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HomeMy WebLinkAbout141 Rose Hill Trl,. MAR 2 a 2018 i CITY OF SANFORD 1 BUILDING & FIRE PREVENTION a �' PERMIT APPLICATION Application No:� Documented Construction Value: $ 9,700 Job Address: 141 ROSE HILL TRL SANFORD, FL 32771 Historic District: Yes ❑ No x❑ Parcel ID: 18-20-31-508-0000-0130 Residential Q Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 0 Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 27 SQ 7/12 Pitch Desert Tan Supreme 25 Years Plan Review Contact Person: SkylarAmkraut /2-00 k� Title: Admin Phone: 407-278-7788 Fax: 800-337-3361 Email: Permit@Jasperinc.com Name Paulo Martins Street: 141 ROSE HILL TRL City, State Zip: SANFORD, FL 32771 Property Owner Information Phone: Resident of property? : Yes Contractor Information Name Jasper Contractors Phone: 407-278-7788 Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Fax: 800-337-3361 State License No.: CCC1331153 Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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 � ' 6 q ` `4 U 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 will notify the owner of the property of the requirements of Florida Lien 'Law, FS 713. The City of Sanford requires payment of a plan review ;fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual, construction value will be figured based on the- current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off 'the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will Signature of Owner/Agent Date, Print Owner/Agent's Name Signature of Notary -State of Florida Date - 03/28/18 SignaturKofContractor/Agerit Date Rudith Goico Name SKYLAR B;A,MKI?A:u:i commission41 FF 127890 tvly`corrrn:is'sion Expi,re's June 61 , 2018 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to. Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required:: Building ❑ Electrical,[] Mechanical ❑ Plumbing❑ Gas ❑ Roof Construction Type Occupancy Use: Flood Zone: Total S'q Ft of Bldg: Min. OccupancyLoad: # 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: WASTEWATER: BUILDING: Revised: June 30,2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: JASPER CONTRACTORS OLc.a~G'4 'z Address: 4185 S ORLANDO DR U" SANFORD, FL 32773 q 2-7 Z CO NOTICE OF COMMENCEMENT Permit Number Parcel ID Number. GRANT HFit_QY? SEilIHOLE COUNTY CLERK OF CIRCUIT COURT & COMPTEOI BK 010' Ps b16 (INN) j CLERK'S r 2018034271 REt"ORIDEU 03; 2ar'201: i_1,3e29;: it Pfl1 RECf RDitHE FEES $16,i]0 RECORD]=C 8 Y hd _v r The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida 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: j Re -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: j Name and address: P ;io Mara -in c, � � � � e �` 3 Z7 � LILL Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788 i Address: 4185 S Orlando Dr, Sanford, FL 32773 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 addition, Owner designates Phone Number: of 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 differe; date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN Y PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUSTI,BE RECORDED AND POSTED ON JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH YOUR LENDER OR AN ATTOF BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i (Sjirfiature of Owner or Lessee, or O er's or Lessee's (Print Name and Prbvide 81gn4Ws Tiarjo five) I Authorized Officer0rector/P rlMariager) State of County of < F" / Y701� j The foregoing instrument was acknowledged before me this, day of aA-CiiL_ by `J�� `v ��f n S Who is personally known to me ❑ OR Name of person making statement F, who has produced identificationtp type of identification produced: �. i RUDITH GOICO State oEEI' r r d ide-Notary Pub' `' Commission #GG178 'r r1_•`' .,;:sL' ', No re My Commission Expirks ct yr j•'� . `� C ••. ��� �'( 4 January24, 2022 ate bi­ie ­W, mipmm_ M 5380 61/0 C Account Manager, 1 oloniOrland ski Dr. 3 A n"(10, I'l 31807 Contact !-Z-4lsy IR OrIall,lO, d., Ste, 201 (407)278 i2,N 12 (800) 337-33()l Fax policy fl, Wa , _77" JAS 1-04%E company: int, ---- Claim erine [JospmrRoolf.com VISA 19- Contractor"s License: compar 1 Owne CCC 1329651 & CCC 1331153 Loan Number.' 400 Address: 10011 REPLACEMENT CONTRACT Phone: r Roof Cv Amount ril/ Contract Price: Drip Edge Color: AssignmentOf, 9,70 anyI Insurance 11,enerus fora -full roor-relkl2cefirient. th is contract'sh'all be - and applicable ill,u I r -ance policies_, I * the Full Proof Repine only authorization n Jasper 'Contractors, Inc� (,,jasper�, cruent, I 'hereby assigp any, and all insurance riots, benefits and proceeds under including 'lot r I equi I COlisideratiiA, of Jasper's tile scope of which shall be-limited.to a Full Roof Replacement.'I make this assignment rept ive�( ring I agrec"lent to Perform services, CSentat I full P�'Y`Tlcllt at lie time if, 9s, supply:materials aid .othcrwise perform its obligations under this Contract, rights 11), for the direct put 0 service, I also hereby direcriny insurer(s) t I I If payment is I I - c of Obtaining actual _ o release any 'Arid all information requested by Jasper, or its work, dedtictibles I ' n4dc1directly to tire Owl� I I lual benefits to be paid by nlyinsurcr(s) for services tendered. In this regard, I waive my privacy I betterment or additional ler/Agcllt/Insurcd(s), it sllall.bq endorsed I over lojasper immediately , upon , receipt. I agree installation, , work requested by the undersi ee that, any portion of amount, as s Deductible: It is the 0�in_let's, undersigned, riot covered 'by insurance, must be paid by the, undersigned orial upgrades. the -Loss Sllcct�% Pocket expense will not exceed, the deductible rated or, ir-S-1 s I resp2nsjh7I*j to Day all insurance deductibles 0,,n, on the day of opti loss sheet (t _�cf i Jasper CAN,* ­Lhss replacement/repair of deteriorated NOT insurance claim for payment of work. Pay ', Waive9 rebate, or promise to pay, l ed decking is requiredby code and/or Owner requests , I waive or rebate a I n the event of a, di any Or.a. I of the Insurance'dedilictible, applicable to the ,amount disclosed. Deductible: $ !sclePancy, the deducfible� 'amount stated On the. insurer' Loss Sheet �Lfl pv& I rule deductible s SALES TAX ir !tint) MORTGAGE AUTHORIZATION: MUST, BE PAID IN FULI RIZATION. 1, O111h,,_r1_MtV�o_rtg6aago_ MUS PLUS -APPLICABLE cton,mattersiliciiidiiig'but..noi,,Ii'* or,'gT40t authorization for (initial) limited I I pay Jasper based , e claim andl,draw status� MO gag, Col. to Speak with On the following schedule:,(i) Deposit i 'the (Initial) n t amount,ol b, at) PAYMENT SCHEDULE:, Owner agrees to less the Deposit and any applicable depr d Price, work bein ecia:tion retained by Owner, lie ripon,si es insurer(s), plus signing this contract; (ii) the Contract 9� Peffbir-ed; and, (iii) the rerna upgrade costs: due, and payable, to-jas of ining Contract Price (equal to, any per �-picin completion 'Completion Of work Performed. In the event applicable depreciation and/or of apendifig " change orders) due an QPtional: UPGRADE IT'Elvlo inspection, no more than 2% of Contract Price may withheld 0 payable to Jasper'UPOII Re thheld until inspection has passed. 'placement Work and, OTY.. � PRICE: Price: Upon insurers approval and subJect to the Terms and TOTAL:,$ Provide the labor necessary to perform the full roof replacement wit" CondhiMs, herein, Jasper agrees to fumish all materials and which shall take place following Owner's insurance company's - approval; approximately I full roof replacement, Jasper shall per -Intent: Owner acknowledges arid agrees that, upon approval by insurance, comipany for�a within 30 days, conditions permitting Owner's Declaration of form'- the rOO_ f replacement upon receipt of funds 6om�'Owner's insurance company. FLORIDA 'HOMEOWNERS' CONSTU4QTION RECOVERY FUND PAYMENTi UP TO A LIMITED AMOUNT, MAY'BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON, PROJECT PERFORMED WHERE THE LOSS RESULTS ED UNDER CONTRACT, FROM SPECIFIED: Of FLORIDA LAW BY A LICENSED CENSED CONTRACTOR FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstbne Road 'Rilabassee,FL3!399-10 'ANCELLAT ION: If Owner elects to ter j T 487-1395 Terminate the services of Jasper, Owner may do so before midnight on the he third business lay after Contract is executed. Owner shall receive a full refund of all deposits. Owner may al so So rescind Contract before midnight On he third business day after the contract is executed after notification from. insurer(s) that the -claim for payment on roof contract has een denied, .in whole or in, part. All written noticesof cancellation, I regardless of reason, shall be postmarked or 'delivered, to Jasper'sDrporate office: 1690 Roberts Boulevard, Suite, 112, Kennesaw, GA 10144. CANCELLATION EXCEPTIONS: The three(3) day. -ght of cancellation DOES NOT APPLY to Contracts for emergency home repairs as time is, of the essence. 1, Owner, have readand understand all statements r Te ms and Conditions of the "Roof Replacement Contract" and agr" lat all details are acceptable and, satisfactory. I further er understand that this, Contract constitutes 'the entire agreement between tb, trues and'thiA,,any further changes or alterations 'to this Contract must be made in writing and. agreed upon by both partiel ach party represents and warrants _to the other that It has the, full power and authority, to enter into 'the contract and. that it i lilding and, enforceable in accordance with its terms. X �14 Authorized Jasper Representative Date Owner i Date Scanned by CamScanner .Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 03/28/18 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb l.herebv name and appointGina McDonald & Rachel Holcomb an agent of JaswConeaao,,s _ . (Xarm of Com*y) to be my laafiil attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 141 ROSE HILL TRL SANFORD FL 32771 (stirm Ades) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard" State°License„Number GCd1331153 Signature of License Holder - STATE OF FLORIDA COUNTY OF s The foregoing instrument was acknowledged before me this 28 day of March , 200 18 . , by oo �,c who is o personally known to me or ®who has produce ' identification and who°did ( (Notary Seal) Print or type name Notary Public - State of FL SKYLAR B AMKRAUT 1a Commission.No. 127890 - Commission N FF 127890 *= My'ComMisSion Expires`.- 6/1/2018 a = My Commission Expires z June 01, 2018 ::nn4.��'+lcrtksSC�s�iJ��+VP�'^�?xzC✓�1 ,meta-•N.�cW.Y (Rev. 09.12) Snannpd by Cams(-annPr 3/28/2018 SCPA Parcel View: 18-20-31-508-0000-0130 -- d]otrnson Property Record Card PF Parcel: 18-20 31-508-0000-0130 SEnKxGOOt�rrv.�toR Property Address: 141 ROSE HILL TRL SANFORD, FL 32771 Parcel Information Parcel 18-20-31-508-0000-0130 Owner MARTINS, PAULO R Property Address 141 ROSE HILL TRL SANFORD, FL 32771 Mailing Subdivision Name 321 MONTGOMERY RD ALTAMONTE SPRINGS, FL 32716 ROSE HILL PHASE II Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions + 50 50 50 50 45.55 1 T,Y k 12� 3` 14 1rz r r r 50 50 50 50 50 Seminole County GIS Legal Description 'LOT13 ROSE HILL PHASE II PB 63 PG 93 ----.... Lxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $175,129 ! $0 $175,129 ___ —-_-.- Schools $175,129 $0 1 $175,129 City Sanford $175,129 $0 $175,129 I SJWM(Saint Johns Water Management) $175,129 $0 $175,129 County Bonds $175,129 $0 $175,129 i Sales I Description Date Book I Page Amount i Qualified Vac/Imp SPECIAL WARRANTY DEED 9/1/2016 08794 1393 $169,900 , No Improved _ — ____ CERTIFICATE OF TITLE 2/1/2016 08641 1389 $100 No Improved QUITCLAIM DEED 6/1/2007 06747 1223 $100 No Improved WARRANTY DEED 5/1/2005 05746 1947 $214,000 Yes Improved WARRANTY DEED 3/1/2005 05697 0823 $171,800 Yes Improved — I. WARRANTY DEED 7/1/2004 05457 0121 $100 No Vacant WARRANTY DEED 11/1/2003 05150 0964 $501,500 No Vacant j( Find ComparaW Sates Land - - - _. _ _............. ...._._._._. — .._... _-... - -- -- .......... - - �elThod Frontage Depth Units Units Price Land Value 1 $24,300.00 $24,300 http://parceidetail.scpafl.org/ParceiDetaillnfo.aspx?PID=18203150800000130 1/2 CITY OF ` ' D , S kl 0 FIRE DEPARTMENT Building & Fire Prevention Division PEW111w ISSUE DATE: JOB ADDRESS: TYPE OF WORK: I PROTECT FROM WEATHER I • 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 ur• 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 t PLEASE NOTE: Inspections scheduled 'by 3:30 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 Ty 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: 03/28/18 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 141 ROSE HILL TRL 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 ] 00 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 O NO 1F 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# OINSULATED 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# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: t �5 — l ADDRESS: �aqjbm___ 17� �✓ ` : J3 � , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: CCC1331153 COMPANY / CONTRACTOR: JASPER CONTRACTOR SIGNATURE: lJ '/'- (MUST BE SIGNED BY LICENS OLDE R OWNER/BUILDER)' A FINAL ROOFINSPECTION IS REQUIRED: DATE: C� 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, UNDERLAYNIENT, 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 be ore me this day of Y I 20 j 0 by: Who is ❑ Personally Known to me or has % Produced (type of. identification) as identification. Signa ur of Notary Public State k0orida '°'.�` n ' ^"� �"a- B AMKRAUT S{CYLAR FF 1278es ' Commission N es Print/T a/Stain Name,.Y;,.,, rvly comn, ss,on Exp YP P ��. June 01 , 201 8 of Notary Public