176 Rose Hill Tri; 17-3107; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
430215
a, .
Application No:
Documented Construction Value: $ 10,000
Job Address: 176 Rose Hill Trail Sanford FL 32773 Historic District: Yes No El
Parcel ID: 18-20-31-503-0000-0390 Residential0 Commercial
Type of Work: New Addition Alteration 3 Repair Demo Change of Use Move
Description of Work: reroof Owens Corning FL 10674-R12 Techwrap FL 17194-Rl 29 squares 7/12 pitch Oakridge Black
lifetime warranty
Plan Review Contact Person: Rachel Holcomb Title: admin manager
Phone: 407-278-7788 Fax: 800-337-3361 Email: permit@jasperinc.com
Property Owner Information
Michael Payne
Name Phone:
es
Street- 176 Rose Hill Trail _ Resident of property? :
y
City, State Zip*
Sanford, FL 32773
Name Jasper Contractors
Qtr.-Pt. 3203 S Conway Rd
City, State Zip: Orlando FL 32812
Name:
Contractor information
Phone:
407-278-7788
Fax: 800-337-3361
CCC1331153
State License No.:
Architect/Engineer Information
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company Mortgage Lender:
Address: 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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstruction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, welts, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FIlC 105.3 Shall be inscribed with 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
9. l
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NOTICE: In addition to the requirements of this permit, there may be: additional restrictions applicable to this property, that
I
may be
onal permits required othergQvernmental entities such,as waterfoundinthepublicrecordsofthiscounty, and there maybe additi
management districts, state,agencie.s, or federal agencies.
A'ccc'ptancc of permit is, verification that.[ will notify the owner of the property of the-rcquirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee, at the time Of Permit gubt-nittal. A copy of the executed contract is requiredinordertocalculateaplanreviewcharge, ,and will11 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 thetime the permit is issued, in
accordance, with local PrOmance. 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 AFFnmviT: Z certify that all of the foregoing.,,, information is accurate and that all Work will
be done in compliance with all applicable laws regulating construction And zoning.
Signa pre Cnvilef/Agerit
Print Owner/Agent's Name
Date
sig'ilamiv of Notary, -State of Florida 'Date
VX `C .10/23/2017
J
signature of 0ontract6r[Agent Date
vr-A- V-A K
10/23/2017
Date
ofnrnissJon 4 FF 127
M, C eM, 115:sron E xPi
t---J?h
owner/Agent i's Personally Known to Me, or Contrkt&A Me or
o ID
Produced 10 Type of 11) Produced Y F f
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building n Electrical F Mecbaftical D 'Plumbingn GasFJ RoofEl Construction
Type:. occupancy Use: Flood Zone: Total
Sq Vt of'Bldg- Min. Occupancy Load- # of Stories, New
Construction: Electric - # of Amps Plumbing - # of Fixtures, FireSprinklerPermit:
YeSE] NoF] 4 of Heads Fire ,Alarm Permit: YeSE] NoF1 APPROVALS: ZONING:
ENGINEERING: COMMENTS,:
UTILITIES:
WASTE
WATER: FIRE: BUILDING:—
Rpvi—rl-
hibe. 10. 2015 permit Application
0 ja at,C A
PAPFPm
rcr+.+o.c caowrv, ntaaaw
Parcel Information
Property Record Card
Parcel: 18-20-31-503-0000-0390
Owner. PAYNE MICHAEL
Property Address: 176 ROSE HILL TRL SANFORD, FL 32773
Parcel 18-20-31-503-0000-0390
Owner PAYNE MICHAEL
Property Address 176 ROSE HILL TRL SANFORD, FL 32773
Mailing 176 ROSE HILL TRL SANFORD, FL 32773
Subdivision Name ROSE HILL
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
C.
C)
I a
Seminole County GIS
Legal Description
LOT 39
ROSE HILL
PB 54 PGS 41 & 42
Taxes
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market
t
Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 105,940 100,076
Depreciated EXFT Value
Land Value (Market) 30,000 30.000
Land Value Ag
Just/Market Value'• 135,940 130,076
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj ! 0 10,387
P&G Adj 0 0
Assessed Value f 135,940 119,689
Tax Amount without SOH: $2,347.29
2017 Tax Bill Amount $2,347.29
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 135,940 0 135,940
Schools 135,940 0 135,940
City Sanford 135,940 0 135,940
SJWM(Saint Johns Water Management) 135,940 0 1$135,940
County Bonds 135.940 0 135,940
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 2/1/2017 08860 1856 164,000 Yes Improved
WARRANTY DEED 5/1/2000 03870 0035 98,400 Yes Improved
SPECIAL WARRANTY DEED 9/1/1998 03496 1L0 1,456,600 No Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price
LOT I 11
Building Information
Land Value
30,000.00 ( $30.000
8 - r e h unt incorrect? lick Here.
Descri tion Year BuiltP Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesjActual/Effective
http://parceldetail.scpafl.org/pa,colDetaillnfo.aspx?PID=18203150300000390
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7—
GRANT' MA`OY,-SEMTHISINSTRUMENTPREPAREDBY:
U
CIA u,]— CLERK OFLCIRCUITICOURTC OUNTY
1.& COMPTROLLER
Name: JASPER CONTRACTORS BY, 9011 P9 1416 (1P9s )
Address: 3203 S CONWAY ROAD SUITE 201 CLERK'S 4 2017107012
ORLANDO FL 32812 RECORDED 10/23/2017 12:23:31 PM
RECORDING FEES $10.00
RECORDED BY hdevore
NOTICE OF COMMENCEMENT t430 EA5
Permit Number.
Parcel ID Number. I'$ -a o-31-503-QQx --b',-40
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. CDESCRIPTIONai 5 QPROPERTY-( gal daps pGoS (e aLAron , - et anrem / r Aavailable) 2.
GENERAL DESCRIPTION OF IMPROVEMENT: RE -
ROOF 3.
OWNER INFORMATION OR LESSEE 1 ORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: l C"Q21 Qy 1 Q. 'i 1p (Rose l 5FWVCor 6 e -- 33 -1-13 Interest
in property. OWNER Fee
Simple Title Holder Of other than owner fisted above) Name: Address:
I.
CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address:
3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 SURETY (
If applicable, a copy of the payment bond is attached): Name: Address:
Amount of Bond: 6.
LENDER: Name' Phone Number. Address:
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:
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
COMMENCI WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signaturo
of Owner or Lessee, or Ownees or Lessee's (Print Name and Provide Signato TIwof ce) Augrodzed
Officed0irectodPartnerrManeged State
of t' U>\ a Countyof-
v V1 The
foregoing instrument wal acAnowledged before me this day of li 20 by -, ,
y Who Is personally known to me 0 OR Name
of person statemont who
has produced identification Vtyp, of identification produced: ANA
CHAVEZ State
ot.Florids-Notary Public e
Commission N GG 112152 My
Commiselon Explrea June
08, 2021 V -
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by CamScanner
LUMTED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 10/23/2017
Karla Almodovar, Skylar Amkraut, Rachel Holcomb
1 hereby name and appoint: Ana Chavez and/or Michelle Monsalve
an anent of: 'a` Cootractas
lame orcompany)
to be my laufiil 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:
176 rose hill trail sanford fl 32771,
scat Address)
Expiration Date for This Limited Power of Attorney:
1 /1 /2019
License Holder Name: Donald Bouchard
State License Number.. CCC1331153
Signature of License Holder.
STATE OF FLORIDA
COUNTY OF Semirrofe
The foregoing instrument was acknowledged before me this 23 day of October
200 17 , by oo«aia eouowd who is o personally known
to me or ® who has produced a as
identification and who did (did not) take an oath.
L J K
Signature
Notary Sea]) Skj L Amkraut
SKY R B AMKRAUT
Commission 0 FF 127890 e
a,
My Commission Expires
June 01, 2018 3
Rev. 08.12)
Print or type name
Notary Public - State of FL
Commission No. 127890
My Commission Expires` 6/1/2018
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380 E. Colonial Dr.
Orlando, FL 32807
Orlando,
Convoy
812
Ste. 201 • JASPER' Orlando, FL 's2812
407)278-7788
JasDdrRooI cum
800) 337-3361 Far
niari .J rrinc:ore hL Contractor's License:
CCC1329651 R C'CC'1331153
11200E ItEill..ACI,'Ml N7' CONTRAC'i'
Account Ma aecr.',—iG 1Gt 6 I4J' f U
Contact t;;
JLILil %'
Company:
Policy((: PL%2: v
Claim i`: / . D/Go Ci
Mortgage Conilanv information
Company: lle.4n4 r t4 C
Loan Number. G t Y3i5
Owntr(s): — Phone:
Ad<ttess:
I
Alt Phone:
a.
City-
S` State7.ipShingle olnr.n"
rJ -
I53 7,- l Email:
Root' RCS' Amount.` Contract Price: Drip„ • e,Co. lor Ys _
10,
0004..CC neg' does
not a rcr to n v fora full root replacement this contract giant be voidable. nce ConuauAssignmentof
Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceed. under any applicable
nnsuiance policies to Jasper Contractors, Inc. ("Jaspa"), the scope of wbich shall be limited to a Full Roof Replacement. I make this assignment and auUtormwon
ui consideration of laspet's agreement to perform services, supply materials and otherwise perform its obligauons under this 'Contract, including not
requiring full payment at the time of service i also hereby direct my insurer(s) to release any and all information requested by Jasper, or its Tepresentati.r(
s), for the direct purpose 'of obtaining actual benefits to be paid by my insurer(s) for services rendered- 1n this regard, I w-,mc my privacy riglnu. If
payment is made directly to the OwnerlAgenvinsured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles,
betterment or additional work requested by the undersigned, not covered by -insurance, must be paid by the undersigned on the day of installation. Deductible:
11 is the Owner's restxmsibility to nay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as
stated on insurer's kiss sheet (the "Loss Sltcei'), UNLESS replacement/repair o! deteriorated decking is required by code and'or aAner requests optional upgrades.
Jasper CANNOT pay, Naive, rebate, or promise to pay, waive or rebate any or all of the insurance ded le applicable to the insurance claim
for" paynnent of yxir In the event of a discrepancy. the deductible amount stated on the insure 's hss She sh overrule deductible amount disclosed.
Deductible: S bD, U !J MUST BE PAID iN FIJLI., PLUS APPLICABLE SALFS TAX (initial) NIORTCAGI AUTHORIZATION:
1. Owncrlktdxtgagnr,,°graittauthorization for Mnagage Co: to speak with Jasper tin
matters including brit not tinwed to. the claim and draw status, (initial) PAYMENT SCHEDULE Owner agrees to pay Jasper
based on the tollowmg schedule (i) Deposit in [lie amount of S ' " 1' - due upon signing' this "contract: (ii) the Contract Price, less the
ik-pasit and any applicable depreciation retained by Owner's insurer(s), plus upgrade costs, due and payable to Jasper upon: awnplction of work being
perforated: and. (iii) the remaining Contract "Price "(equal -to any applicable depreciation and+or change orders) due and payable to Jasper upon completion of
work pertbnned. In the event of a pending inspection, no more than 2% of Contract Pnce may be withheld until inspection has passed. Optional: UPGRADE
ITEM: QTY: PRIC°E: TOTAL: S Replacement Work
and Priec: Upon insurer's approval and subject to the Tema and Conditions herein, Jasper agrees to furnish all materials and provide "the
labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval- approximately within 30
days, conditions permitting Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approves) by insurance company for a full roof
replaecmcrtt Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company. FLORIDA HOMEOWNERS'
CONSTUCTION RECOVERY FUND PAYMENT, UP
TO A LIMITED AMOUNT, MAY 13E AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY
Ft ND 11' YOU LOSE MONEY ON A PROJECT PERF'ORNIFD U\'DER CONTRACT, WHERE THE
LOSS RESULTS F•RONI SPECIFIEDVIOLATION'S OF FLORIDA LAW BY A LICENSED CONTFLAC.7'OR. FOR INFORMATION
ABOUT I HE RECOVERY FUND AND FILING A CI —AIM. CONTACT THE FLORIDA CONSTRUCTION INDUSTRY
IACENSING BOARD AT TILL' FOLLOWING TELEPHONE: NUMBER AND ADDRESS: Construction Industry
licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039, (850) 487-1395 CANCELLATION: If
Owner elects to terminate the services of Jasper, Owner ,may ,do so before midnight on the third business day after
Contract is executed. Owner shall receive a full refund of all deposits. O•ner may also rescind Contract before midnight on lie third
business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied,
in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office:
1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of
cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I, Owner,
have read and understand all statements, Terms and =Conditions of the "Roof Replacement Contract" and agree that all
details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between the parties and
that any further changes or alterations to this Contract must be made in writing and agreed °upon by both parties. Each party
represents and Warrants to the other that it has the full power and hority to enter into the contract and that it is binding and
ci recahle in accordance with its terms. uthorized Jasper
Representative Date Owner rDatc Scanned by
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City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 11 40 31 001 ISSUE DATE:
CONTRACTOR:
JOB ADDRESS: I I I 001GMIIG 4
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
j}PERMIT # 310 ]
430215
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 176 Rose Hill Trail Sanford Fl 32773
STRUCTURE TYPE: D SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Ox 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: DOFF -RIDGE QRIDGE OSOFFIT OPOWERED VENT QTURBINES
SKYLIGHTS: Q YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Ox SHINGLE owens coming FL# 10674-R12
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC) **IFAPPLICABLE**
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#
0TORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0011-1I3N: FL#
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D"
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: .10/2312017
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 17-00003107 Date 10/24/17
Application pin number . . . 270042
Property Address . . . . . . 176 ROSE HILL TRL
Parcel Number . . 18.20.31.503-0000-0390
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 10000
Application desc
REROOF/SHINGLES NOC ON FILE
Owner Contractor
PAYNE, MICHAEL JASPER CONTRACTORS INC
176 ROSE HILL TRL 1690 ROBERTS BLVD
SANFORD FL 32773 STE 112
KENNESAW, GA 30144
770) 615-4269
Structure Information 000 000 REROOF/SHINGLES NOC ON FILE ---
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
r
Additional desc .
Phone Access Code 1008549
Permit pin number 1008549
Permit Fee . . . . 110.00
Issue Date . . . . 10/24/17 Valuation . . . . 10000
Expiration Date . . 4/22/18
Qty Unit Charge Per Extension
BASE FEE 40.00
10.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 70.00
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00
O1-BLDG PLAN REVIEW 30.00
O1-BLDG DCA SURCHARGE 1.65
O1-BLDG DBPR SURCHARGE 2.48
Fee summary Charged Paid Credited Due
Permit Fee Total 110.00 .00 .00 110.00
Other Fee Total 59.13 .00 .00 59.13
Grand Total 169.13 .00 .00 169.13
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00003107 Date 10/24/17
Property Address . . . . . . 176 ROSE HILL TRL
Parcel Number . . 18.20.31.503-0000-0390
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1008549
Permit pin number 1008549
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casseiberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1\ \"5 - `'-'Y
I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett
an agent of Jasper Coft r ors
e:— or C-v-Y)
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:,
Expiration Dare for This. Limited Power of Attorney:.,
License Holder Name: u. G
State License Number." =1331153
Signature of License
STATE OF FLORIDA
COUNTY OF s
The foregoing instrument was acknowledged before me this day of{/I r
200_ by who is o personally known
to me or 18 who has produced oc as
identification and who did (did not) take 4n oath.
Notary Seal)
SKYLAR 8 AMKRAUTCommision8FF127890PB'
MY Commission Expires
IIWaJ June 01. 2018
W1
Rev. 08.12)
Print. or 4* name
Notary Public - State of
Commission No.
My.Commission Expires: (A ' 1 ' 1
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City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ##: ,-1 — 09 ADDRESS: ( l L Y v<Se_,W k
I l 6 Yh U 1/1 rx 11 -AS A(N) CTF,NF,RAT._ RTTTT.nwc. RF.gMF.NTTAT. OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: ce—C ( 3 %
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE?
v
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: ` 1 k
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribedbeforeme this day of 20 by: Who
is Personally Known to me or hasoroduced (type of identificati )
as identification. S
Signature
qMtary Public State
of Fl jr a 11r ^
I ('(/ - y1////J( SKYLAR B AMKRAUT Commission #
FF 127890 Print/
Typ /Stamp Name My Commission Expires June
O1 , 2018 ofNotaryPublic , ' E0,V,'