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HomeMy WebLinkAbout129 Crown Colony Way17-135; ROOFJob Addre Parcel ID: EclEIVE 017 CITY OF SANFORD JAN BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 0( 9 2DocumentedConstructionValue: $ 1 Historic District: Yes No Residential Commercial Type of Work: New Addition Alteration Repair K Demo Change of Use Move Plan Review Contact Person: _ Phone: 2 X 7 VV9 rroperiy owner Information Name © Phone: 32 — d-9 d- 0 3 Street: any) l CJ - Gv Resident of property? City, State Zip: 'r-1 7 7 f Contractor Information Name /1 Street: City, State Zip: 212— Name: Street: City, St, Zip: Bonding Company: Address: Phone: 7,4 7 -717 Fax: State License No.: ecf l 3 -3 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 1'( 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: 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application de ` .-i 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 Owner/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 Lj:ied Si of Contractor/Agent e Print ntractor/Agent's Name 6117 Siatu eon 'tateR6 biiC - State Of f9bfida s My Comm. Expires Jan 16, 2018 rf;• Commission # FF 071760 OP " Bonded Through National Notary Assn. Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application h` City 1 Sanford Building and Fire Preventionk:. ,. .. e:e gir. 5 a 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.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form2. A copyo:f the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Florida Approval # Description I (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 Manufacturer Product Description Florida Approval # including decimal) 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 Underla ments L l, 0Fd ' D 2 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 d r v Other June 2014 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 e_ Florida Approval # include decimal) a SCPA Parcel View: 33-19-30-5QS-0000-0510 Page 1 of 2 Property Record Card Parcel: 33-19-30-5QS-0000-0510 Owner: RIVERA JORGE & GARCIA DAYANA E Property Address: 129 CROWN COLONY WAY SANFORD. FL 32771 11 Value Summary r - Parcel 133-19-30-5QS-0000-0510 Owner j RIVERA JORGE & GARCIA DAYANA E Property Address i 129 CROWN COLONY WAY SANFORD, FL 32771 Mailing 129 CROWN COLONY WAY SANFORD, FL 32771 Subdivision Name CROWN COLONY SUBDIVISION Tax District i S1-SANFORD DORUse Code 01-SINGLE..FAMILY _-------- Exemptions OJ 0 r Legal Description LOT51 CROWN COLONY SUBDIVISION PB 61 PGS 76 - 78 Taxes 0 Seminole County GIS 2017 Working 2016 Certified Values Values Valuation Method Cost/Market CosUMarket Number of Buildings 1 1 Depreciated Bldg Value 123,417 i $118,107 Depreciated EXFT Value1 325 338 t..... Land Value (Market) y...................._............................._.. 3_...................__._........................... 33, 000 33,000 Land Value Ag Just/ Market Value " 156,742 t ........................._. 151,445 Portability Adj Save Our Homes Adj 0 I $51,302 Amendment 1 Adj 0 P& G Adj 0 0 Assessed Value t..............._.........._...................._ 156, 742 100,143 Tax Amount without SOH: $2,222.44 2016 Tax Bill Amount $1,194.08 Tax Estirnator Save Our Homes Savings: $1,028.36 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value CitySanford 1......................................................_$ 156,742... SJWM( Saint Johns Water Management) 156, 742.i_.._........._..........._................................................._$0 156, 742 1. 0 156,742 County Bonds 156,742 0 156,742 County General Fund 156,742 I $0 156,742 Schools 156,742 j $0 I $156,742 Sales Description Date Book Page j Amount Qualified VaGImp WARRANTY DEED 5/l/2016 108707 0602 238,000 Yes i Improved SPECIAL WARRANTY DEED 12/1/2003 05151 1466 146,900 Yes i Improved WARRANTY DEED 8/1/2003 i 04965 0279 640,000 No Vacant FindCmamparabie Sales i Land Method Frontage Depth Units Units Price Land Value LOT ' 1 33,000.00 $33,000 Building Information is BedrBath count incorrect r trocx nere. Description Year Built I Fixtures I BedBath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective I 1 SINGLE 2003 7 3. 2.0 1,6171 2,053 1,617 CB/STUCCO 123,417 ` $129,913 Description Area I FAMILY i FINISH 415. 00 http://parceldetai1. scpafl.org/ParceIDetaiIInfo.aspx?PID=3319305QS00000510 1/5/2017 Licensed k Insured First in Oual' ATLANTIC First in Service First in Satisfaction Roofing & Construction,.a 800-411-0920 LIC # CCC1330939 6767 Hoffner Avenue LIC # CRC1331435 Orlando, Florida 32822 Ins. Co, C Tel* 8'6K -707— K71 Claim # eo 010 , 9 26 Adj. Name F'c N k e Y Tel.# Voq Fax # i • `4LV -P 0 Vn6LA d ly 9 c- " 1 vh QVt GIL S es 1 S ve, v i c e s- C o ^1' CID w' PROPOSAL SUBMITTED TO STREET CITY, STATE, ZIP C'i k i Q JOB # SUBDIVISION HOME PHONE 3 2 [,) 2 2 L BUSINESS PHONE DATE 113 ' C SPECIFICATIONS FOR LABOR AND MATERIAL Zfe Off Shingles: ' Layers Pssionally Install: Brand (f(— ' ' Type c'` r Sv;5 I Color Ne Valley Ft. /' Zstall: 30 lb. Felt Peel & Stick u Synthetic Undedayment al, sidewalls, counter and wall flashings Re -Use Drip Edge G'Drip Edge 1-1/2• 2' 3' 4' or Plumbing Vents ation:. Goose Necks Off Ridge Vents Ridge Vents Color Renail Plywood Sheathing to Code Skylight 2 x 2 4 x 4 a-016 od replaced at $60 - per sheet (if needed) lean -up and haul off all job related trash oil yard with agnetic holler 1 P rtectyard nd shrubs kl' c Atlantic Roofing is not responsible for pre-existing structural conditions. 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. Propertyowner's out-ot-)oc et expense is not to exceed 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 RECEMED. We propose to hereby fumish materials and labor, complete in accordance with above specrce. ns sum of the insurance as per the insurance company loss scope sheet. for which is incorporated herein mad r uda customary profit and overhead when multiple trade incurred $ DNS. j -a Ged Paym an of ea tra . 1 Authorized Signature' Must be approved by company owner. No other work ekpressed or Implied verbally. Ali 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 prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. 3• Date L 1 3 Payment will be made as outline abo x ---- -- -- N THIS INSTRUMENT.PREPARED BY: Name: /9 n Address: (5 57( GYi% ? '1 v2—• NOTICE OF COMMENCEMENT Permit Number: 7 // PPl Parcel ID Number: 33 30 5 QS 00)0 ,570 GRANT NALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK. VV44 Ps 432 QP9s) CLERK'S t 201700309g RECORDED ill/10/2017 111:24:ii2 F'll RECCIiti1;NG FEES $i.ii,ilil RECORDED BY hdevore 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/(/ P-R O/PE,RTY: L,e/yQal description of the property and str et aad(J// ress if available) t--.VDUyY Y l (a I 1I A /1' V 7 / 1 n4- r-i -.r .. .. 000 n „ , _ 0 A In G i /_ -- / 07 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FO THE IMPROVEMENT: ( Name and address:- ` LVe-VL a` i1/ 3d7> Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: y/ ,, 7 11, 64eLPhone Number: Address: 1D% 6 ) 7`f"dam slX 3 2.0-L2_ 5. SURETY ( If applicable, a copy of the payment bond is attached): 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 Date of Notice of Commencement (The expiration is 1 year from dale of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 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. Ire of Own or Lessee, or Owner's or Lessee's (Print a and Provide Signatory's Title/Office) AAuthorized Officer/ Director/Partner/Manager) 6L County of V'71) J State of / C) Lj The foregoing instrument was acknowledged before me this () T day of `/ i l C'/ 20 by 1/ e a-- Who is personally known to me 0 OR Name of person making statement / who has produced identification lF=type of identification produced: 'E L- (a J ^ Li ice' ? e— Ly o;.wLt%; GRACIELA GAGNE / MY COMMISSION tf FF985949 4 EXPIRES April 25, 2020 Nota Signature ao)ice o1 F N 15)"TC: GRANT MALOYc <ry gnawre WAR A11 [IRCUIT COURT L OUNTi',FLORIDA " s CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I, 419C hereby acknowledge that I personally inspected Roof deck nailing and/orP(Secondary water barrier work at Job Site Address) 610,yL (, w and have determined that the work 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. wztxtol/ Signatu e of Contractor c dAa e ( Printed Name of Contractor Z ,yx // 9 Date Cde 133c,,1539 License # License Type: General 0 Building ResidentialP R.00fing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Swo to (or affirmed) and subscribed before me this _ day of . PlUa , 20 1 , by l \ G 4 C-nCAe, who isRlLersonally Known to me or has Produced (type of ident' ' ation) as identification. SEAL) ignature of Notary Public StaW of Florido j / 0. STEPHEN PAT RICK Dv^LAN Print/ Type/Stamp Name MY COMMISSION # FF 071532 of Notary Public * EXPIRES: December 27. 2017 s OF F p\OBonded Thru Budget Notary Services 3