HomeMy WebLinkAbout134 Placid Woods Ctaoa
CITY OF SANFORD
BUILDING &FIRE PREVENTION
PERMIT APPLICATION
Application No: / S - I (Poil-
Documented Construction Value: $ t uU)
Job Address: 131-1 P 100 0 d W oott e+ :SUI1 ' +At- 521_73 Historic District: Yes ❑ No O
Parcel ID: 0 2--'z 0 — 3 0 52 2- OU W - C) Ir-SG Residential 9 Commercial ❑
Type of Work: New ❑ Addition,❑ Alteration ❑ Repair P Demo ❑ Change of Use ❑ Move ❑
Description of Work: ��( �1 �V �' �✓ �`� ���G _K0
Plan Review Contact Person: �ii
V) �-e ,1
Phone: GU /''V l - /"l c/S� Fax: Email: m I lu- l V 00 VA 0 , c%l
i Property Owner Information
Name ► r ► CAr ✓i kULPhone: Ho 14 _' � 79 ,50 2 (_
Street: i SLI D ICf Resident of property? : _yn
City, State Zip:'
Contractor Information
Name L ll� Cil� llSYl Phone: v-7
Street: ( Fax: j
City, State Zip: 0460W is State License No.:
Architect/Engineer Information
Name: Phone:
Street: .
City, St, Zip:
Bonding Company:
Address: _
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I_MPROVEMENTS 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: 5t1 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
.r
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.
t
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
i
SiglfaofContractorAgent Date
Print
Signature
C—A6- L:
r/Agent's Narr^�
0 1e,c--(
Florida Date
r0`PRv PCB 11DY L MERCER
Notary Public - State of Florida
` CommlSS"' J GG 006251
9 My Comm. Expires May 26, 2021
Contractor/Agent i
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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 02-20-30-522-0000-0150
Property Record Card
Parcel: 02-20-30-522-0000-0150
Owner: FULLIFIR MARTIN
Property Address: 134 PLACID WOODS CT SANFORD, FL 32773
Value Summary
--------------- ----- - - - -------------- - -- ---------------
Parcel 02-20-30-522-0000-0150
---------- - -------------- - ------------------
Owner FULLER MARTIN
L- --------- --------- . ...... .......... - - - - - ------------ - --------- - - - - ------------- ----------
PropertyAddress 134 PLACID WOODS CT SANFORD, FL 32773
. . .. ........................................ . .................................... . .... . . . . .. . . .................... . ........ . .
Mailing, 134 PLACID WOODS CT SANFORD, FL 32773
-------------------- - - - ------------- T - - ---------- __ ------------
Subdivision - PI ACID, WOODS PH 3
..... .. ... I ... I I I - ------- - ----- - ----------- ------------ ....... .....
Tax District Sl-SANFORD
DOWU e Code 01-SINGLE FAMILY
-------
Exemptions , 00-HOMESTEAD(2004)
....................... .... .......
;.r�ing 2018
Certified
Values
Values
.. . .................... . . . . .........
-- -------
Valuation Method I Cost/Market
Cost/Market
......................... 1 ............................................ ........... .............
Number of Buildings
............................... ............ ............... ..
. .. . ..... .............. . _ - — ---- __ - 1-11,11111,
Depreciated Bldg Value $98,129
................
$92,599
Depreciated EXFT Value $275
$288
----------- ......
Land Value (Market) '1 $25,000
$25,000
Land Value Ag
. Value
Just/Markel$123,404
.
$117,887
. ........................ -
Portability Adj
Save Our Homes Adj $54,971
$50,862
. . . . . . . . . .......................... .
Amendment 1 Adj $0
------------ ------ -------------------
........
P&G Adj $o
. ......
$0
Assessed Value $68,433
. ................................ .... ...... 11-1 . . ....
$67,025
............... ...............
Tax Amount without SOH: $1,456.89
2011 Tax Bill Amoun$587.88
Tax Estimator
Save Our Homes Savings: $869.01
Does NOT INCLUDE Non Ad Valorem Assessments
Land
------ LL� ............ . . ......... .. . .........
.......... . . ............. ........... . ... .............. . ................ ......................... . .... . ... ................
. . .... . .............. . ... - - - ------- . .... . .... . ..... Method Frontage Depth Units Units Price Land Value
...... . ..... . ....... . ... . .. . . . . .......... ............. . . .......... ..... . ......... ..... . .................... .
LOT i
$25,000.00 E$25,000
Building Information
# Description Year Built Fixtures Bed Bath Base Area Total SF I Living SF Ext Wall i Adj Value Repl Value Appendages
Actual/Effective
- - -- — - - ------- - ---- - ------ -
http://parceldetail.scpafl.org/Parcel Detail I nfo.aspx? PI D=02203052200000150 1/2
4' or
_ Plumbing Ven!11
Color
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Licensed & Insured
AS ®O Ar ®e NokVismMoff
calm � First in _Quality
First in Service
T LA Ill T I C First in Satisfaction
Roofing & Construction 800-411-0.920
Ins. Co, Uy�(tIC;V'�' r,.1 IVNsV (wy ce CO, 0�
Tel.# ('-'
Claim # oa:t � 16 0-,2--6�7_77
Adj, Name
LIC # CCC1330939 6767 Hoffncr Avenue Tel. #
LIC # CRC1331435 Orlando, Florida 32822
Fax# iS" `�6f (75
00600
PROPOSAL SUBMITTED TO � - M t kir tv, V v- DATE q- 1 q- f
STREET C Q D JOB #
CITY, STATE, ZIP -5eL 32,72I j SUBDIVISION
HOME PHONE `1bq'� t !��' BUSINESS PHONE
SPECIFICATIONS FOR LABOR AND MATEFUA t
V
r OfF Shingles: � Layers/�jf V S�essionaliy Install: Brand P--w-, kCJ Type Ait C VA �C t�A Color
Valleys Ft. IL
CS7 i all: ❑ 30 lb. Felt ❑ Peel & Stick ❑ Synthetic Undedayment
seal, sidewalls, counter and wall flashings ❑ Re -Use Dtip Edge VDrip Edge
1-1/2" 2- 3'
dilation:, Goose Necks Off Ridge Vents Ridge Vents
Renail Plywood Sheathing to Code
❑j ylight 2 x 2 4 x 4
0 P ood replaced at $60 - per sheet {if need
• Atlantic Roofing is not responsible for pre-existing structural conditions.
• Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same.
• ALL ROOFS HAVE A 1 YR LABOR WARRANTY
CONTINGENT
This proposal is contingent upon the Insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company.
Property owner's out-of-pocket expense is not to exceed the deductible amount. The insurance company will determine and set the price of the Bairn.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF
THIS TRANSACTION. BY SIGNING ABOVE. PROPERTY OWNER AGREES TO PROCEED WITH THE woRK AS PER PROPERTY -LOSS
WORKSHEET WHEN RECEIVED.
We propose to hereby furnish materials and tabor, complete in accordance with above specifications for the sum of the insurance as per the insurance
company loss scope shea for which is' Qrporated herein and made a part hereof by reference, to include customary profit and overhead when multiple
trade incurred $ %-Ue-Piri Payment upon ion of e&ch trade. X
Authorized Signatu
'Must be approved by company owner. No other w!oIr or imps
changes. NOTE: This proposal may be witted mwrwpj,Tnif of a fait
ACCEPTANCE OF PROPOSAL- The above pri s and I
work as specified..
Payment will be made as outrme abo e X
and are hereby accepted. You are authorized to do the
Date �CrT
a{ O�,O.00
t n rr„� 1(3,
t ni' ina kTca,m�t rtc�V�t0U6 . i 1111111111111111 Hill 11111111111111111
Name: (�%yy��
Address: l i, '�;� T VIALOY; H-NINOLE COUNTY
C7✓].(i�Vtdcu �l-� Ci_EE'K OF CIRCUIT COURT & COMPTROLLER
BK 9055 r'a rt r 1 (11='5•s )
14
NOTICE OF COMMENCEMENT CLERK'S 4 1/10l�i�it�!/?ill801
RECORDEDRECORDEDilir'08e03;24 All
RECORDING FEES xlii.iiil
Permit Number: RECORDED BY 17devore
Parcel ID Number:O2-20 3b- 5Z2- 0000 015c7
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
ALI
2. GENERAL DESCRIPTION OF IMPROVEMENT:
're,
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: O ✓4i iG / 1 ) .� � j JGtUI� �C� Ci C-�- ,ate,%,1d1/`2 -32 -7i i
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
S�CONTRAC//Tr�O^,R: Name: G vU U ' �(Phone Number: U - / 61 7-
Address: tC.' UCl �
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: 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(i)(a)7., Florida Statutes.
Name: Phone Number:
Address:
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 RECORDIN YOUR NOTICE OF COMMENCEMENT.
lea Fc (r� Ft,41-ev
(Signatuile of ownel 9f Lessee, or owner's or Lessee's (Print Name and Provide Signatory's Title/Orrice)
Authorized Offi r/Director/Partner/Manager)
State of F V ✓j Cam' Countyof ��o M I' // ! 6 LL
The foregoing instrument was acknowledged before me this -3 day of
by
Name of person making statement
who has produced identification ❑ type of identification produced:
GRACi)ELA GAGNE
e°
MY COMMISSION # FF985949
�'�. EXPIRES April 25, 2020
,,,. NN
(407) 399-0163 F1ofk16Nota - loo.
Who is personally known to me ❑ OR 's
14�
PERNU I r
City of Sanford Building Division
/ Residential Re -Roof Scope of Work
------------------
JOB ADDRESS'
STRUCTLRE TYPE: � SLNGLE FAMmy FLESIDENCFITOWriH'V1-1
O MOBILE HOME O A��RT i/CONDOM NIUM
RE -ROOF TYPE: eREPLACEM "T (TEAR OFF FXIS'I'�JG ROOF A'�TD R L° CE N - COIv�Q I TS.
ORE -COVER (NEw ROOF INSTALLED OVER EXIS LNC ROOF)
DECK TYPE (PLEASE SPECIFY):
'"`PLEASE NOTE: ONLY 100 SQUARE FEET OF 17iE EXISTING DECK IS PER1t1ITTED TO BE REPLACEDxx
F F POV(7F VAT
ROOF VEIL TIL?,TION: O OFF -RIDGY G_ O SO. FI- O
SKYLIGHTS: O YES O IF YES, PLEASE PROVIDE FLORIDA PRODUCT —°PROVALM�-r
NL�Lv ROOF AREA
O 12 _d.: 12 OR GREATER
ROOF SLOPE: O LESS THAN 2:12 2:12--:- (/- �'
U U i dER:
ROOF EXTENSIONS ORCiiES. ;.ETC.) ""IFAPPLICABLE**
i 2 _ 4:12 O 4:I2 OR GREATER
ROOF SLOPE: O LESS TKAT' 2:I2 O -••
OT -UT R BL1T-s
I FLORIDA PRODUCT APPROVAL
TYPE OF ROOF
MAhtiFACTURER
, FF
O cLE
FL-
O METriI.
FL-
CDmOD7PIED Bi nn���
FL=
Q To2Cx Dow
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O INSULATED
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ER:
CITY 4F
Building &Fire Prevention Division
Sk NFORD RESIDENTIAL RE -ROOF POLICY & PROCED URES
FIRE DEPARTMENT
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), CERTIF ING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: I 10 1 a
N
PERMIT #:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE —ROOF INSPECTION AFFIDAVIT
G, SHEATHING, DRY —IN, FLASHING, AND ALL FINAL ROOF COVERINGS
- 3 2 ADDRESS:1� I GIG Vy UU6> c+
fL
I M C—Yr,( 5N 'AS A(N) G, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFQRMATION 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 I 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 REQUIREMENTSf (BASED ON F.S. CHAPTER 553.844).
LICENSE 4: � + ) )U / 39
COMPANY / CONTRACTOR: a ¢ �6 C
DATE:
CONTRACTOR NIGNATURE:
(MUST BE SIGNED BY LICENSE OL R OR OWN E UILD
A FINAL ROOF INSPECTION IS REQUIRED:
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.
i
**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.
I
STATE OF FLORIDA COUNTY OF �i� YZGO
i f /�/^
Sworn to and Subscribed before me this -/,r— day of 14kl UaJ2:1 20 L(L by:
Who is Personally Known to me or has 0 Produced (type of
ideAit)fication) / as identification.
ture of Notary Public
of Florida
Prini/Type/Stamp Name
of Nc)tary Public
Notary Public State of Florida
[_,ov
Chloe M Cooper
eMy Commission GG 162169 Expires 11I2112021