HomeMy WebLinkAbout120 Meadow Blvd (2)j3 - .
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / ? //
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Documented Construction Value: $ - L/ 0o U . `0
Job Address: b1-0 14�-4-6%t✓ 9443z e�'T/ Historic District: Yes ❑ No [9"
Parcel ID: 33-/ 9 3d --SV!R� -067o0 = D U 0 Residential D__&mmercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Pe 00 0 r-
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
//,.' Property Owner Information
2N me _ I/ a o L ry l L Phone: qo_ - 16 3-- ? f0d 3
i treet: 76 2 S 6 -ca1'f� eQ AA S f Resident of property? : n o : s�:,.
City, State Zip: �✓,:n f,r tor � % Z yZ
Contractor Information
Name L42224 _lam �r�''� Phone:G�'�1-
Street: (,; �( �GI J0 Fax:
City, State Zip: � �'I 05-r-400 7 - 1 �l State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
ArchitectlEngineer 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: 5ul 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.
z/z�/jp
Signature of Owner/Agent Date
Ov /,?pr a61
Tint Owner/Agent's Name
DARREN L. MILLER
Notary Public - State of Florida
My Comm. Expires Apr 8, 2018
Commission # FF 110899
Owner/Agent is Personally Known to Me or
Produced ID X_ Type of ID 1 L] p
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ 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 ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:.
Revised: June 30, 2015 - Permit Application
SCPA Parcel View: 33-19-30-508-0000-0980
Page I of 2
Property Record Card
Parcel: 33-19-30-508-0000-0980bouwrxao
lip
04&�CFA
Property Address: 120 MEADOW BLVD SANFORD, FL 32771-3690
Parcel Information Value Summary
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Parcel
33-19-30-508-0000-0980
Owner
UBON LLC
Property Address
120 MEADOW BLVD SANFORD, FL 32771-3690
Mailing
7625 GEORGEANN ST WINTER PARK, FL 32792-8917
Subdivision Name
MAYFAIR-MEADOWS
Tax District
DORUse Code
Sl-SANFORD
1-SINGLEFAMILY
Exemption
In,
- k �el 70
.7
nj Sr'
i unty GIS
7", M
Legal Description
LOT 98
MAYFAIR MEADOWS
PB 29 PGS 31 TO 33
Taxes
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
CosVMarket
Number of Buildings
I
I
Depreciated Bldg Value
$103,142
$97,343
Depreciated EXFT Value
$600
$600
Land Value (Market)
$28,000
$25,000
Land Value Ag
Just/Market Value
$131,742
$122,943
Portability Adj
Save Our Homes Adj
$0
Amendment I Adj
$3,516
$6,374
P&G Adj
$0
$0
Assessed Value
$128,226
$116,569
Tax Amount without SOH: $2,261.00
2017 Tax Bill Amount $2,261.00
Tax Estimator
Save Our Homes Savings: $0,00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authortty
Assessment Value
I Exempt Values
I Taxable Value
County General Fund
$128,226
$0.
$128,226
Schools
$131.742
$0
$131.742
City Sanford
$128,226
$0
$128,226
SJWM(Saint Johns Water Management)
$128,226
$0
$128,226
County Bonds
$128,226
$0
$128,226
Sales
Description
—=at. ---
:K-k —H.
Amount
CERTIFICATE OF TITLE
2/112018
09073
0271
$121,700
No
Improved
QUIT CLAIM DEED
2/1/2007
06633
1577
$100
No
Improved
WARRANTY DEED
11112000
03797
1283
$78,500
Yes
Improved
WARRANTY DEED
3/1/1985
01626
1303
$65,700
Yes
Improved
Find Comparable Sales 1
---- — ----- ---
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 0.00 1 $28,000.00
Building Information
s Bed/Bath count Incorrect? Click Here.
allEffective Fixtures Bed E�Wall Adj Value Repl Value Appendages
--E
e., Built Living ctu
----TA i Description vel Fi Bath Base Area Total SF [� g SF
1 1985 71 3 2.0 • 1,277 1,655 1,277 $103,142 $119,933 Description I A,-
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=33193050800000980 2/26/2018
4 I E
This agreement is made on this day of�20 / 9' between
e
Address City
'S3 (Contractor)
State // Zip Phone n
and l.o U of _212-:5 bra S%)' LJ
Name Address City
i� L., 3� /1�� o� - k 3 - %t3 (Client)
State Zip Phone
as
The above contractor will perform the following work as described in f , this agreement for $ `� O-W
in compensation from th client. n
Job Description:
�fL Yt'b o � GJUYIL Gv��/1
Work -to commence. on IIIII Z,4emd is estimated to be completed on -'7�)-24?
Date Date
Contractor:
gnature
ro- I W-T��
Print
Client•
Signature
ZOu All
Print
Date: Zara / Zd o
Date: �i810
�'`� i;�l��� !llll 111!! i1ff� !!ll! 1l111 il�I i111
THIS INSTR ENT PREP �I=DBY�:..Q
Name: ' Y t ,, ::: ........_ .. _ _ ... 1'-•- _ - ._
,.:_Ifi- ia_' �;(
• .:::_�.f�. �..:: _i )_ is J _. h11'� i 1 �LL..t:F
Address: :..._
-" .. i'
NOTICE OF COMMENCEMENT `' `' `Fid' N�`°°''
Permit Number: �t
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)�w -?g
Q�w
2. GENERAL DESCRIPTION OF IMPROVEMENT:' nn
/Ce — � ..
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSLESSRIE CONTRACTF,A FOR THE IMPROVEMENT:
Name and address: Vt UNL tali— r_Jj
Interest in property: _T 6�PQ14q
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR:
Nam(�e: - '� F
Address: 6,t �T= O , w OL
5. SURETY (If applicable, a copy of the payment bond is attaches
Name:
Number:
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.
8. In addition, Owner designates
Phone Number:
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.
Unde penalties of pe have read the foregoing and that the facts stated in it are true to the best of my knowledge and
b
NEST-
(Signature of Owner essee, or Owner's or Lessee's (Print Name and Provide Signatory's Titl Office)
Authorized Officer/Director/Partner/Manager)
State of F1ot 1 d a-- County of L�r u-_ t J p
The foregoing instrumentwasacknowledged before me this day of �Lr-b'r1J;-2:n , 20 1U
by `f (�'_ • CZK . Who is personally known to me ❑ OR
Name of person makidg statement
who has produced identificationxtype of identification produced:
L1019d
Notary Pu*
State of Flor*
tilfYQorrrmissiort Ex�re911128120f8
Coannir�ion No. FF 177W4
Notary
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: P✓: ���
I hereby name and appoint: �fx iJ3
an agent of:
Ci'�iW ln�✓I
(Name of 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):
0,, The specific permit and application for work located at:
j 20 /21te,'Vn04,,) I?, /✓D SSG ,-Q , A-L 322A
(Street Address) Q
Expiration Date for This Limited Power of Attorney: T �"� ZA) 2-,01'�
License Holder Name:
State License Number: K�cC - j 3 2,7 ( 6-
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Se (Y)i f)Cr-P—
The foregoing instrument was acknowledged before me this o3 day of'Teb
20ff1q , by who is ersonaallly known
to me or ❑ who has produced as
identification and who did CKTnoMake an oath.
(Notary Seal)
CA511INIRA0GOR"
r° ' '•• CVfflnissbn # GG 187167
* * Expk. F&MY 25- 20222
8viw-d T'- a4g, W-1Services
(Rev. 08.12)
Signature
C, G;Col�on
Print or type name
Notary Public - State of �(
Commission No. ► S l i (o7
My Commission Expires:
City of Sanford Building Division
z 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 re ult in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying ode mpliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: - DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoB ADDRESS: I ZC) %-11 A-/473c, c.4-i 9> 1 -L)
STRUCTURE TYPE: 4@ SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): P 11 CSC C 1-3
""PLEASE NOTE: ONL Y IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"'
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES C) 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
/,Lyi'f�•
FL# 3 . Y
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 @) 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#
CITY OF
SkN, FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / ADDRESS: Z,19 � o tl_�s
I l a r 6r- 1 - _ AS A(N) GF.NF.RAI._ Bun,DINc.._ 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 #: (f 6f' — 132-7 �
COMPANY / CONTRACTOR., Z A,
CONTRACTOR SIGNATURE: _
(MUST BE SIGNED BY LICENSE
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: ' ` ✓41z'1 if
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 .), D\-e-
Sworn to and Subscribed before me this IX day of r 20 A_7_ by:
. Who i Personally me or has ❑ Produced (type of
Fidentiation) as identification.
reof Notary Public
Florida
.4 raj— a C.
Gb�
Print/Type/Stamp Name
of Notary Public
o`'RY pie CASSANDRA C GORDON
_ • ( i� .-vL)comngssIon#GGi87167
* * Expires February 25, 2022
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