HomeMy WebLinkAbout1011 W 5 StJob Address: 10
CITY OF SANFORD
BUILDING & FIRE PREVENTION
MAR 2018 PERMIT APPLICATION
ip 1
BY:......__.._ Application No:
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Documented Construction Value: $ , ��0Q
1� 51 • JU V�Iyd ) FL W 7 I Historic Distric Yes ❑ No E
Parcel ID: 30 — 7 hC7 / 1 > - ••
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair
Description of Work:
Plan Review Contact Person:
No?Phone: 636-9 3� X Fax:
e
i Residential Commercial
Demo ❑ Change of Use ❑ Move ❑
Email:
& I'V
jj Property Owner Information
Name 11M1' Vl i i34t MM T sthone:
Street: 00 R1 0 Ve. bt) Resident of property? : A16
City, State Zip: 654oiA a UO
Contractor Informationl
Name r,C ' L� Phone: I �O%>b -AAA
Street: Fax:
City, State Zip: 0 %SO State License No.: -f6e(i 133d V qa
Architect/Engineer Information
Name: / V�4 Phone:
Street:
City, St, Zip:
Fax:
E-mail:
Bonding Company: 04 Mortgage Lender:
Address: 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: 51" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements ofthis 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 agnci.es,
Acceptance of permit is verification that 1 will notifv 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 subntMal,
'I'he actual construction value will be 1il;ured basest on the current ICC Valuation Table in e5cet at the time the permit is issued, in
accordance with loca't ordinance. Should calculated changes figured off the: executed contract exceed the actual cotlstrttction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: a 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.
Sig t rc of C)wneri lgcnt Date
i rint owned gent's :Name
�i,tnnatrire of Notary -State r7f } !asiia 1:7atc
3
Sit' )at tire of C a ract°n'A gent Datrt -,
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Print C.ontractc iAeer ..
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Si ;n attire of \'n ary-state of FlorkLilf ate
ETHEL JUNE MARANAN
` PPV PV
i°; B`o: Notary Public - State of Florida ..I;trr�r ;., EVELYNDIAZ
•; : •E Commission # FF239602 / ' �� ':, NotaryPublic- StateofFlorida
:N J ' • . ' ? Com� I�j slon # GG 088505
<)4vns i/Agent is e ° tlNiA9rfe-�PEP ids Jun 10, 2019 C s�ntractorJtlgent is Pet tt" � Y� m'C Fhd�sMar29,zort •' OF ' ` Bonded through National Notary Assn.
Produced ID Produced ID 1 ype o. III, rr t Bonded through National Notary Assn.
BE OW IS FOR OFFICE USE ONLY
Permits Required: BLtildittg E: Electrical ❑ M€°chanical ❑ Plumbing❑ Gas[] Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction- Electric - # of Amps
Fire Sprinkler Permit: Yes El No El # of Heads
APPROVALS: ZONING: UTILITIES:
ENC IN_I ERENtx:
COMMENTS:
11RE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes [] No[]
WASTE WA-1 ER:
BUILDING:
Revised: June 30, 2015 Pemit Application
Dehlinger
Construction
1335 Bennett Dr. #115
Longwood, FL 32750
License #CGC1508013
Limited Power of Attorney
I Samuel Clayton Rector hereby name and appoint � iw of
Dehlinger Construction, LLC. to be my lawful attorney-in-fac to act fo me, and acquire
permits and other necessary documents as well as sign on my behalf for work to be performed
at the following location(s) in 5e i YIOIP County:
OR:
O The Above Person(s) are authorized to sign for any and all documents pertaining to this
municipality until further notice.
This power of attorney is to start to be effective on 3 iA61 kle, and shall remain effective until
3 A6 A .
Contractor Name: Samuel Clayton Rector Contactor License # CCC1331442
Contractor Signature: V
This Power of Attorney shall be governed by the laws of the State of I01--(`C, in
CPMIAt)jjj County. This instrument was acknowledged before me this d-` day of
f trt,� ;Zn j � by SafflUd r /"f W� (�eCJVYFwho is personally known to me or
produced as a form of identification and did not take an
oath.
• _ Notary Signature
_ , 1
Notary pLoc State of Florida
April Dehlinger
Se
?;� my Commission GG 1364e0
-V Expires 0812812021
THIS INST U NT PREPA D El . lKob C ✓nii►G
Name: i //
Address: N
GRANT NALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & C:ONf'TROLL-ER
BK 9099 Ps 157 (1F'sa )
CLERK'S T 2018033563
RECORDED 03/27/2018 02.21:3 8 I-'11
RECORDING FEES $10.00
RECORDED BY hdtvore
Permit Number:
Parcel ID Number: 25-19-30-5AG-0713-0030
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)
tAJ ion oaf r lgtl Tr 0)V fah FT Big 7 V 13 / I vll W. V)I-
2. RAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF ARCHITECTURAL SHINGLES W/ SYNTHETIC UNDERLAYMENT - 17 SQ
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: WILMINGTON SAVINGS FUND SOCIETY, FSB, D/B/A CHRISTIANA TRUST
Interest in property: ADDRESS: 9990 RICHMOND AVE. STE 400 HOUSTON, TX 77042-4559
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR:. Name: DEHLINGER CONSTRUCTION, LLC. Phone Number: 407-636-9322
Address: 1335 BENNETT DR. 4115 LONGWOOD, FL 32750
S. SURETY (If applicable, a copy of the payment bond is attached):
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(1)(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 RECORDING YOUR NOTICE OF COMMENCEMENT.
7�__ j own �r•� r
(Signatureho or d wner061c nr Lessee,tor/ Of 6Wr/Mo a er) S (Print Name and Provide Signatory's Title/Office)
Authorized OSlcar/DlredorlPartnodManagar)
State of _ L a) * &-, County of of o.,A 0,
The foregoing Instrumentwasacknowledged before me this zEj�` day of
by 'Tn MQ S Who is personally known tome L7/OR
Name of person making statement
who has produced identification 0 type of identification produced:
..•,, ETHEL-DUNE MARANAN
e'•
;•rc `4'-; Notary Public - State of Florida
Notary signature y
��
' ' ° - Commission FF 239602
• r'=
, P:= My Comm. Expires Jun 10, 2019
•. F cFc•
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Bonded thra* National Notary Assn.
RIP 0
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SCPA Parcel View: 25-19-30-5AG-0713-0030
Page 1 of 2
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Propertv Record Card
Parcel: 25-19 30-5AG-0713-0030
Property Address: 1011 W 5TH ST SANFORD, FL 32771
46
105.50 36 40
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Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method [ Cost/Market E Cost/Market
Number of Buildings 1� 1
Depreciated Bldg Value ' $47,798 $45 143
Depreciated EXFT Value
Land Value (Market) $18,818 $18 818
Land Value Ag
Just/Market Value'" $66,616 $63,961
Portability Adj
Save Our Homes Adj $0 $0
Amendment 1 Adj $0 $0
P&G Ad/
$0 $0
Assessed Value ( $66,616 i $63,961
Tax Amount without SOH: $1,217.00
2017 Tax Bill Amount $1,217.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
W 105.50 FT OF E 181.5 FT
OF N 125 FT BILK 7 TR 13
TOWN OF SANFORD
PB 1 PG 112
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $66,616 = $0 111111` $66,616
Schools $66,616 ` $0 ;� $66,616
City Sanford $66,616 $0' $66,616
...- ...._
SJWM(Saint Johns Water Management) $66,616 i $0 i$66,616
.- _.._�... �_. .� ..
County Bonds $66,616 i $0 $66,616
Sales..w....®�. .�..W..�..._ __ �.���.....�..
Description Date Book Page Amount Qualified Vac/Imp
CERTIFICATE OF TITLE 2/1/2018 S 09078 ( 0587 $53 100 ; No Improved
_
QUIT CLAIM DEED 9/1/2003 04992 1 1652 $100 J No Improved
CERTIFICATE OF TITLE 5/1/2003 04808 1 0393 $41 000 I No Improved
QUIT CLAIM DEED 10/1/1989 ? 02120 �0911 $100 No ?Improved
Find'Comparable Sales
Land
�ethod®� �� ����Frontage �� Depth m � Units � Units Price �� Land Value �����
� FRONT FOOT &DEPTH 105.00 � 125.00 ', 0 ; $174.00 � $18,818
Building Information
Is Bed/Bath count incorrect? Click Here.
#�Desc�ption��Fixtu�resBed `Bath Base Area Total SF Lvng SF Ext Wall Adj Value Repl Value �ppendage ��
11
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGO7130030 3/28/2018
SCPA Parcel View: 25-19-30-5AG-0713-0030
Page 2 of 2
1 1 SINGLE 1990 1 6 2 1.5 1
1,152 i i 1,152 SIDING
i $47,798 $53,706 ` Description Area
FAMILY I
j!
GRADE 3
1
No Appendages
Permits
1
Permit # Description Agency
Amount CO Date
Permit Date
No Permits
Extra Features
Description Year Built
Units Value
New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=25193O5AGO713003O 3/28/2018
CITY O
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
I1 I:A1T;NT
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 1S 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 (OROWNER/BUILDER SIGNATURE: DATE: 3A6 1 F
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: f o o 5 �. 5010 1 1 Fly
STRUCTURE TYPE:JEPLACEMENT
INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): V Wood
**PLEASE NOTE: ONLY IOO SQUARE FEET
ROOF VENTILATION: O OF -RIDGE
EXISTING DECK IS PERMITTED TO BE REPLACED"
RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 0 412 OR GREATER
TYP OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
TOM ko { a e-
FL# JZ
O METAL
FL#
O MODIFIED BITUMEN
OTORCH DOWN
FL#
FL#
OINSULATED
FL#
O TILE
FL#
4OTHER:
lY ill
I wY�1 � in f��
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
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 TILE
FL#
0 OTHER:
FL#
PERMIT #: I I �}5 ADDRESS: I V f ` W 51h 51.
IKb(, 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, NGINEER, CHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE M413 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 #: l — C 13 31 q q 0�
COMPANY / CONTRACTOR: V I 1'
CONTRACTOR SIGNATURE:X"0" DATE: I A
1_--�&w
(MUST BE SIGNED BY LICENSE HOLDER OR OWp(!�`R/BUILDER)
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.
"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 OF 6 Q M i Ad /
Sworn to and Subscribed before me this � day of 11 \WQIA 20 1 V by:
CodLA 00 U'Ar/
Who is ❑'Personally Known
identification) as identification.
aw A&61.� -
Sign to a of N taryPublic
to me or has ❑ Produced (type of
State f lorida "' 4- IA,
Nay PLO*c State of F106da
AoM DoiHowAAL) �r &-A APril ingw
Print y /Stamp Name My Commission 1GG 130490
of Notary Public a ExP��es 08/28/2021