HomeMy WebLinkAbout221 Belgian Way; 17-2513; ROOFAUG2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
s 4- PERMIT APPLICATION
D. --
Application No: `e S
Documented Construction Value: $
Job Address: 22-1 6e1 g i on w ao SO4DV-0, FL., 327) Historic District: Yes No
Parcel ID: P-) --2.0 - 31 - 5 - bl-)o h - Qcj ?n Residential [Commercial
Type of Work: New Addition Alteratioon Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: ( KD Ecacy-e,i--fi-- Title: C C'1-1-r G1\&VO r—
Phone: all - 20(1- "ZSSS Fax: Email:
Property Owner Information
Name F V cAns Phone:
Street: 221 EQ-XQ!Ckf-'\
1
k^(CALA Resident of property?
City, State Zip:
Contractor Information
NameM of h Vaf(AG-IP,10- Phone:
Street: 1 `L1_W 0SQtQJ Q C'± .
City, State Zip: W j 3MQ) JG, 34-715
Fax:
State License No.: C CC L a2l ( -76
Architect/Engineer Information
Name: I Phone: tA 1-N
Street: Fax: N 1 R
City, St, Zip: E-mail: {
Bonding Company: I Mortgage Lender: lr
Address: 1y Address: M J c
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" 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 tq 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
Print Owner/Agent's Name
Signature of Notary -State of Fpbrida Date
DEAN A. REYNOLDS
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF175397
Expires II/I112018
Owner/Agent is Personally Known to Me or
Produced ID Type of ID 1) L-
Signature of Contractor/Agent Date
A V \ ar ([ j %r ac_V CJ
Print ontractor/Agent's Name
W&t_ ( - e, y-(S- 1.%
Signature of Notary -State of Florida Date
S DEAN A. REYNOLDS
NOTARY Pt18UC
STATE OF FLMIDA
OAS# FF 1753"
Contrac n'/4'1I1CKno wn t 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:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
PERNHT # 1
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: - FDQ kg OQ ` n C 'Sa 1Qr d F-L , 31115
STRUCTURE TYPE: OISINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: GrIGPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 3" ply t_Zd
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED **
ROOF VENTILATION: 1r OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES PTO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 2 OR GREATER
TYPE Pz ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# (Q SS
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#
OINSULATED 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), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: %O DATE: 3' (7
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: g 1 '1
I hereby name and appoint: t`'I C Ca SOI' " l l lr C i'll i
an agent of: 6l'01u/neY t C onszjc; iqn i N c
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:
Street Address)
Expiration Date for This Limited Power of Attorney: j
License Holder Name: ((),i P racy:')ex----
State License Number: C CC
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF S? .M- ,q
The foregoing instnzrrient was acknowledged before me this
20 • C I: , by K 6611-1 Ke
to me or o who has produced
identification and who did (did not) take an oath.
Notary Seal)
Rev. 08.12)
of
whoho isis q-Tyrrsona ly known
F"
Signature
Print or type name
Notary Public - State of 'JaIr Lj
Commission No. t Z ;5' 3q-7
My Commission Expires:
DEAN A. REYNOLD6
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF176397
e s Expires 11111/2018
erms
Payment schedule is as follows:
3,400.00 due up front to begin work
3,400.00 due upon completion of work and after final inspection passed
5 year workmanship warranty
20% Cancellation charge
1.5% per diem charge for any unpaid balance due. Charges begin 10 days after completion of work.
Billed To
Dorothy Evans
221 Belgian Way
Sanford, Florida
32773
United States
Description
Brackert Construction Inc CCC1327178
4076792995
Estimate Date Estimate Number
06/22/2017 062217DEDR
Re -Roof
Place tarps on ground around perimeter of house.
Remove 1 satellite dish and dispose.
Remove one layer of roof materials down to roof deck and dispose.
Repair damaged wood on decking
Re -nail existing deck to meet uplift codes.
Inspect roof decking for high nails and secure them.
Install new peel-n-stick base and cap sheet to dead valleys.
Install synthetic underlayment to roof deck (nail to code)
Install new lead boots to plumbing vent pipes (2-1.5", 1-3")
Install new 2.5" white painted finish drip edge. (nail to code)
Seal top edge of drip edge with roof cement.
Install 4 new off -ridge vents. (secure with roofing screws)
Install new starter shingles. (nail to code)
Install new Atlas Pristine architectural shingles (nail to code, color to
be determined)
Drag a magnet around the perimeter of house for nails.
Price includes labor, materials, permit, inspections and dumpster fees.
Rate
11 11
P.O. Box 608734
Orlando, Florida
32860
United States
Estimate Total (USD)
6y8OO.00
Subtotal
Tax
Estimate Total (USD)
Qty Line Total
1 $6,800.00
6,800.00
11af3 INNIR ifIII gill fill THIS
INSTRUMENT PREPARED BY: GRf)N 17=tLU'Yi SEh1:tNGLE COUh)Ti Name: Doroth Evans 2r,
CLERKOF CIRCUIT COURT & COMPTROLLER Address: 8971. 1:-91824 (1PO;) CLERK'
S x 213171:182724 RECORDED
118/1ul2G17 02°49:39 PM RECDc'01h4G FEES sli .00 NOTICE
OF COMMENCEMENT RECORDER BY hde ore Permit
Number. ^ ,;L \
09300000
18-20-31-505--J
r Parcel
ID Number: The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713;=Flora Sfatytl S the following
information is provided in this Notice of Commencement. c" • 1.
DESC ttP IQN OF ROPER (e e ri f of e o erty and street address if available) Lot
93 aKers rossing F 19 barb 2 - p & /_ `
2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re -
roof 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROV NT: Name
and address: Dorothy Evans 221 Belgian Way Sanford FL 32773 _ Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above) Name: N/A Address.
N/A 4.
CONTRACTOR: Name: Brackert Construction Phone Number: 3212092555 Address:
114 W Osceola Ct Minneola FL 34715 5.
SURETY (If applicable, a copy of the payment bond is attached): Name. N/A Address:
N/A Amount of Bond: N/A 6.
LENDER: Name. N/A Phone Number. N/A Address:
N/A 7.
Persons within the,State of Florida Designated by Owner upon whom notice or other documents may be servea as proviaea oy section 713.
13(1)(a)7., Florida Statutes. Name:
N/A Phone Number. N/A Address:
N/A 8.
In addition, Owner designates N/A of N/A to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. N/A 9.
Expiration Date of Notice of Commencement (The expiration 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 LEN ER OR A ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ea
4alure
of Owner or Lessee, or Owner's or Lessee's ( nt Name and Provtd ignotorys Tide/Office) orized
OfticeNDirector/Partner/Manager) j -
State
of QY1County of ISO l The
forgoing instrument was acknowledged before me this day of 3 EA4, 26 17 by
ame
of person m astatement who
has produced identification Air type of identification produced: Who
is personally known to me OR aw
DEAN A. REYNOLDS NOTARY
PUBLIC STATE
OF OFFLORIDA^' ` C Notary
signature Comm#
FF175397 cI
Expires II/11/2018
SCPA Parcel View: 18-20-31-505-0000-0930 Page 1 of 2
Property Record Card
vid jo
o
huon, CFA Parcel: 18-20-31-505-0000-0930AOwner: EVANS DOROTHY & MCDONALD DIANA R
YYxyA Property Address: 221 BELGIAN WAY SANFORD, FL 32773
Parcel Information
Parcel 18-20-31-505-0000-0930
Owner EVANS DOROTHY & MCDONALD DIANA R
Property Address 221 BELGIAN WAY SANFORD, FL 32773
Mailing 221 BELGIAN WAY SANFORD, FL 32773
Subdivision Name BAKERS CROSSING PHASE 1
Tax District S1-SANFORD
DOR Use Code
Exemptions
01-SINGLE FAMILY
00-HOMESTEAD(2004)
M
Legal Description
LOT 93
BAKERS CROSSING PH 1
PB 60 PGS 27 - 29
Taxes
Seminole County GIS
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1 1
Depreciated Bldg Value 166,689 E $141,284
Depreciated EXFT Value
Land Value (Market) 34,000 32,000
Land Value Ag
Just/Market Value " 200,689 1 $173,284
Portability Adj
Save Our Homes Adj 66,299 41,658
Amendment 1 Adj j
P&G Adj $0 0
Assessed Value 1 $134:390 131,626
Tax Amount without SOH: $2,416.48
2016 Tax Bill Amount $1,581.41
Tax Estimator
Save Our Homes Savings: $835.07
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 134,390 ° $100,000 34,390
Schools 134,390 $25,000 109,390
City Sanford 134,390 ; $50,000 84,390
SJWM(Saint Johns Water Management) 134,390 1 $50 000
134,390 $50,000
84,390
84,390CountyBonds1
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 12/1/2008 07110 1430 100 No Improved
WARRANTY DEED 10/1/2008 07081 1585 100 No i Improved
WARRANTY DEED 12/1/2002 04639 0960 179,300 Yes Improved
DEED 2/1/2002 4 390,0oWARRANTYVacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT ( ; 1 34,000.00 i $34,000
Building Information
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagespActual/Effective
1 2002 I 10 4 ( 2.51 1,703# 3,287 2,862 $166,6891 $175,925
I
Description Area
E
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=18203150500000930 8/16/2017
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: - 251?j ADDRESS: Z2_1. j?) P, i a l rAn
I
5 !
A 0_. r 6 v ct.C. 2 Vk , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
CONTRAC , 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 C 132 -11
COMPANY/CONTRACTOR: r Ol'1SfiCL)C tt Ol' I r1c.,
CONTRACTOR SIGNATURE: DATE: 5111
MUST BE SIGNED BY LICENSE HOLDEft OR O UILDER)
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 SBwl.o
Sworn to and Subscribed before me this a S day of '-tJ 20 ( 7 by:
Q V j v c, e — Who is ersonally Known tome or has Produced (type of
identification) as identification.
Signature of Notary Pu lic
State of Florida
ltA4:n= &Z (-.Mw
Prin ype/Stamp Nanle
of Notary Public
DEAN A. REYNOLDS
3r NOTARY PUBLIC
gTATE OF FLORIOA
it Comm# FF175397
Expires i ill V201%