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HomeMy WebLinkAbout133 Kaywood Drk CITY OF SANFORD D BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / tP_ 5 Documented Construction Value: S 14000.00JobAddress: 133 KAYWOOD DR, S ANFORD FL 32771ParcelID: 32-19-30-5GS-0000-0600 Historic District: Yes No Type of Work: New Addition Residential Commercial Alteration RepairEl Demo Change of DescriptionofWork: RE -ROOF OCFL10674 RHINOFL 15216 g Use Move Plan Revietiv Contact Person: SAMAN"1' — HA MURIZAY Phone: 4- 0 77, Title: ADMIN Fax' ,, 3 -3361 Email: PERMIT@JASPERINC.COM Name WENDE Property Owner Information LLSTOCKSETStreet: 133 KAYWOOD DR. Phone: City, State Zip' SAN—FORD FL 32771 Resident of property? : YES Name JASPER CONTRACTOR Contractor Information Street: 5380 E. COLONIAL DR,_ Phone: 407-278-7788 City, State Zip: QUANDO 1;L_ 7 Fax: 800-337-3361 State License No.: CCC1329651 Name: Architect/Engineer Information Street: Phone: City, St, Zip: — ,Fax: i E- mail: Bonding Company: Address: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAl1,URE TO RECORD A NOTICEOF CIOMMENCEMENT MP+,YiNCTWICEFORIMPROVEMENTSTOYOURPROPERTY. RECORDED ANDPOSTEDONTHEJOBS17'E BEFORE THE FIRST IiNSPECTI MAY RESULT IN YOUR FINANCING, CONSULT 1VITH YOUR LENDER OR AN ATTORNEY BEFORE 1CF. OFCOMMENCEMENT MUST BE COMN1F.NCEMI;NT. OlY• IF YOU INTEND TO OBTAIN ORE RECORDINGYOURNOTICE; OF Application is hereby made to obtain a permit to do the work and instalfations as indicated. rti commenced priortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofall laws r I Ccinthisjurisdiction. 1 understand that a separate permit must be secured for electrical work, y that no %vork'or installation has furnaces, boilers, heaters, tanks, and air conditioners, etc. regulating construction k, plumbing, signs, wells, pools, FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition RmIsed: June30. 20t5 (2014) Florida Building Code Pcnait Application NO: In addition to the requirements of this pernlit, there may be additional restrictions applicablefoundinthepublicrecordsofthisCounty, and there mamanagementdistricts, state agencies, or federal agencies, be additional permits required from other go enrtlethisntal entities thatmay be as afar uchAcceptance of permit is verification that I wit] notify the owner of the property of the requirements of TheCity'of Sanford requires a Florida Lien Law, FS 713. p' review charge of a plan review lee at the time st permit submittal. A copy of the executed contract is required inordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofTheactualconstructionvaluewillbefiguredbasedonthecurrent [CC Valuation Table in effect at q accordance with local ordinance. Should calculated charges figured off the executed contract exceedhthe b at the time of submittal. credit will be applied to your permit fees when the pcmtit is issued. the time the permit c issued, e. actualconstructionvalue, OWNER' S AFFIDAVIT: I certify that all of the foregoing information is accurate bedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. and that all work will Signatur r/Agcm Date ignaturc or Contractor/Agent to Print Owner/Agent's Namc /; t ' f YPrintContractor/AgcnlV" Namc 1 1 { V` n Signature ofNotary_Swte orMorida Dale Owner/ Agent is Personally Known to Me or ProducedIDTypeofIDJEVIE BERRY Commission # FF 961348 My Cnmmission Expires Februory 16, 2020 Produced ID gen . is Personall Known to Me or ProducedID 'type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Ej Electrical E] Mechanical Construction Type: Plumbing[] Gas Roof Occupancy Use: Total Sq Ft of Bldg: Flood Zone: — Min. Occupancy Load: New Construction: electric - # of Amps # of Stories: Plumbing - # of I' fixtures FireSprinklerPermit: Yes No [J # of Heads Fire Alarm Permit: Yes [I No APPROVALS: ZONING: UTILITIES: WASTE WATER: COMMENTS: ENGINEERING: FIRE: BUILDING:— Rcyise& Junc 30. 20 i 5 Permit Application II ' cROPERTYGArip" ER Prope• Ord Card Parcel: 32-19-30-SGS-0000-0600 Owner: STOCKSET W ENDELL & MA RCELLA Property Address: '133 KAYWOOD DR SA NFORD, FL 32771-8838 Parcel:32-19-30-SGS-0000-0600 - --- Value Summary Property Address: 133 KAYWOOD DR -- _ Owner: STOCKSET WENDELL & MARCELLA I 2016 Working Malling: 133 KAYWOOD DR Val., SANFORD, FL 32771-8838 I Faation Method Cost/MarketSubdivisionName; KAYWOOD REPLAY Number of Buildings 1TaxDistrict: Sl-SANFORD Exemptions: 00-HOMESTEAD (2012) ' Depreciated Bldg Value $155,389 DOR Use Code:01-SINGLE FAMILY -- - I Depreciated EXFT Value $1,400 J Land Value (Market) $33,000 1 '1 r jjJ .CS. Land ValueAg I Just/Market Value I * $189,789 Portability Adj c Save Our Homes Adj $29,261 Amendment 1 Adj Aid Value $160,528 2015 Certified Values COSt/Market 1 145,888 1,420 30,000 177,308 17 896 1 ) I 59,412 J t Sf t Tax Amount without SOH: 2015 Tax Bill Amount Tax Estimator Save Our Homes Savings: 1 *Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 60 ----- KAYWOOD REPLAT i PB 30 PGS 27 & 28 Taxes - -- - - - - --- - - - - — 2,543.37 2,179.16 364.21 I i l Taxing Authority 1 gssPssmentValue CountyGeneral Fund T '- 1 ( Exempt Values LT ^ _ y-_ Taxable Value I Schools 160,528 100,000 60, 528 City Sanford 160,528 25,000 135, 528 SJWM( SaintJohns Water Management) 160, 528 50,000 110,528 County Bonds 160, 528 50,006 110,528 160, 528 50,000 110,528 i DescriptionDam`-- SPECIAL WARRANTY Book Page i Amount I Qualfied`- Vac/Imp DEED5/1/2011 07574 0751 L SPECIAL WARRANTY DEED 3/1/2011 158, 000 No Improved t CERTIFICATE OF TITLE 07547 1164 $100 No Improved I .. WARRANTY DEED 11/ 1/1999 03763 0761 $6,000 No Improved Find Compar—'- ab 5a within thi, SubdNiyon - 1/ 1/1989 02037 0496 $131,500 Yes Improved Land-- iMethodM1y Frontage-4 Depth T LOT S Units Price Land Value Building Information 33, 000 Year BUIit_- Jasper Contractors, Inc. 5380 E. Colonial Dr. / v Orlando, FL 32807 407) 278-7788 yp-T S1 - 800) 337-3361 Fax JasperRoof.com ni(o(w as ierinc.yre SS0, JASPER A'pI USTC Jai AMC p _* • (:antractor's License N CCC1329651 Account Manager' C.,Lo Contact it-, 'sU— Insurance Company Information Company klb _A I & Policy # Q) Claim 4 r' 7` 1 79J * 9 Mort 222C Comvanv infer alion Company t.,) l! I L) Loan Number 'f <% a -r , . n '? Assignment of insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insuranceh lgltll ts' benefite and proceeds underanyapplicableinsurancepoliciestoJasperContractors, inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. 1 makethisassignmentandauthorizationinconsiderationofJasper's agreement to perform services, Supply materials and otherwise perform its obligationsunderthiscontract, including not requiring full payment at the time of service. i also hereby direct my insurer(s) to release any and allinformationrequestedbyJasper, its representative, or its attornev for the direct purpose of obtaining actual benefits to be paid by my insurers) for services rendered. In this regard, l waive my privacy rights. If payment is made directly to the Owner/Agent/ nsurcd(s), it shall be endorsedovertoJasperimmediatelyuponreceipt. 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 oi' deteriorateddecking 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 totheinsuranceclaimforpaymentofwork. in the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall overruleDeductiblelistedabove. Deductible: $ ( n( Do MIDST BE PAID IN FUI,L, PLUS APPLICABLE, SALES TAX MORTGAGE AUTHORIZATiON: 1, Owner/Mort'gagor, grantauthorization for (initial) Jasper on matters including, but not limited to, the claim and draw status. ]--—T Mortgage Co • peak with PAYMENT SCHEDULE: Owner agrees to pay Jasper basal on the following pay schedule: (i 1) (initial) upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's i duelus Upgrade Costs, due and payable to Jasper upon complctiont of work being perfbnned; an iiidie 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 morethan2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: OTY: _ PRICK: S____ and Prier: Upon insurer's approval and subject to the terms Replacement Work andconditionsherein, Jasper agrees to furnishall materiaLs and provide the ]abut neccsswy to per form doe full root replacement which shall take place following Owner's ins approximately within 30days, conditions permitting. urance company's approval, Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform theroofreplacementuponreceiptoffundsfromOwner's insurance company. CANCELLATION: if OwnerelectstoterminatetheservicesofJasper, Owner may do so before midnight on the third business day after Contract isexecuted. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business dayafterthe. contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in wholeorinpart. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 1955VaughnRoad, Suite 209, Kennesaw, GA 30144. CANCELLATION E,XCEPTiONS: The three (3) day right of cancellation DOES NOTAPPLYtocontractsforemergencyhomerepairsastimeisoftheessence. i, Owner, havereadandunderstandallstatements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptableandsatisfactory. I further understand that this contract constitutes the entire agreement between the parties and that any furtherchangesoralterationstothiscontractmusthemadeinwritingandagreeduponbybothparties. Each party represents and warrantstotheotherthatithasthefullpowerandauthoritytoenterintothecontractandthatitisbindingandenforceableinaccordancewithitsterms. 7 A thorn asper Represenuttive Date ` er TE AND CONDITIONS: AcceptanceofTerms: 1, Owner, hereby agree to retain Jasper for a full roof replacement on the lams and conditions stated herein. IfurtheragreetoprovideJasperwiththeScopeofLOSSReportgeneratedbymyinsurerandauthorizeandgrantfullaccesstothepropertyforthepurposeofstagingandcompletingallagreeduponwork. Supplemental Claims: Jasper reserves the right to file a supplemental claim with Owner's instrance in the event that the estimate is incorrect and/or additional damage is discovered after v l THIS INSTRUMENT PREPARED BYmNae:, A h1ARYAMFI[ I7QRSfAddrese5950EwLUN1ALDRORLANDOFL32807 '`Mlhlr!- E CI)UIJT r A, 86 tlf' '' 6: ur. r rh,ur;r , cnrlr'rRou_Er' CLERK'S M w CEMENT - COi D lbl) l TICE OF ( T1, MMENF:ICf)F;r1lhaCi f"E:I:S iiii,rlil Pit Permit Number: Parcel ID Number. The undersigned hereby gives notice that I followinginformationIsprovidedInthisNoticeof Commerwiole made to certain real Commencement. Property, and In accordance with Chapter 713, Florida Statutes, the 1• DESCRIPTION OF PROPERTY: (Legal description of the Property PPpertyand street address If available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF'THE Nameandaddress: LESSEE CONTRACTED FOR THE IMPROVEMENT: Interest in property: C d Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS •Nt r' Address 5380 E COLONIAL DR ORLANDO FL 32807 Phone Nu"1bef 407-278-77a8 =r 5• SURETY (If applicable, a co _ `• "y::' r 5 _ py of the payment bond is attached): Name: d3 •.. Address: • 6. LENDER: Name: 1p AmountofBond: Address: Phone Number: N 7. Persons within the State of Designated b e QM 713sonswithinFlorida St to of FloridaFa. y Owner upon whom notice or other documents may be served as provlded l ectlon Name: L J Address: Phone Number: . 1 tt. In addition, Owner designates I z 4. t ", to receive a copy of the Uenor's Notice as provided in Section 713.1 1 of is , 9. Expiration Date of Notice of Commencement ))' Florida Statutes. Phone number: _ The expiration IS 1 Y L r year from date o1 recording unless a different date is specified) prt `_; WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT T ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713,13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. r W. ell SlonatuareofOwnerLutes, or Owner's or Leeue'e Authorized OnCM/ Dirottor/pW"rjM,,g,) l lrrt Wore and Provide S1Qrtory t TrCeh llice) state of FL County of SEMINOLE The foregoing Instrument was acknowledged before me this ) day of _ (a , 20 by c SrT c tiro . Name or Person meklno ttatemer„ Who Is personally known to me 0 OR who has produced Identification A type of Identification produced: DL SAMANTHA MURRAY MY COMMISSION rr FF944322l sruneture ra EXPIRES December 16. 2019 FllServin car. LIMITED POWFR OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, SanfordSeminoleCounty, Winter Springs ' Date: I hereby name and appoint: an ac:ottt of. a `' to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option): a All permits and applications submitted by tilis contractor. The specific permit and application for work located at: Expiration Date For This Limited Power Of Attorney: r , -7 License Holder Name: State License Number: Cam" r' - ;•z : :, ,-- -. - --- -- Signature of License Holder: SPATE OF FLO IDA ' COUNTY OF. - rile foregoing instrument was acknowledged before me this --66- day of who is personally known to me/ or who has produced T! as identification and who did/did not take an oath. er ignature1ESS1EBERRY —------- ..._ I , r Commission 0 FF 96134 lera';;; fir•' MY Commission Ex it e Febroor v °y Y 16, 2020 •--------- rint or Type Name - Notary Seal) Notary Public - State of _ Commission Number FP My Commission Expires:` - T Florida Building Code Online p ' rye t , Ty'•. u{}j.:ZiwT Gam• S., QI' M1 ' t . •r•'• B^• - '!'.( cj oe15 Home . t.Pp In ' Uscr Registration a H usinessf) of Topics Submit Surcharge nal "i PrOdUCt AProfessibR + Approval USER: Public Use, e ;rulation JC:") &41'age 1 ol'2 StatS 8 Fact9 FubhcAtron FBC Star Srte M + L-. P Unks Starch WLUIIV ULU > Application Detail FL # i• tit it i2y Application Type FL3794-R4 Code Version Affirmation Application Status 2010 Comments Approved Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/ Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product StandardsCcrtiriedBy Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501) 982-6511 acarter@lomanco.com Andrew Carter acarter@lomanco.corn Andrew Carter 2101 West Main Street Jacksonville, AR 72076 501) 982-6511 Ext 361 acarter0lomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 7207,9 501) 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 - VAI. SAPndard Mlaml-Dade TAS 100 (A) Year 1995 ttp://www"oridabuilditig.org/pr/pr app.. dtl.aspx?oaram=wCrRVXrhx.tn,,,•p,.11l,v.,....r,r . MIAMI•QApE ` d:1Rldlii : : Bl1ILDINC AND NEIGHBORHOOD ('OHPLGANCF, DFPAR'1':\LENT AIJAMI-DADS COUNT•p- BOARD AND CODE ADMINISIRAPON DIVISION I'I ODUC r CCJn"rR01. Roo,,lIO,\' RNC') 11 805tiw2 G Strcct. Room 20R NOTICE OF ACCEPTANCE NOA r'°. id, ;175_2:,;, T( 7tili) z15-25J0 f (7tiO 7 j_5,) LornAlleO, InC• waw. ml:+mid„<Ir. ov/Imildim/ 2101 %lest main Street Jaticsomille, AR 7207G SCOPE: NCI Thisocu is being issued tinder the applicable rules and regulations governing Thedocumentationsubmitted has been reviewed and accepted by Miami -Dade Count B l SectiontobeusedinMiamiDadcCountyandotherareaswhereallowedbd the use B con` stnlctiolt materials. qHJ), y 1C - Product Control YAuthorityIIavingJurisdictionThis NOA shall not be valid after the expiration date stated below. The Miami -Dad Section (in Miami Dade County) and/or the AHJ (in areas other than Miami Dade C havethisproductormaterialtestedforunlitc County Product Control in the accepted manner, the manufacturer 9 ywillu incur the expense of such test,County) reserve the right to cePurposes. If this product or material fails to perform immediatelyrevoke, modify, or suspend the use of such product or material within reservestherighttorevokethisacceptance, if it is determined by Miami -Dade ng and the AHJ In1y ThisSection that this product or material fails to meet the requirements of applicable building Count uProd lion, BNC ThisproductisaadcCountyProductControlincluding approved as described herein, and has been designed to comply wills the lrida code. Cad thefIighVelocityHurricaneZoneoftheFloridaBuildingCodc. DESCRIPTION, 135 S c Roof vent, Lumancool 2000 Poser Vent LABELING: Each unit shall bear a permanent label with the manufacturer's r following statement, "Miami-Dadc County Product Control A nalnc or loco, city, state and RENEWAL, of tills NOA shall be considered after a renewal application pred' unless otherwise noted herein. change in the applicable building codc negatively affcctins the performance of this rod hasbeenfiledand there has been uo TERMINATION of this NOA will occur after the expiration dale or if there h Product. materials, use, and/or manufacture of the product or process. Misuse of tills NOA as an endorsement product, for sales, advertising or any other purposes shall automatically [hisN s been a revision or change in the withanysectionofthisNOAshallbecauseforterminationandremovalofNOAsement of any terminate this NOA. I'ailul-e to comply ADVERTISEMENT: The NOA number preceded by the words tMiami- Dade Coo he expirationdatemaybedisplayedinadvertisliterature. If anv portion of Cite NOA i County, Florida, andfollowedby be done initsentirety. ing s displayed, then it shall INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall beavailableforinspectionatthe 'ob site at the request of the Buildin I This renewsNOA# 06-0501. I 1 and consists of pages I through 4. S Official. The submitted documentation was reviewed by Alex Tigera. Wn APPROVED NOA No.. 11-0602.02 Expiration Date: 08/17/16 Approval Date: 08/ 17/11 Page 1 of 4 ROOFING COMPONENT APPROVAL Cat= ;ice Sub-('ft_ te_ n rRooting jylaa, Ventilation Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimens-t°ns Snect t Test Product 135 Roof Vent Descriq[ion Lotnancool 2000 Power " Vent MANUFACTURING LOCATION I. Jacksonvillc, AR EVIDENCE SUBMITTED: Test Agency/[dentificr PRI Asphalt Tccl)nolobics, Inc, Name TAS 100(A) TAS 100 Powered Roof Vent, with fan and thermostat with a aluminum hood. Re port Date LOM- 011-02-01 04/05/06 NOA No.: 11-0602.02 ExpirationDate: 08/17/I6 API> ro,1'11I Date: 08/17/I1 Page 2 of 4 APPROVED APPLICATIONS Cutout: Vent must be located 181, f,. ridgeline. At chosen locationtworoofrafters, cut a 14" diameter hole throe h shingles and and c sheathing and centered betweenbb Using marked position as center point; scribe a circle that is the same dia peter asInstallation: the vent throat Opening. Starting with the drill hole cut vent hole. Vents should be evenly spaced on the rear slope of the roof. Remove roofing nails liom top row of shingles so the flashing of the roof vent wslideundershingles. Apply approved roof cement around the edge of the hotCarefullyslidebaseofvent under shingles with arrow facing tll throat of the vent is centered over vent hole. Fasten the base to roof decking e 8 up. Make sort firecorners, and approx. 4" o.c. 1" from the outside edge of the flange and I" from stack every 45° with a bat where erly.4 c, ppro%,ed roofing'nails, keeping heads of nails tinder shinglesp Use a minimttnt of 32 nails and shall be of suffiPenetratethroughroofsheathingaminimumof %". ent length toci Scal all seams and nails with roofing cement. Sec details drawings herein. Net F"ce Area: Refer to manufacturers published literature LIMITATIONS: I Refer to applicable building codes for required ventilation, 2• 135 Root Vent, Lomancool 2000 Power Vent, thermostat and whincompliancewithLomanco, Inc. published instructions, and in accordance with aCodes. g shall is installed in 3. 1,111s acceptance is for installations over asphaltic shingle roofs only. applicable Building 4. 135 Roof Vent, Lomancoo12000 Power Vent, shall not be installed on roof All than 33 feet. S. products listed herein shall haveq y assurance audit in accordance with the Florida a unlit mean heights greater BuildingCodc and Rule 913-72 of the Florida Administrative Code APPROVED f VOA No.: 11-0602.02ExpirationDate: OS/17/16 Approval Datc: 08/17/11 Pagc 3 of 4 4- DETAIL DRAWINGS LI'Al'T 135 Roof Vent, Loinancool 2000 Power VentL!L-L l I (T-,MP 1120i - 0 2 U 7 H-CACKE T NET 4- UA YrrIA, X 26 I/Al 4,- L AL I'LT TEEL4: :71-,.y AL ANIC END OF THIS ACCEPTANCE r= coutTY NOA No.: ]1-0602.02 Expiration Dilte: 08/17116 Approval Datc: 08/17/11 Pacpc 4 of 4 Florida Building Code Online 1t°' a 7, = :: x' ;' V• moo. g r!,'''? 7.. •.'.', bets Mome Log In USerRBusines egiaration Mot Topes Submit Surcharge Professi( nabt Product ApprovalRecl/ (tatror I USER: Pubbc UserIl Page 1 of 3 stags a racts Publications /. FBC SI.rr BCIS S.t" Map 11nks Search Lv1ZQv t > , rJ 1 Si ,6D,Zjipn tt)1 Application DetailFL r A IIPp cation Type FL3792-R6 Code Version Affirmation APplicatlon Status 2010 Comments Approved Archived Product Manufacturer Address/Phone/Email Loman co, Inc 21ol West Main Jacksonville, AR 72076501)982-6511 Authorized Signature acarter@lomanco.com Andrew Carter Technical Representative acarter@lomanco.Com Address/Phone/Email Andrew Carter 21o1 West Main Street Jacksonville, AR 72076SO1) 982-6511 Ext 361 Quality Assurance Representative acarter@lomanco.com Address/phone/Email Andrew Carter 2101 West Main Street Jacksonville, AR 72078 S01) 982-6511 Ext 361 Category acarter@lomanco.com Subcategory Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Compliance Method Certification Agency Certification Mark or Listing Validated By Miami -Dade BCCO CER Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard Equivalence Miami -Dade TAS 100 (A) YtAr of Product StandardsCertified 1995 httP://xVj,Vty. fl1ridabuilding,or9/P6Pr_app dtl.aspx?naram=w`,Fv City of Sanford Building & Fire Prevention Division Re -Roof Permit Cardr tyPERMITNO. s ISSUE DATE: • O 31. Q0 CONTRACTOR: JOB ADDRESS: 12, 1 TYPE OF WORK: Post this Permit in a conspicuous place outside 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 PROTECT FROM WEATHER A ROOF DRY -IN INSPECTION IS REQUIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavit will not Suffice as an alternative to receiving a dry in inspection ROOF INSPECTION TYPE ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF ISCELLANEOUS TYPE VF.D WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. NOTICE IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLICRECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATEAGENCIES, 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 typeFollowtheprompts PLEASE NOTE: Insliections 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 MiscellaneousRoofDryIn116Sheathing - RoofMitigationAffadavit 106 129 Insulation -Roof 119FinalRoof111 Miscellaneous Notes: REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 FIRE INSPECTIONS 407.562.2786 CITY OF SANFORD BUILDING INSPECTIONS BUILDING & FIRE PREVENTION 855.541.2112 300 N PARK AVE DRIVEWAYS -SIDEWALK 407.688.5080 SANFORD FL 32771 Application Number . . 0985 Page 2 133PropertyAddress . • 1Date 3/31/16 KAYWOOD DR ParcelNumber32. 19.30.5GS-0000-0600 Applicationdescription . . . ROOFING APPLICATION SubdivisionName . . . . . . KAYWOOD REPLAT PropertyZoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 933986 Permit pin number 933986 Required Inspections Phone Insp Seq -- Insp# -Code Description Initials Date 10- 1000 129 BL29 MITIGATION AFFIDAVIT 10116BL15ROOFDRY -IN 1000 Ill BL03 FINAL ROOF —/—/— CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit I' hereby acknowledge that I personally inspected 9-Roof deck nailing and/or NI Secondary water barrier work at l CY'y 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 performanc his or her official duty shall constitute a misdemeanor of the second degree pursuant toSec,tion 06/ S. SWda'tufe of Contractor Printed Name of Contractor S' 1(o Date Cr(_I?)pCi(ps License # License Type: n General n Building f*esidentialXRoofing Contractor J or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF U S rn o (or and subscribed efore me this f day of , 20 by who is Personally Known to me or has n Produced (type of idcation) L I as identification. 7(SEAL) Signature of Notary Public S ate of Florida f Print/Type/Stamp Name of Notary Public Revised: February 2015 gm URRAY FF9"322 P 06 r 16.2019 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date:- 1 hereby name and appoint: Michael Watts, James Allen, Luis Rios, Scott Meixsell 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 work located at: J-1yA V Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: M rz-lk N'c S,y-w F-ij State License Number: 13 e 31 u! Signature of License Holder: STATE OF FL RIDA COUNTY O 6LQ The foregoing instrument was acknowledged before me this S day o , 200_['Lq_ by V,& & V\, slim who is personally known to me or who has produced as identification and who did (did nop take an oath. signature Notary Seal) 'aVrl 1T1" Print or type name F, SAMANTHA MURRAY Notary Public - State of MY COMMISSION # FFg44322Commission No. EXPIRES December 16, 2019 My Commission Expires: ) 71((,,, , 9d-u' Fb/daHa ryS rvk nxr Rev. 08.12)