HomeMy WebLinkAbout124 Pinefield Dr (4)Ci ty a' SAn f Urot
f-/Ply9915- badall'ny
Q CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • / �P
�.. Documented Construction Value: $ �T14ZZ •Z5
Job Address: 1 a y Pin.¢ •Cie 1 11 0r1* V2 Historic District: Yes ❑ No 5
Parcel ID: 3A-19- 31- 51 S - 61000- 0 /a 0 Residential [Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: D`(lxwc DETAl Z ,4jtJ i 1�C-1 ; T�xit� ryokoC� V�P41F—
Plan Review Contact Person: M I-C h- COO Y- Title: &-Otml tl FXdI�Y
Phone: 5 (R 1- 72 i - 5& I (. Fax: NA Email: perm M
Property Owner Information
Name Tohn u& Brown
n
Street: I a Li Y i ru i •e i d P r i
v2
L
r 3a771
C1ty, State. Z><p S Qp�ard, 1=
Phone: '107- Y7y - A 77 9
Resident of property? :
Contractor Information
I(-64 Name � lLi G -%� C s tC/YQ ��d12 Phone: S61 ' 7 oZ I -
Street: 7 0O qt l '4V,2 nug .901d h Fax: 79 7" 7o2 t!a - (o 7 (v 7
City, State Zip:.SGt&L-y &c&r R 3110 5- State License No.: C & C 03 y o l y
Name:
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
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: 5th 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 o Owner/Agent Date Signature of Contractor/Agent Date
A kv� Scoff ,e ` ,-
Print Own r/ ` ent's Name Print Cont for/Agent's Name
Ila
gnature of Notary -State of Florida Date Si ture of of -S a Date
Erick De Dios
"?Ay P� STEPHA IE A. PHILBECK
NOTARY PURL � .•••• �4+
y STATE OF FL RIDA , * MYCOMMISSM#00014973
a EXPIRES: My 24, 2020
. $w Grxr n# FF163545 �1'rn'c
o1108orbedThruBudgetNotarysmAees
Exr;;`::s 12/16/201
Owner/Agent is PersonallyKnown fo Me or contractor/Agent is Personalnown to Me or
Produced ID Type of ID �:DL_ 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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: 9F 2 1 1 %
Revised: June 30, 2015 Permit Application
RIEQUM El[D INSPECTION SEQUENCE
IBPff. Arti aTrpss- Ila!' /11nJF{—t P_cAh
i amiaLONG Pisamr
MM Mays IEnsection Desc ri ti6n.
Footer / Setback
Stemwall
Foundation / Form Board. Survey
Slab /' Mono Slab Prepour
Lintel / Tie Beam / Fill / Down Cell
Sheathing— Walls-
Sheathing— Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window -
Final Screen.Room
Final. Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building. Other
MIln
Ma:
Ilnssection. J(Descid2tio -
Electric. Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
Min
Mast Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
Mnn I Max.
Min I Max
Mechanical Roug
Mechanical. Final.
Gas Unde
Gas Roug
Gas Final
REVISED: June 2014
J THIS INSTRU T PR PARED BY:
Name: L C rzvHOl7
Address: ATO 4f#" ✓
- - - -NOTICE- OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
I" . . . . ---
GROT M6LOY1 SEMINOLE COUNTY
CLERY, OF CIRCUIT COURT 11 COMPTROLLER
BY. 91-164 Ps 1594 (1F'9s)
CLERK'S T 1018n09892 :25 PH
_
----..RECORDED-01—/25r 2013 IJ4 a 19 � -
RECORDING FEES $Il!•Ijtj
RECORDED BY tsmith
Parcel ID Number: 3a- i 1- 31- 5 16- Q Qo6• Qla o
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
GENERAL DESCRIPTION OF
k-3R it0A((.:—?Atl"2.
OWNER INFORMATION:
Address:,/-A!l tvti't.qyoc unve, �an�ara /,,- 3a wti
Fee Simple Title Holder (if other than owner) Name:
Address:
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
Of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
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(best of rq Mowledge and belief.
Owners Signature Owner's Printed NameFlori a S a to 713.13(1)(9): ' The owner must sign the notice of commencement nd one else may be permitted to sign in his or her stead'
State of ROQJDO- County of (AYx
The foregoing instrument was acknowledged before me this day of c'54" , 20 t
by MAEI - -,'P=P-0L W Who is personally known to me ❑
Name of person m�,a�king statem
OR who has productr�if'rt a4iQi; type of identification produced:CO
��--
41 w%i
c�ERKc
Notary Signature
�-ate
< .0
O r
CL N
h d47
O
W z v) 0 !il
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U
0
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: l d-/ L q % 017
I hereby name and appoint: Y- i C Y n e D i O
an agent of: 3-V'C -S �Oi71� 1 l )N
(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):
W/ The specific permit and application for work located at:
lay )eFJ)eIcC 1)rive
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License E
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of IhtiVIL44 ,
239 tc1�, by !:_�tAf who is Wrsonally known
to me or o who has produced
identification and who did (did not) take an oath.
Signature
(Notary Seal)
`Pryy gyp` MICHAELS.LAWLER
4(0. Notary Public - State of Florida
Commission # GG 099872
t "9' o�? My Comm. Expires May 1, 2021
F°F Bonded through National Notary Assn.
(Rev. 08.12)
"Ioy`c 'c '/ S - �%r
Print or type name
Notary Public -State of rr '_
Commission No. (, G. O!aq K 2Z
My Commission Expires: Ul ,j
as
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
2--►-(9,
DATE
SANFORD QvInINg DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REOUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
N
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00
Ma
N1
RECORD COPY
Heritage
Insured: BROWN, JOHN
Property: 124 PINEFIELD DR
SANFORD, FL 32771
Home: 124 PINEFIELD DR
SANFORD, FL 32771
Claim Rep.: John T Johnson
Estimator: John T Johnson
Claim Number: HP149915 Policy Number: HKH70376852800
Date Contacted:
9/16/2017 4:56 PM
Date of Loss:
9/10/2017
Date Inspected:
9/26/2017
Date Est. Completed:
9/29/2017 1:27 PM
Price List:
FLOR8X SEP17
Restoration/Service/Remodel
Estimate:
HP149915-ORBB-1
a
Home:
(407) 474-8779
Cell:
(321) 578-0405
E-mail:
Mayettabrown@gmail.com
Business: (682) 438-5863
Business: (682) 438-5863
Type of Loss: Wind
Date Received: 9/11/2017
Date Entered: 9/16/2017 4:56 PM
FN
Heritage
This is an estimate of repair for the damages to your property covered by your insurance policy with Heritage Property &
Casualty Insurance Company. The prices used are the prevailing rates for your geographic location.
The represented values within this estimate do not constitute a settlement of your claim.
Authorization to repair or guarantee of payment must come from the owner of the property. No adjuster or appraiser has the
authority to authorize or guarantee payment. Heritage assumes no responsibility for the quality of repairs made to the property.
No supplemental payment will be considered without the prior approval of Heritage. If your contractors estimate is greater
or additional damages are found, please contact us prior to signing any contracts or proceeding with the work.
You can fax the paperwork to: 866-929-4530
Or you can mail it to us at:
Heritage Claims
PO Box 6417
Clearwater, Fl. 33758
Please make sure to include your name and claim number on any paperwork submitted (Please list the claim number and your
name on every page).
In accordance with the Mortgage Clause provision of your policy, your Mortgage Company or Lien holder may be included as a
payee.
If you incur costs related to permits or fees from building officials for the repair of covered damages, and this amount is not
already provided for in our estimate, please submit the invoice to Heritage.
Additionally, if the building department requires code upgrades for the repair of covered damages, please forward the
documentation from the building department to Heritage for consideration. Payments for Ordinance and Law items are based on
an incurred basis.
Thank you for insuring your property with Heritage Property & Casualty Insurance Company.
"Pursuant to s. 817.234, Florida Statutes, any person who, with the intent to injure, defraud, or deceive any insurer or insured,
prepares, presents, or causes to be presented a proof of loss or estimate of cost or repair of damaged property in support of a
claim under an insurance policy knowing that the proof of loss or estimate of claim or repairs contains any false, incomplete, or
misleading information concerning any fact or thing material to the claim commits a felony of the third degree, punishable as
provided in s. 775.082, s. 775.083, or s. 775.084, Florida Statutes."
HP149915-ORBB-1 1/16/2018 Page:2
Heritage
SPECIALITY
HP149915-ORBB-1
DESCRIPTION
QTY
1. SPECIALTY ITEMS- Reciepts
1.00 EA
Receipts attached in photo report for food spoilage and debris clean-up
ELEVATION
DESCRIPTION
QTY
2. R&R Siding -vinyl
968.00 SF
CLEAN-UP
DESCRIPTION
QTY
3. General clean -up
8.00 HR
4. Dumpster load - Approx. 12 yards, 1-3 tons of debris
1.00 EA
Source - Roof Insight
Source - Roof InSight
Bedroom 1
DESCRIPTION
Height: 8'
QTY
15. Paint the surface area - two coats
32.00
SF
16. Mask wall - plastic, paper, tape (per LF)
44.00
LF
17. R&R 5/8" drywall - hung, taped, ready for texture
32.00
SF
18. R&R Blown -in insulation - 8" depth - R19
32.00
SF
19. Contents - move out then reset - Large room
1.00
EA
20. Floor protection - plastic and tape - 10 mil
120.00
SF
21. R&R Acoustic ceiling (popcorn) texture
32.00
SF
Bedroom 2
DESCRIPTION
22. Paint the surface area - two coats
23. Mask wall - plastic, paper, tape (per LF)
HP149915-ORBB-1
1/16/2018
Height: 8'
QTY
32.00 SF
44.00 LF
Page: 3
Heritage
CONTINUED - Bedroom 2
DESCRIPTION QTY
24. R&R 5/8" drywall - hung, taped, ready for texture
25. R&R Blown -in insulation - 8" depth - R19
26. Contents - move out then reset - Large room
27. Floor protection - plastic and tape - 10 mil
28. R&R Acoustic ceiling (popcorn) texture
29. R&R Wallpaper
30. Paint baseboard - one coat
31. Baseboard - Detach & reset
32.00 SF
32.00 SF
1.00 EA
120.00 SF
32.00 SF
80.00 SF
12.00 LF
12.00 LF
Entry/Foyer
Height: 8'
DESCRIPTION
QTY
32. Paint the surface area - two coats
64.00 SF
33. Mask wall - plastic, paper, tape (per LF)
88.29 LF
34. R&R 5/8" drywall - hung, taped, ready for texture
64.00 SF
35. R&R Blown -in insulation - 8" depth - R19
64.00 SF
36. Contents - move out then reset - Large room
1.00 EA
37. Floor protection - plastic and tape - 10 mil
467.99 SF
38. R&R Acoustic ceiling (popcorn) texture
64.00 SF
39. Paint baseboard - one coat
6.00 LF
40. Baseboard - Detach & reset
6.00 LF
41. Seal & paint door/window trim & jamb - (per side)
1.00 EA
42. Paint door/window trim & jamb - 1 coat (per side)
1.00 EA
Hallway Height: 8'
DESCRIPTION QTY
43. Paint the surface area - two coats
48.00 SF
44. Mask wall - plastic, paper, tape (per LF)
28.00 LF
45. R&R 5/8" drywall - hung, taped, ready for texture
48.00 SF
46. R&R Blown -in insulation - 8" depth - R19
48.00 SF
47. Contents - move out then reset - Large room
1.00 EA
48. Floor protection - plastic and tape - 10 mil
48.00 SF
49. R&R Acoustic ceiling (popcorn) texture
48.00 SF
Labor Minimums Applied
DESCRIPTION
50. Finish carpentry labor minimum
QTY
1.00 EA
HP149915-ORBB-1 1/16/2018 Page:4
Heritage
CONTINUED - Labor Minimums Applied
DESCRIPTION
QTY
51. Wallpaper labor minimum 1.00 EA
Grand Total
Grand Total Areas:
1,584.34
SF Walls
755.99
SF Floor
0.00
SF Long Wall
755.99
Floor Area
1,894.85
Exterior Wall Area
1,083.24
Surface Area
6.60
Total Ridge Length
Coverage
Dwelling
Contents
Total
John T Johnson
755.99
SF Ceiling
84.00
SY Flooring
0.00
SF Short Wall
772.34
Total Area
210.08
Exterior Perimeter of
Walls
10.83
Number of Squares
49.07
Total Hip Length
Item Total
$7,422.25
2,340.33
SF Walls and Ceiling
196.79
LF Floor Perimeter
204.29
LF Ceil. Perimeter
1,730.69
Interior Wall Area
372.51 Total Perimeter Length
% ACV Total %
6,006.48
87.60%
850.00
12.40%
6,856.48
100.00%
6,572.25
88.55%
850.00
11.45%
7,422.25
100.00%
HP149915-ORBB-1 1/16/2018 Page:5