119 Walnut Crest Run- BR18-004342 - REROOFCITY OF SANFORD
OCT 2 4
nrr' BUILDING & FIRE PREVENTION3
PERMIT APPLICATION
Application No:
Documented Construction Value: $ I JCU
Job Address: N\O\ LY1, Qar)l -X ; t` 2.11 i Historic District: Yes No
Parcel ID: a -- \C 00 0- (bO(D Residential Q Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: "Ccc Nifyf , e0f t)i rie 1-
1 tqO-v(CA_ ' SQ 7/iZ A;k- AA 4,AsvCA ,Orerr>P 2S (P.OrS lAtl r a i-cam Plan
Review Contact Person: Skylar Amkraut Title: Admin Phone:
407-278-7788 Fax: 800-337-3361 Email: Permit@Jasperinc.com n
1 Property
Owner Information Name
Street: \ \
6 iCrrc-"fm City, State
Zip: S2r)fi2rd , E ( 2:1) I Name Jasper
Contractors Street: 300
Colonial Center Parkway Suite 130 City, State
Zip: Lake Mary, FL 32746 Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
Resident
of
property? : Yes Contractor Information
Phone: 407-
278-7788 Fax: 800-
337-3361 State License
No.: CCC1331153 Architect/Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: WARNING
TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application
is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior
to the issuance of a permitand 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'h Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be.-done-in-compliance-with-all-applicable-laws-regulating-construction-and zoning. --------------
I o t-9,q //,P,
signature of Owner/Agent Date Sign. re of Cont or Agent Date
Rudith Goico
Print Owner/Agent's Name P t Contractor/Ag tt's me
Signature ofNotary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
AIVA CHA fZofFlorida -Notary Public
r Commission # GG 112152
roFf op M Commission ExpiresYP
11+ 01", June 06, 2021
Contractor/Agent iss, Personally Known to Me or
Produced ID V Type of ID
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
10/24/2018 SCPA Parcel View: 22-19-30-502-0000-1600
s cry Property Record Card
Parcel: 22-19-30-502-0000-1600
Property Address: 119 WALNUT CREST RUN SANFORD, FL 32771
Value Summary
2019 Working 2018 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1------1 —
Depreciated Bldg Value 149,527 $141,670
Depreciated EXFT Value j
Land Value (Market-) 0 000 1 $40,000
Land Value Ag
Just/Market Value ** 189,527 $181,670
Portability Adj
Save Our Homes Adj
Amendment 1 Adj
64,388 $59,105
0 $0 — - —
P&G Adj 0 T $0
Assessed Value $125139 —i $122,565
Tax Amount without SOH: $2,610.41
2018 Tax Bill Amount $1,501.04
Tax Estimator
Save Our Homes Savings: $1,109.37
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description j
LOT 160
PRESERVE AT LAKE MONROE
PB62PGS12-15
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 125,139 51,000 74,139 j
Schools___ 125,139 26,000 99,139
City Sanford 125,139 51,000 i 74,139
SJWM(Saint Johns Water Management) 125,139 51,00000 74,139
County Bonds .._ . . ........... ..... — 125,139 .._._._-.- $51,000—`` ----- 74,139
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 12/1/2012 107925 0799 140,000 Yes Improved
TRUSTEE DEED 10/1/2012 07888 0808 100 No Improved
WARRANTY DEED 1 8/1/2011 07622 0690 100 FNo— Improved
WARRANTY DEED 1/1/2005 105579 0163 182,800 Yes Improved
end Compambto Sake
Method Frontage Depth Units Units Price and Value
LOT 1 i 40,000.00 40,000
Building Information
Is Bed/Bath count incorrect? Click Here.
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=22193050200001600 1/2
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018122274 Book:9237 Page1277; (1 PAGES) RCD; 10/23/2018 3:25:11 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED RY /? ^
Name: 40 Cs"L'J"-O
Address:
a 13L
av2Z$oCe
NOTICE OF COMMENCEMENT
Permit Number
Parcel ID Number 2-2. 1q 3,0— 502— C%2' 0— 1( e2
The undersigned hereby gives notice thatimprovement will be made to certain real property; and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement
3. OWNER INFORMATION OR LESSEE INFORMATION IFTHE LESSEECONTRACTED FOR THE IMPROVEMENT: Name
and address:illhQ c-jd2 a p/e%,' // G(1( IJL+ CiGs7 lli'!, Sa,6,-,/, F/ 3 2.' I Interest
in property. Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name: Phone Number. Address:
S.
SURETY Of applicable,.a copy of the payment -bond is attached): Name: Address: ^_.•_—•----
AmountofBond: 6.
LENDER: Name:__ Phone Number Address:
Persons
within the State of Florida Designated by Owner upon whomnotice or other documents may be served.as provided by Section 713.
13(1)(a)7., Florida Statutes. Name:
Phone Number. Address:--- -- _
In
addition, Owner designates of to
receive a copy ofthe Lienor's Notice as provided In Section 713.13(i)(b), Florida Statutes. Phone number. 9.
Expiration Date of Notice of Commencement.(The expiration is 1 year from date of recordingunless a differentdate is specified) WARNING
rO OWNER,: ANY PAYMENTS MACE BY THE OWNER AFTER THE EXPIRATION; OF THE NOTICE OF COMMENCEMENT ARE CONSIDERFUIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1N YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. stgrutureotOnaero
Loases rr v,rs'ac,Lem-1WO(PrirtlNamoendProvtdesipnatoyFTitle/Office) Authorized
Utnoerlotrectulraruor.TynEga(p State
of County of.y'4/gip p The
foregoing inshumeirt was azimowledged befog me t-11133 day of20 by (
J11 S hZ dC olc1C1 Who is personally known to me OR Nome
Mrersanm2kno x1atimwi
SEMINOLE COUNTY MULTIJURISDICTIONAL
LIMITED POKIER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: )oil ql ib
I_here_by_name_and_appoint: Rudith Goic , Adreanna Ocasio,_ kylar Amkraut, Amanda Cieplinski
an agent of: _JASPER CONTRA TORS_.----"
Name of Company)
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):
0 All permits and applications submitted by this contractor.
Or
El The specific permit and application for work located at: \'
W'-Auv cYfS- Y-M' So>7-)Yd ri j271
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder.Name: Donald Bouchard
State License Number: CCC1331153
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this tt :day of [b%-e-r
20, by Donald Bouchard who is personally known to me or
who has produced DL as identification
and wh di ( id not) take an oath.
Signa ure of Notary Print or type Notary name
Notary Public - State of `r _(Sl d''
ANA CHAVEZ /^
UB= State of Florida -Notary Public Gol71mISSIOn NO. 1` l
G,ommiiWmision xpir 52 My Commission Expires: (QMyCommissionExpires
June 06, 2021
cx S lrJT4n.y`
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 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 resu It in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER SIGNATURE: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: lka Ufa\ng CYtS\- &Ljy, 32, )
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O 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: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (DOFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES ONO 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
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE Owens Corning FL# 10674-R13
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
OOTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
O OTHER: FL#
DocuSign Envelope ID: 609D95E5-D059-4E55-8A6E-DA097113E373 V3 V
800)337-3361 Fax
info@jasperinc.comjasperinc.com
JI;ASPER
JasporRoof.com
FL Contractor's License:
CCC1329651 & CCC1331153
ROOF REPLACEMENT CONTRACT
Account Manager: Joseph Palladino
Contact #: (407) 335-6239
Unatinn
UnitedCompany: Property 8r, Casualty (UPC)
Policy #:Uhv290721704
Claim #: 2017fl038188
Mortgage Comnanv Information
Company:
Loan Number:
Owner(,): Christina Pacholski Phone:
Address: 119 Walnut Crest Run Alt Phone: 4073417661
City:
Sanford
S Zip Code: 32771 Shingle Color:
OC Oakrid e - Driftwood
Email:
tpach06@yahoo.com
Roof RCV Amount/ Contract Price:
11.901
Drip Edge Color:
Drip Edge - White 6"
IfOwner's Insurance Comnanv does not agree to pay for a full roof replacement. this contract shall he 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 insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment
and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations wider 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 the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy
rights. If payment is made directly to the Own er/Agent/ln sured(s), it shall be endorsed over to Jasper immediately upon receipt. I 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 will not exceed the deductible
amount, as stated on insurer's loss sheet ("Loss Sheet"), which is hereby incorporated by reference as the Scope of Work ("SOW"), UNLESS
replacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise
to pay, w . Der rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the
deductibl un ted on the insurer's Loss Sheet shall overrule deductible amount disclosed. Deductible: $4500.00 MUST BE PAID
IN FUL (initial).
PAYME E: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of $ • 00 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 completion 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 ITEM: RATE: UPGRADE ITEM: RATE:
Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions stated herein, Jasper agrees to furnish 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 thirty (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 Loss Sheet from Owner's insurance company.
FLORIDA HOMEOWNERS' CONSTRUCTION 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. 1 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 accordance with its
terms.
14W639824F2
Signed by: Dmusigned by:
5/31/2018 16:54 PM EDT 5/31/2018 1 6:53 PM I
iWdwper Representative Date ... Date
y Docutign Envelope ID: 609D95E5-DO59-4E55-8A6E-DA097113E373
TERMS AND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a full roof replacement on the Terms and Conditions
stated herein. I further agree to provide Jasper with the Scope of Loss/ Loss Sheet generated by my insurer and authorize and grant full access to the
property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with
Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after commencement. The supplemental claim
amount(s), in addition to any depreciated amounts held back by the insurer, are immediately due to Jasper upon receipt. Commencement of Work: Work
shall commence at Jasper's discretion. Jasper shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of
God, war, governmental actions, inability to obtain materials from usual sources, delays caused by and/or as a direct result of Owner's insurer or other
circumstances not listed which are beyond the control of Jasper. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of Owner
to remove any and all items which are not secured to walls including, but not limited to items on mantles, shelves or other areas susceptible to vibrations, as
these may fall. Jasper shall not be liable for noise pollution and/or vibrations due to the performance of work contracted herein, or damages resulting to
person(s) or property as a result of performance of work. Homeowners Association: It is the sole duty of the Owner to secure approval from the Homeowners
Association for any and all items necessary for Jasper to complete the work listed herein, including but not limited to shingle color, type, brand, etc.
Construction Debris: Upon completion of work, Jasper will make reasonable efforts to remove debris from the property, including but not limited to, a
general clean-up of construction -related debris and a magnetic sweep of the eve line and walkways surrounding the project area. As Jasper cannot guarantee
the removal of all nails and/or debris, it shall not be liable for resulting damages. Landscaping: While Jasper will make reasonable efforts to cover the lawn
and/or shrubbery, it is the sole responsibility of Owner to remove and/or safeguard any and all plants, shrubbery, lawn ornaments, furniture and/or valuables.
Jasper cannot guarantee the safekeeping of these items nor shall it assume liability for damages. Timely Payment: It is Owner's responsibility to ensure
prompt payment from mortgagee and/or insurer. Jasper must be paid immediately upon receipt of funds or, if funds have not been received from the Insurance
and/or Mortgage Company, not to exceed thirty (30) days from date of install. If Jasper is not paid within the requisite time period, all promotions, advertising
specials, and/or discounts shall be voided. Owner shall also be responsible for any collection fee(s) incurred. Force Majeure: Jasper shall not be liable for
any natural and/or unavoidable catastrophes that interrupt the expected course of events and restricts Jasper from fulfilling its obligations herein, such as,
but not limited to: excessive wind, hail, ice, rain, extreme weather conditions, fire, war, governmental actions or other Acts of God. Labor Warranty: Jasper
shall provide to Owner a two (2) year, non-transferrable warranty on labor as long as the Contract Amount is paid in full to Jasper within ninety (90) days. Please
see "Two Year Labor Warranty" for additional details and exclusions; Warranty is hereby incorporated by reference. Jasper is not responsible for
any damage to the roof or premises due to, but not limited to: leaks, cracks, fissures, etc. caused by excessive wind, ice, hail, snow or any other Act of God
during the warranty period. In the event of an extreme weather condition or Act of God which warrants an insurance claim, Labor Warranty shall be
voided. Ongoing Work: Jasper shall not be liable for damages from fires, windstorms, rain or other hazards as is normally covered by Homeowner's
Insurance or Builder's Risk Insurance. Jasper shall not be liable for any and all water intrusion or damage to property, premises or its contents which may
occur during installation, including but not limited to: water intrusion due to rising waters or wind driven rain, as well as water intrusion caused by pipes
which are not to current code, regardless of "grandfathered" code status. This contract and the Warranty provided herein, shall not be assigned or
transferred by either party, except by written instrument signed by both parties. Manufacturer's Warranty: All materials used are subject to Manufacturer's
Limited Shingle Warranty. Any defect of materials is covered, and subject to, the manufacturer's warranty specifications; this shall void Jasper's
Warranty. Pre -Existing Materials: Repair of deteriorated decking, "waves" in decking, fascia boards, roof jacks, ventilators, flashing, chimneys, gutters or
other such materials (unless otherwise expressly stated in the Loss Notice or Contract) are not included. Decking or planks shall be replaced as required by
code and Owner authorizes an additional charge of $75.00 per sheet of decking or $25.00 per plank. Should Owner elect to replace any and/or all of
these pre-existing materials, Owner shall be charged for both material(s) and labor. Jasper shall be liable neither for the replacement of, nor for any damages
arising from, Owner's election to retain these pre-existing materials. Pre -Existing Conditions: Jasper shall not be responsible or liable for issues due to
improper ventilation, deteriorated decking, "waves" in decking, appearance of roof due to irregularities in underlying structure or other pre-existing, structural
defects. Shingle Color Change: Should a shingle color change be requested after the installation has been scheduled, a $175.00 express shipping fee shall be
charged by Jasper to Owner. This fee MUST be paid on day of installation. Minimum Contract: Jasper reserves the right to terminate any Contract if
Contract Price does not exceed $7,048.00. Severability: The invalidity or unenforceability of any provisions of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. BINDING ARBITRATION: If a dispute
arises from or relates to this contract or the breach thereof, and if the dispute cannot be settled through direct discussions, the parties agree to endeavor first
to settle the dispute by mediation administered by the American Arbitration Association under its Construction Industry Mediation Procedures before
resorting to arbitration. The parties further agree that any unresolved controversy or claim arising out of or relating to this contract, or breach thereof,
shall be settled by arbitration administered by the American Arbitration Association in accordance with its Construction Industry Arbitration Rules and
judgment on the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The statute of limitations on all disputes which
arise from or relate to this contract or a breach thereof shall be one (1) year from the date of signing Roof Replacement Contract. Claims shall be heard by
a panel of three (3) arbitrators. The mediator shall not be empanelled as an arbitrator. The place of arbitration shall be Atlanta, Georgia. The arbitration
shall be governed by the laws of the State of Georgia. All deposits, tees and expenses of the mediation and/or arbitration, including required traveling and
other expenses or charges of the mediator and/or arbitrator, shall be borne by the initiating party. Depositions shall be limited to a maximum of 25 per party
and shall be held within 180 days of the making of a request. Additional depositions may be scheduled only with the permission of the arbitrators, and for
good cause shown. Each deposition shall be limited to a maximum of eight (8) hours duration. Any dispute regarding discovery, or the relevance or scope
thereof, shall be determined by the arbitrators, which determination shall be conclusive. The arbitrators will have no authority to award punitive,
consequential or other damages not measured by the prevailing party's actual damages, except as may be required by statute. hi no event shall an award in
arbitration exceed the amount of the Roof Replacement Contract. Any award in an arbitration initiated under this clause shall be limited to monetary damages
and shall include no injunction or direction to any party other than the, direction to pay a monetary amount and shall not exceed the roof RCV amount/
Contract Price. The award shall not include pre or post judgment interest. The award of the arbitrators shall be accompanied by a reasoned opinion.
Notwithstanding any language to the contrary in the contract documents, the parties hereby agree: that the Underlying Award may be appealed pursuant to the
AAA's Optional Appellate Arbitration Rules ("Appellate Rules"); that the Underlying Award rendered by the arbitrator(s) shall, at a minimum, be a reasoned
award; and that the Underlying Award shall not be considered final until after the time for filing the notice of appeal pursuant to the Appellate Rules has
expired. Appeals must be initiated within thirty (30) days of receipt of an Underlying Award, as defined by Rule A-3 of the Appellate Rules, by filing a
Notice of Appeal with any AAA office. Following the appeal process the decision rendered by the appeal tribunal may be entered in any court having
jurisdiction thereof: Except as required by law, neither party nor an arbitrator may disclose the existence, content or results of any arbitration hereunder
without the written consent of both parties. Should either party disclose the existence, content or results of any arbitration hereunder, that party shall forfeit
any and all damages awarded as a result of arbitration. Damages: To the extent permitted by law, in no event shall Jasper, its officers, directors,
shareholders, representatives, employees, attorneys, affiliated entities or insurers be liable to Owner for any incidental, indirect, punitive, special or
consequential damages arising out of or related to the performance, nonperformance or termination of Contract. Cancellation Fees: Should
owner elect to cancel the Contract outside of the statutory three (3) day time frame, a cancellation fee shall apply to compensate Jasper for its
time, expense and professional services which were rendered to Owner. The fee shall be 25% (twenty-five percent) of Contract, but shall not exceed
2,500.00.
nos
v
r :--b
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: S ! "1 jL O ADDRESS: j . 2jU(O yU,V`, '"''
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 #: CCC1331153
COMPANY/CONTRACTOR:
JASPER CONTRA
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE DER OR R/BUILDER)
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 SEMINOLE
Sworn to and Subscribed before me this day of 20 by:
55" I . Who is 0 Personally Known to me or has ffi Produced (type of
Print/Type/Stamp Name
of Notary Public
as identification.
RUDITF G01 ypJ1Yt, a a, + r PublicpA<<'? State-oflF)orida-NoraCommission # GG 178.413MyCommissionExpires
OFa' January 2A, 2022
7
SEMINOLE COUNTY MULTI -JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
I Seminole County, Winter Springs
Date: 601 1-1
Scott Meixsell, Chris Gardner, James Allen, Joshua Collazo, Desmond Roberts, Jovanni Bracero & Edwin
I herebyrlame and-appoint.M uez ...........
an agent of.. JASPER CONTRACTORS
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and ,applications ,-submitted --- by this contractor.
Or
El The specific permit and application for work I ted at:
i vq mgjAw-j' LLI . 7;,-1
Street AddYess)
Expiration Date for This Limited Power of Attorney: 1/1/2019
License Holder.Narne: Donald Bouchard
State License Number: CCC1331153
Signature of License Holder: "d
STATE OF FLORIDA
COUNTY OF SEMINOLE
pp
The foregoing instrument was acknowledged before Me this day of
20 18 by DOVALD BOUCHARD who is personally known to me or
0 who has produced as identification
and wrfi d not) take an oath.
Sgna ure of Notary Print or type Notary name
Notary Public -'State of
RMAy pow", ANA CHAVEZ Commission No. E- CotStateofFlorida -Notary Public
s pmmi pion#GG 112152
FXr-4p, My Commission Expires: (0M'CdMmission Expires
I., " June 06, 2021