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HomeMy WebLinkAbout120 Orion Way (3)Job Address: Parcel ID: 0 p Type of Work: New ❑ Description of Work: ,1 { JAN 16 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Lf �—" Documented Construction Value: $ �� a " —t 1� A "C)� ra ) n �� Historic District: Yes ❑ No EJ 3L) - 5" O " _ Residential [A Commercial ❑ Addition ❑ Alteration ❑ Repair Demo ❑t Change of Use ❑ Move ❑ VCR — Ili, t M CCU Plan Review Contact Person: Phone: �C �Q��-�`Q �9 �J Fax: Ui't0�� - �p10� Email: �d�1 (_M I CC) Property Owner Information Name C OEC \ ri N- CC_�C Phone: �4u_l - DO11CD �p Street: c0� Q0 Resident of property? City, State Zip: Contractor Information Name ���"�1 C�c� c)� 1 weo m ,inc - Phone:' � 0-1-U' 1 -71 UO L03 Street: �� \ Fax: 401— (D -1 -1 ) U Le City, State Zip: oZ State License No.: Ll _C C)15 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 1.05.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h 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. G-tJ 11 Si re of Owner/Agent e Signature of Contractor/Agent DCtAC�� e L UC� 6� Print er/Agent's Nam Print ntractor/Agent ame Signature of Notary -State of Florida date I Signature ofNotary-St orida Date Owner/Agent is Personally Known to Me or Contractor/Agent is �4 Personally Known to Me or Produced ID Type of ID 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: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: ( _C) n' NV--c—(D 1-A C)0" - an agent of. C:ftuoaJC-d S (��Lj t�-IGCI CC L Y�C . (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): 1 The specific permit and application for work located at: ab n riOC-N l'X)a � , .fin Ptxd F-(.- �'�-1�13 Address) Expiration Date for This Limited Power of Attorney: \ I 1 ( -1 I t S License Holder Name: State License Number: Signature of License H STATE OF FLORIDA COUNTY OF M l ilCke The foregoing instrument was acknowledged before me this day ofy , 200�, by C)r who is personally known to me or ❑ who has produced identification and who did (did not) take an oath. :os►R;;r! � RENEE C. COLLINS Expires January 1,2022 2022 ema.a Thu &K%A GWy 50Vb s (Rev. 08.12) Signature Print or type name Notary Public - State of Commission No. My Commission Expires: as JA Edwards of America, Inc, THIS IN U ENT PREPARE BY: ` Name: n.M`�c�Mut��-7058 Stapoint Court 'Address: IAlin+e. D . t.' FL 32792 NOTICE OF COMMENCEMENT State of Florida County of Seminole � i'���� ��►►i,�►�i �illl ►6II� I�II� III lilt GRA,''(T NALOYY SEMINOLE COUNTY CLERK OF CIRCUIT COURT & CONF'TROLLER BK 9051 Po 1166 (1F'3s ) CLERK'S Y 20181- 00' 892 RECORDED 01/07/2018 11:55::8 tiN RECORDING FEES $11_i fill RECORDED BY ildQvure Permit Number: Parcel ID Number: 1) 1}- dlc) `--�) 0-1�,)p7 — ooc�- 0�,4 --ID 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. OF PROPERTY: (Legal description of the property and -01 G ERAL DESCRIPTVN OF IMPROVEMENT: Fee Simple Title Holder (if other than owner) Name: N 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)(b), Florida Statutes. Name: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. Of To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the bes of my know edge and belief. , C C owners gignatuf Owners Printed Name Florid Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead " State of i \ \ d a-ounty of J-1�"1 1( ) I't The foregoing instrument was acknowledged before me this n day of� V 20 I 1 by Name of person making stat eM OR who has produced identification �o"Ay POtc PETER JAMES ARCOMONE * * MY CAMMISSION B GG 035011 ^� oo EXPIRES: October 2, 2020 'e,F F0 Bonded Thru Budget Notary Sorvicos Ahl JPt fV 11 0 �O --- .."".,.t JEFU_P CI.i Ri' Who is personally known to me ❑ ..9.i5 �daaart®� of/�par�rica, 9nc. Your Roofing Specialist! AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL Customer: F-1" RA1 N A-ggo O Date: f / / 6-7 / 241-7 Property Location: I ZO 0eJ I(Di) �A_NA Day: OP7) - ! 106 City: UArOiom, Zip: Z_1 73 Evening: ( ) E-Mail: PC30*y `7 Z ® C M76 I L- 9,COM ROOF SPECIFICATIONS Brand: �A F Style�H-Z>_ Color_F � Ridge Material: R / Valley: @ge117LTo d Tear-Oft�2 Vents: Box in 'le Ov /Aluminum Felt Ice & Water Shield r ode Pitch: Storyj� / 3 Walkout: Yes o * Roof Accessories to be replaced new and/or painted to match shingle color. Drop Instructions: SIDING SPECIFICATIONS Brand: L) dt Style: tght Lap / Du ch Lap 4" 4.5" 5" being sided (loo ng at house from street): Front Left Back Right Drop Instructions: GUTTE CATIONS Color: TERMS 1. By signing this Agreement, you authorize JA Edwards of America Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company. 2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay JA Edwards of America Inc. all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses. 3. This Agreement is not valid or binding on any party unless and until it is signed by both you and JA Edwards of America Inc. Once signed by you and JA Edwards of America Inc. JA Edwards of America Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the insurance adjuster's summary. 4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front and back of this Agreement. 5. Homeowner agrees to assignment of benefits to Contractor (JA Edwards of America) for payments from insurance company to facilitate timely payments to contractor for all works approved in insurance scope. ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to be rendered by JA Edwards of America and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative(s) and/or its attorney for the purpose of obtaining benefits to be paid by my insurance carrier(s) for services rendered orto be rendered and authorize JA Edwards and my carrier(s) to communicate as needed with each other in this reqarcL, a � Believe the appropriate insurance carrier is: UT_t // l_L_?_l zo Date el / / 7 / 7-4:4 Date First Check: $w p) / -ZZ Check # WZl y�Date Balance Due: $ 4 d�/' " Y Check # Date Agreed Price: $j plus additional supplements & permit fees paid by insurance company 7058 Stapoint Court • Winter Park, Fl 32792 • Office: 407-677-7663 • Fax: 407-677.7664 • License 4CCC05 l 12/29/2017 SCPA Parcel View: 02-20-30-520-0000-0470 Property Record Card Jotmson'CFA ! Parcel: 02-20-30-520-0000-0470 Owner: ARROYO, EFRAIN cxx�rrv.pn Property Address: 120 ORION WAY SANFORD, FL 32773 I Parcel Information v (� Value Summary w--- — I.__..__.___ -- Parcel i 02-20-30-520-0000-0470 Owner ARROYO, EFRAIN Property Address 120 ORION WAY SANFORD, FL 32773 Mailing 120 ORION WAY SANFORD, FL 32773-4416 Subdivision Name PLACID WOODS PH 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2010) $rO �� t l .J P 2 Seminole County GIS Legal Description LOT 47 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 Taxes 2018 Working 2017 Certified Values Values Valuation Method I Cost/Market Cost/Market _ Number of Buildings Depreciated Bldg Value $107,021 $100,936 Depreciated EXFT Value Land Value (Market) i $25,000 - $25,000 Land Value Ag j - Just/Market Value " ? $132,021 j $125,936 Portability Adj Save f Our Homes Adj $58,202 $53 635 Amendment 1 Adj $0 $0 P&G Adj 1 $0 L$0 Assessed Value _ _ $73,819 —I $72,301 Tax Amount without SOH: $1,610.16 2017 Tax Bill Amount $622.54 Tax Estimator Save Our Homes Savings: $987.62 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values �-Taxable Value County General Fund $73,819 ! $48,819 j $25,000 Schools --------------------___._— ! $73,819 - - $25,000 i $48,819 City Sanford -__ ___.�_-----$73,819 ._.__--------_--$48,819; $25,000 SJWM(Saint Johns Water Management) i $73,819 $48,819 1$25,000 County Bonds $73,819 ! $48,819 { $25,000 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 7/1/2017 1 08962 1891 $170,000 1 Yes I Improved WARRANTY DEED �6/30/2009 - - 07214 1526 $84,800 - -$100 1 Yes {Improved CORRECTIVE DEEDv_ —_.----------------..�.---------i---_-. 7/1/2008 07024- 1826 j No Improved WARRANTY DEED _.__ 5/1/2008 _4�_��.. i 06994 _s 1003 I $166,000 Yes _ improved WARRANTY DEED 4/1/2004 125289 j 0097 ! $130,000 i Yes Improved SPECIAL WARRANTY DEED 9/1/1997 R 03302 i 0259 $78,900 Yes i Improved WARRANTY DEED — - -�-- 7/1/1997 - - 03279 ~� 1310 _.._.-., 1. $0303,500 I No Vacant Find Comptrrabb Sake 1 Land -- Method Frontage Depth Units Units Price Land Value LOT ( 1 $25,000.00 ( $25,000 http://parceldetaii.scpafl.org/ParcelDetail info.aspx?PID=02203052000000470 1 /2 CITY' OF Building & Fire Prevention Division ORD RESIDENTIAL RE ROOF AFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: 1 8 - 0 V000L I ADDRESS: ' 9 l0 NJ DO say I C� \ mk \ 6 , 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 #: C. C C 05 /-) 5,D- COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICET A FINAL ROOF INSPECTION IS REQUIRED: DATE: 'Z 1 1 l v 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 Sworn to and Subscribed before me this. IV day of _ 20 by: aj1te ho isl Personally Known to me or has ❑ Produced (type of identification) as identification. W�=� Si nature of Notary Public ot�'Y �"B�, RENEE C. COLLNS State of Florida * Commission * GG 172994 Expires January 7, 2022 ,yt� C t j9 FJ Alt 1-8J- mil /�[.S �v �Bmdw rnn, eudgm Noon s«vim Print/Type/Stamp Name of Notary Public