HomeMy WebLinkAbout2641 Vineyard CirBuilding & Fire Prevention Division
PERMIT APPLICATION
CITY OF MAR
FIRE OEPAR °ry ENT
ApplicationNo: S' y
Documented Construction Value: $ *71 l
Job Address: Uql Ut�toa-d arc Ie Historic District: Yes❑No®
Parcel ID: Sj2' ,J Q ^�/ - 5r2 / -0000 - 07 ( 0 Residential Commercial❑
Type of Work: New[] Addition[] Alteration Repair❑ Demo❑ Change of Use[]Move❑
Description of Work: Qc_ Poo F
Plan Review Contact Person: Title:
Property Owner Information
Name Toa-6
ov �7 Phone: q07 ,-03 6 " Yd 49
Street: 1
II
! 2, Resident of property? : Ye's
City, State Zip:
rr
t
2_77 I
Contractor Information
Name M
a5i016
toyl(; �f t1 C�—�'� A Phone:
Street: I b I Q
/ �, r
03 f r CLU" JV b C1_k) Fax:
City, State Zip:
ft, 37,7 % 1 State License No.:
Architect/Engineer Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company: 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: 6'h Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application 1517 33
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 constructi zo 'ng.
2/ /
Signature of Owner/Agent Date natur ontra or/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Permits Required
Construction Type:
Total Sq Ft of Bldg:
Print tractor/Agent's'Name
Si ature of Notary -State of Florida Date
V' ANNETTE M BLAND
, • Notary Public — State of Florida
Commission # GG 170900
My Comm. Expires Jan 16, 2022
:creed Vo.gP Naiona Noary Assn.
Contrac I n to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Revised: January 1, 2018 Permit Application
I l��II! 1�111 hill lull iilll hill ilia iIN�T
Permit Number:
Folio/Parcel Identification Number: 3Z�Z/--�Cx,0
Prepared by: John Byme _U7��
Return to: 3715 Pembrook Drive Orlando, FL 32810
GRANT MALOYr SEMINOLE COUNTY
C:L.ERY, OF CIRCUIT COURT h COMPTROLLER
BY, 9090 Ps 127 QPss)
CLERK'S Y 2018027258
RECORDED 03/12/2018 02:41:47 P11
REC010ING FEES $10.00
RECORDED BY rdi:;; eiip
State of Florida, County of _ , NOTICE OF COMMENCEMENT
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)
1�7' el/ � c�5e q ! : r e e Sv>�f G, pB 7 Z P&S -7 I 7 Z
2. General description of Improvement
RE -ROOF
3. Owner information or Lessee Information If the Lessee contracted for the improvement
Name T r„ s- n., 1;
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name Masimo Construction Inc. Telephone Number4079220500
Address3715 Pembrook Drive Orlando, FL 32810
5. Surety (if applicable, a copy of the payment bond is attached)
Address•
6. Lender
Telephone Number
Amount of Bond $
Telephone Number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by. §713.13(1)(a)7, Florida Statutes.
Q
Telephone Number
In addition to himself or herself, Owner designates the following to receive a copy of the Lienoes
Notice as provided In §713.13(1)(b), Florida Statutes.
Name A!/ Telephone Number
Address ,
9. Expiration date of notice of commencement (the expiration date may not be before the completion of
construction and final payment to the contractor, but will be 1 year from the 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
CAN
M
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMENCEMENT MUST RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND OBTAIN FINANCING, CONSULT }'
BE
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of p
eh ury,I declare that 1 have read the foregoing notice of commencement and that the o'
facts stated in It are true to the best of my knowledge and belief.
fit' (L.h,c • /l�L - — � cc
� a �+ G
of Owner or F ee, or Owner's or Lessee's Authorized
6
The foregoing instrument was acknowledged before me this 8 day of % r
m th/year name of person C3 `r
as for o �_
T f a ority, e.g , trustee, attorney in fact Name of party on behalf whom instrument was executedLA- air /
Uj
Sign ure Notary Public -State of Florida
S.
L3:9�tJOt 4iiJ!dx� Notary ubli late of Florid.
Personally Known OR Produced ID� �+oes; i via uan+lWWep 4A +f Beth E el
Type of ID Produced_ jF � Q a)c�Veos L-t r er,_S%� 71'
le4li� 3 wse • MY Commission GG 153047
BPuold to e1�S ol14�d NON er nd� Expires 10/18/2021
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Tv 4,0 e Tf
an agent of: M 01
5 (,(&I- 41 afq
(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:
6i'l-C-1e 32-771
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: 9l'ct-a Po # Lc
State License Number: (_CL l 3 Z W 3
Signature of License Holder: )5"-4 l�
STATE OF FLORIDA
COUNTY OF
The
by
instrument was accckknowledge�d before me this day of
200
_E, y('�1.� o��0.GC who is ❑ personally known
to me or o who has produced
identification and who did (did not) t e an oath.
Signature
o Seal
sq Notary Public State of Florida
Beth E Pishel
rg My Commission GG i.'3047
`p� p Expires ')I I 81202'1
(Rev. 08.12)
Print or type name II
Notary Public -State of V�4Ct As
Commission No. G C �rj36Lf
My Commission Expires: b , (S.ZESZj
as
Masimo Construction, Inc.
Masimo Construction, Inc.
Roofing Contract/Proposal
Address: 3715 Pembrook Dr.
Orlando, FL 3281.0
Office: (407) 286-0067 Phone: (407) 922-0500
State -Certified Roofing Contractor - CCC1328033
State -Certified General Contractor - CGC1509548
Brad Pollack, Contractor
r •,
Insurance Co.:
Adjuster:
Claim #:
Phone:
Customer Name: :I—Oci5
Address:2.LD41 V nenin Ckr-(�� City/State/Zip: 1n -�
Home Phone: Cell: >(% � j Work Phone:
�,� SPECIFICATIONS
.;Remove roof to existing deck layers.
❑ each additional layer $ /Sq. (100 Sq. Ft.)
Re -nail existing deco to meet uplift codes.
❑ ` Install _ 6 metal drip edge around perimeter of roof.
nstall lead boots to pipes 1'/" 2" 3"
jInstall Gooseneck vents 4" 10,,
;eApply Rhino Guard (Synthetic) to wood deck.
❑ Apply2--7 Sq. Ft. of METAL/ HIN LES ILE/SH ES/FLAT
❑ Style of roof to b 'nstalled:
Color: eBA h: f2�
❑ Manufacturer of roofing system: i
❑ Install ridge vent along peak of roof:
Addt'I.
OTHER PROPERTY CONDITIONS
❑ Ice/Water Shield Yes No
❑ Existing Water Damage Yes No
❑ Existing Driveway Damage Yes No
❑ Skylights:
❑ Leaks:
❑ Interior Damage:
❑ Emergency Repair Yes No
❑ Tapered Insulation Yes No
WORK INCLUDES:
✓ Remove trash from roof, gutters and yard.
✓ Protect landscaping where applicable.
✓ Roll yard with magnetic roller.
Furnish permit
5-year warranty
Additional charges of $70 per sheet if decking replacement is needed which is only visible upon tear -off existing roofing materials.
WE PROPOSE
To furnish material and labor complete in accordance with si)ecifications above for the sum of $
SPECIALINSTRUCTIONS: 1 PAYMENT SCHEDULE
50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT:. J&0..00 0 $1000. 0 ❑I$$
DOWN PAYMENT$ L}(ZO -,
FINAL PAYMENT $ `!
TOTAL $_VC4110.100
ACCEPTANCE OF AGREEMENT
This agreement is subject to insurance company approval and does not obligate the homeowner or Masimo Construction, Inc., in any way unless it is approved
by the insurance company and accepted by Masimo Construction, Inc. By signing this agreement you authorize us to negotiate the repairs at a price agreeable to
the insurance company and Masimo Construction, Inc. at NO ADDITIONAL COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE AND AS PROVIDED
ELSEWHERE IN THIS A GREEMENT. The final price agreed on between the insurance company and Masimo Construction, Inc. shall become the final contract price.
THREE DAY RIGHT OrkESCISSION
THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS
AGREEMENTAT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE
OF THIS AGREEMENT. �� A�
Owner signature Date '" EZ, 20&f� Sales Rep. r-! [5�6.3
Accepted by Masimo Construction, Inc./R sentative X
Insurance Carrier
Claim No.
Events beyond the control of Masimo Construction, Inc. may cause delays to the projected start date or estimated time of completion. Such delays do not constitute abandonment and are not included in calculating time frames for payment or performance. THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE
ARE A PART OF THIS AGREEMENT.
WHITE - HOMEOWNERS COPY YELLOW - SALESMAN'S COPY PINK - OFFICE COPY
" rx 1 cu1.c1 V 10W: �)Z-19-31-Jll-0000-0410
Page 1 of 2
�66'RtIJ(AJS�pOUV7Y, f;L7Rl]A
Parcel information
LE-0-Perty Record Card
Parcel: 32-19-31-521-0000-0410
Property Address: 2641 VINEYARD CIR SANFORD, FL 32771
Parcel 32-19-31-521-00015-0410-
-
--- - 2018 Working12VOl7 CertifiedOwner ORTIZ, JOAS Values alues
-Val.ation
Property Address 2641 VINEYARD CIR SANFORD, FL 32771 Method Cost/Market . Cost/Market
Mailing 2641 VINEYARD CIR SANFORD, FL 32771 Number of Buildings 1 1
Subdivision Name TUSCA PLACE SOUTH — Depreciated Bldg Value $122,110 T$115,087
Tax District S1-SANFORD - Depreciated EXFT Value
DOR Use Code 01-SINGLE FAMILY -- Land Value (Market) $34,000 $32,500
Exemptions 00.HOMESTEAD(2012) Land Value Ag '
- - - ..--
-- Just/Market Value'" $156.110 $147.587 _
Portability Adj _
5 + 60 37.52 Save Our Homes Ad] $32,718 $26,733
...
C9 Lin Amendment 1 Adj $0
P&G Adj : $0 $0
Assessed Value $123,392 $120,854
4,
tr
' Tax Amount without SOH: $2,022.00
�4
A U� _, 2017 Tax Bill Amount $1,513.00
r� Tax Estimator
t!J ? Save Our Homes Savings: $509.00
iu
O ' Does NOT INCLUDE Non Ad Valorem Assessments
Seminol Coun4 GIS
Description
_Legal
LOT 41 - -
TUSCA PLACE SOUTH
P1372 PGS 71 - 72
Taxes ----�
Taxing Authority
Assessment Value
Exempt Values Taxable Value
County General Fund
-$123,392, $50,000 ' $73,392
Schools - _. --- -. __ _.. ______..- --_... _._
__ _
$123,392 $25,000 $9—.
8392
- - --- - -
City Sanford .
_"_
— $123,392 $50,000 $73,392
_
SJWM(Saint Johns Water Management) _- - ""-3`" ---- - --- - -- �-
---- $123,392 $50,000
---_.____.
$123,392
- -�-- $50,000 $73,392I
- -
Sales _ — - - - -- --- -
'?
r
Description Date ___Book Page Amount Qualified - VaGlmp-
SPECIAL WARRANTY DEED - - 11/1/2011 07666 1252 $140,700 'Yes Improved
WARRANTY DEED 2/16/2010 07336 0652
$1,500,000 No Vacant
L[FPI.-d Comparable Sales
L Land
Method Frontage
Depth Units Units Price
Land Value
LOT -
- 1 $34,000.00 ` $34,000
--
Building Information-
s_ ed/Bath count incorrect lick Here
-
# DtuaVEtTectiveFixtures Bed Bath Base Area Total llAdj Value Repl Value Appendages
�A,'
ar Bwlt �S�F�Et
1 i SINGLE i 2010 6, 3 : 2_0 1,549 , 1,957 1,549 , CB/STUCCO ! $122,110 ' $126,212
FAMILY
FINISH Description Area
r
GARAGE
FINISHED 393.00
http://parceldetail.scpafl-org/ParcelDetailInfo.aspx?PID=32193152100000410 3/8/2018
CITY OF
r SkNFORD
FIRE DEPARTMEINIT
PERMIT # I ?D - (L{ SO
Building & Fire Prevention Division
RESIDENTL4L RE -ROOF SCOPE OF WORK
JOBADDRESS: `201 V,-0eA4Ctnrj Ct,f(,[e
7% r
STRUCTURE TYPE:9RE-COVER
0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
(NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY:
**PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 Q(4:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
ce4- r.\A1-Q'pA
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
0INSULATED
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#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
City of Sanford Building Division
r 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 result in a affidavit provided by a Florida Design
Professional (architect or engineer), certifyin c co . nc personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: Z I Q
CITY OF
&kNFORD Building & Fire Prevention Division
RESIDENTIAL RE-R OOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -INS FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ! J I -0 ADDRESS: U^J Y/ (%%1e,Lj L' i/d, (irG-1 e.
iCuo' of!� 3 277 /
I r! r Pet l ol' d , 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 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 #: C & — ' J z u O33
COMPANY / CONTRACTOR: / ( or'5 Ie.Q CO V1 .74-ry c4l, O n
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER O OWNER/BUILDER)
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,
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 5j e &I 1 012 �'2
Sworn to and Subscribed before me this I-Lt day of lng4CA20 /F by:
of'dj Eq //L?C,K . Who is�&ersonally Known to me or has ❑ Produced (type of
ident' 'cation as identification.
tur of NotaryPublic
7te of Florida
r> -JOHN R. BYRNE
Commission # FF 992414
o: Expires May 15, 2020
Print/Type/Stamp Name %fP„•,;,t°�° sond rmTmYFaintnsurance800.386701A
of Notary Public