HomeMy WebLinkAbout214 Kelly CirE
rr
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: &
J
Documented Construction Value: $ 9_200000
Job Address: 214 KELLY CIR
Historic District: Yes No
Parcel ID: 12-20-30-511-0000-0030
Residential X Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: RE -ROOF, OCFL10674, RHINOFL15216 Plan
Review Contact Person: SAMANTHA MURRAY Title: ADMIN Phone:
407-278-7788 Fax: 800-337-3361 Email: PERMIT@JASPERINC.COM Property
Owner Information Name
CANDIE AND SEAN SHARROW Phone: 407-448-6846 Street:
214 KELLY CIR Resident
of property? : YES City,
State Zip: SANFORD FL 32773 Contractor
Information Name
JASPER CONTRACTOR Phone: 407-278-7788 Street:
5380 E COLONIAL DR Fax: 800-337-3361 City,
State Zip: ORLANDO FL 32807 State
License No • CC1-132965 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
I
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction inthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed wilh the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code Revised
June 30, 2015 Permit
Application
NOTICE: In addition to the rcquircmcnts of this permit, there may be additional restrictions applicable to this property that may befoundit, (lie public records of this county, and there may be additional pernlits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of rlorida Lien Law, FS 713.
fhe City of Sanford requires payment of a plan review fec at the time of permit submittal. A copy of the execufed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. I'hc actual construction value will be figured based on the current ICC Valuation fable in effect at the time the permit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the acttial construction value, credit will be applied to your pcmiit tees when the permit is issued.
ONVNER'S AFFIDAVIT: I certify that all of (lie foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning.
Signature nl'owll ViNgC111 Date S gntnure of Contractor/Agent Dal •
3
Print t)tirncr'Agent-s Nanm
Tint Cuntrtiwr/Agcnt`s \ me
1naulrr of Nau •-state of Florld3) Dal, Signature of Vota Stace of`Flciri a Dal
1 v
CAITLYN HUGHES CAITLYN HUGHESt.v .
0111MYCOMMISSION#FF916857 MY COMM!SSION #FF91685714\sEXPIRES- SEP 09, 2019 EXPIRES: SEP 09, 2019`°".,
1 Forded thtd';g'i 1st Sldte InSUFO C r'
8dndcd :NoLgh 1st State Insurance
tivner/ gcrrt rsona y nown to Me or Contraclor/Agent is Persona y Known to Me orIroduced1D _ "type of ID k->- Produced ID '>-— Type of ID nL
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction 'I'vpe: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Ycs No
APPROVALS: ZONING:
ENGINEERING:
MMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
w• ice, r t,:-, ,-
Jasper Contractors, ')nc.. .v r x' w
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r Aec(tun'tMane'ger._`i S,l`!`k_ 5350 E. Colcinial,Dr' J,
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Orlando` FL 32807 - •Contstct M.I -p7a'
467) 27R-77RR ,a n. , Insurance Company Inforritationa
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JasperRuf:comF x { cER' )-Policylt,,S9wD QrZy_.GaIn101<! ll'I'111 C.Irf'
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r ` Conlracinr's Lic nsc thCCC1329(+5 ri., 1 L. Mort n c Company Informatinnr.
VISA e.c'ru I :" r .
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Cympany __
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ROOF REPLACEMENTCONTRACT' =, 11i2Crujli4AA
rAddress: '
L ., "•,
07= •
4 - .r
6
2
U' / / t? 4 .
Alt Phone: Y t _' city._
Y if G Wi r
r , •,r' r
SM4 . ' • i, StZip code:' Shingle C ateolor, t, Email:
is k
I, s t_f. ` ss ; 'Roof
RCV amount:''' :+ _ ; ',:Trip Edge Color 9200.00 '' -
if wncr's Inxurrncc'Conm i adoes notagreeato pav for fullroofrmeplaceent this contract shall hevoidable^" t (,ssigumcnt iif insurance n. 'p6ts for the -Full Roof Replaciment-,Only:'1 hereby assign any and all instirance'rights, benefit's and p oceeds Ulld rally a'ppllC:lblc InSUranCe 101i Cie$ to ,laSpei Contras(. ors h)c. ("Jos er;'); the sco )e of which shall be limiicdto a Full Roof Re •Iacemcnt'? •1, , Y nuke flits assign nlent'andauthoiizatiolfinconside`ratioli `of-iasper's agreeiiient to perfo m services, supply mriterials and otherwise perform its, OI)II_L'al1011ti Illldl`r 11115 COI11r;lCI! including nut requiring' lids Paymenf •at the lime of seevkc. i also hereby direct my in`surer(s) to reicase any and ill inhxntirtjon requested li)-Ja`s er, ils,representalii'e. or,its alPiimey ftii iherdirccl''p(irpose of obtaining actual benefits to be paid by my incurer(s) Ibr iervices reridercd. in ihis`regardI 1 Ail, Vv my privacy rights.•Ifpag vent is made directly to the Own er/AgenVlnsiired(s); iI shall be' ' r xlorscd over to Jasper'imn)edjiltely upon receipt --I agree that any portion of work. deductibles, beiterimirlt or additional work requested by`the` , nndcrsigmed, not crnrorcd Ky Insurance, must be paid by the undersigned on the day of installation. . Ur(luctible: tl js theUi{ner's respnnsjbjljh• t an 611 Insurance -Deductibles: Owner's &PU-pocket expense willmol exceed the deductible. 101111l. "IS stated on insurer's loss-shecl, UNLESS repldcenient/repair of deteriorated decking' is required and/or -Owner requests optional" t ujiv,,mdcs. Jasper CANNOT pay„{v ivo, rebut or promise t(i aii'c or -rebate all -or any part"of the insurance deductible appheatile' Ile insntancc claim,fi p'ayrotent of•work. In *theevent o_f a dj,'screpancy,"(he dcductibl`e'amount stated'on ilie insurers Loss Sheet ..shall'd -" A CI rule I-)eilirctjhe+list ` i bvc. `_ t... ..q, . ).r n .• -' kr- - :, w _, 4
I)rdnrtlhte:`5 MUST BE
PAID •IN FUEL, PLUS APi!CICABLE SAI,FS TAXA SCE AUTHORIZATION: I,` Owner%Rlortgaghr,
grant authorjzatjon`for 4 'Mortgage Co! to speak witti' 1•+ I •'i+ mallers including; I)III liot Iiinited`to„the claim aiid draw slattis. ° x • { "r" , `" (i'tial) t: N kV'IFNT SCHEDULE'O{{iien.agr es io pay;IaspeF based on the following•pay schedule: (i).Deposit jn the amount of 5' .due u11n:1 ai ning Ihiskcontract; (ii) the C oil tract 4Price„less'Ilie, Dci)osiI and•any,applicable (1'epreciation rclained•by Owner's insurvi(s),-plus 120_I;1le Costs, due aildpayabletoJasperuponcomplrtjon-oi'work being pertornicd: and, fiii)atie;renaimng Gontrlet Price'(equal 'to`any 11+t lic ;Ihle'L 1cpI'
eeiation and/or change orders) •duo and•payable, to`Jasper upon,compleiioh''of work perlurnfea. •in the event of a pendingl M.,peclion, ii(i'lnorc than,24; ofContract Price may,bi: %tiithhcld until inspection has, Ipassed.-' Optional: UPGRA)G iTG41: QTY:.. ''PRiCE:-S
TOTAL: S' r (' L Repl:Icenieni, %Vork and'1'
rice:•Uptul
insurerrrs apl*dwal and subject to -the terms 5nd'conditions herein, Jasper agree furnish all materials Ines provide the IaboPnecessary to perfornillhe full
ioof'replacement which Stull take place following,Owner's jnsur- - company's approval, 1;11 1 xiniaiely within 30 dayticonditionsperinit'ting.- • J "• r { r • r r Ocr ner's'
Ihrlarution of Intent:
O{{
ver acknoivledge3 and agrees Ihnt,'upon approval by insurance company_for a full roof replacement, Jasper;: ;r' h:dl perfoni)itie <iofrcj)I ici:
Jnent upon r'eceipl offunds from O%i7iier's ilisurancecompany. C NCFEI.,I,j%-T ON if
Onncr,clects to lcrmina3c the services of:Jrsper, Owrieninav o so before: midnight on the third business clay ' 111cr Contract is caecirtcd.,Onticr`shall'rccciveafull"refund of all deposits. O{r'ner may also escind'Contract before mid`night on the ., third lusiness day after the contract is
ezecuted,nfier_notificrtlun from insurer(s) that tlic claim for payment on roof contras has be } dvnicd; in whillc`or in part. Alf,'
wrilten ntitices-'of'canccllation', rcgardlcss' of reason,'shall;be p(isthi;rked-or,del iverecil Jasper's " corp(iiihe "office: 1955 Vaughn Road, Suite
209, Kennesaw, CA 30144. CANCELLATION'EXCERTIONS: Uefthree-(3)'day right of.#. Cancelkitio'WISO FS iN61. AI'PLl' tocontractsf(ir emergency Home rcpiiirs'as chile is of the essence. 1. (ht Tier• have ercrid amd understand All,
siatemcnis, -terms anil'.coriilitioris of 1b' "Roof, Repldcement Contract" and agree Atli all )- le6ilsyare atcceptZle : nd saiisfacion•. I further understand thai
this contract eotistilules the entire agree'dent bchveen the parties and' ti that(;} further• b:ingc's-or :ilicraiion'Vto
this conlrsct must be made in writing BAil-agrced upon by boWparties.-EaehparTN' represcnls and.{V! rants'to the other" that
it'has'thc fnfl;poivc and authori Y u cis er 'nto thc:contra(it and+that it is -binding and C11foi!(Calilc in accordiince {vith its tc•rriti. -4 ` Aulhor' ed'Ja9p r presentative " Date_ ,._, - r" ' "4
110wner ,` . ; t Date " a T'Flt ANU CUNUITTIONS:SAcceptanc Aof Term 1.,
Orknr,'hereby agree to retain. Jasper, for a -full roof replacement on the terms-andIr coi;dilroiis stated+heron. 1'turther agree to'
pr'irvjde Jasper {vilh tlic;Scope iif Loss Report'generated•by my 0sstuer and authorize.and giant full access;odic property for'lie purpose of stagjn`
c aiid'compleiing'all aprec`d upon work. SupplementalClaims: Jasper reserves the right to.file a-t supplciucntal ,claim:u'ith Owner-s.1nsuraucr `in-
lhc,eve' i,thai"thc estimate is incorrect and/or additional °damn re is discovered- after._ Scanned by CamScanner
N 11111111 Belli 111111111111111111110 fill lull
THISIN_STRU,NI :
ft0i,,Y: Name:(,±Rr1tiC Er ,.,F t.Oi1FJT'i' LRK f=IIL,"" IT C0UP.1 Address n5380
ECOLONIALDOR1f if'TkC1t_l_E'K LANUp FL
321307 (. ENK'S
20160221a46 nLUUN_)•_I,
1.1.1 Ui/21_IZ,. NOTICE OF
COMMENCEMENT ny F_i
Permit Number:
Parcel ID
Number. The undersigned
here following informationisprovidedInt his
Naotice
rO a Commenmeni willcement, to
certain real Property, and in accordance with Chapter 713, Florida Statutes, the I. DE, SCRIPTION
OF PROPERTY: (Legal description of the property and street address if available) n 2.
GENERAL
DESCRIPTION OF IMPROVEMENT: RE -ROOF3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name andaddress: fill ('e Shr1 VV-7"e r •'1 , r , .. , i, Interest In
property: A) U Fee Simple
Title Holder (if other than owner listed above) Name Address: 4.
CONTRACTOR:
Name: JASPER CONTRACTORS Address: 5380
E COLONIAL DR ORLANDO FL 32807 Phone Number: 407-278-77$8' 5. SURETY (
If applicable, a copy of the payment bond Is attached): Address, 6.
LENDER:
Name: Address. Name:
Arnount
of
Bond: Phone Number:
7. Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as Provided by Section 713.13(1)(a)7., Florida Statutes_ Name: Addrese.
Phone
Number: 8. In
addition, Owner designates to receive
a copy of the Uenor'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 CONSIDERED IMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. state of
FL G1.. C /
L cal . n U C Slgnahne ofOwnerorLease*. or owners a La.ee'a (Pint Nam.
and ProNde Si atory'a TltlarOrlfu) uhaized OfAcerrDrectoAPab»rrMarutpr) County of
SEMINOLE The for
going instrument was acknowledged before me this day of 1_ 11 o j (, by Sr
Name of
PerWho Is personalty known to me O OR sa+rtuianp stalamaMwhohasproduced
Identification 6 type of Identification produced: DL SAMANTNA MURRA f
l,l.'IY i 1, /1 aA t .truer} . J -
NoMryz0ab"! r MY COMMISSION4FF94432? / r,or EXPIRES
December 16, 2019 WRTICCIhM—MARYANNE MORSE%.. _t o; c CLERK
CF T}1E CIHCU r'OURTANO L_ kr.w+orarysav,o.corr M i'OLLER
SEM;NU U
F R 4 rrirt°L„ MAR 08 2016sY t %
I 1: ivl f-It linnon, F/1
PROPERTY
APPRAISER
riFMINC7t t» (`.[XJN1Y {'I,Qr lf)A
Pr( Record Card
Parcel:12-20-30-511-0000-0030
Owner: SHARROW SEAN&CANDIE
Property Address: 214 KELLY CIR SANFORD, FL32773
I Parcel:12-20-30-511-0000-0030
Property Address: 214 KELLY CIR
Owner: SHARROW SEAN & CANDIE
j Mailing: 214 KELLY CIR
SANFORD, FL 32773
Subdivision Name: MONROE MEADOWS
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value $73,543 70,986
I
Depreciated EXFT Value
1 LandValue (Market) $14,000 14000 Land
Value Ag Just/
Market Value 87,
543 84,986 Portability
Adj Save
Our Homes Adj $0 0 Amendment
1 Adj $0 0 Assessed
Value $87,543 84,986 Tax
Amount without SOH: 1,729.59 2015
Tax Bill Amount 1,729.59 Tax
Esbmator ISave
Our Homes Savings: 0.00 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description — LOT
3 I
MONROE MEADOWS l
PB 46 PGS 16 & 17 I
Taxes Taxing
Authority I-
1
County General Fund Schools
City
Sanford I
SJWM(SaintJohns Water Management) County
Bonds jfl
Description , QUITCLAIM
DEED Date
4/
1/2006 CORRECTIVE
DEED f
11/
1/2001 WARRANTY
DEED QUITCLAIM
DEED 11/
1/2001 8/
1/2001 SPECIAL
WARRANTY DEED 4/1/2001 CERTIFICATE
OF TITLE 11/1/2000 WARRANTY
DEED 1/1/1996 Find
Comparabk Sales within this Subdivision — Assessment
Value Exempt Values _ Taxable Value 87,
543 0 87,543 87,
543 0 87,543 87,
543 0 87,543 87,
543 0 87,543 87,
543' 0 _ 87,543 1
Book I Page 06251
0791 0'
4245 0559 04245
0560 04144
0020 04075
0978 03951
0606 03028
1555 Amount
I Qualified Vac/Imp 60,
000 No Improved 1
100
No improved 100,
000 Yes Improved 100
No Improved 79,
000 No Improved 100
No Improved 83,
100 Yes Improved Method
Frontage Depth I Units A
Units
Price Land Value LOT --
0 0 1 514,000.00 ;14,000
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date;
1 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 thingsnecessarytothisappointmentfor (check only one option):
The specific for work located at:
street
Expiration Date for This Limited Power of Attorney:
License Holder Name:_ M, (-tl A f_G
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ac owle ed before me this day of JCviit p,) 20td by VV r1 { s ' who is personally known
to me or,'who has produced as
identification and who did (did not) take an oath.
Notary Seal)
t•' BRIANA mCCLEAN
MY COMMISSION N FF9429H
EXPIRES December 13 2019
d wn,
wr cos-o+as
Rev. 09.12)
Signature
M &_
Print or type name
Notary Public -State of P1
Commission No.
My Commission Expires:
Florida Building Code online
l•l.";qd [Z:::Ji'l;lt<< CCIS Flom" In '
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op Uscr Repislratlon t Hot Topics 5abmd SurchargeBusines
Profess&b i "1,r, PERd vApproval
111dtiO11
lJ AJ Page 1 of
7
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Stats ti Facts Pubhcattons FBC Starr'' BCfS 5rte Map links Sea«h
It r • u A•yrovet N,enu > Prutlucl or 4opLltbCn S nrch > DI 7S Pn L51 > Appfieation [)e4p
r
rrr• FL #
FL3794-R4ApplicationType
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 StandardsCertifiedBy
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 EXL361
acarteralomanco.com
Andrew Carter
2101 West Main Street
Jacksonville, AR 72078
501) 982-6511 Ext361
acarter@lomanco.com
Roofing
Roofing Accessories that are an Integral Part of theRoofingSystem
Certification Mark or LISLIng
Miami -Dade BCCO - CER
Miaml-Dade BCCO - VAl-
Spit ndard
Mianil-Dade TAS 100 (A) Year
1995
ttp://%Vww.floridabuilding.org/pr/Pr_aPP-_dti-asPx?naram=wC?RVX(hx,rnn,L.p 1),,,v.......,,r It--
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPART.VIENT (BNC) BOARD AND CODE ADMINISIRA]ION DIVISION
NOTICE Or ACCEPTANCE
Lotnatleo, Inc.
2101 West main Street
JacksonAlle, AR 72076
A
1 un u-DnD1; couvTr
PRODUCT CONTROL SECTION
1 1305 Sw 26 Street. Rodin 20,3
rv"3111'. Florida 33175-2474 1•(780) 315-
2590 F(786) 415-2599 vwtiv.tniamldnd,'• nY/
hu'id im=l SCOPE: This NOA
is
being issued tinder the applicable rules and regulations overnitt The documentation submittedhasbeenreviewedandacceptedbyMiami -Dade County BNC - Product Co g g theuseofconstructionmaterials. Section to be
used in Miami Dade County and other areas where allowed by the Authority HavingJurisdiction Control coon ThisNOA
shall
not be valid after the expiration dale stated below. The Miami -Dade Count Prod Section (In MiamiDadeCounty) and/or the AHJ (in areas other than Miami Dade County) reserve th have this productormaterialtestedforqualityassurancepurposes. If this product or material fails Product Control in
the accepted
manner, the manufacturer
will incur the expense of such testing an a right to
immediately revoke, modify,
A perform this suspend
the
use
of such product or material within their juri diet on J BNC reserves the
righttorevokethisacceptance, if it is determined by Miami -Dade County Product Control Section that thisproductormaterialfailstomeettherequirementsoftheapplicablebuildingThisproductisapprovedasdescribedherein, and has been designed including tile geHighVelocityHurricaneZoneoftheFloridaBuildingtocomplywiththeFlodadBue. ildin Code. S CodeDESCRIPTION: 135, Roof
Vent, Lomancool 2000 Pottier Vent LABELING: Each unit
shall
bear a permanent label with the manufacturer's name or to following statement: "Miami -Dade County Product Control Approved", unless Otherwise noted her go, city, state
and RENEWAL of this
NOA shall be considered after a renewal application has been filed and herein. change in
the
applicable building code negatively affecting the performance of this product. there ha, been no TERMINATION of this
NOA
will occur after the expiration date or if there has been a revision materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this
NOA. Failure to comply Or change in
the vtth any section
of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA
number preceded by the words Miami -Dade Count Flori tite expiration datemaybedisplayedinadvertisingliterature. If an Y, da, and followed by be done initsentirety. Y portion of the NOA is 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 beavailableforinspectionatthejobsiteattherequestoftheBuildingOfficial. This renews NOA# 06-0501.11 and consists of pages I through 4. The submitted documentationwasreviewedbyAlexTigera. IOA No.: 11-
0602.02 Espirution Date: 08/
17/16 Approval Date: 08/
17/1, P.19e 1
of 4
ROOFING COMPONENT APPROVALCateory
Sub-CBte nrv• Hoofing
Ma_ tee Ventilation
Aluminum
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Product Test
ProductDimonsSnecigi
135 Roof Vent, r „ x 28'5Dca&
Lomancool
2000 Power TAS 100 Powered Roof Vent, with fan and Ventthermostat
with a aluininum hood. MANUFACTURING
LOCATION I-
Jacksonville, AR EVIDENCE
SUBMITTED: Test
Az;cncy/Identifier PRI
Asphalt Technologies, Inc L
7 •
APPROYED
Name
Rc lort Date TAS
100(A) LOM-o11-02-0I 04/OS/OC YOA
No.: 11-0602.02 ExpirationDate: 08/17/IG rlpp-
vjjI Date: 08/17/11 Page
2 of 4
APPROVED APPLICATIONS
Cutout:
Vent must be located 18" from ridgelinc. At chosen location and centered betwtworoofrafters, cut a 14" diameter hole through shingles and sheathing boards.
cen
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 atcorners, and ppror. 4" o.c.
stack every 450
1" from the outside edge of the flange and I" fromwithapprovedroofingnails, keeping heads of nails tinder shingleswherepossible. Use
minimum of 32 nails and shall be of suffiant length topenetratethroughroofsheathingaminimumof %2 cieSecdetailsdrawingsherein. Seal all seams and nails with roofing cement. Net Free Area: Refer to manufacturers published literature
LIMITATIONS:
I •
Refer to applicable building codes for required ventilation. 2•
135 Roof Vcnt, Lomancool 2000 Power Vent, thermostat and whincompliancewithLomanco, Inc, published instructions, and in accordance with applicable BuildingCodes. s shall be installed in
3• Phis acceptance is for installations over asphaltic shingle roofs only. 4. 135 Roof Vent, Lomancool 2000 Power Vent, than 33 feet. shall trot be installed on roof mean heights5. All products listed herein shall have a qualityaudg s greater
BuildingCode and Rule 9B-72 of the Florida Administrative Code "' accordance with the Florida
APPROVED NOA No.: 11-0002 02
Espir,rtion Date: 08/17/16
Approval Date: 08/17/11
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No.: 11-0602.02 Expiration
Date: 08/17/16 Approval
Date: 08/17111 Page
4 of 4
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Application
Type FL3792-R6 Code
version Affirmation Application
Status 2010 Comments
Approved Archived
Product
Manufacturer Address/
Phone/Email Authorized
Signature Technical
Representative Address/
Phone/Email Quality
Assurance Representative Address/
Phone/Email Category
Subcategory
Compliance
Method Certification
Agency Validated
By Referenced
Standard and Year (of Standard) Equiv
ele
c or Product Standards Lomanco,
Inc 2101
West Main Jacksonville,
AR 72076 501)
982-6511 acarter@lomanco.
com Andrew
Carter acarter@10manco.
com Andrew
Carter 2101
West Main Street Jacksonville,
AR 72076 5
0 1) 982 6511 Ex[361 acarter@lomanco.
com Ext
Andrew
Carter 2101
West Main Street Jacksonville,
AR 72078 501)
982-6511 Ext361 acarter@lomanco.
com Roofing
Roofing
Accessories that are an Integral Part of the RoofingSystemCertification
Mark or Listing Miami -
Dade BCCO - CER Miami -
Dade BCCO - VAL St_
n ar Miaml-
Dade TAS 100 (A) http://
w.ww. floridabuilding.Org/pr/pr app_dtl.aspx?Daram=wryPvvn,,,+T.,__1,_", „ Year
199S
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. AP t?6 ISSUE DATE: O
CONTRACTOR:
JOB ADDRESS: 11TYPEOFWORK:
Post this Permit in a conspicuous place outside
PROTECT FROM WEATHERApprovedplansmustbepostedwithpermitforinspection
Leave all work uncovered until inspected
Permit expires six (6) months from date of issue or last approved inspection
A ROOF DR Y-IN INSPECTION IS REQUIRED
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit will not suffice as an alternative to receivhM a dry -in inspection
ROOF
INSPECTION TYPE
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF
ISCELLANEOUS
TYPF, REJECTED
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 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 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 111
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014
Inspection Line: 855.541.2112
FIRE INSPECTIONS
CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDI14G INSPECTIONS 300 N PARK AVE855.541.2112
SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
r Page 2ApplicationNumber16-00000695 Date 3/03/16PropertyAddress . . . . . . 214 KELLY CIR
Parcel Number . . . . . . . . 12.20.30.511-0000-0030
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . MULTIPLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 930834
Permit pin number 930834
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 #: "6
liereby acknowledge that I personally inspected
Roof deck nailing and/or [(Secondary water barrier work
at A q elu G 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
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 h ff i!:Aty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06.IrS
Signature Mf Contractor
Printed Name of Contractor
Date
Crr k3aC1055
License #
Licensb Type: General ' Building b Residential C74Oofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF SO
Sworn to (or affirmed) and subscribed before me this I day_ of Y\_-,tCk,L , 20 / , by
who•is Personally Known to me or has roduced (type of
i(Wntification) C_ as identification.
SEAL)
ignature of Notary Public
St to of Florida
4
Print/Type/Stamp Name
of Notary Public
Revised: February 2015
w
SAMANTHA MURRAY
MY COMM IS810N # FF944322
EXPIRES December 16.2019
Fwrm~s SOMM 00"
j40h
t
d
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,.
Seminole County, Winter Springs
Date:.3 - -4- I L
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:
l y K IIU Gr
Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Kj,,-0 p1_ 3;*-P fAe.tNj
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF :i/}'yt
The foregoing instrument was acknowledged before me this 7 day of rG
200 Llp , by M1UI)Qel who is personally known
to me or Pvho has produced (
identification and who did (did not) take an oath.
ignature 61
Notary Seal)
PK""; SAMANTHA MURRAY
y MY COMMISSION # FF944322
a EXPIRES December 16. 2019
14011 39E-0' 53 Fbrgarrq S rvip %n
Rev. 08.12)
5VCa0:ft CA MLA.ff
Print or type name
Notary Public - State of
Commission No. FFqq LR a c-. My
Commission Expires: (a "/ 19 (9 as,