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HomeMy WebLinkAbout2221 Hartwell AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: % Documented Construction Value: $ 9,600 2221 HARTWELL AVE SANFORD FL 32771 Job Address: Historic District: Yes ❑ No "❑ Parcel ID: 36-19-30-544-0000-0360 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 19 SQ 7/12 Pitch Brownwood Supreme 25 years Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Name WARE, KATILYA R Street: 2221 HARTWELL AVE 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' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may he 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 peiinit 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_ struction_and_zoning. Signature of Owner/Agent Date Print Owner/Agent's'Nanie Signature of Notary -State of Florida Date 04/10/18 SignaturKofContractor/Agerlt Date Rudith Goico Name SKYLAR B AMKKAAJ t Commission it FF 1278910 tvly `Commission ;Expires .June -01 , 2018 Owner/Agent is Personally Known to Me o • Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID 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: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June30, 2015 Permit Application 4/10/2018 � •CFA SEr�rQ�4`fKwvtY. Legal Description LOT 36 TWENTY WEST PB16PG36 Taxes SCPA Parcel View: 36-19-30-544-0000-0360 Property Record Card Parcel: 36-19-30-544-0000-0 360 Property Address: 2221 HARTWELL AVE SANFORD, FL 32771 Value Summary 2018 Working 2017 Certified Values Values r-- - i Valuation Method Number of Buildings Cost/Market 1 Cost/Market ( 1( 1 _ Depreciated Bldg Value $51,477 $43,781 Depreciated EXFT Value $200 1 $200 Land Value (Market) $15,000$12,000 Land Value Ag'._.__a Just/Market Value ** $66,677 $55,981 Portability Adj j Save Our Homes Adj $0 $0 Amendment 1 Adj $5,098 $0 P&G Adj $0 $0 Assessed Value $61,579 $55,981 Tax Amount without SOH: $1,065.96 2017 Tax Bill Amount $1,065.96 Tax Estimator Save Our Homes Savings: $0.00 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools - _— $61,579 �$66,677 —-� $0 $0 $61,579 $66,677 City Sanford SJWM(Saint Johns Water Management)— $61,579 $61,579 $0 —. $0 $61,579 $61,579 County Bonds $61,579 $0 $61,579 Sales Description ! Date Book Page Amount Qualified Vac/Imp _. ......... WARRANTY DEED _................. . -...-. 5/1/2001 04080 0201 _ $62,000 ' Yes Improved _. WARRANTY DEED 7/1/2000 03894 1597 $38,000 Yes Improved WARRANTY DEED 1/1/1976 01077 _ 0639 $16,500 No Improved WARRANTY DEED 1/1/1975 01053 1 0018 $18,000 1 Yes Improved mm Find Comparable Salles , Land Method Frontage ( Depth Units Units Price Land Value LOT - - ) --- --0.00 I -- - 0.00 - -- 1 $15,000. ----- $15,000 Building Information Is Bed/Bath count incorrect? Click Here. _ # Description Year Built 1 Fixtures Bed Bath 1 Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages http://parceldetaii.scpafl.org/PareelDetailInfo.aspx?PID=361 93054400000360 112 5380 E. Colonial Dr, Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407)278.7788 (800) 337-3361 Fax infirwiamcrinc.orc Account Manager;'`. r Contact 11; Zl G 7- 3 Company: Policy it: Claimft: ;��-- vtiIIilCA" cpAluanv ►nformalwn Cornpany: Loan Number: Address: a s ? �rer 4— L✓ (i U Q Alt i'bane; City: _ n •� �, - .-I'l a4 c C ...�._._...... Email:� � � , -"1' ...�• o iJ R 9 600 AmounV Contract Price: Drip F lge Color: v i"t L.n, 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 politics to Jasper Contractors, Inc. ("Jasper"). the scope of wfiich 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. 1 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, 1 waive my privacy rights, if payment is made directly to the Owner/Agent/Insured(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 tmdasignod on the day of installation. Deductible: his the Owner's responsibility to pav all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurers loss sheet (the "Loss Shcet'), UNLESS replacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT or pay, waive, rebate, or promise to pay, waive or rebate any or all or the Insurance deductible applicable to the insurance claim for payment of work the `vent of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall" verrule deductible amount disclosed. Deductible: S V MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX MORTGAGE AUTHORIZATION; 1, Owncr/Mort or, (Initial) Bag grant or Mori age Co, to speak with, Jasper on matters including but not limited to, the claim and draw status. �' pay -]asps based on the followin schedule: i (initial) PAYMENT SCHEDULE: Owner agrees -to g () Deposit in the amount of$ due upon signing this centract (ii) the Contract .Price, less the Deposit and any applicable depreciation retooled by Owner's incur s , },,y work bell) performed; an P upgrade costs, due and payable to Jasper upon completion of S P d, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and din o Payable Jasper upon completion of work performed_ In the event of a pending inspection, no more than 2 /o of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: PRICE: Rept;icement Work and Price. U insurer's a TOTAI'S Upon � approval and subject to the Terms and Conditions herein, Jasper agrees to Eunuch all materials and Je the labor necessary to perform the full toof replacement which shall take place following Owner's insurance company's approval, approximately pin 30 days, conditions permitting. Owner's Declaration of intent: Owner acknowiedges and agrees that, upon approval by insurance company for a all 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 HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE PIONEY 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 file 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, CA 30144. CANCELLATION EXCEPTIONS: The three (3) day right or 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 file 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, A tCoeited Jasper Representative Date Owner ` Date Scanned by CamScanner Scanned by CamScanner l��llll#1 llll 111 lull 11lil1 fill 11111 t1f I ' THIS INSTRUMENT PREPARED BY: Name: JASPERCONTRACTORS Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 NOTICE OF COMMENCEMENT 6RANT BL OM SENINGLF (.01-INTY t",LEEK OF CIRCUIT COURT I C=U1C1`'TOOLLER U1: j(1�q 1:- C-LERK'S x 2018038909 RECORDED P11 REi: ff-d'.> 1iU FEES $1 1 .00 RECORDED BY tldevare Permit Number. Parcel ID Number: 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. DESC PTION OF PROPERTY: (Legal description of the property and street address if available) r� 21, 2, GENERAL DESCRIPTION OF IMPROVEMENT - RE -ROOF 3, OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: 16JOO{ kV0 12 f I) _a_�_ �,�_(r �a Y , 32 Interest In properly: OWNER '�� � � �� -- 77' Fee Simple Title Holder (if other than owner fisted above) Name: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY ROAD SUITE 20I ORLANDO FL 32812 5. SURETY (if applicable, a copy of the payment bond Is attached): Name: Address: s. LENDER: Name: Phone Number: Address: — Amount of Bond: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes, Phone Number. B. In addition, Owner designates of to receive a copy of the Lienors 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 1, 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. -cP (Signs 10fli.r°rLessce,or0ymetsorLessee's trvmtNameandProvideSignalarisTi6doffice An rued ceribireetadPartnedManager) I State of County of .��jJ/�JQ� The foregoing instrument was acknowledged before me this /!D day of 2071 by `l t.C�? Who is personally [mown to me 1] OR Nam or Pelson makrngstatement � �•.?!� Who has produced identification [Ptype of identification.produced: a �•i . KARLA M ALMODOVAR ` ;State dMoride-Notary Public G - ;~ _* �= Commission #GG111330 cam' "��OFF � My Commission Expires N°Iary Signature IuneO4,22021 +.a'•Ssli41:N�"ipnv�:. slmsa;L1Y :9-r.<'Lw - Imo. . fQ V� 6Y .Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 04/10/18 Karla Almodovar, Rudith Goico, Skylar Amkraut Rachel Holcomb I herebv name and appoint: l �F��` Q rri lYY>'�TlllL11F€�I I 1 > Gina Mc5onald & Rachel Holcomb an aQ2nt ofJaswCo",tracto.s a'*— orc—P-y) to be my lawful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things' necessary to this appointment for (check only one option): The specific permit and application for work. located at:. 2221 HARTWELL AVE SANFORD, FL 32771 — (Street Add(rss) Expiration Date for This Limited.Power of Attorney 1 /1 /2019 License Holder Name: Donald Bouchard' CCC1331153 Signature of License Holder.. STATE OF FLORIDA COUNTY OF S-ri" The foregoing instrument was acknowledged before me this. 10 day of April 200. 18 , by ,. � s«,a>ard who is o personally known to me or is who has produced oL as identification and who did (did not) take an oath. Signature (Noy Seal) Sky ar Amkraut Print or type name sKYLAR. B AMKRAUT �+ _ Commission q FF 129890 - - My Commission Expires I, June 01, 2018 ' . n+�Yf�nF�'wnF�+ofA: JneYP�nfMr«tn'+ayriA�'�,vv'aKSW (Rev.08.1,2) Notary Public - State of Ft_ Commission No. 127890 My Commission Expires` 6/1/2018 SrannPd by C,amSCnnnPr CITY OF 5 ,FIRE DEPARTMLN CONTRACTOR: ® I as do e4/0' JOB ADDRESS: TYPE OF WORK: Building & Fire Prevention Division Re -Roof Permit Card A PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide . • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 8SS.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 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 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: 'rw- DATE: 04/10/18 PERMIT It City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 2221 HARTWELL AVE 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: Q OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ------------------------------------------------ 7---------------------------------------------------------- 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# 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 Y FL# OINSULATED FL# O TILE FL# 0 OTHER:. FL# FIRE INSPECTIONS 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 . . . . . 18-00001746 Date 4/11/18 Property Address . . . . . . 2221 HARTWELL AVE Parcel Number . . 36.19.30.544-0000-0360 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . TWENTY WEST Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1043520 Permit pin number 1043520 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_/ w" r City of Sanford " Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FIN}A�L ROOF COVERINGS PERMIT #: ADDRESS:( I U (�J ��j��1, AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR c-R-0 III 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 CONTRATORS CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOLDER OR'O)rER LDER) 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 SEMMOLE Sworn to and Subscribed before me this 12D day of 20 Ky: ZlZ�q_ CC IW o istIly Known to me or has Ni Produced (type of identification) DL as identification. N� 1r1 I�W.A-JV 1') V Signature of Notary Public State of Florida P Mal Nmd' My,— Print/Type/Stamp Print/Type/Stamp Name of Notary Public — MODOVA `�, KARLA M Pubhc`W ,State of Florida NOCaf'd l i n GG 11 1330 r 1 � = CoiT.i sslo FX irk { �: y Co�jrrl;,,s�on P .;une 04, 2021 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Dare: 'l Zskr I hereby name and appoint: Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Paul Padgett an anent of Game of Company) to be my laRfiil 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 `rniit and applica1tioAAn forAlocated at: (Suw Addrrss) Expiration Date for This Limited Power of Attorney: 1. - .' State License Number: CGC'331153 Signature of License Holder:LIZ STATE OF FLORIDA c COUNTY OF sew The foregoing instrument was acknowledged before me this 6J day , 200\�, by Donald Bmx twd ws ❑ ho iWally -known to me or a who has produced DL as identification and who did (did �nott)� take an oath. / l�l,"vl.Ja � & — Signahue , (Notary Seal) � A -- Print or type name � ����� L Notary Public of \ ornr °ter . f\ M .A I M D� 0_V_A R .State of Florica-Notary -State ' Pubiici Commission No. Commission#GG 111330 si MY CoMm Gs on Expires i My Commission Expires: Ji ne pq 2021 (Rev.08.12) Scanned by CamScanner