HomeMy WebLinkAbout356 McKay BlvdCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D
Application No:
Documented Construction Value: $ 12,100
Job Address: 356 MCKAY BLVD SANFORD, FL 32771 Historic District: Yes ❑ No x❑
Parcel ID: 31-19-31-527-0000-1130 Residential ❑x Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration x❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work• Re Roof Owens Corning FL 10674-R13 15216-R3 32 SQ 7/12 Pitch
Brownwood Oakridge LIFETIME
Plan Review Contact Person: Skylar Amkraut
Phone: 407-278-7788 Fax: 800-337-3361
Name BROWN, DARLENE
Street: 356 MCKAY BLVD
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. 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: 5`h 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 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
be done in compliance with all applicable laws regulating construction_and_zoning.
Signature of Owner/Agent Date
Print Owner/Agent's'Name
Signature of Notary -State of Florida Date
02/23/18
Signarur ofcontraetor/Age t Date
Rudith Goico
Name
SKYLAR 8 AMKRAUT
i = °� `•" __ Commission # FF 127890
tttt - toy Commission Expires
o June 01, 2018
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID ype of 1D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[:] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS':
Plumbing # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
UTILITIES': WASTE WATER:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
2/23/2018 SCPA Parcel View: 31-19-31-527-0000-1130
Account Mana�cr: Tce
, � vo
5380 E. Colonial Dr, Conlaei N
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Orlando, FL32807 �,"�`�;°'�®.�t��z� �, �, �� ' �r,�nrn�«��- t r°---
Orla Orlando,
3 Rd., Ste. 201 JASPER
Company: _---------
Orlando, FL 32312 Policy n: ��.�--�-�.�-----
(407) 278-7788 Claim 4:
�JA�pOfRtlOr.COtr# �� �� + . ('nntnitll" Infr>rm7t1011
(800) 337-3361 Fax
info(i iasperinc orC FL Contractor's License: Company:
CCC1329651 & CCC1331153 Loan Number
VISA � °�="°'
ROOF REPLACEMENT CONTRACT
0xvner(s): Phon ;
Address: Alt Phone:
1 C. C cue V Cj
City: State: Zip Code: Shingle Color:
SG 7 V C; ✓ l t.
Email: n Roof RCV Amount/ Contract Price: ]rip Togc Color.
L 12,100 r. C, ..j
it "wrier Assignment of Insurance HeLaunefts for the i+all Roof Replacement Only: I hcrehy assign any, all insurance riJstz, tencfits and prisceds under
any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall tx; limilml to a Full Rnnf Replacement. I rwkc this assi-L;*tmtnt
and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise p /form its nblig rums L=icier it„s Contract,
including not requiring full payment at the time of service. 1 also hereby direct my insurerur
s) to release any and all infarmarn rrquctcd by JasPcr, or its
representative(s), for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rcnde-red In this rc,arcL i ,aitc my pnlacy
rights. if payment is made directly to the Owner/Agent/[nsured(s), it shall be endorsed over to Jasper immediatcly upon receipt i -'rcc that any pontt�n of
work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by th� endc•s;;nM on the cixy of
installation. Deductible: it is the Owner's responsibility to env all insurance deductibles. Owner's out -of -pot kct expense vide not excecd the deductible
amount, as stated on insurer's loss sheet (the "Loss Sheet"), UNLESS replacenient/repair of deteriorated decking is required by code and/or aAn:T reiV--5rs
optional upgrades_ Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate any or all of the insurance deductible apphc2blc to the
insurance claim for payment of work. in the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall ovcrnJe f`luca0lc
amount disclosed. Deductible: S MUST BE PAID iN FULL, PLUS APPLICABLE SALES TAX
htottgage Co, to speak •cruet
MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for Initial PAYMENT SCHEDULE: U�ne' a3ec: is
Jasper on matters including but not limited to, the claim and draw status. (initial)
pay Jasper based on the following schedule: (i) Deposit in the amount of$1 /J UO due upon signing this contract: (it) the Contract fries,
less the Deposit and any applicable depreciation retained by Owner's insurer's), plus upgrade costs, due and pa)abte to Jasper upon carplrti of
work being performed, and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasi-T upim
completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld unal inspection has passat.
Optional: UPGRADE ITEM:
QTY: PRICE: TOTAL:3
Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions herein, Jasper agrees to furnish all matenlLs and
provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, appro.tirns!elY
within 30 days, conditions permitting. Owner's Declaration of Intent: Ow
-net acknowledges and agrees that, upon appro%ml 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 AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOW-NERS'
CONSTRUCTION RECOVERY FUND 1F YOU LOSE MONEY ON A PROJECT PERFORMED ENDER CONTRACT,
WHERE THE LOSS RESULTS FRON'i SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR.
FOR INIFORMATiON ABOUT THE RECOVERY FUND AND PILING A CLAIM, CONTACT l IIE FLORIDA
CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER ANT) ADDRESS:
Construction Industry Licensing BOBrd: 2601 Blairslonc Road,'fallahassee, FL 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 niay also rescind Contract before midnight on
the third business day after the contract is executed after notification front insurer(s) Ilia( the claim for payment on roof contract has
been denied, in whole or in part. All written notices of cancellati, reg onardless of reason, sha11 be postmarked or delivered to Jasper's
corporate office: 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCi•:LLATION 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
acceptable and satisfactory. 1 further understand that this Contract constitute% the entire agreement between the
that all details are y further changes or alterations to this Contract must he made in writingand ak�reed upon by both parties.
parties and that an
Each party represents and warrants to the other that it has the full power and authority to enter into the contract and that it is
bee in accordance with its terms.
binding and enf
Owner
Gthorized Jasper Representative I ate
Date
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THIS INST UMENT PREPAREDPY:
Name d �S
Address r•
It gq
NOTICE OF COMMENCEMENT
Permit Number:
GRWIT hlftLAYr SEI1IHOLE COUNTY
(1ERK OF CIRCUIT COURT ), COMPTROLLER
BN; M1310 I'o 19b (1F'j;)
CLERK'S 201E021147
RE,"OR •EG O'2/2J/201° 037:23:1. FYI
i ECOR*DILIG FEES W1.01)
RECORDED BY IidevtN~?
Parcel ID Number. Si - 1 01 -3 I -- S- Z _:� — COCO - I 1 30
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: V�)aC Ie.nP p�Lt�x� 351Q l�-Ic Y�c { 61Vd r S D,-762rQA , (-1 3Z7 -71
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 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.
Phone Number.
6. In addition, Owner designates
to receive a copy of the Llenors 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 dale 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.
C", t14 N JP r
ISigna - d Owner a Les a or We a or Lessee's PrInt Naine and Provide Slgnattxya dialomcs
Authorized OrScer0rectorrPanne(manager)
State of f" ! Countyof _ Z-Z- 70(C
The foregoing Instrument was acknowledged before me this
by i?G r QYQ fo L-) o
Name of person making staiement
who has produced Identification ftq lyne of Identification produced:
—,�t�i;�r,, NATALIE ANPI DOYLE
,.*
v r ,State of Florida -Notary Public
f ;�i,\J __ Commission U GG t04t)16
r-'•aiEYi'Fs My Cimmission Expires
May 15. 2021
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Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 02/23/18
Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb
I hereby name and appoint: Ana Chavez and/or Michelle Monsalve
an anent of: Jasw oOftracO-s
(.-,nc of Company)
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:
356 MCKAY BLVD SANFORD, FL 32771
(Strca Address)
Expiration Date for This Limited Power of Attorney: 1/ 1 1/2019
License Holder Name: Donald Bouchard'
State License Number. CCC1331153
Signature of License Holder -
STATE OF FLORIDA --�
COUNTY OF S-ni�
The foregoing instrument was acknowledged before me this 23 day of February
200 18 , by D--dd d who is o personally known
to me or ® who has produced oL as
identification and who did (did not) take an oath.
Signature
Atnkraut
(Notary Sea])
Sky ar
Print or type name
o;Y:'�;y , SKYLAR B AMKRAUT �+
a commission N FF 127890
• =
MY Commission Expires
June 01, 2018
(Res. 08.12)
Notary Public - State of FL
Commission No. 127890
My Commission Expires: 6/1/2018
,grnnned by ramScanner
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F 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: 02/23/I 8
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 356 MCKAY BLVD SANFORD, FL 32771
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY:
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OOFF-RIDGE Q RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES O NO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
Q 2:12-4:12
® 4:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
Owens Corning
FL# 10674-R12
O METAL
FL#
O MODIFIED BITUMEN
FL#
Q 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#
Q METAL
FL#
O MODIFIED BITUMEN
FL#
Q 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 #: ` � ADDRESS: 5 V� (0
I Ud
��M:ffid 37-7-11
I �_' t jV L1� j`J , 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 #: C C' Kb—b—\\ 13
COMPANY / CONTRACTOR: Q
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE DER OR OWNER/BUILDER
A FINAL ROOF INSPECTION IS REOUTRED:
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 �W ' It
Sworn to and Subscribid before me this day of 20 Aby:
A -'PS ��`� Who is ❑ Personally Known to me or ha Produced (type of
as identification.
Signature o otary Public
State f on
kp6o
W"'
SI<YLAR B AMI<RAUT
4pY�V*-Commission 8 FF 127890
My COIi1�T115SlOn Expires
Print/ pe/Stamp Name -%.,' June 01 , 2018
of Notary Public ""