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Home My WebLink About200 Kelly Cir• S A} Nv4,._xRD DEPARTMENTFIRE Building & Fire Prevention Division PERMIT APPLICATION Application No: Documented Construction Value: $ 147857.54 Job Address: 200 Kelly Cir. Historic District: Yes❑NoFv—/] Parcel ID: 12-20-30-511-0000-0100 Residential Commercial Type of Work: New❑ Addition❑ Alteration 121 Repair ❑ Demo ❑ Change of Use❑ Move ❑ Description of Work: Re -Roof 23q Tamko Heritage shingles ASTM D 3161 Plan Review Contact Person: Laura Lanier Phone:3214412300 Fax:3214412313 Name Thelma Irving Street: 200 Kelly Cir. City, State Zip: Sanford, FL 32773 Name Collis Roofing Inc. Street: 485 Commerce Way. Title: Admin Assistant. Email: Ilanier@collisroofing.com Property Owner Information Phone: Resident of property? : Owner Contractor Information Phone: 3214412300 Fax: 3214412313 City, State Zip: Longwood, FL 32750 State License No.: CCC058022 Name: N/A Street: City, St, Zip: Bonding Company: N/A Address: 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. 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: G" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application # Lg-'u_'38 ,F I 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 ONmer/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signat -e r r Date Print Contrac /Agent's Name `t-s-�s Date -o Ppv PV"'� _ Notary Pubffc -State of Florida Commission # FF 937709 4 My Comm. Expires Mar 16, 2020 F3•s ar, wwtwouail Natlonal Notary Assn. Contractor/Agent is v`- 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application CITY OF SANFORD "S N BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ /q $s 7S Job Address: '2nn Y)2o,� A Historic District: Yes ❑ No ❑ Parcel ID:�j��\\Zoning: Description of Work: Ce<11)f7 Plan Review Contact Person: Phone: Name � Street: `ZC > CA — City, State Zip: PCs' d ?2 Zq-�13 Title: Fax: E-mail: Property Owner Information 'I 'f Phone:�-- D- - a 1 _ RQC Resident of property?: Contractor Information Name Phone: �g Street:2o�6-by,Fax: ` �- �� - o08) .a City, State ZipState License No.: CCC ('��4 2 a Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit 13 Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical 13 New Service - No. of AMPS: Mechanical E3 (Duct layout required for new systems) Plumbing 13 New Construction - No. of Fixtures: 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 released. Signature of owner/Agent Date � rt4 I po A4 Print Owne aent's Name 2)1 dI`-t 3/J�// MISSION # GG073r MY COM-1 17, 2021 EXPIRES APr—'�� Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Signature of Coxtractor/Agent (ao Date J - (bou�1 /el&' Pr�tCtractor/Agen ' ame J4�a2� 3/� 11y •- MY COMMISSION # GG07361 EXPIRES APO 17. 2021 �. Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 SCPA Parcel View: 12-20-30-511-0000-0100 Page I of 2 OaWdJotam,CFA Property Record Card P Parcel: 12-20-30-511-0000-0100 0O SERE calxvr , FLOR Property Address: 200 KELLY CIR SANFORD, FL 32773 Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number ofBuildings 1 Depreciated Bldg Value $95,872 $80,242� Depreciated EXFT Value $600 $600 Land Value (Market) $25,000 $20,000 Land Value Ag� Just/Market Value " $121,472 E $100,842 Portability Adj Y Save Our Homes Adj $45,805 $26,731Y Amendment 1 Adj $0 P&G Adj � I $ � $0 Assessed Value $75,667 $74,111 Tax Amount without SOH: $1,132.00 2017 Tax Bill Amount $634.00 Tax Estimator Save Our Homes Savings: $498.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 10 MONROE MEADOWS PB46PGS16&17 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $75,667 $50,000 i J._..,.._.._.__.._..._.,.... $25,667 ®. �,.... Schools $75,667 1 $25 000 1 $50,667 City Sanford 1 $75,667 $50 000 ' $25,667 SJWM(Saint Johns Water Management) $75,667 j $50,000 $25,667 County Bonds - � $75,667 i $50,000 � $25,667 Sales w �mmAmount� _ Description Date Book Page Qualified Vac/Imp WARRANTY DEED 5/1/2002 04414 i 0937 ? $89,000 Yes Improved WARRANTY DEED 6/1/1998 03454 1893 $85,900 Yes Imlm roved WARRANTY DEED i 9/1/1995 02974 1259 $80 500 i Yes Improved Find Comparable Sales I � Land Method Frontage Depth Units Units Price Land Value LOT j 0.00 1 0.00 1 $25,000.00 _ $25,000 i Building Information Is Bed/Bath count incorrect? Click Here. I # i I Description Year Built Fixtures Bed Bath Actual/Effective Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1994 j 6 2 ; 20 1,076 1,596 f 1,076 1 CONC $95,872 $105,354 { Description Area FAMILY '; BLOCK 488.00 http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=12203051100000100 3/26/2018 SCPA Parcel View: 12-20-30-511-0000-0100 Page 2 of 2 GARAGE FINISHED OPEN PORCH 32.00 FINISHED Permit # Description Agency Amount CO Date Permit Date 02731 SCREEN ENCLOSURE ISANFORD $2,300 8/1/1998 02271 NEW - RESIDENTIAL I SANFORD $52,000 9/1/1994 Extra Features Description Year Built Units Value New Cost SCREEN PATIO 1 6/1/1998 1 $600 1 $1,500 http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=12203051100000100 3/26/2018 7 11111111111111111111111111111111111111111 (=f:lifff NALOY� SE{IIhdOLE :s��srrrY CI_F:RK OF CIRCUIT COURT & COMPTROLLER BK 9098 Pa 1657 (Wqs ) CLERK'S T 2018033381 RECORDED 03f2712111E 10:13:53 All RE(`01 ., .NG FEES $1t .00 RECORDED BY hdevare Permit Number: Parcel ID Number. c) —ONU-) 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: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and Interest in PedY= ro CA + V\C,- 3 property: Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Phone Number. 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)(8)7., Florida Statutes. Name: Phone Number: Address: 8. 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 1, 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. (signature of Owner or Lessee, or Owners see's (Print Name and Provide Signatoys rt Office) Authorized Otficer/Dirador/Partner/Ma ) State of T L County of � -' l7y (-e,,/ / The foregoing instrument was acknowledged before me this ��day of r' 20 by �000A 0—(LA Ck Who is personally known to me 0 OR Name of person making statement :" t who has produced ident(ficationtype of identification produced: THOI{AA {1 COMMIS r�r MY COMMISSION # GGO ,� o • },. EXPIRES April 17. 9,1 Notary s'g"an'`.g Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 4/3/18 I hereby name and appoint: Ray Henderson an agent of: 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: 200 KELLY CIR (Street Address) Expiration Date for This Limited Power of Attorney:_ License Holder Name: J. Douglas Lanier State License Number: CCC058022 r Signature of License Holder: 61 STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 3 day of APRIL , 200 18 , by J. Douglas Lanier who is N personally known to me or ❑ who has produced as identification and who did (did not) take an oath. (Notary Seal) (Rev. 08.12) Signature Print or type name LT Notary Public - State of Commission No. My Commission Expires: TROSSA S KELLY ICY COMMISSION # GG135691 E-X IRES August 17, 2021 CITY OF APERMIT # ` Building & Fire Prevention Division FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: =_ IT12y- ,S / 'iU STRUCTURE TYPE: ASINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: le - REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: i I Wwe1\ "'`PLEASE NOTE: ONLY l00 SQUARE FEET' OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"" ROOF VENTILATION: 9OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGIITS: O YES V<NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 6t4:12 OR GREATER O TURBINES 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# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4: l 2 OR GREATER l A TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FLY O TILE FL# O OTHER: FL# Altamonte Springs, Cassellberry, bake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 4/5/2018 I hereby name and appoint: L 4 Vr,- E/y-F f U G L l �S/ an agent of: COLLIS ROOFING, INC. 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 oi-Ay one aptio:': All permits and applications submitted by this contractor. The specific permit and application for work iocated at: 200 KELLY 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 5 day of APRIL , 200 18 , by l A09 E Ai FU who is-? personally known to me or ? who has produced as identification and who did (did not) take an oath. TRISSA S KELLY Signature : Mrs COMMISSION # W698 EXPREs August 17. 2021 (Notary Seal) Print or type name Notary Public - State of _ Commission No. My Commission Expires: (Rev. 3/27/07) ti SXRFORD Building & Fire Prevention Division RESIDENTIAL RE-R0OFAFFIDAV1T FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 18-1689 ADDRESS: 200 KELLY CIR SANFORD, FL I J. DOUGLAS LANIER , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF'I'HE 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 .-EQUIREr<:EI;TS — SPECIE; ALL,( FLORIDA BUILDING CODE, EXISTING CUILDING. III ADDITION : CLT.FY 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 #: CCC058022 COMPANY/CONTRACTOR: J. DOUGLAS LANIER COLLIS ROOFING, INC. CONTRACTOR SIGNATURE: J DATE: (MUST BE SIGNED BY LICENSE HOLDER R/B IT ER) 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, UNDERLAY MENT, 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 ::...^.THER CX. L�":AT;^,.": OF ALL REQUIRE,.. ,.. . "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 SEMINOLE Sworn to and Subscribed before me this. /3 day of jjA?r. k 20 jj� by: Who is XPersonally Known to me or has ❑ Produced (type of as identification. Signature of Notary Publi '" °`°<'' TRISSA S KELLY State of Florida MY COMMISSION # GG"1356,96 "'.,2nPryo. EXPIRES August 17, 2021 Print/Type/Stamp Name of Notary Public