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HomeMy WebLinkAbout120 Islamorada WayCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 12,600 Job Address: 120 ISLAMORADA WAY SANFORD, FL 32771 Historic District: Yes ❑ No F1 Parcel ID: 29-19-31-501-0000-2850 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 34 SQ 7/12 Pitch Driftwood Oakridge LIFETIME Plan Review Contact Person: SkylarAmkraut Phone: 407-278-7788 Fax: 800-337-3361 Title: Admin Email: Permit@Jasperinc.com Property Owner Information HAU, EDUARDO S Name SF.RRANO, CYNTHIA E Street: 120 ISLAMORADA WAY City, State Zip: Sanford FL 32771 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Phone: Resident of property? : Yes Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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: 5th 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 ofpermit is verification that I will notify the owner of the property of the requirements of Florida Lien'Law, FS `71.11 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 conteaet exceed the actual construction value, credit'will lie applied to your pennit feeswhen 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,const11, ruction.nandzonng..___ Signature of Owner/Agent ..Date Print Owlier/AgeSt's;Naroe Signature of Notary-State.of Florida bate Owner/Agent is Personally Known to Me or Produced ID Type of ID -� 03/14/18 Signattir of Contractor/Age t Date: Rudith Goico Name Commission #,FF 127890 My'Commission Ekp res ;o June 01 2018 Contractor/Agent is. Personally Known to Me or Produced ID OFype 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: ENGINEERING: COMMENTS: UTILITIES': FIRE': WASTE WATER: BUILDING: Revised -'June 30,2015 Permit Application ■ 3/13/2018 SCPA Parcel View: 29-19-31-501-0000-2850 a l aarta iolnaon,cra Property. Record Card F�l Parcel: 29-19-31-501-0000-2850 l fp Property Address: 120 ISLAMORADA WAY SANFORD; FL 32771 ..._ --- ---,--- _ ....------ - _.. Parcel Information Parcel Owner 29-19-31-501-0000-2850 HAU, EDUARDO S SERRANO, CYNTHIA E Property Address 120 ISLAMORADA WAY SANFORD, FL 32771 Mailing 120 ISLAMORADA WAY SANFORD, FL 32771-5212 Subdivision Name CELERY KEY Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2016) 110 Legal Description LOT 285 CELERY KEY PB 64 PGS 85 - 96 Taxes Seminole County GIs Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings —` 1 _. Depreciated Bldg Value .. $119,385 $112 504 Depreciated EXFT Value Land Value (Market) $36,500 $31,500 Land Value Ag JusUMarket Value "' i $155,885 $144,004 j Portability Adj Save Our Homes Adj $20,1� $11,025 Amendment 1 Adj _ $0 I P&G Adj $0 $0 _m Assessed Value $135,772 $132,979 Tax Amount without SOH: $1,954.00 2017 Tax Bill Amount $1,744.00 Tax Estimator Save Our Homes Savings: $210.00 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $135,772 _ $50,000 $85,772 Schools $135,772 $25,000�� $110,772 City Sanford _....... .._ ..... . $135,772 $50,000 $85,772 SJWM(Saint Johns Water Management) $135,772 $50,000 $85 772 County Bonds $135,772 $50,000 $85,772 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 4l1/2015 08450 11842 $157,000 Yes Improved WARRANTY DEED 12/1/2005 06107 1120 $254,400 Yes Improved Find parable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 $36,500.00 $36,500 j 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 Repl Value Appendages Actual/Effective 1 SINGLE 2005 7 3 2.0 1,751 2,369 I 1, '51) CB/STUCCO : $119,385 t $125,010 j Description Area FAMILY FINISH http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PI D=29193150100002850 1 /2 5380 E. Colonial Dr. Orlando, FL 32807. 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407)278-7788 (800) 337-3361 Fax itil'o i iasperinc.orr- r�� JASPER Ja�OorRoo(.com FL Contractor's License: CCC137-9651 & CCC1331153 ROOF REPLACEMENT CONTRACT 1 Account Manager" Contact =. 7 l Insu since Company informillinn Company Polics Claim C:'fir _�r; ? : Ct hiS?n-a-e Cmmpanv- inG)rmation CompanV: �1h.,�c,._. < S�•ti ,`c i'. Loan Numlxr: Owner's): phct Address: /gip. _�s 0v r`� Alt Phone: City: Statc: %i Code: Shingle Color. Email: A RoofKV Amount! Contract price: Drip Edge Color. it (' 1 Sc-i1��a C�� �do. C'G r t 12,600 4ti:tit If Owner's InsurtncV Coiiinany does not 'free to 11,i)for a full roof rtnlmment thisrnntractsliall be �rTidrt le Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurannce rights, hL.rit its vnd r-ocr ds under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper-), the scope of which shall he limited to a Full Rsn,f P.ep �: rt 11. I mac this 3sFictimcnit and authorization in consideration of Jasper's agreement to perform scrIVices, supply matcrtals and per,orm i,s obhee tans in-nder the, Contract, including not requiring full payment at the time of service._ I also hereby direct my instircr(s) to release any and all requ-tzed by 32Lcpe , or its representative(s), for the direct purpose of obtaining actual benefits to be paid by my insurer's) for s_rtitces rendcred in this r ^ d i wat�°e in , cy rights. if payment is made directly to the Owncr/Agcnt/lnsured(s), it shall be endorsed over to Jasper immediately Upon receipt I agree that ;any p;;rtucyl of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undcrstcneAt oil the day of installation. Deductible: It is the Owner's responsibility to nay all insurance deductibles. Owrter's out-of-pocket expert=_c wtl! not exceed the do-iuctible amount, as stated on insurer's loss sheet (the "Loss Shect•'), UNLESS replacement1repair of deteriorated d--ckmg is reva'iiTed by cod,- ands ONncr requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pa), waive or rebate any or all of the inctrrance deductible -applicable to the insurance claim for payment of work. In The event of a discrepancy, the deductible amount stated on the insurer's Less She<_t shall o•:errule deductible amount disclosed- Deductible: S_ 1/0 r MUST BE PAID IN FULL, PLUS APPLICABLE SALES T.Lt =A-�`� (initial) MORTGAGE AUTHORIZATION: 1, Owner/Mortgagor, grant authorization for Ntarte3_-',e Co. to speak µits! Jasper on matters including but not limited to, the claim and draw status. �. (initial') PAYMEYT SCHEDULE; O per aztrccsto pay Jasper based on the following schedule: (i) Deposit in the amount of S f due upon sinning this contract: tn) the CmUract Price, less the Deposit and any applicable depreciation retained by Owner's insu r(s), plus upgrade costs, due and payable to Ja_vper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and'or chance orders) due and pa}able to JasW upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until ins; ect!.cK has passes_ Optional: UPGRADE ITEM: .� (cG� QTY: PRICE: TOTAL: 5 i Replacement Work and Price: Upon insurer's approval and subject to the Terns and Conditions herein. Jasper agrees to furnish all m-aicenals and protide the labor necessary to perform the full roof replacement which shall take place following Owner's insi -ance company's approval, approximately within 30 days, conditions permitting. Owner's Declaration of Intent: Owner ac}mowledges and agrees that, upon appros-+l by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company. FLORIDA HOMEOWNERS' CONSTUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AINxOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA I_ANN' BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE'NUMBER ANTI ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, Ft. 32399-1039, (8 0) 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 paN.ment 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. i, 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. Each party represents and warrants to the other that it has (he full power and authority to enter into the contract and that it is binding aZenforablein accordance with its terms. 30 A6tholi_ riper Representative Date Owner Date; La Scanned by CamScanner v M1 r 33 z� q J Illlll Hill 11111111111111111111 IN tail THIS 1NS7UMENT PREPARED BY. Namt': AW (' � �lr� GRANT t1AL0Y► SEIIINOLE COUNTY � CLERK. OF CIRCUIT COURT & COMPTROLLERAddress: y �_�_42!5Txen Bi; 9089 Pg 311 (iPgS) CLERK'S T 2018026639 j RECORDED 03/09/2018 12:22:19 FM �V MENCEMENT RECORDING FEES i10.Utt NOTICE OF CO RECORDED 8Y tsnit(1 Permit Number: , Parcel ID Number: 1/7 _ 0 z0t1=V 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 nmedv and 2, GENERAL DESCRIPTION OF IMPROVEMENT: RE -Roof 3. OWNER INFORMA Name and address: Interest in property: Fee Simple Title Holder (if other than owner fisted above) Narne: 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: 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. 8. In addiUoR Owner designates Phone Number. of to receive a copy of the Lienor's Notice as provided in Section 713.13(1 xb), Florida Statutes. Phone number: S. 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. (Signatwe'6ed Oft ar Lessee, or tnerM s or Lessee's (Print Name and Provide Signatory's THrelOf e) Authorized OrficeARiractoriPartnerlAlanager) State of it ! Countyof The foregoing instrument was acknowledged before me this 7�)C) day of kbn L?.a4-, ,20 j by '+y n 17 -46 ti ' _, n Who Is personally known to me ❑ OR Name of person making statement r ' who has produced identification qtype of identification produced: i;„Yor�.,, ANA CHAVEZ ;b s StatggL Florida -Notary Public =� •= Commission # GG 112152 My Commission Expires ,W June 06, 2021 L.. `4 1s• c�UL G C�1� Uy ��C- �k taa{e 1.2 Altamonte Springs, Casselberry, Lake Mary, Longwood,, Sanford, Seminole County; Winter Springs Date: 03/14/18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I; hereby name and appoint: Ana Chavez and/or Michelle Monsalve .an agent of ' C-M-101S (Name of C-P-Y) to be my lawful 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:; 120 1SLAMORADA WAY SANFORD, FL 32771 (Suva Add.mz) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard OCG1331153 Signature of License STATE OF FLORIDA COUNTY OF se+ The foregoing instrument was acknowledged -before me this 14 day of February. 200; 18 by , ova d who is p personally known to me orl,is who has produced' a identification and who did (did not) take an oaths (Notary Seal) "'- SKYLAR B AMKRAUT 1 J 9 a Comission N FF 127890 ml o a: My Commission Expires << June 01, 2018 (Rey. 09.12). _ Skrylar Amlaaut Print or type name Notary Public - State of FL Commission.No. 127890 My Commission Expires` 6/1/2018 ,gr,gntlpd hV Cat'T1gr2nnP.r F CITY S ! fi ORD DEPARTMENTFIRE Building chic Fire Prevention Division Re -Roof Permit Card PERMIT NO. f ! /43(io7 ISSUE DATE: 0 J ® s CONTRACTOR: J aps ,O JOB ADDRESS: 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 L_ 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 > Dcsign °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 guidelineaffidavit s will result in an adavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: - DATE: 03/14/18 ff �. k JOB ADDRESS: 120 ISLAMORADA WAY SANFORD, FL 32771 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work 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: 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 TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE Owens Corning FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O T1LE 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# 01NSULATED FL# O TILE FL# 0 OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECT"IONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 i Application Number . . . . . 18-00001367 Date 3/14/18 Property Address . . . . . . 120 ISLAMORADA WAY e Parcel Number 29.19.31.501-0000-2850 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1038033 Permit pin number 1038033 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / City of Sanford 6 Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT E NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: 1,20-1fla morg'alo L"'; AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR gg OOFING CON , ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING. INSPECTOR, I HEREBYAAFFIRM, THAT ALL OF THE i 55G 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 THEMURRICANE RETROFIT MANUAL REQUIREM,ENTS'(BASED ON F.S. CHAPTER 553.844). r ! LICENSE #: COMPANY / CONTRACTOR:C�pt" CONTRACTOR SIGNATURE: DATE: ' (MUST BE SIGNED BY LICENSE HOLDER OR R/BUILD R) 1� 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 QJ Sworn to and Subscribed before me this 6b day of (y)C'LVGyI 20 tb by: C� 6 Who is ❑ Personally Known to me or has;Produced (type of id e tification)`--' as identification. Signature of Notary Public State of Florida KPaYP�KARLA M A7aN ODOVAR F Q'Statlic mm P of Florida -Notary onG 1ta r11Pu 0 330y CornmiGExpiresune.0021Prmt/Type/StampName of Notary Public i ����. •\ 1. - - SEMINOLE COUNTY ML TI-111RI5DICTIONAL LIMITED P WERF ATTORNEY Altamonte Springs, Casselberry,, Lake Mary, Longwood-, Sanford, Seminole County, Winter Springs Date::- I hereby name°and appoint: Scott Meixsell,Paul Padgett, Chris Gardner, Juan Lozano and James Allen an agent of: Jasoer Contractors (Name of Company.), to be my lawful attorneyin-fact to'act forme to apply for, receipt for; sign for and do all things necessaryto this appointme,ntfor (check only one: option): 0 Altpermits and'applications submitted bythis contractor. Or ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited P`owOr, of;Attorney: VIM19 License Holder'Name: Ronald $ouchard State License Number: Signature of License He STATE OF FLORIDA COUNTY OF' "Seminole The foregoing instrument was acknowledged' before ;me this aLday of _ , ` ►��-vt�+' �* Donald Bouchard 20 by who is Q personally known to me or Ctvho"has: roduced DL P as identification and who did (did not) take an oath. Skylar Amkraut nature of Notary Print or type Notary name Notary Public - State of�.yl ;a r SKYLAR B"AMKRAUT Commission No. Nf - a _ Comtnts�ron Il f E 12789() t Co My"Cc'rii.,,asi<rn EX{)i'res My Commission Expires; { ��'� June 01, 2018