HomeMy WebLinkAbout103 Keystone CrestCITY OF
Building & Fire Prevention Division
Ski4FO'PERMIT APPLICATION
I Dt,PART , NT �R 9 2018 Application No:
By,• 1�P
Documen Construction Value: $ ' � I Q 00 . Uy
Job Address: W'_b v Historic District: Yes ❑ Nom
Parcel ID: ��-1 �� - UO30 ResidentialZCommercial❑
Type of Work: NewoAddition❑ Alteration❑ Rep��airnn,❑.\,Demo❑ Change of Use❑❑ Move
Description of Work: R'e & `�a(Ag22 �`C 5
Plan Review Contact Person: Ol "C sco I, lO v Title:_,y�r
Phone:407- 730 - W OO Fax: 8 7(' `7 )3 Email: CWMINO'L ,
W Property Owner Information �
Name [' `0Xllb+cl Phone: L4� " !'1 c a 01q
Street: 103 V-e C � - Resident of property?
City, State Zip: a ftX 1 r 3d—n
Name l- l_A
Street: »NQ
City, State Zip:
Name:
Street:
City, St, Zip:
Ain
I^C1ontractor Information�/ l MMr,r , 1, � c_ Phone:I&TT 7301 - T oNj '
Fax: L I O 0
State License No.: Ccc, t 3 loO-3
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: 61n Edition (2017) Florida Building Code /bI
Revised: January 1, 2018 Permit Application 11 WO
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.
-47.!9 ep-9,-
Signature of Owner/Agent Date
Agent's Name
of
,;kOv No Notary Public State of Florida
e
Tiffany Burleson
+, o My Commission GG 173997
Expires01/09/2022
Signature of Contractor/Agent Date
e--- - a)—q
-ryor��51�
Print Contractor/Agent's Name
3 0Y
i re of Not State'of Florida
,,w.* Pt,, Notary Public State of Florida
J 1 Tiffany Burleson
toy Commission GG 173997
'9rF or rv°� Expires 01109/2022
Owner/Agent is personally Known to Me or Contractor/Agent iS,-
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required
Construction Type:
Total Sq Ft of Bldg:
y Known to Me or
Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
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: January 1, 2018 Permit Application
J�
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
DateZ lclll� r
�S-1F02b
I hereby name and appoint: )U�k `� 500 'VA. Va,Ly- PrvG
an agent of:Cf ntycA l ►`ACS U G S,a►,a -p.Rp
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt fo
necessary to this appointment for (check only one option): - -
The specific permit and application or work located at:
�Q (Street Address)
Expiration Date for This Limited Power of Attorney: 3 t l�
License Holder Name:T��Y-\c I�Sca -1�ctk �AQAj
State License Number: C-CC b?)0�0 C)C�
Signature of License Holder--+��
STATE OF FLORIDA
COUNTY OF 11
_' i %Y1CAA-
The foregoing instrument was acknowledg�e""d__b► "efore me this "l day of C( Irk
20q, by �P�NCGCO'DA LIVyCV who i ersonally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
0 gn p C
(Notary Seal) Tft h YBUr l wQY-)
Print or type n me
=p0%. J%L' Notary State Notary Public -State of 1O��o1
Tiffany Burleson y �7 —7
M My Commission GG 173997 CommlSSlon NO.
Expires01/0912022
My Commission Expires: l 9
(Rev. 08.12)
as
TEAS MTRUitIfEMT PREPARED BY:
Naha: l"n f81 _
Addraas:
Penttit Number
Pancel ID Number. I Q' 3 O -6O�
The undersigned hereby gives notice that improvement will be made to owtain real property, and in accordance with Chapter 713, Florida Stat A". the
falloiviinng (Information is provided in this Notice of Commenourmnt.
1. qRL OF PR9W QE V, C89at pon4 toi LfiT ��%i'= VC ifova 19 8) L - p�s 149
RESIDENTIAL-ff
jq4?d7-1
Address: 1225 SENNI
a SURETY (9 applies ble, a
6. LENDER:
Address:_
Ow paymont bond Is attached):
7. Pere me within the fttetf of Plw We
713.13(txa)7., Florida StatuNA
d, In addition. Owner designates
Amount of Bond:
Phone Number
by owner upon whom notice or other dorxrmsnts may bo served a provided by Section
Phone Number
to reeelve a copy of the Lanes Notlee as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
S. Expiration Date of Notice of Commenoement (The expiation is 1 year from date of reom ing unless a difte vnt date is specified} a4l H
WARA04a MLWAM ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCE.tiAENT 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 BEEFORE 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.
of 00*.�� V 1 5rA'1:5(1 N't L"
(egrokadlOwwataamar0marVorl.~s (PmsNam wdPro-I etenday'sTANOefm)
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of County of rnr�L�-� ) tili-e/w
� Instrument was scitnowiedoed before me day of
• * by WIw Is porsonapy known to OR
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has Produced IderAilEcallort 0 type of Wend11oe6on produced'
�.lrr' Notary Public State ar c u; .•,a 1
Tiffany Burleson {my comma3bonc-:;
v! v
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018028625 BK 9091 Fig 1987: (1 pg) E-RECORDED 03/15/2018 09:40:39 AM
10.00
—.--axe "' s2� -. g`i *-
�y CO;N T R'AF€C'T /P,R ;OPaO's:SFALr"4.
Central Homes Roofing
1182 N. Ronald Reagan Rd.
Longwood, FL 32750
(407)732-7262
SanJay Patel
103 Keystone Crest Ct
Sanford, FL 32771
Sales Representative
Jacob Lee
(407) 708-8122
centralhomesjacoblee@gmail.com
Fstiinate # -� 1806
Date-� 3/5/2018
Tear off and haul away the existing shingle roof system (one layer).
$35/sq. for removal of each unforeseen additional roof layer will be
Warranty l7; yearlworkmanship warranty on labor
Homeowner
Homeowner
Central Horr
i Sub Total $15 000.00 ++
Total �' $15,000.00 i
CITY OF
Sk�4FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
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: DATE: ��
CITY OF
S��FORD
JOB ADDRESS: I 03
PERMIT # / � / Z
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
F--1 501-1 1
STRUCTURE TYPE: XSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE:(TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
)8�KEPLACEMENT
ORE-COVER (ANEW ROOF INSTALLED OVERT �EXXII-SjTI(NG'ROOF)
DECK TYPE (PLEASE SPECIFY): wfy) byryw [/ I 1 c/
**PLEASE NOTE: ONLY 1100 SQUARE FEET OF TIVE EXI TING DECKIS PERMITTED TO BE REPLACED**
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES _'rNO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 *4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
1 L MCL#
�� •'v
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
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#
0MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
SCPA Parcel View: 22-19-30-502-0000-0080
Page 1 of 2
fP��Prooertv Record Card
P Parcel: 22-19-30-502-0000-0080
sEh*N0Lrd CXXRM., Fi.L7riE1A Property Address: 103 KEYSTONE CREST CT SANFORD, FL 32771
Parcel Information Value Summary
Parcel
22-19-30-502-0000-0080
Owner
PATEL, HIU
Property Address
103 KEYSTONE CREST CT SANFORD, FL 32771
Mailing
103 KEYSTONE CREST CT SANFORD, FL 32771
Subdivision Name
PRESERVE AT LAKE MONROE
Tax District
S3-SANFORD-WATERFRONT REDVDST
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2013)
Seminole County
Legal Description
LOT 8
PRESERVE AT LAKE MONROE
PB 62 PGS 12 - 15
Taxes
2018 Working
Values
2017 Certified
Values
Valuation Method
Cost/Market
Cost/Market
-_1-���__-A�
Number of Buildings
--1 -
Depreciated Bldg Value
$133,524-_
$125,750
Depreciated EXFT Value
$11,693
-
j $12,209
Land Value (Market)
$40,000
$34,000
Land Value Ag
_-- _ _ _.__ ..._ ___4___._.
I
i
JusUMarket Value'"
1 $185,217
$171,959
Portability Adj
Save Our Homes Adj
$52,799
$42,265
Amendment 1 Adj-- -
$0
P&G Adj -- --- - -
$0 - -- ----L
- ---.
Assessed Value
$132,418
1 $129,694
Tax Amount without SOH: $2,486.00
2017 Tax Bill Amount $1,681.00
Tax Estimator
Save Our Homes Savings: $805.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
I Assessment Value
I Exempt Values
I Taxable Value
County General Fund
I
$132,418
$50,000
$82,418
Schools
$132,418
$25,0001
$107,418
CitySanford
$132:418 '
-
$50,000 �
$82,418
SJWM(Saint Johns Water Management)
T
$132,418
$50,000
-- -
$82,418
County Bonds
$132,418
$50,000
$82,418
Sales
Description Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED i 11/1/2011
WARRANTY DEED 12/1l2003
07665
05152
11165 -
11199
$162,000
` - $187,900
i Yes
Improved
Yes
- Improved
Find cramprablo Sa1.1-1
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 $40,000.00 $40,00011
Building Information
Is Bed/Bath count incorrect? Click Here._.-._.-
# Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1, SINGLE 2003 j 6? 4 1 2.0 ! 1,934 1 2,379 j 1,934 I CB/STUCCO 11 $133,524 1 $140,552 I
FAMILY FINISH Description Area
GARAGE 420.00
FINISHED
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=22193050200000080 3/19/2018
SCPA Parcel View: 22-19-30-502-0000-0080
I
Permits
Page 2 of 2
OPEN ; 25.00
PORCH
FINISHED
mit #
Description
Agency Amount
CO Date
Permit Date
32
i 6' HIGH WOOD FENCE
SANFORD
$2,100
i 12/18/2003
-
50
22X36 POOL SCREEN ENCL
i Y^-
$4,068
11/10/2003-
54
„ - y l
SWIMMING POOL
^ _SANFORD Y
n
i SANFORD i
— - --
$18 350
9/25/2003
06
( NEW -RESIDENTIAL
i SANFORD
$86,126 12/5/2003
7/30/2003
Extra Features
Description
Year Built
Units Value
New Cost
SCREEN ENCL 2
1/1/2003
1 $21503
$5,000
POOL 1
11/1/2003
i
f 1 i $8,750
$14,000
ELECTRIC HEATER
1/1/2003
1 _ $440
$1,100
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=22193050200000080 3/19/2018
CITY Of
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTf,4EN
RESIDENTIAL RE-RoOF INSPECTION AFFIDAVIT,
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 ADDRESS: Iy Ve
I CL n C13 C6 *__Duk J Aa,_ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION 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 #: �� �'✓.� l/IY ��:
I
COMPANY / CONTRACTOR: "' y
CONTRACTOR SIGNATURE:: DATE:
(MUST BE SIGNED BY LICENSE MILDER OR OWNER/BUILDER).
A"VINAL ROOF INSPECTION�IS'REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDEDATTHE 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, DRIPEDGE•A'NID VALLEY FLASHING;, PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
*FAILURE TO FOLLOH;,ALL REQIJIR'EMENTS WILL RESULT 1N A FAILED INSPECTION, A.RE-INSPECTION FEE AS
•;I
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 �/✓ 1
Sworn to and Subscribed before me this day of l 20 V� by:
Y Y GI l: (i1 SC O 1 JAI MGI Who isx1Qersonally Known to me or has n Produced (type of
identification) as identification.
re o otary Vublic
St to of Flo da ;.
otit4 "-Notary Public State o+ Fioncs
Et/r/*
_= Tiffany Burleson
y r My Commissicn GG ? 3997 ;
not/Type/Sta p Name �'o.no�Q Expires ovos/2czz
of Notary Public •�,