HomeMy WebLinkAbout148 Brushcreek Dr (2).{- a ? ` CITY OF SANFORD
FEB 2 $ 2O1$ BUILDING 8� FIRE PREVENTION
PERMIT -APPLICATION
l3Y. Application No • I-1 o 1
Documented Construction Value: S 10150.00
Job Address: 148 Brushcreek Dr. Historic District: Yes ❑ No ❑
Parcel ID: 33-19-30-516-0000-1070 Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: r roof 34 squares asphalt shingles -
Plan Review Contact Person: Tim Omalley Title: Permit Coordinator
Phone: 727-637-8400 Fax: 407-469-3499 Email: tim.omalley&expeditepermit.com
Property Owner Information
Name Cathy Courtney Phone:
Street: 148 Brushcreek Dr. Resident of property?
City, State Zip: Sanford, FL 32771
Contractor Information
Name Gulledge Roofing Inc. Phone: 386-738-1967
Street: 108 Lisbon Pkwy Fax:
City, State Zip: Deland, FL 32724 State License No.: CCC051551
Name:
Street:
City, St, Zip:
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: 51' 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.
Signature of Owner/Agent
Print Owner/Agents Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
L-- W
W'('K
Signature off�Contractor/Agent'� / Date
Print Co for � ie
nature otary-State of Florida Date
qZA ygss Jonathon Thomas
Q o� NOTARY PUBLIC
a s —STATE OF FLORIDA
W CC m# GG141189
Contractor/Agent i�S�eE Ato 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: June 30, 2015 Permit Application
2/27/2018
SCPA Parcel View: 33-19-30-516-0000-1070
Property Record Card
Parcel: 33-19-30-516-0000-1070
Property Address: 148 BRUSHCREEK DR SANFORD. FL 32771
Value Summary
. . .. . . .......................
..... .......
2018 Working
12017 Certified
Values
j Values
Valuation Method
Cost/Market
Cost/Market
.. . .............. ....... .
Number of Buildings
. .....
1
... .. ... ........
1
Depreciated Bldg Value
$140,834
$132,785
Depreciated EXFT Value
i.
$9,400
$9,750
. .. ................................... . .. ..
Land Value (Market)
............... ................
$38,000
... . ... . . . .... .....
$38,000
Land Value Ag
JustiMarket Value
$188,234
$180,535
Portability Adj
.. ...... . ........
Save Our Homes Adj
$0
$0
Amendment 1 Adj
$0
.........
$0
. ..... .... . .... .
P&G Adj
$0
$0
Assessed Value
.......................... ...................
$188,234
$180,535
Tax Amount without
SOH: $3,437.66
2017 Tax BJI.Anicunt
$3,437.66
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
. ................. ... .........
. . . . . ......................... .... . ..........
.... . . ....... ........... ............. . ........
$188,234
$0
$188,234
...........
Schools
$188,234
$0
$188,234
City Sanford
$188,234
$0
$188,234
........ . . . ..
SJWM(Saint Johns Water Management)
$188,234
........ . .
$0
. ...... ... . ........ .
$188,234
County Bonds
... ....... . ...... . .......
..........
$188.234
$0
........... ...
$188,
234
------------ - - - . ..... ..... ..
Sales
........
.... .
............ . ............ ............. - ......... . ...........................
Description
.... .. ....... . .................
Date
........... . . ............................ .....................
Book
. ........ . ....... ..............
Page Amount
...... . ........... ---w- ...
1 Qualified
...... . .......... ... ..........
Vac/Imp
SPECIAL WARRANTY DEED
11/1/1998
03536
0958
$136700 Yes
,
Improved
.... ........ -
WARRANTY DEED
. ... . ............. .... . ... . . ............. ....... . ..
7/1/1998
. . ............ . .......
-
0351.1
....
0101
..........
................
$22,000 Yes
.... . ..... . ... . .... . ......
Vacant
...... . ...... . ....... . ............ - ------
.....................
Find compamWe Szs
............. . .. . ..........
Land
.......................
........... . . ...... - ----------- --- ........... . .................... .............. . - ... . ......... - ............... . .......
Method Frontage
... . . ..........
Depth
... ........-
. ......... . .........................
Units
.......... . . .............. .
......... ... . ....... . ...... . . . ......
Units Price
.. .... ........ .......... . .......................... ....... . . .....
Land Value
. .... . .........
....................... . .
i nT
1
$38,000.00
$38,000
108 E. Wbo A Fbrkwq)r
DeLand, Florida 322724
(W) 738-1 9S7
Fax (366) 73,1:11708
W
g
RkA Kim Gulledge,
Licer,sed amd hsured
-ED TU Wou an eyi an -Is n .c:)M PHF,N 4017-2211-68-�,(),u
INIIAE Cithiy II
JOB N'AME
-ST RE E I la8 Brushcank I STREE
CITY T,�.-i E 27 I F FL CITY
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.6'iulhonzed Sign. iurc...
ACCEPTAOXE OF PRCIPOSAL
046ns an hemby amenvil You am cWhorded to do the Payi-aerit -;iIl inide
X
Cal YW—A
TRkS I
BY-
U LA
Address: --0
I
PeMt Number
PWOCI ED Nurnber.
TM. WWer3igned hereby 9&ft r,
fbIlming fntorrnat~fln is. odvidW
I- DES CMPTHMOFPMPM
Hi
GRANT HALOY, SEMI14OLE COURTY
+ LERK OF CIRCUIT COURT & COMPTRDLLER
M 9075 Ps 1038 f lFgs
CLERVy t 0201801 ' pc. 05
RECORDED 2114/2018, 12.'42::IJ6 PM
RECORDING FEES $1.Q.00
RECORDED gy jeckeffpo
that ift ,
VrOveme:rt will be made to certain rest proWty, XW in zc=rdan with ap , 113a tU
ce at ter Fjorto Sta_'M the
1e9a"11RFO.'0MV the PM0eq 3-d *eetadft$S if Vdblek
2- (3134ERAL DESCSWPMN OF
3- OWMD3 INFPRMAnoN OFt
Narne and addrM,
-
Intemo to pmpeMig
An
INFOI aA74pelar TIjE LESSM CONTRACTED FOR THE ImpRovEmENT.-
vn;r� listed above), Ebme:-
Add
Phom Number.
Addrew.
SURM(if OPPSICable copy t
the Waist- bond Is allftched)- MM
Aftes&
Amount ofDora .
I`EPiDER Hama,
Mono Nvmber
A.ddres-#,,
7. PftV,0nS,w1U1 On the Sbte of Fla
MX3(1)(a)7., FIOMB Statutes
Ja Des" bY Oar upon whom noom of other d=mcnft may tw served no proNWed by Sbcdon
Namt-
Phor* Number.
Addm
EL In addison, Oww-dias;lo
to Ieosive a copy of the Liews
as ! ��ded in Sectbon 71113(7)(b). Florida St2nAe& Phone number.,
9L EWrqWnbaL-0f?,Wceof mr
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-he eNN
0 iS I year from date of recording tmiew;a oftrent date 6 3pwfiw)
uY ANY PA
CONVOWED MAPROPER *PAY
"WE BY THE G)AWER-AFTER THE EXPIRATION OF THE MOMCE OF comm.ENCEMENT ARE
CHAPTER113, PART L MCTMN ""'3, FWRIDAr STATUTES,CAN RES
AND ULT
=0UR
PAYING 7w6E FOR WROVE
JOB -61E
IN YOUR
PROPERTY. A WMCE OF COMMENCEmENT MST BE RECORDED AND Posmw,
STFE BEFORE FIRST I
81�FOFW ComENtING'WORK R
ON' me
C1g0N IF YOU INTEND TO OBTAINFtRANdIXG, CON$ULr VdTH
MR646M YOUR WMDE OF COMMENcEmEwr YOU0 LENDER OR AN AtrORNEY
(Prilv ktml W PnW4& R7=--7vTfteF,6,4
SI'to of count' of 1 C7 f U S)
n Flo" before Me &ft day ar-� IVOZZMN I
assby Oro
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who is R
who has trroctmeead k -WO . . Of I&fgftn Pcoduced,
G.countwy
bile - Stga Of FWda
Exor4f i - an Z7. 2018
139on # FF 081948
Quality Rooting for Life
108 Lisbon Pkwy
Deland, FL 32724
386- 738 1967
Authorization Letter / Power of Attorney
I, Rick Gulledge, do hereby authorize the following person(s) to act as agents on behalf of myself and
Gulledge Roofing to pull and sign for any permits submitted under my Florida State Contractor License
Number CCC051551.
Authorized Persons:
Tim O'Malley Brian Kirby Aaron Hallich David Weed
Erick DeDios
Regards,
Gulledge
Qualifier CCC051551
Gulledge Roofing
STATE OF
FLORIDA
COUNTY OF LAKE 1�
The foregoing instrument was acknowledged before me the�7day of S —' 2(Wby
Rick Gulledge, w ally known to me.
Nota li
j04,41 � ���n''a-
Print Name
My commission expires: _
o*,,tPRYgss Jonathon Thomas
O'NOTARY PUBLIC
-''STATE OF FLORIDA
_ ? Comm# GG141189
Expires 9/18/2021
:t CITY OF
S`�FORD
FIRE DEPARTMIENIT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: /a I j it e-A e e � [Olt ,
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1 /2" Plywood
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"*
ROOF VENTILATION: 0 OFF -RIDGE RIDGE O SOFFIT OPOWERED VENT O TURBINES
SKYLIGHTS: O YES QfNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 — 4:12 4: l 2 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
sHINGLE
CertainTeed
FL# 5444.1
O METAL
FL#
0 MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
O TI LE
FL#
0THER: Underla ment
CertainTeed
FL# 11288.1
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 0 2:12-4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
0 INSULATED
FL#
0 TILE
FL#
0 OTHER:
FL#
CITY OF
Building & Fire Prevention Division
ORD RESIDENTL4L RE -ROOF POLICY & PROCED URES
FIRE DEPARTMENT
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: 2 d l�
CITY OF
Sk�4FORD 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#: /8— 11,4,7 ADDRESS: 148 Brushc:reek Dr.
I Rick Gulledge , 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 1S 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 #: CCC051551
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICE
Gulledae Roofina Inc.
UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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
lelv_!rf�. .
Sworn to and Subscribed before me this J day of 20 �� by:
o�iArcr G'U!lpQl e Who isXPersonally Known to me or has ❑ Produced (type of
identification) as identification.
Signatu�,f tary Pu c
State of Florida
Print/Type/Stamp Nam RALPH R. PALMER
of Notary Public + . MY COMMISSION 0 GG M94
EXPIRES: Aptd 15, 2021
���� Bonded Tani rotary Pubk Undo v Pm