HomeMy WebLinkAbout125 Donna Cir (2)f�
I CITY OF
S��FORD
DEPARTMENTFIRE
t4- 5-18
'&k5
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: $' l (o
Documented Construction Value: $ 151388.00
Job Address: 125 Donna Cir. Historic District: Yes❑No-
Parcel ID: 10-20-30-509-0000-0440 Residential Commercial[
Type of Work: New❑ Addition❑ Alteration❑ Repair ❑ Demo ❑ Change of Use[] Move ❑
Description of work: Re -Roof 40sq Tamko Heritage shingles ASTM D 3161
Plan Review Contact Person: Laura Lanier Title: Admin Assistant.
Phone:3214412300 Fax: 3214412313 Email:llanier@collisroofing.com
Name Gary/ Anne Fox
Street: 125 Donna Cir.
City, State Zip: Sanford, FL 32773
Name Collis Roofing Inc.
Street: 485 Commerce Way.
Property Owner Information
Phone:
Resident of property? : Owner
Contractor Information
City, State Zip: Longwood, FL 32750
Name: N/A
Street:
City, St, Zip:
Bonding Company: N/A
Address:
Phone: 3214412300
Fax. 3214412313
State License No.: CCC058022
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: N/A
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. 1 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: 6"' Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application I '? C�-a G3
r.
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.
Signature of Owner/Agent
Print Otimer/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
IT6 . , /' ` 18
SignZ:[k5LPnl1e11
tar or/Agent Date
Print Contrail r/Agent's Name
Date
Ii�� YY GI�VI vI"j -
=o`ypY C Notary Public - Stae of Florida
Commiaslon # FF 937709
Comm. Expires Mar 16. 2020
Ngdonal Notary Assn.
Contractor/Agent is X 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:
Total Sq Ft of Bldg:
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
ti V
L CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $��
Job Address: k 7-5 PG nYV_ C 1 act Historic District: Yes ❑ No
Parcel ID:I-van-ow3--C)'11_1W1-' Zoning:
Description of Work:
Plan Review Contact Person:
Phone: Fax:
E-mail:
Title:
Property Owner Information
Name f-2Z�Q� lA l I UAJ ,LM -` � Phone:
Street: `/ Resident of property?
City, State Zip: LAKE:. MAk-'Y' 11, 32- 7 4C::>
Contractor Information
Pu
Name `• fuham„ c\C Phone: aol - q14 1 -- c�(i
Street: @J-X Fax: I - 4U ( --- Q �t�J
City, State ZiP c9� t� �. State License No..C-C(-- �
ArchitectlEngineer Information
Name: Phone:
Street:
Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service - No. of AMPS:
Mortgage bender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is release ,
� s� g I ✓ �� n�z� 3 2ry /�
Sign of er/Agent a Signature of Co ctor/Agent to
(3af
Print er/Agents Name
( A_tW J akhn%�� 34 c�
a of No -State of Florida Da
YHOMAS
AV,-
Owner/AE5rsonISSION # GG073612
ES April 17, 2021
ly Known to Me or
ProducedID.—/Type of IDq ' �lt�-�&C)
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
s Name
Ell IT, NIV
;.'"•"�a4 : EMELY J THOMAS
'- MY COMMISSION # GG073612
+5aii! EXPIRES April 17, 2021
Contractor/Agent is ✓ Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
119�i1t 9l11t iffll f111� fff111111� I101 f1ll
3
THIS INSTRUMEfCC4ng 11W /�a, ��n��✓
Name:
(.
Address: y 520668
GR1N'f 1hALOYf SEC DIOLE COUNTY
CI_F_.i K OF CIRCUIT COURT & COMPTROLLER
BK 91]9 F'q l.b.`_` (11"3s)
CLERK'S � 2018033382
RECORDED 03/ 7/201B 10.1.:1y 3 fail
RI:: ORDING FEES $10-00
REC:ORMI) 13Y lidevore
Permit Number: 21
Parcel ID Number: I0
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. QESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2. G ERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION -OR. LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address. !�i �x 12s— 1DO `r r,ru- �" <
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: NaMe: �`o�L� C, �1� Phone Number. 1AL �cX�
Address:
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
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:
S. 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.
AmaA
(Signature Af Owner or L or Owners or Lessee's
Autionzed Officer/Director/Partner/Manager)
e;,4ny w. Fx
(Print Name and Provide Signatoys Titie/Otfice)
State of TL- Countyof
TherZ-A
ng instrument was acknowledged before me this �� ` day of
by Who ispersonally known to me
Name of person making statement r
who has produced identiflcatio�p type of identification produced:
EMELY J THOMAS w
"= MY COMMISSION # GG073
EXPIRES April 17. 20 1 2
I„111� y
Notary SignatiA) . a `
4�'
SCPA Parcel View: 10-20-30-509-0000-0440
Page 1 of 2
f3oppam
14 Property Record Card
Wd
Parcel: 10-20-30-509-0000-0440
sEh0,40Lr=CO NW.FLOF a Property Address: 125 DONNA CIR SANFORD, FL 32773-7406
Parcel Information ! Value Summary
Parcel
10-20-30-509-0000-0440
Owner
FOX, GARY W
FOX, ANNE T
Property Address
125 DONNA CIR SANFORD, FL 32773-7406
Mailing
792 KEENELAND PIKE LAKE MARY, FL 32746
Subdivision Name
HAZEL GLEN
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
!+
Oro
elb rs
63.60
CD
90.00 115.00 30.00 7
Legal Description
LOT 44
HAZEL GLEN
PB33PG63
Taxes
2018 Working
2017 Certified
Values
Values
Valuation Method
: Cost/Market
1 Cost/Market
Number of Buildings���
Depreciated Bldg Value
~ i $145,049
$136,600
Depreciated EXFT Value
$701
$751
Land Value (Market)
; $25,000
$25,000�
Land Value Ag
Just/Market Value
$162,351�
��$170,750
Portability Adj
TT
Save Our Homes Adj
$0
$0
Amendment 1I Adj
$5,876
$12,466
P&G Adj
$0
$0
Assessed Value
$164,874 _
$149,885
Tax Amount without SOH: $2,935.92
2017 Tax Bill Amount $2,935.92
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value
I Exempt Values
I Taxable Value
County General Fund
$164,874
$0 j
$164,874
Schools
$170,750 !
_
$0 I
$170,750
City Sanford ^�
SJWM(SaintJohns Water Management)
$164,874 _....____-_-________
_$164,8741
��_ �
$0
$164,874
$164,874'
_
County Bonds
$164,874 1
$0 1
$164,874
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 3/1/1988 i 01936 0253 $82,400 1 Yes Improved
Find Compara9aie Sales
Land
Method Frontage Depth Units Units Price
Land Value
LOT I 0.00E 0.00 1 1 $25,000.00
I $25,000
Building Information
> 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 1988 6; 4 2.0 1,436 i 2,555 7 2,0991 CB/STUCCO $145,049 $164,828
I
FAMILY I i Description Area FINISH
! ENCLOSED
I PORCH 180.00
3 f FINISHED
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=10203050900000440 3/26/2018
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 4/3/18
I hereby name and appoint:
an agent of:
Ray Henderson
Collis Roofing, Inc.
(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):
The specific permit and application for work located at:
125 DONNA CIR
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: J. Douglas Lanier
State License Number: CCC058022
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF' Seminole
The foregoing instrument was acknowledged before me this
200 18 , by J. Douglas Lanier
to me or ❑ who has produced
identification and who did (did not) take an oath.
(Notary Seal)
(Rev. 08.12)
3 day of APRIL ,
who is IN personally known
TRISSA S KELLY i
Signature i/'_ My COMMISSION 44 GGI3.5 U,
'� • • o?A' EXPIRES August 17, 2021
Op F4`
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
as
:,f CITY
•
•r Sk�4FORD
JOB ADDRESS: 12s m (AV • JIJf M&CJ ,
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (9REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY):
"•"`PLEASE NOTE: ONLY 100 SQUARE FE
ROOF VENTILATION: OFF -RIDGE
OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 9�) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 0-4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
1 A 1'-0
FL# 1,8
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2: l 2 - 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#
O OTHER:
FL#
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 4/5/2018
I hereby name and appoint: 1 AuxkwV ^ p U 67-L / S /
an agent of: COLLIS ROOFING, INC.
(Name nf Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
nccessary tc this appcint.rcnt for (check only one option):
All permits and applications submitted by this contractor.
The specific permit and appiication for work iocated at:
125 DONNA CIR
(street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: J. DOUGLAS LANIER
State License Number: CCCO58022
Signature of License Holder: ,� z2Gv�
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged before me this 5 day of APRIL ,
200 18 , by t 09VREw%� �V 6-L J, S /_ who is ? personally known
to me or ? who has produced as
identification and who did (did not) take an oath.
Signature a�P iRISSA S FLL.....
;: aQ MY COMMISSION 9 GGI X`? 106 s
(Notary Seal) EXPIRES Auguat 17, 202'I
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
(Rev. 3/27/07)