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HomeMy WebLinkAbout173 Golfside Cir4 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 9500.00 Job Address: 173 GOLFSIDE CIR Historic District: Yes No Parcel ID: 04-20-30-513-0000-0410 Residential © 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 Phone: 407-278-7788 Fax: 800-337-3361 Name HECTOR MONTANEZ Title: ADMIN Email: PERMIT@JAPSERINC.COM Property Owner Information Phone: Street: 173 GOLFSIDE CIR Resident of property? : YF,S City, State Zip: SANFORD FL 32773 Contractor Information Name JASPER CONTRACTOR Street: 5380 E COLONIAL DR City, State Zip: ORLANDO FL 32807 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-278-7788 Fax: 800-337-3361 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -Slate of Florida Date Owner/Agent is Personally Known to Me or Produced 1D Type of ID hmm.' _kkAAAA AJ Signature ofContraclor/Agent Date gRIANA MCCLEAN M`f COMMISSION a FF9d298Q EXPIRES DecOmbel 13 2019 Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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: 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 1I113 INST'ITI)MI:NT PIII'11AIM-0 IIY: Nanto: oSper c of t- c-+Drs LA 15ua5 n(Idrna.: 5.3 p LC 81v1 DrrlUGtrtU NOTICE OF COMMENCEMENT 1'ulnUl NumNut: 11nfcal III NlnnUut: Q u - 00 I II11 Ilndvinlmmml 11n1nhy Illvnn ttollim 111111 hopitivn1111N1t will I,o 111udn III I:rllhdll Inld llffllxtfty, and IIInccnnlollcn with Chopinr 713, 1 loddn :11nluln:l, IlxtfoulnMupInhnnud11n1hInuvldnll111114% Nnitrn of Runnmmormnnl. 1, Di:1CNII1 I ION 01: IlR0I'I:111Y: (I n(pd dnnrulpllnn or Ilia pftgxuly lull ahnnt tuklfnnn I1 avnlltdAn) t 1 ai"Iim. Lib LlI PW I- 2. (IFNERAL DI::IC tll'IION Olt IMPROVEWN1: J. OWNCR INFORIVIA110N Olt 1.1::131:1i INI'OIiMA11ON If: IIII:I.CB:TI'li CONTIIACIED 1, 'Olt 111E IMPROVCMCNT., Nnmm mttl uddtun't'r1l U yr •# 1 ri S M oni ci nC 3 C, of fs.cl.c c l Sa ra ¢1Inlonltklpngxnly: li tn - Pau Ohnplu "Is 1101dof (Ir (1lhnr Ihnn tiWinu Ilohnl mhavo) Ntnno: Addrnna: , 4. CONTRACTOR: Nofnnt QS( f._ _CoLi ra.Lr r _ Pho1x1 Wmhnr. _ _ L' Addition: 07 5. SURC-TY (if nppllcnblo, n copy of Iho payn ont hond is altachotl): Numn: Addulnn _—•----- ——__ -•--- __.._..---._ !_ Alnnunl of 11ond• 0, LENDER: N000l: I'hmxr Number: Addnaln: ......_ .. 7. Porsona within (ha Uinta of Florlds Doslunstad by Ownor upon whom no(Icu or olhor doctallonls may bo norvod as provldod by Soctlon71J.1J(1)(s)7., Florida 91abttas, Nnnu1: 0. n n d I on, Owtlnr duslipu lon to rucolvn n uopy u(Ilw t Imuda Nollcu na provhiat( In:inctlon 71J.19(1)(b), f'lulkln Slnlulns. Ptwnu lnmlbur. _.__—— _,-__„__.-......—_.. 9. Explrollun Dnlo of Nollcu of Cununullcolnont (IIW uxphullon 10 1 yunr (tan dn(n firfucmdhtu unlusB 11(111(olonl data Is apodflud) WARNING-TO-OWNFR. ANY PAYMENTS MADE BY 711E OWNER AFTER THE EXPInATION OP TIIC NOTICE OF COMMENCEMENT ARC C:ONSIORRED IMPROPER PAYMENIS UNDER CIIAPTEft 71.1, 1'Aft,r I, SECTION 71:im, FLORIDA 3TATUTn. AND CAN RESULT IN YOUR PAYING'IWICU FOR IMPROVEMENTS'10 YOUR PROPEI0Y. A NO11CI:OF COMMENCEMENT MUST BE RECORDED AND POSTED ON Till: JOB SIIE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO Oil TAIN FINANCING, CONSULT WITI.1 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOnDINO YOUR NOTICE OF COMMENCEMENT. pntnhn u t I,+Innnnn,ort Mivv9 otlnuM' 141/N Nrnn nndl o/1xpn+i lld'K11Pro) Mfl troa tN:mfllYnilruq'atbvvlMa,upnl) C / 9tnto of _ T•L,•_! _ County of JL _ Tho forouollnu^In{ssttrumont wns acknowtodpodthhooloro mo this _ 1 day of by rI L1 i (l r"do ttQ I Who In porsonsily known to mo 1,1 OR NaIMMIMOm IMklnp gnlnxmd who has producod Idontlllcatlon I T typo of Idonlllicslion producod: pL SAMANTHA MURRAY MY COMMISSION 0 FF944322 EXPIRES December 18.2019 Nah 398-0•aS cam Scanned by CamScanner hc: l.++:1:,t:,; ;i..t!'r!,Jli,",1 RVt; 4:- t 0, wp i 1iU!&FW 4rr T ' SUAINO1. E BY @P`4ft51" MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK' S # 2016018190 BK 8636 Fig 0404; (1 pg) E-RECORDED 02/19/2016 09:47:45 AM 10. 00 3 N 10T.1I1 ul"IF31i/ i < i i il'/ Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ! N !A `V 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): 0 The specific permit and application for work located at: i 3 (ZqlFside Cir Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Vj t GO A € - 5 -rf p 9 fW State License Number: 1\ Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was ac Wledged before me this AjLday off 20t, by i(`k to r°,l who is o personally known to me or who has produced as identification and who did (did not) take an oath. a , KA Signature Notary Seal) AM EAN F9429" 13 2I)19 con• Rev. 08.12) 0 Print or type name Notary Public - State of ` L Commission No. FF 9?d My Commission Expires: /c? 7 3 / 0-ovid John ,an, CPA Prop !cord Card PROPERTY Parcel: 04-20-30-513-0000-0410 APPRAISER Owner: MONTANEZ HECTOR & GONZALEZ IRIS SEMINOLE COUNTY, FI.ORIDA Property Address: 173 GOLFSIDE CIR SANFORD, FL 32773 r Parcel: 04-20-30-513-0000-0410 '-- - ( Value Summary — Property Address: 173 GOLFSIDE CIR I - 2016 Working _ I~2015 Certified W Owner: MONTANEZ HECTOR&GONZALEZ IRIS I Values Values Mailing: 173 GOLFSIDE CIR I Valuation Method Cost/Market- Cost/Market SANFORD, FL 32773 s 1 1 ; Subdivision Name: MAYFAIR CLUB PH 1 Number of Building Tax Districts Sl-SANFORD i Depreciated Bldg Value $155,337 $149,679 Exemptions: 00-HOMESTEAD (2006) Depreciated EXFT Value $2,906 $3,014 1 DOR Use Code: 01-SINGLE FAMILY d Land Value (Market) $25,000 $25,000 ' i - - L-.z Land ValueAg Just/Market Value $183,243 $177,693 Portability Adj Save Our Homes Adj $49,671 $45,050 1 h 3 r ' Amendment 1 Adj j i Assessed Value $133,5757 2 $132,643 f•; ;,;r,;2z<,' Tax Amount without SOH: $2,794.96 i 2015 Tax Bill Amount $1,878.12 Tax Estimator Save Our Homes Savings: $916.84 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 41 MAYFAIR CLUB PH 1 PB53PGS7&8 l Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 133,572 50,000 $83,572 Schools 133,572 25,000 $108,572 I City Sanford 133,572 50,000 $83,572 i S3WM(SaintJohns Water Management) $133,572 50,000 $83,572 ii i County Bonds 133,572 572; 50'000 Description l Date Book Page !Amount Qualified Vac/Imp I i CORRECTIVE DEED 10/1/2005 06001 0603 100 No Improved WARRANTY DEED 3/1/2003 04806 0841 170,000 Yes Improved 1 t E SPECIAL WARRANTY DEED 8/1/2000 03910 1423 136,400 Yes Improved Find Comparable Sales within this Subdivision Land— Method Frontage i-Depth I Units Units Price Land Value LOT 1 25,000.00 $25,000 j Building Information-- r r 1 Description Year Built Actual/Effective ITFixturesBaseArea ++ Total SF Living SF j Ext Wall T.. r _ Adj Value j Repl Value i Appendages Ny' qe I SINGLE 2000 9 1,232 2,784 2,336 CB/STUCCO 155,337 164,378 i Description Area ! I FAMILY FINISH i GARAGE FINISHED 400 s, IslOPEN PORCH 48 FINISHED UPPER j j STO RY 1104 , FINISHED j Permits Permit # Type Agency Amount CO Date I Permit Date 02803 Addition Residential Sanford 5,900 6/13/2006 00226 New - - Residential .__ -___._ Sanford 101,700 3/27/2000 10/1/1999 t` Extra Features I Description Built Unit; Value New Cost- L- Year i 1 1 ALUM GLASS PORCH 1/1/2006 252 2,646 3,528 SHED 1/1/200,1 1 260 500 JAper Contractors, inc. 5380 E. l dionial Dr. Orlando, FL 32807 407)278-7788 800)337-3361 Fax JasperRoofcom infoOliasperinc ore r= ViSA k_ rl o i Account Manager s I UP Z, s Contact /i ! a-2— I—MEAF Insurance Commmv Information JASPER Company - Policy# lZ , - 7 Ja porRoof.cam k-R112- Clainl 4 .1-)(17 J1JJJ_ Contractor's License N CCC1329651 ROOF REPLACEMENT CONTRACT Mortgalle Company informati t Company —C rp}- Loan Number J3 (Q Owner(s): e G 7 o r — 7 heZ Phone: y67- 30-u S Address: 3 GQ I Alt Phone: City: C` Qh State: Zi code: Z-7 7 , Shingle Color: Email:) Roof RCV amount: 9500.00 Drip Edge Color: 1 On nets insurnnee comnany does not agree to aiy 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 ton 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 fill paymtent at the time of service. I also hereby direct my insurcr(s) to release any and all information requested by Jasper, its representative, or its attomey 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. II'paytnent is made directly to the Owner/Agcnt/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 nil Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet, UNLESS replacement/repair or 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 slated on the insurer's Loss Sheet shall overrule Deductible listed above. { r Deductible: 3 Z (-)o ( MUST BE PAID iN FULL, PLUS APPLI B E SALESS TAX X (initial) MORTGAGE AUTHORIZATION: 1, O%wter/Mortgagor, grant authorization forwS im 6 Mortgage Co,fo speak with Jasper on matters including, but not limited to, the claim and draw status. 7 /— (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $_e2r- due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner'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 and 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: / PRICE: $ TOTAL: $ Replacement Work and Price: Upon insurer's approval and subject to the terns and conditions herein, Jasper agrees to furnish all materials and provide the labor necessaryio 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 seances 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 i denied, in whole or,in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate officc1955' Vaughn Road, Suite 209, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of i cancellation DOES NOT APPLY to'contracts for emergency home repairs as time is of the essence. 1, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details arc 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 enforceable in accord ace with its terms. FE ze Asper Represe tabu Dal Owner :'t" Date SAN CONDITIONS: Acceptance of Terms:I, Owner, hereby, agree to retain?)asp r fo a full roof replacement on the ternis andr3 sintedherein. I further agree to provide Jasper with the Scope of . oss 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 Scanned by CamScanner Florida Building Code Online r*";da 01'Wr I III,--, It q GOO HO-0 - Log In User Registration I Hot Topics Submit Surcharge Businest") P n.al Product Approval USER: Public User Regulation Q)• _d",:Page I of 2 StatS & Facts Publications F8C Staff OCIS Site Map Links Search Product 2Er_-_L'_Menu > Product Of aggkaticn Search Lwj!.-jL9SWc > Application Detail 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 or 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 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 the Roofing System Certification Mark or Listing Miami -Dade BCCO - CER Miami -Dade BCCO - VAL Standard Mlaml-Dade TAS 100 (A) Year iggs http://Vmw.floridabuilding-org/pr/pr_app. dti.aspx?param=wCFVXn,Ann,,,,P,-Di,v ...... ny I . 41A I II ' a 1 a II A MlAlYl4DADE MIANII-DADS COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTINIENT ( BNCBBOARDANDCODEADMINISTRATIONDIVISION PRODUCT CONTROL SECTION' 11305 SW 26 Street, Room 208 Miami, Florida 33175-2474 NOTICE OF ACCEPTANCE (NOA) 7s6 15-2590 F (.pov 3I5dinr,/ Lomanco, Inc svg wmi•tmidndi• Hovlhuildin / 2101 West mitilt 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-Dadc 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, 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 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. ADVERTISENIENT: 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. MIAMPDADECounrnr :VOA No.: 1I- 0602.02 l Expiration Date: 08/ 17/16 Approval Date: 08/17/ I1 Page I of 4 ROOFING COMPONENT APPROVAL Catcaoi v: RoofingSub-Cateeorv' Ventilation Material: Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test ProductProductDimensionsSpecificationDescription 135 Roof Vent, 9" x 28.5" TAS 100 Powered Roof Vent, with fan andLomancool2000Power thermostat with a aluminum hood. Vent MANUFACTURING LOCATION 1. Jacksonville, AR EVIDENCE SUBMITTED: Test Agencv/Identi6er Name R- uLort Date PRI Asphalt Technologies, Inc. TAS 100 A LOM-011-02-0I 04/05/06 rua oaoe MUNTy NOA No.: 11-0602.02 Expiration Date: 09/17/16 Approval Date: t)8/17/11 Page 2 of 4 APPROVED APPLICATIONS Cutout: Vent must be located 18" from ridgeline. At choselt 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 rent 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 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 1" fromstackevery45" with approved roofing nails, keeping heads of nnils under shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingamininiumof/2". See details drawings herein. Seal all seams and nails with roofing cement. Net Free Area: Refer to manufacturers published literature LIMITATIONS: L 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 FloridaBuildingCodeandRule913-72 of the Florida Administrative Code MIAMI•DApECOUNIY NOA No.: 11-0602.02 Expiration Date: 08/17/16 Approval Date: 08/17/11 Pagc 3 of 4 DETAIL DRAWINGS 135 Roof Vent, Lomancool 2000 Poorer Vent PA14T 6 11E1,4 REr3 CESCRIFTION MATEPIAL Ar e.,r 020r-50; 07DI-i07 1 7 1 00,tE 1 C32t:J25 x 2d _V x =9 50 6r,05-0 4L 3•'Sop 0201-503 0A%E 1 I mU-MIELI: 037100?5 :t 23 R SQ05-0 AL 0•::t.007: 84;1n 0410-5'3T 4 1 F.(ACKET a 19!0 X 13:,rr 5?1'"•-0 AL 9; 0201-St77 5 1 SCREEK 16 CA < 1,2!J0 % J !sb'V (;ALY. yTEEL 02L• x 5 r .n 37E;-dr•9 MESH . ERu-A-KrTE 95rr 14040001n^ 5 6 12 RIVET 3/'08 t 7/.' !,'-'AL HC AL 10;, 0002Ei i S SCREW A -I 1 /? HkUHJ TY0EM "MI" ANC KT 0- j END OF THIS ACCEPTANCE NOA No.: 11-0602.02 MIAMFDADECOUPITY Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 4 of 4 M Florida Building Code Online r f t tj r•• „lY . • , r i . tv i` 4 7 Z t , • a ItJILtd %:Jtii C:t( Bets Home Log in I User Registratlon Hot TOPICSBusyP Submlt5urcharge nes >>+ ', Product ApprovalProfessirial USER: Public User Regulation Pagel of 3 M't't.,u1 Stat5 a Pacts Publications FBC Staff acts Site Map Links Scarcb Product a 2M—V i Mtq > rpo=o, ADDhcatbn Sea ch > 1 a 1 n > C_ £P.P 1 0l,<, Application DCtail Tj: ' ,' FL ar FL3792-R6AffirmationApplicationType Code Version Application Status 2010 Comments Approved Archived Product Manufacturer Address/Phone/Emall Incm1012101West2WemainJacksonville, AR 72076 501) 982- 6511 acarter@lomanco.com Authorized Signature Andrew Carter acarter@lomanco.com Technical Representative Address/Phone/ Email Andrew Carter 2101 West Main Street Jacksonville, AR 72076 501) 982- 6511 Ext361 acarter@lomanco.com Quality Assurance Representative Address/Phone/ Emall Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501)982- 6511 Ext361 acarter@lomanco.com Category Roofing Subcategory Roofing Accessories that are an Integral Part of the Roofing SystemComplianceMethod Certification Mark or Listing Certification Agency Validated By Miaml-Dade BCCo - CER Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard Year Mlaml- Dade TAS 100 (A) 1995 Equivalence of Product Standards Certified By http://Www. floridabuilding.org/pr/pr app dtl.aspx?Daram=wrFvyrN..,+n-- -_„t — -- City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. / & r7/ ISSUE DATE: TYPE OF WORK: 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 R OOF 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 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. 11YICIOK'%03131M149XG1111]M1%13"tKQ-0W 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 . . 16-00000571 Date 2/22/16 Property Address . . . . . . 173 GOLFSIDE CIR Parcel Number . . . . . . . 04.20.30.513-0000-0410 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 929463 Permit pin number 929463 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 Ill BL03 FINAL ROOF / / CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: U - , ' 1, hereby acknowledge that I personally inspected X0of deck nailing and/oy/ft econdary water barrier work at 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 stat ments in writing with the intent to mislead a public servant in the performance of his or her o icial ty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F-. ,) Contractor Printed Name of Contractor Date CLCt?@QcoIs- License # License Type: fl General C1 Building (4esidentialXRoofing Contractor U or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF S - lr^ Sworn to (or affirmed) and subscribed before me this day of 20 1(f-3 by 5 , , who is fl Personally Known to me or hasyproduced (type of i entification) as identification. SEAL) ignature of Notary Public State of Florida aVy\aYl+M nol A T— Print/Type/Stamp Name of Notary Public SAMANTHA MURRAY MY COMMISSION # FF944322 40 EXPIRES December 16, 2019 i10 398-0'43 Flonft"arySavlacan Revised: February 2015 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: Q- a3~l i0 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): 16 The specific permit and application for work located at: C nlrip C'L r u street Expiration Date for This Limited Power of Attorney: License Holder Name: K( % U o 4 State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OFC lr The foregoing instrument was acknowledged before me this 493day of 20® i(a_, by M lCX" SV- Y)KL4 who is o personally known to me or who has produced I OL identification and who did (did not) take an oath. L1/ yi A CAI 11-1" S gnature Notary Seal) S Cy1 n Cl r ThGG k:".t% SAMANYHA MURRAY MY COMMISSION # FF944322 EXPIRES December 16.2019 9r•-0' b:f flaideNo rygervk..com Rev. 08. 12) Print or type name Notary Public - State of L Commission No. - u-am My Commission Expires: 7—ilg 101