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Home My WebLink About130 Walnut Crest Run (3)E CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION IT Application No: / d —12 �,.o Documented Construction Value: $ 9,000 Job Address: 130 WALNUT CREST RUN SANFORD, FL 32771 Historic District: Yes ❑ No 0 Parcel ID: 22-19-30-502-0000-0990 Residential Q 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 21 SQ 7/12 Pitch Driftwood Oakridge LIFETIME Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 ANSLEY, MICHAEL Name ANSLEY, ERIKA Street: 130 WALNUT CREST RUN 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: 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. l 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application F NOTICE: In addition to the. requirements of this permit, there may be:additiorialrestrictions 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., eceptance of peimit is verification that I will not fy the owner of the properly ofthe' requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of ap"Ian 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 pennit fee&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 construction_and_zoning. _- _ 03/14/18 SignatureofOwner/Agent Date; S ignaturg4ofContractodAge t Date Rudith Goico Print Owiier/Agent's;Name Signature of Notary -State of Plorida Date SKYLAR B A'MKHHuI Cornmission ii"FF 121890 tviy'Coinnis"sion Expires June:01. 2018 Owner/Agent is Personally Known to Me, or C.oritractor%Agentis. Personally Known to Me or Produced ID Type of ID Produced ID If ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical.[] Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No El APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE`. BUILDING:, COMMENTS': Revised: June 30, 2015 Permit Application 3/13/2018 �" 2oMsrn� Crfi _m __ SCPA Parcel View: 22-19-30-502-0000-0990 Property Record Card Parcel: 22-19-30-502-0000-0990 Property Address: 130 WALNUT CREST RUN SANFORD, FL 32771 Value Summary I Legal Description LOT 99 PRESERVE AT LAKE MONROE PB 62 PGS 12 - 15 Taxes j._._.._........... _ __ _ _. ...... -__m _ _. _._ 2018 Working 2017 Certified Values Values Valuation Method CosUMarket Cost/Market Number of Buildings 1 1 1 Depreciated Bldg Value ?. $168,801 i $159,023 Depreciated EXFT Value Land Value (Market) $40 000 . $34,000 Land Value Ag _d Just/Market Value" $208,801 $193 023 Portability Adj Save Our Homes Adj $79,317 $66,202 Amendment 1Adj $0 P&G Adj $0 $0 Assessed Value $129,484 $126,821 Tax Amount without SOH: $2,887.00 2017 Tax Bill Amount $1,627.00 Tax Estimator Save Our Homes Savings: $1,260.00 * Does NOT INCLUDE Non Ad Valorem Assessments I F-- 'pill .0ANIMI[Iii, jj�fp: I I ii 1 "Al �yg JASPER 1:1, CI lilt ractl lr,!., Llcclmc; CC 1124)(151 &, CC C 1311151 ROOF Accuunt COUtild e Cri r I jp -, I ply Claim I, Morit-w.-r. Coulum, 11ifffMALi2a limn Ntimbcr _0 Lo _tl .?q�/ 3- -e. Address, I � L-) U ( 6 Alt 11IM-tr -City, 1) Nt;jlc,, F t Zip (,:ride:sc"N I I -:1 7 t'irr -C-ci-ve 2:)� Ir Iteitif 140' ArrtiurpV CaMM' Vince- 9,000 Drift Wce C,31(,-r IrOwner's Insuritticir Lunivilux ilm nol agrex to payfor n roll roof rculacement, this ol 4 n ... mp— 'd sksvignutcrit nr insurnimp: Benefit. -.far file full honor Hirlilaccroeril Only: I herebyjis.11gli, jnv,L--nCC -r allvarpticabic ill%ttramc Policies III )ufpct Inc, l"MkI -). 111c %Cpc (II, illcl, ill.111 b,,- XY Jim lictl tit 4 Fullpt,4n( l4cpJaccir.m., I mkc ant) nuthoriralirm In Comillmnitij ol'las M.'s apectricitl to Imfimil tmiccn, mplily naalalals 31111 odirrAi.w fperfn= 1r1 chll�Plltlli imt!= tf11 Cr--rrA0. rby ,,Iml Illy lII&tIrcIj%j it) frlc,,�c all), jn(j jil Ini,4,y. -it,, I t ; la;p . r It; lXI)InrTII 11 111C hint ill %CIACC I also IILI I m. -I cq= rd It' cf 0 IcrrC,%eiII:Ilj%c(.S), ro; tile direct litillit)w of Alailling actual lKticrilq in bo- pAill by my triNtacrtij (tit sct%tcL,% raitIvret-1 In Ifitt mpt"L I 'Aa-v�- 'n',i Ijy1,Ilt- Iffi.1%Ifirtil I's 111.141C, I . lirccily to lite 0unc7.'Ari:ait1ItlsttrctI(-%', 11 qiall in evtllsjracd inct tip 1wroci1rimcdclicly upon rcmill. I A:VCc ItL31 P.-T-illm jf woI--k. iii-mil wirddiirk, lquesiod by the undmipied, not Lenard by itimimcc. roust be raid by the 7d vf inUallatim Dedlictillic hiLILILL)-%'JLqa-LLKr!MsJllilltI 141 My dl I ns 0unia'i pout-of-piclicl cifIcille 'AIII 110'I Ole t1=1 4 - I a.% 3imed im mmirct'-. loss sheet (the -IAIS% SIIICCt**). UNIXS S tcr.licarent,'rcpair of tI-_icjof:ocd d1rcituig istequircil by jcute witiler Usrr.- r- the "Plional tililtiadti-juslicir CANNOT IlwY, sfnitr Or prondlic to Pay. " al%e Or relinic any or nil of, lite Insurance deductible arrAIC, ta HISIVaticc C131111 flit jxlyi dlKicitinLy, lilt deductible 4triciunt ttatril inn the insmcr's lix, d, mn�� In lite rvent (i 111111011111 disclosed. DrdI1c;11C1,oc1:(S Nf1jS-T HE PAID UN 1'111.1, PLUS APPLICABLE SALF-S 1 AN (initl2l) INIMI.TGAGer 1,161IF1,110107,1ITION 1, 0mIwNIrppIPjtor, Rim[ 211014witittrij 1 19 '41 t Nkrzpgr Co.to 3 unlltl 'At Ir *-I—SCIMDULE, Cl ,;mcr 4=---m, in Jasper tin nunctii including but ')ill IIlIljIcd it). lite claim and draw SIMID, pay k"llcr ham in) 111C folliming s(lictitlic, (I) Dq)IISIl in tllr amount tif $" gL: (6) I!Ic Crary-,rt Firm- �duc ultra signing this centracl', ;m a per -n cm, -4-Able In j 4 "`P� T Im flit Drixisil and illy appliCA,11C (1cf1ircillitin matilrd lyy 0%mer's imircris), fpfijs upprallf CON13, due 91 F uInk being IwIlili'lliell. and, (111) the lelti.1111ing Cunlrxi I Price (calitil to any opplic-IbI . c (ICPI`cCIi lip,0 -d1d"(11' JIXIF;c ixdasj duo anci -al;lc to Lzpo L-;,%n Colliplefitin of %%ink performed In the event of 3 Pending l"SlIcelloll, no olive lliall 2% of Contract I'T" may be Optiottal. UPGRADI., ITVW PRICE firpluccruent Work and Price: Upon insurer's applo%-.1i and suljcct to the Tcnn% andConditiml% herein.. IINTef -'P,� r,U,) -11 211 llttjsijlc the lalpitir ocm-mry to firtforin lite, full roof rcillaccinclit "filch 01311 take Platt litwiliming ouucr'i timamcc Cv-mm"', 477-- m- ,ithm 10 diyN, conditions ficTuIR11119 Owncr's Declaration of Intent 0k%lirr icknom-lrdgo ". and cc-, that. 1"rn 3Mw--Al by llk-�=-zlcc cCvTny for a t: Jasper shall rafillot lite wor rpluccittiml upon receipt of funds 11 . Iol- 'COVE0%%110 " imirrancclimPaliv RV' FUND FLORIDA 110'MEONMRS' CONSTUCHOIN, T, TI.-D AMOUNT, NIAV HE AVAILAMY FRom um.. ru)1411111% 1101MEONNINERS, PAINE Nul-ro % I.INII -RFORNI F 1) UMMI CONTRAC 1. CONSTRUCII'lo,\ , Iti. .Cov Lin, I.-LIND It, -YOU J.OSE NIONEV ON.A PROJFC7F M 1-711:111 VIOLATIONS ill' FIDIZIDA LAW BY A LICENSED CO's %N1I I I-J( 1: T11 11'. lmss Ill ., surrs 1:11ml slal"Cl -l',%CT THE rLOWIM 'D ANDJALING �k HON All0til"HIP. J1l:C0%,*I:IjY J;UN CONSTRUCTION lNDU-k;-l'IlV LICE-NSING HOARD AT THE FOLLOWEV; NUNIIII-11 AND IlIDDIMSS: Cullsil ruct foil Industry 1.1crusing Board: 2601 Illairsione Itand, Til 110 Fl. .123,99-1039. (851)) 457-1395 oivnvr stay (Ili %o Ijer4irr nildnlo�ht on lite third busiuco CANCFLLATION' if Owner elects 14) lermloult, the %cr%lcc5 of -10siler-1 a full refund of all drposlul. Owne.ir may ulmi rescind Contract herorr niidrli•6-hf on day after Ctintract 1, ) flint tile clijim for payment on roor contno hii vlcctltr(l. Owner shall receive file 1111rd IIIIS111m. 11.1) wrier the coillrac( Is eacclillcil alter notification from insurers) pr� I I tit dcli%-rrc%l to Jasper' Ile denied. 111 itilmle tir lit hurl. All %vrlltcil nollcei of cancrIlation, regardless or reason. %11311 tic 110sillur ' C%,Ilr(l, % 'A 30144. CANCELLATION LXCEPUIONXS.� The threr 1.31, day corporulle tirlice: 161111 Robvii-Iii Hold , C C to Irmilrarls for eturrgvncy lionle rcindri. us time Is of the 0"COC -jet" and a:�,rtpr right eireanceiiatitill 11ol's INOT lill,%. Terms unit ('4111 kill flit)* (if the -Hoof RrIllaxprinlicill Conte(Ilivner, [love rend will 11111lersillild all $lute'ivprit tw(wrcri the aillsfaclory, I f1triller underpitand 111,11 11111 Contract comlitutc.16 lite entire agruel" ffigil all dritnili are accQ10111" 1111191 cl Intmil for 1113110, Ill writing anti agreed vilio y both parlirs. C1, ond (hut all), further ellange.% or likeralloll," It, flit% Conirli r puril -rr and nullifirilv it, critcr into tile contract and that it 6 Inch party ii-clwirseills unit worrind.% in flit, other that It Ila$ file full pim cliforcraille it, jjccordancc hill, Ili ferms. Milli: Scanned by CamScanner i THIS INSTRUMENT PREPARED BY; Marne: _ _ 2Sppr Con vic.4vrs Address: q1 t ei Sjj&rj,'1 Permit Number: Parcel ID Number: 22-19 - 30- Sod- 04700-099a I I I �II111111 giil1111111111 gill 1111 GRANT 11ALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT t, COMPTROLLER RK 9089 Ps 312 (1P95) CLERK'S A 2018026640 RECORDED 03/09/2018 12:22:19 PM RECORDING FEES $10.00 RECORDED BY tsmitil 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 INFORMAT�I.O%�t OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: M'chaa Alsku 130 Wilms/- Cre-44 evpi Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY RD SUITE 201 ORLANDO FL 32812 b. SURETY (If applicable, a copy of the payment bond is attached) : 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 Lienor'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 OINNFR: 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 FIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO ING YOUR NOTICE OF COMMENCEMENT. (SIgnature of Owner or Lessee, or Lessee's (Print Name and Provide Signatorys Tule/081ce) Auftd2ed OrbcedDireclor/Partnermanageo State of t Countyof _ rJO4e' The foregoing instrumegt wa acknoy✓Iedged before me this 1 day of _ i�/Y J �l� GI 'A 20 i 1 A- -f. — _ t i _ -1 _ , IL by person making statement who has produced identification X type of Identification produced: Who Is personally known to me ❑ OR `apuu, ANA CHAVEZ St be�of Florida -Notary Public = �: { , *, Commission 4 GG 112152 s �%F.�U .:' `i _!cy Notary Sign :.� �" My Commission Expires tq�.• •,,a°F`�� June 06, 2021 Vl .Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 03/14/18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb 1 hereby name and appoint:Ana Chavez and/or Michelle Monsalve an agent of: corlcraaos ofc«sp-Yl to be my lawful attomey-in-fact'to act for me to apply for, receipt for, sign for and do all thing's' necessary to"this appointment for (check only one option): The specific permit"and`application for work located at: 130 WALNUT CREST RUN SANFORD, FL 32771 (Stma Address) Expiration. Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. cccl331153 Signature of License Holder. STATE OF FLORIDA COUNTY OF s-li-'� The foregoing instrument was acknowledgedbeforle me this 14 day of March 200_1.8 , by , _DwMd B-d-,J Who, is'b personally known to me or"® who has produced off, identification and who did (did not) take an oath (Notary Seal) "OM, iSKYLAR B AMI<RAUT It o'er •fie i7. - commission p FF 127890 d *= a' MyCommiss7oriExpires jR,. June 01, 201-8 �1 .,,'w (Rev.08.12) 03 Skyf'ar Angkraut Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Scanned by GnmScanner CITY OF S,;�NFORD FIRE DEPARTMENT Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. / f ® /%] 6 ISSUE DATE: 0J. /c/o, /Ilt CONTRACTOR: JOB ADDRESS: 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 NSPECTION TYPE APPROVED REJECTED INSPECTOR 1INAL 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 o 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 i 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 OWNERIBUILDER) SIGNATURE:, DATE: 03/14/18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 130 WALNUT CREST RUN 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: OAT Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: Q OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES OX NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#: ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER 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# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# E FIRE INSPECTIONSaY _ ^ -e 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 . . . . . 18-00001366 Date 3/14/18 Property Address . . . . . . 130 WALNUT CREST RUN Parcel Number . . 22.19.30.502-0000-0990 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1038025 Permit pin number 1038025 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / R�' City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �I36 ADDRESS: /39A'a/4ftt f ZJ 9wr1 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 #: COMPANY/CONTRA CONTRACTOR SIGNA (MUST BE SIGNED BY CTOR: TURE: _r"� DATE: LICE HOLDER OV OWNER/I 3,R) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. **FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE- INSTALLATION OF ALL ROOFING COMPONENTS. L. II n STATE OF FLORIDA COUNTY OF� t Sworn to and Subscribed before me this 4`_3 day oQ� 20 /y by: V �'X S Who is ❑ Personally Known to me or has ❑ Produced (type of identification) as identification. M I �h 4� '4_64L_� Signature o Notary Public Sate of Florida KARLf�N11 LMOD01 4�va�y. PUbl G is _State of Florida hotarY ; t� n Commission # GG 11 1330 mmission Expires My Co •.,Fore June QAV 2021 Print/Type/Stamp Name -- - x« of Notary Public LIMTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date- 3/�3/ao 4 I ,hereby name and appoint Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Joel Vargas, Paul Padgett an anent of: Jasper cone -actors n M�orc yl to be my lawftd 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): Q The speci5c , , t and application for ork Iocated<at: 001 fsuw1 Expiration Date for This Limited Power of Attorney: ;License Holder'. :State License Number. ecct'�"53. Signature of License Holder. STATE OF FLORIDA COUNTY OF se The foregoing instrument was acknowledged before me this day of 200&, by oonalld 6oud,aYd who is. a personally known to me or ® who has produced DL as identification and who did (did not take an oath. RJ hi 9AA AaLg_� Signature (Notary Seal) � i v CI am jU&y_ Print or type name ` jjcr PYp A�R NotaryPublic- Stateof (��"`'� KARLA M ALMODOV _ State of Florida -Notary Pu61ic Commission No. I *_ Commission # GG 111330 My Commission_ Expires: �P My Commission Expires ` June 04, 2021 (Rev. 08.12) i Scanned by CamScanner