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HomeMy WebLinkAbout104 Laguna CtMAR 2 4 20CITY OF SANFORD BUILDING & FIRE PREVENTION LB"-j PERMIT APPLICATION Application No: IL -q10 Documented Construction Value: S I-lbo- 00 lob Address: l of Li 0 • Historic District: Yes NoEl Parcel ID: Q-()- Vm ocn,O ResidentialEl Commercial Type of Work: New Addition Alteration© Repair Denlo Change of Usc Move Description of Work - R E -ROOF, OCFL10674, RHINOFL15216 Plan Review Contact Person: SAMANTHA MURRAY Phone: 407-278- 7788 Fax: 800-337-3361 Title: ADMIN Email: PERMIT@JASPERINC.COM Property Owner Information Name Phone: - • C? Street: L L4 Resident of ro e C i t,, C1 }(1 -- L, p p rh — State 7.iP. 3 Contractor Information Name JASPER CONTRACTOR Phone: 407-278-7788 Strect: 5380 E COLONIAL DR _ Fax 800-337-3361 City, State Zip: ORLANDO FL 32807 Name: Street: City, St, Zip: Bonding Company: Address: State License No.: CCC 1329651 Architect/Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: WARNINGTO 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 TILE .IOB SITE BEFORE, THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C;ONI NI ENCENI ENT. 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 ora permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction, 1understandthataseparatepermitmustbesecuredforelectricalwork, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed rsith the date of application and the code in effect as of that date: 5'1' Edition (2014) Florida Building Code Itcri<ed June 31), 201 c Penntt Apphcutinn ( 0 f ti N 1 KI: In addition to the requirettlents of this permit, there ,nay be additional restrictions applicable to this property that may beinan. in the public records of this county, and there may be additional permits required from other governmental entities such ns waterrnunagcmentdistricts, state agencies, or federal agencies. Acceptance ofpermit is verification that I will tlotify 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 recltlircdinordertocalculateaplanreviewchargeandwillbeconsideredtheestitnatcdconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in ellbcl at the time the permit is issued, inaccordancewill, local ordinance. Should calculated charges figured of the executed contract exceed the actual construction value, credit will be applied to your permit tees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. ti1VA4Uuc of UaicdApcnl — S (^3—!•(ytJIC ignalurc ol'Cbrnr cltn/Agent I)1t¢ Pnnt f)ncr/Agent s Numc i% ii {'lt:l 1 Vi Y!(A Pnnl C'ontractnr lgcnt's Name Signuwre nYNnwry_Stntc nt 1•Itxula Ualc Owner/Agent is Personally Known to Me or I'rociticed ID Type of ID 3/2 3l1 , Date AESSIE BERRY Commission N FF 961348 My Commission Expires Febructy 16, 2020 Contractor/Agent is _ 1 ersona y I wn to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building,[] Electrical Mechanical Construction Type: Total Sy Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Plumbing Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # ofi Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTE WATER: BUILDING: Itcciscd Jinx 30.2015 Permit Appitcalion Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FL 32807 407) 278-7788 800) 337-3361 Fax JasperRoof, com info a jasperinc.org RWomack++@jasperinc.com VISA I liil LJ Ln JASPERJnDerR Contractor's License N CCC1329651 ROOF REPLACEMENT CONTRACT AccountManager Richard Womack Contact # -24 f)-- 9MA Insurance Company Information Company St Johns Insurance Co Policy # SJ30129049 Claim # ST15006724 Mortgage Company Information Company Midland Mortgage Loan Number 0046456726 owner( s): DAVID A & TINA HAIRE Phon321) 377-2747 Address: 104 LAGUNA CT Alt Phone:(321) 527-9868 City: SANFORD FL Izip code32773 Shingle Color: Email: wildhairep5@msn. com Roof RCV a bW:00 Drip Edge White Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds underanyapplicableinsurancepoliciestoJasperContractors, 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 perfonn 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 nay 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 listed above. Deductible: $ 1,000.00 MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for Midland Mortgage Mortgage- to speak with Jasper on matters including, but not limited to, the claim and draw status. C- - (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $ 0 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 Pri a ma}t be withheld until inspection has passed. Optional: UPGRADE ITEM: ! - WI 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. 1, 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 roust 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 accordance with its terms. 10/ 30/2015 10/30/2015 Authorized Jasper Representative Date Owner Date TERMS 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 THISNameINSTRUMENT PRE ARED BY: II 111 i Il 111 I lIII I(iIl IIII , Address: _ e i'IAR7l'{NIII: IiOit`_;! 5f_f11NnLE i:i_IIJPIT" LL:RI'. OF +' I RC AT c. lf, l ('Ol1PI P1.LCF,' C.LLf\ft'I" t 20/6031322 NOTICE OF COMMENCEMENT fz CORD';:a6FLk''11.1 Permit Number' Parcel ID Number: U The undersigned hereby gives noti that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprTldeddi'his Notice of Commencement. 1. DESCRIPTION OF PRO`t-ER : (Legal description of the property and street address if available) gut 14- AUL 7 P() 12u. ecES i 13-P 2. GENERAL D SCRIPTION OF IMPROVEMENT: T - V-uu4 3. OWNER INFORMATION OR,LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: 1611 IJ HA 1 f ( r' a4 I C1a I A hel GI (26 fd FL J3 Interest in property: nc,6 r1Q..y Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Address • SJM 5. SURETY (If applicable, a copy of the payment bond is attached): Address. 6. LENDER: Name: Address Phone Number: y p—,] - a Amount of Bond: Phone Number: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name Address. 8. In addition, Owner designates Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 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 CC 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 C. JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 9* BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 04 15 _ O,holll O . : Ur C C••JJrr Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Olricer/OirectorlPartner/Manager) v w State of L County of w The foregoing instrument was acknowledged before me this day of N\ b QV 1c 1 fit 0 L YWho is personally known to me ORName orpersonmakingslatemenllurl whohasproducedidentificationR type of identification produced: (Ax MURRAYiiSAMANTHA MY COMMISSION n FF944322 Notary Signature L z EXPIRES December 16. 2019 IIOr19 e-0'DS Florrdagota Service Wm cp ROPERTY APRAISER 8F'r.iNPCiLE COl nrtY, Fl (ipp Prc tecord Card Parcel:10-20-30-503-0400-0470 Owner: HAIRE DAVID A &TINA 3 Property Address: 104 LAGUNA CTSANFORD, FL 32773 LParcel:10-20-30-503-0400-0470 Property Address: 104 LAGUNA CT Owner: HAIRE DAVID A & TINA J Mailing: 104 LAGUNA CT SANF0RD, FL 32773-5545 Subdivision Name: HIDDEN LAKE PH 2 UNIT 1 Tax District SI-SANFORD Exemptions: 00- HOMESTEAD (2001) DOR Use Code: 01-SINGLE FAMILY — — Value Summary 2016 Workin9- TV 2015 CertifiedI Values alues I Valuation Method Cost/Market Cost/Market Number of Buildings 1 Depreciated Bldg Value 63,584 55,377 Depreciated EXFT Value 800 800 Land Value ( Market) 21,000 18,000 Land Value Ag Just/Market Value 85, 384 74,177 Portability Adj Save Our Homes Adj 23,987 13,207 Amendment 1 Adj Assessed Value 61,397 60,970 Tax Amount without SOH: $698.56 2015 Tax Bill Amount $594.90 Tax Estimator Save Our Homes Savings: $103.66 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 47 BLK 4 HIDDEN LAKE PHASE II UNIT I PB 24 PGS 15 TO 17 Taxes Taxing Authority -- — Assessment Value Values Exempt TaxableValue-- County General Fund 61,397 $36,397 ' $25,00D Schools 61, 397 $25,000 $36,397 City Sanford 61,397 $36,397 $25,000 SJWM(Saint Johns Water Management) 61,397 Y $36, 397 $ 25,000 County Bonds 61,397 $36,397 $25,000J Sales ag Description DateBookIPageTAmount — Qualified j Vac/Imp WARRANTY DEED 11/1/2000 03973 0447 99,000 Yes Improved WARRANTY DEED 7/1/1982 101406 1455 47,000 Yes l Improved WARRANTY DEED 12/1/1980 101313 1143 40,900 Yes Improved fFmd Comparable Sales within this Subdvvon Land Method Frontage Depth Units Units Price — Land Value LOT T -- 0 0 -- 1 $21,000.00 V $21, 000 ' Building Information i T — -- - Description ' Year Built — Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages l ActuaVEffectrve LIMITED POWER OF ATTORNEY Altamonte Springs, Casselbcrry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: ' U 1 hereby name and appoint: an aLent of: - Mum of Compiny) 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): a All permits and applications submitted by this contractor. zi The specific permit and application for work located at: 4 C Savo Addre«) Expiration Date For This Limited Power Of Attorney: z r r_7 License Holder Name: State License Number:.. i' ' ` Signature of License Holder: r STATE OF F'L x1DA COUNTY OF KU- File foregoing instrument was acknowledged before me this day ofL p 1(j by . (, t — who is personally known to me/ or who has produced--. as identification and who did/did not take an oath. JESSIE BERRY lgnatUre Commission N FF 961348z . '- l,aw MY Commission Expiros — MI,Nr Februory 16, 2020 -—.------ _.--- —._ .. rint or Type Name Notary Seal) Notary Public — State of Commission NumberFG My Commission L-Xpires: _—_CTU_.__._ Florida Building Code Online yv'.a.t^`'.:r n.' f ' r,-.r:at _:,'"••4ra..,r.c("4" w; N."J un",i If :. a t_ OCIS Home lop In User RegltlratkM Hot Topes Submit Surcharge i Stats d FactsBusines • fr ) Professi I I R1 +11 Product Approval 7 USER: Public User ulat(a l pf000t1' Aouruvnl N,cnu > Prtxlutt pr R I FL n Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email d Page 1 of2 Publications FISC Staff BCIS Site Map c+nks Search r + DP ca r r PCOrth > 6U.t0Fpn.jS > Application Detail 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 FL3794-R4 Affirmation 2010 Approved Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501)982.6511 acarter@lomanco.com Andrew Carter acarteripllomanco, com Andrew Carter 2101 West Main Street Jacksonville, AR 72076 501) 982-6511 Ext 361 acarterCiillomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501)982-6511 Ext361 acartert@lomanco, com Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Certification Mark or Listing Miami -Dade BCCO - CER Miami -Dade BCCo - VAL 5ILaAg.prd Mlarril-Dade TAS 100 (A) Year 199S httpi/Avww,tloridabuilding,org/pr/pr_app dtl.asox?naram=wC'TFVXfliutn„,,, ,.1>1,V....,...nr . . . . i.'iYY.H ' t BUILDING AND NEIGHBORHOOD COMPLIANCE DFPAR7:\IENT (BV(_) 130ARD AND CODE ADMINISTRATIONDIVISION NOTICE OF ACCEPTANCE (NO i - Banco, Inc. 2101 West main Street JacicsonAlle, AR 7207(, MIAMI- DADF, COUNTY PRODUC" r CONTROL SECr10,N 11305 SW 26 Streei, Room, 208 Miauu. Florida 33175-2474 1' (7R6) 315-2590 F ( 786) 315-2599 wwu'.trtt:o td,ujt' ear/t,nifdin t/ SCOPE: This NOA is being issued tinder the applicable rules and regulations governing the use of construction materials. The documentation submitted Itas beenreviewedandacceptedbyMiami -Dade County BNC - Product Control Section to be used inMiamiDadeCountyandotherareaswhereallowedbytheAuthorityIIavingJurisdictionAHJ). This NOA shall notbe valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miatni Dade County) reserve the right to have this product or materialtestedforqualityassurancepurposes. If this product or material fails to perform in the accepted manner, themanufacturerwillincurtheexpenseofsuchtestingandtheAHJmayimmediatelyrevoke, modify, or suspendtheuseofsuchproductormaterialwithintheir.'urisdiction. BNC reserves the right to revokethisacceptance, if it is determined by Miami -Dade County Product Control Section that this product ormaterialfailstomeettherequirementsoftheapplicablebuildingcode. This product is approved asdescribedherein, and has been designed to comply I with [lie Florida Buildingincluding the High Velocity HurricaneZoneoftheFloridaBuildinbCodeCodeDESCRIPTION: 135 Roof Vent, Lomancool 2000 Power Vent LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, ci following statement: "Miami -Dade CountyProductControlApproved", unless othety, state and rwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building codenegativelyaffectingtheperformanceofthisproduct. TERMINATION of this NOA will occur after the expiration dale or if there has been a revision or change in the materials, use, and/or manufacture oftheproductorprocess. Misuse of this NOA as an endorsement of any product, for sales, advertising or anyotherpurposesshallautomaticallyterminatethisNOA. Failure to comply with any section of this NOAshallbecauseforterminationandremovalofNOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayedinadvertisingliterature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspectionattheJobsiteattherequestoftheBuildingOfficial. This renews NOA# 06-0501.11 and consists of pages I through 4. The submitted documentation was reviewed byAlexTigera. APPtiOVED " NOA 1\o.: 11-0602. 02 Expiration Date: 08/17/16 Approval Date: 08/17/I1 P: lge 1 of 4 ROOFING COMPONENT APPROVAL RoofingSub-C te ory VentilationMitt ' Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Test ProductDimensionsSnect_fication Dcscriution 135 Roof Vent, 9" x 28.5" Lomancool 2000 Power Vent MANUFACTURING LOCATION 1. Jacksonvillc, AR EVIDENCE SUBMITTED: Tcst APCnCV/Idcntiticr PR1 Aspbalt Technologies, Inc APPROVED TAS 100 Powered Roof Vent, with Fan and thermostat with a aluminum hood. Name TAS 100(A) R_ enort Date LOM-011-02-01 04/05/06 VOA 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 betweenhvoroofrafters, 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. lnstali;ltion: Vents should be evenly spaced on the rear slope of the roof. Remove roofing nails from top row of shingles so the !lashing of the roof vent willslideundershingles. Apply approved roof cement around the edge of the hole. Carefully slide base of vent under shingles with arrow facing up. Make sure thethroatoftheventiscenteredoverventhole. Fasten the base to roof decking atcorners, and approx. 4" o.c. 1" from the outside edge of the flange and I" fromstackevery451withapprovedroofingnails, keeping heads of nails under shingleswherepossible. Use a minimum of 32 nails and shall be of sufficient length topenetratethroughroofsheathingaminimumof %,". See details drawings herein. Scal all scams and nails with roofing cement. Net Free Area: Refer to manufacturers published literature LIMITATIONS: 1 - Refer to applicable building codes for required ventilation. 2. 135 Roof Vent, Lomancool 2000 Power Vent, thermostat and wiring shall be installed incompliancewithLomanco, Inc. published instructions, and inCodes. accordance with applicable Building 3. 1'Iris 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 tile; FloridaBuildingCodeandRule9B-72 of the Florida Administrative Code MIAMI pgpE COUNTY VOA No.: 11-0602.02 Expiration Date: 08/17/16 Approval Date: 08/17/11 Pace 3 of 4 j; 11 DETAIL DRAWINGS 135 Roof Vent, Lomancool 2000 Power Vent PART PJA TErl A,. V k t! Al rI X 2a 0-52t. nr.2E X X 3.3NO2--rAL 4' 4 IALH- 4ACKCT e ( ZA ,ALVSTEEL '95. ',REEK , E . EI ER% lirAL H'4" fl IYODA "A' 4" ANA'. I-C T A X V END OF THIS ACCEPTANCE mukmk) A0r=C0UN'ry= 40A No.: 11-0602.02 NEW Expiration Date: 08/17/ 16 Approval Date: 09/17/11 Page 4 of 4 e. Florida Building Code Online s 09 User Rrolstotbn Hot TOPrcY $uDmlt SwchxgeBusines &':, , Professional ) Product: Public Approval Regulation Page I of 3 scats a r+ct> PuDOGtions FpC Staff OCtS Srtw MaD Unt S_'tn t _ Ptt L v l'-et151 > I'SISIQADRLSrftQnSSd(tli a ;1Pi Lrt C,}5 > Ap Pllcatlon Detail FL Application Type FL3792 R6 y rr 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 or Product StandardsCertifiedBy Lomanco, Inc 2101 west Main Jacksonville, AR 72076 501)982-6511 acarter@lomanco.com Andrew Carter acarter@10manco.com Andrew Carter 2101 west Plain Street Jacksonville, AR 72076 501) 982-6511 Ext361 acarter@lomanco, com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501) 982-6511 Ext 361 acarter@10manco.com Roofing Roofing Accessories that are an Integral Part or theRoofingSystem Certification Mark or Listing Miami -Dade BCCO - CER Miami -Dade BCCO - VAL Standard Miami -Dade TAS 100 (A) http:llwww.floridabuilding.org/pr/pr app_dtl.aspx?param=wC,Fvvn.,,.r-%--t-_r„ _ Year 1995 n cu, City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. CONTRACTOR: JOB ADDRESS: TYPE OF WORK: too "q"a C-f- 00 ISSUE DATE: 3 % 2 Al, /b Post this Permit in a conspicuous place outside U I 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 pennit is issued. The Mitigation Affidavit will not suffice as an alternative to receiving a dry -in inspection ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: October 2014 Inspection Line 855.541.2112 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 11.1 PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof III Miscellaneous Notes: Miscellaneous Sheathing - Roof 106 Insulation - Roof 119 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Application Number . . . . . 16-00000916 Date 3/24/16 Application pin number . . . 532348 Property Address . . . . . . 104 LAGUNA CT Parcel Number . . . . . . . . 10.20.30.503-0400-0470 Application type description ROOFING APPLICATION Subdivision Name . . . . . . HIDDEN LAKE PHASE 2 UNIT 1 Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 6400 S---------------------------- Application desc noc on file - reroof Owner Contractor DAVID HAIRE JASPER CONTRACTORS 104 LAGUNA CT 1955 VAUGHN RD NW SUITE 209 SANFORD FL 32773 KENNESAW, GA 30144 407) 321-8395 (407) 278-7788 Structure Information 000 000 REROOF --- Roof Type . . . . . . . . . ASPHALT SHINGLE Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 933432 Permit pin number 933432 Permit Fee . . . . 89.00 Issue Date . . . . 3/24/16 Valuation . . . . 6400 Expiration Date . . 9/20/16 Qty Unit Charge Per Extension BASE FEE 40.00 7.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 49.00 Special Notes and Comments All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Normal hours for inspections are from 7:30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407.688.5058 or at dave.aldrich@sanfordfl.gov Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00 01-BLDG PLAN REVIEW 21.00 01-BLDG DCA SURCHARGE 2.70 01-BLDG DBPR SURCHARGE 2.70 Fee summary Charged Paid Credited Due Permit Fee Total 89.00 .00 .00 89.00 Other Fee Total 51.40 .00 .00 51.40 Grand Total 140.40 .00 .00 140.40 Oper: ANTONINIL Type: OC Drawer: 1 Date: 3/24/16 02 Receipt no: %492 2016 916 BP BUILDING PERMIT RECEIPTS 1.00 $140.40 CC CREDIT CARD $140.40 Total tendered $140.40 Total payment $140.40 Trans date: 3/24/16 Time: 16:10:55 FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. 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 . . . . . 16-00000916 Date 3/24/16 Property Address . . . . . . 104 LAGUNA CT Parcel Number . . . . . . . . 10.20.30.503-0400-0470 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . HIDDEN LAKE PHASE 2 UNIT 1 Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 933432 Permit pin number 933432 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 CITY OF SANFORD One Time Credit Card Payment Authorization Form Sign and complete this form to authorize City of Sanford to make a one time debit to your credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account. Please complete the information below: 1 Brian Wedding authorize the CiLy of Sanford charge my credit card full name) account indicated below for on or after 3/24/16 This payment is for amount) Y ( date) 10-20-30-503-0400-0470 address or parcel to Billing Address 125 N Weinbach Ave Suite_810 City, State, Zip Evansville, IN 47711 Phone"; 770-701-2731 Email eprmit@Jasperinc.com Account Type: g Visa MasterCard AMEX Discover Cardholder Name Brian Weddin Account Number 4802138567481999 Expiration Date 8118 CCV 493 Billing Zipcode 47711 SIGNATURE DATE I authorize the above named business to charge Ihu rredd card indicated io [his aulltoritalioo form according to the terms ouilinud above. This payment authorization is for the tloodsl services rlescuberl above, for the amount indicunted above only, and is valid for one time use only. I certify that I am an aulhontcu user of this cf(At crud kind Ihal I wnll not dispute the payment with my credit card company. so long as the transaction correspond-, to tho lemis rnocoied in this form