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352 Conch Key Wy - BR17-003110 - ROOFCITY OF SANFORD 430183 BUILDING & FIRE PREVENTION fo PERMIT APPLICATION jolt; •, 2 it/ - -Application No: 3 Documented Construction Value: $ 14,900 Job Address: 352 Conch Key Way Sanford FL 32771 Historic District: Yes NoEl Parcel ID: 29-19-31-501-0000-1160 Residential Q Commercial Type of Work: New Addition Alteration n Repair Demo iChange of Use Move Description of Work: reroof Owens Corning FL 10674-R12 Techwrap FL 17194-Rl 33 squares 7/12 pitch Oakridge Driftwood lifetime warranty Plan Review Contact Person: Rachel Holcomb Title: admin manager Phone: 407-278-7788 Fax: 800-337-3361 Email: permit@jasperinc.com Property Owner Information Name Lillian Ramos and Jesus Rivera Phone: Street: 352 Conch Key Way Resident of property? rh' City, State Zip: Sanford. FL 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 Y Name: - Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER:, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR 'PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance ofa 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: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 Pen -nit Application agD.3 9 Scanned by CamScanner 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 will notify the owner of the property of the requirements of Florida Lien Lmv, FS 713. The City of Sanford requires pa ' yment of a plan review fee at the time of permit submittal. Acopy of the executed contract is required in,tirder to calculate a plan reviewc Iharge and will be considered the estimated construction value of the job at, the finle of submittal. The actual construction value will be figured based on the current [CC 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 regti I hating construction and zoning. Signature of Ovrn&/Agcnt Date Print Owner/Agent's Name Signature of Notary-Stateof Florida Date Owner/Agent is -' Personalty Known to Me or Produced ID Type of ID V- 10/ 232017 Signature of Contractor/Agent Date Vr-i k, i r-, a1vAnrAM,VA K Produced 10/ 23/ 2017 lorida Date S KY L AR, KRAUT, is ion 1) FF 2 7 80' Om") Smycon-' rnission Expires 1 112 8 i Me or Permits Re uired: BuildingF[] Electrical q ] MeclianicalF] Plumbingn Gas F] Roof [:1 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 [] NoEl APPROVALS: ZONING: ENGINEERING: 4 of Heads Fire Alarm Permit: Ye's [I No UTILITIES: WASTE WATER: FIRE: BUILDING. Permit Application LUMTED POWER OF ATTORNEY Altamonte Springs, Casseiberry, 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 aLent of: Jasp- Contp-, s Na— of Company) to be my ]awful 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 permirand application. for work located at: 352 CONCH KEY WAY SANFORD FL 32771 street address) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Number. CCW31 ts3 Signature ofLicense Holder. STATE, OF FLORIDA COUNTY OF sew The foregoing instrument was acknowledged before me this 23 day of OCTOBER, 200 17 , by Donald Bou&"a who is o personally (mown to me or c Who has produced oL as identification and who did (did not) take an oath. Signature v Notary Sea]) Sky ar Amkraut Print or type name Mft j, SKYLAR B AMKRAUT t Commission # FF 127890 id a, My Commission Expires June 01, 2018 3 Rev. 09.12) Notary Public State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Sranned by CamScannPr 10/19/20.17 1 SCPA Parcel View: 29-19-31-501-0000-1160 Properly Record Card pHr F Parcel: 29-19-31-501-D000-1160 Owner: RIVERA JESUS M & RAMOS LILLIAN M cacr«+o ccarrry rtonnw Property Address: 352 CONCH KEYWAY SANFORD, FL 32771 Parcel Information Parcel 29-19-31-501-0000-1160 Owner RIVERA JESUS M & RAMOS LILLIAN M Property Address 352 CONCH KEY WAY SANFORD, FL 32771 Mailing 352 CONCH KEY WAY SANFORD, FL 32771 Subdivision Name CELERY KEY Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00 HOMESTEAD(2006) I 60 60 60 65.83 1 Seminole County GIS Value Summary 2018 Working Values 2017 Certified Values Valuation Method CostfMarket _ Cost/Market Number of Buildings I 1 1 Depreciated BidgValue-- 113,675 107.197 Depreciated EXFT Value Land Value (Market) 31,600 31,SD0 Land Value Ag Just/ Market Value'" 145,175 138,697 Portability Adj Save Our Homes Adj 56,171 51,524 Amendment 1 Adj 0 P& GAdj 0 0 Assessed Value 1 $89,004 87,173 Tax Amount without SOH: $1,843.62 2017 Tax Bill Amount $862.53 Tax Estimator Save Our Homes Savings: $981.09 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 116 CELERY KEY PB 64 PGS 85 - 96 Taxes Taxing Authority Assessment Value Exempt ValuesTaxable Value County General Fund 89,004 50,500 38,504 Schools 89,004 25,500 63,504 City Sanford 89,004 50,500 38.504 SJWM( Saint Johns Water Management) 89,004 50,500 38.504 County Bonds 89.004 50.500 38,504 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 6/1/2005 05853 1150 193,500 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 ( 31.500.00 31,500 Building Information 1 Bed/Bath count i icorrect. Click H re,. Description Year Built Fixtures Actuat(EBective Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 ! SINGLE FAMILY 1 2005 8 j2 2.5 1,630 I 2, 280 1,630 CB/STUCCO FINISH 113, 675 I 119, 031 Description Area OPEN imoo htip:// parceidetail.scpaf.org/ParceiDetaiilnfo.aspx?PID=29193150100001160 Scanned by CamScanner PV "' Tfi1S INSTRUMENT PREPARED BY: UL ([IMod U V`V Jame: JASPER CONTRACTORS Address: 3203 S CONWAY ROAD SUITE201 ORLANDO FL 32812 NOTICE OF COMMENCEMENT y3Ot Permit Number. Parcel ID Number. D -" - " f5ni - ()C C)C) - moo I IfIIN Iliii 11111 Iltll ttltl ilitl llll Iltl GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 9011 Pg 1415 (IPgs) CLERK'S : 2017107011 ORDED 10/23/2017 12:23:31 PM RDING FEES $10.00 R 'ORDED BY hdevore The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legaldescription ofthrty%street address if available) -(-CAM0 C0-tefy Q`i ., roN, 95-a 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTFDD FOR THE IMPROVEMENT: Name and address: L\k W 0'(`(\OS3t> (Semnh k,—(Zy U XS Wo Interest in property. OWNER Fee Simple Title Holder (if other than owner listed above) Address; 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 32812 5. SURETY Of applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: 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. Name-, Phone Number. Address: S. In addition, Owner designates of to receive a copy of the Lfenor's Notice as provided In Section 713.13(1)(b), Florida Stalutes. 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 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 BAFORE THE FIRS -INSPECTION. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING VJORK 4)R RECORDING YOUR NOTICE OF COMMENCEMENT. Print Na and p vide Slgnalmya TiIMJOfte) State ofCounty of y.tY Y41,V The foregoing instrument was acknowledged before me this ,'"` day of D&O CV— .20 by ,' 1 t o (l VoA V i _. Who is personally known to me O OR Nam of pe n makingstatement whohas produced identification1 Pe of identification produced: VAR MODO KA' R , NotaryPublicStateof Floridaraysrgnawre fit Yt 7 i. Commission GG 1 t '3e E C t "VCV, Pity Commission Expan`` ne 04.2021 \ uuuna JU ScannedbyCamScanner 5380 k Colonial Dr. Orlando, FL 32807 Orla Come 3 8 3 2 Ste. 201 JA:iHEHOrlando,FT 32812 407) 278-7788 Je ScrROO coin' 800) 337-33h I I'ax inti,in FL Contractor's License: C(`1329GS1 & CCC'1331153 ROOF Owticr(s)• i Addr City: Account Manager: J W 1' l l,.! Contact P: q0- 3 -"- 4—) 3 Company: f. Policy #: H 0 Claim #: Mortgagea -n any Information Company; _j) Ltran Number: el q qC'% Shir solo Fina'1: Roof RC'V Amount! Contra t Pncc: Drip Edge Color. 14,900 I ri n .he I If Ovt ner's Imurnnce Comuanv does not agree to pay for a full roof replacement. this contract shall be voidable, Assignment of insurance Benefits for the Full Roof Replacement Only: i hereby assign any and all insurance rights, benefits and proceeds under any applicable inmrance. policies to Jasper Contractors, Inc. ("Jasper"), the scope of aiiich shall be limited to a Full Roof Replacement. I make this assignment and authorization in comidsation 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. I also hereby direct my insurer(s) to release any and all information requested by Jasper. or its representative(s), for die direct purpose of obtaining actual bLuefits to be paid by my insurer(s) for services rendered In this regard, i wary my pnvac) rights. If payment is made directly to the OwmrRrlAgent/Insurcd(s), it shall be cridorsW over to Jasper immediately upon receipt. 1 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 well not exceed the deductible amount, as stated on insurer's loss sheet (the "Loss Sheet"), UNLESS replacemenurepair of deteriorated decking is required by code and'or Owner requzu 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 wor'k.7Intthe event of a discrepancy, the deductible amount stated on the insurer's dins Sheet 1J •erode deductible amount disclosed. Deductible: S 'l e4 5. C, V MUST BE PAID 1N FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AITHORiZATIO:N: 1, 0wncriMortgagor, grant authorization for Mortgage Co. to speak with Jasper on matters including but not linnted to, the claim and draw status initial Vj %Y31 ENT SCHEDULE- Owner agrees to pay Jasper`ba_scd on the following schedule: (i) Deposit in the amount of SC33i/L • , `3 tic n'(kd? Wp n ighing 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 an&or change orders) due and payable to Jigxx upon completion of work performed. in the event of a pending inspection. no more thati 20i6 of Contract Price may be withheld until inspection has passed. Optional UPGRADE" ITEM: Q1'Y: PRICE: TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the Terris and Conditions herein, Jasper agrees to furnish all r:natcrials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's tnstmince company's approval. approxtrimicty within 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by tnsuranct company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner'sinsurance company. FLORIDA HONI LOWNERS' CONSTUCTION RECOVERY FUND i' AYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVER)' F1 1D IF 1'OU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FRO1l SPECIFIED ViOLATiONS'OF FLORIDA LAW ;BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUTTILE RECOVERY FUND AND FILING A CLAIM, CONi'ACTTHE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE. FOLLOWING TELEPHONE: NUMBER AND ADDRESS: Construction industry Licensing Board: 2601 Blairstone Road, Tallahassee, FI.32399-1039,,(850) 487-1395 ANCELLATION: If Owner ` elects to terminate the services of Jasper, Owner may do so before midnight on the third business av 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 ecu denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's Prtorporate office: 1690 Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS The three (3 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 a 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 he 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 finding and enforceable in accordance with its terms. utho '$ed4asper Representative Date Date State. Lip Cade f"l 1 2771 Scanned by CamScanner City of Sanford D Building & Fire Prevention Division kv Re -Roof Permit Card PERMIT NO. f ® ISSUE DATE: 10 • ay. /7 CONTRACTOR: e JOB ADDRESS: 511 I PROTECT FROM WEATHER I 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 PERMIT # I r- S 1' City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 352 CONCH KEY WAY SANFORD FL 32771 STRUCTURE TYPE: © SINGLE FAMILY RESIDENCF/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): PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERd1ITTED TO BE REPLACED ROOF VENTILATION: ® OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES O 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 QSHINGLE OWENS CORNING FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH 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# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# a 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 ofWork 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 Rooflns epctionistheonlyinspectionrequiredforResidential (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 ofwork) Digital Photographs (must include the permit number or address in each picture) o Each plane ofthe 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 ofnails 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. K. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 10/23/2017 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 . . . . . 17-00003110 Date 10/24/17 Application pin number . . . 585960 Property Address . . . . . . ,352 CONCH KEY WAY Parcel Number . . 29.19.31.501-0000-1160 Application type description ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 14900 Application desc REROOF/SHINGLES NOC ON FILE Owner LILLIAN RAMOS & JESUS RIVERA SANFORD FL 32771 Contractor JASPER CONTRACTORS INC 1690 ROBERTS BLVD STE 112 KENNESAW, GA 30144 770) 615-4269 Structure Information 000 000 REROOF Roof Type . . . . . . . . . FIBERGLASS SHINGLES Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1008580 Permit pin number 1008580 Permit Fee . . . . 145.00 Issue Date . . . . 10/24/17 Valuation . . . . 14900 Expiration Date . . 4/22/18 Qty Unit Charge Per Extension BASE FEE 40.00 15.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 105.00 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 45.00 O1-BLDG DCA SURCHARGE 2.15 O1-BLDG DBPR SURCHARGE 3.23 Fee summary Charged Paid Credited Due Permit Fee Total 145.00 .00 .00 145.00 Other Fee Total 75.38 .00 .00 75.38 Grand Total 220.38 .00 .00 220.38 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 . . . . . 17-00003110 Date 10/24/17 Property Address . . . . . . 352 CONCH KEY WAY Parcel Number . . 29.19.31.501-0000-1160 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1008580 Permit pin number 1008580 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / l- z O d LUMTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I I-- , —, hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of 'Contractors v ( Name of Company) 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): 6 The specific permit and application for S&W Address) QExpirationDateforThisLimitedPowerofAttorney- License Holder Name: State License Number." CCC1331153 Signature of License Holder. STATE OF FLORIDA COUNTY OF sang The foregoing instrument was acknowledged before me this day of IN.W- e t(b.Q 200\" , by Dar -aid d who is o personally known to me or ® who has produced a as identification and who did (did Mt)take an oath. Signature Notary Seal) NL\A Print; or type name YpU ,/, ANA CHAVEZ 14otary Public - State of 1 State of Florida -Notary Public oIDID1S$i0IIN0. I6Z ,T\l — Commission # GG 112152 My Commission Expires yCommission Expires:40 June 06, 2021 Rev. 08.12) Scanned by CamScanner 5 T kjni D City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: r 3 `` ADDRESS: `(1V2NOC;'j I /7, 111e5/' ` sue , 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 #: COMPANY CONTRACT MUST BE S J CONTRACTOR: OR SIGNATURE: DATE: 3 IGNED BY LIC E HOLDI&'0160 IL 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 WITHDIGITAL 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 e 0'\ l (\o\ Sworn to and Subscribed b'e/fore me this day of %(xV,J"L jeMOk_1 by: OT1wcr"`' y Who is Personally Known to me or has 9'Produced (type of i ntification) Vas identification. Signature of Notary Public State of Florida ;OgYpU4 4r 44' 1 L)ANA CHAVEZ State ofFlorida -Notary Public Commission # GG 112152 My Commission Expires Print/Type/ Stamp Name of Notary Public