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HomeMy WebLinkAbout109 Friesan Way 17-136; ROOFECEiVE JAN 2017 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 3 Documented Construction Value: $ Job Address: ® Historic District: Yes No,- Parcel ID: l L 20 ,3 / , Z5— z w Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Moove Description of Work: Lt" /&:& LCJ^A':til<- ;9a8-, Plan Review Contact Person: M i Phone: {Di -S'7 J % Fax: Q Title: /911u D Email: f141"! i J"54F,' N!jA/no f Property Owner Information Name &1W Phone: .} — S% — Ilk Street: /Q Cj F" e-r 14 1.7 Resident of property? City, State Zip: Contractor Information Name %'ll X- ee/ /'7 Street: 6 City, State Zip: 21-2- Phone: Fax: State License No.: CCC 133Ds3 S Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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. 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 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 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 construction and zoning. Signature of Owncr/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signal re of Cont actor/Agent Date Print Cont or/Agent's Name ry,14 - &Ot7 / Signature of Notary -State of Florida Date Produced ID ANNETTESCOTT Notary Public - State of Florida My Comm. Expires Jan 16, 2018 Commission # FF 071760 BELOW IS FOR OFFICE USE ONLY Me or Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application a'B t jsr City Sanfordof Building and Fire Preventionil\4.Fy_1.?H Product Approval Specification Form Permit # Project Location Address As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide theinformationandproductapprovalnumber(s) on the building components listed below if they are to beutilizedontheconstructionprojectforwhichyouareapplyingforabuildingpermit. We recommend thatyoucontactyourlocalproductsuppliershouldyounotknowtheproductapprovalnumberforanyofthe applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.florid building.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product ---FFlorida Approval # Description (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underlayments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other Manufacturer FW--M Product Florida Approval # includino decimal) 16 June 2014 2 1 - . , Category Subcategory 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) Manufacturer June 2014 3 Product M Florida Approval # include decimal) 6 Licensed & Insured First in Quality First in Service k First in Satisfaction Roofing & Construction,., 800-411-0920 LIC # CCC1330939 6767 Hoffner Avenue LIC # CRC1331435 Orlando, Florida 32M M S a-1Ah rA, () <A ; S (o 1 Q y4. 001 Co P-1 Ins. Co,- Tei.# ' F77, 700 L 3'7% q Claim # 7 `f I ,? 6 Adj. Name APIA BA/Q GT AJ Tel. # e24+ 7 trS 1 Fax # rs" 1floctc .co!^. PROPOSAL SUBMITTED TO r--,. VA )O rl SO F` DATE J / STREET tog Fr ; e 5. is n l j t L 4JOB # CITY, STATE, ZIP _SQe~+1g-0( 2 7-? SUBDIVISION a HOME PHONE a JS-7 BUSINESS PHONE SPECIFICATIONS FOR LABOR AND MATERIAL Te Off Shingles: _ Layers 8 Prossionally Install: Brand bc-, r Type rT r 4 Color A fl 13Ne alleys Ft. n 11.: 30 lb. Felt Peel & Stick Synthetic Undedayment Q Re 1, sidewalls, counter and wall flashings Re -Use Drip Edge Dnp Edge row 1-1/ 2' 2' 3' 4' or Plumbing Vents J C Vert ' on:. Goose Necks Off Ridge Vents Ridge Vents Color 1' fl (.J.h enail Plywood Sheathing to Code Sht 2x2 4x4 C-Cean- urp P° replaced at $60 -per sheet (if needed) and haul off all job related Va oil ya w h mag tic rofer P voted %y and shrubs Atlantic Roofing is not responsible for }ire -existing structural conditiohs. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT This proposal Is contingent upon the Insurance company paying for damages This proposal will be VOID only if claim is disallowed by Insurance company, Property owner' s out-o pocket evense is not to m heed the deductible amount The Insurance company will determine and set the price of the claim. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose t0 hereby furnish materials and tabor, complete in accordance with above spec ns for sum of the insurance as per the insurance company loss scope sheet for which is incp rated h and mad refs to ' de customary profit and overhead when multiple trade incurred S 11 P lion of ea trad Authorized Signature i ( ws—, 41 Must be approved by company owner. No other wort[ ei pressed or implied verbally. Ail to be in writing and accepted before commencement of changes. NOTE: This proposal may be withdrawn by us If not accepted within 30 days. ACCEPTANCE OF PROPOSAL- The above prI rditions are satistactory and are hereby accepted. You are authorized to do the work as specified. 7 / Payment will be made as outrme above X / '" Date NTHIS INSTRUMENT PREPAR , D BY: ' Name: 114(( ' Address -=-? Z NOTICE OF COMMENCEMENT Permit Number: GRANT 11ALOY; SEIIINOLE COUNTY CLERK OF C:IRC:UI:T COURT & C:OVIPTROLLER BK 884.1 Rj 411 CLERK' S Y 21317003095 RECORDED 1 11/10/2C117 01:24: i i; P11 RECORDING FEES f:::;RGLG BY hdevore Parcel ID Number: I.,.-i ( .5 =U 06) v The undersigned hereby gives notice that improvement 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. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and/street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMAWON OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Z/ % Interest in property: 4n 19 * Fee Simple Title Holder (if other than owner listed above) Address: 4. CONTRACTOR: Name: Address: O'c! 2_ 5. SURETY (If applicable, a Address: Amount of Bond: 6. LENDER: Name:. Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may ,be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address 8. In addition, Owner designates of to receive a copy of the Lienor•s Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Dale of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) b a WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. VG--Sfl hSDIV) 2',----( S1g RaDtCref Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) 4Stateof County of —fy The foregoing Instrument was acknowledged before me this sO day of by m l ) o f Vt S V , 1 r Who Is personally known to me 0 OR Name of person making statement who has produced identification pe of identification produced: L • 5 Z ? ii4: GRACIELA GAGNE P MY COMMISSION # FF985941 EXPIRES April 25, 2020MO 407 32"153 FloridallotarySarvioe.com JAN 10 2017 SCPA Parcel View: 18-20-31-505-0000-0040 Page 1 of 2 i Property Record Card i Parcel: 18-20-31-505-0000-0040 j Owner: JOHNSON EVA sew+asonwn,ann. Property Address: 109 FRIESIAN WAY SANFORD, FL 32771 Parcel Information Value Summary Parcel! 18-20-31-505-0000-0040 Owner j JOHNSON EVA Property Address 1 109 FRIESIAN WAY SANFORD, FL 32771 Mailing 109 FRIESIAN WAY SANFORD, FL 32773-6853 Subdivision Name , BAKERS CROSSING PHASE 1 Tax District ; S1-SANFORD DOR Use Code 01-SINGLE FAMILY _--_— --— T Exemptions 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value j $127,136 121,628 Depreciated EXFT Value 450 463 Land Value (Market) 32,000 32,000 1 Land Value Ag Just/Markel Value " r 159,586 154,091 r....................................................... l ............ -........................................ Portability Adj I Save Our Homes Adj 0 0 Amendment 1 Adj 0 13,783 P&G Adj 0 0 p Assessed Value 159,586 140,308 Tax Amount without SOH: $2,916.73 2016 Tax Bill Amount $2,916.73 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 4 BAKERS CROSSING PH 1 PB 60 PGS 27 - 29 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value Schools 586 i City Sanford 159,586..................................................................................-$0..........................................................$159,..... 159,586 0 159,586 j.............................................................................................................................................. SJWM(Saint Johns Water Management) 159,586 0 159,586 i County Bonds p-_____...__._.... __.._..._.-........__...........-....._..'-. 159,586 j 0 159,586 County General Fund 159,586 0 159,586 Sales r----...___.__.._..--------------------......---.._..-----.............. -........ --------.._.._._..._ Description j Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 5/1/2016 WARRANTY DEED 4/1/2004 08687 05289 0257 0932 199,000 Yes 176.700 Yes Improved Improved WARRANTY DEED 1/1/2004 05214 1267 198,000 No Vacant I # Description Year Built Fixtures Actual/Effective Bed Bath Base Area Total SF Living SF Ext Wall Adj Value I Repl Value Appendages 1 SINGLE 2004 7 FAMILY 3 I 2.0 1,751 2,307 1,751 CB/STUCCO FINISH 127,136 $133,476 Description Area 439.00 http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=18203150500000040 1/5/2017 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: l Q - (3 I,hereby acknowledge that I personally inspected 06400f deck nailing and/ort?FSecondary water barrier work at i d G'n Lt/ and have determined that the work Job Site Address) / was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. Sig a e of Contractor Date 4 a- CCG 133y,939 Printed Name of Contractor License # License Type: General Building 0 Residential'oofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF I-AW Sworn °° (or ffirned) and subscribed before me this day of 7 ,1va , 20 l , by Ge ( who i§Arersonally Known to me or has Produced (type of identif tion) as identification. SEAL) Signature' of Notary Public State lorida \ ' c% ea t t{1°P:;% STEPHENPATRICKDOIAN Print/ Type/Stamp Name * * MY COMMISSION ItFF071532 EXPIRES: December 27, 2017 of Notary Public +"SOF°- Bonded Thru Budget Notary services