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157 Crown Colony Way - BR17-002840 - ROOFt CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S 8100 Job Address: 157 Crown Colony Way Sanford, FL 32771 xHistoricDistrict: Yes No Parcel ID: 33-19-30-50S-0000-0450 Residential Q Commercial Q Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: re -roof Owens Corning FL 10674-R12 Techwrap FL 17194-Rl 22 squares 7/12 pitch Oakridge Driftwood Lifetime Warranty Plan Review Contact Person: Rachel Holcomb Title: administrative manager Phone: 407-278-7788 Fax: 800-337-3361 Email: permit@lasperinc.com Property Owner Information Name Michael and Sharon Huffman Street: 157 Crown Colony Way Sanford, FL 32771 City, State Zip: Sanford, FL 32771 Name Donald Bouchard Street: 3203 S. Conway Rd Orlando FL 32812 City, State Zip: Name: Phone: Resident of property? : -_ 4 Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 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 11IAY RESULT IN YOUR PAYING TWICE FOR IMPROVEIIIENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code v Revised: June 30, 2015 Permit Application Scanned by CamScanner In addition to the re ' qurrcmcnts of Utis permit, there may be additional restrictions applicable to this prop' that may befoundinthepublicrecordsofOtiscounty, and There may be additional permits required from other governmental entitics such as watermanagementdistricts, state a9cncics, or fedcml agencies. P Acceptance of permit is verification that 1 Hill notifythe owner ofthe property of the requiremcnts of Florida Lien Law, FS 713. The City of Sanford requires payment of a In review fee at the time of ermit submittal. A co of the eseculed contract is requiredinordertocalculateaplanreviewchat, and will be considered the estimatedmated construction va e of the Job at the time ofsubmittal, The actual construction value will be fi tired bast.l on lite current ICC valuation Table in effect at die tir'+e the permrt is tssued, inaccordancewithlocalordinance, Should calculated charges figured orr Utc execrated contract exceed the actual eonstrualon valut, creditwillbeappliedtoyourpermitfeesWienthepermitisissued. OWNER' S AFFIDAVIT: I certify that nil of the foregoing information is accurate and that all work will bedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. r A - 51gmrureof0% ncr/A&,4 +-%l 6ru We51gr32nc0reaau3cha/A9crJ 1 Prins Q cr'AErnt's ldamc iacahac of Notxy-$rate or Ftotda paw 5 ump{ry 5 a of flordaKRAUT ' BAtJIt K , Laa t27E90 C mtsstan p f Eypi(cs Colo t"Is f:` June ol. 201a Otwnedlgentis _ Personally Known to Me or GoiiY< .. , ts—' crsonally Known to Me or Produced ID Type of ID Produced ID )0 Type of ID _ N)\-/ BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised lone 30,2015 Permit Appttation Scanned by CamScanner Scanned by CamScanner 9125/2017 roo RR yyPpRA1SER hl: WXl.11 ff.R.N Y, rlrl tlA Parcel 1nformation SCPA Parcel Mew: 33.19.30-5QS-0000-0450 Propoty Record Card Parcel; 33.19.30.50S-0000-U450 Owner: HUFFMAN MICHAEL T & SHARON S Property Address: 157 CROWN COLONY WAY SANFORD, FL 32771 II Value Summary Parcel 33-19-30.50S-0000-0450 Owner HUFFMAN MICHAEL T 8 SHARON S Property Address 157 CROWN COLONY WAY SANFORD, FL 32771 Mailing 157 CROWN COLONY WAY SANFORD, FL 32771 Subdivision Name CROWN COLONY SUBDIVI ION Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2005) Tax Amount without SOH: $2,921.00 2016 Tax Bill Amount $1,629.00 Tax Estimator Save Our Homes Savings: $1,292.00 TRIM Notice Hell) Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 45 CROWN COLONY SUBDIVISION PB 61 PGS 76 - 78 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value. County General Fund 124,439 50.000 74.439 Schools _ 124,439 25.000 99.439 City Sanford SJWM(Saint Johns Water Management) 124,439 124,4399J50, 0001 50, 000 74, 439 74, 439 County Bonds 124,439 50,000 74,439 Sales Description Date Book Page Amount Qualified Vacnmp SPECIAL WARRANTY DEED 2/112004 50 224Q23Q164.200 Yes Improved WARRANTY DEED 811/2003 104985 Q2Z,Q640,000 No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT j 1 40,000.00 40,000 Building Information Descri tlon Year Built Fixtures Bed Bath Base Area Total SF LivingSF Ext Wall A Value Re Value PActual/Ef ective PI Appendages 1 1 SINGLE 2004 9 A 1,120 I 2,6561 2,170 I CBISTUCCO ( $164,809 $173,028 Description Area I FAMILY FINISH --ll IIhttp: Nparceldetaii.scpafl.org/Parce[Detaillnfo.aspx?PID=3319305QS00000450 1l2 Scanned by CamScanner Account Manager: —L 5380 E. Colonial Dr. Contact #: _ q09" 90- OR j Orlando, FL 32807 3203 Conway Rd., Ste, 201 Company: Orloudo, F-L 32812 JASPE Policy #: 407) 278-7788 337.3361 Fax q 2,9Z y Jarporrteot,aoM Claim #: Mort ere_¢ a ('omnanv 8OO) 7 j ) LPI,IiI)crinc.Prg FL Contractor's License: Company: _ SP CCC 1329651 & CCC 1331153 Loan Ntunbcr. ROOF REPLACEMENT CONTRACT Owucr( a): S Phone: 0 Address: S 0W Colct 1.(ON Vv Alt Phone: City: Su N (t g C( Zip Code: Shingle or, ( i YT"W C t rJC E- mail. r ht( ma G , C.2a. COM Roof RCV Amount/ Contract Price: 8t00 Drip Edge Color//• f Lt4, Assignment of insurance Bencrits for the Full Roof Replacement Only 1 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. 1 make this assignment and authorization in considantiat of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this Contract, includingnotrequiringfullpaymentatthetimeofservice. I 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 insurers) for services rendered. In this regard, 1 waive my privacy rights. If payment is made directly to the Owns/Agcnt/lnsured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any porticst of work, deductibles, betterment or additional work requestal 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-pocketexpense will not exceed the deductible amount, as stated on insurer's loss sheet (the "Loss Sheet"). UNLESS rcplacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. in the event olpn discrepancy, the deductible amount stated on the insurer's Loss Sheets shajl overrule deductible amount disclosed. Deductible: S a MUST BE PAID IN FULL, PLUS PLICABLE SALES TAX S. (initial) MORTGAGE Alfl'IIORMATION: I, Owner/Mortgagor, grant authorization for t" iGt CP Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw status. ' C (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based'on the following schedule: (i) Deposit in the amount of S 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 corpletion 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 11EM: QTY: PRICE: A 3 TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions hcein, Jasper agrees to famish 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 approval by insurance company for a full roof replacement, 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 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 on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be 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. 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 authority to enter into the contract and that it Is binding and enforceable In accor an a with its terms. Au C' ' riper Representative 4Z2Date Owner Date Scanned by CamScanner TMSfNSTRU'MWTPREPARED BY- GRANT MALO'(r SEMINOLE COUNTY 1 1 Name: U js Contractors Ads3res CLERK OF CIRCUIT COURT t COMPTROLLER ti-- ' d?tIIni;'trnr PEY. E994 Ps bUb (iF'35) CLERK' S : 2017096190 RECORDED 09/25/2017 01:52:18 PM NOTICE OF COMMENCEMENT RECORDEDG FEES kenr$ 10. o RECORDEDBY ,io kenro Pmmt Number: Parcel ID Number y_ — la—— S -rt 0yLD The w4er,_, hereby gives notices that irnprovemerd will be made to certain real w ' m'` is provided 1n this Notice of CornmencemenL property, and in accordance with Chapter 713, Florida Statutes, the 1. DESCRIPTION OF fMir." GENERAL DESCRIPTION OF MIPROVEMENT. 3. 01YNER INFORfdATIO OR ESSEE INFORMATIgN IF THE L€SSEE CO CTEq FOR THE IMPROVEMENT --- XNameand :. it e ca P 1 'T her ov S 153 r W v OAS cj) j'jT Interest in property. CAvnpr Fee Simple Title Holder (d other chart owner fisted above) Name: Address:_ 4. CONTRACTOR: Name. Jasper Contractors Phone Numbe407-278-7788 r. Address- 5380 E Colonial Drive Orlando, FL 32807 S. SURETY (If applicable, a copy of thepayment bond is attached): Name: Address. Amount of Bond: 6. LENDER Name Address: Phone Number. 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7, Florida Statutes. Phone Number. S. In addition, Owner designates to receive a copy of the Uenoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Siw= Wm or Omer or lessee, or Mmes or Lessens (Pnnl Name and Protiida Signatory ddoffim) ,, j AutwizedOfrcedDhedor/PannedNanogn) State of 1 ' (l- kf CA County of The foregoing instrument was acknowledgedbeforeme this day of by SNrlGr (, KZ:.tti" mat'1 Who Name orpemmmaiJng statement who has produced identification type of identification produced: KARLA M ALMODOVAR State of Florida -Notary Public Commission 4 GG 111330 My Commission Expires vll June04, 2021 Scanned by CamScanner LMTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: G_a5-'-I I hereby name and appoint- Karla Almodovar, Skylar Amkmut, Ann Chavez, Gina McDonald & Rachel Holcomb an agent of- Jasw Co raclm ON —orgy) to be my laafitl 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: 157 Crown Colony Way Sanford, FL 32771 Svw Add m) Expiration Date for This Limited Power of Attorney: 01-01-2018 License Holder Name: Donald Bouchard State License Number. ccc 3 " 3 Signature of License Holder: STATE OF FLORIDA 4 COUNTY OF sew The foregoing instrument was acknowledged before me this y of , 200i, by Dmw 1 who is o personally known to me or a who has produced DL identification and who did (did not) take an oath Signature Notary Seal) ky ar Amlmut Print or type name o'• SKYLAR B AMKRAU g Commission # FF 127890 P. My Commission Expires June 0112018 rnno Rev. 08,12) Scanned by CamSrannPr Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/112018 Scanned by CamScanner Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO./ I " ISSUE DATE: 9i Go, 7 CONTRACTOR: S JOB ADDRESS: ® CPO&JA 6010AV TYPE OF WORK: PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code I I I 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 D.PERMIT # City ofSanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 157 Crown Colony Way Sanford FL 32771 STRUCTURE TVPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITI I NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIEV): PLEASE /VOTE: OA'LY 100SQUARE_ FEET OF TIIE EYISTIA'G DECK IS PERMITTED TO BE REPLACED ROOF VENgILATION: 0Orr-RIDGE Q RIDGE OSOFFIT OPOWERED VENT OTURIINES SKYLIGHTS: OYES o No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOFSLOPE: 0 LESS TITAN 2:12 0 2: l 2 — 4:12 Q 4:12 OR GREATER TVPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE Owens Corning FL# 10674 O METAL FL# 0 MODIFIED BITUMEN FL# 0TORCII DOWN FL# 0 INSULATED FL# OTILE FL# 0 OTIIER: FL# ROOF EXTENSIONS (PORCHES. PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: 0 LESS TITAN 2:12 0 2:12 — 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0mL-TAL FL# 0MODIFIEDBITUMEN FL# QTORCII DOWN FL# 0 INSULATEDFL# 0 TILEi FL# 00111ER: FL# Scanned by CamScanner D City of Sanford Building Division z 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 & 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. t CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: \ DATE: Scanned by CamScanner 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 . . . . . 17-00002840 Date 9/26/17 Property Address . . . . . . 157 CROWN COLONY WAY Parcel Number . . . . . . . . 33.19.30.5QS-0000-0450 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1003714 Permit pin number 1003714 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BLo3 FINAL ROOF _/_/_ LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date.: 16 - t l 11 I hereby name and appoint- Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of Jasper Co0rs Name orcompaay) 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 pgtmit and applicatiotl forwork;lacated at: Suw Address) J I . L I Expiration Date for This Limited Power ofAttorney: License Holder Name: I ) ©n ck-'l-d , State License Number. CCC1331153 Signature of License Holder. STATE OF FLORIDA COUNTY OF S-n-o'e The foregoing instrument was acknowledged before me this day offfitmn 200_., by m-ald 8-- who is o personally known to me or ® who has produced DL as identification and who did (did not) take art oath, -- Notary Seal) y9gy " SKYLAR B AWRAUT Commission N FF 127890 oo MY Commission Expires June 01, 201 8 Rev. 08.12) Print or type name Notary Public - State of t--L Commission No. I Z10 My Commission Expires: W - j • l Scanned by CamScanner ADS City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -INS FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT 0 ADDRESS: I C/ WWpq II C-11 , , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, AR CT, 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 #: r r r 1 COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: -1 DATE: MUST BE SIGNED BY LICENSE HOLDER O E A FINAL ROOF INSPECTION IS REQUIRED: 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 Subscribed before me this day of 20 / by: Who is Personally Known to me or hal?,I'Produced (type of identification) ! ) as identification. Signature State of F Print/Type/Stamp Name of Notary Public SKYLAR B AWRAUT c Commission # FF 127890 My Commission Expires r June 01, 2018 LEMTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I1011I I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of Jasper contactors 1' amcorcompany) 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: S Address) Expiration Date for This Limited Power of Attorney: License Holder Name: 'DkDn(Xw State License Number. CCC1331153 Signature of License Holder. STATE OF FLORIDA COUNTY OF semi,ofe The foregoing instrument was acknowledged before me this JLLday of G r , 200 k 'r by oowa sor,a,arti who is o personally known to me or ® who has produced DL identification and who did (did not) take an a' oath. ot({ l() X d( . 11, Lk, Signature Notary Sea]) Y-C \k fff \%ag_ Print or type name No Public - State of KARL==IR OVAR /'F CoInmisslonNo. i 5tate y Public Com11330Pdc MypiresMyCommissionExpires:F 1 l\\\\`` Rev. 08.12) Scanned by CamScanner 3 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: ADDRESS: I J--y CY bu— ` l 10Y)U 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. CHAPTER 553.844). LICENSE #: CC L S3 COMPANY/CONTRACTOF CONTRACTOR SIGNATURE MUST BE SIGNED BY LICE DATE: it - t l' 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 ORADDRESS 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 1,yz\t Sworn to and Subscribed before me this day of 20 by: YYl e.iX Who is Personally Known tome or has Xroduced (type of identification) as identification. CkA kmAkWA- Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public Yp e, KARLA M ALMODOVA atePSI State of Florida Notary Public Commission #i GG 111330ip ` µ. My Commission Expires iJune04, 2021 4'