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HomeMy WebLinkAbout148 Pinefield Dr; 17-1833; ROOF426507 ' U' 1 l,° ff_" CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 10,600 Job Address: 148 PINEFIELD DR SANFORD, FL 32771 Historic District: Yes No x Parcel ID: 32-19-31-515-0000-0240 Residential El Commercial Type of Work: New Addition Alteration RepairEl Demo Change of Use Move Description of Work: RE - ROOF OWENS CORNING FL10674 TECHWRAP FL17194 33 SQ'S 7/12 PITCH SUPREME DESERT TAN 25 YEAR WARRANTY Plan Review Contact Person: SKYLAR AMKRAUT Phone: 407-278-7788 Fax: 800-337-3361 Name GLENN MOORE Street: 148 PINEFIELD DR Email: Property Owner Information Phone: City, State Zip: SANFORD, FL 32771 Name DONALD BOUCHARD Street: 3203 S CONWAY RD STE 201 City, State Zip: ORLANDO, FL 32812 Name: Street: City, St, Zip: Bonding Company: Address: Title: ADMIN PERMIT@JASPERINC. COM 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 4 i 2 O ,D5 NOTICE: In addition, to the requirements of this permit, there may beadditionalrestrictions' applicable to this property that may be found, in the public records of this county, and there may: be additional permits required frorrr other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permitis 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 toyour 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 Rate Print Owner/ Agenes Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID X 1tQLN Ak: 6/16/17 Signature of Contactor/Agent Date 6/16/ 17 Signature of ry-State of Florida Date v] f( -' a SKYLAR B AMKRAUT 1 ' ` Commission # i F 12780 i` MY Commission Expire June 01 , 2018 Contractor/Agent is _ o , e or Produced ID. Type of ID M 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 Q # of Beads Fire Alarm Permit: Yes 0 No Q APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 i'cnnit Application 426507 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 6-16-2017 1 hereby name and appoint_ Rachel Holcomb, Skylar Amkraut, Karla Almodovar Ana Chavez anaoentof: JaswContraan;s Name of Company) to be my lawful anomey-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 permirand.application for work located at: 148 PINEFIELD DRIVE SANFORD, FL 32771 Sure Address) Expiration Date for This Limited Power of Attorney: 1-1-17 License Holder State License Donald Bouchard CCC1331153 Signature of License Holder.: STATE OF FLOPMA COUNTY OF sew The foregoing instrument was acknowledged before me this 16 day of JUNE 200 17 , by Doran 80who is o personally known to me or ® who has produced o- identification and who did (did not) take an oath f"`t Notary Sea]) i""„ AL RBAMKRAUTCommission # FF 127890 fy o = My Commission Expires s. June 01, 2018 Rev. 09.12) Amkraut Print or type name Notary Public State of FL Commission No. 127890 My Commission Expires: 6/1/2018 ScannPd by CamSc annpr City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. MIS ISSUE CONTRACTOR: JOB ADDRESS: TYPE OF WORK: Post this pennit in a conspicuous location outside Approved plans must be posted with pennit for inspection Leave all work uncovered until inspected and approved Permit ex ices 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING ELECTRICAL INSPECTIONTIPE APPROVED REJECTED INSPECTOR IMPECTION77PE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWA.LL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL SHEATHING - WALLS R6PEC7102MPE APPROVED REJECTED INSPECTOR FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALUSHEETROCK PLUMBING LATH INSPECTION INSPECTION ME APPROVED REJECTED INSPECTOR FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SIR GAS INSPECTIONS ROOF INSPECUOYnTE APPROVED REJECTED WRECTOR GAS UNDERGROUND PIPE RVSPEC77ON ME APPROVED R£IECIED INSPECTOR ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS BCPEC77ON ME APPROVED REJECTED INSPECTOR rnPEC770NT}PE APPROVED REJECTED ASPECTOR PRE -DEMO FINAL DOOR FINAL.DEMO --- - --- FINAL WINDOW -- - FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME FINAL t11 1.11\ls iv vwlNEJK: YUU.K P"AILUKE 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 REQUIREh1EN1'S OF THIS PERhIIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERMIENT•AL ENIITTES SUCH AS WATER MANAGENIENI DISTRICTS, STATE AGENCIES OR FEDERALAGENCIESFBC105.3.3 REVISED: OCTOBER 2014 InsPedlan Line: 855,5412112 426507 JOB ADDRESS: 148 PINEFIELD DRIVE SANFORD, FL 32771 PERMIT # , —i -uO :3 City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: © SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: © 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 DECKLS PER.11ITTED TO BE REPLACED' ROOF VENTILATION: ® OFF -RIDGE © RIDGE OSOFFIT OPOWERED VENT OTURBINES 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 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE OWENS CORNING FL# 10 6 74 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# 33 S D 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 onthe 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: e Permit 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 Approvalshall 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 underlaymerit 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: K DATE: 6,/ 16 / 2 017 THIS INSTRUMENT PREPARED BY Name: Jasper Contractors Address: 3203 S COnway Road NortcE OF cannnnENcEnnEraT 1[Ilel tltillittl itlt t Il + GRANT 11ALOY rSEN'INOLE COUNTY iERl` OI: CIRCUIT COURT fit coMPTROLLER BK 3934' Fs 1316' (IPSSl CLER!':' S T 2017060721 RECORDED t1b/1612017 11:1G.`: €11 RECORDING FEES $10.00' RECORDED BY ,feckenro Permit Number. / }` Parcel ID Number: ' i " I Ui - ` `7 ( ` r) th Chapter 713, Florida Statutes, the Theundersignedherebygivesnotice,that improvemenlwiil be madeb certain real property, and In accordance wi following information is provided in this Nol(ce of Commencement. 1. DESCRIPTION cat-(1'KUk-,= cri: 2. GENERAL DESCRIPTION OF IMPROVEMENT: re - roof 3. OWNER INFORMATION OR LESSEE INFORMATION iF THE L SSEE 4r.PTRACTf D. MR THE Interest in. property: owner Fee Simple Title Holder (if other than owner listed above) Name: Address: Phone Number. 407 278-7788 t. CONTRACTOR: Name: Jas er Contractors A, z.4,s- 3203 S Conway Road Suite 201 Orlando, FL 32812 i. SURETY (if applicable, a copy of the payment bond isattached):-Name: Amount of Bond: Address: Phone Number. L ' LENDER: Name: Address: n whom notice or other documents may be -served as provided by Section T. Persons within the State of Florida Designated by Owner upo 713. 13(1)(a)7., Florida Statutes. Phone Number. _ Name* Address: of In addition, Owner designates to receive a copy of the Lienor's Notice as provided in section 713.13(1)(b), Florida Statutes. Phone number: I: Expiration Date of Notice of Commencement (The expiration is 1 yearfram date of recording unless a different date is specified) RNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPI13, fLOFLOION OF THE NOTICRlDA STATUTES, INoF,COMMENCEMENTAREAND CAN RESULT YOUR ONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART l,:SECTION 713.13,ST BE RECODED AND POSTED ON 7HE APING TWICE FOR IMPROVEMENTSE FIRST NSPEC O YOU N. IF YOU NTEND TOO OBTAINF NANC NG,EMENT CONSULTWITH YOURLENDER OR AN Arr RNEY IOB SITE BEFORE TH IEFORE COMMENCINGWORKOR RECORDING YOUR NOTICE OF COMMENCEMENT. stgnalutefOwnerarLessec,orOwner' sorLessee's AuUtadtedOffterlgireetor/P3, erl6ian890Pdnl (Jame and Provide Signatory s Titiclofhee) fate of t1` V countyof) 1 day of yknwn theforegoing instrument was acknowledged before me this(i/o I.. Who is personalme l7 OR Namcofpeisonrnakingstatement e l ho has produced identificationptype of identification produced: SI(YLAR e A f 12739U Commisson f+ F fires yEa7cannii55i0nY June O1 , 201 8 r, RO E. Colonial Dr. Orlando. FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 407)278-7788 800) 337-3361 Fax infoig etinr.orE JASPER Roaf tom JatipmrFL Contractor's License: CCC1329651 & CCC1331153 ROOF REPLACEMENT CONTRACT Account h Contact r•: ji Tfr/l r Owner( s) Phone: Address. Ij Wr, P0,UC M city: qAI1net A-— !_5 ct qnhrf , r{ S ZipShingle ColorEmail Roof Rl'\' Amount' Contract Price. 10,600 odor. If Owner's Insurance Comnanv dies not a ree to pay for a full roof rer_vlaceuxrit. this contract shall be vo3dnble. v Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any mitt all insurance rights, benefits and proceeds under any applicable insurance policies to Jasper Contractor-, Inc. ('•Jasper'), the scope of winch shall he limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jasper's agreement to pahirm services, supply materials and othertrisc 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 requestel by lasper, or its representame(s), for the chrect purpose of obtaining actual benefits to be paid by rnv insurer(s) for services rendered in this regard. I iv:uve troy pnvacy rights. If payment is made directly to the Owna,Agent, insurod(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 under ignei, not covered by insuuance, must be paid by the undcrsiped on the day of installation Deductible: It is the Owner's MML)"'ibihly to tnaY all n>1 urncc dc(luctibics. Owner's out-of-pocket expense will not exceed the deductible amoiuutt, as state( on insurer's kiss sheet (the "Loss Sheer"), UNLESS rclibcenienurepair of deteriorated decking is required b) code and or Ouner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay. waive or rebate any or all of the insurance deductible applicable to the insurance claim for payment of Nvntlrl ftrrit of a discrepancy, the deductible amamt stated oil the insurer's LOSS Sheet shall overrule deductible amount disclosed. Ikd1' HE: PAID IN I- PI. iS PPLICABLE SALES TAX (initial) MORTGAGE AUri'HORILATiON: L Ownen' Ntartgagor, grant audim t n fox 0t _ Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw stanis. (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper buetl on the following schedule: (i) Deposit in the amount of S We 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. (in) the remaining Contract Price (equal to any applicable depreciation arid/or change orders) due and payable to Jasper upon completion of work performed. } e event of a pending inspection, no more than 2°' f Contract Pric v be withheld untill pection has passed. Optional: I1PGRAllE fiFAt: JE/ QTY: PRICE- Oy TOTAL. 5 ,? Replacement Work and Price: Upon insurer's approval and subject to the Terris and Conditions herein. Jasper agrees to funush all materials and provide die labor necessary to perform the full roof replacement wbich shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, )a_cper shall perform the roof replacement upon receipt of funds from Owner's insurance company. FLORIDA HOMFOWNI ERS' CONSTUCTION 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 LINDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR iN'FORNIATiON ABOUT THE RECOVERY FUND AND FILING A CLAIM, CON -TACT THE FLORIDA CONSTRt:Ci-ION INDUSTRY LICENSING BOARD AT THE. FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry licensing Board: 2601 Blairstone Road,'I'allahassee, Fl. 32399-1039, (8S0) 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper, Owner nrny do so before midnight on the third business dos 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 front 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 of cancellation DOES NOT APPLY to contracts for emergency home repairs us time is of the essence. 1. Owner, ha%e read and understand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. 1 further understand that this Contract constitutes the entire agreement between the parties and that any further changes or alterations to this Contract must he 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 nforceable i accordance with its terms. 3 Authorized JasierkVresentative Date l> vv icr Da e Scanned by CarnScanner SCPA Parcel View: 32-19-31-515-0000-0240 Page 1 of 2 e AAL RQIrGoAd lloMwn,CFA PJAPPMR. S ns+ai C'.O t1ty iti.bcrr n Parcel Information Property Record Card Parcel: 32-19-31-515-0000-0240 Owner: WRIGHT SANDRA K HEIRS Property Address: 148 PINEFIELD DR SANFORD, FL 32771 Parcel 32-19-31-515-0000-0240 Owner WRIGHT SANDRA K HEIRS Property Address 148 PINEFIELD DR SANFORD, FL 32771 Mailing 148 PINEFIELD DR SANFORD, FL 32771 Subdivision Name CELERY LAKES PHASE 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) Z V- 9. -nart t:rio4 2%tea O 28.2 106_ , m` 3 50.91 r• CJ Wat Co Cfl h- !. 136.24 55 50.90 Value Summary n 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 121,977 109,228 Depreciated EXFT Value 1,585 1,668 I Land Value (Market) 32,500 23,100 Land Value A Just/Market Value " 156,062 133,996 Portability Adj- Save Our Homes Ad/ 61,465 41 345 Amendment 1 Ad/ P&G Adj 0 0 Assessed Value 94,597 92,651 Tax Amount without SOH: $1,873.00 2016 Tax Bill Amount $1,044.00 Tax Estimator Save Our Homes Savings: $829.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 24 CELERY LAKES PHASE 1 PB62PGS75&76 Taxes - - Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 194,597 50,000 44,597 Schools 94,597 25,000 69,597 City Sanford 94,597 50,000 44,597 SJWM(Saint Johns Water Management) 94,597 50,000 44.597 County Bonds 94,597 1 50,000 44,597 Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED SPECIAL WARRANTY DEED 11/1/2005 5l1/2004 106138 E 05304 0539 1 1244 67,500 No 138,800 1 Yes Improved Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT I I 1 32,500.00 32,500 Building Information is bea/barn count incorrect % UICK nere. 4 Description Year Buitt Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE 2004 7 3 2_0 1,874 2,290 1,874 CB/STUCCO $121,977 128,060 Description Area FAMILY FINISH GARAGE 380.00 FINISHED http://parceldetail. scpafl.org/ParcelDetaillnfo. aspx?PID=3 21931515 00000240 6/19/2017 NMVAW 111MI6E, CLEW W C1KWT COW iK 07M pot Ism - 16571 116PP) CLERK'S 0 Z012031243 MOOM 03116ii le I1ela:a5 pll I111EMININS FINS 3L 54 Investor Loan # 0800285914 BY T Smith After Recording Return To: EverBank 8100 Nations Way cksonvilie, FL 32256 Prepared by: Willette Ricks lbu t tL 1 `[Space Above This Line For Recording Data] HOME AFFORDABLE MODIFICATION AGREEMENT Borrower ("I"):t SANDRA K. WRIGHT, AN UNI RIED WOMAN, AND GLENN A. MOORE, AN UNMARRIED MAN Lender ("Lender"): EverBank Date of first lien Security Instrument ("Mortgage" a Note ("Note"): May 07,2004 Loan Number: 9000340965 Recorded on May 13, 2004, Clerks #2004074423, Book 0 04, Pages 1245-1254 in the amount of $137,662.00 of the Records of Seminole County, FL Property Address [and Legal Description) ("Property"): 148 PINEFIELD DRIVE, SANFORD, FLORIDA 32771 op 4 Lot 24, Celery Lakes, Phase I, according to the plat f as recorded in Plat Book 62, Pages 75 and 76, inclusive, of the Public rds of Seminole County, Florida. If my representations in Section 1 continue to be true in all material res cts en this Home Affordable Modification Agreement ("Agreement") will, as set forth in Section 3, amend and supplement i a Mortgage on the Property, and {2) the Note secured by the Mortgage. The Mortgage and Note together, as they m r: viously have been amended, are referred to as the "Loan Documents." Capitalized terms used in this Agreement an o,:defined have the meaning given to them in Loan Documents. I understand that after I sign and return two copies of this Agreement to the Lender, the Lender will send me a signed copy of this Agreement. This Agreement will not take effect unless the preconditions set forth in Section 2 have been satisfied. My Representations. I certify, represent to Lender and agree: A. I am experiencing a financial hardship, and as a result, (i) I am in default under the Loan Documents, and ii) I do not have sufficient income or access to sufficient liquid assets to make the monthly mortgage payments now or in the near future; t If there is more than one Borrower or Mortgagor executing this document, each is referred to as "I.' For purposes of this document words signifying the singular (such as 'I") shall include the plural (such as "we") and vite versa where appropriate. MULTISTATE HOME AFFORDABLE MODIFICATION AGREEMENT — Single Family— Fannie Mae/Freddie Mac UNIFORM INSTRUMENT Form 3157 3109 (rev. 10110) (page 3 of 7 pages) Book7732/Page1652 CFN#2012031243 B. I live in the Property as my principal residence, and the Property has not been condemned; C. There has been no change in the ownership of the Property since I signed,the Loan Documents; D. I have provided documentation for all income that I receive (and I understand that I am not required to disclose child support or alimony unless I chose to rely on such income when requesting to qualify for theHomeAffordableModificationprogram ("Program")); E. Under penalty of perjury, all documents and information I have provided to Lender in connection with this Agreement, including the documents and information regarding my eligibility for the Program, are true and correct; F. if Lender requires me to obtain credit counseling in connection with the Program, I will do so; and G. I have made or will make all payments required under a Trial Period Plan or Loan Workout Plan. H. This section applies only if applicable; I was discharged in a Chapter 7 bankruptcy proceeding subsequent to the execution of the Loan Documents. Based on this representation, Lender agrees that I will not have personal liability on the debt pursuant to this Agreement. Acknowledgements and Preconditions to Modification. I understand and acknowledge that: A. TIME IS OF THE ESSENCE under this Agreement; B. If prior to the odification Effective Date as set forth in Section 3 the Lender determines that my representatio 70ln ection 1 are no longer true and correct, the Loan Documents will not be modified and this Agreement will rminpte. In this event, the Lender will have all of the rights and remedies provided by theLoanDocuments; C. I understand that the an Documents will not be modified unless and until (i) I receive from the Lender a copy of this Agreement sAt by the Lender, and (ii) the Modification Effective Date (as defined in Section 3) has occurred. I further u "dstand and agree that the Lender will not be obligated or bound to make anymodificationoftheLoanDocumnsifIfailtomeetanyoneoftherequirementsunderthisAgreement. 3. The Modification. If my representa io" 1in Section 1 continue to be true in all material respects and all preconditions to the modification set fortlin Section 2 have been met, the Loan Documents will automaticallybecomemodifiedonFebruary01, 2012 (the' . edification Effective Date") and all unpaid late charges that remain unpaid will be waived. The Loan Documents will Vodified and the first modified payment will be due onMarch01, 2012, tA A. The new Maturity Date will be: February 01, 2042, B. The modified Principal balance of my Note will include iVW'Le-' ounts and arrearages that will be past due excluding unpaid late charges) less any amounts paid to,der but not previously credited to my Loan. The new Principal balance of my Note will be $123,941.93. C. Interest at the rate of 4.625% will begin to accrue on the New Princf B lance as of February 01, 2012 andthefirstnewmonthlypaymentontheNewPrincipalBalancewillbeMarch01, 2012. My payment schedule for the modified Loan is as follows: Years Interest Interest Rate Monthly Estimated Total Monthly Payment Begins On Number ofRateChangeDatePrincipalandMonthlyPaymentMonthlyInterestEscrowPayments Payment Payment Amount Amount 30 4.6250% February 01, 2012 637.24 225.26 862.50 March 01, 2012 360 May adjust May adjust periodically" periodically" The escrow payments may be adjusted periodically in accordance with applicable law and therefore my total monthly payment may change accordingly. MULTISTATE HOME AFFORDABLE MODIFICATION AGREEMENT — Single Family— Fannie Mae/Freddie Mac UNIFORM INSTRUMENTForm3157 3/09 (rev. 10/10) (page 4 of 7 pages) Book7732/Page1653 GFN#2012031243 The above terms in this Section 3.C. shall supersede any provisions to the contrary in the Loan Documents, including but not limited to, provisions for an adjustable, step or simple interest rate. I understand that, if I have a pay option adjustable rate mortgage loan, upon modification, the minimum monthly payment option, the interest -only or any other payment options will no longer be offered and that the monthly payments described in the above payment schedule for my modified Loan will be the minimum payment that will be due each month for the remaining term of the Loan. My modified Loan will not have a negative amortization feature that would allow me to pay less than the interest due resulting in any unpaidinterestbeingaddedtotheoutstandingprincipalbalance. D. I will be in default if I do not comply with the terms of the Loan Documents, as modified by this Agreement. E. If a default rate of interest is permitted under the Loan Documents, then in the event of default under the Loan Documents, as amended, the interest that will be due will be the rate set forth in Section 3.C. F. I agree to pay in full the Deferred Principal Balance and any other amounts still owed under the Loan Documents by the earliest of: (i) the date i sell or transfer an interest in the Property,,(ii) the date i pay theentireInterestBbringPrincipalBalance, or (iii) the new Maturity Date. G. If I make a partia eppyment of Principal, the Lender may apply that partial prepayment first to any DeferredPrincipalBalancedyeapplyingsuchpartialprepaymenttootheramountsdue. o- 4. Additional Agreements. I a r to the following: A. That all persons who signed t oan Documents or their authorized representative(s) have signed this Agreement, unless a borrower o borrower is deceased or the Lender has waived this requirement in writing. B. That this Agreement shall supersede t e e ter, s of any modification, forbearance, Trial Period Plan or Workout Plan that I previously entered into with Leigr. C. To comply, except to the extent that they argAilodified by this Agreement, with all covenants, agreements, and requirements of Loan Documents includin y agreement to make all payments of taxes, insurance premiums, assessments, Escrow items, impoun s1, Adi"4911 other payments, the amount of which may changeperiodicallyoverthetermofmyLoan. 6 D. That this Agreement constitutes notice that the Lend er as to payment of Escrow Items, if any, hasbeenrevoked, and i have been advised of the amount nee o fully fund my Escrow Account. E. That the Loan Documents are composed of duly valid, bin in reements, enforceable in accordance with their terms and are hereby reaffirmed. F. That all terms and provisions of the Loan Documents, except pressly modified by this Agreement, remain in full force and effect; nothing in this Agreement shall be un b M s od or construed to be a satisfaction or release in whole or in part of the obligations contained in the ocuments; and that except as otherwise specifically provided in, and as expressly modified by, this g ee nt, the Lender and I will be bound by, and will comply with, all of the terms and conditions of the Loan Documents. G. That, as of the Modification Effective Date, notwithstanding any other provision of the Loan Documents, agree as follows: If all or any part of the Property or any interest in it is sold or transferred without Lender's prior written consent, Lender may, at its option, require immediate payment in full of all sums secured by theMortgage. However, Lender shall not exercise this option if federal law prohibits the exercise of such option as of the date of such sale or transfer. If Lender exercises this option, Lender shall give me notice of acceleration. The notice shall provide a period of not less than 30 days from the date the notice is delivered or mailed within which I must pay all sums secured by the Mortgage. if I fail to pay these sums prior to the expiration of this period, Lender may invoke any remedies permitted by the Mortgage without further notice ordemandonme. MULTISTATE HOME AFFORDABLE MODIFICATION AGREEMENT — Single Family— Fannie Mae/Freddie Mac UNIFORM INSTRUMENTForm3157 3/09 (rev.10110) (page 5 of 7 pages) Book7732/Page1654 CFN#2012031243 H. That, as of the Modification Effective Date, I understand that the Lender will only allow the transfer and assumption of the Loan, including this Agreement, to a transferee of my property as permitted under the Garn St. Germain Act, 12 U.S.C. Section 1701j-3. A buyer or transferee of the Property will not be permitted, under any circumstance, to assume the Loan. This Agreement may not, under any circumstances, be assigned to, or assumed by, a buyer of the Property. I. That, as of the Modification Effective Date, if any provision in the Note or in any addendum or amendment to the Note allowed for the assessment of a penalty for full or partial prepayment of the Note, such provision isnullandvoid. J. That, I will cooperate fully with Lender in obtaining any title endorsement(s), or similar title insurance product(s), and/or subordination agreement(s) that are necessary or required by the Lender's procedures to ensure that the modified mortgage Loan is in first lien position and/or is fully enforceable upon modification and that if, under any circumstance and not withstanding anything else to the contrary in this Agreement, theLenderdoesnotreceivesuchtitleendorsement(s), title insurance product(s) and/or subordination agreement(s), then the terms of this Agreement will not become effective on the Modification Effective DateandtheAgreementwillbenullandvoid. K. That I will execute such other documents as may be reasonably necessary to either (i) consummate the terms and conditions of this Agreement; or (ii) correct the terms and conditions of this Agreement if an error isdetectedaftereke,cution of this Agreement. I understand that either a corrected Agreement or a letter agreement conVin g the correction will be provided to me for my signature. At Lender's option, thisAgreementwillbofandof ,no legal effect upon notice of such error. If I elect not to sign any suchcorrectivedocumenfin, the terms of the original Loan Documents shall continue in full force and effect,, such terms will not b odifi,9d by this Agreement, and I will not be eligible for a modification under the HomeAffordableModificationProFecordL. That Lender will collect personal information, including, but not limited to, my name, address, telephone number, social see ' number, credit score, income, payment history, government monitoringinformation, and information about count balances and activity. In addition, I understand and consent to the disclosure of my personal infortij t and the terms of the trial period plan and this Agreement by Lenderto (i) the U.S. Department of the Veas ry, (ii) Fannie Mae and Freddie Mac in connection with their responsibilities under the Home Affordabftand Stability Plan; (iii) any investor, insurer, guarantor or servicerthatowns, insures, guarantees or services my it. t lien or subordinate lien (if applicable) mortgage loan(s); (iv) companies that perform support services for t ; e Affordable Modification Program and the Second Lien Modification Program; and (v) any HUD certified sin counselor. M. That if any document related to the Loan Documnt or this Agreement is lost, misplaced, misstated, inaccurately reflects the true and correct terms ant ations of the Loan as modified, or is otherwise missing, I will comply with the Lender's request to execuire, c nowledge, initial and deliver to the Lender anydocumentationtheLenderdeemsnecessary. If the Note 's effaced, the'Lender hereby indemnifies me against any loss associated with a demand on the Note. All dments the Lender requests of me under thisSection4.N. shall be referred to as "Documents." I agree to deliver Documents within ten (10) days after IreceivetheLender's written request for such replacement. N. That the mortgage insurance premiums on my Loan; if applicab , rty increase as a result of the capitalization which will result in a higher total monthly payment. Futtiernt o e, the date on which 1 mayrequestcancellationofmortgageinsurancemaychangeasaresultoftheNe' Principal Balance. O. If my Loan Documents govern a home equity loan or line of credit, then I agree that as of the Modification Effective Date, I am terminating my right to borrow new funds under my home equity loan or line of credit. This means that I cannot obtain additional advances, and must make payments according to this Agreement. Lender may have previously terminated or suspended my right to obtain additional advances under my home equity loan or line of credit, and if so, I confirm and acknowledge that no additional advances may beobtained.) MULTISTATE HOME AFFORDABLE MODIFICATION AGREEMENT - Single Family- Fannie Mae/Freddie Mac UNIFORM INSTRUMENTForm3157 3109 (rev. 10110) (page 6 of 7 pages) Book7732/Page1655 CFN#2012031243 LENDER'S CORPORATE ACKNOWLEDGEMENT) State of FLORIDA County of DUVAL On February 17, 2012, tore me, Shakeva Fort, personally appeared Keith E. Lammons, personally known to me R-, proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument t Wdness WITNESS my hand and official seal. Jennifer McLemoree> 0 C Print name t Notary ftkeyi A. Fort Witness Branka Fetahovic Y SHAKEYA A FORT Print name MY COMk,SSION # EE035893AM;, EXPIRES October 19, 2014 407)39"'!53 Flo deNotstySen e.own 9001- Book7732/Pagel657 CFN#2012031243 In Witness Whereof, the Lender and 1 have executed this Agreement. EverBank, Lender ANDRA K. GHT r ( Borrower) C Date: - By: vicjr Keith E. Lammons yri-r1 Date: FEB 17 2012 GLENN A. MOORE (Borrower) n Date: C ` 40 pk ce Below This Line For Acknowledgement] State of It County of / On (Z - 2,0 Q- before me, t Date Waptied Printed Name of Notary Personally appeared SANDRA K. WRIGHT AND GLENN A. MOORE p> onally known to me - OR - V proved to me on the basis of satisfactory evidence to be the person(s) whose na:, a is/are subscribed to the within instrument h and acknowledged to me that he/she/they executed the same in his/her/t in authorized. capacity(ies), and that be his/her/their signature(s) on the instrument the person(s), or the entity ube ponl which the person(s) acted, executed the instrument. i. i n ZJOOP " 01 Pu wh% GYVWMYNY.LANE r. MY COMMIS" t OD 8233BB r EXPIRES: OdDWr 27, 2012n, e; } BandW Taw Nda7 WhSc lkderw ite,y Expires MULTISTATE HOME AFFORDABLE MODIFICATION AGREEMENT - Single Family- Fannie Mae/Freddie Mac UNIFORM INSTRUMENT Farm31573/09 (rev. 10/10) (page 7 of pages) Book7732/ Page1656 CFN#2012031243 MIS INSTRUMENT PREPARED BY: NAMED - p2 i ,11 ADDR. ? e D QUIT CLAIM DEED ledIo; Fl_ .32-71 On this 27 h day of November, 2005, executed by Sandra K. Wright and Glenn A. Moore. Glenn A. Moore, a single man, as the Grantor, whose address is 148 Pinefield Drive, Sanford, Florida 32771 to Sandra K. Wright a single woman, AS HER SOLE AND EXCLUSIVE PROPERTY, as the Grantee, whose address is 148 Pinefield Drive, Sanford, Florida, 32771; on the following described property known as 148 Pinefield Drive, Sanford, Florida, 32771, which is more particularly described as lying situate in Seminole County, Florida, to - wit: Lot 24, Celery Lakes Phase 1, according to the Plat thereof, as recorded in Plat Book 62, Pages 75 & 76, of the Public Records of Seminole County, Florida. Being Tax Map or Parcel ID No: 32-19-31-515-0000-0240 THE GRANTOR FOR AND IN CONSIDERATION of the sum of ONE DOLLAR and 00/100, SI. 00), and other good and valuable consideration to the Grantor in hand paid by the Grantee, receipt of which is hereby acknowledged, has released and quit claimed to the Grantee all the Grantor's right, title and claim of demand and/or interest forever which the Grantor may have in the above described land/property. SIGNED, SEALED, AND4ELIVERED in the presence of z 0 Alitness GLENN A. MOORE 04i 148 Pinefield Drive Sanford, Florida 32771 Witness Printed Name (407)324-4679 r fin 411111111Mi10low tons moments Witness WAM NE It W, Ctfi11t OF CIRCUIT aW SMINCLE CMIM 1 ° * BK 46138 Pq "I (1pp) Witness Printed Name + CLERK'S 0 2QIQ"32182 mom tlP/ PA/Pt116 11:1Pe37 AM STATE OF FLORIDA ) s OM DM TAX 47P.51 COUNTY OF SEMINOLE) INB FEES 10.M SWORN TO AND SUBSCRIBED before me that GL in1 y and , the Witnesses respectively; who personally appeared and affixed their signature-s hree mabove, And whoproducedsatisfactoryidentification; on this 270' day of November, 2005+ gg-ig)\ IEL .1 LLfYNooerYPu61e'S1e1°ofPbrldeNotaryPublicCambebnEMpYeaod17,2989Conrrfssion • Do 482941. 8nnd d Br NeBonel Notary Apn. Book6138/Page539 CFN#2006032182 L EWTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: U - , I - I . - -1. . I - . .. I - I I . - - L I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an anent of Jasper contractors tt<2,m orcompany1 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): G The specific !permit and application for work i I f / t (- — r Expiration Date for This Limited Power of Attorney: License Holder Name:Z_% State License Number. CCC1331153 Signature of License Holder. STATE OF FLORIDA - COUNTY OF sert&-le The foregoing instrument was acknowledged before me this day of , 200_1—j, by oo"aw &xxhwd who is o personally known to me or ci who has produced DL identification and who did (di Notary Sea]) S10 VF 127800 ^ 4 e` Comm 'SionExpires MY con)nlSsion une Rev. 08.12) Notary Public - State of Commission No. 0 My Commission Expires: ' I k' as Scanned by CarnScanner City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS I PERMIT #: ' . t. C ADDRESS: I t \NM&: , 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 #: LC C' Is COMPANY/CONTRACTOR: . CONTRACTOR SIGNATURE:f/wT.--J [ DATE: MUST BE SIGNED BY LICENSE HOLDER OR 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 Sworn to and Subscribed before me this 6i1:day of 20 1 Wy: Ao is Personally Known to me or haroduced (type of identification) as identification. Signature of'Ni Public State of Florida Print/Type/Stamp Name RB AMi 7 ofNotar Public (((j B , SKYLAR B AMI<RAUT Y >% , Commission 4 FF 127890 id t• f„dL, ac My Commission Expires June 01. 201 8 ''