HomeMy WebLinkAbout2003 Summerlin Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: Q 012 Historic DistX
rict: Yes ❑ No
Parcel ID: �Z Z—? ; Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change, of Use ❑ Move ❑
Description of Work:
Plan R,
Phone:
Property Owner Information
Name PCI.��h Phone:
Street: Resident of property?
City, -State Zip: �i/�'(/ ✓4!/ / 3���
Contractor Information
Name L C (�/vs'/ (/G/d'J Phone: ��� YV6.2 / G
Street: t%/1-2 Fax: G/ j /J 3 rJ
City, State Zip: �'f2 �,, � � / State License No.: 2W Q, y z ?6
Name:
Street:
City, St, Zip:
Bonding Company:
Arch itectlEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: 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 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 constructionw'alue of the job at the time of submittal.
The actual construction value will be figured based on the current ICC ValuatioA 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
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑
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:
UTILITIES:
1
Gas❑ Roo`
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel
I View: 51-19-31-504-1300-0020
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PfD=3119315041 ...
CFA Property Record Card
Parcel: 31-19-31-504-1300-0020
PA7 Property Address: 2003 SUMMERLIN AVE SANFORD, FL 32771-4630
. . . . . .... ... .......
Parcel Information Value Summary
Seminole County GIS
i Legal Description
LOT 2 BLK 13
BEL-AIR
PB 3 PG 79 & 79A
2018 Working
Values
2017 Certified
Values i
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
............
Depreciated Bldg Value
1
$23,794
1
j $22,464
Depreciated EXFT Value
Land Value (Market)
$8,122
$8,122
Land Value Ag
Just/Market Value
Portability Adj
$31,916
$30,586
. ........... . . ..... .. . ..
Save Our Homes Adj
_ --- ___ - - - - - - ---_--_---- - - - -
Amendment 1 Adj
$1,551
1 $0
1_ $846
P&G Adj
... ...... .. -
Assessed Value
$0
. . .. . ...................
$30,365
$0
1$29,740
Tax Amount without SOH: $106.36
2017 Tax Bill Amount $90.26
Tax Estimator
Save Our Homes Savings: $16.10
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
... . ... . .......... .
'jaxing Authority
[Assessment Value
Exempt Values Taxable Value
1 County General Fund
Schools
$30,365
$30,365
$25,000
$5,36
------ — -------
$25,000 i
$5,365
City Sanford
$30,365
. . . ...... ..... . .
i $25,000
$5,365
SJWM(Saint Johns Water Management)
$30,365
1 $25,000
$5,365j
$25,000
$5,365
1 County Bonds $30;365
Sales
Description
Date
Book
Page
Amount Qualified Vac/Imp
QUITCLAIM DEED
2011
07554
0506
$100 No Improved
56—U-1—T—C—LAAM-D-E
12/1/1985
01695
0367
$1,000 No Improved
---- ----- -
WARRANTY DEED
12/1/1981
01368
i 1153
$25,000 t Yes Improved
WARRANTY DEED
6/1/1981
01339
1958
$19,600 Yes Improved
Find Comparable Sales
Land
- -------- -
I Method
Frontage Depth Units
Units Price
I Land Value
FRONT FOOT& DEPTH
51.00 120.00 0
$175.00 1 $8,122
1 Building Information
L... . ....... ... ... ....... .
Is Bed/Bath count incorrect? Click Here.
Year Built
# DescriptionFixtures Bed Bath Base Area Total LivingSF ExtWall Adj Value Repi ValueTAppendages
Actual/Effective
1 of 2
2/12/2018, 1:49 PM
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THIS INSTRUMENT PREPARED BY: GRiaha-i MeiLt7i', SEP1INOLE` COU11Wi
Name: ie CLERK OF. C:1RCU1T COURT f, ciOMPTROL..LER
Address: ,
(. CLERK'S T 2018026871
h'EC:ORDED l i3/12/2C111 AYU:li't
NOTICE OF COMMENCEMENT R EC:ORDED`'BYFES tsni`1hn"f1
Permit Number ,wI
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: I description o the prop rty and rztPQet addr if a aila )
Ale
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION O LES EE INFORMA ON IF YyH�_t E LESSEE CONTRACTED FOR THE IMPROV ENT:
Name and address: Cr h i/ ' j7S �C�� S'r Si/>yj�rP. C> /h/L� %l� i^!� 30777
Interest in property: j/IP
Fee Simple Title Holder (if other than owner listed above) Name:
Address: 7
4. CONTRACTOR: Name: ,,11 Phone Number. e771-
Address L) U f > �� ' .,
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:
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 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.
ele-o7 -V�
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of n I a County of.
The foregoing ins mentwas ack led before me this day of`^ 20
7
by Who' personally known to ❑ OR
Name ofrso pen making statement
who has produced identification 0 type of
FLORIDA SALES: 85-8013708974C-0 Board of County Commissioners
FEDERAL SALES/USE: 59-6000856 PURCHASE ORDER
S COMMUNITY SERVICES
H T 534 W LAKE MARY BLVD 1 r-4936
I Q SANFORD FL 32773-7400 SI f,..4fNOZ E U)Lfr, fT
19 ftOUkt5 NATMAL01"a
A ; :1111:14; U11,117i W ZRMIETFAM
ALL PACKING SLIPS INVOICES AND CORRESPONDENCE
MUST REFER TO THIS ORDER NUMBER
ORDER DATE
01/26/2018
REQUISITION
57773 - OR
REQUESTOR
BALDUS, CYNTHIA
VENDOR #
354182
V PAT LYNCH CONSTRUCTION LLC ORDER INQUIRIES
E 909 DENNIS AVE
N ORLANDO FL 32807 PURCHASING AND CONTRACT DIVISION
D 1301 EAST SECOND STREET
.SANFORD FLORIDA 32771
O % PHONE 407 665-7116 / FAX 407 665-7956
R r ANALYST NICHOLS, ERIN
DELIVERY Joe Sandiey 407-665-2376 Cindy Baldus 407-665-2361
ITEM #
QTY
UNIT
ITEM DESCRIPTION
UNIT PRICE
EXTENDED PRICE
IFB-602172-151 R.HAWKINS-ROOF-2003 SUMMERLIN AVE., _
SANFORD
Order in accordance with pricing, terms, andconditions of IFB-602172-
151GCM Term Contract for Roofing Repair and Replacement for
1.00
EA
Residential Properties expiring,April 8, 2018. CONTRACTOR MUST
0.00
2,080.00
CONTACT JOE SANDLEY 407-665-2376 PRIOR TO
COMMENCEMENT OF -WORK. A NOTICE TO PROCEED WILL BE
ISSUED BY THE COUNTY.
- 00277006.580833.00001
IFB-602172-151 R.HAWKINS-ROOF-2003 SUMMERLIN AVE.,
SANFORD .
Contractor shall provide actual hours used to perform the, work (by
2 00
EA
category of personnel), date and time work was started and completed,
0.00
6,020.00
copy of signed -off permits, and a detailed breakdown of materials used
to complete the work, including receiptslinvoices for materials used.
00277006.580833.00001
THIS ORDER IS SUBJECT TO THE TERMS & CONDITIONS
ON THE REVERSE SIDE OF THIS ORDER.
SUBMIT ALL INVOICES IN DUPLICATE TO:
CLERK - B.C.C. FINANCE DIVISION
POST OFFICE BOX 8080
SANFORD, FL 32772
Accts. Payable Inquiries - Phone (407) 665 7656
0-
TOTAL AMOUNT
AUTHORIZED SIGNATURE FOR THESEMINOLECOUNTY BOARD OFCOUNTY COMMISSIONERS
Page 1 of 1
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB ADDRESS: ,)'Oe3 15�-Im oolelly Ae 49/4?% d
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: AKPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): pl/_/0t
**PLEASE NOTE: ONLY ] OO SQUARE JfEETf9F THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: O OFF -RIDGE O RIDGE X9OFFIT OPOWERED VENT
SKYLIGHTS: O YES IWO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE)g�rLESS THAN 2:12 O 2:12 - 4:12
O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
0-METAL
FL#
i ODIFIED BITUMEN
��
(i//��ce 10 0"d-1N71 T-0
FL# e
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#
0 TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
y f Building & Fire Prevention Division
�l0_.._._ -- -- -----..._
_ _- RESIDEIVT.lflLRF 1ZOOFPOlICYWTI? OCED-URES-
FIRE DEPARTMIE\T
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 GUIDI
PROFESSIONAL (ARCHITECT OR ENGINEER),
CONTRACTOR (OR OWNER/BUILDER)
RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
DATE:
CITY Of
Building & Fire Prevention Division
RESIDENTIAL RE-R OOF AFFIDA VIT
FIRE DEPAKTMENT
RESIDENTIAL -RE -ROOF -INSPECTION AFFIDAVIT
NAILING, SHEATHING, IDRY-IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT##: / U —/ 37/ ADDRESS: C Gy 5Ci44n4 Pt///P14
�f trees
1..—Qd4t&�` l, AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
Lyyd
ONT CTOR, ENGINE , ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
99Ree0T1gG 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICP
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 FORFURT14ER-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
orn to n Subscribed before me this \5��ay of 2� by:
Who 's ❑ Pers�Knownor has ❑ Produced (type of
identification) as identi"NTOAft%
«,icJafy 25, ' e Signature of Notary Public &
a ,, 0N
State of Florida
y '�� � C �` � � � 2 •• #FF 113590 ~••;.0
e�j ••• Bondad�R.-
pName......
• {r
of Notary Public��*°ogLIc S P� q o<