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HomeMy WebLinkAbout1201 W 20 St)}0 OLZ P= �, e r JAN 0 9 1018 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 'A ,0o Documented Construction Value: $ 'I, % U U Job Address: 1 X 01 W a _11 0 t k S .1, Historic Distric : Yes ❑ Now Parcel ID: 6 < } ) 0 - 300 " o sj 5 /q ` 00 oQ Residential [Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change of Use ❑ Move ❑ Description of Work: 9Q _ ►''00_( S A"VI R JP S 1 A) U lA e I ,GAY W eM f SU Plan Review Contact Person: M w l,y' Title: ( P �Ei�fi`1 Phone: Fax: AIIA Email: G1�v��► ��G� �►h�P/('ov�sf/u�{(,�'l •( I a Property Owner Information Name� F L L ( . (� Street: q 00 �4 4 ir'bl in q N•. j� 3 0 3 �q City, State Zip: � P {/ (, �F y , EL 3 3 0, 1 Phone: Resident of property? : y yy Contractor Information / Name 1 ii I owoei •1✓ C-ieK C Phone: 1 U�%7,) 102 ' D 0 Street: (nS 1 L. Fax: MIA City, State Zip: Y cYl N D , Ft State License No.: ((` U;6 PQ O-A Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: / V 1A Address: Fax: E-mail: Mortgage Lender: 'Alo 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 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 Date Signature of tr or/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 6'o'�& //- 46- /,V.' , Print Contractor/Agent's Name KORY MY COMWSSIC EXPiRES 1001139E-01D3 Flooa-ta,yService.cotr 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: 1'i # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: Ko6f Ctrc1 I an agent of: (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): C� The specific permit and application for work located at: 1101 1A1. 2�0 +" (Street Address) Expiration Date for This Limited Power of Attorney: 1 151,q License Holder Name: /lo State License Number: 6 Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 200 1 t, by G'e 0 rqe- X, rn 0 tl l (- U tome or ❑ who has produced identification and who did (did (Notary Seal) �.yn ftNotary Public State of Florida April D ss My Commission GG 138490 Expires 08/28/2021 (Rev. 08.12) 5 day of JCXA VC. ( y who is ❑ personally known as riiiit vt syYc uaruc v Notary Public - State of Commission No. My Commission Expires: CL 2 2 a Z l 1 Property Record Card Parcel: 36-19-30-300-055A-0000 Owner: EXE LLC Property Address: 1201 W 2.0TH ST SANFORD, FL. 32771 Parcel Information E Parcel � 36-19-30-300-055A-0000 -- ------ - - - - [ Owner j EXE LLC .......... _... _ j .. _....__. ___........ .. Property Address 'C12014 W 20TFi;ST:SANFORD -FL,y L:122711.> [ _._ _ ._..__.... _ .... __...__._ .... Mailing 9900 STIRLING RD STE 303 COOPER CITY FL 33024 Subdivision Name .._ ..... _ _... _-..._..-. __. _ _ Tax District S1-SANFORD DOR Use Code ` 01-SINGLE FAMILY Exemptions ME 1 124 Seminole County GIS Legal Description SEC 36 TWP 19S RGE 30E f BEG NE COR OF NW 1/4 OF NW 1/4 OF ` SW1/4RUNS142FTW66FTN142 U t FT E 66 FT TO BEG (LESS N 30 FT FOR RD) Taxes Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value _ .... .. $57 054 .. $53 909 Depreciated EXFT Value $600 $600 Land Value (Market) $14,520 $14 520 Land Value Ag ............ Just/Market value, `" I $72,174 $69 029 PortabilityAdj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 __..._ . _ __ $1 436 _ ... P&G Adj l $0 l $0 .....- ....... Assessed Value $72,174 ..... $67,593 Tax Amount without SOH: $1,296.50 2017 Tax Bill Amount $1,296.50 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments (l��i�sretl La �iuutai�d, /fad. 4 ADDRESS EXE LLC, 9900 Stirling Rd. Suite #303 Cooper City, FL 33024 ESTIMATE # 1457 DATE 11 /10/2017 EXPIRATION DATE' 01/10/201,8 Sales EXE LLC: 9906 Stirling lid. Suite.#303 Cooper City, FL 33024 Scope of Work Re -roof Project Address 1201 W. 20th St, Sanford, FL 32771 Roof System: a, Furnish and instali`metal drip edge— DOLOR TBl7 b. Furnish and Install 30Ib synthetic paper water. proofing, e. Furnish and install Tamko architectural shingles COLOR TBp d. Furnish and Install Tamko architectural cap shingles — COLOR TBD e. Furnish and Install Tamko starter strip i. Furnish and Install Valley metal. g. Furnish and Install Ice and water for valleys t . Furnish.and Install 45 flashing as needed i, Furnish lead boot stacks j: Permit included k, File N©Cbefore final inspection I. Plywood replacement per sheet is;$60,00 each Total Cost For Labor and Materials,- $4,700.00 TOTAL Accepted By / M; $4,700.00 N THIS INSTRUMENT PREPARED BY; P r� Nemo: _—DE, H � 1 (.i%1—r�. (_ f'',f i�-►.r✓. T( �!` _ Address' l { i t f'� NOTICE OF COMMENCEMENT GRANT I•ALOY, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 90919 Pq 1513 (1F`3'a) CLERK'S Y 2017131590 RE- R lfflfilh EC REC i.ii..Fiiii iiiii._ Ni.li_f," ( f1iUN *1, Permit Number: DEW .,._r.r,. ._„ ;':3.t�'� I) � •.:._),_11=T c� ...Cf'ii-'Tr:.OLi...-�f�: Parcel ID Number: 36-19-30-300-055A-0000 "'` `"i` ' '' {:L.EF?K" ;L 2C11.Uil1.919 The undersigned hereby gives notice that 'improvement will be made to certain real property, and fill'." Efi2ticelv�itl l lSa it�t 713 Florida5'ldtt fes. the following information is provided in this Notice.of Commencement. f 1 1), - 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if !i.Vof`r' f" t� Chan C.F f�IV,,i iILL r.0 Ina ..,. t/,r 1 J J%ltyf'r'!—i) L �i2 l ll U Nj 5 i 42 FT W kLt; t=- T fv to 2- I= T r- tc.(�; (T TG l' CZ r� C-s'S 2. GENERAL DESCRIPTION OF IMPROVEMENT: (--Cq RE -ROOF SHINGLES W SYNTHETIC UNDERLAYMENT - 18 Squares 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: EXE LLC. - 9900 Stirling Rd Suite #303 Cooper Cite,. FL 33.024 Interest in property: Owner Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name:_yNs 14V1W.4 (�;1 ffzrt%r�: f Phone Number: (407) 636-9322 Address: 1335 Bennett Dr. #118 Longwood, FL 32750 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: N/A Address: Amount of Bond: 6. LENDER: Name: NIA 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: 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 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. C6 7(Signature k-12 Owner's or Lessee's AuthorieNManarer) (Print Name and Provide Signatory's Tide/office) State of r W 14`& County of • t�.t�{ (Ut. � A The foregoing instrument was acknowledged before me this by Nnmo of person maklnq statement who has produced identification (j type of identification produced: CERTIFIED COPY Gfi ANT NIALOY CLERK OF W .IP,;:? 111' (CURT f AM1 S AND COMPTROLLER is=i • r ' ,t 't SEMINOLE COUNTY, FLORIDA );V,;'� BY { DEPUTY CL iRK Hate n1-( . � 0 L.0 I I?-3`tq City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures 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), certifying FBC a iance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: A PERMIT # I Pr 3Lt Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: _ W • O h i . JU k,10 � I Et STRUCTURE TYPE: SINGLE 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): _ **PLEASE NOTE. ONLY 100 SQUARE 1' 1v IA10 OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: OOF RIDGE O RIDGE OSOFFIT OPOWERED VENT O/TURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q) 2:12 — 4:12 O 4:12 OR GREATER TYP OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE p 1 cA m Ko -� e r1 U l FL# S S O METAL i FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER: �.ol(r(Amo 1tk" N0 04 FL# 1 6 �- ,32 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** 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 BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL#