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HomeMy WebLinkAbout216 S Bristol ClrCITY OF SANFORD T BUILDING FIRE PREVENTION PERMIT APPLICAON Application No: / (D' r Documented Construction Value: $ A d Job Address: o? 1 c S r stn i r-I Historic District: Yes No Parcel ID: ` 1 _'f yl . 5 _ D . D j b Residential X Commercial Type of Work: New Addition Alteration © Repair Demo Change of Use Move Description of Work: RE -ROOF, OCFL10674, RHINOFL15216 Plan Review Contact Person: SAMANTHA MURRAY Phone: 407-278-7788 Fax: 800-337-3361 Title: ADMIN Email: PERMIT@JASPERINC.COM Property Owner Information Name t Ly s Phone: _AC) 4- 31-1' Street: LD S . 3r1 Sta 1 (' I r' Resident of property? : City, State Zip: S--'Qn&nrd FL, 3a-t-3?2 Name JASPER CONTRACTOR Street: 5380 E COLONIAL DR City, State Zip: ORLANDO FL 32807 Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC 1329651 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 PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F13C 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised June 30, 2015 Permit Application X NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 plan review fce at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the cun'ent ICC Valuation fable in effect at the time the permit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. ONVNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. sir'nnturr of Ott•ncr%Agent hateignmureorC'ontnctnr/Agent Date Print Owmr,Agent's ,\a 1m` cIQ'It: Date CAITLYN HUGHESr4 IN CONVAISSION OF916857r 019Fnndedl:h!c: Ssi tate2Ins trancefit: Owner/ Vcrcrt7s-- PCPSOnally Kli 11 to NIC or Produced ID y 'I'ypc of ID _S )\— fmt Contractor/Agent's 'amc Signature of Nota -.State of Ptori a Date E0! c AITLYN HUGHES MISSION #iFF916857 RES: SEP 09, 2019 roc.9h Is[ Stall Insurance Contractor/Agent Is Persona y Kno%vn to Me or Produced ID ')/-_ Type of 1D 0L— BELOW IS FOR OFFICE USE ONLY Permits Required: Building Construction Type: Electrical Mechanical Plumbing Gas RoofFJ Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COA4NIENTS: Flood Zone: of Stories: Plumbing - # of fixtures of Heads Fire Alarm Permit: Yes Q No UTILITIES: FIRE: WASTE WATER: BUILDING: Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FL 32807 407) 278-7798 800) 337-3361 Fax JasperRoof.com in I60'Jaenerme.org E 12 F q I 16 a 1 Account I M:N Contact Itaddam, JASPER Insurance ( PComolcy#y Ju o•rReo.eom Claim # Contractor's L' a ' icense CCCI)29651 Mort a me Com a Information Company A6A1 N. Assi n _ """' 7O5urance Com an does nor a Pee to a • for aVfull roof re lacement this contract shall be voidable. t; meat li Insurance Benefits for the Full Roof Re lacement Only: I hereby assign any and all insurance rights• benefits and proceedsunderanyapplicableinsurancepoliciestoJasperContractors, Inc. ("Jasper) the scope of which shall be limilexl to a Full RoofmakethisassignmentandauthorizationinconsiderationofJasper's agreement to perform services, suppl} materials and otherw'e • obligations under this contract, including not requiring foil a Replacement. I all information rits equestedb ]as payment at the time of service. I also hereby direct my insurers) to release any and Yper, 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, 1 waive my privacy rights. If a endorsedovertoJasperimmediatelyuponreceipt. 1 agree that an p Ymcnt is made directly to the Owner,AgenVlnsured(s), it shall be undersigned, not covered b ins Y portion of work, deductibles, betterment or additional work requested by the Ytrance, must be paid by the undersigned on the day o, f installation Deductible: It is the Owner's res onsibilit to all Insurance Deductibles. Owners out-of-pocket ex upgrade, as slated on insurer's loss sheet, UNLESS replacemenUrepair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper pease will not exceed the deductible per CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable totheinsuranceclaimforoverrule Deductible isted aboye ent of work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall Deductible; S MUST BE PAID IN FULL, PLUS APPLi 10RTGACEAUORIZATION: I, Owner/Mortgagor, LE SALE T U Casper on matters including, but not limited to, the claim and draw status. rtzation Cor - (initial) AYMENT SCHEDULE: Owner agrees to pay Jasper based on the following schedule: t D Mortgage Co.tto speak with Pon si 8 pay • (') Deposit in the amount of 5/ _ initial) plus P Ming this contract; (ii) the Contract Price,'less the Deposit and an applicable depreciation retained due IpgradeCosts, due and payable to Jasper u e pp p by Owner's i (equal t any pe pod completion of work being performed, and, (iii) the remaining Contract Price (equal to any pplicabledepreciationand/or change orders) due and payable to Jasper upon completion of work performed. In the event of a pending ispection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTl' PRICE: Ste_ TOTAL: $te_ eplacementWorkandPrice: Upon insurer's approval and subject to the terms and conditions herein, Jasper agrees to furnish all materials idprovidethelabornecessarytoperformthefullroofreplacementwhichshalltakeplacefollowingOwner's insurance company's approval, proximatelywithin30days, conditions permitting. wner' s Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper allperformtheroofreplacementuponreceiptoffundsfromOwner's insurance company. 4NCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business day terContractisexecuted. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the irdbusinessdayafterthecontractisexecutedafternotificationfrominsurer(s) that the claim foi payment on roof contract has been nied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's rporateoffice: 1955 Vaughn Road, Suite 209, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of ncellationDOESNOTAPPLYtocontractsforemergencyhomerepairsastimeisoftheessence. Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all' ailsareacceptableandsatisfactory. I further understand that this contract constitutes the entire agreement between the parties and itanyfurterhangesoralterationstothiscontractmustbemadeinwritingandagreeduponbybothparties. Each party resentsarrants to the other that it has the fu0 power and authority to enter ioWthe contract and that it is binding and orceabecordancewithitsterms. prize asper Representative ate Owner Dat tMS AND CONDITIONS: Acceptance of Terms' I, Owner, hereby agree to retain Jasper for a full roof replacement on the terms and litions stated herein. I further agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full stothepropertyforthepurposeofstagingandcompletingallagreeduponwork. Supplemental Claims: Jasper reserves the right to file a lemental claim with Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after Scanned by'CamScanner LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 1 A l hereby name and appoint: Samantha Murray an agent of:_ Jasper Contractors Name of CanPany) to be my lawful attorney -in -fact to act forme to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option): The specific pe it and application for work located at: 1(- 5 /l S JD I Cal r- Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY O_ The foregoing instrument was ackr>.,owle ed before -me this day of204 (, by "1",I who is o personally knownd to me o who has produced y . as identification and who did (did not) take an oath. Notary Seal) BRIANA MCCLEAN My COMIAISSION M FF942986 EXPIRES December 13 2019 on >oe-o,as Rev. 08.12) Signature r [mil &_ Vf C Q Q Print or type name Notary Public -State of -PL. Commission No. I l -q Qa-ci My Commission Expires: r2 ( 3-1 G I\j THIS INSTRUMENT PREPAR D BY: Name: . C.CSpP C,Q-iC"i Address oarsU c C.ULONIAL DR ORLANDO FL 32807 111 II1 III IIIII IIIII lill illll IIII I111 i1rlkYAhJldl: 110f'Sfrr SEPIII.IOLE (`r)11ITry NOTICE OF COMMENCEMENT (, IFRi( OF F,,i 197) Ca:fj' ', , i Ut11'TR(1L.1..f_ CLERtt _,r 20161-123161 Permit Number: lir(:01tG1=1? 03111;',/iljF. I_I:ii;l_11• f'l7 3 _ KFC.Oh;I0THG FLEE; $1.i .0oParcellDNumber: , ' i (1(1/ k"f1 Fi1:C:f)I!iCC' B'( The undersigned hereby gives notice that improvement will be made to certain real ro followinginformationisprovidedInthisNoticeofCommencement. property, and in accordance with Chapter 713, Florida Statutes, tile 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) r) ' 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEES INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Nameandaddress: _Ii C- I rl11. LI f ] iTl% 1, (i f1 1rt F 7 Interestinproperty.yy in" I, - 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; 407-278-7788 5. SURETY (If applicable, a copy of the payment bond is attached): Name. Address. 6. LENDER: Name: Phone Number Amount of Bond. Address: 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: Address: Phone Number: B. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided iH Section 713.13(1)(b), Florida Statutes. Phone number. 9. 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 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 BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENTSignature or Owner or Lessee, or Ownermamma or Lessee's (Punt Name aria Provide signatory's Title/Office) AuthorizedOflScerlDuectorlPertrrorlManeger)C* State of FL SEMINOLE CountyofThe foregoing Instrument was acknowledged before me this 1- day of a C I'1 y t ,..... Who Is personally known to me OR NameofPersronmetungstetemeMwho has produced identification LI' type of identification produced: DL .; SAMANTHA MURRAY MY COMMISSION n FF94432 a EXPIRES December 16, 2016 i4o/ 39e-o•S5 FlorldaNavg ks xw Pr nvlc+-Jonnao.,. Cr-n Prol ecord CardROPERTYParcel: 07-20-31-506-0000-0710APPRAISEROwner: NAHASJOEY1F111INOI,FCOUNIY. 111.0MOA Property Address: 216 BRISTOL CIR SANFORD, FL 32773 Parcel: 07-20-31-506-0000-0710-- 1 Value Summary Property Address: 216 BRISTOL CIR ` -- ' --- 2016 Workm 1 2015 CertifiedOwner: NAHAS JOEY g I Values T ValuesMailing: 216 S BRCIR SA N FO RD, Valuation Method Cost/Market Cost/Market Fl. FL32773-7326 _ Subdivision Name: BRYNHAVEN 1ST REPLAT +I4 Number of Buildings - 1 w 1 j Tax District: SI-SANFORD i Depreciated Bldg Value - $73,389 Exemptions: 00-HOMESTEAD (2004) $' DOR Use codeW01-SINGLE FAMILY - Depreciated EXFT Value Land Value (Market) $20,000 $20,000 Land Value Ag I i Just/Market Value r» ; 93,389 ;gO,gpg uPortability Adl 1 Save Our HomesAdj $27,082 Amendment 1 Adj J Assessed Value — $66,307 - $65,846 I Tax Amount wrthout50H: $1,026.75 2015 Tax Bill Amount 633.17 Tax Estimator T^ --- Save Our Hordes Savings: $393.58 Does NOT INCLUDE Non Ad Valorem Assessments 1 FLegal Description 1 LOT 71 BRYNHAVEN 1ST REPLAT PB39PGS20& 21 Taxes _ rrTaxing Authority Assessment Value Exempt Values Taxable Value County General Fund _ `----- ---- i Schools $66, 307 $41,307 $25,000 City Sanford 66, 307 $25,000 $41,307 r ;66, 307 ;41,307 $25,000 SJWM( Saint]ohns Water Management) ;66,307 $41,307 1 $25,000 County Bonds — ;66,307 $41,307 $25 0000 Sales -- `- - Description Date eBook Page Amount - Qualified -Vac/Imp 1_ _----- _ - WARRANTYDEED - 12/1/2002 04651 1055 $93,000 Yes Improved s- SPECIAL WARRANTY DEED 5/1/1998 03431 1916 $68,300 1 No Improved CORRECTIVE DEED 10/1/1997 03313 0755 $100 No~ Improved l CERTIFICATE OF TITLE 8/1/1997 -03280 1105 $100 + No Improved WARRANTY DEED 7/1/1997 Y 03300 1325 $100 No Improved WARRANTY DEED 11/1/1989 02129 0743 I __--__ $69,100 1 Yes Improved Find Comparable Sales within this Subdivision---" ----- Land Method Frontage Depth I Unils Units Price Land Value I LOT 0 0 ,—i --- ----- --... 20,000.00 20,0 Florida Building Code Online 7;. ' s . . • y'F t l 5? acts Homc - :• ;. t•.,"tl 1 U, In User RMlstratron I Hot Topics Submd surcnartreBusines •, Professi nal ;I in Product Approval USER: Publk UserR1uulatiar ' of Stilts 8 Facts Pupb utlons FBC Starr etas srte Map tanks sca,u 2M1y1t aP--rovat t=' V > PrW utt or App r r h > Aµi. f-t— O 1 Vn_ll;l Application Detail Z90`=0'' E, FL it FL3794-114ApplicationType Code Version Affirmation Application Status 20t0 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 acksonvllle, AR 72076 50 1) 982-651 t acarter@lomanco.com Andrew Carter acarter@lomanco.com Andrew Carter 2101 West Main Street acksonville, AR 72076 501) 982-6511 Ext 361 acarterolomanco.com Andrew Carter 2101 West Main Street acksonvllle, AR 72078 501) 982-6511 Ext 361 acarter@lomanco.com Roofing Roofing Accessories that are an Integral Part of theRoofingSystem Certification Mark or Usting Miami -Dade BCCO - CER Miami -Dade BCCO - VAL 5APndar Mlartll-Dade TAS 100 (A) Year 1995 http:H'vww.'oridabuilding,org/pr/pr_app dtl.aspx?param=wCTFVX(l,x,rn„.L.p.1),,v_.._.,,,,r . BUILDING AND NEIGHBORHOOD COMPLIANCE DFPARTIMENT (BNC) 130ARD AND CODE .ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE w, anc. 2101 West main Street Jacksonville, AR 72076 OA M1A,tI-DADS (.'O(r;7•p• PROD11C' T C.'pN t7tOL SH;CI"JON 11305 SW 26 Street, Rown 20,3 Miami. Florida.13175-2474 1,(786) 315-2590 F (7R6) 315-25 1" www.tniamiJ„dr. ovlbnildi / SCOPE: This NOA is being issued under the applicable rules and regulations governingThedocumentation submitted has been reviewed and accepted by Miami -Dade County BNC - pro g the use of construction materials. Section to be used in Miami Dade County and other areas where allowed by the Authority I la%,, ANJ), duct Control g Jurisdiction This NOA shall not be valid After the expiration date stated below. The Miatni-Dade CotlntSection (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Count reserve have this product or material tested for quality assurance purposes. If this product or County) y Product Control in the accepted manner, the manufacturer will incur the expense of such testingy) erve the right to immediately revoke, may moditat fails the A performfy, or suspend the use of such product or material within thir udrisd ct on. J BNCreservestftcrighttorevokethisacceptance, if it is detcrtni»ed by Miami -Dade County Product ControlSectionthattillsproductormaterialfailstomeettherequirementsoftheapplicablebuildingcThisproductisapprovedasdescribedherein, and has been designed to comply with tltc Florida 1lrol including the fli tt Vclocit Hurricane Zone of the Florida Building ode. g y BuildinggCode. S CodeDESCRIPTION: 135 Root Vent, Lomancoo12000 Power Vent LABELING: Each unit shall bear a permanent label with the manufacturers name or Ifollowing statement: "Miami -Dade County Product Control Approved", unless otherwise notelogo, city, state and RENEWAL of this NOA shall be considered after'a renewal application d herein. change in the applicable building code negatively affecting (he performance aof this producta there has been no TERMINATION of tills NOA will occur after'the expiration date or if there has beenmaterials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement ofproduct, for sales, advertising or any other purposes shall automatically terminate as 1 rev tston of- change in the with any section of this NOA shall be cause for termination and removal of NOA, any s NOA. Failure to comply ADVERTISENIENT: The NOA number preceded by the words Miami -Dade County, Florida,the expiration date may be displayed in advertising literature. if any portion of t11e NOA is displayed, be done in its entirely, y and followed by P yeti, then it shall INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturerandshallbeavailableforinsectionatthe •ob site at the request of the Building P J q or its distributors This renews NOA# 06-0501.11 and consists of pages I through 4. b Official. The submitted documentation was reviewed by Alex Tigera. V APPROVED .- NOA No.: 11-0602.02 Espirntion Date: os/17/16 Approval Date: 08/17/1, Page 1 or4 ROOFING COMPONENT APPROVAL C:l te ol Sub-Catc oRoofing ryMs_ t_cr_aI, Ventilation Aluminum TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Test Product DimensionsSneciGcation135 Roof Vent, ^ Dcsc`it Lomancool 2000 Power x 28.5 TAS 100 Powered Roof Vent, with fan and Ventthermostat with a aluminum flood. MANUFACTURING LOCATION I. Jacksonville, AR EVIDENCE SUBR'IITTED: Test A cncy/Identit: Namc BST — or It PRiAsphaltTcclnologics, Inc. Date TAS 100(A) LOM-(ll 1-02-01 04/OS/(!G t" t'rti IADE COUKry NOA No.: 1I-0002.02 Expiration Date: UK/17/IG Approval Date: 08/17/11 Page 2 of 4 APPROVED APPLICATIONS Cutout: Vent must be located 18" from ridgeline. At chosen location and centeredtworoofrafters, cut a 14'. diameter hole through shingles and between slicathin b boards. Using marked position as center point; scribe I'circle that is the same diameter astheventthroatopening. Starting with Installation: the drill hole cut vent hole. Vents should be evenly spaced on the rear slope of the roof. Remove inails slide underer shshinn fromtop row of shingles so cite flashing of the roof vent will gles. Applyapprovedroofcementaroundthecd,y Carefully slidebaseofventundershingleswitharrowfacingup. be of the hole. throat of the vent is centered over vent hole. Make sure tlae Fasten thebasetoroofdeckingcorners, andapprox. 4" o.c. l" from the outside edge of the flange and 1" from every withaslackeve45° pproved roofing nails, keeping where possible. Use a minimum of 32 nails and hallads be ofsufficient length to Penetrate throughroofsheathingaminimumof %". Sec details drawings Scat allseamsandhailswithroofingcement. herein. Net Ft' ee Area: Refer to manufacturers published literature LIMITATIONS. I • Refer to applicable building codes for required ventilation. 2- 135Roof Vcnt, Lomancool 2000 Power Vent, thermostat and wiring shall be compliaince withLomarico, Inc. published instructions, and in accordance with applicable Building Codes. installedin3• 1 Ilis acceptance is for installations over asphaltic shingle roofs only. 4. 135RoofVent, Lomancool 2000 Power Vent, shall not be installed on roof mean heights than 33 feet. eights greater 5. AllproductslistedhereinshallhaveaBuildingCodeand Rule 9B-72 of the Florida Administrative Code unlit audrnaccordancewith the Florida M16MRpWDE COUNTY NOA No.: 11- 0002.02 Expiration Datc: 08/17/16 Approval Date: 08/ 17/11 Pare 3 of4 DETAIL DRAWINGS 135 Roof Vent, Loin.'"cool 2000 Power VentVA14T Ile 11c Flop 711-N I UA 1EPIAL 0201 GONE — f .1, 1* 0201 -502 2 1 N A!:E X 2a 5r, r) 2 0 1 - !." 10.3 .11 x "D # P7 -Oun-11 lLPAINiH111-17 I-) 1-D ALr"IH.,-(ACKE T lic (ZA r 1-211' ;ALV. '-.;TEE021,1 — 50-7 REEK 02E' 5 f 41 _71-2404t10,,".^,5 12 - ,- ,El -'Erm—A—K"TE AL H'I'M-1 TY0EIm gill 4 2 A, END OF THIS ACCEPTANCE anM1AMMQM3ADEc0UNTrjm -NOA No.: 11-0602.02NmwmmmExpirationDatel. 08/17/16 Approval Date: 08/17/11 Page 4 of 4 Florida Building Code Online i aets,atne Log tn' User Registration Mot Topics Submit surchargeBusines' t rofessional t° 0Product Approval PP Of USIR: Public User ation Page I of; u stars a Facts PubllWtlon y r t1 C ,, off acts site Map Links S-c1, Cti." y- Ct-a rrvjlrelst > i'b7Q9DttsrllA^ Ssirt, > A;Zpllc t. > ADVllcltbn Detail FL # 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 Lomanco, Inc 2101 West Main Jacksonville, AR 72076 501) 982-6511 acarter@lomanco. com Andrew Carter acarter@IOManco. com Andrew Carter 2101 West Main Street Jacksonville, AR 72076 St11) 982-65I I Ext 361 acartcr@) Iomanco.com Andrew Carter 2101 West Main Street Jacksonville, AR 72078 501) 982-6511 Ext 361 acartertP4lomanco. co m Roofing Roofing Accessories that are an Integral Part of the RoofingSystemCertification Mark or Listing Miami - Dade eCCO - CER Miami - Dade BCCO • VAL Referenced Standard and Yea; (of Standard) Certified Equivalenceof Product Standards t n ar Miami - Dade TAS 100 (A) http:// w-,Vw.'Oridabuilding. org/pr/pr app_dtf-aspx?varam=w(;Fvxn.,,.T, Year 1995 City of Sanford Building & Fire Prevention Division r PERMIT NO. • CONTRACTOR: JOB ADDRESS: TYPE OF WORK: A& Post this Permit in a conspicuous p ce 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 aor ISSUE DATE: inspection Re -Roof Permit Card PROTECT FROM WEATHER A ROOF DRY -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 A idavit will not Su ice a5 an alternative to receivin a dry -in ins ection. ROOF NSPECTION TYPE ZOOF DRY -IN 41TIGATION AFFIDAVIT INAL ROOF ELLANEOUS TYPE 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: Inspections scheduled by 3:30 P.M. will be conducted thenextbusinessday. If you experience difficulty, please call 407.688.5150Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOM ATED INSPECTION SYSTEM CODES L ry In 116 tion Affadavit129 oof 1l1 Miscellaneous Notes: Miscellaneous Sheathing -Roof : 106Insulation - Roof7 19 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 ri FIRE INSPECTIONS CITY OF SANFORD407.562.2786 BUILDING & FIRE PREVENTIONBUILDINGINSPECTIONS300NPARKAVE855.541.2112 SANFORD-FL 32771DRIVEWAYS -SIDEWALK 407.688.5080 Application Number . . . 16-00000795 Date 3/14/16 Page 2 Property Address . . . . . . 216 BRISTOL CIR Parcel Number 07.20.31.506-0000-0710 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . BRYNHAVEN 1ST REPLAT Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 931782 Permit pin number 931782 Required Inspections Phone Insp Seq Ins # Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN —/—/- 1000 111 BL03 FINAL ROOF — — — L LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3 -go ' I Co I'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 klo ecific permit and application for work located at: mru m l C-t V- Address) Expiration Date for This Limited Power of Attorney: License Holder Name: M IGn A'SL' SE:i kA yrj State License Number: UX, 13 Signature of License Holder: STATE OF FLORIDA COUNTY OF Rjons \1' bu The foregoing instrument was acknowledged before me this a day of M /(YLIII, 20" (o y t Sts'Y1 Am who is personally known to me or who has produced identification and who did (did no) take an oath. gnature Notary Seal)5 jmnt+v M Print or type name BAMAN TN URRAY MY COMMISSION N FF944322 EXPIRES December 16. 2019 joh-o' b4 %nd~arysNvb. cow Rev. 08.12) Notary Public - State of Ic Commission No. IPFQLf L13aa My Commission Expires: 1.9 -7 Lo -161 as Permit #: CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit 1C- qQ-5 hereby acknowledge that I personal) inspected pectedoof deck nailing and/or iA Secondary water barrier work at a l Job Site Address) and have determined that the work 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 understandthatmakinganyfaatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofhisorherocia , duty shall constitute a misdemeanor of the second degree pursuant to Section833IN of vvkx au c ='ti Printed Name of Contractor 4 116- Date Ccc [ License # License Type: n General n Building- 4esidential oofing Contractor or any individual certified in accordance with F.S. 4 to make such an inspection. STATE OF FLORIDA COUNTY OF.i'Vl /y l p Swop to (or affirmed) and subscribed before me this - day of haProd uced 20 y c , bwho is Personally Known tomeo(type of identification) as identification. SEAL) ignature of Notary Public State of Florida rn Print/ Type/Stamp Name of Notary Public Revised: February 2015 SAIiA NHA MURRAY MY COMMISSION N FF9"322 EXPIRES Dewmbef 16. 2Q19 lt., ``' f oiwN+a• SKvlc. oar 140/139E-0'3