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HomeMy WebLinkAbout120 Edgewater Cir (2)I CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I lea Documented Construction Value: S 11,300 Job Address: 120 EDGEWATER CIR SANFORD, FL 32771 Historic District: Yes ❑ No 0 Parcel ID: 11-20-30-516-0000-0470 Residential 0 Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration x❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 15216-R3 27 SQ 7/12 Pitch Estate Gray Oakridge LIFETIME Plan Review Contact Person: Skylar Amkraut Title: Admin Phone: 407-278-7788 Fax: 800-337-3361 Email: Permit@Jasperinc.com Name Nicolle Crock Street: 120 EDGEWATER CIR City, State Zip: SANFORD, FL 32771 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Property Owner Information Phone: Resident of property? : Yes Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 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: 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 � 19 l ," Q-) 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 thatI 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 he done in compliance with all_applicable lawsregulating construction and zoning. _� _ _.._... Signature of Owner/Agent Date Print Owner/Agent'sName 03/23/18 signaturKofContractor—/Agerit Date Rudith Goico Name Signature ofNotary-State-ofFlorida Date Signature of -State of FFlor;�l�,� _ SKYLAR 8 AMKRA,UT Commission A FF 127890 4 My Commission Expires f° June 01, 2018. Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application HIM flill 11111111111111111111111111 THIS INSTRUMENT PREPARED Y: Name: -.37' r i) c Address: 41 S` S rr[�►-� n ;Z7�3 c NOTICE OF COMMENCEMENT l LDEN, K (_ ). l'l Yfi), i ".OUF T {: COM i Ft01-1 Ei4 CLERK'S a �018031303 '��1 •i i1 _ 1 �'4 S�zj ti_•.l1;\�i J.;�w 'i^I_r:, Permit Number Parcel ID Number: 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) 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT. Name and address: MN `LU (_fZX.I< )'-c) Fkv(r,aje, fiyJFr�n G1 ZZiI Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR. Name: JASPER CONTRACTORS Phone Number: 407-278-7788 Address: 3203 S CONWAY RD SUITE 201 ORLANDO FL 32812 5. SURETY (If applicable, a copy of the payment bond is attached) : Name: Amount of Bond: 6. LENDER: Name: Phone Number. Address: K 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 to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (rhe 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. � pOn Ae (Signelur weer or Lessee, or Owners or Lessee's (Print Name and Pro igneUotys 7itle/Ofhce) Authorized Of carMitectorlPartnerManager) State of F I County of 5'eZ' y ;04'2 p The foregoing Instrumentwas acknowledged before me this J day of Y u .201 by. 1�l � CC�I 10 l)rn(.l l • Who is personally kno to me ❑ OR Name of person making statement who has produced identification vtype of identification produced: �)L- ;,,� , NATALIE ANiN DOYLE State of > lorida Notary Public *= Commission # GG 104918 ' "� My Cor��`cnission Expires P* iVIBY 15, 2021 iFIED vtr}iGRANTh7 in'�t Notary signature [LE, K 0F THE Clr;('1 IT „; ArI�tIRi)q C?1�15 r � - SEI�Jl. 1S �i fern fi 5380 l , Colonial Dr. Orlando, 1112807 3203 Conwity Rd,, Ste, 201 Orlando, FL 3 28 12 (407) 27S•77SS 000037.3361 Fax JASPER Ja•oarRoof.com FL Contractor's License: CCC1329651 S CCC1331153 ROOF REPLACEMENT CONTRACT Account Managcr:\�X' 0, t 1C-d -,- -C-; Contact #: W%G > 3 S` &IJ 311 i Company: S : , -b Policy #: , c 7 " d. Claim #; / oell U Morteat?e Company Information Company: Loan Number. Ovwier(s): Phone: C107-3►� C�Si Address: Alt Phone: Gib: - p A Ott �►c.ic) State: �! Zip Code: c�7� Shingle Color: l� rG.tr Einaih Roof RCV Amount/ Contract Price: Drip Edge Color: e c, °\ L' ,� �,r uv 11,300 1 t .i , .` �— If Owner's Insurance Commnnv does not avree to jZ i, for n full roof replacement this contract shall he voidable. Assignment of insurance Benefits for the Full Roof Replacement Only: 1 hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall he limited to a full Roof Replacement. 1 make this assignment and muhaiization in eiInsidcralicai of Jasper's ticreement to perform services, supply materials and otherwvsc perform its obligations under this Contract, including not requiring fall payment at the time of service. 1 also hereby direct my insurcr's) to release any and all information requested by Jasper, or its representativc�s), for the direct putpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard I waive my pnvacy rights. if payment is made directly to the Owner/Agcrit`lnsured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work. deductibles, Ktternicnt or additional work requescd by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's resmansibility to pay all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible anioutit; as stated an insurer's loss sheet (the "Loss Sheet"), UNLESS replacement/repair of deteriorated decking is required by code and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, witive or rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shalFoverrule deductible amount disclosed. Deductible: S S�; c� c) MUST BE PAID 1N FULL, PLUS APPLICABLE SALES TAX (initial) MORTGAGE AL711OR1Z•1TION: I, Owners' tortgagor, grant authorization for Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw status. �'- (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper hLscd on the fiillaning schedule: (i) Deposit in the amount ofS (due upon signing this contract (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer's), plus upgrade costs, due and payable to Jasper upon completion of work being performed, and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2°0 of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: PRICE: TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions herein, Jasper agrees to furnish all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company- FLORIDA HO\IEONYNERS' CONSTUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED A-NIOUi\T, MAY BE AVAILABLE FRONI THE FLORIDA HONIEONVNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, NVNERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA, CONSTRUCTION' INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039, (850) 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied. in whole or in part. All written notices of cancellation, regardless of reason, shall he postmarked or delivered to Jasper's corporate office: 1690 Roberts Boulevard, Suite 112, Kennesaw. GA 30144. CAN'CELLATiON EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. 1. Owner, have read and understand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between the parties and that any further changes or alterations to this Contract must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power and authority to enter into the contract and that it is binding and enforceable in accordance with its terms. Xothori er Representative Date —2�. Owner Date Scanned by CamScanner Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 03/23/ 18 . Karla Almodovar, Rudith Goico, Skylar Amkraut Rachel Holcomb I hereby name and appoint: ftj- s�IW° Gina Mc5onald & Rachel Holcomb an agent of Jasper contraao;s (,%a or Company) 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: 120 EDGEWATER CIR SANFORD, FL 32771 (Stma Address) Expiration Date for This Limited Power of Attorney 1 /1 /2019 License Holder Name: Donald Bouchard State License; Number. CCC1331153 Signature of License Holder. �. STATE OF FLORIDA �l COUNTY OF s The foregoing instrument was acknowledged before me this 23 day ofMarch , 200 18 , by oo,ada s«,dd who is o personally known to me or ® who has produced a as identification and who did (did not) take an oath. Signature `"' Skyar Aml (Notary Sea]) a�aut "'i"rrr g{<Y R B AMI<RAUT i+ WeCommission N FF 127890'My Commission Expires June 01, 2018 (Rey. 08.12) Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/1/2018 SrnnnPd by (,amSrnnner 3/23/2018 SCPA Parcel View: 11-20-30-516-0000-0470 tom. • Y *s�� Y Property Record Card Parcel: 11-20-30-516-0000-0470 Property Address: 120 EDGEWATER CIR SANFORD, FL 32771 Parcel Information Parce 11 20 30 516 0000-0470 - Owner CROCK, NICOLLE Property Address 120 EDGEWATER CIR SANFORD FL 32771 i I Mailing 120 EDGEWATER CIR SANFORD, FL 32773- Subdivision Name HIDDEN LAKE PH 3 UNIT 6 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions to -10:5���- F"S 8 Seminole Coun yt GIS Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $101,059 [ $95 319 Depreciated EXFT Value j Land Value (Market) — $30,000 $25,000 �.. Land Value Ag 9 Just/MarketValue'* 1 $131,059 _L_-_ _._._-_ [ $120,319 Portability Ad1 I Save Our Homes Adj $0 $0 Amendment 1 Ad1 $13 536 i $13 480 P&G Ad1 $0 . $0 Assessed Value $117,523 $106 839 Tax Amount without SOH: $2,122.93 2017 Tax Bill Amount $2,122.93 Tax Estimator Save Our Homes Savings: $0.00 * Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 47 HIDDEN LAKE PH 3 UNIT 6 PB 38 PGS 77 & 78 Taxes —__._ . ------- ........ .... . _ ._ _... _ _ _...... ... Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund __ .. $117,523 $0 $117,523 Schools ....... $131,059 ; ...... $0 1 ........... .... .-..... .._ $131,059 City Sanford $117,523 �$0 $117,523 SJWM(Saint Johns Water Management) $117,523 ; $0 i $117,523 County Bonds _ _ ...... ........ .. _ .. __ __ $117,523 $0 ( 4 . .... ..-... _ _.. _ $117,523 w.,_. ..... ..............................................,..... Sales ,._ Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 14/1/2010 07399 1632 $73,900 No Improved CERTIFICATE OF TITLE 3/1/2010 ......... . 07344 1893 $1001 No Improved WARRANTY DEED 5/1/2006 06278 1650 $210 000 Yes j Improved __ .... _ _.. — . _.. _... _ WARRANTY DEED 11/1/2004 1 05540 1423 1 $120 000 Yes Improved SPECIAL WARRANTY DEED 3/1/2001 04038 0938 $102,000 E No Improved . _. � ._ ... _. .._ CERTIFICATE OF TITLE 5/1/2000 03850 1637 .. a_ $100 €, No __.__.... Improved PROBATE RECORDS 5/1/1999 03657 0053 $100 ; No Improved WARRANTY WARRANTY DEED 7/1/1990 02209 0953 $85,300 l Yes Improved _✓Y<__ WARRANTY DEED 2 1/1989 02047 1718 _. $95 200 No .. m _.. _ _ . _ _.___ _._ ._ _ Vacant SPECIAL WARRANTY DEED ( 8/1/1988 01985. 1132 $2,000,000 No Vacant Fired Comparable Wn �.____ ..-__.1-.__J http://parceldetail.sepafl.org/Pa reel Deta i I I nfo.as px? PI D=11203051600000470 1 /2 CITY OF ?�SkNFORD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card CONTRACTOR: JOB ADDRESS: TYPE OF WORK: PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. 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. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 City of Sanford Building Division Residential Re -Roof Inspection 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: 03/23/18 JOB ADDRESS: 120 EDGEWATER CIR SANFORD, FL 32771 STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work O APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) . O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY: ""PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"'` ROOF VENTILATION: Q OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES O NO IF 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 OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE Owens Corning FL# 10674-R12 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 O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL#