HomeMy WebLinkAbout379 Fairfield DrCITY OF SkNO�PEAR Z 1 2018
.� Building &Fire Prevention Division
F
PERMIT APPLICATION
FIRE DEPARTMENT Application No: 10 ^ lL4L4q
Documented Construction Value: $ g� �� • G
Job Address: 3 7�( 0.1 r E-' Q k j pn'j C Historic District: YesFINoV11
Parcel ID: 32 ` °� _ 3 ' 5'16 ! 0 0 0 ri — 0 `t 0 0 Residentialm Commercial
Type of Work: New[] Addition[] Alteration Repair Demo[] Change of Use Move
Description of Work: U - (2 OO F
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information
Name tb1r 1 g c o w l i Phone:
Street: n � FOLI r od_) it a Resident of property?
City, State Zip: SmuA �, c A 1'L S2- 7 (
(Contractor Information
Name 41$1 �10 C�,/l S�,rvC%l01/1 Phone: LfUl qZZ 05-o n
Street: 161,o57 ?3 Pl y c c, Na r �4
City, State Zip: toka t G. �c L e,a F- 3-3k 70
Name:
Street:
City, St, Zip:
Fax:
State License No.: Cb(-- 1 3 Z.F C -�' 3
Architect/Engineer Information
Bonding Company:
Address: N/ IAF�
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: 6ch Edition (2017) Florida Building Code
�.3 7�i
Revised: January 1, 2018 Permit Application Z•
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.
3 z—_0 I
Signature of Owner/Agent Date
Sign re of actor/ nt Date
T
Print Owner/Agent's Name
Print C actor/Agent's Name
a4z-j
a- 2-1-[
ult,UIA
Signature of Notary -State of Florida Date
Signature of Notary -State of Florida Date
NNETTE Nt BIAND�Public - State of Floddamissior # GG 170900=>'.rr.
;M-0
Expires Jar 16. 2022'•ss:`f�.5r
Sa.c�a NC:a:9 Assn.Owner/Agent
is Personally Known to Me or
Contracto n to Me or
Produced ID Type of ID
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: January 1, 2018 Permit Application
Permit Number.
Folio/Parcel Identification Number: - 5 t 79S / 6-00 0
Prepared by: John Byrne Y-00
Retum to: 3715 Pembrook Drive Orlando, FL 32810
GRANT MA1_OYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9090 F'_r 131 (1F'ss)
CLERK'S T 2018027262
RECORDED 03/12/2018 02-'41:'rI P11
RECORDING FEES $10.00
RECORDED BY
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 pro rty (legal description of the property, and street address if available)
[:c�T �f(� Ce,r�•.-�,
2. General description Improvement
3. Owner
or Lessee intormation If the Lessee contracted for the
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Inc.
Address3715 Pembrook Drive Orlando, FL
5. Surety (if applicable, a copy of the payment
Name , / 1 A
6. Lender
Telephone Number4079220500
Telephone Number
Amount of Bond $
Telephone Number
7. Persons within the to of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name I // Telephone Number
Address
9
In addition to himself or herself, Owner designates the
Notice
Name as provided in §713 �3(1)(b), Florida Statutes.
to receive a copy of the Lienor's
Telephone Number
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
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
facts a
laity of perjury, 1 declare that I have read the foregoing notice of commencement and that the
Dd in it ale trur-"e best of my knowledge and belief.
ow4f�
Signatory's Title/office
The foregoing instrument was acknowledged before m th'
e is day oy L-(Dt t j UC.v nr CC
as monthtyeer name of person 2
for �
TYPe uth , e.g., ce , etas, attorney in fact Name of ZE party on behalf of whom instrument was executed m 5
Signature of Notary Public — S e of Florida pant tuna .,. eta.....
Personally Known
Type of ID Produc
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3 /21 / 1 ''
I hereby name and appoint: To in k 6 (1 ry1 ?- 3-c-
an agent of: ma S 1 e"t d CGVL S�-CQ C j) r1
(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:
-3)q Air,ve. Soofu�,d FL 71
(Street Address)
Expiration Date for This Limited Power of Attorney: 3/2211 ( 1
License Holder Name:
State License Number:
. lea (<(w
CCL` 131-y033
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF IZA l 0
The foregoing i trument was acknowledged before me this 9 day of MC cA
200125 , by �` -a'ill who isXpersonally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
'7
Signature
(Notary Seal) � �L, 7,���
Print or type name
NsBeeth E Public State � Fi°r'� Notary Public - State of �� rt G
MYpCOrn ission GG 153047 Commission No. C � � �j�Cj4,`1
Expires 10/1&2021
My Commission Expires: ly , CS
(Rev. 08.12)
as
Y'
masilr>reo construction, Inc.
asim® Construction, inc.
Roofing Contract/Proposal
Address: 3715 Pembrook Dr.
Orlando, FL 32810
Office: (407) 286-0067 Phone: (407) 922-0500
State -Certified Roofing Contractor - CCC1328033
State -Certified General Contractor - CGC1509548
Brad Pollack, Contractor
Customer Name:
Address: 3--+1 ��k
Home Phone:
P.O.
lg 1a3
Insurance Co.:
Adjuster:
Claim #:
Phone:
Date:
City/State/Zip: r'►tX8 ��L_V_A
CeIL' 0 1���-1� ^i Work Phone:
SPECIFICATIONS
Remove roof to existing deck layers.
❑Jach additional layer $ - /Sq. (100 Sq. Ft.)
� Re -nail existing deck to meet uplift codes.
'stall - A metal drip edge around perimeter of roof
Install lead boots to pipes 1'/" 2" 3"
Jytstall Gooseneck vents 4" 10"
Apply Rhino rd (Synthetic) to wood dec
Apply Sq. Ft. of META ING E LE/SHAK S/FLAT
Style of roof to be installed: ('
Color: S Z5!"'YA' Pitch: e
1) Manufacturer of roofing system: k
❑ Install ridge vent along peak of roof:
Addt'I.
OTHER PROPERTY CONDITIONS
❑ Ice/Water Shield F'
/age
Yes 1 No
r Da
❑ Existin/Ia,a
Yes No
❑ Existinway amage
Yes No
❑ Skyligh
❑ Leaks:
❑ Interiorg
❑ Emergepair
Yes No
❑ Taperetion
Yes No
WORK INS:✓
Removfrom roof, guttersand yard.
✓ Protectaping where applicable.
✓ Roll yarmagnetic roller.
✓ Furnish
✓ 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 specifications above for the sum of $
SPECIALINSTRUCTIONS:
PAYMENT SCHEDULE
50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT: ❑ $500.00 ❑ $1000.00 ❑ $
DOWN PAYMENT$
FINAL PAYMENT $ �—
TOTAL $
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 EX EPT FOR THE INSURANCE DEDUCTIBLE AND A PROVID D
ELSEWHERE IN THIS AGREEMENT. The final price agreed on between the Insurance company and Masimo Construction, Inc. shall become the final 5.contract price.
THREE DAY RIGHT OF RESCISSION
THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS
AGREEMENTAT NY TIME P IOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE
OF THIS AG EE ENT.
Owner Signatu a Date 20' Sales Re
Accepted by Malim Co onstruction, Inc./Representative 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
3/12/2018
Irp
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Legal Description
LOT 40
CELERY LAKES PHASE 2
PB 65 PGS 29 & 30
Taxes
SCPA Parcel View: 32-19-31-516-0000-0400
Property Record Card
Parcel: 32-19-31-516-0000-0400
Property Address: 379 FAIRFIELD DR SANFORD, FL 32771
Value Summary
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
i $144,060
$135,745
Depreciated EXFT Value
$338
$350
Land Value (Market)
$34,000
$30,000
Land Value Ag
i
Just/MarketValue
$178,398
$166,095
-
Portability Adj
j
Save Our Homes Adj
F $68,477
$58,435
Amendment 1 Adj
1 $0
P&G Adj
$0
$0
Assessed Value
{ $109,921
$107,660
Tax Amount without SOH: $2,374.00
2017 Tax Bill Amount $1,262.00
Tax Estimator
Save Our Homes Savings: $1,112.00
* Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value (Exempt Values
1-_--------
TTaxable Value
-- -- - - -- -- --
County General Fund
— — -
$109,921.
-------
$50,000
$59,921
Schools
$109,921
$25,000
$84,921
City Sanford
$109,921 ,
$50,000
$59,921
SJWM(Saint Johns Water Management)
$109,921
$50,000
$59,921
County Bonds
$109,921
$50,000
$59,921
Sales
Description Date — Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED i 12/1/2005 1 06063 1782 $251,000 i Yes j Improved
Fstt C—G-Mp -atrle 5oies�
Land
Method Frontage Depth Units Units Price Land Value
---- — - ---- -- ._— - - - ._ - _----------------------
- -- -- ---- -- -
LOT 1 $34,000.00 $34,000
Building Information
# Description Year Built Fixtures Bed Bath Base Area Total SF j Living SF Ext Wall Adj Value Repl Value Appendages
i Actual/Effective
- — --- — — -- - — j - — --- - --
1 SINGLE 1 2005 11 4 2_5 1,234 3,216 _ 2 810 CB/STUCCO $144,060 ' $150,848
I Description Area
l FAMILY FINISH _ p
I ( GARAGE ! 394.00
FINISHED
http:HparceIdetai1.scpafl.org/ParceIDetaiI l nfo.aspx?PID=32193151600000400 1 /2
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1 CITY OF
S
01
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'k iNF
FIRE DEPARTMENT
JOB ADDRESS: 37l 1 oc{ r-/ e/a/
PERMIT # 12 - I y 41
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
O Ve FL 3 2`" 2 l
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)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DJ
DECK TYPE (PLEASE SPECIFY): Y `�W OO '� 5A ec-g ! �T 9
* *PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: '6 OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
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
4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
`
ber+�6 n T-Q. P,
FL# -( 7
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 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
City of Sanford Building Division
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 an affidavit provided by a Florida Design
Professional (architect or engineer), certifyin code com ance by personal inspection.
CONTRACTOR (OR OWNERMUILDER) SIGNATURE: DATE: 512- ( Ao
SjkN
CITY OF�Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: J rrl` ej d D�'l✓e.
I Er / P/wlti IC '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 #: CC.0 -/ 3 2 8o 3 3
COMPANY / CONTRACTOR: J " o I Gl f) ✓i> �(/U l U�
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER
OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: G
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 SeM ► rlQ�
Sworn to and Subscribed before me this day of (l 20 [p by:
Who is Personally Known to me or has ❑ Produced (type of
ideiAif;cation) as identification.
9iigna ure of Notary Public `�, Beth E Public State
°f Florida
State of Florida y� M' Corrxn1sion GG 153047
Qr av Expires 10/1 EV2029'
Print/Type/Stamp Name
of Notary Public