HomeMy WebLinkAbout222 Brushcreek DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /9-�
Documented Construction Value: $ I'LOO
Job Address: ?);C. -32-77 1 Historic District: Yes ❑ No R1
Parcel ID: 3 3- 19 -30 - S 1 r3 - 0000 - 19 DO Residential 12/Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: "2E--'iZQ0r Sly 1 "4 LL Z 3 > SQ
Plan Review Contact Person:
Phone:
Fax:
Email:
Property Owner Information
Title:
Name X o-r tslK So-. 16C Phone:
Street: 2 IV&F— FGi'2EST CT Resident of property? : aD
City, State Zip: 5/�k-IJt✓�oi2t�, t-L 3Z��
Contractor Information
Name rR 1510Al� �' IIJ5—)&ZlAnrOy Phone: 2 !Z 7'-'?OC32-
Street: 4NtE , Fax:
r
City, State Zip: F6-tJ l�ih2 t'L 3Z7 2 0 State License No.: �'CCl 3�7i S
Name:
Street: -`T-
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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 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 AFFIIDAVIT: 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
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
Signature of Contractor/Agent Date
J t>1 � /� � LA � I� 1►.� t j�
Print Copqactor/Agents Name
o NµrZ p State ofFlorOtA ANTONINI Date
'� • ' Notary Public Slate of Florida
r.
p: My Comm. Expires May 21. 2018
Commission # FF 125242
Contractor/Agent is Personally Powntoe or
Produced ID 'V Type of ID
Permits Required: Building ❑ Electri.cal ❑ 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:
Revised: June'30, 2015 Permit Application
Property Record Card
0 d CFA Parcel: 33-19-30-518-0000-1900
P Owner: K & T NELSON LLC
Property Address: 222 BRUSHCREEK OR SANFORD, FL 32771
Parcel Information
Parcel
33-19-30-518-0000-1900
Owner
K & T NELSON LLC
PropertyAddress
222 BRUSHCREEK DR SANFORD, FL 32771
Mailing
444 RIDGE FOREST CT SANFORD, FL 32771-7159
Subdivision Name
COUNTRY CLUB PARK PH 3
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
141.8
G�
AZ
51,24 50
u
r p
ij 5 rO
Seminole County GIS
Legal Description
LOT 190
COUNTRY CLUB PARK PH 3
PB 58 PGS 12-13
Taxes
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
Depreciated Bldg Value
1 1
1$127,152
1
$119,885
Depreciated EXFT Value
�
I
,
Land Value (Market)
$38,000
$38,000 i
Land Value Ag --7—
.—
JusUMarket Value**
$165,152�
$157,885
Portability Adj
Save Our Homes Adj
$0
$0
Amendment 1 Adj _
��^
$0
$1,472
P&G Adj
$0
$0
Assessed Value
$165.152
$156,413
Tax Amount without SOH: $2,988.02
2017 Tax Bill Amount $2,988.02
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$165,152
$0
I $165,152
Schools
1 $165,152
$0
$165,152
City Sanford M —�
— � $165,152
�— $0
$165,152
SJWM(Saint Johns Water Management)
$165,152
$0 j
$165,152
County Bonds
$165,152
$0
$165,152
Sales
Description
Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
2/1/2014
08211
1516
$171,000
Yes
Improved
WARRANTY DEED
5/1/2007
06707
0465
$235,000
Yes
Improved
I SPECIAL WARRANTY DEED
4/1/2001
04057
0468
$121,900
Yes
Improved
WARRANTY DEED --
12/1/2000
03997
1436
$24,000
( Yes
Vacant
Flad C pa mbia Saks
Land
Method Frontage
Depth Units
Units Price
Land Value
LOT
i 1
$38,000.00
$38,000
Building Information
# I Description I Year Built I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Value I Repl Value I Appendages
THIS INSTRUMENT PREPARED BY:
Name: John Larkin
Address: ev
,-
N
l •l i {{ ff
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number: 33-19-30-518-0000-1900
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.
D5$5RIPTION OF PROPERTY: (Legal description of the property and street address if available)
11 ttSSrushhcreeK L�r.
Sanford,
!NERALfDESCRIPTION OF IMPROVEMENT:
Ke-r00
OWNER INFORMATION:
Name: K & T Nelson, LLC
Address: 444 Ridge Forest Rd. Sanford, FL 32771
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Capstone Construction, Inc.
Address: 204 Temple Ave. Fem Park, FL 32730
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:
Address:
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
two. the
7best my knowledge and belief. ,r
Owners Signeture Owner's Printed Name
.ram a -
Florida 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 Countyof St'i'i l i nc { -e-
The foregoing instrument was acknowledged before me this � day of s ki n1-i,20 3
by IAM (Ct S t\\Pkcfy-\ cfy-\ Who is personally known to me ❑ ? u
Name of person making s lament
OR who has produced identification —type of Identification produced:
DEMA D. HEADLEY
Notary Public, State of Florida
Ga..
U "
Comm sslont FF 968784
My oomm. expires Mar. 2, 2020
vg m
2-Nov-17 CAPSTONE CONSTRUCTION, INC.
204 Temple Ave.
RROPSAL FOR SERVICES: Fern Park, FL 32730
Licence# CCC1326245
Kia & Susan Nelson CRC056190
222 Brushcreek Dr. Phone# (407) 947-7082
Sanford, FL 32771
Capstone Construction,, Inc. proposes to furnish all labor and materials, required: to remove and
replace shingle roof located at222 BRUSHCREEK DR., according to the below scope of work for the
NINE THOUSAND TWO HUNDRED $ 9,200.00
SCOPE OF WORK:
1 Remove and dispose of existing shingle roof:
2 Inspect decking for damage and proper fastening.
3 Re -nail decking With 8d ring shank nails as required;
4 install new underlayment, Interwrap synthetic.
5 New roof to be 30 yrdimensional shingle.
6 All lead boots and vents to be replaced.
7 Remove and replace eave drip with 2-1/2" galvanized.
8 Valleys to receive 36" membrane and 16" galy metal:
9 Sweep ground with magnet for nail removal.
_ NOTES:
1 Permit by Capstone Construction. -
2 All hauling and disposal fees included.
3 'Any required woodwork shall cost $50 per hour plus materials.
4 Payment to be -made in full upon completion.
Joke, P. Lark e, v, .Jr.
SoCapstone Construction, Inc. `"� UM?fs �} . !�`
s 9
s
ny 3
.''SkiqFORD
FIAE CITY OF
PERMIT # /'0 ^ y' 0 Zf
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 2 2 �J� �5 l� C ��� 7g 52% 7
STRUCTURE TYPE: 7 SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME Q APARTMENT/CONDOMIIVIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
Q RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: doFF-RIDGE Q RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: Q YES r; NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 (24:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
QJ SHINGLE
C,6 I I� T�
FL# S y - I Z 11-
Q METAL
FL#
Q MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
Q METAL
FL#
Q MODIFIED BITUMEN
FL#
QTORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
0 OTHER:
FL#
CITY OF
x. SkNFORDRESIDENTIAL REBuilding & Fire Prevention Division
-ROOFPOLICY& PROCEDURES
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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: J , r DATE:
Detail by Entity Name
Page 1 of 2
Flodda Department of State
DI `/I lopf '9
Corg
an vjfIrIal :;uae of Elori a >vi?bsite
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
TOM NELSON PROPERTIES, LLC
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Last Event
Event Date Filed
Event Effective Date
L12000145896
46-1314729
11/15/2012
FL
ACTIVE
LC AMENDMENT AND NAME CHANGE
12/18/2017
NONE
Principal Address
444 RIDGE FOREST COURT
SANFORD, FL 32771
Changed: 12/18/2017
Mailing Address
444 RIDGE FOREST COURT
SANFORD, FL 32771
Changed: 12/18/2017
Registered Agent Name & Address
NELSON, THOMAS B
1141 CENTRAL PARK DRIVE
SANFORD, FL 32771
Authorized Person(s) Detail
Name & Address
Title MGR
NELSON, THOMAS B
1141 CENTRAL PARK DRIVE
SANFORD, FL 32771
Title MGR
NELSON, DENISE
DIVISION OF CORPORATIONS
http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 1 /19/2018
Detail by Entity Name
Page 2 of 2
444 RIDGE FOREST COURT
SANFORD, FL 32771
Annual Reports
Report Year
Filed Date
2015
03/23/2015
2016
01/25/2016
2017
01/30/2017
Document Images
12/18/2017 -- LC Amendment and Name Chan(jej View image in PDF format
01/30/2017 — ANNUAL REPORT
I View image in PDF format
01/25/2016 -- ANNUAL REPORT
View image in PDF format
03/23/2015 -- ANNUAL REPORT
View image in PDF format
01/20/2014 -- ANNUAL REPORT
View image in PDF format
03/04/2013 -- ANNUAL REPORT
View image in PDF format
11/15/2012 — Florida Limited Liability
View image in PDF format
Florida Department of State, Division of Corporations
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 1 / 19/2018