HomeMy WebLinkAbout107 Brushcreek DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
APR 03 2018
Application No:
Documented Construction Value: $
Job Address: �O� ��l�Jsl-1c���Q Sl�ty,Ga� Historic District: Yes ❑ No IT
Parcel ID: Residential D? Commercial ❑
Type of Work: New X1 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: TZ:Q ,p w,Gt 5C_Z.) b1cl-L-V�1 ia,4 Title: 'bfp VA614-1 C&11,0'c'PK
Phone: LM-7- 13:;t - "1'3 low
Fax: %AO'l gig- yt-A-,> Email: DnWAR .
Property Owner Information 60"
Name l Rt-D \ Phone Street: W-1 �t?.�51-� ��-� Resident of property?
City, State Zip: Si4raq�-nR_b (-C_
111 Contractor Information
Name (IF-KXTP-A \--UwtGS Lt—C_. Phone:�'0`l-"l3`�t.'�la(oa.
Street: 1\Ba ►�•t.a✓�c,� t-[�rl 1�3�•! p Fax:
City, State Zip:--�i6t�p0� .1 t- 3��� State License No.: C-CC- l33 0foO9
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
0
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR A
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE tr
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 applicationdnd 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 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.
-44 I &-a-, 3`a.b 118
Signatur of Owner/Agent DateT
s Name
V OOLNPU.._ Notary Public Sta% Ur l'lorial
2° �`� Tiffany Burleson
My Commission GG 173997
�`►ifofExpires 0 1109/2022
asz D ae— 3 c.
Signatu of Contractor/Agent Date
Printfpntractor/Agent'sName
y-St,ite of Florida Date
S.i�i"w��i �,e�ioh„
Notary Public State of Flcrda
Tiffany Burleson
My Commission GG 173997
9ff OF FbV Expires 01/09/2022
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
or
Revised: June 30, 2015 Permit Application
Scope of work
T
x �i
Removal
Tear off and haul away the existing shingle roof system (one layer). An additional
$35/sq. for removal of each unforeseen additional roof layer will be added.
Roof Sheathing Inspection
Inspect the roof sheathing fastening system and supplement (re -nail).
Underlayment
Supply and install one layer of Rhino Synthetic felt underlayment. ,
Ventilation
Supply and install new Shingle Over Ridge Vents and/or 4'''Off Ridge Vents for
proper ventilation.
Drip edge
Supply and install new 2'/z' eave-drip
Pipe Jacks
Supply and install Bullet Rubber boot flashing for plumbing stacks
Valleys
Supply and.install a self -adhered peel & stick modified underlayment in all valleys°
Certainteed Landmark per square
Certainteed Landmark Architectural Shingles per square
Permits/Inspections
We will obtain and pay for a permit and obtain all required inspections"
Dumpster/Haul away debris
Upon completion, all roofing debris will be pi8k4up and taken away.
Warranty
7 year workmanship warranty on labor
+
Shingle Color.t t { rip Edge Color:,
"'� s
Homeowner Name
Homeowner Signa
Central Homes Re
14 Re-we'cs
000
_te a
$12,611.20
$1v2611^20
a
THt$ INMUWNT PREPARED BY:
Name: Tnana Torres
Address; one eagan v
Longwoo L 327
NOTICE OF COMMENCEMENT
Per I Number:
Pen:el 10 Number: 33 —
The undgraWW hereby
Wowing in6tlrm8fiOrl I p g� fotit i that imprOve� enmacie m certain real propertyt., and in accordance w0 ChWW 713, FJonda _vat&& the
prouideda1 this fJotioe pf
1. DESCRIPTION OF RTY: (Legs! descr# ttOR
VI 06 IN POdY jVd 8VW address if available)
in-1 �ores� TRe' � rrr.w Xa IPA li- 6S aa
2. GENERAL DESCRIP71ON OF t PROVEINENT:
1*1 v . � s .— - ,.
3. OWWR WORMArAm OR
Name and address- P tZt_
"FORMATION IF THE LEES= CONTRACTED FOR THE IMPROVEMENT:
Interest in property:
ro
v O
Fes Simple Tltis holder (lf other than Owner listed above) Namr.
4. CONTRACTOR Name; Central Homes. LLC f'►�oneNumt>er.
Address. 1182 N. Ronald Reagan B'vd., Longwood, FL 32750
3. SURETY Of appticeb* a Copy of the Peynwnt bond is 80*61 ,0: Name:
Addreat::
a. LENDER: Name: Amount of Bond:
Phone Number.
Address: %
T. Persons (41pMn the tit of FlOrids D by Orono: upon 7!!.!1(1j(a)7., Fforlda Statr+tss, errb whom notice Or other 40MM my be served as 01001ded by Secdon
Phone Number.
8. In addition, Owner deeigrrato
to receive a COPY Of the LlerWs Nodoe as provided In SWIM 713.13(1 Xb), Florida Statutes. Phone number.
9. Expiration We Of Notios of Cammeno Ment (The aVlration i$ 1 year from date of reoordkV uning a dlferent date is spedbed)
WARAVA� 0l� ANY PAYMENTS MADE BY THE OWNER AFTER THE E)iplfiATlpN OF THE NOTICE OF COMMENC> AtENT ARE
CO1gSiDEREEFOR
PAYING TWIJOB 317E BRE THE FIRST 1ldSPECTEON. IF YOU IhfTENp TO Of3TAtN FtIVlWCING, CONSULT WfTW YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
OTOrrrer arleaseo's O V \ C..//�4 (��
O h t NORW and pradde810fudws TiOM(Rm)
smta of �a+� CCU" of S—c f-m col s
The torpdrg instr—W* *res ad—Iledged before me this
'�) lSm (su S . Who Is Perso"ky known to NOM of t nee, ' oR
who teas produced ikon ❑ bloc of idelttitleabon Preduaed:
' MARIA T. BUTCHER
1,4Y COMMrSSION # GO101$40 i ��-
EXpIRES May 04, 2021
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S #2018034705 BK 9101 Pg 0019; (1pg) E-RECORDED 04/02/2018 09:0224 AM
10.00
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 31-cn
I hereby name and appoint: -7s✓.�wr, �% C
an agent of Q''E
(Name of
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: -7DV_CJ%A
State License Number: C-CC- k-5 0(o og
Signature of License Holder: Cud -
STATE OF FLORIDA
COUNTY OF SLcyri %wc-Y�
The foregoing instrument was acknowledged before me this ` lday of ryla-we
2001$ , by ��,/�a.� ct S 17 ✓ v✓f ✓ who is personally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
(Notary Seal)
Pu¢
Notary Public State of Florida
c��Y
�
Tiffany Burleson
My Commission GG 173997
Expires 0110912022
(Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
as
SCPA Parcel View: 33-19-30-516-0000-0860
Page 1 of 2
Ias 1J*ft=,Crlf Property Record Card
Parcel: 33-19-30-516-0000-0860
Property Address: 107 BRUSHCREEK DR SANFORD, FL 32771
Legal Description
LOT86
COUNTRY CLUB PARK PH 2
PB 54 PGS 22 THRU 24
Taxes
Value Summary
�2018Working �201rtifieds
Valuation Method
Cost/Market� ; Cost/Market
Number of Buildings
1 1
Depreciated Bldg Value
$151,865 $138,534
_
Depreciated EXFT Value
Land Value (Market)
$38,000 $38,000
Land Value Ag
Just/Market Value **
$189,865 $176,534
Portability Adj
I
Save Our Homes Ad/
$0 $0
Amendment 1 Ad/
$0 $0
P&G Ad/
$0 $0
Assessed Value
$189,865 $176,534
Tax Amount without SOH: $3,361.00
2017 Tax Bill Amount $3,361.00
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
_., __
_ _
$189,865
$50,000 `
$139,865
Schools__.
._ � _....... _.__
.__ . _,-..
$189,865
... ........... ..
$25,000
$164,865
City Sanford
_. ..__
$189,865
$50 000
$139,865
SJWM(Saint Johns Water Management)
$189,865 i
$50,000
_
$139,865
County Bonds
$189,865 j
$50,000 �
$139,865
Sales
Description
Date
Book
Page Amount
Qualified
Vac/Imp
SPECIAL WARRANTY DEED
1/1/2017
08855
( 0715
$206 000 No
i Improved
SPECIAL WARRANTY DEED
_
8/1/2016
08796
� -.
0739 (
$100 No
Improved
CERTIFICATE OF TITLE
8/1/2016
08746
0008
$10 100 No
Improved
WARRANTY DEED
6/1/2010
07406
0403
$149 900 Yes
= Improved
WARRANTY DEED
6/1/2004
1 05345
1356
$168 000 Yes
Improved
SPECIAL WARRANTY DEED
.__
2/1/2000
.__ ,. �m.
03813
1446
$117100 Yes
e
�mImproved
Impp roved
WARRANTY DEED
9/1/1999
03777
0948
$23,500Yes
�)
Vacant
Fi d Comparable Sales
Land
Method Frontage
Depth
Units
Units Price
Land Value
LOT
1 j
$38,000 00
$38,000
Building Information
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=33193051600000860 4/3/2018
l
$CITY OF
S,kl._v.F0RD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: Ipq CS;lyjc 4,49 /`L- 22 77%
STRUCTURE TYPE: ® 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 OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: Ft `(Jod
""PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: FF-RIDGE O 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 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
ew-vw
FL# )cp_
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
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
SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
CITY OF
Building & Fire Prevention Division
ORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRIB.DE,PAR°IMENT
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
"'Ski4IORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIREDEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ADDRESS: L 01 "BQ_A151,"
I TU.iC 1 5 C�-1/YI�.tA , 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 RETROFI"F
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: C- C, `S�jobo9
COMPANY / CONTRACTOR: r,XS L.' L G S C-0 C)V-LLvh +
CONTRACTOR SIGNATURE: DATE:
R
' `•' -' I
(MUST BE SIGNED BY LICENSE HOL OR ER/BUfLDER)
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 SL-Y)l l Vi0L,115 j
Sworn to and Subscribed before me this day of n 1 20 19 by:
113ro�a%Who is Known to me or has ❑ Produced (type of
identification) as identification
IJ 00��X�4�
S' 1 ure of. tary Public
State of Florida
rint/Type/Sta p ame
of Notary Public
s
L''-"�
Notary Public State oLFlonda
Tiffany Burleson
M Commission GG 173997
Expires 01 /09/2022