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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 � r 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 O 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