HomeMy WebLinkAbout540 Casa Marina Pl (2),CITY .
OF • D
BUILDING & FIRE PREVENTION
Alt PERMIT APPLICATION
_z
,F. Application No:
Documented Construction Value: $
Job Address:
�C� ( �-._Q�. 1�,�. � Historic District: Yes ❑ No
Parcel ID: Zq 9 ^ S� fj 0 Residential ❑ Commercial ❑
Type of Work: New ❑_Addition ❑ AKeration ❑ Repair Demo ❑ Change of Use ❑ Move El
Description of Work: ICE.
Plan Review Contact Person:
Phone: _� �j%— J� Fax: �Q� (�, ail:
Pr erty Owner Information
Name a y/ Phon
Street: Resi
City, State Zip• 7
Title:
dent of property?
Contractor Information ` C1
Name dQ,V'- I(A— �cAu ' =:L: C Phone: L/ �' �� % / f Z--
Street: LkLVA& Fax: '/'
City, State Zip: tti '1' l 327 ` State License No.: 3 ZJ
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
IN i
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: 51h Edition (2014) Florida Building Code q
Revised: June 30, 2015 Permit Application v /
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 ac rate and that all work will
be done in compliance with all applicable laws regulating construction an oning.
�k0 d IZ-)ZI-17 ZS/0' I
Signature ofOwner/Agent Date na ure of mracto Agent Date
Pr' caner ent's Name o a r gent's Name
c.
.. ��.
na fw of Notary,S-`Yale of F_I Date igna ce of=Notary=State o- Florida Da e
LORRAIZ+E GAETA .aH LORRAI .E GRETA i �� Yf % 7
Notary Public - State of Florida ., z#�� = pio"ary Public State of �iori a /
: ,I", ,>J M,` Comm. Expires Jan ?.5, ar119'�
My Comm. Expires Jan 25. 2019
;N,s fd FF 165086 )
Commission # %;r� o?.�� Commission � FF 165086
r
vwner;tigent ts7—i—rersonany nwn'E M o Contractor/Agent'i's \�— Personally Known to Me or
Produced ID Type of ID 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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
STRUCTURE TYPE: )8(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 INSTALLEDOVEREXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF fIlE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: CKFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES `-<0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LLSS THAN 2:12 O 2: 12-4: 12 32),"4: 12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OOTHER:
FL#
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#
O INSULATED
FL#
O T1LE
FL#
O OTHER:
FL#
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & 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
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTI
,T IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIG TURE: DATE: a` 0 2--
i �o'+t� ��i�i �IIIIl111161111 IIIII IIII IIII
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, FI. 32701
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 29-19-31-501-0000-1330
GRANT MALOY? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & C:Ot PTROLLER
BK 90Q Ps 13,51 (1F9)
CLERK'ST 21317128C18b
RECORDED 1`/19/2017 12e4.06 Phi
RECORDING FEES �itl,tul
RECORDED BY t srr i t h
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)
Lot 133 Celery Kev Pb 64 Pas 85-86
540 Casa Marina PI. Sanford FI 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof with asphalt shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: David & Tamesa Provencher 540 Casa Marina PI. Sanford FI. 32771
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912
Address: 406 Hermitage Drive Altamonte Springs FI 32701
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
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 serve i pEpWrd
713.13(1)(a)7., Florida Statutes. CE�T1�lF0 tic �tr,C.Ut�
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 differei
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.
(Sig ature of Owner or Lessee, or owners or Lessee's
Authorized Officer/Director/Partner/Manager)
'_'bA-Vb 46rjQ0146Cr, a .
(Print Name and Provide Signatorys Title/Office)
State of ��- M' �1-LJ\ County of��
The foregoing lnstrumenrw4 acknowledged before me this day of
is personally known to me ❑ OR
who has produced identlflcationli Aype of Identification produced:
ta;C 0f I'i0iltia pf
P?Gtat)' Public 25, 2p1'-
rl�f� iu/
r , }'M1
` : 3ry
> >
OOFING 4334
RM
R
JTI Roofing Contract
Address: 406 Hermitage Drive Insurance Co.
Altamonte Springs, FL 32701 Adjuster:
Phone/Email: (407) 767-6912/ljones@jtiroofing.com Claim #:
State -Certified Roofing Contractor - CCC1325756 Phone:
State -Certified General Contractor - CGC036067
Jan Tukker, Contracto
Customer Name: /.V IL 7," I°4,1�k_ �/�l�i�'« Date:
Address: �1{() C/�/vq /City/State/ZIP:
Home Phone: %�J &9 A/-Jj� Cell: Work Phone:
Email:49U e-, /�4.VaC p
Project Address: 59hl4F,
SPECIFICATIONS/PRICE BREAKDOWN
ITEM
TYPE
QTY
AMOUNT
TOTAL
Tear -off shingle
Replace shingle
Replace underlayment
Hurricane Retrofit
Steep
2nd Story Charge
Valley Material
Drip Edge
Vents 1"
Vents 2"
Vents 3"
Goosenecks 4"
Goosenecks 10"
Flat Roof
Al,
Interio xt to
Skylights
Solar Panels
lklov f
Notes:
Remove Trash from Roof, Gutters and Yard
Roll Yard with Magnetic Roller
✓ Protect Landscaping Where Applicable
Delivery/Special Instructions:
ITEM
TYPE
QTY
AMOUNT
TOTAL
Ridge Vent
Off -Ridge Vents
3
Decking
Lead Boots
Debris Removal
Wood
Shingles-Manufactur /1,C Style: 1�G
Type-4- ���' Coloa6[hl
Warranty
Labor
S
Roof
_2
Insu n
Imti timated
Date:
$
Amount
Insurance Co. Agreed
Amount
Date:
$
Upgrades
$
Insurance Supplement
$
TOTAL
Dt:
$
PAYMENT SCHEDULE
_ 9 B9� PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT: El$500.00 El$1000.00 ❑ $ X(a C;?V
DOWNPAYMENT $ FINAL PAYMENT $
JAN TUKKER, PRESIDENT
TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS
AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING
OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY.
ACCEPTANCE OF AGREEMENT
The above prices, specifications and conditions ofthis agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditions
located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations
of this agreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor and
mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and
services as described in the specifications.
THREE DAY RIGHT OF RESCISSION
THIS WRITTEN AGREEMENT HER SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNIG F TH RD BUSINE DAY AFTER THE DATE OF T�?REEMENHIST.
Homeowner Approval: Date: J
Contractor Approval: Date:
y
SCPA Parcel View: 29-19-31-501-0000-1330 Page 1 of 2
fProperty Record Card
OP�
Parcel: 29-19-31-501-0000-1330
RR Owner: PROVENCHER DAVID L &TAMEASA S
;�rwOuE �v F�.gitOn
Property Address: 540 CASA MARINA PL SANFORD, FL 32771
Parcel Information
Parcel
29-19-31-501-0000-1330
Owner
PROVENCHER DAVID L & TAMEASA S
Property Address
540 CASA MARINA PL SANFORD, FL 32771
Mailing
540 CASA MARINA PL SANFORD, FL 32771
Subdivision Name
CELERY KEY
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2008)
raw
l•J
w + -
Legal Description
LOT 133
CELERY KEY
PB 64 PGS 85 - 96
Taxes
Value Summary �-
2018 Working
2017 Certified
Values
Values
Valuation Method
I Cost/Market
I Cost/Market
Number of Buildings-
_
-Depreciated Bldg Value�$131,097
$123,566 -
r
Depreciated EXFT Value
-
� -
-
Land Value (Market)
' $31,500
$31,500
-
Land Value Ag
I $162,597
1$155,066
Just/Market Value "
Portability Adj
-
_
v
Save Our Homes Adj
$59,651
$54,237
Amendment 1 Adj �-
$0--_--�---- .-.-.----
-
P&G Adj-
$0
$0
Assessed Value
-
! $102,946 -
_T v - $100,829
Tax Amount without SOH: $2,164.84
3
2017 Tax Bill Amount $1,132.09
Tax Estimator
Save Our Homes Savings: $1,032.75
5
' Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GIS
Taxing Authority Assessment Value
Exempt Values
Taxable Value
County General Fund I $102,946
$50,000
$52,946
Schools $102,946
City Sanford $102,946
-
$25,000
_'- -` --- $50,000
- -
$77,946
--_----- $52,946
- $52,946
SJWM(Saint Johns Water Management) i $102,946
$50,000
County Bonds $102,9461
$50,000
$52,946
Sales
Description
Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
WARRANTY DEED
6/1/2007 �06731
5/1/2005 - -
105831 -
1 1306
0194
$264,000
$226,400
Yes
Yes
I Improved
Improved
Find Compambli3 Sales ,
Land
Method
Frontage
Depth Units Units Price,
Land Value
LOT
!
1
$31,500.00 $31,500
Building Information
# 1 Description Year Built Fixtures Bed I Bath I Base Area t Total SF I I Living SF Ext Wall I Adj Value Repl Value I Appendages
L Actual/Effective j
1 1 SINGLE 2005 1 10I 41 30 1,361 2,906 j 2,321 ° CB/STUCCO f $131,097 = $137,274 Description Area
• FAMILY ( j FINISH I
1 I 33.00
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=29193150100001330 1 /2/2018
SCPA Parcel View: 29-19-31-501-0000-1330
Page 2 of 2
j
!
OPEN
I
PORCH
i
I
I
FINISHED
}
!
GARAGE
424.00
FINISHED
} I
I
UPPER
i
I
I
STORY
960.00
FINISHED
OPEN
PORCH
i 128.00
d
(
!
(
I
FINISHED
Permits
Permit # Description
Agency Amount CO Date
Permit Date
02901 FENCE IN BACKYARD
SANFORD
$1,500 1
6/3/2005
01613 i NEW -RESIDENTIAL
SANFORD
$167,100 5/31/2005--
2/17/2005
Extra Features
Description Year Built
Units
Value
New Cost
No Extra Features
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=29193150100001330 1 /2/2018
CITE: O
�'ORD Building & Fire Prevention Division
RESIDENTLAL RE -ROOF AFFIDAVIT
FME DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS p
PERMIT #: S 3 ADDRESS: `5�/
/ C) l a/3 -a. '
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
RqdFING CONTRA TOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FO Ol RMATION 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 - 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 REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: 13
L-d lG�
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DAT
(MUST BE SIGNED BY LICENSE HOLDER 7OWN71LDER/
THIS SIGNED AND NOTARIZED AFFIDAI MUST BE P OVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH Ph E OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACH ENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MU T 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.
"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.
STATE OF FLORIDA COUNTY O ' l
Sworn to and Subscribed before me this , � day o€ k��20 fW by:
is -Kfe_rsonally Known to me or has ❑ Produced (type of
Signature of Notary Public
Stat ef2Fi^o• A
LORRAINE GAETA
:Notary Public -State of Florida
Prin , et
of Notar"v,'�aA
q� ub(Commission # FF -
1S5086
ii _
as identification.
(SEAL)
ORRAIN S aAe oAFlorida
Yo
Notary RubExpires Jan 25, 2019
My Gomm,# FF 165086
:.,
Commission