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329 Lusitano Way - BR17-003026 - ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S Job Address: 329 Lusitano Way Sanford FL 32771 Historic.District• Yes No El Pared iD: 18-20-31-506 000-1370 Residential © Commercial Type ofWork: New Addition Alteration Repair Demo Change of Use[] Move C, Description of Work: reroof Owens Coming FL 10674-R12 Techwrap FL 17194-Rl squares 7/12 pitch Oakridge Dtifiwood 1 lifetime warranty Plan Review Contact Person: Rachel Greekmore Title: admin manager Phone: 407278-7788 Fag: 800-337-3361 Email: peMt@lasperimcom Property Owner Information Name Hien Nguyen and 7hang JGurian Phone: Street: 329 Lusitano way Sanford FL 32771 Resident of property? : yes City, State Zip: Sanford FL 32771 Contractor Information Name Jasper Contractors Phone: 407-278-7788 Street: 3203 S Conway Rd Fag. 800-337-.3361 City, State ,Zip: Orlando FL 32812 State License No.: CCC1331163 Architect(Engineer information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAMURE. TO RECORD A NOTICE. OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY.. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YQU- TEND-'OOBTAIN NANCING,—CONSUE WITHy6UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF - FI COMMENCEMENT, Application is hereby matte to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbfag, signs, wells, pools, furnaces, boilers, heaters, tanks,_and air conditioners, etc. IBC 165.3 Shall be inscribed with the date ofapplication and the code in effect as ofthat date: 5t4 Edition (2014) Florida Building Code Revised: June 30, 20 t5 Permit Application NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, 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 ofthe property ofthe requirements of Florida Lien Law, FS 713. The City of Sanford requires payment ofa plan review fee at the time ofpermit submittal. A copy ofthe executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value ofthe 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, inaccordancewithlocalordinance. 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 ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. tQ. furs -ofOumer/A eat 10`3•1 1 Date Si jj ' oof fC`oFratcacWAgent Date b-^ PrintOuver/Ageafslta= V Print Coahacwr/ASeat'sName SignatMofN&W-StateoffJorida We 6(3 !_ KARLA M ALMODOVAR State of Florida -Notary Public Commission 9 GG 111330 My Commission Expires unn` June04, 2021Owner/Agent is Personally Known to Me or , .. wtfProducedIDto Me orTypeofIDProducedID -- Type ofID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical El Mechanical PIumbing[] Gas Roof Construction Type: Occupancy Usev 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 0 # ofHeads Fire Alarm Permit: Yes _ Non APPROVALS: ZONING: UTILITIES: COMMENTS: WASTE WATER: ENGMERING: F1RE: BUILDING: Revised: June 30, 20i s PermitApplication 10/13/2017 SCPA Parcel View: 18-20-31-506-0000-1370 Property Record Card Parcel: 18-20-31-506-0000-1370 Owner: NGUYEN HIEN Q & ZHANG XIULIAN Property Address: 329 LUSITANO WAY SANFORD, FL 32771 Parcel Information j Value Summary Parcel 18-20-31506-0000-1370 Owner NGUYEN HIEN Q & ZHANG XIULIAN Property Address 329 LUSITANO WAY SANFORD, FL 32771 Mailing 329 LUSITANO WAY SANFORD, FL 32773-6887 Subdivision Name BAKERS CROSSING PHASE 2 Tax District S1SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2017) Legal Description LOT 137 BAKERS CROSSING PHASE 2 PB 62 PGS 97 - 99 Taxes 2017 Working Values 2016 Certified Values Valuation Method i Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 126,709 120,086 Depreciated EXFT Value i $2,417 Land Value (Market) 34,000 32,000 Land Value Ag Just/MarketValue" 163,126 $152,086 Portability Adj Save Our Homes Adj 0 0 — Amendment 1 Adj 13,111 P&G Adj I $0 0 Assessed Value 163.126 138.975 Tax Amount without SOH: $2,884.00 2016 Tax Bill Amount $2,884,00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Halo Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 163,126 56,000 $113,126 Schools 163,126 25,000 $138,126 City Sanford 163,126 50,000 $113,126 SJWM(Saint Johns Water Management) 163,126 50,000 j $113,126 County Bonds vv $ 163,126 50,000 I $113,126 Sales Description Date Book I Page Amount Qualified Vac/imp CORRECTIVE DEED 9/1/2011 07647 0785 100 No Improved WARRANTY DEED 6/1/2011 07597 { L 120,000 No Improved WARRANTY DEED 4/1/2007 06677 ± 0015 249,900 Yes Improved QUIT CLAIM DEED 2/1/2007 106634 1864 100 No Improved WARRANTY DEED 2/1/2005 05634 i 1398 208,900 Yes Improved WARRANTY DEED 1/1/2004 05197 05544 151,700 Yes Improved WARRANTY DEED 8/1/2003 D4999 1294 218,000 I No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT l 1 $34.000.00 $34,000I1 ; $34.000.00 $34,000 http://pareeldetail.scpafl.org/ParceiDetailinfo.aspx?PID=18203150600001370 1/2 ER A%signin0rit of Insuranve'Benefits fcir'the 'Full Roof Replacement Only:j hiereby assign any and all visftrancelrigfrs. benefits and Imixectli onandMocecd, c thismake T's, rananyapplicableinsurancepoticle, S try Jasper Contractors,, Inc. the scope'or which shall lic Imuted to a Full Roof keplAcement. I make thn x'sippin sc,: I= and - AicytiMfion agreement to perform services, suppl'Y"iraterials'and Gtherwi III i Lmamn m,cfiidm'gnot rcquiring,hl-IJpayincilt,al the tinie"ofserviec.' I also, hereby, dirrct,my,Jnsur&(q) to release abyand all ro Tepresenta f6f, the direct purpose of obtain' actual to be, paid by my insuici(s) Coe 'sl services rendered:: an P rights. Ifpaymentisintldcjircctly, to the, OfturJAgmOosw` cdts), it shall be endorsed over to Jasper inimedwely upon receipt I agree that any t W , . gn vvbj, dedktibles,- beiterinent, el'i.'ad'di'timalWorkrequested by the undcl-signed, not covered by insurance, must be paid OT"t dtictibld:'It it,0vowner's restxinsthrlity tii nay all ris'llralice detlucttl)4:. Owner's out-of-pocket expense will not 1q1xcccd1thc'dzducrlbtc aniotint, as stated on irisntri:i's lo,qs- mied (the'?Loss Sheet"),' UMISS, ieplacenientirepair of deteriorated dec'king is required rby code-andor Owner requests optional upgrades. Jasper, CAN801 pay.- % ilise, rebate, or promise to pay; waive,or rebate any or all of the ins-u'iance'deductible,,applicable to the utsurance,cUim forpayramw of, wol-k.- ,c In theeventof .1 direpaucy. (lie deductible, amount stmtrd on the in-surcr'sLoss Sheer '4211' verrule ciccluctible aniount disclosed., 1 1) 1 v, NIUS" t- fit: PAID IN FULL, PLUS APPLICAULF SALES TAX (initiar) MOOGAGE AL416RIZATION. I' Owner!lArtgagor, grAtit,authorizatitin for Morts2ge co:, to speak with Jasper on inAfters including,but -not limited to, the claim and draw status. (initial) PAYMENT SCREDULE. Owner 33ees,to Pay ilu, prr basedoflllthe fallowing schedule: (i)'Dcoosit to the amount ille upon, signing this the Contract Price, life to Jasper upot coIction less the Depa's'it- andany' applicable depreciation , retained by Owner*, (Ilu, upgrade -costs, due and pavu iniating Contract, Price ( equal to aw. aipirl_!`Ilu i!c-prLimon and'or change orders) due and payablc : z vvolrk being performet);, anil., (it i) "ttic'm W Jasper u completion of work" perfunned.- lit tit pvctit" of a, pendilig m, iiio;,u 2'. i oft not Price rn4y, be, withheld, until inspection has pass Optional: IjPQkADL FIVM: e- i 0 PiM i, V 'ubjeci t, th! I a,,! Con,!Mon, licvcin, Wplacement, Wor"k, , andIFYie'en. Upoll insurcCs approval altd -r; provide tb&'laborr necessary to perform the lbil roofrcptacement hall tK- pLl.,c (Nllc"" "'In". lv" Alit Tr - i i it) dies conditionsiermiumi n Omers DeclaraO-.m, d tionof Intent oarag CL.I - It. Lpl,il ToNal t-Y i0l rc- isK';'; !, Olz Of til:ld, fi1 l om COM: "111V P I. VOR 11) NIMMEOWNIAZS* CONS I VC110% RECOVERY Fj I) M I N 1, t'll 10 1, 1 N I V F I - 1) AN101N 1. N1.10BE AVAII,A1111, FROM I Ill.- I 1,01m) IIONI F(M \I- I"'." COINS I-10 ( 'I ION RE'( OVF IZY H %0) IF N W - LOSE 10ONLN ON k PROJECT IIERFORNIED VNI)FAZ CON FN ,t I N 1-Iff, 'I If I: LOINS MIS1,1, I S I-1110%I SPIVIIA ED VIOL:1 I IONS OF I ( W, 11) 1 kV, BY 1 IM 11, FOR INFORM A I ION ABOt: I I'll 1, ULCOVI" RY UVNI) AND 1.11 IV; A I UNI, CON I M, I 1111 1*1 ORI D'\ ONSj,Itj:(, yj()N INI)j S'I'RY 1,1( FNSING BOARD ATIHIE, FOIT(M I VIATHONI M NIM R ..\ND Construction hj(fw tr I-icvnsiio, limird: 2601 Blairstone Road. I alkilmssce. 1 1, _,2399- 1031), (S;0 i 4S7-1395 CANCEL LA1 ION: If O,,Nnvr- elects to tviAllillme the sel- Oces of Jasim-, Owner may do so bt-loic midui,-0it oil the third d3l, Coror.tcl is exucutcd. Oysncr shall recciNe a full refund of all deposits. Omwr imi\ also rescind Contract before midnight on 111C (hird husilic-s day after tile contract is C%ccuied after notifileation from insurer(") that the claim for paymetil (in roof contract hm- hm) dellied, in ;S11oll, or in palt. AH wliticli notices of cancellation, of mason, shall be postimarled or delivered toJasper' corlow;ite office: 1690 Roberts boulevard. Suite 112. Kennrs;m, GA CliNCITLATION EXCUTTIONS: T e.thiLv-taida right ofcaock,lLilion DOES Not AITLN to comn;1efs for cluvr"TuCY flonle repairs "Is tinle is of the essence, 1. O„llvl. have fc:1d and understand all >t.tteolent%. Terms and Conditions (if tile "Roof Replacement Cont that a!1 details are ;1ccvp1:ib1c and s;1lisfi.1clol-N. I further understand that this Contract constitutes the entire agreement beMeen 1)arliON :tad (11:11 ;111% Ito 111Vt Chaw.jcs or aIltctmiojls to this Contract must he made in Ariting and a -reed upon, by both pill party reprvscllfs :11ol vsarrairs to the otilcr that it has the full pm,,er and authority to enter into the contract and that bindiw" and in accordmlcc with its (erms. Scanned by CamScanner J THIS•INSTRUMENT PREPARED 13y: `y ,J1t t Name: JAS?MCONWCMRS AddraB 201 ORLANDO FL- 328I? NOTICE OF 68MMENCEMENT 1111151 rrn, --- - Giir11li I'IALOYrSE111HOLE COUNTY Ul' CIncUIT coUf T f, (Utlf•TROLLER l; tillijlkJr. {5 CLEFY, Y 2017102756 RLGIK;}t.!1 10/12/Ztl! i 11 % LU%r2 A11 NVi i. 11IG F L•""s31U.On RF MI)EV O•t hdevare Permit Number. Pame110 Number. _ The undemIgnad hereby gives notice that Improvementwill be made to certain real pmpedy, and In accerdEIM wilt Chapter 713, Fimide Statutes, .the following Information Is provided In this Notice of Commancement. 1. DESCRIPTION PRqP ERTY: (Legal doscd don f the petty and street address if available) Wt3Kkf5gV7213A'PL q 7 -gel 2. GENERALDESCMP71ON OF IMPROVEMENT: RE - ROOF _ 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPWM1NJ: Name and Interest In Foe Simple Tide Holder (If other then owner listed above) Name.• Address' d. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number: 407-278.7788 Addmsm 3203 S CONWAY ROAD SUffE 20I ORLANDO FL 32812 5. SURETY (if applicable, a Copy Of thepayment bond In attached): Name' Rd Amount of Bond: 6. LENDER: Nil ' Phone Number. Address: 7. Persons within the State of FladdaDesignated by Owner uponwhom notice ar otherdocumentsmaybe served as provided by Section713. 130)(a)7„ Florida Statutes. Name: Phone Number. Address: Z. In eddillon, Ownerdestgnales of to receive a copy or the Llenor's Notice as provided In Section 713.13(i)(b), Florida Statutes. Phone number. g. Expiration Data of Notice ofCommencement (The expirationIs i year fromdate of recordingunless a different date Is specified) WARM TO O-WER, 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 MUSTBE RECORDED AND POSTED ON THE 308 SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. 411c i bk u Ya/j Ct+ DuxrorO,rtterart,me or,orl(PAntxamomdPtav[daSrpphxYsY[dr101dca) AnAodadOMEarninebrIP maneptSlateof_ r( onJ"w County of 60)U The foregoirM Instrument was acknowledged before me this 9:91 day of1 byWho Is personalty known to me C3 OR NOWNS wn slokmirdwhohasproduced idenafication sype of identification S'=xil I • w,: MARSHALL AOAMS Commission N FF 807492 My Commission Expires 11 a MOy 01, 2020 Scanned by CamScanner Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 10.13.2017 I hereby name and appoint_ Karla Almodovar, Skylar Amkraut, Ana Chavez, Gina McDonald & Rachel Holcomb an agent of Jasperco°ba"ors orcampany) to be my lawful auomey4n 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: 329 Lusitano Way Sanford FL 32771 S— Address) Expiration Date for This Limited Power of Attorney: 01-01-2019 License Holder -+lame: Donald Bouchard State License Number. CCC1331163 Signature ofLicense Holder. STATE OF FLORIDA COUNTY OF+ The foregoing instrument was acknowledged before me.this 13 day of October t 200 17 ,. by Dw0N 8wdwd who is o personally known to me or a who has produced lX as identification and who did (did not) take an oathA) ignaturc Notary Seal) Si -Aar Amkrant Print or type name a;`.`:;; s.KYLAR B AMKRAUT t Commission # FF 127890 i a My Commission Expires a;;r. June 01., 2018 Rcv. 08.12) Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/1/2018 St;nnnpd by ramSranner CITY OF SkNFORD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. mw J ® A (P ISSUE DATE: /Oa /7*/77 CONTRACTOR: anoeve JOB ADDRESS: 9, 4 1,(t S i A 0 TYPE OF WORK: 4'e..'40P 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 T I 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. I'F 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 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 Inspection Line: 407.792.6069 or 855.541.2112 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 329 Lusitano Way Sanford FL 32771 STRUCTURE TYPE: XQ SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENVCONDOMINIUM RE -ROOF TYPE: X2 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): PLEASE NOTE: ONLY 100 SQDARE FEET OF THE EXISTLVG DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: 0 OFF -RIDGE Q RIDGE 0 SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: 0 YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 Q 2:12 — 4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL E)SHINGLE Owens Corning FL# 10674-R12 0 METAL FL# 0 MODIFIED BITUMEN FL# QTORCH DOWN FL# OINSULATED FL# Q TILE FL# 0 OTHER: FL# ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE** ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0 METAL FL# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# QINSULATED FL# Q TILE FL# 0 OTHER: FL# City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUII2EMENTS - NO PLAN REviEw REQUIRED This document (signed) along with an accurate and completed Residential Re -RoofScope 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), certiug FBC code compliance by personal inspection. CONTRACTOR ( OR OWNERIBUII.DER) SIGNATURE: DATE: - l 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 . . . . 17-00003026 Date 10/16/17 Property Address . . . . . 329 LUSITANO WAY Parcel Number . 18.20.31.506-0000-1370 Application description . . ROOFING APPLICATION Subdivision Name . . . . . Property Zoning . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1007178 Permit pin number 1007178 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / I'1.3o'u LEWTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 1 \ - ' k A' I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of Jasper Contractors lame orCompany) to be my lawfal 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: Suw Ad Expiration Date for This Limited Power ofAttorney: License Holder Name: 170`r aka R _k)a cJ State License Number. CCC1331153 Signature of License Holder. - STATE OF FLORIDA COUNTY OF serrf , The foregoing instrument was acknowledged before me this I day of N0 VCrK 200 I . by oo«ria eotxtwd who is o personally known to me or m who has produced a as identification and who did (did not) take an oath. Signature /-` Notary Sea]) I.G,vi k A 1 i1r1(Xi gyay. Print or type name Notary Public - State of _, I KA R LA-. M AL M O D OVA R Commission No. 11 t3 lb - 4PPY PVB _.-- State of Florida -Notary Public My Commission Expires: IA 2CommissionGG111330 pF My Commission Expires June 0 , 2021 Rev. 08.12) Scanned by CamScanner F$. City of Sanford s ° Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: n Wz 0 ADDRESS: 2-I Luisci-a(iQ Lk)C(J1 _ J G, n+j'r-c k r L I -_-/ / J , 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 ATM 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 #: CCC 1 _-)' 1 C, -3 COMPANY / CONTRA( CONTRACTOR SIGNAL MUST BE SIGNED BY A FINAL ROOF INSPECTION IS REQUIRED: DATE: 11. r— 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 Sworn tooaandSubscribed l before me this day of 1 V DVeMILJO, r 20 by: O Who is Personally Known to me or has kroduced (type of identification) as identification. aa' J Signature of Notary Public State of Florida a Cl rint/ Type/Stamp Name of Notary Public KARLA M ALMODOVAR 2o' pYPua g;$tate of Florida -Notary Public Commission # GG 111330 MyCommissionExpiresJune04,2011