HomeMy WebLinkAbout144 Rose Hill Trmwu
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: l 7 2_4 R�)
Documented Construction Value: $ 12,400
Job Address: 144 ROSE HILL TRL SANFORD, FL 32773 Historic District: Yes ❑ No 0
Parcel ID: 18-20-31-503-0000-0230 Residential Q Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration El Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 Techwrap 17194-R2 29 SQ 7/12 Pitch
Antique Silver Supreme 25 Years
Plan Review Contact Person: Skylar Amkraut
Phone: 407-278-7788 Fax: 800-337-3361
Name VAN DYKE, LORRAINE G
Street: 144 ROSE HILL TRL
City, State Zip: SANFORD, FL 32773
Name Jasper Contractors
Street: 4185 S Orlando Dr
City, State Zip: Sanford, FL 32773
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Title: Admin
Email: Permit@Jasperinc.com
Property Owner Information
Phone:
Resident of property? : Yes
Contractor Information
Phone: 407-278-7788
Fax: 800-337-3361
State License No.: CCC1331153
Arch itectlEngineer 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: 51h Edition (2014) Florida Building Code
4 f �. re -
Revised: June 30, 2015 Permit Application `J
NOTICE: In addition to 'the requirements of this permit; there may be additional restrictions. applicable to this property that may be
found in thepublic:records of this county, and there maybe additionalpermits required from other governmental entities such, as water
management districts, state agencies, or federal agencies.
Acceptance of perrriit'is verification that I will notify the"owner of the property ofthe 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 peanit 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.
05/30/18
SignatureofOwner/A'gent Date Signatur of.Contractor/Age t Date.
Print Owner/Ageitt's Name
Signature of Notary -State -of Florida Date
Owner/Agent is Personally Known to "Me oi
Produced "ID: 'Type of. ID.
Rudith Goico
Print Conlractof/Agent's Name
S'KYLAR 'B AMKRAu_1
Commission N fF i27890
toy'comm'ission Expires
J"uric 01.2018
Contractor/Agent is Personally "Known to 'Me or
Produced ID I 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
9M
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
(800) 337-3361 Fax
info@jasperinc.com FL Contractor's License:
CCC1329651 & CCC1331153
'1SA�ROOF REPLACEMENT CONTRACT
Account Manager: Brandon Carpenter
Contact #: (407) 616-4099
Insurance Company inform inn
Company: Homeowners Choice Property & CasuE
Policy #:HCPC-H03-302113-7
Claim #: 883107
Mortgage Company Information
Company: Bank of America
Loan Number: 162847327
Owner(s): Lorraine Van Dyke
Phone:
Address: 144 Rose Hill Trail
Alt Phone: 3214448089
City:
St
Zip Code: 32773
Shingle Color:
Sanford
*OC Supreme - Antique Silver
Email:
1_martinez8@yahoo.com
Roof RCV Amount/ Contract Price:
12,400
Drip Edge Color:
*Drip Edge - White 6"
If Owner's Insurance Company does not agree to pgv for a full roof renlacement. this contract shall he voidable.
Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any
applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment
and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this Contract,
including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested by Jasper, or its
representative(s), for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy
rights. If payment is made directly to the Own er/Agent/In sured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of
work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of
installation. Deductible: It is the Owner's responsibility to pv all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible
amount, as stated on insurer's loss sheet ("Loss Sheet"), which is hereby incorporated by reference as the Scope of Work ("SOW"), UNLESS
replacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise
to pay, wa' Dgr rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the
deductibl aro t�sWnitial).
ed on the insurer's Loss Sheet shall overrule deductible amount disclosed. Deductible: $2500.00 MUST BE PAID
IN FUL 7
PAYME LE: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of $- 00 due upon signing this
contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus upgrade costs, due and payable
to Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders)
due and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until
inspection has passed.
Optional: UPGRADE ITEM: RATE: UPGRADE ITEM: RATE:
Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions stated herein, Jasper agrees to furnish all materials and
provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately
within thirty (30) days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company
for a full roof replacement, Jasper shall perform the roof replacement upon receipt of Loss Sheet from Owner's insurance company.
FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND
PAYMENT, UP TO A LIMITED AMOUNT, 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 LAW 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 AND ADDRESS:
Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039, (850) 487-1395
CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business
day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight
on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof
contract has been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or
delivered to Jasper's corporate office: 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION
EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of
the essence.
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 the full power and authority to enter into the contract and that it is binding and enforceable in accordance with its
terms. Docusigned by:
DocuSigned by: - C
5/1/2018 8:13 PM EDT _Mlir �) ��t 5/1/2018 8:12 PM �Qra, h� @
boriaadr-3aW.er Representative Date Wq&8AB3744E... Date
DocuSign Envelope ID: 35E26555-A49E-4F79-9DCD-11A541BE719A
TERMS AND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a full roof replacement on the Terms and Conditions
stated herein. I further agree to provide Jasper with the Scope of Loss/ Loss Sheet generated by my insurer and authorize and grant full access to the
property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with
Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after commencement. The supplemental claim
amount(s), in addition to any depreciated amounts held back by the insurer, are immediately due to Jasper upon receipt. Commencement of Work: Work
shall commence at Jasper's discretion. Jasper shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of
God, war, governmental actions, inability to obtain materials from usual sources, delays caused by and/or as a direct result of Owner's insurer or other
circumstances not listed which are beyond the control of Jasper. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of Owner
to remove any and all items which are not secured to walls including, but not limited to items on mantles, shelves or other areas susceptible to vibrations, as
these may fall. Jasper shall not be liable for noise pollution and/or vibrations due to the performance of work contracted herein, or damages resulting to
person(s) or property as a result of performance of work. Homeowners Association: It is the sole duty of the Owner to secure approval from the Homeowners
Association for any and all items necessary for Jasper to complete the work listed herein, including but not limited to shingle color, type, brand, etc.
Construction Debris: Upon completion of work, Jasper will make reasonable efforts to remove debris from the property, including but not limited to, a
general clean-up of construction -related debris and a magnetic sweep of the eve line and walkways surrounding the project area. As Jasper cannot guarantee
the removal of all nails and/or debris, it shall not be liable for resulting damages. Landscaping: While Jasper will make reasonable efforts to cover the lawn
and/or shrubbery, it is the sole responsibility of Owner to remove and/or safeguard any and all plants, shrubbery, lawn ornaments, furniture and/or valuables.
Jasper cannot guarantee the safekeeping of these items nor shall it assume liability for damages. Timely Payment: It is Owner's responsibility toi ensure
prompt payment from mortgagee and/or insurer. Jasper must be paid immediately upon receipt of funds or, if funds have not been received from the Insurance
and/or Mortgage Company, not to exceed thirty (30) days from date of install. If Jasper is not paid within the requisite time period, all promotions, advertising
specials, and/or discounts shall be voided. Owner shall also be responsible for any collection fee(s) incurred. Force Majeure: Jasper shall not be liable for
any natural and/or unavoidable catastrophes that interrupt the expected course of events and restricts Jasper from fulfilling its obligations herein, such as,
but not limited to: excessive wind, hail, ice, rain, extreme weather conditions, fire, war, governmental actions or other Acts of God. Labor Warranty: Jasper
shall provide to Owner a two (2) year, non-transferrable warranty on labor as long as the Contract Amount is paid in full to Jasper within ninety (90) days. Please
see "Two Year Labor Warranty" for additional details and exclusions; Warranty is hereby incorporated by reference. Jasper is not responsible for
any damage to the roof or premises due to, but not limited to: leaks, cracks, fissures, etc. caused by excessive wind, ice, hail, snow or any other Act of God
during the warranty period. In the event of an extreme weather condition or Act of God which warrants an insurance claim, Labor Warranty shall be
voided. Ongoing Work: Jasper shall not be liable for damages from fires, windstorms, rain or other hazards as is normally covered by Homeowner's
Insurance or Builder's Risk Insurance. Jasper shall not be liable for any and all water intrusion or damage to property, premises or its contents which may
occur during installation, including but not limited to: water intrusion due to rising waters or wind driven rain, as well as water intrusion caused by pipes
which are not to current code, regardless of "grandfathered" code status. This contract and the Warranty provided herein, shall not be assigned or
transferred by either party, except by written instrument signed by both parties. Manufacturer's Warranty: All materials used are subject to Manufacturer's
Limited Shingle Warranty. Any defect of materials is covered, and subject to, the manufacturer's warranty specifications; this shall void Jasper's
Warranty. Pre -Existing Materials: Repair of deteriorated decking, "waves" in decking, fascia boards, roof jacks, ventilators, flashing, chimneys, gutters or
other such materials (unless otherwise expressly stated in the Loss Notice or Contract) are not included. Decking or planks shall be replaced as required by
code and Owner authorizes an additional charge of $75.00 per sheet of decking or $25.00 per plank. Should Owner elect to replace any and/or all of
these pre-existing materials, Owner shall be charged for both material(s) and labor. Jasper shall be liable neither for the replacement of, nor for any damages
arising from, Owner's election to retain these pre-existing materials. Pre -Existing Conditions: Jasper shall not be responsible or liable for issues due to
improper ventilation, deteriorated decking, "waves" in decking, appearance of roof due to irregularities in underlying structure or other pre-existing, structural
defects. Shingle Color Change: Should a shingle color change be requested after the installation has been scheduled, a $175.00 express shipping fee shall be
charged by Jasper to Owner. This fee MUST be paid on day of installation. Minimum Contract: Jasper reserves the right to terminate any Contract if
Contract Price does not exceed $7,048.00. Severability: The invalidity or unenforceability of any provisions of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. BINDING ARBITRATION: If a dispute
arises from or relates to this contract or the breach thereof, and if the dispute cannot be settled through direct discussions, the parties agree to endeavor first
to settle the dispute by mediation administered by the American Arbitration Association under its Construction Industry Mediation Procedures before
resorting to arbitration. The parties further agree that any unresolved controversy or claim arising out of or relating to this contract, or breach thereof,
shall be settled by arbitration administered by the American Arbitration Association in accordance with its Construction Industry Arbitration Rules and
judgment on the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The statute of limitations on all disputes which
arise from or relate to this contract or a breach thereof shall be one (1) year from the date of signing Roof Replacement Contract. Claims shall be heard by
a panel of three (3) arbitrators. The mediator shall not be empanelled as an arbitrator. The place of arbitration shall be Atlanta, Georgia. The arbitration
shall be governed by the laws of the State of Georgia. All deposits, fees and expenses of the mediation and/or arbitration, including required traveling and
other expenses or charges of the mediator and/or arbitrator, shall be borne by the initiating party. Depositions shall be limited to a maximum of 25 per party
and shall be held within 180 days of the making of a request. Additional depositions may be scheduled only with the permission of the arbitrators, and for
good cause shown. Each deposition shall be limited to a maximum of eight (8) hours duration. Any dispute regarding discovery, or the relevance or scope
thereof, shall be determined by the arbitrators, which determination shall be conclusive. The arbitrators will have no authority to award punitive,
consequential or other damages not measured by the prevailing party's actual damages, except as may be required by statute. In no event shall an award in
arbitration exceed the amount of the Roof Replacement Contract. Any award in an arbitration initiated under this clause shall be limited to monetary damages
and shall include no injunction or direction to any party other than the direction to pay a monetary amount and shall not exceed the roof RCV amount/
Contract Price. The award shall not include pre or post judgment interest. The award of the arbitrators shall be accompanied by a reasoned opinion.
Notwithstanding any language to the contrary in the contract documents, the parties hereby agree: that the Underlying Award may be appealed pursuant to the
AAA's Optional Appellate Arbitration Rules ("Appellate Rules"); that the Underlying Award rendered by the arbitrator(s) shall, at a minimum, be a reasoned
award; and that the Underlying Award shall not be considered final until after the time for filing the notice of appeal pursuant to the Appellate Rules has
expired. Appeals must be initiated within thirty (30) days of receipt of an Underlying Award, as defined by Rule A-3 of the Appellate Rules, by filing a
Notice of Appeal with any AAA office. Following the appeal process the decision rendered by the appeal tribunal may be entered in any court having
jurisdiction thereof. Except as required by law, neither party nor an arbitrator may disclose the existence, content or results of any arbitration hereunder
without the written consent of both parties. Should either party disclose the existence, content or results of any arbitration hereunder, that party shall forfeit
any and all damages awarded as a result of arbitration. Damages: To the extent permitted by law, in no event shall Jasper, its officers, directors,
shareholders, representatives, employees, attorneys, affiliated entities or insurers be liable to Owner for any incidental, indirect, punitive, special or
consequential damages arising out of or related to the performance, nonperformance or termination of Contract. Cancellation Fees: Should
owner elect to cancel the Contract outside of the statutory three (3) day time frame, a cancellation fee shall apply to compensate Jasper for its
time, expense and professional services which were rendered to Owner. The fee shall be 25% (twenty-five percent) of Contract, but shall not exceed
$2,500.00. Ds
I " "., v
V _ -
THIS INSTRUMENT PREPARED BY:
Name: JASPER CONTRACTORS Am),
Address: 4185 S ORLANDO DR
SANFORD, FL 32773
coaaccblo�
NOTICE OF COMMENCEMENT
Permit Number.n,c�,
Parcel ID Number: W) —i� -�22'3 A<Jl �l�-' 0900
GRANT MALOYr-SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 0142 Ps 1851 (IPss)
CLERK'S T 2018061379
RECORDED 05/30/2018 12:45:4.2 PM
RECORDING FEES $10.00
RECORDED BY tsmith
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
Re -Roof
3. OWNER INFORMA
Name and address:
Interest in property:
Fee Simple Title Holder (9 other than owner listed above) Name:.
Address:
4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788
Address: 4185 S Orlando Dr, Sanford, FL 32773
S. 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.
Name: Phone Number:
8. In addition, Owner designates
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 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.
U (- �_ r1 e-
(Signature of Owner or Lessee, or Owner's or Lessee' (Print Name and Provide SignatorysTitlelOffice)
Authorized OtficerlDirector/PartnedManager)
State of�C \ C� County of
The foregoing instrument was acknowledged before me this "1 day of 20 al
by
Cdl\j_1 CV UtY a /—C 1(n -,—
Who is personally known to me ❑ OR
Name or person makina t
who has pi
-4
LIMITEDSOWER OF ATTORNEY
Altamonte Springs,, Casse.lberry, Lake Mary, Longwood, Sanford,
. Seminole County, Winter Springs,
Date: 05/30/18
Rudith Goico, Adreanna Ocasio, Skylar Amkraut, Amanda
_,__(Whereby -name -and-sppoint:— .... . .... . -21-11 --Ciep-linski-11,111
an agent of: JASPER CONTRACTORS
(Name of Cpmpany)
to be my lawful attorney -in -fact to ac I - necessary t'for me to for, receipt for sign for and do all things necessary to this
appoihtment f6r (check on
ly
. ... ... . . --.— ........ . .... . ... ......... . ... ......
All permits and applications submitted by this contractor.
Or
0 The specific permit and application for work located at:
144 ROSE HILL TRL SANFORD, FL 32773
.(Street Address)
Expiration Date for This Limited Power of Attorney-
LicenseHolder Name: Donald, Blo'Llc hard
State License 'Number: CCC1331153
Signature of License Holdert-
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 30 day of May
20 18 by Donald Bouchard Who is 0 personally known to me or
0 who has produced DL
and vvrdf ([id not) take, an oath.
1 t7' A\ I - ; ,
ANA CHAVEZ
of I r
State of Florida Notary Public
rc
0
n 1 5
Commission
y �C omm ss 0 xpires
Cqirn,rnission Expires
June O6,2021 I pires
as identification
Print or type Notary name
Notary Public - State of L-)-Ck
Commission No,
My Commission Expires: (0
5/30/2018
SCPA Parcel View: 18-20-31-503-0000-0230
on CNt Property Record Card
p Parcel: 18-20-31-503-0000-0230
scnar�coourrry Property Address: 144 ROSE HILL TRL SANFORD, FL 32773
r�wr
Parcel Information
Parcel
18-20-31-503-0000-0230
Owner(s)
VAN DYKE, LORRAINE G
Property Address
144 ROSE HILL TRL SANFORD, FL 32773
Mailing
144 ROSE HILL TRL SANFORD, FL 32773-7237
Subdivision Name
ROSE HILL
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2003)
24 r
0 50.29
LL
20
0 50 50
Seminole Countv GIS
Legal Description
LOT 23
ROSE HILL
PB 54 PGS 41 & 42
Taxes
Taxing Authority
Assessment Value
Exempt
Values Taxable Value
County General Fund
$91,090
$50,500
$40,590
Schools
City Sanford
$91,090
$91,090
$25,500
m$50,500
$65,590
$40,590
SJWM(Saint Johns Water Management)
$91,090
$50,500
$40,590
County Bonds
$91,090
$50,500
$40,590
Sales
Description
Date
j Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
; 6/1/2007
06754
0201
$52,300 j No
Improved
WARRANTY DEED
4/1/1999
03626
1422
$98,100 Yes
Improved
SPECIAL WARRANTY DEED
9/1/1998
03496
1719
$1,456,500 No
Vacant
,
Find Comparable Utot
Land
Method Frontage
Depth
Units
Units Price
Land Value
LOT
1
$30,000.00
$30,000
Building Information
Is Bed/Bath count incorrect? Click Here -
# Description
Year Built
Actual/Effective Fixtures
Bed
Bath
Base Area Total SF
Living SF
Ext Wall
Adj Value Repl Value
Appendages
I ( ( ( 1 3 E 1 I 31 I III
ht tp://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=l 8203150300000230 1 /2
CITY Of
. Sk 40RD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ISSUE DATE: �� �' •
CONTRACTOR:(20L*r0zb0r
JOB ADDRESS: 144 Koi I 7r1l
TYPE OF WORK: e•.xv
- R;Z004 /Sk 14 ==ZZ-�4 I
PROTECT FROM WEAT ER
• 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 I I I -
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC
RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 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
Design 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 guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC code compliance by personal inspection.
05/30/18
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
5S 300 N PARK
AVE
CITY OF SANFORD BUILDING I SANFORD FL 32771
407.688.5080
300 N PARK AVE
SANFORD, FL 32771 , . 18-00002490 Date
5/31/18
r . . . 010430
SALE . . . • 144 ROSE HILL TRL
. . . . 18.20.31.503-0000-0230
MID: 9450 Store: 4616 Term: 2902 :ription ROOFING APPLICATION
REF#: 00000006 SINGLE FAMILY
Batch #: 016 RRN: 815118005195
12400
05/31/18
14:42:24 ` - - - - - -
Invoice #: 2490 CVC'
Trans 1D: 388151673449566 ,on
4PPR CODE.- 067552
*�
✓ISA
Manual CNP Contractor
-------------------•
C �4'�OStfi�°'2`��
/JASPERCONTRACTORSI:
��" `
1690BLVDAS
AMOUNT
* v
$199.93 FL 32773 STE 112
KENNESAW,
Gi
APPROVED (770) 615-4269
tructure Information 000 000-------------
qy j
. . . . SHINGLES
����
�
--FIBERGLASS
I ACRES TO PAT ABOVE TOTAL AHOUNT ---------------------------------
-
IN ACCORDANCE
l �� r1vt
+�� 5�l Cs
WITH CARD ISSUER'S RESIDENTIAL ROOFING PERMIT.
ADREEHENT
iU RCHANT AOREEHENT IF CREDIT VOUCHER)
�
RETAIN THIS COPY FOR STATEHENT 1054394
VERIFICATION 1054394�`�
` ��6
131.00
MERCHANT COPY 5/31/118 Valuation
124 � o.yy iu
Expiration 11/27/18
Qty Unit Charge Per
Extension�L����yQ�
BASE FEE
40.00
13.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10
�D
Bag.
911.00----------------------------------------------------------------------------
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
----------------------------------------------------------------------------
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING
25.00
01-BLDG PLAN REVIEW
39.00
01-BLDG DCA SURCHARGE
2.00
01-BLDG DBPR SURCHARGE
2.93
----------------------------------------------------------------------------
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 131.00 .00 .00
131.00
Other Fee Total 68.93 .00 .00
68.93
Grand Total 199.93 .00 .00
199.93
----------------------------------------------------------------------------
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL.FINAL ROOF COVERINGS
PERMIT #: `� l L O ADDRESS: LA \01
I `D(T)l V\ �'� 9- 0 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOF NG 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, N ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: CCC1331153
JASPER CONTRATORS
COMPANY/CONTRACTOR: C (�
CONTRACTOR SIGNATURE: DATE: aS "
(MUST BE SIGNED BY LICENSE H R OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF SEMINOLE
Sworn to and Subscribed before me this day of 20 by:
is ❑ Personally Known to me or has X Produced (type of
as identification.
Signature of Notary Public
S Neof Florid /nj
v� Vl Z-z_
Print/Type/Stamp Name
of Notary Public
AM,
ANA CHAVEZ
=o State of Florida -Notary Public
=* *= Commission # GG 112152
9� oP My Commission Expires
°;; June 06, 2021
max.
SEA41NOLE COUNTY MULTI JURISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: �-�`
I_ hereby_name_an.d-appoint: Scott Meixsell, Chris Gardner, Paul Padgett, James Allen
an agent of: JASPER CONTRACTORS
(Name of Company)
to be my lawful 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):
All permits and applications submitted by this contractor.
Or
❑ The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: 1
License Holder N
State License Number:
Donald Bouchard
CCC1331153
Signature of License Holder:
STATE OF FLOR A ,p
COUNTY OFlV-)'o` i.
The foregoing instrument
20t , by"�'D9fNP
❑ who has produced _
id not) take an oath.
ANA CHAVEZ
lPRY PVD �i�
,a° c,, State of Florida Notary Public
Commission n GG 112152
'�noFF�o�, My'Commission Expires
June d6, 2021
ged before me this "IS day of
who is ❑ personally known to me or
as identification
Print or type Notary name
Notary Public - State of 'm.(9 ' Cis
Commission No. L-I . �? i�-�3 �1
My Commission Expires: t ( �-