127 Crown Colony Wy - BR17-003113 - ROOFI ) CITY OF SANFORD
BUILDING & FIRE PREVENTIONIPERMITAPPLICATION
429276 V
J
3
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Application No:
Documented Construction Value: S 10,900
Job Address: 127 Crown Colony Way Sanford FL 32771 Historic District: Yes No El
Parcel ID: _33-19-30 5QS-0000-0520 ResidentialEl Commercial Type
of Work: New Addition AlterationEl Repair Demo Change of Use Move Description of
Work: reroof Owens Coming FL 10674-1112 Techwrap FL17194-RI 30 squares 7/12 pitch oakridge brownwood lifetime
warranty Plan Review
Contact Person: Rachel Holcomb Title: admin manager Phone: 407-
278-7768 Fam 800-337-3361 Email: peffnR@jasperinacom Property Owner
Information Name Todd
Krausman and Rebekah Krousman Phone: Street: 127
Cmwn Colony Way Resident of property? : yesCity, State
Zip: Sanford, Ft, 32771 Contractor information
Name Jasper
Contractors Phone: 407-278-7788 Street: 3203
S Conway Rd Fax. 800-337-3361 City, State
Zip: Orlando FL 32812 State License No.: CCC1331153 Architect/Engineer
Information Name:. Phone:
Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
Address: Mortgage
Lender:
Address: WARNING
TO.
OWNER. YOUR FAILURE TO RECORD A NOTICE OF.COMMENCEME_NT MAY RESULT iN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MU8T RECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT71 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ApplicationIs
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 theissuance of a permitand that all work will be performed to meet standards of all lawsregulating construction in thisjurisdiction. 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 1053
Shall be inscribed with the date of application and the code In effect as of that date: 51h Edition (2014) Florida Building Code Ravised: June
30, 2015 Permit Application 1-161,
8 Scanned by
CamScanner
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may
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 ofthe requirements of Florida Lien Law, FS 713,
The City of Sanford requires payment ofa plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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.
10/23/2017
Signature of Owner/Agent Date Signature of Contractor/Agent Date
1v
Print Owner/Agent's Name P
1
Cor#tractorltj
i
is Name
47 10/23/20171j
Signature of Notary -State of Florida Date Signatureof Not t-State ofFlorida Date
SKY AR 8 AMKI2AUTCommission ;i FF 12789
tviv Commission Expiress $ ? a Me orOwner/Agent is Personally Known to Me or Contractor l gtii r x:;`
Produced ID Type of ID Produced 11 Type of lD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fite Alarm Permit: Yes No
WASTE WATER:
BUILDING:.
Rauicrrl• Tune. 10. 7015
Permit Application
Address 3203 Cf01• ti----Ay-ROAD-___ .t5 carp a I Iflll INi! llil I1i11illl I1111 IIII lilt
132812S 01 GRANT MALOY SEMiNOLE COUNTY NOTICE
CLERK OF CIRCUIT COURT & COMPTROLLER M
1 BK 9011' Ps 141L t1P9S) EOFCOMMENCEMENTQ cLERY.'
s Y FEE2017107006 1.0 PermitNumberNTyaqED10/23/2017 12:23:31 PH Parcel
ID N 3, `fiEGIN6
FEES 1;10.00 Number _
RECORDED BY hdevore lope
Theundersigned hereby givesno&ce Th- inginformationLsprovided1nthisNot(ro Cment
will memade to certain props 1• DESCRIPTION OF PROPERTY; of Commence main real Property' and in accordance With Chapter 713, Florida Statutes, the OusQaldescriptionoftheppettyandstreetarm— .. _. 2.
GENERAL DESCRIPTION OF IM1IPROVEMENT: c.
R-
ROF EO 3. OWNER
INFORMATION O Name and
address: R' L
S EEfNFORMATIONIF t THE
LESSEE CONTRACTED FOR THE tMPROyEMENT: Interest toproperty. OWNER M C (1 Fee Simple
Title "old" Of other than (,O W
e\ 01r Address- own
listed above) Name: SDI-) 4• CONTRACTOR;
Name• JASPER CO NTRA Address: 3203SCONW,iLyROAb S SURETYofaPPticable, a co LITE 201 ORLAN-0 FL 32812 PhoneNumber. 407-278_7988 Address: PYofthepaymentbondIsattacherl1: Name- 6- LENDER; Name; Address; Phone
umber.
Amount of Bond: N7. Persons
within 713.131atheStateof Florida Designated by Owner u J7., Florida Statutes, Name: Pon whomnotice or other documents may be served asprovidedby SectionAddress: 8. Inaddition,
Owner designates Phone Number to receive a
copy oftheLlenoes Noticeas9• Expiration DateofNoticeo{Co Providedln Section 713.13 1 b of mmenceme O( ),
Florida
Statutes. phone numberme expiration fs1yearfromdateofrecordingunlessadifferentdateiss . WARNING TOO CONSIDEREDIMPROu
PAYMENYMENTTS Pecitied)`— PAYING TWICE FOR
IMPRO MENTS UNDER eY THE OWNER AFTER THE JOB SITE BCHAPTER713, PART 1, SEC E I13. FLO OF THE NOTICE OF COMMENCEMENT ARE EFORE THE FIRSTINSPECTIONTOYOURPROPERTYANOTICEOBTAIOFCOMMENCEMENT
SECTION
713.f3, FLORlDA STATUTES. BEFORE COMMENCING WOEORRECRDINGYOURYOUINTENOTICEOFCOMMENCEMEUfES' AND
NANCING• MEN-r
MT ST BE RECORDS CAN RESULT INYOUR WITH YOUR LENDERPOSTEDONTHENTRORANATTORNEYtnWhwjO,
fi leaua, or AodzedOffiadpiasc C Leaaee'a State o{ tpdnt
Name and Pmvt NTi mxl t The foregoing Instru
County of —a& i VIA t ment was acknowledged
before by 1 1/1me this S day of Name
orpawn ma
Who has producedIdentlficatioamemWho s 20 l persen a...._ _ - - 7 of identification
produced: kYLARB AMKRAUT
a L iiCommission0FF127890MyCommissionExpires
o... June 01.
2018 Scanned by,CamScanner
10/23/2017 SCPA Parcel View: 33-19-30-5QS-0000-0520
Parcel Information
Property Record Card
Parcel: 33-19-30-50S-0000-0520
Owner: KRAUSMAN TODD D & REBEKAH T
Property Address: 127 CROWN COLONY WAY SANFORD, FL 32771
Parcel 33-19-30-5QS-0000-0520
Owner KRAUSMAN TODD D & REBEKAH T
Property Address 127 CROWN COLONY WAY SANFORD, FL 32771
Mailing 127 CROWN COLONY WAY SANFORD, FL 32771
Subdivision Name CROWN COLONY SUBDIVISION
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2007)
N40
Value Summary
Tax Amount without SOH: $3,202.37
2017 Tax Bill Amount $1,666.98
Tax Estimator
Save Our Homes Savings: $1,535.39
Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GIS
Legal Descriptione_,...
aa m.
LOT52
m..
CROWN COLONY SUBDIVISION
PB 61 PGS 76 - 78
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 131,627 50 000 81,627
Schools 131,627 @ 25000 106,627
City Sanford 131,627 r50 000 81 627Johns
Water Management) a
131,
627 50000 27SJWM(SaintCounty
Bonds aa
a as i 131,
627 50,000 81,627 Sales
Description _
Date Book Page Amount Qualified Vac/Imp WARRANTY
DEED 12/1/2006 6541 1337 291,000 Yes 3 Improved SPECIAL
WARRANTY DEED 4/1/2004 05258 0405 164 900 Yes m
Improved
WARRANTY
DEED 8/1/2003 04985_ 1 0279m 640,000 No Vacant Find
Comparable sales [ Land
Method
Frontage Depth Units Units Price Land Value LOT
1 40,000.00 40,000 Building
Information Year
Built ctive
Description
Actual/EffeFixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE
2003 9 4 2.5 1,120 2,694WSTUCCO $178,325'. $187,711 F- - http://parceldetail.
scpafl.org/ParcelDetailinfo.aspx?PID=3319305QS00000520 1/2
L UMTED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 10/23/2017
Karla Almodovar, Skylar Amkraut, Rachel Holcomb
I hereby name and appoint: Ana Chavez and/or Michelle Monsalve
an aeent of: Jasper c°"traCOis
Name or Company)
to be my laafiil anomey-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):
XThe specific permit and application for work located at: 127 Crown Colony Way Sanford, FL 32771
strut 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 sernlnofe
The foregoing instrument was acknowledged before me this 23 day of October
200 17 , by Dmm Bwdimu who is o personally known
to me or iswho hasproduced a
identification and who did (did not) take an oath.
Signature
Notary Sea]) Sky ar Amkraut
SI(YLAR B AMKRAUi
Commission # FF 127890 6
f f
do My Commission Expires
o F,;° June 01, 2018
Rev. 08.12)
Print or type name
Notary Public - State of FL
Commission No. 127890
My Commission Expires: 6/1/2018
as
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5180 r Colonial Dr.
Orlando, 17L 32807
32413 Com%ay Rd., Ste. 201
Orlando, FF1 12812
j407) 2'18-77,"
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JASPER
Jn pernoot.com
FL Contractor's License:
C CC1329651 & CCC1331153
ROOF IZEI'LACEAIEN'1' CONTRACT
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Account Mua&er.\1f r "
Contact 0: o 7 3
Cuntpanv: Pc (/cif f r WSJ I
Policy i0: fir (7) (1n C) 56 l am
Claim il: / `LI 1 1 () G AN
Company:d - 4 r'
Loan Number: () C-
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10-7-54 sl a
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City: I State: Zip Code: Shingle Color:
S ;1, 1 U r -) 'L
Email;
tt
Roof RC'V Amount/ Contract Price: Drip Edge Color:
Ck I Y u r o 1 10,900 -j , / -e
If Owner's Insurance Corrinam does not at--rec to nay fur a full roof reulacement. this contract shall be voidable.
ssignment of Insurance Benefits for the hull Roof Replacement Only: i hereby assign any and all insurance rights. benefits and proceeds under
y applicable insurance poliew to Jasper Contractors, lnc ("Jasper"). die scope of which shall be limited to a (Full Roof Replacement- I make this assignment
d authorization in considcratim of Jasper'x agreement to perform services, supply materials and otherwise perform its obligations under this Contract,
unrluxlm , not requiring hill payment at the time of scrsice. 1 also hereby direct my insurer(s) to release any and all information requested by Jasper, or its
representaive(s), for the direct purpose of obtaining actual bcnctits to be paid by my insurer(s) for sen-ices rendered In this regard, l waive my privacy
rights. IfpayIncnt is made directly to the Osvner/Agenulnstired(s), it shall be endorsed over to Jasper immediately upon receipt. l agree that any portion of work,
dxfuctibles, bettenmtit or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the clay of installation.
Deductible. It is the Ownet'+ responsibility to pay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount,
as stated m insurer's loss sheet (the "boss Sheet"), UNI.I-.SS replace nciiurepair of deteriorated decking is required by code and/or Owner requests optional
upgrades Jasper CAN'.101* pay, witive, rebate, or promisetopay, wuive or rebate any or all of the insurance deductible applicable to the insurance claim
for payment of work. In the event of a discrepancy. the deductible amotuit stated on the insurer's Loss Sheet shall overrule deductible amount disclosed.
Deductible: [ t(C) C i r' k1U5'r i3E; PAID IN Ft1LI- PLUS APPLICABLE: SAL ES TAX (" (initial) MORTGAGE AUTI-
10RILATION: 1. Owner'Mortgagor, grant authorization for Mortgage Co. to speak with Jasper on
matters including but 'tot 'limited to. the clam and draw status.(initial),PAYMENT SCHEDULE: Owner agrees to pay dasher
based on the following schedule. (t) Deposit in the amount of$ S r{ ^`' V due upon st.nunl; this contract;' 00 the Contract Price, lees the
Deposit and any applicable depreciation retained by Owner's insurer(s), plus upgrade costs, due and payable to Jasper upon completion of utvrk txmg
perforated; and (iii) the remaining Contract Mee (equal to any applicable depreciation an(Lbr change orders) due and payable to Jasper upon; completion of
work performed. In the event of' a pending inspection, no more than 20/6 of Contract Price may be withheld until inspection has passed. Optional- UPGRADE
i ilia: Q'i Y: PRI(T.: ` '1'0'1'AL: S Replacement Work
and Price: Upon insurer's approval and subject to the Terns and Conditions herein, Jasper agrees to furnish all matenals and provide the
labor necessary to perform the full roof replacement which shall take place following 0wnt7 s insurancecompany's approval, approximately within 30
days, conditions permitting. Owner's Declaration of Intent: 0%vifr acknowledges and att-m that, upon approval by insurance company fora full roof
replacement. Jasl)er sliall perform the roof replacement upon receipt of funds from Owner's insurance company. FI.012IDA
IIONI I-'O%N'NERS' CONSTUC7'ION RECOVERY FUND PAYMENT,1111
TO A LIMITED -'U101 N I', tiiAY BE AVAILABLE: FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERI
FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE
LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAN' BY A LICENSED CONTRACTOR. FOR INFORMATION
ABOUT THE RECOVERY FUND AND FILING A CLAiM, CONTACT THE FLORIDA COtisTRUCTION INDUSTRY
LICENSING BOARD AT THE FOLLOWING TI?LEPHONE NUMBER AND ADDRESS: Construction Industry
Licensing Board: 2601 Blairstone Road,'Tnlift hassec, FL32399-1039, (850) 487-1395 I%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 on he third business
day after the contract is executed after notification from insurer(s) that he claim for payment on roof contract has been denied, in
whole or in part. All written notices of cancellation, regardless of reason, shall he 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, "Perms 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 matte 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. th Jasper Representative
Date Owner Scanned by CamScanner
City of Sanford
F: D Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. I "Tw 3 f' 3 ISSUE DATE: M • 7
CONTRACTOR:
JOB ADDRESS: IV Iidi
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 OFTHIS 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 1 Inspection Line 407.792.6069 or 855.541.2112
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 ofyour 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 cot 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
a Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size ofnails)
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.
V
CONTRACTOR (OR OwNER/BUILDER) SIGNATURE: DATE: 10/23/2017
JOB ADDRESS: 127 Crown Colony Way Sanford FL 32771
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: (D 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. ONLYI00 SQUARE FEET OF THE EXISTING DECICIS PERAUTTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE ® RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: LO LESS THAN 2:12 O 2:12 — 4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
c SHINGLE Owens Corning FL# 10674-R12
OMETAL FL#
OMODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TlLE 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#
O TORCH DOWN FL#
INSULATED FL#
O TILE FL#
O OTHER: FL#
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11
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 III
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
1
Inspection Line: 407.792.6069 or 855.541.2112
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 . . . . . 17-00003113 Date 10/24/17
Application pin number . . . 445994
Property Address . . . . . . 127 CROWN COLONY WAY
Parcel Number . . . . . . . . 33.19.30.5QS-0000-0520
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 10900
Application desc
reroof/shingles noc on file
Owner Contractor
krausman, todd & rebeka JASPER CONTRACTORS INC
127 crown colony way 1690 ROBERTS BLVD
SANFORD FL 32771 STE 112
KENNESAW, GA 30144
770) 615-4269
Structure Information 000 000 REROOF/SHINGLES NOC ON FILR
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1008630
Permit pin number 1008630
Permit Fee . . . . 117.00
Issue Date . . . . 10/24/17 Valuation . . . . 10900
Expiration Date . . 4/22/18
Qty Unit Charge Per Extension
BASE FEE 40.00
11.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 77.00
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 33.00
O1-BLDG DCA SURCHARGE 1.75
O1-BLDG DBPR SURCHARGE 2.63
Fee summary Charged Paid Credited Due
Permit Fee Total 117.00 .00 .00 117.00
Other Fee Total 62.38 .00 .00 62.38
Grand Total 179.38 .00 .00 179.38
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 . . . . . 17-00003113 Date 10/24/17
Property Address . . . . . . 127 CROWN COLONY WAY
Parcel Number . . . . . . . . 33.19.30.5QS-0000-0520
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1008630
Permit pin number 1008630
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett
an agent of Jasper Contactors
lame ofCompany)
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
CA w
Saes Address)
Expiration Date for This Limited Power ofAttorney:
License Holder Name::Daa V-(`)CMU4
State License Number. ccct33ti53
Signature of License Holder.
STATE OF FLORIDA L
COUNTY OF sew
The foregoing instrument was acknowledged before me this 1 ( day of
200A4, by oona+d B-azard who is o personally known
to me or ® who has produced ot_ as
identification and who did (did not) take 4n oath.
Notary Sea])
Commisslon #i FF
mmission Expires Ip. My Co p0
Rev. 08.i2)
Notary Public - State of --
Commission No k 11_V1'Fc_>
My Commission Expires: U - 1 -A
Scanned by CamScanner
i
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEA\THING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
c PERMIT #: \ — 1 j ADDRESS:an utvin V a
AS A(N) GENERAL, BUILDING, RESIDENTIAL, 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. CHAPTERTER 553.844).
LICENSE #: / IR
l %1, i I t
COMPANY / CONTRACTOR: , ( ,) Cry ' ' `' I y 1/ y1'(L I
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICET
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: l `
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 `\5 V ` V Q>` Q_
Sworn to and Subscr'bed before met is day of 20
s Personally Known to me or has oduced (type of
identi cation) ` ( as identification.
Sig-pAture of otary Public
State oFlVrid4 x L SKYLAR
B A 11<RAUT Print/Type' tamp Name ,,';a° A;'' on r FF 27890 of
Notary M,/ Coos I'" b11C ',
G .-_ `*=
Commiss;on Exp s
June 01 , 2018