HomeMy WebLinkAbout3506 S Orlando Dr 18-4723CITY OF ; DEC 10 2018 e
PERMIT APPLICATION
1WaY;----
BUILDING DIVISION
Application No: 18-41203
Documented Construction Value: S Lz 000 ' 010
Job Address:�SS• 0R'��D yam- � Q�� Historic District: Yes❑ No�
Parcel ID: \\--7-D 'aJ�'�`�� •FA346% -()0fJ (D Residential ❑ Commercial
Type of Work: New 10 Addition ❑Alteration ❑ Repair ❑ Demo❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
Phone. �"��a Fax:
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Ematl��fl`���T�C\rv�c,;.\, Goan
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Property Owner Information R�u\�U
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NamNPhone:
Street: a�'a� _TA_ D s a 5`
City, State Zip: _V�Q`y
Resident of property? :
Contractor Information
Name �C�r��! \� �f1C- Phone.--_�a
Street: �� �� �3 Fax:
t
City, State Zip: U-�.� �Jy"��°� State License No.:
Name
Street:
City, St, Zip:
Bonding Company:
Address:
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 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.
FS o H$t
1
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code
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 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 of permit 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 constructio+d zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
of
Date
W"nL C-- SMI'
Print Contr or/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
Mot Al xmAMM AM MOORS
W COMMISSION # G4 ?a1338
USE ONL �� DeO 3,2M
BELOW IS FOR OFFICE U a. . ,
Permits Required: Building ❑ Electrical ❑ Mechanical El Plumbing [IGas ❑ 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 SP rinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTEWATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
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11/1/2018 �1 1.,'\,�
SOPA Parcel View: 11-20-30-300-013A-0000
Owner(s)
SPIRIT REALTY LP
o.rta JubnmC
Property Record Card
P
Parcel: 1 I-20-3C-JUO-013A-i00�:
1
Property Address: 3506 S ORLANDO DR SaPIFORD FL 32771
Parcel Information Value Summary
Parcel
11-20-30-300-013A-0000
Owner(s)
SPIRIT REALTY LP
Property Address
3506 S ORLANDO DR SANFORD, FL 32771
Mailing
C/O SPIRIT GEN OP HOLDING LLC
1
2727 N HARWOOD STE 300 DALLAS, TX 75201
Subdivision Name
$371,166
Tax District
S4-SANFORD- 17-92 REDVDST
DOR Use Code
21 -RESTAURANT
Exemptions
ray
Legal Description
SEC 11 TWP 20S RGE 30E
FROM SE COR OF NE 114 OF SE 1/4
RUN W 1248.06 FT N 543.18 FT
N 64 DEG 30 MIN W 129.07 FT N 25
DEG 30 MIN E 344.66 FT TO POB
RUN N 64 DEG 30 MIN W 197 FT N 25
DEG 30 MIA E 256 FT S 64 DEG 30
MIN E.197 FT S 25 DEG 30 MIN W 256
FT TO'BEG
i 0.16 AC)
Valuation Method
Number of Buildings
Depreciated Bldg Value
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
Just: ilar. ,..:/alu..'.
Portability Adj
Save Our Homes Adj
Amendment 1 Adj
P&G Adj
Assessed Value
$769,409 $748,094
$0 $0
$0 $0
$0 $0
$769,409 $748,094
Tax Amount without SOH: $14,041.00
2013 Tax Bill Amount $14,041.00
<i
�zs Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Dale
L
2019 Working
2016 Certified
Values
Values
Cost/Market
Cost/Market
1
1
$391,125
$371,166
$14,669
$13,313
$363,615
$363,615
$769,409 $748,094
$0 $0
$0 $0
$0 $0
$769,409 $748,094
Tax Amount without SOH: $14,041.00
2013 Tax Bill Amount $14,041.00
<i
�zs Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Dale
L
Book
Page
'�. Taxing Authority
i Assessment Value Exempt Values
Taxable Value
12/112016
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
$769,409
$769,409
$769,409
$769,409
$769,409
$0
$0
$0
$0
$0
$769,409 -
$769,409
$769,409
$769,409
$769,409
-- — --
SPECIAL WARRANTY DEED
8/1/2002
04506
Sales
No
Improved
Description
Dale
L
Book
Page
Amount Qualified
_y
Vac/Imp
SPECIAL WARRANTY DEED
12/112016
08835
0838
$2,586,700
No
Improved
SPECIAL WARRANTY DEED
8/1/2002
04506
1488
$1,276,000
No
Improved
WARRANTYDEED
6/1/1995
02930
0_?3
$900,000
No
Improved
SPECIAL WARRANTY DEED
8/1/1987
01878
tC_.tr.
$400,000
Yes
Improved
No C.amggr»6MNo SaNes�
Land
hUp://parceidetail.scpafl.org/ParcelDetaillnfo.aspx?PID=112030300013A0000
112
1111111 Re quest for Taxpayer
Foran i 9 qGive Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service ► Go to wwwJrs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
Ocala Roofing, Inc.
C6
Q
C
0
. N
C
02
V;c r e
v
to
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2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
following seven boxes.
❑ Individual/sole proprietor or ❑ C Corporation 0 S Corporation ❑ Partnership ❑ Trust/estate
single -member LLC
❑ Limited liability company. Enter the tax classification (C -C corporation, S=S corporation, P=Partnership) ►
Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check
LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC thi
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
LJ Other (see instructions) 0-
5
5 Address (number, street, and apt. or suite no.) See instructions.
2352 NE 49th Street
6 City, state, and ZIP code
Ocala, FL 34479
4 Exemptions (codes apply only to
certain entities, not Individuals; see
instructions on page 3):
Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applies to accounts mainw~ outsase the U.S)
Requester's name and address (optional)
7 List account numbers) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other - -
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
8 2 - 5 1 0 1 8 1 6 1 9 8 4
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (f any) indicating that I am exempt from FATCA reporting is correct.
Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not requited to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later.
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to wwwJrs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099 -INT (interest earned or paid)
• Form 1099 -DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
!f you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Workers' Compensation Loss History Affidavit
I,SM14do hereby certify and swear that
((name of owner or officer)
have incurred 0 injuries within the
(company name)
last 36
months. Please list the injuries and the cost in the table below.
Date of Claim
Name of Injured
Amount of
Claim
Open or
Closed
Description of Injury
1 I
$
I I
$
1 I
$
1 I
$
Note: If there have been no injuries write "None" in the table above
Explanation if an individual claim amount exceeds $15,000
Company Name C L 1, C� o nc
p Y
Signed By
Title/Position 4 resi Je-n i— Date
Any person who knowingly and with intent to injure, defraud, or deceive any insurer file, statement of claim, or an application containing any
false, incomplete, or misleading information with the purpose of avoiding or reducing the amount of premiums for workers' compensation
coverage or conceal information pertinent to the computation and application of an experience rating modification factor, is guilty of a felony of
the third degree or as otherwise punishable as provided under the law
AfffshlCITY OF
Building & Fire Prevention Division
SANFORD COMMERCIAL ROOF PERMIT GUIDELINES
FIRE DEPARTMENT
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
+d Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
❑ Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
❑ A site specific notarized power of attttom�e�shall be required from the licensed contractor if
he/she appoints an employee o his/her company to sign the permit application as the contractor.
Certificate of insurance indicating }porker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
❑ Owner Builder Statement / Affidavit (if the owner is the applicant).
(Must be signed in person at the Building Department) ll
Two (2) copies of Florida Product Approval and Manufacturer Installation Instructions for the roof
covering product and the underlayment.
** Please Note — Commercial Roof Permits require a Dry In and Final Roof Inspection. **
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Effective.• August 1, 2017
PRODUCT APPROVAL SPECIFICATION SHEET
As required by Florida Statute 553.842 and Florida Administrative Code 913-72, please provide the information and approval
numbers on the building components listed below if they will be utilized on the construction project for which you are applying for
a building permit. We recommend you contact you local product supplier should you not know the product approval number for
any of the applicable listed products. Statewide ammroved products are listed online : www.floridabuildine.ora
Category/ ubcateor Manufacturer Product Description Approval Number(s)
1. EXTERIOR DOORS
A. SWINGING
B. SLIDING
C. SECTIONAL/ROLL UP
D. OTHER
2. WINDOWS
A. SINGLE/DOUBLE HUNG
B. HORIZONTAL SLIDER
C. CASEMENT
D. FIXED
E. MULLION
F. SKYLIGHTS
G. OTHER
3. PANEL WALL
A. SIDING
B. SOFFITS
C. STOREFRONTS
D. GLASS BLOCK
E. OTHER
4. ROOFING PRODUCTS
A. ASPHALT SHINGLES
B. NON-STRUCT METAL GAF Materials Asphalt Roof Shingles Timberline HD FL 11651.13
C. ROOFING TILES
D. SINGLE PLY ROOF
E. OTHER
5. STRUCT COMPONENTS
A. WOOD CONNECTORS
B. WOOD ANCHORS
C. TRUSS PLATES
D. INSULATION FORMS
E. LINTELS
F. OTHERS
6. NEW EXTERIOR
ENVELOPE PRODUCTS
A.
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these
products, the following information must be available to the inspector on the jobsite l) copy of the product approval 2)
performance characteristics which the product was tested and certified to comply with 3) copy of the applicable manufacturers
installation requirements. Further. I understand these products may have to be removed if approval cannot be demonstrated during
inspection.
11/1/2018 Florida Building Code Online
acts Home Lou In User Registration Hot Topics Submit Surcharge Stats It Fa Cts Publications Contact Us BCIs Site Map Links Search
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4 product Approval
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produS(_1Rproval Menu > Product or App0dation Search > Application List
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Code Version 2017 FL# 10124.1
Application Type ALL Product Manufacturer ALL
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Search Results - Applications
Eii Type Manufacturer Validated Bg
FL10124- Revision GAF John W. Knezevlch, Approved
FL#: FL10124.1 'PE
History Model: GAF Asphalt Roof Shingles (954) 772-6224
Description: Fiberglass reinforced 3 -tab, laminated, 5 -tab and hip/ridge
asphalt shingles
Category: Roofing
Subcategory: Asphalt Shingles
'Approved by OEM Approvals by OEM shall be reviewed and ratified by one POC and/ar Me Commission If necessary
Contact Us :: 2801 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an AA/EEO employer. l;g mght 2007-2013 State of Floods.:: Pnvacy Statement :: Acressibili[v Statement :: Refund Statement
Under planes law, small adtlresses are public records. If you do not want youre-mail address released in response to a public -retards request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. "Pursuant to settled 455.275(1),
Honda Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The smalls
Provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please
Provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please dirk here .
Product Approval Accepts:
IU® KnxX
Credit Card
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