129 Wornall Dr - BR18-002650 - REROOFCITY OF SANFORD
IJUN 11 2018 : ' BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 14,100
Job Address: 129 WORNALL DR SANFORD, FL 32771 Historic District: Yes No El
Parcel ID• 33-19-30-514-0000-0150 Residential x Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: Re Roof Owens Corning FL 10674-R13 Rhino 15216-R3 Techwrap 17194-R2 31 SQ 7/12 Pitch Driftwood
Oakridge LIFETIME Plan
Review Contact Person: Skylar Amkraut Phone:
407-278-7788 Title:
Admin Fax:
800-337-3361 Email: Permit@Jasperinc.com Property
Owner Information Name
David Finley Phone: 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:
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. 1 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: 51" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application 29 D ( 3
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 I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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 all applicable laws regulating construction and zoning. -
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary-Stnte of Florida Date
06/11/18
Signs re of ContrTeT&TAgent Date
Rudith Goico
A14A CHAWZ
State of Florida -Notary Publ
Commission ff GG 112152
My Commission Expires
June 06.2021
Owner/Agent is Personally Known to Me or Contractor/AgeV/_,_Type
Personally Known to Me or
Produced ID Type of ID Produced ID of 1D `_
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: Junc 30, 2015 Pcrmit Application
THIS MSTRUMENT PREPARED BY:
Name: JASPER CONTRACTORS Ana Chavez
Addfessl 4185 FOR
3
DR
AR p. FCS73 NOTICE
OFFCOMMENCEMENT PwmIt
Number. Parcel
iD Number. 3 1 1 0 T1D
10 1 1 >F a rotlteIhet EmpovsmCN wd0 bO ma0s to oeAdn mw p opwtp. end in aoomdaneswdDf ChWw 71& FftfW StahAm tM toOovAngtntomr4WN "9I; CO to- Noeca orCaNaruemoemem- 1.
DES gl!jr OF PROPERTY: 00 Onaipeon 0100 p openy tmd trod etlMSS d •stud) 2
GENERAL. DESCRIPTION OF OIWROVEMENT: Re -
Roof -- OWNER
INFORMATION OR LESSEE INFORMATION 1/ THE L,EMECONTRACTED FOR THE9"VtOVENENR Memo
and address: David Finley 129 Wornall Dr Sanford FL 32771 _ bAuest
In plepady OYIMER - Fee,
Simple TWw HoWar of o0w Oren ewna NOW a Namrti 4.
CONTRACTOR: Ate:
4185 FL Plans
mffdw: 407-278-7788 6
SURETY Of appOeabto. a copy M thePROM bond is aMoehed) I Waeree Adatvss
Amount dBorrd: S.
LENDER: Phone Number. 7.
Parsons vrlldn ow Stateof FbMft DesIgnated by OwnerUpo/1 whomnotlae OrCUM dOCUMOM on be ssl" ss pwelead by 3*Cdon 713.
13(1xa)7., FlorMa Mabrles. IL
In adtMb% Owner 011300M or to
relRWe a copy of the LLsma'i Notice as pOAted in Sefto 713 13(1)00), FWrWo Statutes. Phone number. s.
EVftoon Date or Naf a Of CwwwMevW$ (The w0a0on Is 1 pear ban dab of towdbW udw a dl wwd date Is s"alled) ANY
PAYMENT'SMADE BY 7W OMER AFTER TILE EXPIRATION OF TW NOTICE OF COMENCEMENT ARE CO
OERED WpROPER PATMewlt3 UlaOER CNADTER 713. PART 1. SECTION 71113. FLORIDA STATUTES, AND CAN RESULT PI YOUR PAYINGWAGEFORIMPROVEMEWMTOYOURPROPERTY. A NOTICE OF OOMNENCEMEtIT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFOISTWSPECTICKIPYOUWTEMTOOBTAINFIIANCWG. CONSULT WITH YOUR LENDER OR AN ATTORNEY 10MMCO&OMMINO MW OR RECORDING YOUR NOTICE OF COMMICEMENT. Orr
st,rs.c vMrrhaO
Bob
of Florida cowgyof Seminole The
roregotnp batruawatwas ac mawieWOed before Itre Oft 1 day ofMay pp 18 b9
David Finley . Wbo b personaay knowm to me O OR us"
01wee...ws raoma< DL whohasprodseodW*fd We dIW M typo or Idan"11C OD Produced: ANA
CHAVEa 6 ' Slot* arrlpr1t10•N9tOry Publlo Commission#
0011216E n,
N^ My commission 2novrob CU
AN
BY
C Gate
pmrre•
ewu+lwrN. s>O.wgl• Scanned
by CamScanner GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2018064966 6K 9148 Pg 0827; (1pg) &RECORDED 06/07/2018 02:32:59 PM 10.
00
DocuSign Envelope ID: 288E8CF8-8E5948CC-BOCO-DDF255B604FA
JASPER
Jospor toof.com
800) 337-3361 Fax
info@jasperinc.com FL Contractor's License:
CCC 1329651 & CCC 1331153
VISA _ "' ROOF REPLACEMENT CONTRACT
Account Manager: Joseph Palladino
Contact #: (407) 335-6239
Insurance Camp
Company: ower 1Pinformation Policy #:
E000626631 Claim #:
3300281872 Mortgage
rmmilanv Information Company:
JP Morgan Chase Bank Loan
Number: If
f)wner's Insurance Comfy does not spree to nay for a full roof replacement this rontract shall he voidahle. Assignment
of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any applicable
insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and
authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this Contract. including
not requiring full payment at the time of service. 1 also hereby direct my insurer(s) to release any and all information requested by Jasper, or its representative(
s), 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 payment is made directly to the Owner/Agent/Insured(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: It is the Owner's responsibility to pay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount-
as stated on insurer's loss sheet ("Loss Sheet"), which is hereby incorporated by reference as the Scope of Work ("SOW"), UNLESS replacement/
repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to
pay, w . Dgr rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductibl
aft tared on the insurer's Loss Sheet shall overrule deductible amount disclosed. Deductible: $4500.00 MUST BE PAID IN
FUL al). PAYME
Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of $- 00 due upon signing this contract; (
ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus upgrade costs, due and payable to
Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due
and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection
has passed. Optional:
UPGRADE ITEM: RATE: UPGRADE ITEM: RATE: Replacement
Work and Price: Upon insurer's approval and subject to the Terms and Conditions stated 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
thirty (30) days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for
a full roof replacement. Jasper shall perform the roof replacement upon receipt of Loss Sheet from Owner's insurance company. FLORIDA
HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT,
UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION
RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE
THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR
INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION
INDUSTRY LICENSING BOARD AT THE 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. Owner may also rescind Contract before midnight onthethirdbusinessdayafterthecontractisexecutedafternotificationfrominsurer(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. 1,
Owner, have read and understand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that all details are
acceptable and satisfactory. 1 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 authority to enter into the contract and that it is binding and enforceable in accordance with its terms.
Docuftned by: DocuSigned
by: 5/
1/2018 15:33 PM EDT - 5/1/2018 15:30 PM gasper
Representative Date fiWD069647D.. C
Date
DocuSign Envelope ID: 288E8CF8-8E5948CC-BOCO-DDF255B604FA
TERMS AND CONDITIONS: Acceptance of Terms: 1, Owner, hereby agree to retain Jasper for a full roof replacement on the Terms and Conditions
stated herein. I further agree to provide Jasper with the Scope of Loss/ Loss Sheet generated by my insurer and authorize and grant full access to the
property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with
Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after commencement. The supplemental claim
amount(s), in addition to any depreciated amounts held back by the insurer, are immediately due to Jasper upon receipt. Commencement of Work: Work
shall commence at Jasper's discretion. Jasper shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of
God, war, governmental actions, inability to obtain materials from usual sources, delays caused by and/or as a direct result of Owner's insurer or other
circumstances not listed which are beyond the control of Jasper. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of Owner
to remove any and all items which are not secured to walls including, but not limited to items on mantles, shelves or other areas susceptible to vibrations, as
these may fall. Jasper shall not be liable for noise pollution and/or vibrations due to the performance of work contracted herein, or damages resulting to
person(s) or property as a result of performance of work. Homeowners Association: It is the sole duty of the Owner to secure approval from the Homeowners
Association for any and all items necessary for Jasper to complete the work listed herein, including but not limited to shingle color, type, brand, etc.
Construction Debris: Upon completion of work, Jasper will make reasonable efforts to remove debris from the property, including but not limited to, a
general clean-up of construction -related debris and a magnetic sweep of the eve line and walkways surrounding the project area. As Jasper cannot guarantee
the removal of all nails and/or debris, it shall not be liable for resulting damages. Landscaping: While Jasper will make reasonable efforts to cover the lawn
and/or shrubbery, it is the sole responsibility of Owner to remove and/or safeguard any and all plants, shrubbery, lawn ornaments, furniture and/or valuables.
Jasper cannot guarantee the safekeeping of these items nor shall it assume liability for damages. Timely Payment: It is Owner's responsibility to ensure
prompt payment from mortgagee and/or insurer. Jasper must be paid immediately upon receipt of funds or, if funds have not been received from the Insurance
and/or Mortgage Company, not to exceed thirty (30) days from date of install. If Jasper is not paid within the requisite time period, all promotions, advertising
specials, and/or discounts shall be voided. Owner shall also be responsible for any collection fee(s) incurred. Force Majeure: Jasper shall not be liable for
any natural and/or unavoidable catastrophes that interrupt the expected course of events and restricts Jasper from fulfilling its obligations herein, such as,
but not limited to: excessive wind, hail, ice, rain, extreme weather conditions, fire, war, governmental actions or other Acts of God. Labor Warranty: Jasper
shall provide to Owner a two (2) year, non-transferrable warranty on labor as long as the Contract Amount is paid in full to Jasper within ninety (90) days. Please
see "Two Year Labor Warranty" for additional details and exclusions; Warranty is hereby incorporated by reference. Jasper is not responsible for
any damage to the roof or premises due to, but not limited to: leaks, cracks, fissures, etc. caused by excessive wind, ice, hail, snow or any other Act of God
during the warranty period. In the event of an extreme weather condition or Act of God which warrants an insurance claim, Labor Warranty shall be
voided. Ongoing Work: Jasper shall not be liable for damages from fires, windstorms, rain or other hazards as is normally covered by Homeowner's
Insurance or Builder's Risk Insurance. Jasper shall not be liable for any and all water intrusion or damage to property, premises or its contents which may
occur during installation, including but not limited to: water intrusion due to rising waters or wind driven rain, as well as water intrusion caused by pipeswhicharenottocurrentcode, regardless of "grand fathered" code status. This contract and the Warranty provided herein, shall not be assigned or
transferred by either party, except by written instrument signed by both parties. Manufacturer's Warranty: All materials used are subject to Manufacturer's
Limited Shingle Warranty. Any defect of materials is covered, and subject to, the manufacturer's warranty specifications; this shall void Jasper's
Warranty. Pre -Existing Materials: Repair of deteriorated decking, "waves" in decking, fascia boards, roofjacks, ventilators, flashing, chimneys, gutters or
other such materials (unless otherwise expressly stated in the Loss Notice or Contract) are not included. Decking or planks shall be replaced as required by
code and Owner authorizes an additional charge of $75.00 per sheet of decking or $25.00 per plank. Should Owner elect to replace any and/or all of
these pre-existing materials, Owner shall be charged for both material(s) and labor. Jasper shall be liable neither for the replacement of, nor for any damages
arising from, Owner's election to retain these pre-existing materials. Pre -Existing Conditions: Jasper shall not be responsible or liable for issues due to
improper ventilation, deteriorated decking, "eaves" in decking, appearance of roof due to irregularities in underlying structure or other pre-existing, structural
defects. Shingle Color Change: Should a shingle color change be requested after the installation has been scheduled, a $175.00 express shipping fee shall be
charged by Jasper to Owner. This fee MUST be paid on day of installation. Minimum Contract: Jasper reserves the right to terminate any Contract if
Contract Price does not exceed $7,048.00. Severability: The invalidity or unenforceability of any provisions of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. BINDING ARBITRATION: If a dispute
arises from or relates to this contract or the breach thereof, and if the dispute cannot be settled through direct discussions, the parties agree to endeavor first
to settle the dispute by mediation administered by the American Arbitration Association under its Construction Industry Mediation Procedures before
resorting to arbitration. The parties further agree that any unresolved controversy or claim arising out of or relating to this contract, or breach thereof,
shall be settled by arbitration administered by the American Arbitration Association in accordance with its Construction Industry Arbitration Rules and
judgment on the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The statute of limitations on all disputes which
arise from or relate to this contract or a breach thereof shall be one (1) year from the date of signing Roof Replacement Contract. Claims shall be heard by
a panel of three (3) arbitrators. The mediator shall not be empanelled as an arbitrator. The place of arbitration shall be Atlanta, Georgia. The arbitration
shall be governed by the laws of the State of Georgia. All deposits, fees and expenses of the mediation and/or arbitration, including required traveling and
other expenses or charges of the mediator and/or arbitrator, shall be bome by the initiating party. Depositions shall be limited to a maximum of 25 per party
and shall be held within 180 days of the making of a request. Additional depositions may be scheduled only with the permission of the arbitrators, and for
good cause shown. Each deposition shall be limited to a maximum of eight (8) hours duration. Any dispute regarding discovery, or the relevance or scope
thereof, shall be determined by the arbitrators, which determination shall be conclusive. The arbitrators will have no authority to award punitive,
consequential or other damages not measured by the prevailing party's actual damages, except as may be required by statute. In no event shall an award in
arbitration exceed the amount of the Roof Replacement Contract. Any award in an arbitration initiated under this clause shall be limited to monetary damages
and shall include no injunction or direction to any party other than the direction to pay a monetary amount and shall not exceed the roof RCV amount/
Contract Price. The award shall not include pre or postjudgment interest. The award of the arbitrators shall be accompanied by a reasoned opinion.
Notwithstanding any language to the contrary in the contract documents, the parties hereby agree: that the Underlying Award may be appealed pursuant to the
AAA's Optional Appellate Arbitration Rules ("Appellate Rules"): that the Underlying Award rendered by the arbitrator(s) shall, at a minimum, be a reasoned
award; and that the Underlying Award shall not be considered final until after the time for filing the notice of appeal pursuant to the Appellate Rules has
expired. Appeals must be initiated within thirty (30) days of receipt of an Underlying Award, as defined by Rule A-3 of the Appellate Rules, by filing a
Notice of Appeal with any AAA office. Following the appeal process the decision rendered by the appeal tribunal may be entered in any court having
jurisdiction thereof. Except as required by law, neither party nor an arbitrator may disclose the existence, content or results of any arbitration hereunder
without the written consent of both parties. Should either party disclose the existence, content or results of any arbitration hereunder, that party shall forfeit
any and all damages awarded as a result of arbitration. Damages: To the extent permitted by law, in no event shall Jasper, its officers, directors,
shareholders, representatives, employees, attorneys, affiliated entities or insurers be liable to Owner for any incidental, indirect, punitive, special or
consequential damages arising out of or related to the performance, nonperformance or termination of Contract. Cancellation Fees: Should
owner elect to cancel the Contract outside of the statutory three (3) day time frame, a cancellation fee shall apply to compensate Jasper for its
time, expense and professional services which were rendered to Owner. The fee shall be 25% (twenty-five percent) of Contract, but shall not exceed
2,500.00. os
SEMINOLE COUNTY MULTI JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 06/11/18
I hereby name and appoint: _ Rudith Goico, Adreanna Ocasio, Skylar Amkraut, Amanda Cieplinski
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):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
129 WORNALL DR SANFORD, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney: 01-01-19
License Holder Name: Donald Bouchard
State License Number: CCC1331153
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 11 day of June
20 18 , by Donald Bouchard who is O personally known to me or
I@ who has produced DL as identification
and wh di %( id not) take an oath.
Signa ure of Notary Print or type Notary name
Notary Public - Slate of err \.o-r O`
ANA CHAVEZ Commission No. C 1 5StateofFlorida -Notary Public jjCommissionrGG112152MyCommissionExpires: lKCommisslonExpires
June 06, 2021
6/11/2018 SCPA Parcel View: 33-19-30-514-0000-0150
RR PP
cr#
yy- PAPPRAISFJt
x3:oou rrr.
Parcel Information —
Popgrly Record Card
Parcel: 33-19-30-514-0000-0150
Property Address: 129 WORNALL DR SANFORD, FL 32771
Parcel 33-19-30-514-0000-0150
Owner(s) FINLEY, DAVID M
Property Address 129 WORNALL DR SANFORD, FL 32771
Mailing 129 WORNALL DR SANFORD, FL 32771
Subdivision Name COUNTRY CLUB PARK
Tax District St-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2006)
Vf0RM0-DR---r , G
52 25 1
4 501
4 $Z
17 6 55 6
6 °51515
1ay6
55.03 71.05 66. Seminole County GIS-
Legal Description
LOT 15
COUNTRY CLUB PARK
PB 50 PGS 63 THRU 66
Taxes
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 150,707 137,482
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
38,000 38.000
Just/Market Value " 188,707 175,482
Portability Adj
Save Our Homes Ad/ 65,558 54,866
Amendment 1 Adj 0
P&G Adj
r
Assessed Valu
0
j $123,149
0
1$120,616
Tax Amount without SOH: $2,553.00
2017 Tax Bill Amount $1,508.00
Tax Estimator
Save Our Homes Savings: $1,045.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 123,149 50,000 73,149
Schools 123,149 25,000 98,149
City Sanford 123,149 50,000 73,149
SJWM(Saint Johns Water Management) 123,149 50,000 73,149
County Bonds 123.149 50,000 73,149
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED
WARRANTY DEED
6/1/2004 05359 0464 $168,000 Yes Improved
7/1/2003 05053 1931 $154,900 Yes Improved
WARRANTY DEED 4/1/1998 03413 1539
1 $
103,000 Yes — _— Improved
WARRANTY DEED 8/1/1996 03124 1605 $102,100 Yes Improved
WARRANTY DEED 8/1/1996 031 4 1602 $22,000 Yes Vacant
FindComparable Salee
Land
Method Frontage Depth Units Units Price Land Value
LOT 11 38,000.00 1 $38,000
Building Information
Is ed/Bath count incorrect? Click Here.
http://parceldetaii.scpafl.org/ParcelDetaillnfo.aspx?PID=33193051400000150 1/2
CITY OF
S.&iI4FORD* Building & Fire Prevention Division
b
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. 1130,26=50 ISSUE DATE: ' a 1
CONTRACTOR:
JOB ADDRESS: 1 aQ "rmi at ` 7br
TYPE OF WORK• r04 /!k; m q les
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
fNSPECTION TYPE APPROVED REJECTED
FINAL ROOF
INSPECTOR
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 ENTRIES 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 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
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
PERMIT # 10' 0 CD 50
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 129 WORNALL DR SANFORD, FL 32771
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q 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: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: (DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKVLIGIITS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 0 2:12 — 4:12 4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
D SHINGLE Owens Corning FL# 10674-R13
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
0INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE**
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#
O OTHER: FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562,2786 BUILDING & FIRE PREVENTION
BVILDING'INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 18-00002651 Date 6/12/18
Application pin number . . . 716544
Property Address . . . . . . 123 ROSE HILL TRL
Parcel Number . . . . . . . . 18.20.31.508-0000-0040
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Application valuation . . . . 13400
Application desc
reroof/shingles noc on file
Owner Contractor
shelby b shipman JASPER CONTRACTORS INC
1690 ROBERTS BLVD
SANFORD FL 32771 STE 112
KENNESAW, GA 30144
770) 615-4269
Structure Information 000 000 ----------------------
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1057140
Permit pin number 1057140
Permit Fee . . . . 138.00
Issue Date . . . . 6/12/18 Valuation . . . . 13400
Expiration Date . . 12/09/18
Qty Unit Charge Per Extension
BASE FEE 40.00
14.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 98.00
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
01-SLOG PLAN REVIEW 42.00
01-SLOG DCA SURCHARGE 2.05
01-BLDG DBPR SURCHARGE 3.08
Fee summary Charged Paid Credited Due
Permit Fee Total 138.00 .00 .00 138.00
Other Fee Total 72.13 .00 .00 72.13
Grand Total 210.13 .00 .00 210.13
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.
CITY OF SANFORD
CUSTOMER RECEIPT
Oper: BLANDA Type: OC Drawer: 1
Date: 6/12/18 01 Receipt no: 140165
Year Number Amount
2018 2650
129 VORNALL DR
SANFORD9 FL 32771
BP BUILDING PERMIT RECEIPTS
220.38
123 ROSEBHILL rRL51
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS
210.13
AC 045261
Tender detail
CC CREDIT CARD $430.51
Total tendered $430.51
Total payment $430.51
Trans date: 6/12/18 Time: 12:99:51
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.
DATE: 06/11/18CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: '-
LIN City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I p a q O ADDRESS: l a q W V r, 1• I CU I dlt I V L/
c,nrd I
1 C_ _ l>0 U I I VV:
V ` ,
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEIIR, 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 #: CCC1331153
COMPANY / CONTRACTOR:
JASPER CONTRA j
CONTRACTOR SIGNATURE: DATE: O
MUST BE SIGNED BY LICENS LDER R/BUILD R)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT TILE TIME. OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALI, COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITII 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 SEMINOLE
Sworn to and Subscribed before a this day of 20 by:
6l wvl 5.,:s
Who is 0 Personally Known to me or has 0 Produced (type of
identification) DL as identification.
AMKRAUT
Sil;n re Notary Public SKYLAR B Pubis' NotarySlateofFlorida220505StatefFIida ?/g _ Con;misslon .GG
on ExpiresCommiss,
rn
MY 01 2022a S U QL V-1 11,1; June
Print/Toe/Stamp Name
of Notary Public
r .
LEVIITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
z
I hereby name and appoint: Scott Meixsell, James Allen, Chris Gardner, Juan Lozano, Paul Padgett
an agent of Qef Convectors
i:ame or Cuopany)
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 (cbeck only one option):
The specific permit and application for work located at:
Ia-I Wyrhrtil ( DyfJ'C,-
saes Address)
Expiration Date for This Limited Power of Attorney: ( I
License Holder Name:_ OAMd D((
State License Number. ccc'33"53
Signature of License Holder
STATE OF FLORIDA -
COUNTY OF S—&wb
The foregoing instrument was acknowledged before me this - day of 1 ,
200,, by Dome d who is o personally wn
to me or a who has produced rx as
identification and who did (did not) take an oath.
Notary Seal)
RB pNIKPi pubii
SKYI. Florida PGG220805SlateCommission0GExpires
MV Cju^eiSit 20
Rev. 08.12)
Print or tvi* name
Notary Public - State of —` L
Commission No. ZLa r->ktD
My Commission Expires: I $7
Scanned by CamScanner