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HomeMy WebLinkAbout139 Sterling Pine StT T . CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: di CD Documented Construction Value: $ $10,800.00 Job Address: 139 STERLING PINE ST Historic District: Yes No Parcel ID: 10-20-30-511-0000-0610 Residential x Commercial Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description of Work: RE -ROOF, OCFL10674, RHINOFL15216 Plan Review Contact Person: SAMANTHA MURRAY Title: ADMIN Phone: 407-278-7788 Fax: 800-337-3361 Email:permit@_jasperinc.com Property Owner Information Name JOHN BORK Phone: Street: 139 STERLING PINE ST Resident of property? City, State Zip: SANFORD FL. 32773 Contractor Information Name JASPER CONTRACTOR Phone: 407-278-7788 Street: E COLONIAL DR Fax: 800-337-3361 City, State Zip: ORLANDO FL, 32807 Name: Street: City, St, Zip: Bonding Company: Address: YES State License No.: CCC1329651 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. bm" 1/13/16 Signature of Owner/Agent Date ignature of Contractor/Agent Dale SAMANTHA MURRAY Print Owner/Agent's Name Print Contractor/Agent's Name pAm 7- N I 13hi Signature of Notary -State of Florida Date Signat to f Florida Date Kt.".- BRIANA MCCLEAN MY COMMISS" # FF942988 EXPIRES December 13 2019 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application Jacl,er l'rntrutnrs. n.•. I Manager At 1/. ',' St F. Colonial Dr. Accounl Clrlando. H.:J U' r' %',' a,"-;il C•untacl a t(0'7 7 1 _._-' r Insurance (umpluty Inforntlttinu J.'spl Roof. r•l l:a. Ja>perRitit:cont JASPER PolicyIty.-`r?. 7Poliot! Inl;:.1„ Claim tt S/ F ` 1Y1 ] l l lni.U1'1 Jae*or Roof Co. Contractor's License " CCC1329651 Nlorly gli! Company information Com in y p' Loan Nwnber _ —•- Owner( s): ROOF REPLACEMENT CONTRACT rt TcHitr' O rY Phone: t107- c Gb. _ s'S z3 Address: Alt Phone: City: SG n I Star : Zip code: Shingle Color: Email: 7 6o I'Y ii ore. T L7 73 oar Roof RCV amount- Drip Edge Color: u r n,......_ .. _ _ 10, 80,0.00 Assn "" ocs not a*rce to av for u full roof replacement, this contract shall he voutaute. AssignmentofInsuranceBenefitsfartheFullRoofReplacementOnlyiherebyassignanyandailinstuancrrights, benefits and proceeds underanyapplicableinsurancepoliciestoJasperContractors, Inc. ("Jasper"), ilia scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jaspers agreement to perform services, supply materials and otherwise perform its obligationsunderthiscontract, including not requiring full payment at the time of service. i also hereby direct my insurer(s) to release any and allinformationrequestedbyJasper, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurers) for services rendered. In this regard, I waive my privacy rights. If payment is made directly to the Owner/A gent/Insured(s), it shall be endorsedovertoJasperimmediatelyuponreceipt. I agree that any portion of work, deductibles• betterment or additional work requested by ilia undersigned, not covered by insurance• must he paid by the undersigned on ilia day of installation. Deductible: 11 is the Owner's reenonsibility to Lly till insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amrxtnt. as stated on insurers loss sheet, UNLESS replacement/repair of deteriorated decking is required and/or Ov.-ner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable toiliainsuranceclaimforpaymentofwork, in the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall overruleDeductiblelistedabove. Deductible: S_ 50 1 NiUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AUT11ORiZATION: I. Owner/;Mortgagor, grant authorization for Mortgage Co. to speak with Jasper on matters including, bill not limited to. [lie claim and draw status. (initial) PAYMENT SCIIEDUI,E: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of S due upon signing this contract: (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Ov.-ner'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 -old 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: QTY: PRIC13: S TOTAL: S Replacement Work and Price: Upon insurer's approval mud 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 pennilting. Owner' s Declaration of intent: O%vner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof rcplaccment upon receipt of funds from Owner's insurance company. CANCELLATiON: If Owner elects to terminate the services of .fasper, 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: 1955 Vaughn Road, Suite 209, Kennesaw, CA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOGS 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 art: acceptable anti satisfacton'. I further understand that this contract constitutes the entire agreement between the parties and that any further changes or alterations to this contract must Ile 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 accord ccA", f its terms. i r2 10-q—Q 2 3 r 5 Authorized Jasper Representative Date Owner Date TERAIS AND CONDITIONS: Acceptance of Terms: 1, 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 Report generated by my insurer 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 Ottrrer's insurance in the event that the estimate is incorrect and/or additional damage is discovered afiet Scanned by CamScanner N THIS IN TRUMENT PREPARED 13Y: . Name: j aS o .r Cpntr' e-mrS Address: 53 0 E COLONIAL DR ORLANDO FL 32807 NOTICE OF COMMENCEMENT Permit Number: I IfI I i(I 9111 i9 11111 Il f 1ff ![f 11zlF,'",NNi7E. HORS;-, : SEi,INIDI E C(IM4T': L.RK S.}r j:Iill Ti l COURT r. i•til, S ' f1 ) L 1 t l•'_ `h1`. fi'a a='•' t,. rtt,t__.... CLERK'S 4 2016004305 ttt_ Gi`tL il•;l] f [. I: 1• . 4,. i,.l `„i Parcel ID Number: %()-a (J " ?jO- n I - 6mo - Ow n_ The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 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 andaddress:JC hn '"?SOCK, 13.q 5iC.r11Ir1C1 Qllrlt St_ .'Qnn4;;rr4 FL. Interest in property: (w Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788 Address: 5380 E COLONIAL DR ORLANDO FL 32807 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Amount of Bond: 6. LENDER: Name: Phone Number: Address: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713. 13(1)(a)7., Florida Statutes. 8. In addition, Owner designates Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice 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 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. v SofiatW of Owner or Lessee, or Owners or Lessee's Authorized OtftcerlDtrec tor/ParinerlManager) State of FL Countyof SEMINOLE JOhh ISO ( y Print Name and Provide Signatory's Title/Orrice) The foregoing instrument was acknowledged before me this ( day of .J i i 20 by )don Who is personally known to me OR Name of person making statement who has produced Identification 6 type of Identification produced: DL WILtire, SAMANTHA MURRAY J 1n MY COMMISSION # FF944322 •, .NotarytSignature of EXPIRES December 16, 2014 Je„7D8- 0•S:f (F I1Itt:coma CLERK OF vile r ' j SU!)u COA,PTd+ lf5 SEMI'4Cd. t PY LIMITED POWER OF ATTORNEY Aiiiamonte Springs, C,asselberry, Lathe Mary, Longwood, Sanford, Se"'i"Ole County, Winter Springs 1 I hereby nan1C and appoint: Saitlantha i1'lurray - an aacm of: las et' onuactors Illtl' 1,t i'lp litt:ial°t to he my lawful atiorneN--in-tact to act for me to appl% lor. receipt tor, sign for and do ail things necessary to this appointment liar (Cheek on1l. One option): peci(ic 1Crnlit and applicatidn f61. wol-4 located 1: rSUcc1 ,4LGc•.y liviration late fbi-This i.imiled Pc)wer ol','worney: i,iceuse Holder Namc:_j__ S1,11c I icclisC tiitinaturr nl'I.itcnsc hlolder: TATFJ,* FLORIDA The lorcgoing instrument was acknowlequed before me this _ -i _dad' ol' tt l, by -; ,l ti,t. .? Ll. _ who is : i persunall} I:no11 n to nle oief %vho has pratluced identiticali In and who did (did tot) take an oath. \ NIC— ILI, Si,ttc,tttr Noti ry )Lal t rykn N HUGHES tAYCO.!`•1tSSlatd,jFF916057 SEP 09.7.018XPSFES' _a n ;1;,n1ud tnr ugh i5t St,, trsuran 11c, . OR. 121 War , Public •- State oi`_.- C 0111111issit)Il I`O. `l j 1My Commission 1:xpires:AN ._ 1/13/2016 SCPA Parcel View.10-20-30-511-0000-0610 t):w cJ.Jr,n3cai,,c.Nn Property Record Card PRNOPER yT Y Parcel: 10-20-30-511-0000-0610 ll Owner: BORKJOHN fit ramxH.r Gc Uy1Y, Pt Ci>taipn Property Address: 139 STERLING PINE STSANFORD, FL 32773 Parcel: 10-20-30-531-0000-0610 Property Address: 139 STERLING PINE ST Owner: BORKJOHN Mailing: 134 LEMON LN LONGWOOD, FL 32750 Subdivision Name: STERLING WOODS Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY 9 60 Legal Description LOT 61 STERLING WOODS PB 54 PGS 93 THRU 95 Taxes Value Summary 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 130,524 125,764 Depreciated EXFT Value Land Value (Market) 18,000 18,000 Land Value Ag Just/Market Value 148,524 143,764 r* Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 148,524 143,764 Tax Amountwithout SOH: 2,925.79 2015 Tax Bill Amount 2,925.79 Tax Estimator Save Our Homes Savings: 0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 148,524 0 148,524 Schools 148,524 0 148,524 City Sanford 148,524 0 148,524 SJWM(Saint Johns Water Management) 148,524 0 148,524 County Bonds 148,524 0 148,524 , Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 9/1/2006 06433 0777 250,000 Yes Improved PROBATE RECORDS 8/1/2006 06362 0899 100 No Improved SPECIAL WARRANTY DEED 2/1/2001 04008 0847 123,500 Yes Improved WARRANTY DEED 9/1/2000 03929 0084 327,000 No Vacant Find Comparable Sales within this Subdivision Land Method Frontage Depth Units LOT Building Information Year Built httpiAwvw.scpaf.org/ParcelDetailinfo.aspx2PID=10203051100000610 Units Price Land Value 1 $18,000.00 $18,000 112 Florida Building Code Online Pagel of'3 BusiI ' Cd t•c..;Irt1I':ll' acts l!onne Log In I User Registration Hot T t 1 `ea7 +• ~'t 'e ' r' w; 1'. /.'.YsU r+ ••t 1 Topics Submit Slats3 Facts Publications FBG SW!! zneS / OC(s Sites Map Links Senrch Professi , nal k! PER: Pubic User roduct P rOVdI Reaulariol. e3 ht APRLQyi!.LtCt > Pr iu l o, tionhcatwn Sr., n! > ALzPjir_»:on }_S > Application Detail f ' r F> ra, FL # ISM Application Type FL3792-R6 Code Version Affirmation Application Status 2010 Comments Approved 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 l.omanco, 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 Ext 361 acarter@lomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501) 982-6511 Ext 361 acarter@lomanco.com Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Certification Mark or Listing Miami -Dade BCCO - CER Miami -Dade 8CCO - VAL Standard Miami -Dade TAS 100 (A) http://vv'vw.' Oridabuilding.org/pr/pr app_dtl.aspx?naram=wnpvyn,,.,-n....t,_,,, — Year 1995 DETAIL DRAWINGS 135 Roof Vent, Lomancool 2000 Power Vent rntr7 P tTEa+ ;,E+) ['ESCRtFnCr! I UAtEFIA{ vAI !.1 U<^01—Si• 1 1 pG;!C f3Ji A ' t)2s• r. 090t-5::7 7 28 Y. _3 _eI 5'd1 •n e(, t 'cfk 0201 —;i0.i 1 Ilr i111CL1: r} ;:1 :77 `. e Pl 99 :9 g?„•._tt AL 4U•1.4—:,(/7 4 li:dA(CKCr Iii CA t 1 [:: X ?'a.:' '95F0201-507 $ t -LER STEELS.'.F.EEI•. :eb s g r •lt 37:—Br.S "EEN 'ERti—a_yrTE404i)C^f? 4(;'.1W0221 19 :ItEW '•i•oa " ?,T•, •••! { uC AL 1I[,1 p'•1 4 !!;' FiWJH l TY"E°•, "A-, • /IN(; hLT t 1;} It i (`t CND OF THIS ACCEPTANCE NOA No.: 11-0602.02MIAMIDADECOUNTYExpirationDate: 08/17/16 Approval Date: 08/17/11 Page 4 of 4 APPROVED APPLICATIONS Cutout: Vent must be located 18" from ridge]ine. At chosen location and centered between (WO roof rafters, 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 rent hole. Installation: Vents should be evenly spaced on the rear slope of the roof. Remove roofing nails liom 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 under shingles with arrow facing up. Make sure thethroatoftheventiscenteredoverventhole. Fasten the base to roof decking atcorners, 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/2". See details drawings herein. Seal all seams and trails with roofing cement. Net Free Area: Refer to manufacturers published literature TL,IMITATIONS: 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•DADECOUtVTy VOA No.: 11-0602.02Nqmm' ' Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 3 of 4 ROOFING COMPONENT APPROVAL Ca: RoofingSub -Cate ory: Ventilation Material. Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BYAPPLICANT: Product Dimensions speei_ Test Product Dcscriution 135 Roof Vent, 9" x 285" Loinancoo12000 Power Vent MANUFACTURING LOCATION L Jacksonvillc, AR EVIDENCE SUBMITTED: Test Aaencv/ Identifier PRI Asphalt Teclinologics, Inc. TAS 100 Powered Roof Vent, with fan And thermostat with a aluminum hood. Name TAS 100( A) Retort Date LOM-0 l 1-02-01 04/05/06 MIAM40ApECOUNTy NOA No.: 11-0602.02 Expiration Date: 08/17/16 Appro,s• al Date: o8/17/11 Page 2 of 4 stern MiAMI.OiADE ` a r ,..„ F , AIIAititi-DADS COUNTY BUILDING AND NI;IGHBORI100D COMPLIANCE DEPARTMENT (BNC) PRODUCT CONTROL UCTiON 130ARD AND CODE ADMINiS'JRA770N DIVISION 11305 Sit 26 Street, Room 203 Mianu. Florida 3 175-2474 NOTICE OF ACCEPTANCE NOA) T(7sG) its-zs9u P(786) atj_25g9 wew.rofamidouti' row/hnildin"! I.omartco, Inc. 2101 West main Street Jacksonville, AR 72076 SCOPL:: This NOA is being issued tinder the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dadc County BNC - Product ControlSectiontobeusedinMiamiDadeCountyandotherareaswhereallowedbytheAuthorityHavingJurisdictionAHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product ControlSection (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right tohavethisproductormaterialtestedforqualityassurancepurposes. If this product or material fails to performintheacceptedmanner, the manufacturer will incur the expense of such testing and the AHJ mayimmediatelyrevoke, modify, or suspend the use of such product or material within theirreservestherighttorevokethisacceptance, 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 is approved as described herein, and has been designed to comply with the Florida Building CodeincludingtheHighVelocityHurricaneZoneoftheFloridaBuildingCode. 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 andfollowingstatement: "Miami-Dadc 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 nochangeintheapplicablebuildingcodenegativelyaffectingtheperformanceofthisproduct. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in thematerials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of anyproduct, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to complywithanysectionofthisNOAshallbecauseforterminationandremovalofNOA. ADVERTISEII'IENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed bytheexpirationdatemaybedisplayedinadvertisingliterature. If any portion of the NOA is displayed, then it shallbedoneinitsentirety. acturer or its distributorsINSPECTION: A copy of this entire NOA shall be provided to the user by the manufandshallbeavailableforinspectionatthejobsiteattherequestoftheBuildingOfficial. This renews NOA# 06-0501. I 1 and consists of pages I through 4. The submitted documentation was reviewed by Alex Tigera. MIA1`16DADEcounrnr NOA No.: 11-0602.02 Expiration Date: OW17/16 Approval Date: 08/I7/11 Page I o1'4 I u,alur 1 1-14,Ia j E 11MAI Florida Building Code Online ip yr 1•li i ? at{ 1 ,' f h'.,d CJrjr;,w ltcf BCIS Home 1.09 In User Registration Hot Topks Submit Surcharge Busines f I .. Professibna' l j Product Approval ation l USER: Public User Regu n lti1'"1•uL?-L Page 1 of 2 Slats & Facts Publications FBC Staff BCIS Site Map Unks Sea,ch Product ABurWal menu > P.oducl w .gancal+en Seercn i- E2111 Ygn LiSt > Application Oetall FL3794-114 Application Type Affirmation Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501)982-6511 acarter@lomanco,com Authorized Signature Andrew Carter acarter@iomanco.com Technical Representative Address/Phone/Email Andrew Carter 2101 West Main Street Jacksonville, AR 72076 501) 982-6511 Ext 361 acarter@lomanco.com Quality Assurance Representative Address/Phone/Email Andrew Carter 2101 West Main Street lacksonviile, AR 72078 501) 982-6511 Ext 361 acarter@lomanco,com Category Roofing Subcategory Roofing Accessories that are an integral Part of the Roofing System Compliance Method Certification Mark or LISting Certification Agency Validated By Miami -Dade BCCO - CER Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard Year Miaml-Dade TAS 100 (A) 199S Equivalence of Product Standards Certified By http://'",W.floridabuilding.org/pr/pr_app dtl.aspx?naram=wC'TF,VXn.AfinnLp„n1.v-..-..,,r City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. / (0 & 912m ISSUE DATE: D I. , 3, / CONTRACTOR: JOB ADDRESS: TYPE OF WORK: Post this Permit in a conspicuous place oQtside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit exDires six (6) months from date of issue or last PROTECT FROM WEATHER 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 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 uwRnw•IAw w wi 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 BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . Property Address . . . . . . Parcel Number Application description . . . Subdivision Name . . . . . . Property Zoning . . . . . . . 16-00000262 139 STERLING PINE ST 10.20.30.511-0000-0610 ROOFING APPLICATION STERLING WOODS PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Date 1/13/16 Additional desc . . Phone Access Code 925925 Permit pin number 925925 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 #: I, J„7 S Y hereby acknowledge that I personally inspected Roof deck nailing and/or-dSecondary water barrier work at 13q S-u V1 a1 Pin ' and have determined that the work Job Site Ad ess) 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 s atements in writing with the intent to mislead a public servant in the 4tF performance of his or her offici duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 ignatufirof Contractor Date 7-_ A% 0( 4'C-c-(5Z-,? Z Printed Name of Contractor License # License Type: General BuildinAsidentia "offing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF U Sworn to (or affirmed) and subscribed before me this day of )Ckl)t, {j_, 20 , by who is Personally Known to me or hasp, Produced (type of identification) D L— as identification. SEAL) ignature of Notary Public to of Florida s„ Print/TypeNtamp Name„Q, of Notary Public 4SAMANTHA MURRAY MY COMMISSION 8 FF944322 EXPIRES December 16, 2019 1 0/i198-0'b3 FbrkWkxa Sarv10fta m Revised: February 2015 21 2 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I I a I ( U 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 permit and application for work located at: M Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: i lt-OAr-k- 3TV-P A e.t\i State License Number: 6X-,r, .. 1 ?, 1 Signature of License Holder: STATE OF FLORIDA COUNTY OF 24M 1 OW The foregoing instrument was acknowledged before me this _Eday of n ( a 20® _, by M Q0 q f k S 1'e h who is personally own to me or awho has produced identification and who did (did not) take an oath. bAnj4" ignature Notary Seal) t'• SAMANTHA VURRAY c MY COMMISSION 0 FFS44322 4, EXPIRES December 16, 2019 0/e'b3 ikraeNots l4nle.wn+ Rev. 08.12) 3aWa114-bMu02q PrintortypenameNotary Public - State of T L-- Commission No. VFQ -jU 3,9d My Commission Expires: 1lQ as