HomeMy WebLinkAbout404 Key Haven DrCITY OF SANFORD
"BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: g " r'� &S
00
Documented Construction Value: $ U to
Job Address: 4{0 4 K� NQ ue n bN
Parcel ID: bno0-
Historic District: Yes ❑ NoQ—
�- y Residential commercial ❑
Type of Work: New ❑ Addition ❑ Alteration'I/J Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: h r- r o_'� Sti r,QIeS
Plan Review Contact Person: uayotj 1A0d.n,_S Title:
Phone: go7_`Bba-Qo3() Fax: Email: {lH6 .b GE S 3 (P nct, R1e. G« "
Property Owner Information
Name e!s-k%rr) L u qa Phone: 'IZ2 _ 3SS. a 3� 6 s sR
Street: aq,0 4 Ae-ha 61 (r, Resident of property? : NY3
City, State Zip: �Q�IGa ec- 3a-)o�
Contractor Information
Name Phone: 35d-3q4- ,3G'ia-
Street: 11 y (A3- 0 57 -e-y k ci CJ Fax:
City, State Zip: f �� H r. e_ok a rt g715' State License No.:
Architect/Engineer Information
Name:
Street:
City, Si
Bondin
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: 5`h 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 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 constr c i7an'
3 - / 1/-/ j
SigdanTre%fTDwner/Agcnt Date i a rc of ct cnt Date
//' #
Print Owner/Ascent's Name Print Contractor/AQent's Nance-
1
�%,stiWWOLD H HODGESUA
My COMMISSION # FF222706
;?aC EXPIRES April 21, 2019
14C399.n•sI _
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
L(- `S
Signature o
,•,rrur,,,,,
ANNETTE M BLAND——
'4 Notary Public - State of FI®17Ih
Commission # GG 170000
t = My Comm. Expires Jon 1
`, & rcec t1 tir NSMrts NoitlA4�:
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: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS INSTRUM NT PREPARED BY:
Name: a J) C, O el ct
Address: j r. -f iL.hArLv * t - r
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
&'AN*r ilftl..li`r y SENINOLE Cf UN f Y
C:I...ERI;. OF C:IRC:f.IIT COURT t. ':OM 'TROLLER
L; ilJ.,.F.,: ?8 _ +
(1.F'_a�
CLERK'S r 201802824L
Rti:C:Olt'.:EL'� )=i1.1;,/,.1?1.� Di: IN FEES 1.iilid
Parcel ID Number: `I — 1��� .� % — 5 Cti)�'!`?.— 3 J
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
41�" IC a ..� 11! .� � `� ._ i _s.. a- � 'Rse n G � ;r 0" GFUIPED COPY
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Name:_ 5 t- t Ott kg kA n V
14
Address: 17 (3 !' ne i\ [ice i i 11
Fee Simple Title Holder (if other than owner) Name
Address:
f-1- t" cbr.-z' f
Address:
C=
SEMIN
GRANT MALOY
CU1T COURT
ER
IOA 6fx
46-1-74�1-'17v3U
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:
In addition to himself, Owner
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 penalti of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true
to the be y knowledge and belief.
erOkees Print ame
Florida Statute 71 .13(1)(g , he owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead "
State of i u t County of Dem j %616 �M
The foregoing instrument was acknowledged before me this day of 20 kS
by e ►An Lu9J
Name of person make g statement
OR who has produced identification ❑ type of identif
L
ROLD H HOD,GES JR
COMMISSION #FF222706
XPIRESApr122019Ed
Who Is personally known to me ❑
3/13/2018
SCPA Parcel View: 29-19-31-501-0000-2380
i
dJotaaon.CFn Property Record Card
Parcel: 29-19-31-501-0000-2380
scx�oouwrr, Property Address: 404 KEY HAVEN DR SANFORD, FL 32771
'w R /� 6 r + 'n raW �, r' '`
V! 41�l f -
8 73.08 60 60 60
Seminole County GIs
Legal Description
LOT 238-------
CELERY KEY
PB 64 PGS 85 - 96
Taxes
Taxing Authority Assessment Value
Exempt Values Taxable Value
County General Fund
$156,648
$0 ;
$156,648
Schools -- '---
'-- i�-- - _- $156,648
� _ -A
$0i
$156,648
City Sanford
$156,648
$0 j
$156,648
—�
SJWM(Saint Johns Water Management
--_.___—__.------------_..-_.T._-�-_--
-----$156,648
--------$156,648
- ---
$0 1
----
$156,648
County Bonds
i
$0 �
$156,648
Sales
Description
Date
Book
Page
Amount Qualified
Vac/Imp
WARRANTY DEED
7/1/2007
06778
0534
$228,000 ' Yes
Improved
CORRECTIVE DEED
7/1/2007
106773
1324
-v
$100 11NNo--
v$100
Improved
CORRECTIVE DEED
`—�!
8/1/2006
06379
j 1374
No
_
Improved
WARRANTY DEED
i 9/1/2005
; 05962
E 0296
; $236,500 Yes
Improved
rFind Comparable Salsa$
Land
Method Frontage Depth
Units Units Price
Land Value
LOT
$36,500.00
$36,500
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Year Built Fixtures Bed Bath Base Area Total SF Living SF I Ext Wall Adj Value Repl Value Appendages
http://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=29193150100002380 1 /2
i
SEMIIVOLE COUNTY MULT!%URz5DICT101VAL
t yy
f d �'g � _ i�j i.F E•� `k I`i' l _ 10, '..� [E— q0 S4 � __ ..,F;
4 • i , 4
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: Z
1 hereby name and appoint: t14r
an agent of:
(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):
l�l All permits and applications submitted by this contractor.
Or
❑ . The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder: /'*��
STATE OF FLORIDA
COUNTY OF {'(� //�� Ja4The foregoing instrument was acknowledged before me this oC day of
20, by /P e-f- who is / _ personally kno to me or
❑ who has produced
and who did (did not) take an oath.
ature of o ry
�{ MY commiss*N # FF212582
''•.;an,,•`' EXPIRE&Msrch 31, 2019
rkxidalloia
Sennte.con,
as identification
!U4 Al -A h OP i
Print or ty e Ndlary name
Notary Public - State of _00YIA
Commission No. EJE)-
My Commission Expires: {C(i nh ' 4, e/
Tacker# Construction, Inc.
License# CCC1327178
114 West Osceola_ Ct._
.Minne®la, I:[. 34715
Tel: 352-394-3652
-Name US r- bah �U��- �� �un�_ j0--1
Job Addirem ' L> q phem
Staft Ft ma
Propowt9comphtetbefeffoorftweric .
1. Remew the mlsft ff md haul tmh to
2. Tbe. ramova md Fteft to be pwfenmd 1aa dm
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CITY 0F`
L
FIRE DEPARTMENT
PERMIT # , 8 1 3 l-S
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 0 �{ K P, V e h V I
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: &IREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): Y kA W 00 CA
**PLEASE NOTE: ONLY 100 SQUARE FEET OF 7'HE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES �i0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 Q `*• i 2 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
�SHINGLE
FL# I Jo C)5 - R
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
VOTHER: 1`, cA
A 4(o
FL# aso
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#
O INSULATED
FL#
O TIL E
FL#
0 OTHER:
FL#
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY & PROCEDURES
F'IRE.DEFARTMENT
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: ` -1 q-1