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HomeMy WebLinkAbout110 Pinefield Dr`r CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: �� f_3 �Y.-- Documented Construction Value: $ m U D , v Job Address: i 1 u Pi n4 i e Id -b e. Historic District: Yes ❑ No B Parcel ID: 3 o, _ I q - 31- .51 S —©ODD -- oos;'b Residential R Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 2'� Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: I" eroop SH I n ol Fes Ili Plan Review Contact Person: Bcxrolcl (4 r,'AQ,e-S Title: Phone: Fax: Email: �i I'4U9�G�� CFL Property Owner Information Name C5rn4i I Star inns n Street: 1 _73 % 114 � I Cafe T,.- V r. dcx� City, State Zip: LQKr RQ-V.4 r— .. 3,9-14G dr Phone: Resident of property? : _ Contractor Information Name Phone:2- Street: 1 i y Ili • 05c e.cIa Fax: City, State Zip: Mi.hnrok-q FL` 34115- State License No.: CCC 1 )�a:7►_Z Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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. 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 Jan 08 18 11:03a 407-862-5480 p.2 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 perntit fees when the permit is issued. OWNER'S AFI+ID VIT: I certify that all of the foregoing in n tion is be done in Iompli ce with all applicable laws regulating co ' true on aq( r t Stu c f 0min Agent Date OwneriAgeot's Name Signature Owner/Agent is Produced ID Si iaturcofCont or/Agen Print C ntractor/Agent's Name Signature of tatiRtate of Flr MICHELLE HERNMDEZ MY COMMISSION Y FF 182303 EXPIRES: December 9, 2018 Bonded Thru Notary Public Under*TbM Personally Known to Me or Type of ID d that all work will Date /.019,i ' My CQb1�,l;'S510rd #;'r'17gg43 EXPIRES: FebrtaaN 25, 2019 Bonded 71,u Notay Pudic Underwri-ers 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: 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: Revised; June 30, 2015 Permit Application rsEnao�rrry I Property Address: 110 PINEFIELD DR SANFORD, FL 32771 Parcel Information Value Summary — Parcel 32-19-31-515-0000-0050 Owner ESMAIL SHARMIN Property Address 110 PINEFIELD DR SANFORD, FL 32771 Mailing 173 VILLA DI ESTE TER UNIT 209 LAKE MARY, FL 32746-1647 Subdivision Name CELERY LAKES PHASE 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions Legal Description LOT 5 T CELERY LAKES PHASE 1 PB 62 PGS 75 & 76 Taxes _, 2018 Working Values 2017 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $132,129 $124,603 Depreciated EXFT Value Land Value (Market)— — Land Value Ag___-- $313 $32,500 —� $325 $32,500� JusUMarket Value " $164,942 $157,428 — Portability Adj —�— Save Our Homes Adj Amendment 1 Adj , — $0 $1,899 $0 $9,207 P&G Adj $0 $0 Assessed Value $163,043 $148,221 Tax Amount without SOH: $2,882.83 2017 Tax Bill Amount $2,882.83 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $163,043 I $0 ; $163,043 Schools i $164,94 $0�_ $164,942 City Sanford --� — ( $163,043 -- $0 E $163,043 SJWM(Saint Johns Water Management) — — $163,043 $0 $163;043a County Bonds $163,043 � $O I $163-043.' Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED j 10/1/2014 08354 1672 i $1000 ( Improved WARRANTY DEED ; 12/1/2003 i 05156 1631 i $124,100�Yes _Improved Find CoampaaraDle SOMCornlpiarable SOM Land Method Frontage Depth Units Units Price Land Value LOT ! 1 1$32,500.00 i $32,500 Building Information # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE 2003 i 9 4 j 3.0 1 1,056 2,328 i 1,860 { CB/STUCCO $132,129 $139,083 E Description Area FAMILY j FINISH http://parceldetaii.scpafl.org/ParceiDetailinfo.aspx?PID=32193151500000050 1 /2 THIS INSTRUMENT PRE ARED BY: Name: ro Id al _ Address: 10 U NOTICE OF COMMENCEMENT Permit Number: GRA14T 11(1I_0Y, SENI14OLE COUhITY CLERK OF' CIRCUIT COURT & COMPTROLLER BK 9055 Ps :77 (1Pss) CLERK'S AT 2018003163 RECORDED 01/09f2018 03-23*3.a PN RECORDIhIG FEES $10.00 RECORDED BY hdavrare Parcel ID Number: 2�_ - q - j (- <? f 5 0 006) - 0 S-T} 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. DESCRIPTI� OF PROPERTY: r,h CI)101i aQAQ 2. GENEIQL DES ,QRIPTION OF IMPROVEMENT: of the property and street address if available) 5' e.le.ry Lour s PA&se ( Pf3 6 3- P6-S 7S 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: 7f\6kr Imi n �5 � I J `? 3 (; Nl 'bi 0-c, T�c u t\;fi Interest in property: Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: -a.'hS Phone Number: 7 — $ 6 a-si 6 3 u Address: O'SC'e.c) a= C T— rh e u (a GL- 5. SURETY (If applicable, a copy of the pa nt bond is attached): Name: AAA-- A Tr n 6. LENDER: Address: Phone Number: Amount of Bond: 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. Nam 8. In addition, Owner designates Phone Number: 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 date 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. he cc o: (sigFsrureho o Owner or Lessee, or Own or Lessee's (Print Name and Provide Signatory's Title/Office) 5 j Authorized Officer/Director/Partr/Manager) CQt State of `� County of .Qx�w��r � al If The foregoing instrument was ackngwledged before me this by person making statement who has produced identification ❑ type of identification produced: W COWSSION I FF 182303 == EXPIRES: December a 2018 f h Bonded Thm ►try Pubib Uedenwr b, day Who is personally known to m7 OR Q 74d �tx- h Notary Signature �i4 yaj Q•� INC SEMINOLE COUNTY MULTI -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: _ / ,- Z hereby name and appoint: '�'/<" A/ an agent of: C. e:z-'Y/ (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 �app�poi%ntm�ent for (check only one option): U All permits and applications submitted by this contractor. Or ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder State License Number « %3 -7/7 Signature of License Holder: r� STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this dC day of vL/ / 20 Vl / by — '� 1'C:�nr-->L who isjWpersonally kno to me or O who has produced and who did (did not) take an oath. ature/of No ary MY COMMISSION # FF212582 '%!wn,. , _ EXPIRES.March 31. 2019 rkxidiNora•ySennce•cw. as identification -A 444LL- Notary Public - State of � (/`ec Commission No. f s�foZ My Commission Expires: t1(a/4-" 134 U Bracken. Construction, inn. License# CCC1327178 114 West Asceoja_a,_ Minneci-2. FL 34715 Tel: 352mS94-3I552 Join Adaffegg U o @ i n� Naw, pewlftw ' �/i✓Y�CnSiGVh color Now feft .�-k MOP of fdt- op —modi&d j Trhm veBrip®rGravel Stop) wam am V1 Lead SuamMR&CRvents �iBadwoom VM& - SIAR rIafbY a� - �S►� C� �e�� " ��er� OFPROPOSAL: p specwmafiom and conaffim am mffiffneftEvM@ L was qmcme& kaymentwm be made ased Nil fFIRE DUARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JoB ADDRESS: iy Qfi- STRUCTURE TYPE: �LE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): p i ♦j W UUCl **PLEASE NOTE. ONLY 100 SQUARE FEEIT O-k THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: OFF -RIDGE ORMGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES IO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 (D'4-"'I2 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL &'61INGLE A-T L Q S FL#�- O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER: l i Q 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 BMJMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# CITY OF A. XT-lQnD Building & Fire Prevention Division �cmF�vTraTUF�rnn�nn���,��Rn�>~ n-rnz�c EIRE`DEPAPTME-NT 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 RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CE IFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. i r CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: (� CITY OF AlBuilding & Fire Prevention Division V L RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: ADDRESS: /6 0 �/7e/'Z� 2& I �0'�///�.�c` �� � AI, A(N)C.PNPPAr RiTrinimr. RFemPxr JAI nu ROOFIN6CONTRACTOR, 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 #: � `/ F 2 7170 COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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 CVv% I n C le - Sworn to and Subscribed before me this 10 day of 1- C by N 4 Y `1 20 11� by: _VVQV Y, ti:) aCV-rYN. Who is A ersonally Known to me or has ❑ Produced (type of idea ' ation) as identification. S' re of N ub je e of Florida Print/Type/Stamp Name of Notary Public HAROLD H HODGES JR =Qai� s MY COMMISSION # FF222706 EXPIRES April 21.2019 (407 390 0:53 r.,.Nallota, servlce•coir