HomeMy WebLinkAbout123 Pine Isle Dr 17-590; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: s
Documented Construction Value: $ 9,400
Job Address:
123 PINE ISLE DR SANFORD, FL 32773-7435 Historic District: Yes No M
Parcel ID: 10-20-30-511-0000-0900 Residential Q Commercial
Type of Work: New Addition Alteration Repair Demo Change of'Use Move
Description of Work: RE -ROOF OWENS CORNING FL10674 TECHWRAP FL17194 27 SQ'S 7/12 PITCH SUPREME
DRIFTWOOD 25 YEAR WARRANTY
Plan Review Contact Person: RACHEL HOLCOMB
Phone: 407-278-7788 Fax: 800-337-3361
Name KATHY BOWES
Street: 123 PINE ISLE DR
Title: MANAGER
Email: PERMIT@JASPERINC.COM
Property Owner Information
City, State Zip:
SANFORD, FL 32773-7435
Name JASPER CONTRACTORS
Street: 3203 S CONWAY RD STE 201
City, State Zip: ORLANDO, FL 32812
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 OBTAINFINANCING, 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 (
Revised: June 30, 2015
Permit Application \
I ^
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 [CC 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
Print OwncdAgeni s Name
Signature of Notary -State of Florida Dale
Owncr/Agent is Personally Known to Me or
Produced ID Type of ID
tJCl& :N Q lAM D,&E/31/2017
StgnatureofContContractor/Agentor/Agent Date
KARLA ALMODOVAR
Print Contractor/Agent's Name,
r t kJ/_31 /2017
Sipatur o .Notary -State of Florida Date
SKYLAR B AMKRAUT
tz' Commission # rF 127890
My Cotnrl Ssoon E't.ires
Conlr', Trent isJune tF'trs-MttIdy Knovn to Me or
Produced 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:
New Construction: Electric - # of Amps
of Stories: -
Plumbing - It of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
COMMENTS:
Revised. June 30, 2011
UTILITIES:
ENGINEERING: FIRE:
WASTE WATER:
BUILDING
I'ennit Application
Scanned by CamScanner
5; E. Colonial Dr.
Otiandtx FL 31807
3203 Conway Rd- Ste. 201
N Orlando Fl. 3,27812
A (
407) 27$.77SS
vtk11 r I Fae
ri1W r`=
O?wtreris):
t'y rPt
1/
41
P: A:
Tr, Z3
JASPER
Jaso rpoot.com
FL Contractor's License:
CCC 1329651 & CCC 1331153
ROOF REPLACEMENT CONTRACT
Stat_y_ up 7
R f RV Amount/ Contraet Pnce. Account
Marta er: Contact #:
Company:
Policy #:
v' Claim #: %
G Company:
Loan
Number. S Phonei`—
r)n Alt
Ph onne ! U
insurance
rights, benefits and proceeds under AssignmentofnsttranceBenefitsfortheFullRoofReplacementOnly: 1 hereby assign any and all 2S.
annv applicable insurance policies to Jasper Contractor& Inc. (-Jasper"). the scope of which shall be limited to a Full Roof Replacement. i make this er
s Contract. ls
and erwise ations and
authorization in consideration of Jasper of
seneritcet 1 also hereby direct mo performserviccs. y
surer(s)ato eleasemany and all informationorm tts
tigrequested dby
Jasper. omits including not
requiring full payment a reprY..etntltivt"( ),
acy for
the
dim-t purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. in this regard, I waive my pion ri,&mifpaymentistradedirectlytotheOwneriAgentttnsured(s), it shall be endorsed over to Jasper immediately upon receipt. i agree that an— portion of work. dedactibleabettermentoradditionalworkrequestedbytheundersigned. not covered by insurance, must be paid by the undersigned on the day of installstion. Deductible: 1[ is the Owner"s retironsibilih° to nay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible at stxmt
as stated ct b
insurer's
i (theoss
sheet (the Loss Sheet"), U1`LESS replacement/repair of deteriorated decking is required by code and/or Owner requests optithe mal
up -
wades.
Jasper CANNOT pay, waive, rebate, or promise to pay, wahm or rebate any or all of the insurance deductible applicableeu ble msurance claim for
payment of wi7k-e Cv ent of a discrepancy, the deductible amount stated on the insurer's Loss Sheet sh .. initial amount disclosed.
Deductible:
S 5 6)0 MUST BE PAID IN FIT PL S APPjJIC LE ALES TAX (initial) t authorization for
6 e Mortgage
Co. to speak with MORTGAGE AtrrHORIZATiON: I.
OwnerAlortgagor. gran _,-r:.;.:sn P. _ _ _ _ENT SCHEDULE: Owner agrees to Jasper on matters
I nrluding but not limited ter, the claim and draw status. due u- d in this contract; (ii) the Contract Price, poy laV- a
based on the fallowing schedule; (i) Deposit in the amount of upon ! g l the Deposit
and any applicable depreciation retained by Owner's insurer ), plus upgrade costs, due and payable to Jasper upon completion of wwk being performed.
and. (iii) the remaining Contract Pnce (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work
performed- In the gent f a g inspection, no more than 2% of Contract Price may be withheld until inspection has passed. QTy; PRICE: TOTAL:
S Optional: UPGRADE ITEM:
l //% Replacement Work and
Price: upon msurer' approval and subject to the Terms and Conditions herein, Jasper agrees to furnish all mattrials and provide the labornecessarytoperformthefullroofreplacementwhichshalltakeplacefollowingOwner's insurance company's approval, approximately within 30 days. conditions permitting. Owners 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 funds from Owner's insurance company. FLORIDA HOMEOWNERS' CONSTUCTiONRECOVERYFUNDPAYMENT, UT TO
A LE%IITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUNDIFYOULOSEMONEYONAPROJECTPERFORMEDUNDERCONTRACT, WHERE THE LOSSRESULTSFROMSPECIFIEDVIOLATIONSOFFLORIDALAWBYALICENSEDCONTRACTOR. FOR INFORMATION ABOUTTHERECOVERYFUNDANDFILINGACLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSINGBOARDATTHEFOLLOWINGTELEPHONENUMBERANDADDRESS: Construction Industry LicensingBoard: 2601 Blairstone Road, Tallahassee, FL 32399-1039, (850) 487-1395 CANCELLATION: If OwnerelectstoterminatetheservicesofJasper, Owner may do so before midnight on the third business day after Contractisexecuted. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third businessdayafterthecontractisexecutedafternotificationfrominsurer(s) that the claim for payment on roof contract has been denied, inwholeorinpart. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 1690RobertsBoulevard, 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. 1, Owner, have
read and understand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that all details
are acceptable and satisfactory. t further understand that this Contract constitutes the entire agreement between the parties and that
any further changes or afterations to this Contract must be made in writing and agreed upon by both parties. Each party representsandwarrantstotheotherthatithasthefullpowerandauthoritytoenterintothecontractandthatitisbindinganda
ble in accordance with its terms. ed laspe epresentative
bate Date Scanned by CamScanner
id111! 111 1 illii lllii 1111) II! I:IIIIt1!
C fit1fT mdelyr/l3 -ihIOLE COUNTY
l E OF L'UI'T , OiJRT 2 COPIPIROLLERL?{L,°9?3 fJs 63SL-(1F'ss)
In,A.
CLERK,'S T 20170S39017H[S;li lS'fRUMENTPREPARED BY: M`'VVt Y^ RECORDED pS/31/2017 f0:38:39 ANName: Jasper Contractors RECORDING FEES iCl.itl Address: 3203 S ConWgy RoadSUife 201 RECORDED BY tsmithOrlandoFL32812
NOTICE OF COMMENCEMENT , - 0
Permit Number:
j( Parcel ID Number: 1 ? U " 1 i:' ` )
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 OFPROPERTY: (Legal description of the property and street address if available)
2. GONERAL DESckiPTtoN OF iMPROVEMENT:
re -roof
3. OWNER INFORMATION OR LESSEE INF RMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Al
Name and address: C,\1 `
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Jasper ContraotorS Phone Number. 407-278-7788
Address:
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address Amount of Bond•,
s. LENDER: Name: Phone Number.
Address:
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.
Name: Phone Number.
8. in addition, Owner designates of
to receive a copy of the Rienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number.
S. 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 ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
SfgnalureofoimerorLesV EorOwnersorLessee's
Authoozed otricedolretiotfPartnerlManager)
ftt Name and Provide Sfgnalorys TiUe/01fic0
State of - w y)dp' County of
the foregoing instrument was acknowledged before me this day of , 20
Dy C` `, Who is personally known to me OR
Nameorpeisenmakingslalemenl _ `\i
aiho has produced identificationTtype of identification produced:
iySKYLAR B AMKRAUT
Oommission 1l'FF 127890
My Commission Expires
June 01 , 201 8
426428
LMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5-31-17
I hereby name and appoint: Karla Almodovoar, Ana Chavez, Skylar Amkraut, Rachel Holcomb
an agent of: .Iasw Convaaois
orCompany)
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):
0 The specific permit and application for work located at:
123 Pine Isle Drive Sanford, FL
Sven Address)
Expiration Date for This Limited Power of Attorney: 1-1-19
License Holder Name: Donald Bouchard
State License Number. CCC1331153
Signature of License Holder.
STATE OF FLORIDA
COUNTY OF s-rki e
The foregoing instrument was acknowledged before me this 31 day of May ,
200 17 , by bormW Bouaord who is o personally known
to me or ® who has produced a- as
identification and, who did (did not) take an oath.
Signature
S 1 Amkraut
Notary Seal)
SKYLAR B AMKRAUT
Q/1CommissionII FF 127890
My Commission Expires`
June 01, 2018
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No. )L.I
My Commission Expires: CO- 1 —1
Scanned by CamScanner
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / , ISSUE DATE: ii J,61, 0 1-
CONTRACTOR: 1%
JOB ADDRESS: I a 3 P
TYPE OF WORK: I
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 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 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
F;D
j 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 underlaynient 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.
5/31/2017
CONTRACTOR OR OWNER/BUILDER SIGNATURE: DATE:
J/
PERMIT #
f
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 123 Pine Isle Drive Sanford, FL 32773
STRUCTURE TYPE.: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME Q APARTMENT/CONDOMINIUM
RE -ROOF TYPE: xO 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: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: Q OFF RIDGE Q RIDGE OSOFFIT OPOWERED VENT OTURB[NES
SKYLIGHTS: O YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 Ox 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE Owens Corning FL# 10674
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
0INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
OTORCH DOWN FL#
0INSULATED FL#
OTILE FL#
O 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 . . . . 17-00001590 Date 5/31/17
Property Address . . . . . 123 PINE ISLE DR
Parcel Number . . . . . . . 10.20.30.511-0000-0900
Application description . . ROOFING APPLICATION
Subdivision Name . . . . .
Property Zoning . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 986950
Permit pin number 986950
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/_