 03817 0315 $89,800 Yes Improved 03477 0946 $171,300 No Vacant t Units Units Price Land Value 1 $25,000.00 $25,000 i Year Built �- -- # Description Actual/Effective , Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value I Appendages ; __ 1 SINGLE 1999 6 3 1_5 1,292 1,680 1,292 CB/STUCCO $108,178 $115,698 � FAMILY FINISH Description Area http://parceidetail.scpafl.org/ParceiDetaillnfo.aspx?PI D=02203052000000340 1 /2 5380 E. Colonial Dr. Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407) 278-7788 (800) 337-3361 Fax info(cr jaNperinc.org VISA 7: JASPE oor,com JnaporR FL Contractor's License: CCC1329651 & CCC1331153 ROOF REPLACEAI,EN * CONTRACT Account Managcr: '• r", +' j �t t: ( . Contact 1: loyfrance Company:` Policy rt: - Mrirtont,e Corrivan � Information Company: Loan Number: Owner(s) '1/4 Is on ^y ��'t —7 _;1 Address: Alt Phone: 36 1e1h. KI/ ) r city: `sc; State: 7.ip Code: Shingle Cc3:;r: n I C, Email: `- [tea' R $000 V ArnounU Contrect Pncc' Dn p 1=,d^e Color. s, J r ' t if Owne's Insurance t+bmnnny does not agree to n•nv for •t full rout rcolacemerit this cuntr.Tct shall Its voidable, Assignment of insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all in,ur:-cicc r tt+ta., b—Z-fus and prrxccds +.n icr anyapplieable insurance policies to Jasper Contractors, Inc. ("Jasper"). the scope of kkhich shall be linuted to a full itnof P,plac—ricr:t. I rjkc this assitairrcrnt and authorization in consideration of Jasper's agreement to perform services, supply matcrr.ils and oiherwiri. perfarm its, o licit . ­edcT situ Contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and ail rnfe}r n ttirn. reo-ut`:tzd b:. Jisper, or its representative(s), for the direct purpose of obtaining actual benefits to be paid by my insurer's) for %mace-, rendered In this re=.ud I ..ai,e ny pnv,.c5 rights. if payment is made directly to the Owner/Agent/lnsured(s), it shall be endorsed otter to Jasper irnmediately upon rest ipt I agee chit any potion Of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, mu,t tc paid by the tzida,igied on the day of installation. Deductible: it is the Owner's responsibility to pay all insurance deductibles. Ovricr's out-of-pocket expense will not exceed the dedLcublc amount, as stated on insurer's loss sheet (the "Loss Sheet"), UNLESS replacement/repair of dctenuratcd &ckmg is required by code and'or OAncr requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, Nsaise or rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In }hen :, event of a discrepancy, the deductible amount stated on the insurer'Lass Sheet shall overrule deductible amount disclosed. Deductible: S (%! 1� MUSTBE PAID IN FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AUTHORiZATION:1, dwiter/Mortgagor, grant authorization for Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw status. (initial) PAYM EN'T SCHEDLLE: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of Sdue upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(%), 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 withhcld unni m7,cctian has passed Optional: UPGRADE ITEM: QTY: PRICE: TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions herein, Jasper agrees to furnish all matenals and provide the labor necessary to perform the full roof replacement which shall take place following Ounces insurance company's approval, approximately within 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company far a full roof replacement, Jasper shall perform the roof replacement upon receipt of finds from Owner's insurance company. FLORIDA 110i`11.OWNERS' CONs,rUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY Bl: AVAILABLE FROM THL•' FLORiDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE !%1ONEY ON A PROJECT PERFOItNIED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LACY BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUTTHE RECOVERY FUND AND FILING A CLAM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT TINE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, Ft 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. I further understand that this Contract constitutes the entire agreement between the parties and that any further changes or alterations to this Contract must be made in writing and agreed upon by both parties. Eachparty 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. i Cam��A lh6tholiffi6d Jasper Representative Date Owner / `�,� Date I... Scanned by CamScanner THIS INSTRUMENT PREPARED BY: Narlre.- JASPER CONTRACTORS Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 WYU i3rl NOTICE OF COMMENCEMENT r 11111111!111#i1i I11! 111111111 fill Jill Gl-'ANT 1:11-11-ayy SENIl OLC C.9 pi-j-, OF r C:IRCLI;.T !ti19F't'F:SLi cF; 4LERKIS T 201grj07o6S i Ei 'ORI)1_ j ij FEES R�.CORCE,l F � , a,r S �_.i�� Permit Number. Parcel ID Number. 02—Z.0" 3 O - SZ0 — 0000 - 03 1L/0 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: L2_ _ r_ m �? \tam p+n m (p ? 7l<2 a d (2,JC.- de, s fi2nPC , C '3-1, � 17 t, 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 SUITE 201 ORLANDO FL 32812 5. SURETY (if 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. 8. In addition, Owner designates Phone Number: Of to receive a copy of the Lien's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING 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. (SiqQaNrAcMwAr or Lessee, or Owners or Lessee's AuM ed Of edDiregor/Partner/Manager) (Print Name and Provide Signatory's Tithe/Office) State of �O Et, County of �uwyloc The foregoing iin�st�r/u�m/�ent was yacknowledged �before me this (") day of by_ Won ' `A �-1 1 � 1 t�n _ V Who is personally known Name bf person flaking stElement who has produced identificatio* type of identification produced: 1 p� 1 LI SKYLAR B AMI(RAUT C.ornmission 41 FF 127890 My Commissio�8",Elt ;i June O1, ,. Afs1.,,rn I in, [J OR cY. LUMTED 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 herebv name and appoint: Ana Chavez and/or Michelle Monsalve an anent of: Jasper Contactors (\— or c«nway) to be my lav6 ful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 367 PLACID LAKE DR SANFORD, FL 32773 (Sum Address) Expiration Date for This Limited Power of Attorney: 1/1/2019 License Holder Name: Donald Bouchard State License Numben CCC1331153 Signature of License Holder_ STATE OF FLORIDA —� COUNTY OF sert,in The foregoing instrument was acknowledged before me this 19 day of January 200 18 , by Dmw Botela<a who is o personally known to me or is who has produced a- as identification and who did (did not) take an oath. Signature , (Notary Seal) Skylar Amkraut Print or type name SKYLAR B AMKRAUT I ;r Commission H FF 127890 i oc My Commission Expues I. "',;�o<<�;;.�° June 01, 2018 (Rev. 08.12) Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/1/2018 S(-annPci by CamScanner CITY OF w _ Buildin & Fire Prevention Division S.�NFORDg FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. /if 40 60006 ISSUE DATE: OI• • ,Ile CONTRACTOR: as JOB ADDRESS: 3 (P-7 Ir Plact*o(, LAI& Q-vo-* TYPE OF WORK: Ae. 406 -P 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 F D 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: 01.19.18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 367 PLACID LAKE DR SANFORD, FL 32773 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 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 OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL QSHINGLE Owens Corning FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# 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 . . . . . 18-00000500 Date 1/22/18 Property Address . . . . . . 367 PLACID LAKE DR Parcel Number . . . . . . . . 02.20.30.520-0000-0340 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1026459 Permit pin number 1026459 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_/ F D City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL I ROOF COVERINGS PERMIT #: ADDRESS: W1 1CkNd (aQ dP I 4A_z!- ` � --Q Aj , 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 CONTRACTORS CONTRACTOR SIGNATURE: 'J�/ DATE: (MUST BE SIGNED BY LICENSE U`' ER 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 Subscr'bed before me this day of If 20 w by: Who is ❑ Personally Known to me or has X Produced (type of identification. B AMI(RAUT REM FF 127890lOn Nission Expres201 8 O1