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HomeMy WebLinkAbout321 Borada Rd - BR17-003081 - ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION t 428722 Application NO: + ' Documented Consfruction Value: S 12,300 Historic District: Yes NOJobAddress: 321 Borada Rd Sanford FL 32773 ParcelID: 10-20-30-5FR-0000-1120 Residential Q Commercial Type of Work: New Addition Alteration Q Repair' Demo Change of Use Move Description of Work: reroof Owens Coming FL 10674-R12 Techwrap k 17194-R122 squares 7/12 piich Supreme Antique Sihrej 25 year warranty Plan Review Contact Person: Rachel Holcomb Title: admin manager Phone: 407-278-7788 FaY: 800-337-3361 ; . Ed:nail: permll(Masperinc.com Property Owner Infohnation Name Alonso Vargas and Migdalfa Vargas phpae; Street: 321 Borada Rd Resident of property? : Yes City, State Zip: Sanford, FL 32773 Contractor Inforrrta#ion Name Jasper Contractors phone. 407-278-7788 Street: 3203 S Conway Rd Fax: 800-337-3361 City, State Zip: Orlando FL 32812 State License No.: CCC1331153 Architect/ Engineer infprmatlon Name- Phone: Street: Fay: City, St, Zip: E-mail: Bonding Company: Moirigage Lender: Address: Adt:ress• WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING- TWICE-FOR=IMPROVEMENTS TU-YOUR RROP-ERTYM;--A NQTICE-0 -OI CEMENT=.MUST=BE- RECORDED AND POSTED ON THE JOB SUR BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCMENT. Application is hereby made to obtain a permit to do the work and Installations as indicated. I certify that no work or instalMon.has commenced prior to the issuance ofapermit and that all work will be perfohnedto meet standards of alllaws regalati us construction in this jurlsftdom. I understand that a separate permit must be secuked for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. FBC 1053 Shall be Inscribed with the date of application and the code in effect 49 of that date: 51% Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements ofthis permit, there way be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, andthere 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 ofthe requirements ofFlorida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy ofthe executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the cmrent ICC Valuation Table in effect at the time the permit is Issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNWI 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 e60truction and zoning. Signature ofOwmer/Agent Date Pjemt Owner/Agent'sName Signahne otNotary StatoofFlorida Date re ofContraetor/Agent Date tor/ AdeaYs L Z:;" SItYLAR B AfVIKRALIT Commission # FF 1 77890 My Commission Expires 4o=raper' June tit , 2018 Owner/ Agent is Personally Known to Me or cori ract'or%Agent is Personally Known to Me or Produced ID Type of ID Produced ID_:,Q- Type of IDV L, BELOW IS FOR QMCE USE ONLY Permits Required: Building(l Electrical Mechanical El 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 - i# of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILMES: WASTE WATER ENGINEERING: FIRE: BUILDING: COMNIF, TTS: Revised: June 30, 2015 Permit Application e1'. l.e•le•f.Y°' rS'C}. ('V' 'w j1 `", yj{q" St `e''T1 i h — _ __— ..._.. Y Y X k•'Y ` 5 i, r r,5;isr,ilu_s l_r +C Tii,,l} 6rua='l: 11GYifraydiii e o 11v1f s 030. r a'-GY l e: It "rat ° t a - ° e+t c.s : ayiCl f"tw-• ...tea+1,u i i a 1111 1l a 1 °I a • Ii 1 'jam• . Ea i+i e[/ . S -@• ' zk ks. G Cf1• 4. r g^tF a it F! 4 r t - - Gi Is as.e..l+cx a t • ` .ej. : s I y>e 1 ' : !t s• 1 '!'iY'°:L' l,'},^"q C r,tiJ .+. t....•r-: .. , P= F_I':i r9F"'-_'"a"(....+e r, *s..r;'iif'.-,,.er `I "'r,•3Sif.,..J.c1r11" ' i 1'`1.-.1'-'+1-=,+ y'- 1- II.I^ .—i.- ... iU.•3 iv,7K 4 r, i fiaa 4 ko '.+..' .4lJL- `'.x ..4}•"yTi *'"" t' r ! I ,.3 x L ' C"C ..-. _ t dr.,$-3'' ° d a Ea` 'i`,• ell -. `... t _ i`k . lat 11 t 1 v G` t _. i .I ie• t r 1C-j„+..-L e-.M Gf + t`! w%0."r; a eri J W1 1, A-• l•a- 1.?1 u$;7ta1) LG3—l`assJ Udab- r''!ir 4i - 428722 LUMUD POWER. OF Ae,1'TORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date_ 10.17.17 1 herby name and appoint- Karla Almodovar, Skylar Amkraut, Ana Chavez, Gina McDonald & Rachel Holcomb an agent of .laspercontraaos N—orcompany) 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,(cbeck only one option): The specific permit and application for work located at: 321 Borada Rd Sanford FL 32773 Sacs Add—) Expiration Date for This Limited Power of Attorney. 01-01-2019 License Holder Name: Donald Bouchard State License Number. CCCIP1153 Signature of License Holder. STATE OF FLORIDA COUNTY OF send , e The foregoing instrument was acknowledged before me this 17 day of october 20017 by oanaid Bouchard who is o personally known to me or w who has produced DL as identification and who did (did not) take an oath.. Signature Notary Seal) § kyfar Amkraut Print or type name SlcYLAi2 8 AMKRAUT a commission A FF 127890 t d,: My Commission Expires dune 01.-2018 txc;. 68.12) Naiary Public - State of FL Commission No. 127890 My Commission Expires: 6/112018 annpd by C;amSranner 1-11S INSTRUMENT PREPARED BY:'Sgwc (Uurt Name: JASPER 4 NT""CTORS Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 3288112 NOVICE OF C64ACEMENT Permit Number. T ® I Parcel ID Number. GRANT PIALOY: SEMINOLE COUNTY CLERV OF CIRCUIT COURT & COMPTROLLER IK 9003 Ps 463 (1 P95 ) CLERK'S r 2017104588 RECORDED 10/17/2017 10:33:31 All RECORDING FEES $10.00 RECORDED BY ,ieckenro The undersigned hereby gives notice that improvement will be made to certain rear property, and In accordance with Chapter 713, Florida Statutes, thefollowinginformationIsprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPE (Legal descr tion of the property and strergt address if available) ccvl 'PL3 ZsUs 2 63 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATIOP OR LESSEE INFORMATION IF THE LESSEE CONTRACT D FOR TFIE IMPROVNT:/ Name and address: a i QS 2-j 6u y1 7 D 6 -r l 32 1 Interest in property: 0 Fee Simple Title Holder (if other than owner fisted above) Name: Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407278-7788 Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 S. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: Amount ofBond: 6. LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice orotherdocuments maybe served as provided bySection713.13(1)(a)7., Florida Statutes. Name; Phone Number. Address: In addition. Owner designates Of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date ofNotice 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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Sisnalure ofOwner or Lessee, or owhees or Lessee's Authorized OfAcedoirectodParinedWitaser) Print Name and Provide Wnatorys TIVeroffice) State of ` v " County of V uy " r ` The foregoing Instrument was acknowledged before me this "I day of14 by y Y t ` ,-f %I s / Who is personally known to me Ci OR 0 =:,-%'f Name of ersonmaking stateme tLLJ who has produced identificationype of identification produced: / `- 2i PJS'ICYLAR B AMKRAUT as LB° _ Commission a FF 127890 g ,J; 4S:Y¢oc MyCommission Expires 7f June 01, 2018 gnuo• ia- 10/16/2017 SCPA Parcel View: 10-20-30-5FR-0000-1120 Property Record Card V3AdJohuwc6CFA Parcel: 10-20-30-51FR-0000-1120 Owner: VARGAS ALONSO & MIGDALIA 5en'secouvrx Property Address: 321 BORADA RD SANFORD, FL 32773 Parcel Information Value Summary Parcel 10-20-30-5FR-0000-1120 Owner VARGAS ALONSO & MIGDALIA Property Address 321 BORADA RD SANFORD, FL 32773 Mailing 321 BORADA RD SANFORD, FL 32773-5594 Subdivision Name HIDDEN LAKE PH 2 UNIT 2 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(1996) 2017 Working Values 2016 Certified Values Valuation Method Cost/Market j Cost/Market Number of Buildings 1 r 1 Depreciated Bldg 76,939 67,425EValueDepreciatedEXFe2,115 2,236 Land Value (Market) 25,000 I $21,000 Land Value Ag 1 Just/Market Value " 104,054 90,661 Portability Adj Save Our Homes Adi 37,215 25,197 Amendment 1 Adj t P&G Adj 0 0 Assessed Value 66,839 1 $65,464 Tax Amount without SOH: $805.77 2016 Tax Bill Amount $496.13 Tax Estimator Save Our Homes Savings: $309.64 y TRIM Notice Help 76.6-1 6-66 +ft [ ' Does NOT INCLUDE Non Ad Valorem Assessments Seminole County GIS ! Legal Description LOT 112 HIDDEN LAKE PH 2 UNIT 2 PB 25 PGS 62 & 63 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 66,839 66,839 A $ 0 Schools I $66,839 25,000 41,839 City Sanford k $66,839 41,839 25,000 SJWM(Saint Johns Water Management) 66,839 41,839 25,000 County Bonds 66,839 1 $41,939 25,000 Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 6/1/2004 ; 05346 0801 35,100 No Improved SPECIAL WARRANTY DEED - 10/1/1995 02979 _ 1191 78,100 No improved CERTIFICATE OF TITLE 7/1/1995 02936 15588 100 No Improved WARRANTY DEED 3/1/1986 01715 0823 54,000 Yes Improved WARRANTY DEED 12/1/1981 101370 1 0885 42,400 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 ! 1 $25,000.00 25,000 Building Information http://parceldetaii.scpafl.org/ParcelDetaillnfo.aspx?PID=1020305FR00001120 1/2 r 5380 E. Colonial Dr. Orlando, 1132807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 407)278-7788 800)337-3361 Fax intii'rclaspeunc org, OwTICr/ / dI1DllCe_ % 7 Add3D. r 6 d 1757S-y-';' JASPER, FL Contractor's License: CCC1329651 & CCC1331153 ROOF REPI,ACLM ENT CONTRACT G e-J, e Account Manager: Contact Company: IIoIic.y P: o Claim!': ice. 1 .c 7 E r, Morteaue Comoanv Information Company: _5 e L e cu Loan Number: '? S 11hon2 Cj 7- e U el SG Alt Phone: City:" I State izip Code: Z Sillgle Color 7 Sc fdf _ l 3'77-7- . //e Si I Email: Roo( KCV Amount/ Contract Price. , Drip Edge Color. 12,300 wtis f I If Owner', s not ,ree to Dayfor it ftill 1.0 f renlacerrient, t1liscontractv. . Assignment of Insurance Benefits for the Full Roof Replacement Only: 1 hereby assign any and all insurance rights, benefits and procreds under any applicable insurance policies to Jasper Contractors. Inc. ("Jasper"), the scope of ubich shall be limited to a Full Roof Replacementi make this assignment and authotization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations, under this Contract, includingnotrequiringfullpaymentatthetimeofservice. I also hereby direct my insurers) to release any and all information requested by Jasper, or its represeritative(s), for the dueet purpose of obtaining actual benefits to be paid °by my insure(s) for services rendered. In this regard. I waive my privacy rights. If payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by tine undersigriLd, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's responsibility to nay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet (the "Loss Sheet"), UNLESS replacennentircpair of deteriontcd decking is required by code an&or Owner requests Optional upgrades..lasper 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 work. In th event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall o%Frrule deductible amount disclosed. Deductible: S !L% d ` MUST Ill: PAID iN FULL, PLUS APPLICABLE SALES TAX !, ' Z' initial) MORTGAGE Atrt•1101117ATION. 1, Ovmcr/Mortgagor, grant authorization for Mortgage Co. to speak with Asper on matters including but not limited to, the claim and draw status. L ' (initial) PAYMENT SCHEDULE: Owner agrees to Ppay Jasper based on the following schedule: (i) Deposit in the amount of 5 c 1 - -due upon sierting this contract per the Contract Price. less the Deposit and any applicable depreciation retained by Owner's msurer(s), plus upgrade costs, due arid payable to Jasper upon coxnpletiat of workbeingperformed; and, `(in) the remaining Contract Price (equal to any applicable depreciation andlor change orders) due and payuhle to 1-per upon completion of work performed. In die event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: PRICE: TOTAL: S Replacement Work and Price-. Upon insurer's approval and subject to the'Terms and Conditions herein, Jasper agrees to fiunnsh all materials and provide the labor necessary to perform the full roof replacmient cinch shall take place following Owner's insurance company's approval, approximately within30days, conditions permitting. Owner's Declaration of Intent: -Owner acknowledges and agrees that, upon approval by insurance company for a all roof replacement, Jasper shall perform the roof replacementupon receipt of Rinds front Owner's insurance company. FLORIDAHOMEOWNERS' CONSTUCTION RECOVERY FUND PAYMENT, UP 1.0 A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS - CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, ERETHELOSSRESULTSFROMSPECIFIEDVIOLATIONSOFFLORIDALAWBYAIICENSEDCONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA oo NSTRUCTION' INDUSTRY LICENSING BOARD AT THEFOLLOWING TELEPHONE NUMBER .AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FI.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 it full refund of all deposits. (honer 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, inwholeorinpart. All written notices of cancellation, regardless of reason, shall he 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. I further understand that this Contract constitutes the entire agreement „between the parties and that any further changes or alterations to this Contract must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power and authority to enter into the contract and that it is binding arid .enforeertltle in accordance with its terms. Date O er Scanned by CamScanner City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. Irl- 3081 ISSUE DATE: lo. 1Q•11 CONTRACTOR: JOB ADDRESS: TYPE OF WORK: PROTECT FROM WrEATHER 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 PERMIT # 1— s QB City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 321 Borada Rd Sanford FL 32773 STRUCTURE TYPE: © SINGLE FAMILY RESIDENCE/TOWNHOUSE O. MOBILE HOME O APARTMENT/CONDOMM M 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: ONLY100 SQUARE FEET OF THE EXISTING DECK ISPERMITTED TO BE REPLACED ** ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBEVES SKYLIGHTS: O YES ONO 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# 10574-R12 O METAL FL# OMODIFIED Brrui EN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# 0OTHER: 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# OTILE FL# O OTHER: FL# 30p City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — No PLAN REVIEw REQumm) 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 Inspectian 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 ofwork) 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), cer 'ng FBC ode compliance by personal inspection. CONTB RACTOR (oR OwNERu1LDER) SIGNATURE: DATE: i • 1 1 l 1-7-5a91 LINUTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: " ' ( I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of Jasper C—Uactors game 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): The specific t application for o loc ted at: k1 Z-1-1 Saw A ) Expiration Date for This Limited Power ofAttorney: License Holder Name: 1 0 (1 CkALU, P9011VAl1(,LY State License Number- CCC1331153 Signature of License Holder. i STATE OF FLORIDA COUNTY OF s The foregoing instrument was acknowledged before me this day of. NW 'Qe , 20Q 11 , by Donau Board who is o personally known to me or ® who has produced a identification and who did (did not) take Notary Sea,) IL W ylr Am rrm tk Print or tune name e.;` SKYLAR B AMKRAUT No Public =State ofCommission # FF 12789U do My Commission Expires Commission No. QOFfIpQ` June 01, 2018 ,, My Commission Exp! ie : ` Rev. 08.12) as Scanned by CamScanner City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINburadA' L ROOFCOVERINGS PERMIT #: " ADDRESS: ' a 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 #: COMPANY CONTRACT MUST BE CONTRACTOR: r OR SIGNATURE: DATE: SIGNED BY LICEN HOLDER OWNER/BUIL E 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 , l_ V V I ( 1 `V 1 `_/ Sworn to and Subscribed before me this day of -b4QW,be-;( 20 111 by: J CsCJ J S`/ Who is Personally Known to me or has Oproduced (type of n) n Signature oary Public St too Flo ' as Name of Notary Public SKYLAR B AMKRAUT Commission N FF 127890 ce My Commission Expires June 01. 2018 t