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HomeMy WebLinkAbout117 Orion Wayrr T-Yq 19'+nl`IIIT Il I11IIuI11A I{I w Job Address: 117 ORION WAY CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / __ q J Documented Construction Value: $ 9,900.00 Historic District: Yes No Parcel ID: 02-20-30-520-0000-0550 Residential ® Commercial Type of Work: New Addition AlterationKI Repair Demo Change of Use Move Description of Work: RE -ROOF, OCFL10674, RHINOFL15216 Plan Review Contact Person: SAMANTHA MUIRRAY Phone: 407-278-7788 Title: ADMIN Fax: 800-337-3361 Email: PERMIT@ JASPERINC.COM Property Owner Information Name CLAUDETTE Sz'T*A ^ + Si: f \&)( A - Street: 117 ORION WAY City, State Zip: SANFORD FL 32773 Name JASPER CONTRACTOR Phone: Wq- 8gb-o c7 10 Resident of property? : Contractor Information Phone: Street: 5380 E COLONIAL DR Fax: City, State Zip: ORLANDO FL 32807 State License No.: CCC1329651 Architect/ Engineer Information Name: Phone: Street: Fax: YES City, St, Zip: Bonding Company: Address: E- mail: 407- 278-7788 800- 337-3361 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: 5'n Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application ` G Nana,: 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 coning. Signature of OmncrtAgent Date of Contnctor/Agent Date Print OwnerAgent's n'amc Oj rint Conlnctorl. lffiwc V w Signature orTloC •-Slate of Flarftl pate Signature of Not: CAITLYN HUGHES oS't rye` o MY COMMISSION #FF916857 EXPIRES- SEP 09, 2019 a" Bonded through 1st Slate Insurancer"%f Owner/ b —Personally Known to Me or Contractor/P Produced ID Type of ID Q\_ Produced ID 16 of CAtTYN HUGHES MY COMMISSION #FF916857 EXPIRES: SEP 09, 2019 Bonded through 1st State Insurance q — l(o is Personally Known to Me or Type of ID 01__ BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical iVtechanical 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes No WASTE WATER: BUILDING: o...:... a. I...... 3n Inie n......:. e_-t:.....:.... THIS INSTRUIiI T PREPARED BY: Name: iflil+DysAddross5380 JAL UK URLANpQ FL 32807 NOTICE OF COMMENCEMENT Permit Numbor; Parcel ID Number It .. The tmderslgned Aereby giro notice that _ tollotinng information Is provided In Vis N of a to chain real PrWOr(y, and in accordance with Chapler 713. Florda Slalutas, the1. DEC 1 ON OF PROPERTY: r1 h i.i ( LolaLes t of fhe pmpatY and scree! address if avaCrIptiontable) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFOftUATION Name and address ` IF THE LESSEE CONTRACTED FOR THE i ^ IMPRO o b. ENT: c v` Q- Interest in property - 1 `I r, Fee SlmPir Tttlo Holder (R other than owner listed above) Narne. (,aAddress ` "1 ©r p1 i1.1 >7 moo. _ C q .( CONTRACTOR Name JASPER CON ACTORS Address- 5380 E COLONIAL DR ORLANDO FL 32807 PhonG Numbef. 407-278-7788 5. SURETY (it applicable, a copy 01 Ma payment bond Is attached): Nome; 6. LENDER: Name. Amount of Bond: Address. Phone Number. 7 Porsona within the State of Florida 713.13(1)(2)7.. Florida Stahrt.s. haW by DYYlleI upon whom III or ogler docunenb may be served as Provv1ded by Section Nome h Address Phone unbar. 8. In addition. Owner designates of to receive a copy of the Lienoes Notice as provkled In Section 713 11 3( Xb). Florida Statutes. Phone number S. Expiration Dale of Notice of Com ixwwc nory (The expiation is 1 year from date of recording unless a different date is specined) yaRNrNG TO OtNN R ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1. SECTION 713.13. FLORIDA STATUTESCOMMENCE. ANDCANRESULTINYOURAENTOBEDANDPOSTEDONTHEPAYING WI STE BEFORE RTHE FIRST IINSPTS TO ECTIION. IF Y INTEND TO OBTAIPROPERTY. A NOTICE N FINANCING. CONSULTWITHYOURT BE LENDER OR AN ATTORNEY BEFORE COMMENCING WORKORRECORDINGYOURNOTICEOFCOMMENCEMENT1s> er taswl rr O..r'. a r..w..•. saQrtory. iM.rOrne. I State of 1 1 t,/t, Ida County o1 _Stm I e +o Ll n Tho foregoing Instrumoritwasacknowkdyedbeforemethfadayof 4I. J Ito o by CILNIIIar Who Is tpenonalty known to mo OR Name at prlYmCnsarpsp..est who has produced Identilicatlon IJ type of (danitAgNon produced: DL SAMAWM MURRAY s MY COMMISSION t FFW/322 N0'ry ° a`"e _+tt•, EXPIRES December 16. 2019 r - Nari1K0'trI fbdwa. ryS« vb. min ' 4r MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL p; PIJ1Yt"Et CLERK'S # 2016013721 BK 8629 Pg 1501; (1pg) E-RECORDED 02108l2016 01 3 ).01- 10.00 y l l PMMPlIROPFIU Jasper . ontrnctors, Inc. 53R0 F .Colonial Ur. Account Manager ( nQ%J Orlando, PL 32807 J_ Contact o 407) 278-7788 sao),i37-33fi1 Fax Insurance, Com any Information C r l F f ell h ihSJASPERJaspel-Roof.com Policy4Policy !i (DS SfQCJC eC! IllIL) 1111'I'1111.U1'L' JesporRoo(.aom Claim /f Contractor's License N C(:C1329651 Mortgage Com )an ' Information v,SA 0 Company __ L_ ROOF REPLACE Loan Nuinber \ MEN"f CONTRACTOwners}: `---- rPhon Address: V, 931City: ipcode: or:Email: .. bau CK3 Roof RCV amount: olor: io1J_ 1 W,00 /1,1AA, v un , vvr , c nSccnienl Initi COn[raCt shall bt• voidabiC. ssignmentofInsuranceienefitsfortheFullRoofReplacementOnly: i hereby assign any and,all insurance rights. benefits and proceed, InderanyappheableinsurancepoliciestoJasperContractors, file. ("Jasper"). the scope of which shall be limited to a Full Roof Replacement. pakethisassignmcnlandauthorizationinconsiderationofJasper's agreement to perform services. supply materials and otherwise perform 1L ihligationsunderthiscontract, including not requiring full payment at the time of'service. i also hereby direct my insurer(~) to release anyan( li inli)rnrriiun requested by Jasper. its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by mi psurer(s) for services rendered. In this regard, I waive my privacy rights. If payment is made directly to the Owner/AgenUlnsured(s), it shall ht ndorsed overtoJasperimmediatelyuponreceipt. 1 agree that any portion of work, deductibles, betterment or additional work requested by the ndersigncd, notcoveredbyinsurance, must be paid by the undersigned on die day of installation. edluctible: It is the Owner's resnonsibility to nay all Insurance Deduc(ibles. Owner's out-of-pocket expense will not exceed U)e dedtictibli mount. asstatedoninsurer's loss sheet. UNLESS replacement/repair of deteriorated decking is required and/or Owner requests upliona pgrades. JasperCANNOTpay, waive, rehate, or promise to pay, waive or rebale all or any part of the insurance deductible applical)k the InsuranceclaimR)r payment of work. In the event of a discrepancy, the deductible amount stated on die insurer's Loss Sheet shill verrule Deductiblelistedbove. leductible: S_ i%( MUST BE PAID IN FULL, PLUS APPLICA ALES TAX (initial 1012TGAGE AUI'I-11OR1ZATiON: 1, Owner/Mortgagor, grant authorization for Mortgage Co. to speak will isper onmattersincluding, but not limited to, the claim and draw status. (initial) AVMENT SCIIEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in die amount of S r duc lull signingthiscontract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plut pgrade Costs. due and payable to Jasper upon completion of work being performed; and. (iii) the remaining Contract Price (equal to an-, plicable depreciation and for change orders) due and payable to Jasper upon completion of work performed. In the event of n pendini ispcction, nomorethan2% of Contract price may be withheld until inspection has passed. iptional: UPGRADE rrwvi: _ TY: PRICE: S eplacenient Work and Price: Upon in t rer's approval and subject to d4clerms and conditions herein. Jasper agrees to furnish all materiab id provide the labor necessary to perfomi the full rof'replacement which shall take place following Owner's insurance company's approval iproximatcly within 30 days, conditions permitting. iner's Declaration of intent: Owner acknowledges and agrees dial, upon approval by insurance corn piny lbr a full roofreplacement. J ispel lall perform the roof replacement upon receipt of funds fronn Owner's insurance company. ANCELLATiON: if Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business dal ter Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on tht Iird business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been nicd, in whole or in part. All iiritten notices of cancellation, regardless of reason, shalt be postmarked or delivered to Jasper' irporate office: 1955 Vaughn Road, Suite 209, Kennesaw, CA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of Incellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all nails arc acceptable and satisfactory. i further understand that this contract constitutes the entire agreement behveen the parties and at any further changes or alterations to this contract must be made in writing and agreed upon by both parties. Each parti Presents and warrants to the other that it has the full power and authority to enter into the contract and that it is binding and forceable inaccordancewiitsterms. I cd per pr s tative Date Owner Date lt.Y15 ND CONDI IONS: Acceptance of Terms: 1, Owner, hereby agree to retain Jasper for a full roof replacement on the terms and nditions slated herein. 1 further agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full css to file property 11or the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves die right to file a plcnlcnfal claim with Owner's insurance in the event That tile estimate is incorrect and/or additional damage is discovered after r avld John3r n. C PROPERTY APPRAISER SFJVIINOI,F COUNTY; PI-pRK)A Parcel 02-20-3 0-5 20-0000-0550 Property Record Card Parce1:02-20-30-520-0000-0550 Owner: STEWART CLAUD ETTE A Property Address: 117 ORION WAY SANFORD, FL 32773 Property Address: 117 ORION WAY Owner: STEWART CLAUDETTE A Mailing: 4545 KANSAS ST SANDIEGO, CA 92116-4260 Subdivision Name: PLACID WOODS PH 1 Tax District Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY r- r I Legal Description LOT 55 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 I Taxes Taxing Authority County General Fund Schools City Sanford SJWM(SaintJohns Water Management) CountyBonds Sales Value Summary 2016 Working 2015 Certified 3 Values Values L_ -- - --- --_ _._... _— Valuation Method Cost/Market Cost/Market { 1 Number of Buildings 1 1 {{ Depreciated Bldg Value $79,704 $76,926 + Depreciated EXFT Value $600 $651 I Land Value (Market) $18,000 $18,000 a Land Value Ag j Just/ Market Value 98, 304 Portability Adj Save Our Homes Adj $0 $0 Amendment I Adj $5,200 $10,937 i! Assessed Value $93,104 $84,640 Assessment Value Tax Amount without SOH: $1,808.39 2015 Tax Bill Amount $1,808.39 ! Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Exempt Values Taxable Value 93, 104 $0 $93,104 98, 304 $0 $98,304 93, 104 $0 $93,104 i 93, 104 $0 $93,104 93, 104 $0 $93,104 Description Date I Book Page j Amount Qualified Vac/Imp t l WARRANTY DEED 3/1/2006 06197 0739 205,0W Yes Improved { WARRANTY DEED 3/1/2004 05246 0070 126,000 Yes Improved ! I SPECIAL WARRANTY DEED 3/1/1998 03393 1030 80,700 Yes Improved WARRANTY DEED 12/1/1997 03344 1531 91,900 No Vacant I Find Comparable Sales within this Subdivision Land Method-- -- 1 Frontage Depth -- •Units ---"Units Price -_----^f' Land Value LOT - - - 1 $18,000.00- - $18,000 Building Information Year Built Florida Building Code Online Nortda Nmin[nttf Busines f BC[S Home . Log In User ReQlslratlon i Net TOPICS Submit Surcharge Profess ibr aI R=^ USERdb`tUsser proval R4cgulation a U ti__b_page I of 2 Scats & Facts Publications FBC Staff ' BCIS Site Map Links Search Product Approval Menu > Pratlutt tx Aophcaben Search > > Application Detail t? FL # FL3794-R4 Application Type Affirmation Code Version 2010 Application Status Approved Comments Archived 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 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@lomanco.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 Mianil-Dade TAS 100 (A) i .• .... .,r••, • .•'; . . .. •1.. 'St cur Year 1995 http://www.floridabuilding.org/pr/pi_app_ dtl.aspx?param=wCTF.VXniannnePe.nl,v,,..-,.nT , , . A'71gfy1.0lADE e AHWWI-DARE COUNTY BUILDING AND NEIGHBOR1100D COMPLIANCE DEPARTMENT (BNC) 130ARD AND CODE ADMINISMABON DIVISION PRODUCT CONTROL SECTiOLN If 805 SW 26 Street, Room 208 Miami, Florida 33175-2474 NOTICE OF ACCEPTANCE NOA 786) 3 t5-2i9U F (7RG) 315-2599 Lomanco, Inc. tvww.rni: imtdnde vov/buildin ,1 2101 West main Street Jacksonville, AR 72076 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted hasbeenreviewedandacceptedbyMiami -Dade County BNC - Product Control Section to be usedinMiamiDadeCountyandotherareaswhereallowedbytheAuthorityHavingJurisdictionAHJ), This NOA shallnot be valid after the expiration date stated below. The Miami-Dadc County Product Control Section (In Miami DadeCounty) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product ormaterialtestedforqualityassurancepurposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, orsuspendtheuseofsuchproductormaterialwithintheirjurisdiction. BNC reserves the right torevokethisacceptance, if it is determined by Miami -Dade County Product Control Section that this productormaterialfailstomeettherequirementsoftheapplicablebuildingcode. This product is approvedasdescribedherein, and has been designed to comply will, the Florida Building Code including the High VelocityHurricaneZoneoftheFloridaBuildingCode. DESCRIPTION: 135 Roof Vent, Lomancool 2000 Power Vent LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -DadeCountyProductControlApproved", 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 the applicablebuildingcodenegativelyaffectingtheperformanceofthisproduct. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/ormanufactureoftheproductorprocess. Misuse of this NOA as an endorsement of any product, for sales, advertisingoranyotherpurposesshallautomaticallyterminatethisNOA. Failure to comply with, any section ofthisNOAshallbecauseforterminationandremovalofNOA. ADVERTISEXIENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date maybedisplayedinadvertisingliterature. If any portion of the NOA is displayed, then it sit be done in itsentirety. ' INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be availableforinspectionatthejobsiteattherequestoftheBuildingOfficial. This renews NOA# 06- 0501.11 and consists of pages 1 through 4. The submitted documentation wasreviewedbyAlexTigera. AM M Fonnt=_courrrr VOA No.: 11-06112.02 Expiration Date: 08/17/ 16 Approval Date: 08/17/ 11 Page 1 of ROOFING COMPONENT APPROVAL C v RoofingSub -Cate ory Ventilation Iblaterial: Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test ProductProductDimensionsSpecificationDcscrintion 135 Roof Vent, 9" x 28.5" TAS 100 Powered Roof Vent, with fan andLotnancool2000Power thermostat with a aluminum hood. Vent MANUFACTURING LOCATION I. Jacksonvillc, AR EVIDENCE SUBMITTED: Test Aacncv/Identifter Name Retmort Date PRI Aspbalt Technologies, Inc. TAS 100 A LOM-011-02-01 04/05/06 MIAMI•DL\pECOUNTY NOA No.: 11-0602.02MmwExpirationDate: 08/17/16 Approval Date: 08/17/11 Page 2 of 4 APPROVED APPLICATIONS Cutout: Vent must be located 18" from ridgeline. At chosen location and centered betweentworoofrafters, cut a 14" diameter hole through shingles and slicathiu9 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 hole. 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 under shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingaminimumof ''/Z". See details drawings herein. Seal 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, Lomancool 2000 Power Vent, thermostat and wiring shall be installed incompliancewithLomanco, 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 MIAMI•QgpECOUtYTY NOA No.: 11-0002.02 Expiration D:ttc: o8/17/1C Approval Date: 08/17/11 Pare 3 of 4 f PART ? ITEn< rjE090t—; i034o2atn40400Ct•SSt> DETAIL DRAWINGS 135 Roof Vent, Lomancool 2000 Power Vent CE",LRIF7IC`,M I MArEPIAL MA r •r. r UGtiC •C32t ?025 x 26 .; z =9 5.1) 5qr), r, AL t,^grpHASE037t,0025 x 23 x ).; ,001-0 AL L SAOrPAINSHIEW4'91.e,07L F 19,W x 15 b0 5'„°._0 AL 573N89ACKET160A < 1,2J0 % 7'*0 CALV'. ;TEEL 95pSCREEN02Nx5r •11 375—dr.5 4EEr1 PERM—a_KrTE RIyET 3j'o't t 7/ 2 • L HC AL CKEW r!A > 1/;! H''Will.) TYOEm •AfP /WC r•LT END OF THIS ACCEPTANCE Fr ..,f VOA No.: 11-0602.02MIAMFpADECOUNTY Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 4 of 4 Florida Building Code Online rit1N+J '(tj y!(Iti:el(u SCIS Home L In 109 User Registration Hot Topics Submit SurchargeBusines''&) ProfessinaJ OUSER:product Approval Public UserRegulation Page 1 of 3 ram T,'`'ai' , .-..`' •'-e.1rti`F;s^"•:',•,7fsX?.ti"t SWts 8 Fads Publications FBC Staff OCIS Si, Map Links SCDrG. Product ADMOV211 t0em > Pf0.'iUd Or ADQtifdtl0n e r(li > t P E%5 17"2rt4-t-., d:iP114:1.cn l's(> Application OctailrrtT2tet't-s^.y Application Type FL3792-R6 Code Version Affirmation Application Status 2010 Comments Approved Archlved Product Manufacturer Address/Phone/Emall 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@lomanco.com Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Certification Mark or Listing Miami -Dade BCCO - CER Mlaml-Dade BCCO - VAL Standard Miami -Dade TAS 100 (A) Year 1995 http://www.'oridab-ilding.Org/pr/pr app dtl.aspx?Daram=wrfzvvn.,,+n--t,_ni I I 19L 1: I I IiiI1MW1»'11111Y PERMIT NO. I (. CONTRACTOR: JOB ADDRESS: 3 r10 i61'_ •_ . •'1 -«A Wr-1AV A City of Sanford Building & Fire Prevention Division ISSUE DATE: Re -Roof Permit Card 01' 0 90 / (0 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 aDDroved inspection A ROOF DR Y-IN INSPECTION IS REQUIRED * * * 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 receiving a dry -in inspection. 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 11f1' loll 1fRiIfAV+ill l+W'MY IAII llil 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 III 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 BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 16-00000473 Date 2/09/16 Property Address . . . . . . 117 ORION WAY Parcel Number . . . . . . . . 02.20.30.520-0000-0550 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 928440 Permit pin number 928440 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 / / to _3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: E--.10 V I hereby name and appoint: Jimmy Allen, Scott Meixsell, Luis Rios 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 ermit and application for work located at: I Hann \rvul Expiration Date for This Limited Power of Attorney: License Holder Name: K1,441A913xf-PO Z0 State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing i strument was acknowledged before me this j 0 day of Pam , 206tif J( Q, by who is o personally known to me or o who has produced I (.L identification and who did (did not) take an oath. Notary Seal) SAMANTHA MURRAY MY COMMISSION # FF944322 EXPIRES December 16, 2019 NO/1 98-0'3 FWrldallols yServfce cam Rev. 08. 12) Notary Public - State of Commission No. My Commission Expires: % Z I LP "l R as CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I l — 7 eweis hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at t 6) q pafK A-\j-c , and have determined that the work Job Site 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. Xvvw mewi z>.d Si afore o Con or k_airq M,0 I I -2)cs- Printed N e f Con for 27 •-1 l Date License # License Type: General Building Residential Roofing Contractor 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 subscribed before me thi day of 20by who is ersonally Known tom has —Produced (type of id io as i en a ion. SEAL) Signat#' e'V Notary Public Stare of ida Print/ Type/Stamp Name of Notary Public t AN A. B1 R 97024 EVM: 1029,2018 Noe BWWnn,O+,aoecN&rW*ft 3