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137 Golfside Cir - BR18-003620 - REROOFCITY OF AUG 2 3 2018 t ' ANFORD PERMIT APPLICATION C BUILDING DIVISION Application No: geaoDoCcumentedConstructionValue: $ ' Job Address: 3 (92 FS£ ` ~ae- Historic District: Yes No [ Parcel ID: (9 Cf — 303 0000' 0 1 Residential Commercial Type of Work: New Addition nn Alteration Description of Work: 2e ' Y2oa Plan Review Contact Person: Phone: Fax: Repair Demo Change of Use Move Email: CSDOS, 8°6 I \ Property Owner Information N e t V .9'\ nR A Ile eStreet: vJ City, State Zip:me- Title: Phone: l I.01 Resident of property? : Contractor Information Name ' T Phone: 5107- q IS' S 33,E Street 6 Y 30i D,/^ G%[ cQ^ Fax: City, State Zip: 9/ I 4'-'001 State License No.: Name: Street: City, St, Zip: Bonding Company: Address: 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. Revised: June, 2018 Permit Application 1 , FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6'" Edition (2017) Florida Building Code 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 1 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 Sign re of Contractor/Agent VV 1 I J Print Owner/Agent's Aame Pri on ractor/Agent's Name 2 f4Y1 23 8 + Signature of Notary -State of Florida Date Sig `•, Date Z3-18 z ANNETTE BLAND1J2 -7' ZSJ-0 t,' Notary PyuDllc -Slate of FloridaCommissIon # GG 0606 Owner/Agent is ersonally Known to Me or nfPa° fbt'IA 'r P4 ExplreBe agea 1x nown to Me or Produced ID Type of ID Produced ID Syr nu CASSANDRAC GORDON P .• Cpdtttssiott ti' GG 187167 g P MFep ry25,2022 BELOW IS FOR OFFICE USE ONLY 140, nOP apdodttw ewq.t w.n s 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June, 2018 Permit Application EMINOLE COUNTY MULTIJURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ApvtO dolt 0 I hereby name and appoint: ' 1 I J e>` C` s an agent of: G46..i P1 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. b The specific permit and application for work located at: 37 6D I 1::si-nf_ C 4-e_ Expiration Date for This Limited Power of Attome : License Hol der Name: /' Gjr State License Number: C 6 Signature of License Holder: STATE OF FLO$,IDA COUNTY OF rni node, The foregoing instrument was acknowledged before me this 22 day of • ,d,S1 2012_, by who is O ersonally kno to me or O who has produced as identification nd who did (did not) take an oath. C QL4 Signature of Notary MgSMDRACC10PDW C4M,,; W„ 8013-187 7SC.e1) t E*M Fehwy 25. 2W ila< h a`°` 9pidodTnB dO°tMa+r1'Ao°s . cassX'() rv. C Goccco,-s Print or type Notary name Notary Public - State of jp_ I Commission No. 18`I 1 4 -7 My Commission Expires: a a Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County FLInst #2018097783 Book:9198 Page:987; (1 PAGES) RCD: 8/23/2018 2:3:58 PM REC FEE $10.00 CERTIFIED COPY GRANT MALOY NST MENTPRE REne ` OU, FLORIDA CLERK OF THE CIRCUIT COURT THIS AND COMPTROLLER AddNa" ress: SEMINOI fY BY DEPUTY CLERK NOTICE OF COMMENCEMENT State of Florida County of Seminole /-3 0 PermitNumber: Parcel ID Number: The undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF L PROPERTY: 1-e de,ptiioon of the property and street address if available) D?' Ict »\ cr'F h PaS_ 3 PQ:s`-7fF GENERAL DESC"TIONPF IMPROVEMENT: OWNER INFORMAT ON: \ dame: Address: Fee Simple Title Holder (If other than owner) Name: Address: Name: CTOd Y W And Name: !T Address: 6 Y 35 :10.4, (. t crQ..." G''J 'i6a-goo, FC 3a-$oRr 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The explratlon date 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 1, 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. Under penalties of perjury, 1 declare that 1 have read the foregoing and that the facts stated In it are true to e best of n edge and belief. 4. Owner's Si'nalure Ownsis PrintedName Florida Statute 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead.' State of P County of SerniC•1r7 f-e The foregoing Instrument was acknowledged before me this Z day of 20 /& by . Who is ereonally know to me Name of person making statement OR who has produced identification type of Identification produced: te•r- • annC cAsawowc GORDON(2 Not lgneturCoirnbdonoGG1i7167 EWmFebuy25. 202a4pde SI. CONTRACT AGREEMENT This agreement is made on this day of 20Irbetween 1/ .-,a S,6" of 3,Z 7 Name Address City 7( '07-C-05-5336 (Contractor) State Zip Phone and ,? , a, of LJ' l(.Twt,4141 SVJ e P, owl Name Address City Fl ZNI X 1T 7- 535-,7 (Client) State Zip Phone The above contractor will perform the following work as described in this agreement for $ 6 , o • in compensation from the client. 13y C1 IFel o-F Ala; Dom, F Work to commence on4?Y (/ and is estimated to be completed on Date Date Contractor: Signature t Client: ature PAnt 00 M-0110 CIAf(P APPRAISER rr.+oraoo srrr, Parcel Information Property Record Card Parcel: 04-20-30-513-0000-0190 Property Address: 137 GOLFSIDE CIR SANFORD. FL 32773-4766 Parcel 04-20-30-513-0000-0190 Owner(s) JPMORGAN CHASE BANK Property Address 137 GOLFSIDE CIR SANFORD, FL 32773-4766 Mailing 7255 BAYMEADOWS WAY JACKSONVILLE , FL 32256- Subdivision Name MAYFAIR CLUB PH 1 Tax Districl St-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions In LJJ L J V 1 Cn Value Summary 2018 Working Values 2017 Certified Values Valuation Method Cosl/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 154,636 145,711 Depreciated EXFT Value 1.510 1.586 Land Value (Market) 35,000 35.000 Land Value Ag Just/Market Value •• 191,146 182,297 Portability Adj Save Our Homes Adj 50 0 Amendment 1 Adj 0 20.453 P&G Adj Iso s0 Assessed Value 1$191,146 1$161,844 Tax Amount without SOH: $3,216.00 2017 Tax Bill Amount $3,216.00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice tWR Does NOT INCLUDE Non Ad Valorem Assessments M. 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), certifyinyBC e compliance by personal inspection. DATE: CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: O w PERMIT # AO City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: / ; -? 6: / F5 I Q z 6-4p— STRUCTURETYPE: ® 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): P ("( w nv P PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EX/STING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: ®OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES 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 TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# t O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# OINSULATED FL# O TILE 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# OTORCH DOWN FL# O INSULATED FL# O TILE FL# 0 OTHER: FL# A. Settlement Statement. U.S. Department of Housing and Urban Development OMB A MI No. 2502-0265 1. []FM 2. FmHA J. QCom. Uniro. & Far Nwibs.. 7. LeonW.6w. s. Mw" fear" Can wane. 4. VA 5. CMV. ins. CH24a9238 33898162 C.Note: llwbrie bIo"*wbor" wu astwer" of sewkeMMeenlaftAm" MW bene tMhUMO A eeu4en L1emk SenneMAe4 (p oY wMspad ouuUseme kbkba of in khan Mre IwuaMnof w1ou M8 ad asrwindWaln Sbbleb. D. Wrne aAdegkerearo.. E Nmr a Adbeaof Sew. F. Meq s Atl4rne d leard. COVINGTON HOLDINGS, LLC JPMORGAN OtASEBANK NATIONAL ASSOCKT10N. LENDINGHOME FUNDING CORPORATION ITS 2576 TWISTING SWEETGUM WAY SUCCESSOR IN INTERESTBYPURCHASE FROM THE SUCCESSORS AND/OR ASSIGNS OCOEE, FL 34761 FEDERAL CEPOSN INSURANCECORPOAATM AS 315 MONTGOMERY ST RECENEROFWASHOIGTONMUIUALBANKFMIAFLOORIliWAUMTONMUTUALBANK, FA 3415 VISIONOIVVESAN FRANCISCO. CA 94104 COLUMBUS, ON 43219 G. Pram tseeuon 137 GOLFSIDE CIRCLE SANFORD, FL 32773 (SEMINOLE) 04. 20.30.51300DO-0190) One_ Grose Ameunr nrr. BAY NATIONAL TITLE COMPANY 13577 FEATHER SOUND DR, SUITE 250. CLEARWATER. Fl. 33762 PLIM 015901VnentI I Sellow4 Dab IDOwlawdI135T7 FEATHER SOUND DR, SURE 250, 71MI8 1 7=18 CLEARWATER. FL 33762 t01. Contract salesluiceS177.500.00 401. Contract sales prise 177,500.OD 102. Personal Property 402. Personal Property 100. SetOemerd Charges to Borrower(line 1400 36.505.93 403. 104. 404. 105, 405. Adjustments for Items paid by seller in advance ustmenle for Items pald by seller In advance 106. Cityllown taxes 406. Cityllown taxes 107. County taxes 407. County tales 108. Assessments 718R018 to IV3112018 @ 3320.00/Year 156.05 408. Assessments 7182018 to127d112018 @ $320.00IYew156.05109. 409. 110. 410 111. 411. 112. 412 120. Gross Amount Due From Bom wer 214161.98 1 420. Gross Amount Due To Seller SITU 56.05 201. Deposit or Esmesl M 10.000.00 501. Excess de see insWcdoro202. P I emoum of new ban 184.100 00 SOT. Settlemonl Charges to Seller(One 14DD 14.635.95203. E*ft ban takensubledto 503: Existing 9 taken cl to W. SW. Payoff of first nvtpgeban205• 505. Payoff of second mwtpp loan 206. 506. 207. S07, 208. SO6. 209. 509. Adjustments for Items unpald by seller Adjustments for Items unpaid by seller 210. qlyA m taxes 510. QVtwn taxes TiTcoorayines U1rt018 to maii18 W%6.41 511. County taxes 1/1QOIS to71620181,568.41 212. Assessments 512. Assessments 213. 513. 214 514 215. 15. 216. 16. 217. 517. 210. 510. 219• 519, 220. Total Paid BY/For Borrower195,668.41 1 $20. Total Reduction Amount Due Soler 66,404.36 301. Gloss Amount Due From Bolrovrer Pine 120) I $214.161.98 (601. Gross Amount Due ToSofa (line 420) -1 - - - 5177,658.05302. Less Haunts Pale By/For Sorrow (f ne220) S195b68.41 60I. less Deduction In Anilpus To Sdkr (be 5201 516.404.36 303. Cash Froin ToBonower $18,493.57 M.Cash ©To FM.Sew $161.251.69 Loan Number. 33898762 Fde Number CH24-49235 Pape 1 of 4 L Settlement Charges 700. Total SeieslBroker's Commission DnAsion of Commission pine 700) as foDow 701. T2,8UM to Alkwn James Estates and Hor 702.34.437.50 to Premium Real Estate Services 703. Commission paid at Settlement 704. Relerral Fee to24 ASSET MANAGEMENT Paid Fan I Paid Fmm Borrower's Funds Were. Furls atSettlement at Settlement 801. Loan0' 'nationFee to LerdngHomeFuncringCorporation Its SuccessorsandlorAssigns 53221.75 802. Loan Discount SO . Appraisal Fee M. Credit Report 805. Lender's Inspection Fee, 808 Mortgage Insurance AWicallon Fee 807. AssurMton Fee W. Broker OrWmation Fee to Aem Ca*W Finance. Inc. 1,841.00 810. Broker Processing to Aem Cep'dal Finance. Inc- 1. Senke Fee toLand) Home Fund Corporation Its Successors and/or As 499.00 812. Construction Hoidbadt to LerdrGHwm Fund C tlon Its Successon and/or Assigns 24,400.00 1001. Hazard Insurance 1002. Morlipp Insurance 1003 city Property taxes 1004. Comfy propenytaxes 1005. Arnualassessments 1009. Aggregate accounting adjustment 1luu. Iwo charges 1101. Settlementorclosingtee b08YNationalTitle Company W.00 5506.00 1102. Abstract OFtitle searchtoBayNational Tide Advanced Funds 276.00 1103. Thee examination 1104. Title Insurance binder 1105. Documentpreparation 1106, Notary tees 1107. A s fees ndudes above item numbem: l I08. Ttllo Insurance to T)cer To Companir CA CT 433.00 962.50 includes above itemnumbers: 1109. Lender'scoverage $184,100.00 Premium $433.00 to Tim Tice Company CA CTFE I110. OIvneescove $177,500.00 Premium $962.60 to TicorTree CompanyCA CTFE 1111. See Addendum III 75.00 r{yu.ywummaer necomma ano Iranswer I'man" 1201. Reoord fees: Deed $44.DD:Moftw $392.50,Release ; 436.50 1202. W *tamps: Deed 1203. Stan Ua/sta : Deed $1.242.50; $644.3$; 644.35 51,24250 1204, Cdy taxlstam • peed 1205. Inty4ble Tax toSimptirie 36620 Jaw. 1301.Suray 1302. Pest Inspection IWAI. DelinquentHOAAssessmentto MvyW ClubHomeowners Association $586.66 UK66 1305. WatedSewer/Solid Waste 1.11fito Cityof Sanford. Fl. $1.018 54 1.018.541306. Recording Hand Fes to MIS $55.00 55.00 1307. Management Fee to 24 ASSET MANAGEMENT s79S.75 795.75 1308. Arafty Fee to Bay National TiWCompany $15O.00 150.00 1309. Munid I Search b MIS 5320.00 320.00 1310. HOA Estoppel Feeto DayNationalTolle CompsAdvancedFunds $100.00 5100.00 1311. Insurance • HO1 to AmericanIntergrilyInsurance Cornnyof Fiends $2.260.00 52260 00 1312. E- Itecording Fee to SimWde $9.00 9.00 1400. Total Settlement Charges (enter on One103, Section J and502, SectionN) 36,505,93 14,935.95 Loan Numoer. 33898762 Fdo Number; CHI4-49239 Page 2 of 4 1rroleve" Se mW.601.0HUD-3 UMMIStrraward to" bas101 my amMICIPImblaeldr Maro aemlKa WtemeNofaIetdpleandOSbulialrmfIIWammyKamm 01bymein eqeNKWL I ler0wealh tim I he" tetaived a meter pr HUDI Serenmm SmeenL BORROWERS SELLERS 9 G U 9 Com9ton HoMings, LLC JPMorgan Qcw Aswiation. sums, in i ieresi by mcha Jkeen UL O 9 2018 By: _ 01e Federal Deposit buurance Corporation as Recener of Washington MuWW Bank es outroai: ed apeni FIIUA Washington MuWal Bank, FA Timothy J Wilson Vice President no H JptSrtememSbta II hate plapred IsaWerd aKtawKtaama tonnucbcn I roveewreda Iwa Weethetildetobe dabwwd r atm10amrw1htiewtamem. SewomentAgentDate 7161201e YIIOU TEAGM 7/ ApAII/ G• e r a ortla aero.yymlaaAriaatatemelb barIeradStatemtnaaM' oUrreetWrloon, pmaee wmtonticamesnYd1de adrandtea• pwdetabam: ida t1V S. Ce0a coon100tand SoCem 1010 Loanhumber. 33998762 He Number: CH2449238 Pace 3 of 4 This instrument prepared by: Bay National Title Company Megan Mendenhall 13577 Feather Sound Dr, Ste 250 Clearwater, FL 33762 Return to: Bay National Title Company 13577 Feather Sound Dr, Ste 250 Clearwater, FL 33762 Parcel Identification No. 04-20-30-513-0000-0190 SPECIAL WARRANTY DEED THIS SPECIAL WARRANTY DEED made this 13 day of v n , 2018, by JPMorgan Chase Bank, National Association, Successor in Interest by purchase from the Federal Deposit Insurance Corporation as Receiver of Washington Mutual Bank F/K/A Washington Mutual Bank, FA, a national association, and having its place of business at 3415 Vision Drive, Columbus, OH 43219, hereinafter called the "Grantor", to Covington Holdings, LLC, a Florida limited liability company whose post office address is: 2576 Twisting Sweetgum Way, Ocoee, FL 34761, hereinafter called the "Grantee", WITNESSETH: That Grantor, for and in consideration of the sum of $10.00 Dollars and other valuable considerations, receipt whereof is hereby acknowledged, by these presents does grant, bargain, sell unto Grantee, all that certain land situate in Seminole County, Florida, to wit: See Exhibit A attached hereto and made a part hereof. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. SUBJECT to the matters set forth on Exhibit B attached hereto and made a part hereof collectively, the "Permitted Exceptions"), provided this shall not serve to reimpose any of the same. GRANTOR WILL WARRANT and forever defend the right and title to the above - described real property unto the Grantee against the claims of all person, claiming by, through or under Grantor, subject to the Permitted Exceptions. (Wherever used herein the terms "Grantor" and Grantee" included all the parties to this Instrument, and the heirs, legal representatives and assigns of individuals, and the successors and assigns ofcorporation.) DU 1/67148262.3 IN WITNESS WHEREOF, the Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in the presence of. JPMorgan Chase Bank, National Association, Successor in Interest by purchase from the Federal Deposit Insurance Corporation as Witness t s n ove Receiver of Washington Mutual Bank F/K/A Print Name: Kathy J Cams Washington Mutual Bank, FA a a U- t3-1$ Widiess to sign above Print Name: Johnna May STATE OF ) ss: COUNTY OF ji6ldin ) By: —21-02 i A3 %l g Namc: "OlVfteadmw Title: We Pt*t&nt Affix corporate seal) The foregoing instrument was acknowledged before me this J_a_day of 20j, by N*Pm , the Vice.Pr Wded of JPMorgan Chase Bank, National Association, Successor in Interest by purchase from the Federal Deposit Insurance Corporation as Receiver of Washington Mutual Bank F/K/A Washington Mutual Bank, FA, a national association, on behalf of said national association. (` -Ie Check one] is personally known to me or has produced as identification. My commission expires t DB I/67148262.3 NOTARY PUBLIC: Print: Mmfliar R Saara Affix Notarial Stamp or Seal) NpURY PVe'•.. 53 TE'of'0., •. City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SANDSHEATHING, DRY -IN, FLASHING, AND/ ALL FINAL ROOF COVERINGS/ PERMIT #: J K' 36D0 ADDRESS: 7 ? / 04j r O P CeA SF R_'3 a-7?3 D,, t C, l , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, 1 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 #: C COMPANY / CONTRACTO CONTRACTOR SIGNATURE: % DATE: /r MUST BE SIGNED BY LIC LDER O UILDER) A FINAL ROOF INSPECTION IS REOUIRED: 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 2!M,Aole Sworn to and Subscribed before me this 23I d day of Au%!Sj _ 20 18 by: Who is 0 dsrsonallyKnow to me or has 0 Produced (type of i ntification) as identification. rxY Al>'i . S%CSuit a ocq CASSANDRA C GORDON Sign' ature of Notary Pub '' Ion#GG187167 tate of Florida P ExpresFebuary25.2022 Gass,-, c, c, o fa, ?a• ,I I» Print/ Type/Stamp Name of Notary Public L-