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Home My WebLink About102 Wheatfield CirCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: r 3 / v Documented Construction Value: $ 8,300 Job Address: 102 WHEATFIELD CIR, SANFORD, FL 32771 Historic District: Yes No Q Parcel ID: 32-19-31-515-0000-0690 Residential X Commercial Type of Work: New Addition Alteration X Repair Demo Change of Use Move Description of Work: RE ROOF OWENS CORNING FL 10674-R12 RHINO FL-15216-R2 20SQ 7/12 PITCH Antique Silver Oakridge LIFETIME Plan Review Contact Person: SKYLAR AMKRAUT Phone: 407-278-7788 Fax: 800-337-3361 Name KASEIM VALENTINE Street: 102 WHEATFIELD CIR City, State Zip: SANFORD, FL 32771 Name JASPER CONTRACTORS Street: 4185 S ORLANDO DR City, State Zip: SANFORD, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Email: Property Owner Information Phone: Title: ADMIN PERMIT@JASPERINC.COM Resident of property? : YES Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 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 in this jurisdiction. 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 with the date of application and the code in effect as of that date: 5t' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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. Acceptance of permit is verification that will notify the owner of the property of the requirements of Florida Lien Law, FS 71. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT:. I certify that all of the foregoing' information is accurate and that all work will be done in compliance with a applicable laws regulating construction and zoning — -- SignatureSignature of Owner/Agent Date Print O>vner/Ag'ent's'Name Signature of Notary -State of Florida Date 12.20.17 Signatu a of.Contractor Agent Date RUDITH GOICO int Conlractor/Aent's Name OAR • U:, V:r •• r . .. ____. 3w Cornmission # FF 127890 My` Commission Expires 9._..°` June 01. 2018 Owner/ Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Irype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: 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: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS UTILITIES: WASTEWATER: FIRE: BUILDING: Revised: June 30,20.15 Permit Application 12/19/2017 SCPA Parcel View: 32-19-31-515-0000-0690 Property Record Card jParcel: 32-19-31-515-0000-0690 P Owner: VALENTINE KASIEM L & MA ROWENA scnsrxx.ecx earrv,n Property Address: 102 WHEATFIELD CIR SANFORD, FL 32771 Parcel Information Parcel 32-19-31-515-0000-0690 Owner VALENTINE KASIEM L & MA ROWENA Property Address 102 WHEATFIELD CIR SANFORD, FL 32771 Mailing 102 WHEATFIELD CIR SANFORD, FL 32771 Subdivision Name Tax District CELERY LAKES PHASE 1 S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2016) a V ' 17 95 Seminole County GIS Value Summary 2018 Working 2017 Certified Values Values Valuation Method i Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 154 147 145,294 Depreciated EXFT Value 325 338 Land Value (Market) 30,000 30,000 Land Value Ag Just/Market Value 184,472 175,632 Portability Adj Save Our Homes Adj $29,315 23,666 _ Amendment 1 Adj 0 P&G Adj 0 0 Assessed Value 155,157 151,966 Tax Amount without SOH: $2,556.44 2017 Tax Bill Amount $2,105.81 Tax Estimator Save Our Homes Savings: $450.63 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 69 CELERY LAKES PHASE 1 PB62PGS75&76 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 155,157 50,000 105,157 Schools — T — 155,157 25,000 130,157 City Sanford 155,157 50,000 105,157 SJWM(Saint Johns Water Management) 155,157 50,000 105,157 County Bonds 155,157 50,000 105,157 Sales Description Date Book Page Amount Qualified Vactimp WARRANTY DEED 3/1/2017 08877 1 1349 $214,000 Yes Improved SPECIAL WARRANTY DEED SPECIAL WARRANTY DEED 8/1/2015 1 28540 0655 $165,000 I Yes 1/1/2015 i 08404 0795 $100 1 No Improved Improved SPECIAL WARRANTY DEED 3/1/2012 07746 0244 — $97,500 No Improved CERTIFICATE OF TITLE— — — 11/1/2011 ' 07658 1707 $100 = No Improved SPECIAL WARRANTY DEED 10/1/2004 05491 1408— $167,900 i Yes Improved i Find Comparable, Land Frontage Depth Units Units Price Land ValueMethod1 _ $30,000.00 30,000 Building Information http://parceidetaii.scpafl.org/ParceiDetailinfo.aspx?PI D=32193151500000690 1 /2 Account Manager. 3 0 e 1 `4 c_el ••2 t' 53101 L. Colonial Ur. Contact tr. Lf (J 7 5 t< i h lundo. FI 12,07 —Information 3201 Canssas Rd.. Ste. 201 Company: tr ,Cki t)rl ui lo. I l 2t 1^ 'JASPER Policy-' `}. Claim # i 7FLNC:l w.5 t L: JaaperRon com Mort ace Cotnanv Information FL Contractor',, Liccnse: Ct*nP an y CCC'1329651 & CC'C'1331153 I.wn Number — ROOF Rl;l Lied',NIEN1 c•ON riz n, — i .. - — -- --------- — Phone - — 77q 7 All Phouc ttv . I. LIB Codc. Shingle Color It ! 5itaatc71 trial.. ( R(v Amount% Contract Pncc, brip Ldgc Coln. k ` t } t `I 1F. l 8,300 ys> i) nail tit of lncurancr Benefits for tilt• Pull Roof Replacement Onl): I hereby assign unyand Al rnsicaricc rights, bcmfiu find presc t unit irr. appli..thle Insurance poliv1c., to Jasper Contractors, tile. ("Jasper"), the scups of which shall be Inmled to a full ttoof ReplAcemmt 1 make tht> end rvdtwrit rtte-n in con-idac"Oun of Jasper's ugrecrnent to perforni services, supply materials and othcrw-I.e pukxm Its obtigatim-i trade this Ci)ncac:. nchttlmp not rcquinnV full payment al the time of service I also hereby direct my insurer(s) to release any and all mfirminon req—led trj JasM. or Ira eprsentau% e(0, For 'flit ci ect pu rixise tit obtaining actual benefits to be paid by my Insurer(s) for service, rendred in this rrzxd I v.ttvr my prnaxy I fhts Il p.tymcni t^ inadc ditecily to the OwneNAgaitrill surcd(s), it shall be endorsed over to Jasper immediately upon rmvpfI alter that any r.xsicin cf work, dcvluctible., hrlierincnt to additional -work requested by tide undersigned. not covered by insurance, must Ix paidiay the uF,&-.pgncd on the day of na:;Jlatiori Deduelible: It is the Owner's responsibility to nay all insurance deductibles 0%ner's out-of-pocket e7pertse will oat exceed the datuc*'tc 111 mutt, as sUled tin muncr'e loss sheet (the "Loss Sheet"), UNLESS replacemenvrcpan of deteriorated decking is raluurd by code tssdor Goner requ-b poonal upltradm Jasper CANNOT pay, waive, rebate, or prondse to pay, waive ur rebate any or all or the insurance dedtctible appirea-'Nc to the ut)r nice claret for iuyinent or t%rnk !n the event of a discrepancy, the deductible amount stated on the rnsurer's l osa Shee+ "dal,+etible inn vuntellsclos.:d- Detinctlble• Sy r^ `U• c `i MUST [IF.; PAID IN' FULL, r.Ll PPLICABLE S•ALLLS TAX 1' (laili3l? NIOR1C',AGF 11'rHORI1- i7ION: I. OvmcrJMortgagor, grantamhorirauon far / Mnrtsaz: Co. to speak wrb la ic, , u. mailers Including but not limited to. the claim and draw status vy (initial) PAYMENT 5CH€Dl. LE O:.ne agecs to p y Japer hascd on the fw olloing schedule 0) Deposit titthe amount ofS ( due upon signing this contract: Ili) the Catsnet Pr%:c le- tide Deposit and any applicable depreciation retained by Otmcr's insurer(s . plus upgrade costs, due and payable to Jasper Upon cprrr'det:on (A work ixnng performed, and, (tit) the remaining Contract Price (equal to ally apph able depreciation and -or change orders) due and paysi:ie to Jasra upkiri Completion of work performed I the event of a pending inspection, no more than 21/0 of Contract Price v be withheld unit sn has p -uo Optional: l TGRADE 11IM: pTY: _ PRiCE: TOT ALI S ffirrdgi Replacement York and Price. Uponinsurersapprotalandsubjectto 'die Terms and C ondrttons u7etn, J upa a co toall tsste:t4ts a::d pro%ide the labor necessary to perfiirm the full roof replacement Mitch shall take plate following Owner's Insurance company's altos(, apt aximstely within 30 day%. conditions permitting Owner's Declaration of Intent: Owncr acknowledges and ajces drat, upcxi approval by insurz ere ce n7my for a full roof replaccrrent, Jasper shall perfiinn the roof replacement upon receipt of funds from Owner's insiumce company FLORIDA HOMEOWNERS' CONS-'UCTIUN RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA IiONI€O%N N€RS' WIRIONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, FRE THE LOSS RESULTS FROM SPECIFIEDVIOLATIONS OF FLORIDA LANV BY A i.ICrNSED CONTR-,kCTOR. rOR itiFORMATION ABOUT TIll: RECOVERY FUND AND FILING A CLAIM, CON- AC I TH€ FLORIDA CONSTRUCTION INDUSTRY i.ICI.NSING BOARD AT THE FOLLOWING 1 ELEPI10Nt_ NL NLBER :AND ADDRESS. Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee. FL"32399-1039. 1850) 4971-139 CANCELLATION: If Owner elects to terndnate the set• -ices of Jasper, Ovvner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner tnay 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 po<tmarked-or delivered to Jasper's corporate office: 1690 Roberts Boulevard, Suite 112. Kennesaw, GA 30144. CANCELLATION FXCEPTIONS: The three (3) dos righ( 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 slid Conditions of the "Roof Replacement Contract" and oonre that all details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between thr parties and that any further changes or alterations to this Contract nttist he made in s%riting and agreed upon by b+-ith partic-. Each party represents and warrants to the other that pit Itas the full power and "authority to enter into the cant tit i binding and enforceable in accordance with its terms. F'AuthorizedJasjrerReprewntative Date Owner Scanned by CarnScanner N THIS INSTRUMENT PREPARED BY: Name: Jasper Contractors t W tr/G2 1( p Address: 5i8n F rnlnniaJ Driye Orlando, FL n2807--- NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: 'ha' t "I 6&90 GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & C13MPTROLLER BK 9044. Pq -90 (1P9s) CLERK'S 2017129431 RECORDED 12/20/2017 11:04:49 All RECORDING FEES $10.00 RECORDED BY hdevore The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. DESCRIPTION OF PBOPERTY: (Legal description of the property and street address If available) A ( acl 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address:,(2,e,, :92kkAV'r e. , ib`..\ wheak kAA ea , Saoora f'L Interest in property: OvunPr Fee Simple Title Holder (if other than owner fisted above) Name: Address: 4. CONTRACTOR: Name: Jasper Contractors Phone Number. 407-278-7788 Address: 5380 E Colonial Drive Orlando, FL 32807 5. SURETY ( if applicable, a copy of the payment bond is attached): Name: Address Amount of Bond: S. LENDER: Address: 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: Phone Number. Address: 8. In addition, Owner designates Of to receive a copy of the Lienor's Notice as provided in 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Y)a- D-P Vq 6-4,ivvc- Signahne of Owner or Lessee, or Owners or Lessee's Authorized OfficedDirectoriPartnedManager) ( Prird Name and Provide Slgnatorys Tat/Office) State of R ^ County of 5ein/oz) ` e --i The foregoing instrument was acknowledged before me this l day off E !J ,- .20 l by Name of person making statement Who Is personally (mown to me El OR who has produced identification *Otype of identification produced: 1 Is ANA CHAVEZ StatoViFlorida-Notary Public CERTIFIEDCf,vy r,cr. ,-.,...., a' += Commission i GG 112152 CLER'. ;; ri,;Cs r; =?a NalarySlgnalure U.,: syj,r ;' My Commission ExpiresAN rEr+4p' : V . June 06, 2021 ci min. iv • :. , .. 3' LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 12.20.17 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb 1 hereby name and appoint: Ana Chavez and/or Michelle Monsalve an agent of: c i"cto,s Ume of Company) to be my lawful attomey-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: 102 WHEATFIELD CIR, SANFORD, FL 32771 Sum Address) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. ceel33"S' Signature of License Holder. STATE OF FLORIDA COUNTY OF s— The foregoing instrument was acknowledged before me this 20 day of December 200 17 by oonad t who is o personally (mown to me or to who has produced oL as identification and who did (did not) take an oath. C Signature Notary Seal) l yiar AmlQaut SKLAR B AMKRAUT t""'1. 7890missionNFF12i mission Expires ne 01, 2018 Res. 08.12) Print or type name Notary Pubhc State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Srnnne.d by C,amScanner CITY OF a„ S. ORD Building & Fire Prevention Division FIRE oEPART ENT Re -Roof Permit Card PERMIT NO. I ?" 37 9400 ISSUE DATE: /010 0100 /7 CONTRACTOR: J"pev000 A^ • JOB ADDRESS:1 0 9 ev 49( cior*00 TYPE OF WORK: PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 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 Final Roof Inspection Code 111 Inspection Policy & Procedures A Final Roof Inspection is the only inspection required for Residential Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure .to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 f r City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:DATE: 12.20.17 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 102 WHEATFIELD CIR, SANFORD, FL 32771 STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: 0 OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE OWENS CORNING FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE°Fi° ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# OOTHER: FL# 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 . . . . . 17-00003740 Date 12/20/17 Property Address . . . . . . 102 WHEATFIELD CIR Parcel Number . . 32.19.31.515-0000-0690 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1020759 Permit pin number 1020759 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF _/_/_ I'1-37 b Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint. Scott Meixsell, .Tames Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of: Jasper COflOes Of cOMPMY) 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 1 1 I,o gray t i CP Streit Address) Expiration Date for This Limited Power of Attorney: — License Holder Name:'1 State License Number. ccci33"53 Signature of License Holder: STATE OF FLORIDA L COUNTY OF semamie The foregoing instrument was acknowledged before me this day of , 20flAc_f, by omw d who is o persdnally known to me or le who has produced aL as identification and who did (did not) take ap oath. Notary Seal) UVI' V l-4lU{— Print or t` name KS1<YLAR B M 1278go Notary Public -State of Cpmmission u FF Expfes Commission No. MY commissio2Q1 8 Ju ne 01 My Commission Expires:, lllll Rev. 08.12) Scanned by CamScanner