HomeMy WebLinkAbout110 Clear Lake Cir'�E,•.: ANNETTE ki BLAND
a • • - ; Notary Public — State o` flonca
_ Corrrrissior :� GG , 7C5CC
CITY OF
Q` h1y COMM, Expires Jar 16.2C22
GGrCEC ^.f:h ,�c7C ,, w.
r din & Fire Prevention Division
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' ,,PERMIT APPLICATION
APR 1 2 2013 i
FIRE 011PARTMENT f
Application No: �—
Documented Construction Value: $ 6soo.
Job Address: r U 'e-,&r IAte— Cr • Historic District: Yes❑� No
Parcel ID: 6._;L--)-0 ' 30 ` 666 v -7y Residential❑i_Coesmmercial❑
Type of Work: New[] Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use[] Move ❑
Description of Work: Ee_ )L0E-
Plan Review Contact Person: Title
Phone:
Fax:
Email:
Property Owner Information
Ame H4'j � 4-.. INOOt'3
I/ Street: //�D T&ry oPrS
City, State Zip: " 0 L,06PO , y L v3ai 6 -5—
Phone: yip%
Resident of property? :
Contractor Information
Name �A-rr 6! Phone: <'CG-�t'i�
Street: b 3 0 qAd, - (Ai � Fax:
City, State Zip: t (L State License No.: CSC 1 S X7 l 6�
Name:
Street:
City, St, Zip:
Bonding Company:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: Address:
WARNING TO` WNER: 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
Revised: January 1, 2018 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 construction ARd zoning.
Signature of Owner/Agent Date
P YAI- 7"r-A /. < " V✓bc�
Print Owner/Agent's Name
/,
Signs of Notary -State lorida Date
=Ype
VARGAS
9EC
tate of F1000 GG 096836s Apr23,2NIeo�arrp�r y Known to Me or
ype of ID F L V 1�
12,�qr-► / /Zt? i
Signaturttff ConKr£ctor/Agent Date
Prin�tractor/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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ' 11 1 9 —j
�Vi'� N
I hereby name and appoint: 1 ),e—
an agent of: r G '2 a L) --t� " G
(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):
❑ All permits and applications submitted by this contractor.
The specific en -nit and application for work 1 ated
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: (' L.0 — \ ?�2) 1 l I(X q
Signature of License Holder:
STATE OF FIWDA
COUNTY OF 1
The oregoing to*uru nt w s�jln20b , by ,Z-
to me %` ?who has prod ed
identification and who did ( d not)
(Notary Seal)
My COmmissiON 4 FF920610
•?�•a•, EXPIRES Sopte ber 22�201 398-0i 67rySanirn,co
(Rev. 3/27/07)
before me this day of ,
''— who is ❑ per onally known
l� as
ati oath. <A
A� /�
" )\ A
P,eiint or type name
Notary Public - State,of
Commission No. ,
My Commission Expires:
G PO 73
This agreement is made on this l a` day of ,ri 201 between
Viro r-^fit of 3�1 t4V&,-" 'Cor
Name Address City '
-' �� Lt Kr-533 C (Contractor)
State Zip Phone
and of
Name Address City
(Client)
State Zip Phone
The above contractor will perform the following work as described in this agreement for $ b SU. • w
in compensation from the client.
Job Description.: P-j/ protpos w0Y- lL i.✓ i vj
- (61Pf
6e 6 es, e - OLO 49 4
5�--
'1�. Pam-, ; is P lac, c,,,kovs, , �� AQ .
Work to commence..on i -n Zd d is estimated to be completed on l 7 r�
11
Date Date
Date: f ? , -r4;; % l
Date: y-/-I /9
Signature
H11-z,r6L X, WOOD
Print
IN
THIS INSTEW ENT P PAR!�' •"�•" ��•'• �'�'• o.am■ aaamm alarm mall roar
Name: I ►- t
Address: GRANT NALOYs SEIMINOLE COUNTY
CLERK. OF CIRCUIT COURT & COMPTROLLER
BK 9111 i Pq 240 (iP95 )
CLERK'S : 2018040336
NOTICE OF COMMENCEMENT RECORDED 1 4/12/201° 111=3191:11j P11
RECORDING FEES $10.00
State of Florida RECORDED BY ,ieckenro
County of Seminole
Permit Number: 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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
GENERAL DES�f RIPTIO�%OF IMPROVEMENT:
OWNER INFORMATION:
�me:AA4LM/2 K. WO 02
Address: //1/0 TGv� gF►, S C2 O✓T�,t70� FL �a76S
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR: (� � i
Name: / L'!
Address: Lt 3S n. `- -. i—G"'7 324 rho
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, a
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A �:'7-7tt:;``_' L4
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. O LU
rz
Under penalti of perjury, I dec hat I have read the foregoing and that the facts stated in it are true < cc o 0
to the st o y wled d b i PT. o
al. w
/ -a cr
/ Owner's Signature Owner's Printed Name 55
lL' a
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." qr w
Q � U
ua 0 0
1 C " cv
State of Io tLtJ< County of J Cal .� `�S z W r
ff �,, /� p is u •x v, rs
The foregoing instrument was acknowledged before me this 1 day of /-1 f4/�/ , 20 d
by W '\Tar K .Who is personally known to me ❑
Name of person making statergent � O� /' j
OR who has produced identification rcL'Jf type of Identification produced: ' O
—.1
Notary gnature
• Bonded throuchNational Notify AsID,
��'P� •.,
JONATHANVARGAS
Notary Public-Stateofflorida
=�` o
ocFl.,,.
Commission x GG 096836
M Comm
Y , Expires Apr 23, 2021
Co
>i�
JOB ADDRESS:
/ / D C>1e,4-- Lam.
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: (P 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): 10l r Ljo DD
""PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'"`
ROOF VENTILATION: DOFF -RIDGE (RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDjA PRODUCT APPROVAL
O 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.) "" IFAPPLICABLE""
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 ® 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#
0 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), certi:fy1niF1FFBbc.code compliance by personal inspection.
CONTRACTOR (OR OWNERBUILDER) SIGNATURE: DATE: i �AP� l I 2,0 1
SCPA Parcel View: 02-20-30-5GJ-0000-0370
Page 1 of 2
v
9awid Jahad, CFA
Property Record Card
i
Parcel: 02 20-30-5GJ-0000-0370
r,wRA
Property Address: 110 CLEAR LAKE CIR SANFORD, FL 32773
Value Summary
2018 Working
2017 Certified
Values
Values
Valuation Method Cost/Market
CosUMarket
..........
Number of Buildings 1
1
Depreciated Bldg Value $77,119
_
$67,432
_
Depreciated EXFT Value
Land Value (Market) $23 000
$20 000
Land Value Ag
Just/Market Value "* $100,119
$87,432
Portability Adj
Save Our Homes Adj $0
$0
Amendment 1 Ad/ $23,618
$17,886
.........
P&G Adj $0
$0
Assessed Value $76,501
$69,546
Tax Amount without SOH: $1,441.74
2017 Tax Bill Amount $1,441.74
Tax Estimator
Save Our Homes Savings: $0.00
" Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 37
HIDDEN LAKE VILLAS PH 3
PB 28 PGS 3 TO 6
Taxes„-
_
Taxing Authority Assessment Value _ Exempt Values Taxable Value
County General Fund $76,501 [ $0 $76,501
Schools $100 119 $0 $100 119
.........__.... ..
City Sanford _ $76,5011� $0 ! $76,501 I
SJWM(Saint Johns Water Management) $76,501 $0 $76 501
County Bonds $76,501 $0 $76,501
_- -em_m._--
Sales
Description Date Book Page 77 Amount Quali led Vac/Imp
QUIT CLAIM DEED 9/1/1989 ! 02109 ( 0379 $57 000 No Improved
QUIT CLAIM DEED 9/1/1989 (02106 0061$100 No Improved
a
WARRANTY DEED 1/1/1989 02039 1 0787 i $53 500 ( Yes Improved
QUIT CLAIM DEED 1/1/1987 01814 1527 $too No Improved
WARRANTY DEED j 12/1/1983 01508 0750 $50 200 Yes Improved
Find Comparable Sales
Land
.._. _. _w. ..... ___
Method �F,..t.je_ Units Units Price � Land Value
LOT _ 0.00 0.00 } �1 j{mm$23,000.00 I $23,000
Building Information
s Bed/Bath count incorrect Click Here. ... _
# Descnption Fixtures Bed Bath Base Area Total SF Living SF i Ext Wall Adj Value Repl Value Appendages
I , II liii
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=022O3O5GJOOO0037O 4/12/2018
Building & Fire Prevention Division
RESIDENTL4L RE ROOFAFFIDA1/77
FIRE DFPARTN"EINT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: - i ADDRESS: _ 11(j G( eE✓ lck:e_ i- r"4
—7
I' Y `� 1 le AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
IN ROOFG CONTRALTO , 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[ c -- 1 -2-:1 � Q Cr
COMPANY / CONTRACTOR:
1
CONTRACTOR SIGNATURE: DATE: (l// b /'I I j pl k
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) +D
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 C6g''sfrr,k C '�
// 6
Sworn to and Subscribed before me this t W day of 41rr
44 20 10 by:
L _W �- . Who is ❑ Personally Known to me or has B Produced (type of
ide cation) �'�--� �--- as identification.
Si ature f N ry Public
StetAAAA f Florida _°"�°*+� � MELODY D. -LEE.
I, (� % - Notary Public -S
I/ . 1 late of Florida
Co�- ;j ate; mmission # FF 902089
'•.;; of F�Q°:�' PritltJType/Sta p Name
M y Comm. Expires Jul21, 2019
of Notary Public