108 Balboa Ct - BR185-002859 - REROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATIONIII5ApplicationNo: X 1 a
Documented Construction Value: S 7,200
Job Address: 108 BALBOA CT SANFORD, FL 32771 Historic District: Yes No 0
Parcel ID: 10-20-30-503-0200-0180 Residential Q Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 Techwrap 17194-R2 21 SQ 7/12 Pitch Beachwood
Sand Supreme 25 Years Plan
Review Contact Person: Phone:
407-278-7788 Name
GLENDA MATOS Street:
108 BALBOA CT Skylar
Amkraut Fax:
800-337-3361 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. 1 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 applicationand 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 be additional restrictions applicable to this property that may be
found in the public records ofthis 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 pen -nit 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. - • - - - - -- -- -
06/26/18
Signature of Owncr/Agent Date Signa re ofCont or Agent Date
Rudith Goico
Print Owner/Agent's Name P ' t Contmctor/Ag is1m,
e Signature
of Notary -State of Florida Date Sig tur Flatida— yA1JA
CHI Z State of
Florida.Notary Public Commission # GG
112152 My Commission
Expires 111 June06. 2021 Owner/Agent
is Personally Known to Me or Contractor/Agent is/ Personally Known to Me or Produced ID
Type of ID Produced ID V Type of 1D ` >— BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing Gas[] Roof Construction Type:
Occupancy Use: Total Sq
Ft of Bldg: Min. Occupancy Load: Flood Zone:
of Stories:
New Construction:
Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: Yes No # of Heads APPROVALS: ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
FIRE:
Fire
Alarm
Permit: Yes No WASTE WATER:
BUILDING: Revised:
Junc
30, 2015 Permit Application
6/26/2018 SCPA Parcel View. 10-20-30-503-0200-0180
fRRds joms, cfAA
yPPitA1aR
I'm n
Parcel Information
Property Record Card
Parcel: 10-20-30-503-0200-0180
Property Address: 108 BALBOA CT SANFORD, FL 32771
Parcel 10-20-30-503-0200-0180
Owner(s) RIVERA, RUBEN - Tenants in Common
MATOS, GLENDA - Tenants in Common
Property Address 108 BALBOA CT SANFORD, FL 32771
Mailing 108 BALBOA CT SANFORD, FL 32773-5544
Subdivision Name HIDDEN LAKE PH 2 UNIT 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1997)
7 76.67 (0.01
112 79 69.41
isQ
sQ
l
14 1>9
Seminole County GIS
Legal Description
LOT 18 BLK 2
HIDDEN LAKE PHASE II UNIT I
PB 24 PGS 15 TO 17
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 89,457 73,153
Depreciated EXFT Value 851 901
Land Value (Market) 30,000 25.000
Land Value Ag
Just/Market Value " 120.308 99,054
Portability Adj
Save Our Homes Adj 56,303 36,365
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 64,005 62,689
Tax Amount without SOH: $1,098.00
2017 Tax Bill Amount $559.00
Tax Estimator
Save Our Homes Savings: $539.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes I
hftp://parceidetail.scpafl.org/ParcelDetailinfo.aspx?PID=10203050302000180 1/3
DocuSjgn Envelope ID: B6472392-3E53-49CF-8E5C-CCDB45C6DD07
JASPER
Jaspor toof.com
800)337-3361 Fax
info@jasperinc.com FL Contractor's License:
CCC 1329651 & CCC 1331153
VJSA °°"—" ROOF REPLACEMENT CONTRACT
Account Manager: Joseph Palladino
Contact #: (407) 335-6239
Company: Assurant
Policy #: MIr718118203
Claim #: 00102270539
Morleaee Comnanv Information
Company:
Loan Number:
Owner(s): Glenda Matos
Phone:
Address: 108 Balboa Court All Phone: 717-507-9463
City: SWE. Zip Code: 32773 Shingle Color:
Sanford OC Supreme - Driftwood
Email: glendamatos0116@gmail.com
R V Amount/ Contract Price:
7.20
Drip Edge Color:
Drip Edge - White 6"
If Owner's Insnr- gree to nav for a full roof replacement, this contract shall he voidahle.
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 wider 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 Owner/Agent/lnsured(s), it shall be endorsed over to Jasper immediately upon receipt. 1 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 remonsibility to Day 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, w ' Djr 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 amount stated on the insurer's Loss Sheet shall overrule deductible amount disclosed. Deductible: s2000.00 MUST BE PAID
1N FUL
PAYME : Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount ofs- 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.
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. 1 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. DocuftnedDocuSignedby:
4/3/2018 14:03 PM EDT ul P i1 1 4/3/2018 ( 4:02 PM El
DateraoaberRepresentativeDate (
e
crcazeraans.'
DocuS;ign Envelope ID: B6472392-3E5349CF-6E5C-CCDB45C6DD07
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
properly 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, lire, 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. I lomeowners 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 to 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. IfJasper 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 "grand fathered" 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 bome 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 ofthe 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. os
L
THIS fNSTRUMENT PREPARED BY:
Name: JASPER CONTRACTORS s
Address: 4185 S ORLANDO DR
ANFORD, F 32773
OWL% Ca
NOTICE OF COMMENCEMENT
fll!!f iifff llNi lit!! !li!! !illf Ifif liif
GRANT MALOY, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9159 P9 1564 Wqs)
CLERK'S : 2018072774
RECORDED 06/25/2018 12:34:55 Pri
RECORDING FEES $10.00
RECORDED BY tsmith
Permit Number.
Parcel ID Number: 10-20-30-503-0200-0180
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowingInformation• is provided in this Notice ofCommencement
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Glenda Matos &Ruben. Rivera 108 Balboa CI, Sanford FL 82773
Interest in property: OWNER
Fee Simple Title Holder (d 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:
Address: 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 Section713.13(1)( )7. ;Florida Statutes.
Name• M(lrlG %wP1Y+ Phone Number. _ fil0a / _.. tin , 77 n/5 'C
S. In addition, Owner designates Of
to receive a copy of the Uenors Notice as provided In Section 713.13(t)(b), Florida Statutes. Phone number.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different data is specified)
WARNING TOOWNER: 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 ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Lb 4 6, --
Slip"m ofownaor Lessee or owr-W& orLenee's
ftftrked
L.
RNNamoendPMW& sw4weTfO mr=)
State of I R ' County of U !4m lh
The foregoing Instrument was arktrowledged before me this Zah day of V L 20
by l 7 I CY LAck IT 1(jn7t., Who is personally known to me 0 ORNomeorpersonmarrbgatawrsnt
who has produced Identification 131'type of identification produced: Kl S •
C M M.MWania - NotarY Seat n II r A ! C'oT .. n: ..,, : L`
F "C\k,C 4 C.E
Ccohristina
A.
BeattY.1`40I YPubtic Lebanon CounlY
My 17
expires March 19, 2022 Commissiorr number
tpp8872 Member of
Notaries
SEM/MOLE COUNTY MOLT/ JL/R/SD/CT/ONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 06/26/18
I- hereby_name-and-appoint: Rudith Goico, Adreanna Ocasio, Skylar Amkraut, Amanda Cieplinski
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:
108 BALBOA CT SANFORD, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holoer.Name: Donald Bouchard
State License Number: CCC1331153
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 26 day of June
20 18 , by Donald Bouchard
who has produced DL
and wh di 1( id not) take an oath.
Signa ure of Notary
rr4, ANA CHAVEZ
ci° -State of Florida -Notary Public
Commission ;i GG 1121524,;rr't`tvly'Co"' Isslon Expires
rkr nN June 06, 2021
who is O personally known to me or
as identification
Print or type Notary name
Notary Public - Slate of
Commission No. i. . GA
My Commission Expires: C0
CITY OF
I* SjkNFORD. Building & Fire Prevention DivisionBUILDINGDIVISION
Re -Roof Permit Card
PERMIT NO. / I? V d 951? ISSUE DATE:
CONTRACTOR:#4JFa4ne
JOB ADDRESS: /O Ir dawl 1304V
TYPE OF WORK: Ae. Am P
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 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.
06/26/18
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:- DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 108 BALBOA CT SANFORD, FL 32771
STRUCTURE TYPE: Q SINGLE FAMILY RES] DENCE/TOWN HOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q 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 ISPERMITTED TO BE REPLACED
ROOF VENTILATION: (DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGIITS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
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
Q SHINGLE Owens Corning FL# 10674-R13
O METAL FL#
O MODIFIED BITUMEN FL#
QTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **1FAPPLICA8LE**
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#
0MODIFIED BITUMEN FL#
QTORCH DOWN FL#
O INSULATED FL#
O TILE 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 . . . . . 18-00002859 Date 6/26/18
Property Address . . . . . . 108 BALBOA CT
Parcel Number . . . . . . . . 10.20.30.503-0200-0180
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1060417
Permit pin number 1060417
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/_
r • ?
U
D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAI66LING,pSHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: O O S ADDRESS: I0 -4VZ4 /
S,,kW , r(- 3 Z - 3
zz
I 'P(N k <-- K, [CCU , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOF G CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREG G 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 #: CCC 1331153
COMPANY / CONTRACTOR:
JASPER CONTRATORS
CONTRACTOR SIGNATURE: DATE: 07 -7
MUST BE SIGNED BY LICENSE L R OR OWNS UILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
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 7 day of 20 g by:
Who is O Personally Known to me or has X Produced (type of
identification DL as identification.
Sign ure of Notary Public ,.;;:;,,, RUDITH GOICO
State of Florida :_° XS.tcite of Florida -Notary Public
Commission # GG 178413f1/7 6I -o My Commission Expires
anuary 24, 2022
Print/Type/Stamp Name
of Notary Public
SEMINOLE COUNTY MULTI JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 4 `7 // 7 / 8
I_hereby_name_and_appoint:_. Scott Meixsell, Chris Gardner, JovanniBracero, James _Allen, Joshua Collazo
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):
E All permits and applications submitted by this contractor. -
Or
The specific permit and application for work located at:
Expiration Date for This Limited Power of Attorney:
License Holder Name: Donald Bouchard
State License Number: CCC1331153
Signature of License Holder:
Address)
1/1/2019
STATE OF FLOR DA
COUNTY OF eminole
The foregoing instrument was acknowledged before me this 17 day of ,
20 18 , by Donald Bouchard who is ® personally known to me or
O who has produced
and wh di `( id not) take an oath.
Signa ure of Notary 6
Q'fllzt" ANA CH AVEZ
State o1 Florida -Notary Public
h •.l Commission I GG 112152MyComrnisslonExpires
June 06, 2021
as identification
Print or type Notary name
Notary Public - State of
Commission No. l'-'A
My Commission Expires: '(D i