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