HomeMy WebLinkAbout3410 Whippoorwill CtV
CITY OF PERMIT APPLICATION
`SANFORD
h Qyyl L U LcJx��l _
BUILDING DIVISION ��icafion
7-pNo:
Documented Construction Value:
Job Address: "7' �y �h ice- U d7— Historic District: Yes ❑ NOX,
Parcel ID: _0 7- � — 3 � — �U OV C� —;m j / b Residential A Commercial ❑
Type of Work: New 19 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: — .U/ j% �j/( &L 06>v Title:
PhoneFax
Email: @ �er' 1' "q an 14-T/tlrs . ca --
r Property Owner Information
Name �o m l ycYa- Phone:
Street: 34/0 k1h i,Dgofeyo-i 1, IC�- Resident of property?:
City, State Zip: Fy"' 77-
Contractor Information
Name l "a;
awiAlc ��6Phone: 3Zl
S(Y
_%(¢ 46
Street: ,Y', aR
) cj Sk 2 Fax:
City, State Zip: &ioF<, �` �ort n�.� 71� State License No.: ����
Architect/Engineer Information .
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 6' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 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
PSE72 h4. NA.LtiO G U
jignatu
actor/ Name
�TAR,)d�1BLIC Date
STATE OF FLORIDA
COtttltl# C3("a217377
-xplr®O 6/21/2022
Contractor/Agent is 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
Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes []No ❑
WASTE WATER:
BUILDING:
HERITAGE
ROOFING & GUTTERS INC
City of Sanford Building Safety,
I, Romel Aldrete Rivera, of 3410 Whippoorwill Ct, Sanford FL, 32773, do hearby release/transfer
Permit # into the following Contractors Name:
Heritage Roofmg & Gutters, Inc
c/o Jason Christopher Garza
P.O. Box 195621
Winter Springs, FL 32719
CCC1331386
By transferring this permit, all liability is assumed by the new listed contractor above.
Notarized signature of 16 jLWIFge 11tu dc,E-
Contractor's Signature &w ';��
The foregoing instrument was a ledged before m this _ / / by
who is personally known to me and who p
identification and who did not take an oath.
Notary as to Contractor
Commission No.
County of
My Commission expires:
State of FL.
04 e6;74
J
NOTARY PUBLIC
STATE OF FLORIDA
Comfy# GG217377
Expires 5/21/2022
Notorized Signature of el Aldrete Rive" t
Owner's Signature
The foregoing instrument was acknowledged before me this /_ / /g by
who is personally known to me and who produced
4, -PA 9 ld 7 D 1,S/ —y as
identification and who did not take an oath.
Notary as to Ownerr kd
Commission No. Ce tf State Fes' Notary Public State of Florida
Jennifer M Mudge
County of
My Commission GG 209834
My Commission expires: Expires 04/22I2022
P O Box 195621
Winter Springs, FL 32719
321.444.7640 904.599.4224
CCC# 1331386
www.heritageroofingandgutters.com
CITY Of
ORD
FIRE DEPARTMENT
JoB ADDRESS:
PERMIT # / E
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
�tlQ
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: �j REPLACEMENT (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 SQDARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED **
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES �NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
O 2:12 - 4:12 llJ 4:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
%
FL# e2
10
O METAL
FL#
O MODIFIED BHrUMEN
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 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
Building & Fire Prevention Division
S ORD RESIDENTIAL RE ROOF POLICY & PROCEDURES
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:
v
SEMINOLE COUNTY MULTI JUR15DICTIOJVAL
Altamonte Springs, Casselberry, Lake Nlary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ��IKXIR�
I hereby nan
an agent of
to be my lawful attomey4n-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):
Ali permits and applications submitted by this contractor.
/x0r
❑ The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: LQ1. 3/ o" 01O
License Holder Name: J660AI ( _mil 5`fZ) -ME�' P—ZA-
State License Number: CCC,( :j3l 36`40'
Signature of License Holder.
STATE OF FLO , DA
COUNTY OF ,
The foregoing ins-tr—u-meennte was adcr
20_ _, by t )v[SO(1
'(who has produced
and did did rat) U kgan oath.
Signatma of
sm Of Fa*
� • gyOT1?2l
Cmmrt[do.t�iGt;
before me this IA —ay of ,
who is ❑ personally known to me or
as identification
s'(0('j
x
Print ar Notary name
Notary Public - State of
Commission No.
My Commission Expires:
HERITAGE
ROOFING & GUTTERS INC
Roofing Contract
This Contract for Roofing Services is made for and between Jason C Garza, Contractor for Heritage
Roofing & Gutters, Inc., LIC# CCC 1331386, and Romel Aldrete Rivera and Diane Sauri Rivera, Owners of
3410 Whippoorwill Ct, Sanford, Fl 32773. The Effective Date is
Project address: 3410 Whippoorwill Ct, Sanford, FL 32773
DESCRIPTION OF SERVICES & SCOPE OF WORK: Contractor will furnish all permits, labor, materials,
equipment, apparatus, tools, transportation and services necessary for, and incidental to, the proper
installation and completion of an architectural asphalt shingle roof at the address listed above. This
work will include removing and disposing of existing asphalt roof (color upon customer request);
installing underlayment; installing new flashings as specified below and to install new roofing as to cover
the entire roof area to leave a long term, damage resistant, weatherproof roof. All roofing work shall be
executed such that the building is protected from water penetration.
1. Approximate number of squares of asphalt shingle to be installed is 45, equal to 4500 square
feet.
2. Areas where flashing is to be replaced areas applies: drip edge, valleys, ridges, plumbing vents,
step-flashings, dormer aprons or top -flashing.
The Roofing work will be performed Monday through Saturday, statutory holidays excluded, unless the
parties mutually agree otherwise, provided that the Services will be performed only if weather
conditions are favorable, in order to ensure an acceptable finished product.
Contractor to perform all services in a workman like manner. All labor is warranted for 5 years. Labor
warranty does not cover damage to roof caused by: lightning, gale force wind (50mph), tornado,
hailstorm, impact of foreign objects, violent storm or casualty, damage due to settlement, distortion,
failure of the roof deck, walls of foundation, pounding of standing water due to drainage, deflection or
insufficient slope. Contractor not responsible for any damage to a/c, electrical, plumbing or driveway
during delivery of materials or performance of regular duties related to roofing services. Contractor not
responsible for alignment of satellite. Materials carry there own warranty and information can be
obtained from the manufacturer. Manufacturer information will be provided upon request.
Total per scope: $14,625.00
Page 1 of 2
PAYMENT: Payment shall be made to Heritage Roofing & Gutters, Inc., P.O. Box 195621, Winter Springs,
FL 32719, in the amount of $7,312.50 one half of the total cost of the roof services, and must be paid in
advance, before work can commence. The remainder of the balance, $7,312.50 is to be paid no more
than 15 days after the services described above are completed and have successfully PASSED inspection
by the local municipality. Forms of payment accepted are CASH, CHECK, CREDIT CARD AND PAYPAL.
There is an additional 3% merchant fee for all Credit Card and PayPal transactions. Replacement of
deteriorated decking, faces, ventilators, a/c ducts, chimney flashing, or other material unless otherwise
stated in the contract are not included.
CANCELLATION: Contract can be canceled at anytime by either party. If Owner or Authorized
Representative of Owner are the party to cancel contract after Permits have been pulled and/or
products have been ordered, refund to customer will be minus permitting and service fees and Supplier
20% restocking and delivery fees.
ACCEPTANCE OF CONTRACT: The above prices, specifications and conditions are satisfactory and are
hereby accepted. Contractor is authorized to do the work as specified. Payment will be made as outlined
above. If Customer is married, the signature of both spouses are required.
l�/ •
Signatu
Date: -1730LI v
Page 2 of 2
Job Address: '30 ) 0
CITY OF SANFORD
MAR 0 8 2018 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ - ` :), ) ()o
W ^ PoQ tkZLur « Ct.
Historic District: Yes ❑ No Ef
Parcel ID: Residential a Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: '-ROOr— W op_t< (k 1 eL4._))
Plan Review Contact Person: O I. EL_ I VEoei4 Title: 0 U)
Phone:. 40 7- 2-1, 161,71- bOFax:
Email: 10 24,7 66_�_-_' V off-00 • G0414
Property Owner Information
Name l� C�c'%c�i� /� r/�� ( U�� Phone:
Street: 3 Lj 10 Apt WHY 674- Resident of pr''op-ek-tyN.
City, State Zip: �� ) F/ 3277
Contractor Information
Name Phone:
Street:
City, State Zip: —
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.:
Arch itectlEng ineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: vl e
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:5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application {�V 1q
0 ��
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 Date
Name
3 - ,-127
ANNETTE M BLAND - -
z �` • :: Notary Public - State of Florida
Commissior # GG 170900
NiComm. Expires Jan 16, 2022
9crcec:rrc.SrNa�cna Nc:aryAssn.
Owner/Agent is
Personally Known to Me or
Produced ID
Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is 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:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 - Permit Application
FIRE DEPARTMENT
JOB ADDRESS:
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: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (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: O OFF -RIDGE &RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES (Brl�O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12
Q6:12 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.) **IF APPLICABLE**
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#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
i
CITY OF
Building & Fire Prevention Division
Ski4FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
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) SIGNATU . f v DATE:
SCPA Parcel View: 07-20-31-512-0000-0110
Page 1 of 2
�` ae wMson cfn Property Record Card
�P Parcel: 07-20-31-512-0000-0110
newx.crcxrnrrr Property Address: 3410 WHIPPOORWILL CT SANFORD, FL 32773
Value Summary
��
2018 Working 2017 Certified
Values Values �
Valuation Method
_
Cost/Market CosUMarket
Number of Buildings
1 1
Depreciated Bldg Value
$173,297 $163,701
Depreciated EXFT Value
$6,918 E $7,197
Land Value (Market)
$33,000 $33,000
Land Value Ag
Just/Market Value "
; $213,215 1 $203,898
_.
Portability Adj
_. ._
Save Our Homes Adj
$68,577 $62,235
Amendment 1 Adj
P&G Adj
$0
$0 $0
Assessed Value
$144,638 $141,663
Tax Amount without
SOH: $3,094.00
2017 Tax
Bill Amount $1,909.00
Tax Estimator
Save Our Homes Savings: $1,185.00
` Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
T 11
WHIPPOORWILL
40 PG 60
Taxes
TAuthority Assessment Value xempt Values Taxable Value
County General Fund ] $144,638 , $50,000 $94,638�
Schools $144,6381 $25 000 1 $119 638
City Sanford $144,638 [ $50,000 ; $94 638
SJWM(Saint Johns Water Management) $144,638 I $50,000 $94,638
County Bonds $144,638 $50,000 1 $94,638
Sales
._.._... .. ---- — . _.. __. _. .... ._._ _ ._ _.
... ..
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED = 7/1/2011 07610 1765 $157,000 Yes Improved
WARRANTY DEED ( 1/1/2002 04312 1360 1 $150,000 Yes Improved
_ ®m. _ _
WARRANTY DEED 5/1/1999 T03661 0524� $150,400 Yes Improved
WARRANTY DEED j 7/1/1996 03105 10386 1 $135,000 Yes j Improved
I SPECIAL WARRANTY DEED 12/1/1992 02522 1923 $351 000 No i Vacant
_ ._.
CERTIFICATE OF TITLE 1 11 991 02356 1758 $311,200 No Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 j 0.00 1 $33,000.00 $33,000
Building Information
Is Bed/Bath count incorrect? Click Here
# Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=07203151200000110 3/8/2018
SCPA Parcel View: 07-20-31-512-0000-0110
Page 1 of 2
e OJotmon,CFA
PAPPPR
se�xx.c cotxnw �a a<cm.
Parcel Information
PropertV Record Card
Parcel: 07-20-31-512-0000-0110
Property Address: 3410 WHIPPOORWILL CT SANFORD, FL 32773
Parcel
07-20-31-512-0000-0110
Owner
SAURI, RIVERA DIANE
RIVERA, ALDRETE ROMEL
Property Address
Mailing
3410 WHIPPOORWILL CT SANFORD, FL 32773
3410 WHIPPORWILL CT SANFORD, FL 32773
Subdivision Name
WHIPPOORWILL
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2012)
It:)-j.yV
0
O
(,,�
(37
CN
O
l , Seminolt County GIS
i
Legal Description
LOT 11
WHIPPOORWILL
PB40PG60
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$144,638
$50,000
$94,638
Schools
$144,638
$25,000
$119,638
—
City Sanford. __ ._-- _—_..._.___.__.._................ _
_ - - -. ---- $144,638
$50,000
$94,638
SJWM(Saint Johns Water Management)
$144,638
$50,000
$94,638
County Bonds
$144,638
_ $50,000
$94,638
_.
Sales
Description
Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
7/1/2011
07610
1765
$157,000
Yes
Improved
WARRANTY DEED
1/1/2002
04312
1360___l
$150,000
Yes
Improved
WARRANTY DEED
5/1/1999
03661
0524
$150,400
Yes
Improved
WARRANTY DEED
7/1/1996
03105
0386
$135 000
_..._
Yes
� Improved
SPECIAL WARRANTY DEED
12/1/1992
02522
1923
$351 000
No
Vacant
CERTIFICATE OF TITLE
11/1/1991
; 02356
1758
.,..
$311,200�
No
_ ,..... w..
Vacant
find �omparaDte Sates
� Land
Method Frontage Depth
Units
Units Price
Land Value
LOT I 0.001 0.00
1 1
$33,000.00
$33,000
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description s Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adi Value Repl Value Appendages
http://pareeldetail.scpafl.org/ParcelDetailInfo.aspx?PID=07203151200000110 3/8/2018
SCPA Parcel View: 07-20-31-512-0000-0110
Page 2 of 2
Permits
Permit # Description
Agency
Amount
CO Date
Permit Date
03238 ; POOL ENCLOSURE
SANFORD
$7,716
11/2/2017
02679 SWIMMING POOL
SANFORD
$33,788
9/6/2017
00483 ? SCREEN ENCLOSURE
_�.
01246 3410 WHIPPOORWILL CT
SANFORD
_............_.._v�
SANFORD
$10,000
$95,000
12/10/2013
--- ....
4/1/1994
Extra Features
Description
Year Built 77 Units
Value
New Cost
SCREEN ENCL 2
5/1/2013 1
$4,168
$5,000
PATIO
5/1/2013 1
.... -- . -.._
$1,750
$2000
FIREPLACE 2
5/1/1994 1
$1,000
— — --
$2,500
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=07203151200000110 3/8/2018
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
-
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
1 understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
notifythe building department immediately of any additions, deletions, or changes to any of the
Fo
ion that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
rofessional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address:
I, , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Builder Date
Form of Identification
(Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding I year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
''cense.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
i
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
o er-builder permit that erroneously implies that the property owner is providing his or her own labor
nd materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I un erstand that I may not delegate the responsibility for supervising work to a licensed contractor who is
n licensed to perform the work being done. Any person working on my building who Is not licensed
ust work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the. Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
L v
THIS INSTRUMENT PREPARED BY:
Name: /t% L I v� �
Address• 1 L(.'i-(,Y-
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
Parcel ID Number:
GRANT MALOYs SEMINOLE COUNTY
CLERK. OF CIRCUIT COUNT h COMPTROLLER
BK 9088 Ps 81 (1P9s)
CLERK'S t 2018025841
RECORDED 03/08/2018 09:2L:59 AM
RECORDING FEES $10-00
RECORDED BY hdevore
0-7-2-0-31-51,;� -oaf -o/i o
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordan ith
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROrlggj),,(CL
Legal description of thepro13(4 perty and street address if available)O
DESCRIPTION
�O7F IIM-yP.
le.
OWNER INFORMAT-N:
Name: 1002 �I `/f�Ll �
Address: � O M iT/` �� Lr` 61-7 � 645
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name:
Address:
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)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perju I declare that I have read the foregoing and that the facts stated in it are true
to be of my k ow, 'd a and lief. `
�/ <--POouL-z V
Owner's Signature Owner's Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of F10 r(( rA * County of f)ca,1 I i\t n
The foregoing instrument was acknowledged before me this L day of
by I l 2 v (1 A I J re-L..e rA 0IMP C jC/ �yyl r Who is personally known to me ❑
Name of person making statement c-
OR who has produced identification ❑ type of identification produced: i �— L
•,,
ANNETTE M BLAND
.._ -
'Ile-
� a ,F-�.. •;
Notary Public - State of Florida
%
�^�' •
lawMy
Commission # GG 170900
Notary
Comm. Expires Jan 16. 2022
,,,,,,
Bcrcec :rr:.sr .%a7cca Noarj Assn.