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HomeMy WebLinkAbout363 Placid Lake Drr CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ (PAD. -N) Job Address: 3(g3 'Niad I -a c 'ter• Historic District: Yes No Parcel IM -60- 9t)- 10-590- W00- b)ao Residential V Commercial Type of Work: New Addition Alteration,Z Repair Demo Change of Use Move Description of Work: e roQ Q r 1 02:tJ _RV-11viop-11(n Plan Review Contact Person;%matloy mun- -my Title: adz" Phone:407•a 7 r, 714,P$ Fax: 18b. 33 , tQ Email: RYYAi © saw i Property Owner Information Namdj; Phone: 4107' g-49' 5(0? Street: 3(03 R(k(d LaKL Or Resident of property?: WS City, State Zip: 5aniffi rd FL 52193 1 Contractor Information f Name Jas p(,Y fi>ra IrS Phone: 407. a i C. '% ? iiap Street:fJ a C61ontal of Fax: 96o' 33i'_ 3 —&&% City, State Zip: U t and 6 EL 3a100 7 State License No.: CCe (3@Q(QS1 Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE e 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. 1 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: 5a' Edition (2014) Florida Building Code Revised: June 30, 2015 4 Permit Application Aq— Scanned by CamScanner i'OTICli: In addition to the requirements of this permit. there may be additional restrictions applicable to this property that may be found in the public ttrcords of this county, and there may be additional permits required from other governmental entities such as water r 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. llle 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 netual 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 sill work will be done in compliance with all applicable laws regulating construction and zoning. sil rature of( haver/Agent bale Print Ouner/Agent's Name SignnpneofNiNary•StatcorFlntida Date Owner/Agent is Personally Kno%%m to.Me or Produced ID Type of ID r V ,fL i(gnnn-lureofConttnelot/Agent Dale h IAAM PA 1 1 1/1-71 t Ke e of Florida Mille BRIANA MCCLEAN MY COMMISSION 0 FF942988 EXPIRES Docembet 13 2019 Contractor/Agent is • Personally nown to Me or Produced ID Type of 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Rc%isrd: June 30.2013 Permit Application d..+.:. J: Scanned by CamScanner i."j THIS NSTRUMEfn` l RE n: Name11YacfiDI'S Address: 5380E COLONIAL DR ORLANDO FL 32807 NOTICE OF. COMMENCEMENT 11ARYMME MORSEr SE11I11OLE COUIITY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8637 P3 135 OPSS) CLE'RK'S : 2016018785 RECORDED 02/22/2016 10:13:40 AN rZOI(NDING FEES 510.00 RECORDED BY hdevore Permit Number. - 7ParcelIDNumber. c l% li J f} i ' Woo- o-a(-1 The undersigned hereby gives notice that improvement will be made to certain real property. and in accordance vlt Chapter 713. Florida Stahtes, thefotlowtngInformationisprovidedintisNoticeofCommencement 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 and address: Interest in property: Fee Simple Title Holder (if other than owner fisted above) Name: Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278-7788 Address: 5380 E COLONIAL DR ORLANDO FL 32807 S. SURETY (Il applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER Name: Phone Icy; Address: 7. Pomons within the State of Florida Designated by Owner upon whom notice at other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In adddion. Owner designates of to receive a copy of the Uenor's Notice as prdvided In Section 713.13(1)(b). Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (Tho expiration Is 1 year horn date of recording unless a different date is specified) WARNING TO OtNNER: 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 T14E 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. yo t5pnaryVol O+ttwr a Lata ar0~1 or 97 t7hdortverxnrMaup State of FL county of SEMINOLE 11lc'-LAOTheforegoinginstrumentwasacknowledgedbeforemethisDdayof by C (Q 1 3 `? Ob1 I, y v Q' -S O . Who Is personally known tome O OR None W pwmn m"statenwr who hes produced Identification 6 typo of identification produced: DL R o\pk ° PM Nan nes PmMs SpvWs I ttUOMm) SAMANTHA MURRAY MY COMMISSION a FF944322 EXPIRES December 1E. 2019 WVw""'Yeem" cum Scanned by CarnScanner r,•f11J rPtY 'Q„+4!!,u:.:t rttaltSE a i • _,., •,", 11t' CpfCtirU!I t,cdUas Anil) i tt T i r4itccOp,•pff""I StIdNlO:1 rJUhIiY tM 201% _ Ct rely CIE" LBUTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 1 \\A3\2 I I 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: street Expiration Date for This Limited Power of Attorney: License Holder Name:'; , c g A ft— 5'rf—Ptlf-63 State License Signature of I STATE OF FLORIDA COUNTY OF ' A day ofTheforegoinginstrumentwasacWwledgedbeforemethis 204 (R_, by Woke ae-A is 25v—a"l who is [3 personally known13 to me oMwho has produced n1 — as identification and who did (did not) take an oath. Signature Notary. Seal) Print or type name MCcLEAN 0 FFGAMS Notary Public - State of my tssol IRES December 13 2019 Commission No. My Commission Expires: Rev. 08.12) Scanned by CarnScanner l7nvid ICA xr:oli,CIIA ip APPRISER of-MIrySI 1- (:(x11,1IY, r t "AHM Prope cord Card Parcel: 02-20-30-520-0000-0320 Owner: WESTBROOK DARRELL0 & ROBIN K Property Address: 363 PLACID LAKE DR SANFORD, FL32771 Parcel: 02-20-30-520-0000-0320 f Property Address: 363 PLACID LAKE DR' 1, Owner: WESTBROOK DARRELL D & ROBIN K Mailing: 363 PLACID LAKE DR . SANFORD, FL 3277.1.4415 Subdivision Name: PLACID YfOOOS PH l Tax District: Sl-SANFORD Exemption: 00 -HOMESTEAD (19%) DOR Use Code: 01 -SINGLE FAMILY 1 i d r Value Summary 2016 Working 2015 Certified ValuesValues Valuation Method I Cosl/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 1 86,777 76,926' DepreclaW EXFT Value 951 1,001 Land VaNe (Market) 18,000 18,000 Land Value Ag i Method Frontage — i Just/Market Value i •r 105,728 95,927 Portability Adj Save Our Homes Adj $34,761 ; $25,453 I Amendment I Ad) Assessed Value— $70'.967 $70,474 '— Tax Amount without SO H: $907.01 i 2015 Tax Bill Amount $547,62 i Tax Estimator Save Our Homes Savings: $359.39 Does NOT INCLUDE Non Ad Valorem Assessments fLegal Description LOT 32 PLACID WOODS PH 1 PS 51 PGS 23 THRU 29 Taxes t Taxing Authority i Assessment Value ExemptVaNes Taxable V_a..l_u_e County General Fund $70,967 $70,967 Schools $70,967 $25,000 CM Sanford $70,967 $45,967 SAVM(SaintJohns Water Management) $70,967 $45,967 I County Bonds . • $70,967 $45,967 0 45,967 25,000 25,000 25,000 Building Information I # : Description A e ilt Fixtures t Base Area TotaISF (LNhgSF Ext Wal Adj Value ReplValue `Appendages —! — t _ 1 SINGSIMILE 1998 6 1, 1,680 1,292 CB/STUCCO $86,777 $92,810 TDestr ttbn-I AreaFINISH Scanned by CarnScanner f Description Date Book Page Amount Qualified Vac/[mp ti-- ..._.__.— 1. _ i SPECIAL WARRANTY DEED 5/1/1998 03431 0419 81,900 Yes . Improved i SPECIAL WARRANTY DEED 3/1/1998 03387 1892 74,900 No Vacant Comparabh Sales within this SubdivisionFind Land i Method Frontage — Depth Unks — UnRsPrke - Land Value — SLOT 1 18,000,00 _- ;18,000 Building Information I # : Description A e ilt Fixtures t Base Area TotaISF (LNhgSF Ext Wal Adj Value ReplValue `Appendages —! — t _ 1 SINGSIMILE 1998 6 1, 1,680 1,292 CB/STUCCO $86,777 $92,810 TDestr ttbn-I AreaFINISH Scanned by CarnScanner Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FL 32807 407) 278-7788 800) 337-3361 Fax JasperRoof.com infoO,jasperinc.orgy HS:t AN m Account Manager Contact # Lib -7—S 5 Insurance Company Information J AS P E R Company Policy # %% Q -{ j`. Jasper 1—f.com Claim # e"' E fE ° ` 1 `s Contractor's License # CCC1329651 ROOF REPLACEMENT CONTRACT Mort a e Company Information Company Loan Number Owner(s): d A 1 , Phone: Address:WO' n : i—LState: Alt Phone: City: ! z n 0 Zi code: Shi I C for Email: Roof RCV amount: 6800.00 Drip Edge Color: 1t -t3 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. Jn 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 list id above. Deductible: $ MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX ffier(s), MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for Mortga o. Jasper on matters including, but not limited to, the claim and draw status. PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: i) Deposit in the amount $ upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's in 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 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 cii7on in accordance with its terms. l3 - =i A "thori Jasper epresen tive Date er Date TE 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 estimaTsmXt an o additional . damage is discovered after Florida Building Code Online . s ne& e •. DeparlmntjMID PICS It Surdiarge I Slats & Fa ProductP1tt Approval ser Regulation AVZ Pdge l ,of 2 Prnouct Aoamval Menu >ProtluctorApyllcationSearth > Aoollkation List > Application Detail FL # FL3794-R4 Application Type Affirmation Code Version 2010 Application Status Comments Archived Product Manufacturer Address/Phone/Emali Authorized Signature Technical Representative Address/Phone/Emall 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 Approved re. ifQi t° AtI0Tj4r8 ',egi:rt. Rtid(v ts." ,CpSy crRa "S 1,440 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 Miaml-Dade BCCO - VAL Standard Mlaml-Dade TAS 100 (A) Year 1995 l1 !dflrrq t7at tr.re arc llJ change. I WE (IVv Florida I.ricir !r Ca::e :vhkt affcC'r nth, product(s) and rarJGru;,,•;,t(- } 5.;+ in c,)nipIjzjlj,:@ u'ittt the ncVY Fitznda zoic .rc C: ic. http://www.floridabuilding-OrgIPr/pr app dtl.aspx?varam=wCTF.Vxolvtnn,'Fcvr)hV ..--(,ST . SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade 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 their jurisdiction. BNCreservestherighttorevokethisacceptance, if it is determined by Miami -Dade County Product ControlSectionthatthisproductormaterialfailstomeettherequirementsoftheapplicablebuildingcode. 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 -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been 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 complywithanysectionofthisNOA,shallbe cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed bytheexpirationdatemaybedisplayedinadvertisingliterature. If any portion of the NOA 1s displayed, then it shallbedoneinitsentirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributorsandshallbeavailableforinspectionatthejobsiteattherequestoftheBuilding,Official. This renews NOA# 06-0501,.11 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. M1AMhDADECOUNTY NOA No.: 1I-0602.02 Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 1 of 4 MIAMI•DIADE MIIAMI-DARE COUNTY 13UILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION PRODUCT CONTROL SECTION 11505 SW 26 Street, Room 208 Miatni, Florida 331 75-24 74 NOTICE W ACCEPTANCE (NOL) T(786)315-2590 F(78G)315-2599 Lomanco, Inc tvwtiv miamidade go,,Pouildin/ 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 has been reviewed and accepted by Miami -Dade 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 their jurisdiction. BNCreservestherighttorevokethisacceptance, if it is determined by Miami -Dade County Product ControlSectionthatthisproductormaterialfailstomeettherequirementsoftheapplicablebuildingcode. 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 -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been 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 complywithanysectionofthisNOA,shallbe cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed bytheexpirationdatemaybedisplayedinadvertisingliterature. If any portion of the NOA 1s displayed, then it shallbedoneinitsentirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributorsandshallbeavailableforinspectionatthejobsiteattherequestoftheBuilding,Official. This renews NOA# 06-0501,.11 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. M1AMhDADECOUNTY NOA No.: 1I-0602.02 Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 1 of 4 GOOFING C=OMPONENT APPROVAL Categ°a RoofingSub-Cateeorv- Ventilation Material: - Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test ProductProductDimensionsSpecificationDes 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 Agency/Identifier Name Report Date PRI' Asphalt Technologies, Inc. TAS 100(A) LOM -011-02-01 04/05/06 Miaruousnecourrrr NOA No.: 11-0602.02 Expiration Date: 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 sheathing boards. Using marked position as center point, scribe a circle that is the same diameter astheventthroatopening. Starting with the drill hole cut vent hole. Installation: Vents should be evenly spaced on the rear slope of the roof. Remove roofing 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 atcomers, and approx. 4" o.c. 1" from the outside edge of the flange and 1" from stack every 45° with approved roofing nails, keeping heads of nails tinder shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingaminimumof %2". See details drawings herein. Seal all seams and nails with roofing cement. Net Free Area: Refer to manufacturers published literature 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. x 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 t QkM— EtowVTY NOA No.: 11-0602.02MljznnwwExpirationDate: 08/17/16 Approval Date: 08/17/11 Page 3 of 4 DETAIL DRAWINGS 135 Roof Vent, Lomancool 2000 Power Vent PART ¢ i ITEM I REQ I 0ESCFVPT10N I MATEP,IAL mAT wr 00-501 t 1 0041E 032±.0025 X 28 50 X 28,50 5005-0 AL i. c# 0201-502 7. 1 BASE 0391,007.5 X 70 X 13 5005-0 AL t.840 0201-503 3 1 R?INSHIELD 019±.0075 X 19.'.00 X 19,50 500;,-0 AL 913# 0410-501 4 f BRACKET 16 CA. X1.270 X /.SW CALV. STEEL 12--# 07.01-507 5 1 SCREEN 02E X 5 X 41.375-8x8 MESH PERM-A-KOTE 1404000165 6 12 RIVET 3/16¢ Y 7/32 OVAL H0. AL 5405000281 7 3tiCItEW J14 X 1/2 WNW) TYPEM "AS" 7,INC PLT 911 END OF THIS ACCEPTANCE NOA No.: 11-0602.02 MIAMPDADE1411i Expiration Date: 08/17/16 Approval Date: 08/17/11 Page 4 of 4 Florida Building "Code Online, 5A sing on iRNulat an= eruct A- Uray?I Menu > Product gr AonL ation SearCII AoolicallonLee > Applieatbn Detail FL # FL3792-R6 Application Type Affirmation Code Version 2010 Application Status Approvedpproved 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 Page 1 of 3 Vttri9i74MRePt7},ROOF,'tlJC..1.5iO.JfS',-c'JYy(f'FTQ8P3j Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501)982-6511 acarter@lamanco.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 BCCO - VAL tandard Miami -Dade TAS 100 (A) Year 1995 • 1 rtriiro, :qd:: ter_ JI' mC G,:ic .v ':-l ::.1'r =^ ng 7!? i1%e 11t-':; FI; •':. i. Groauct' •:.lrY• p$t:dUct(j) a; l.} ltit• Cilc' nGi:• Flta7d3 http://Www.floridabuilding.Org/Pr/pr app_dtl.aspx?param=v TFvzrrj.,.r,.. City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. / (/' - %I & k ISSUE DATE: 0 d. 4 4•" I CONTRACTOR: JOB ADDRESS: 3 (02 TYPE OF WORK: __M e Post this Permit in a conspicuous place outside PROTECT FROM WEATHER Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit expires six (6) months from date of issue or last approved inspection A ROOF DR Y -IN INSPECTION IS REQ UIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavitidavit 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: Dial 855.541.2112 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 I I I 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 i------------------- Page 2 Application Number 16-00000568 Date 2/22/16 Property Address . . . . . 363 PLACID LAKE DR Parcel Number . . . . . . . 02.20.30.520-0000-0320 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 929430 Permit pin number 929430 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,hereby acknowledge that I personally inspected Roof deck nailing and/orA' Secondary water barrier work at aq -,) 4016ud La Le DC 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 d shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F igna of Contract r Date cr CoS Printed Name of Contractor License # License Type: General BuildingesidentiV Roofing Contractor or any individual certified in accordance with F68 to make such an inspection. STATE OF FLORIDA COUNTY OF SCM k1 ) U Sworn to (or affirmed) and subscribed before me this (9 day of t— 20 1 O , by who is Personally Known to me or ham Produced (type of ientification) DC_ as identification. SEAL) ignature of Notary Public tate of Florida n A Print/Type/ Stamps Name of Notary Public SAMANTHA MURRAY MY COMMISSION # FF944322 EXPIRES December 16.2019 0O1 398-0'b's FWiftNasryServiceoom Revised: February 2015 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: CQ - 4N 33-1 D 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: 5(p3 glcoi G Lay-' for . Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: K tte—O 91, 3TV_Pi; a,Nj State License Number: l Signature of License Holder: STATE OF FLORIDA COUNTY OF< -C A The foregoing instrument was acknowledged before me this qday of r4,b 200 I lv , by '`(11UrV ( % Lx, who is a personally known to me or r(who has produced p L as identification and who did (did not) take an oath. Notary Seal) RAY r "; My ' SAMANTHA oMMIssro MU 1322 EXPIRES December 16.209 O/i399-0'b3 FbndallouryS aom Rev. 08.12) n I qua CLQ Print or type name Notary Public - State of 'FCommissionNo. F Fq Q u My Commission Expires: I a