HomeMy WebLinkAbout149 Carmel Bay DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No•'J7
Documented Construction Value: $ qM00 Job
Address: lyq CAe(Inel 1. y '• Historic District: Yes No Parcel
ID: 32 -0- 3y -`- 0- M) - Vy-1-0 Residential N Commercial Type
of Work: New Addition Alteration g Repair Demo Ll Change of Use Move Description
of Work: t- oo 0(,FL1 0(94i1 hm n DFLISS-1 lv Plan
Review Contact Person 6_ m n11' y Dow- t'l_ Title:,Admi n Phone: -
An a4- 1-1.& 9' Fax: % 3[0) Email Cml+ . I smn, f)C- (0 t'ln Property
Owner Information Name
rhaM ire.lhC Phone: Street: !
A Q Cllr rrtl P% Resident of property? City,
State Zip:! tarybrd EL 39 a a Contractor
Information Name ),
01oe r OIry%MC*) (- Phone: a 7-6' 474) 8 Street:
6-3m TI.(0I6c' tt-i 10' Fax: City,
State Zip: OelaMD FC* State License No.: (_((_),2x-)-9 (o J1 ArchitectlEngineer
Information Name:
Phone: Street:
Fax: — City,
St, Zip: E-mail: Bonding
Company: Address:
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: 511 Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit AppNealion
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.
2-Z-1(C
Signature of Owner/Agent Date ignature otC:ontractor/Agcnt We
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Print Contractor/Agent's Name
i tur t'Notary-State or Florida Date
BRIANA MCCLEAN
MY COMMISSION t1 FF9429H
Owner/Agent is Personally Known to Me or Contractor- is EXPIRr r RAMo Me or
Produced ID Type of ID Produce . L ylJU
A
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building 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:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30. 2015 Permit Application
Jasper Contractors, Inc.
5380 E. Colonial Dr.
Orlando, FL 32807
407) 278-7788
800) 337-3361 Fax
JasperRoof.com
info(R)iasperinc.org
l- m m
JASPER
Jaapar 20 f.00m
Contractor's License # CCC1329651
ROOF REPLACEMENT CONTRACT
Account?
Contact #
Company —Mk A Ld_
Policy #
Claim
Mort a e Company Information
Company _
qqLoanNumber(9: C Q SCE(` l
Owner(s): `
oA Lf &-Lf
Phone:
4i 7- 3 -72 41
Address: i
6-L 98-Y
Alt Phone:
City: State: Zip code: Shingle Color:
Email:
NNCO9800.00
Roof RCV amount: Drip Edge Color.
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 be
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 insurer's Loss Sheet shall
overrule Deductible lis d above.
Deductible: $ 50n MUST BE PAID IN FULL, PLUS APPLICABLE SALES T (initial)
MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for t,tffL(, Mortgage Co. 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 S due
upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's ' urer 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.
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: 1955 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 authority to enter into the contract and that it is binding and
enforce ble in accordance w' It its terms.
Author' a Jasper Representative Date Owner Date
TERW AND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a full roof replacement on the terms and
conditions stated herein. I further agree to provide Jasper with the Scope of Loss 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 Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after
1\i
THIS INSTRUMENT PREPARED BY:
Name: jo ; UI'1' i,(%t l1YZ"A i fi lll
Address: 5380 E COLONIAL DR ORLANDO FL 32807
NOTICE OF COMMENCEMENT :_. i)!!9F QIZ(:U1 sr-OU•
10l-E NPLfii: `_?!' t.i'
It-
I:l1IT •''Ot)n7' 2< Ct"t!"!F' i F?s1E.LEF:
Permit Number• CLERK'S .
1
Y 2016012351
3-'I t- I 1
r CIS!::,': 1 yf, ;.,j,n, Parcel ID Number:—
The undersigned hereby gives notice that improvement will be made to certain real o
l' rd4l)R'with
t"
Mt
t'•`'"E'
following information is provided in this Notice of Commencement ' a In accoance Chapter 713; Florida Statutes, the
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) Lrtd- u-j
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:f3tchard K-dihe(` 11-ig cafinel 4 ,gyp Sr, S'an-hird El
Interest in property: r
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
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:
Address: Amount of Bond'
G. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(1)(a)7., Florida Statutes.
Name: Phone Ntxnber.
8. In addition, Owner designates
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.
Signature of Owner or Lessee, or Owner's or Lesseds
Ault dzed Officer/Director/Partner/Manager)
P,\(,nCCd )LC6 h C_ r
Print Name and Provide Slgnator,(e Tide/Office)
State of FL County of SEMINOLE
The foregoing Instrument wa acknowledged before me this L day of l>1J ' 2010
by 1=k Ch ci r6l I`//—lL Y) r / Who Is personally known to me O OR
Name of person maWng datemam
who has produced Identification 6 type of Identification produced: DL
SAMANTHA MURRAY
MY COMMISSION # FF944322
EXPIRES December 16. 2019
t uh398-0 S5 FbrtoeNm Servkecem
lr\.
Notary Signahae
CE F)EDCOPY—IVIARYANNEM0RSir
CLERKOFTr'- CUITCOi,o
COMPTR a11ER
SEiJIILOLE ":, r 7A
r — ---- -- . .
LIMITED POWER OF ATTORINEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2-2
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:
Itl MCA 1
I (Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:l c.14 A <
State License Number: ! Cs I
N
Signature of License Holder: -"
STATE OF FLORIDA
COUNTY OF Se M
The foregoing instrument was ack owledged before me this d day of —
2001 by A j who is o personally known
to me or okwho has produced as
identification and who did (did
4Signa
oath.
1 ,
r v\
C
Notary Seal) 0y\
Print or type name
1 13R1ANA MCCLEAN
MY Cpp MISSION FFsa2988 Notary Public -State of 1 L-
EXPIRES December 02019 Commission NO. i q
taortaoe.otos
M °""
a `°T
My Commission Expires: L 19
Rev. 08.12)
t lvid John on,i nn Property Record Card
PROPERTY Parcel: 33-19-30-519-0000-0470
APPRAISER Owner: KELIHER RICHARD T& JEANNE P
SEtnwtN.FGnuN1Y FI_C?FiIDA Property Address: 149 CARMEL BAY OR SANFORD, FL32773
Parcel:33-19-30-519-0000-0470
Property Address: 149 CARMEL BAY DR
Owner: KELIHER RICHARD T & JEANNE P
Mailing: 149 CARMEL BAY DR
SANFORD, FL32773
Subdivision Name: MONTEREY OAKS PH 2 REPLAT
Tax District Si-SANFORD
Exemptions: 00-HOMESTEAD (2002)
DOR Use Code: 01-SINGLE FAMILY
l Legal Description
LOT 47
MONTEREY OAKS PH 2 REPLAT
PB 58 PGS 22-23
Taxes - - - - -
Taxing Authority
County General Fund
Schools
City Sanford
SJW M(Saint Johns Water Management)
County Bonds
Sales
Value Summary
2016 Working 1 2015 Certified ? '
I Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 94,808 91,244
Depreciated EXFT Value 751 801
Land Value (Market) 33,000 28,000
Land Value Ag
Just/Market Value 1ze,ss9 120,o45
Portability Adj
t ~
Save Our Homes Adj $33,432
Amendment 1 Adj
9 Assessed Value $95,127
ri
i
25'579 i
94,466
rc Tax Amount without SOH:
2015 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value
1,621.74
1,101.17
520.57
Exempt Values Taxable Value
95,127 50,000 45,127
95,127 25,000 70,127
k
95,127 50,000 45,127 I'
95,127 5010W 45,127 '
95,127 50,000 45,127 i
E Description Date Book ' Page Amount I Qualified ; Vac/Imp
i SPECIAL WARRANTY DEED 10/1/2001 04203 0202 107,300 Yes Improved
WARRANTY DEED 11/1/2000 03964 0434 289,000 No Vacant
Find Comparable Sales within this Subdivision
Land
Method r Frontage I Depth Units Units Price Land Value
V -
LOT 1 33,000.00 $33,0 j
Building Information
Description
Year Built Fixtures j Base Area I Total SF i Living SF Ext Wall Adj Value Repl Value i AppendagesActual/Effective 11
1 SINGLE 2001 7 1,465 1,881 1,465 CB STUCCO
FINISH
94,808 i100,061 Description Area
r
I
FAMILY i 1
Florida Building Code Online
r
rlcr :Jla Llcanini yIts Gas Home • 1.09 In ' User Registration i Hot Topics Submit Surcharge
Busines,
serProfessibral =A0 USER:
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lic uAp Iroval
Regulation
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Product Approval Menu > EL%jEX or .pgl,c,VCn Search > Ih nt4GP_,tllg_ti;,r > Application Detail
FL
F1.3794-114
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 (or 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 LlSting
Miami -Dade BCCO - CER
Miami -Dade BCCo - VAL
Standard
Mlanil-Dade TAS 100 (A)
Year
1995
httP://www.floridabuilding.org/pr/pil_app_ dtl.asi)x?param=wC?F.VXn a,fn.,r, . . .
OIADE'' .
411AMI-DADr COUNTY
BUILDING AND NEIGHBORIIOOD COMPLIANCE DEPARI:-N•IENT (BNC:) PRODUCT CONTROL SEC1'IO\'
BOARD AND CODE ADMINISTRA1TON DIVISION 11305 SW 26 Street. Room 208
Miami. Florida 33175-2474 NOA T (7SG) 3IS-
259U
F (7RG} 315-2599 NOTICE OF ACCEPTANCE tivwtiv.niamidndr n•/huildin; / Lomanco, Inc. 2101 WestmainStreet
JacicsOnAlle, 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 -Dade 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, tire 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 .with 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 alter 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. ADVERTISEMENT: 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 shall 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 I through 4. The submitted documentation was
reviewed by Alex Tigera. MIJAMFDADECOUN Tr NOA No.:
11-0602.02 400W Expiration Date: 08/
17/16 Approval Date: 08/17/
11 Page 1 of
ROOFING COMPONENT APPROVAL
Catee°n'• RoofingSub- Ventilation
MatcriaL• Aluminum
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Test ProductPt•odut:t Dimensions Specification Description
135 Roof Vent, 9" x 28.5"
Lomancool 2000 Power
Vent
MANUFACTURING LOCATION
I • Jacksonvi (lc, AR
EVIDENCE SUBMITTED:
Test Agencv/Identificr
PRI Asphalt Technologies, Inc.
TAS 100 Powered Roof Vent, with fan and
thermostat with a aluminum hood.
Name
TAS 100(A)
RuLort Date
LOM-011-02-01 04/05/06
MIAMbD/1DECOUNTy NOA No.: 11-0602.02
Expiration Date: 08/17/16
Approval Date: 08/17/11
Pace 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 sheathing boards.
Using marked position as center point; scribe a circle that is tl'e 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 nails 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 under shingles with arrow facing up. Make sure thethroatoftheventiscenteredoverventhole. Fasten the base to roof decking atcorners, and approx. 4" o.c. I" from the outside edge of the flange and 1" fromstackevery45' with approved roofing nails, keeping heads of nails under shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingaminimumof %". See details drawings herein. Seal all seams and 'tails with roofing cement.
Net Free Area: Refer to manufacturers published literature
LIMITATIONS:
I. 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 i" accordance with the FloridaBuildingCodeandRule9B-72 of the Florida Administrative Code
CAMIM:OUNW VOA No.: 11-0602.02
Expiration Date: 08/17/16
Approval Date: 08/17/11
Page 3 of 4
DETAIL DRAWINGS
135 Roof Vent, Lomancool 2000 Power Vent
T ITEhl 4EJU MA rEFIAL t.- A 1 7.1
VrxmE C32± )*27 X 28 —V x 2.H 5D 50(15-0 AL
0201
JjASE 0X'±.rQ?5 x 77 X 7, AL
011!0-1102 41 S
19 !"-) A 19 W, 5:.•01-0 AL
HOCKET 16 CA < 1.2'JO X 1 !*0 CALV. WEEL
S#
195F0201 —507 5 I IMREEN 02!b X 5 Y 41 3715—aYh YESH ;IERM—A—Kr'YE
4tI400'.'I rf) 6 12 1 VE 1 31169 x 7/2: lir AL
10110-00281 i j SCREW $04 X 1P JW-Will TYPEM "Ar3" 1INC KT
91
END OF THIS ACCEPTANCE
CI-
NOA No.: 11-0602.02
Expiration Date: 08/17/16
Approval Date: 08/17/11
Page 4 of 4
Florida Building Code Online
Pagel of 3
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Pro essinal product Approval
RegulationUSER: Public User
16MWMMProduct aooroval N u > proiutt ar AOQLcatlon sea cl > i .i nC A2PL' .,. tQ t1eS > Application Detail
ata`
3FL #
it
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 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 RoofingSystemCertification
Mark or Listing Miami -
Dade BCCO - CER Miami -
Dade BCCO - VAL Standard
Miaml-
Dade TAS 100 (A) Year
1995
http://
www.tloridab.ilding.Org/Pr/pr app dtl.aspx?param=w(,,pvvn.,.*r, at-_r% <,
I
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO.
6 4 '3 ISSUE DATE: 0 ol04. / 16 CONTRACTOR:
N JOB
ADDRESS: TYPE
OF WORK: Q,,
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 REQUIRED * * * For
Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The
Miti ate (davit 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
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
rA
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 . . . . . 16-00000434 Date 2/08/16
Property Address . . . . . . 149 CARMEL BAY DR
Parcel Number . . 33.19.30.519-0000-0470
Application description . . . ROOFING APPLICATION
Subdivision Name. . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 927921
Permit pin number 927921
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 / /
i I
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit 0 — u -
h '7jzsz-T,
hereby acknowledge that I personally inspected
0of deck nailing and/oo4e-condary water barrier work
at _ q (Ly (rn Q Q r?
n 1 A O'er . and have determined that the work
Job Site Address) — cj
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
performance of his or her offs '
Section 837,0
Signature of Contra c forr — I
Printed Name of Contractor
in writing with the intent to mislead a public servant in the
constitute a misdemeanor of the second degree pursuant to
Date
cc,.-7_13z9 W
License #
License Type: n General F1 Building (I sidential,aofing Contractor
U or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 9LMV' 1J
Sworn to (or affirmed) and subscribed before me this _ day of , 20 1 , by
S Tf j S1 , who is 0 Personally Known to me or ha roduced (type of
ientification) as identification.
SEAL)
ure of Notary Public
tateof Florida
Print/Type/Stamp Name
of Notary Public
Revised: February 2015
SAMANTHA MURRAY
MY COMMISSION # FF944322
EXPIRES Demmber 16.2019
t0/398-0'63 fbrldeNon Com
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: `Z -' — l Lp
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 forwork located at:
1 /} /\ A. r -- 4 n n. , S-"N
Expiration Date for This Limited Power of Attorney:
License Holder Name: KI 44I rr 3TV_E+o eNj State
License Number: I
Signature
of License Holder: STATE
OF FLQIZMA COUNTY
OF The
foregoing instrument was a knowled ed before me this day of J , 208_,
by who is o personally known to
me or o who has produced as identification
and who did (did not) take an oath. Notary
Seal) ate,°
N4f ;; SAM=DOMM
MY
CO EXPIR
aon
39e-0' s3 Rev.
08.12) gnature
Print
or type name Notary
Public - State of L Commission
No. EL a My
Commission Expires: