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HomeMy WebLinkAbout109 Spanish Bay DrCITY OF SANFORD BUILDING & FIRE PREVENTION D PERMIT APPLICATION Application No: oC Documented Construction Value: $ /0 Soo Job Addre Historic District: Yes No Parcel ID::56 -1 q - 30 - ) R - 0000 - 0 gy D Residential Commercial Type of Work: New Addition Alteration W Repair Demo Change of Use Move Description of Work: tf - C i,K 06W O(ol } j EL j jat (p Plan Review Contact Person:" YVY1ftyMLlii-(J\j Title: Y1(1 [ I Phone•4t)+;) 'g• 148 8 Fax: • 33?( Email:i l-(C jOC r[ Property Owner Information — 0 Name b LA"AQrd Street: City, State Zip: L Phone: Resident of property? Contractor Information Name U,imn_+P A VAU,W Phone: (401 't • Street: `3&0 F CDIDifs(GHQ Dr- Fax: ,• 33- 33&/ City, State Zip: 00 (10d O r—L 3o'W__- State License No.: 6X( 3c3910.F, Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h 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 of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. vL" 11 lu Ll I Signature of Owner/Agent Date ignature oI Contractor/Agent Date S Print OwncrlAgcnt's Name Print Co t Agcnt's Na„ nmc4/ A Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID e tfJIMA MCCLEARC MY COMMISSION M FF942988 EXPIRES Dttcember 13 2019 Contractor/Agent is Personall own to Me or Produced ID Type of ID 5_ I BELOW IS FOR OFFICE USE ONLY Permits Required: Building I] Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application THIS INSTRUMENTJASPER CON AnOR -111 g5 Address; 5380ECOLON-IAL OR ORLANDO FL 32807 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number. 33-19-30-517-0000-0840 The undersigned hereby gives n6tIce that I n9mment wift be made to certain real property, and In accordance with Chapter 713, Florida Statutes, thefollowingInformationIsprovidedInthisNoticeofCommencemenL 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) I r1T RA 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOBEMP O Name and address: ELLA LINGARD, 109 SPANISH BAY DR. SANO itIM Interest In property: OWNER Foe Simple Title Holder Of other than owner Bsted above) Name: Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 5380 E COLONIAL DR ORLANDO FL 32807 S. SURETY (If applicable, a copy of the Ps)msnt bond Is sttachW): Amount of Bond: 6. LENDER: Name: Phone Number. Address: Persons within the State of Florida Designated by Ownerupon whom notice or otherdoe ments may be served as provided by Section 713. 13(1)(a)7., Florida Statutes. I _ Name: Phone Number. Address: 8. In addition, Owner designates to receive a copy of the LleWc Notice as prdvided in Section 713.13(1)(b). Florida Statutes. Phone number: 9. Expiration Date of Nonce of Commencement (The e:pirat)on is 1 year from date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 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 THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ELLA LINGARD spurts Owner« .«Inres•r (Phn Nww am Previte gpnat«yt TatelOfllce) nr, rbnzoaore ' State of FL Countyof SEMINOLE The foregoing Instrument was acknowledged before ma this 22 day of FEB . 20 16 by ELLA LINGARD Who is penonairy (mown to me OR Kane of pesos noVnQ tW enwt who has produced idon8ticadon 6 typo of fdonti kation broduued: DL I'•' SAMANTHA MURRAY,/ LMY COMMISSION a FF944322: APO EXPIRES December 16.2019 tr ii'rif' C,C raorr sons e5 Ftartlallo t7ge v' ^ CLEFitC ^: THE ay MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK' S # 2016018756 BK 8637 Pg 0001; (1 pg) E-RECORDED 02/22/2016 09:54:14 AM MORSE 10. 00 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: i hereby name and appoint: Samantha Murray 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): The_ specific -permit and application for work located at: Expiration Date for This Limited Power of Attorney: License Holder Name: M i (A Afj— 5 -t y p o fin' State License Number: Signature of License Holder: --- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknpwle ed before me this -day of Jk 200(, by At C)h cx-61 S who is o personally known to me or who has produced }as identification and who did (did not) take an oath. Notary Seal) 0RiAl9A MCCLEAN r._ qqy COM IISSoN # FF942988 EXPIRES December 13 2019 t40l t a1 F,,,,„d Cw Rev. 08.12) Signatufe Print or type name Notary Public - State of Commission No. My Commission Expires: PRodt avict .©t,n Prop( cord Card P' i TY Parcel: 33-19-30-517-0000-0840 APPRAISER Owner: LINGARD ELLA F3n Np1.! COUNTY r-pRtnn Property Address: 109 SPANISH BAY DR SANFORD, FL 32771 Parcel: 33-19-30-517-0000-0840 -- Value Summary Property Address: 109 SPANISH BAY DR i 2016 Working 2015 Certified { Owner: LINGARD ELLA Values Values Mailing: 109 SPANISH BAY DR r--•-_._ _- _- Valuation Method Cost/Market Cost/Market SANFORD, FL 32771 j Subdivision Name: MONTEREY OAKS PH 1, A REPEAT Number of Buildings 1 1 I Tax District: Si-SANFORD Depreciated Bldg Value 115,457 111,256 Exemptions: 00-HOMESTEAD (2001) Depreciated EXFT Value 851 901 ! ! DOR Use Cade: Ol SINGLE FAMILY Land Value (Market) 33,000 28,000 a ,ry i 82 83 F8 85 i ;86 Legal Description LOT 84 MONTEREY OAKS PH 1, A REPLAT PB56PGS33&34 Land Value Ag II Just/Market Value $ 149,308 $140,157 i Portability Adj I Save Our Homes Adj $38,558 $30,177 Amendment 1 Adj Assessed Value $110,750 - $109,980 - Tax Arnou nt without SO H: $2,031.04 2015Tax Bill Amount $1,416.90 Tax Esbmator Save Our Homes Savings: $614.14 Does NOT INCLUDE Non Ad Valorem Assessments F-Taxes Taxing Authority Assessment Value Exempt Values Taxable Value i l County General Fund 110,750 50,000 60,750 Schools 110,750 25,000 85,750 '. City Sanford 110,750 50,000 60,750 S]W M(Saint Johns Water Management) 110,750 50,000 60,750 County Bonds 110,750 50,000 60,750 i Sales Description Date Book Page Amount Qualified { Vac/Imp 1 SPECIAL WARRANTY DEED 8/1/2000 03928 1288 118,100 Yes Improved WARRANTY DEED 7/1/2000 03901 1243 165,SW No Vacant i Find Comparable Sales within this Subdivision Land I Method Frontage Depth ; Units Units Price Land Value LOT 1 33,000.00 33,000 uildingInformation lIILLL Year BuiltDescription Fixtures Base Area Total SF I Living SF , Ext Wail I Adj Value Repi Value i Appendages Actual/Effective j 1 SINGLE 2000 7 1,874 2,290 1,874 CB/STUCCO 115,457 $122,177 I Description Area t I FAMILY FINISH Florida Building Code Online N 'rria DwjrtrnBnt Busiries ,,i"`., 80S Home Log In User Registration 1 Hot Topics Submit Surcharge Professinal fj Product Approval Regulation USER: Public User pc_;L.uiJ-• V"I'Page 1 of 2 Ems scats & Facts Publications FBC Staff SCIS Site Map Unks Search Prottuct AoOroval Menu > Protiva or A-1?00lion Search > inp=fQ tic > Application oetall i ; t „7- . t ; FL # FL3794-R4 Application Type Affirmation Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Small Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501)982-6511 acarter@lomanco.com Andrew Carter acarter@lomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72076 501)982-6511 Ext361 acarter@lomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501) 982-6511 Ext361 acarter@ionianco.com Roofing Roofing Accessories that are an Integral Part of the Roofing System Certification Mark or Listing Miami -Dade BCCO - CER Miami -Dade BCCO - VAL Standard Miarnl-Dade TAS 100 (A) Year 1995 httP://Www.floridabuilding.org/pr/pi_app_, dti.aspx?parain=wC P.VXn.xgT)r epr.n1.,r....-P.r,r , . DILMUI-DADS COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPART.NUNT (BNC) PRODUCT CONTROL SLC-1-10 ' BOARD AND CODE ADMINISIRA31ON DIVISION 11305 SW 26 Street. Room 208 Miami. Florida 33175-2474 NOA 1' (7SG) 315- 259U F (7RG) 315-2599 NOTICE Ott' ACCEPTANCEarwtiv.miamtdade or/ bttildinL/ Lomanco, Inc. 2101Westmain Street JacksonAlle, AR 72076 SCOPE: This NOA is being issued tinder the applicable rules and regulations governing the use of construction materials. The documentation submittedhasbeenreviewedandacceptedbyMiami -Dade County BNC l Section to beusedinMiamiDadeCountyandotherareaswhereallowedbytheAuthority1°la-Product Controving Jurisdiction AHJ). ThisNOAshall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In MiamiDadeCounty) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this productormaterialtestedforqualityassurancepurposes. If this product or material fails to perform in the acceptedmanner, the manufacturer will incur the expense of such testing and the AHJ tnay inunediately revoke, modify, or suspend the use of such product or material within their reserves the righttorevokethisacceptance, if it is determined by Miami -Dade County Product Control jurisdiction. BNC Section that this product or material fails to meet the requirements of the applicable building code. This product isapprovedasdescribedherein, and has been designed to comply will] the Florida Building Code including the HighVelocityHurricaneZoneoftheFloridaBuildingCode. DESCRIPTION: 135 Roof Vent, Lomancool 2000 Poorer Vent LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless Otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in theapplicablebuildingcodenegativelyaffectingtheperformanceofthisproduct. TERMNATION of Ellis NOA will occur after the expiration date or if there has been a revision o• change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any sectionofthisNOAshallbecauseforterminationandremovalofNOA. ADVERTISENlENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration datemaybedisplayedinadvertisingliterature. If any portion of Elie NOA is displayed, then it sit - be done initsentirety. aII INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall beavailableforinspectionatthejobsiteattherequestoftheBuildingOfficial. This renews NOA# 06-0501. l 1 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. r _APPROVED NOA No.. 11- 0602.02 Expiration Date: 08/ 17/16 Approval Date: 08/ I7/11 Paige 1 of 4 N ROOFING COMPONENT APPROVAL Catee°=-': RoofingSub -Category: VentilationMaterial: Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions SpecTest Product fication Dcscrintion 135 Roof Vent, 9" x 28.5" Lotnancool 2000 Power Vent MANUFACTURING LOCATION 1. Jacksonville, AR EVIDENCE SUBMITTED: Test Aocucv/ldentifier PRI Asphalt Technologies, Inc. TAS 100 Powered Roof Vent, with fan and thermostat with a aluminum hood. Name TAS 100(A) Re ) ort Date LOM- 011-02-01 04/05/06 MIAMf• bADE y—N—TY NOA No.: 11-0602.02 NOWExpirationDate: 08/17/16 Approv111 Date: 08/17/11 Page 2 of APPROVED APPLICATIONS Cutout: Vent must be located 18" from ridgeline. At chosen location and centered betweentworoofrafters, cut a 14" diameter hole through shingles and sheathing boards. Using marked position as center point; scribe a circle that is the same diameter astheventthroatopening. Starting with the drill hole cut vent hole. Installation: Vents should be evenly spaced on the rear slope of the roof. Remove roofing trails from top row of shingles so the flashing of the roof vent willslideundershingles. Apply approved roof cement around the edge of the (tole. Carefully slide base of vent tinder shingles with arrow facing up. Make sure thethroatoftheventiscenteredoverventhole. Fasten the base to roof decking atcomers, and approx. 4" o.c. 1" from the outside edge of the flange and I" fromstackevery45° with approved roofing nails, keeping heads of nails tinder shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingaminimumof/z". See details drawings herein. Scal all seams and nails with roofing cement. Net Free Area: Refer to manufacturers published literature LIMITATIONS: 1. Refer to applicable building codes for required ventilation. 2. 135 Roof Vent, Lotnancool 2000 Power Vent, thermostat and wiring shall be installed incompliancewithLomnnco, Inc. published instructions, and in accordance with applicable BuildingCodes. 3. This acceptance is for installations over asphaltic shingle roofs only. 4. 135 Roof Vent, Lomancool 2000 Power Vent, shall not be installed on roof mean heights greaterthan33feet. 5. All products listed herein shall have a quality assurance audit in accordance with the FloridaBuildingCodeandRule9B-72 of the Florida Administrative Code MIANI•DAfff-0 ty NOA No.: 11-0602.02 M19'' ' Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 3 of 4 1 DETAIL DRAWINGS 135 Roof Vent, Lotnancool 2000 Power Vent I+AItT 5 ITEMrRE,) rCESCRjP71'-' N MATEP1AL t:AI Wt 50: yUi 0201-5n7 40400^1ti5 i 3SHIELI: 4CKET 5REEn 5VET 3*25 X 28 'v x 2s 5h 5rtris-Ct tLt.,g-2aSF 077tQ0?5 x 7:} x ,i 500'i-O AL q'?tA77: X t9!tJ k t5!tG yf.ti:°•-p A IIi GA X 1.2bC X I::BO CALM.:,,TEIE 02k x 5 r •11 375-dr.9 VFSH nERM-A-KrTE sj+ue X 7T'? i;VAL HCnLIU;NEW 4•1 x 1 2 HWUH.) TYPEm, "AW' 71VC KT 47.UI;iq3 91 1 1 t END OF THIS ACCEPTANCE 0- NOA No.: 1I-0602.02 MIAMF[aAD 1coll Y Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 4 of 4 Florida Building Code Online il rt-Jtl nc srtiG d sets Horne t In fog User Registration Hot 7oplci Subml[ SurchargeBusines n Professional p' ProdPu ctu5Approval Regulation Page 1 of; 1 Slats 6 Facts Pubdcatlons FBC Staff SCIS Site 143p Inks Searcf, Product Anprt)Val IQU, > Proiutt or tinpkcat Ld' > A212-11Wton t,ce > Application Detail F3"t3"T`r'ts57t's•t—•• a FL # H' t v l ka"i:?17 Application Type FL3792-R6 Code Version Affirmation Application Status 2010 Comments Approved Archlved Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501)982-6511 acarter@lomanco.com Andrew Carter acarter@lomanco.com Andrew Carter 2101 West Rain Street Jacksonville, AR 72076 501)982-6511 Ext361 acarter@lomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501)982-6511 Ext361 acarter@lomanco.com Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Certification Mark or Listing Miaml-Dade BCCO - CER Miami -Dade BCCO - VAL Standard Miami -Dade TAS 100 (A) Year 1995 http://www.floridabuilding.Org/pr/pr app_dtl.aspx?naram=wC;Fvyr).,,fn....r_r, — Jasper Contractors, Inc. 5380 E. Col'onial Dr. 1 Orlando, FL.32807 ( 407) 278-7788 / C \ 800) 337-3361 Fax JASPERJasperRoof.com d1 JasperRoof.00m c' infolasperinc.org t} Contractor's License # CCC1329651 ROOF REPLACEMENT CONTRACT Account Manager eA% uAA Lo Contact # 1— S i& - S Sv Insurance Company Information Company, LTt"eF,N Policy # mrDm t m2 Q Claim # 0 0 01 2-0 S Mortgage Company Information Company - PAK&O Loan Number 0G>57 ,2 4 5 Owner's): 6a A L (,J &A k Phone: qb-%' K 7 L{- -7a.5 2 Address: O bR5 % Q n L) 7 Alt Phone: City: A,NFoPO Stag Zicode:p ( Shingl C to w Email: L'q G-ARN> 6-u-A ROount: 105 0 OO Drip Edge Color: T If Owner's Insurance Company does not agree to pay for a full roof replacement, this contract shall be voidable. 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 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 requested by Jasper, its representative, or its attorney 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/Insured(s), it shall he endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's responsibility to pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet, UNLESS replacement/repair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductible amount stated on the inttkrcr)Xkss Sheet shall overrule Deductible listed above. Deductible: $ 1 U (--Yf:) MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for W64t -S R A gjCr D N age Co. to speak with Jasper on matters including, but not limited to, the claim and draw status. (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $ due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's ' 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 maybe withheld until inspection has passed. r Optional: UPGRADE ITEM: QTY: PRICE: $ TOTAL: $ Replacement Work and Price: Upon insurer's approval and subject to the terms and conditions 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 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 funds from Owner's insurance company. 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: 195$ Vaughn Road, Suite 209, 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. I, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. I further understand that this contract constitutes 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 aut to enter into t contract and that it is binding and enfor eable in accord ce with its terms. 3 Author' Jasper Representative Date Owner Date TERA& AND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for r f replacement an the terms and conditions stated herein. I further agree to provide Jasper with the Scope of Loss Report generated by usurer and authorize and grant full access to the property 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 City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. &... 6?o ISSUE DATE: 0 A 07 3, 41 40, CONTRACTOR: JOB ADDRESS: TYPE OF WORK: 8- aanc %r4 Post this Permit in a conspicuous place outside PROTECT FROM WEATHER Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit expires six (6) months from date of issue or last approved inspection A ROOF DR Y-IN INSPECTION IS REQ UIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavit will not suffice as an alternative to receivinZ a dr -iyninspection. ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF 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: October 2014 Inspection Line 855.541.2112 TO SCHEDULE AN INSPECTION: Dial855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof 111 Miscellaneous Notes: Miscellaneous Sheathing - Roof 106 Insulation - Roof 119 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD, 407.562.2786 BUILDING & FIRE PREVENTION rBUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 16-00000590 Date 2/23/16 Property Address . . . . . . 109 SPANISH BAY DR Parcel Number . . . . . . . . 33.19.30.517-0000-0840 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 929745 Permit pin number 929745 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF _/_/_ CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: l U ` 5qtl I, hereby acknowledge that I personally inspected h Roof deck nailing and/or)1. Secondary water barrier work at Q J and have determined that the work Job SA Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. Signature of Contractor Printed Name of Contractor Date C,CC ?a`a (O U License # License Type: fl General P Building 0 Residential 0 Roofing Contractor U or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribe d before me this day of M (TP , 20 by who is 0 Personally Known to me or has f_'.Produced (type of id tification) as identification. SEAL) Si nature of Notary Public cr— State of Florida y rye SAMAPITHA MURRAY t MY cOMMISSION # FFgg4322 EXPIRES December 16.2019 i FWV-N wise o4 n 440 h 3D8-0"» Revised. February 201 S Print/Type/Stamp Name of Notary Public