HomeMy WebLinkAbout106 Pinefield Dr; 17-2271; roofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D
Application No: 0
o
Documented Construction Value: $ b a o .
Job Address: / b 6 A 1l -e,e4I6 J)P- • Historic District: Yes No Parcel
ID: % 0 — 3 I — S /S — 00 00 00 30 Residential Commercial Type
of Work: New Additiion Alteration Repair Demo Change of Use ElMove Description
of Work: &—a o o -, t,4.),)S Plan
Review Contact Person: 14n I Title:'-- Phone:
L(a7- LfIS-533 fo Fax: Email: Property
Owner Information Name".
aV91t,
rect: )D (o Ptn ezgdd &-i lle City,
State Zip: I'-1TI1rGl ,Lr%l Phone:
32.1-93 i-135&S Resident
of property? : U.=SContractor
Information Name
Street:
s 26 City,
State Zip: t2 Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
qc5
7_ Fax: 5
l
State License
No Cl Architect/Engineer
Information 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. 1 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: 51h 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 construction and zoning.
Signature ent Date
Print Owner/Age is Name
Ccf I I
Signature of Notary -State of Florida Date
RENNE L CORBIr,
MY COMMISSION # Fr'
1;: = EXPIRES: May Ib• r
Bonded Th k4ftytubfirunc,W,
lly;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
RENNE L CORSIN
MY COMMISSION i FF 08M
EXPIRES: May 16, 2o18
Bonded ThmNotwy Pubro
wumd._
Jndmrrtdera 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: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 32-19-31-515-0000-0030 Page 1 of 2
Property Record Card
Jah`"
I Parcel: 31 I?-31-5150000dJi)30
Owner: PNUF,E~;SUPd'fIFf=AMIM
sr n*cxc omwyy, n<A.ysA
Property Address: 106 PINEFIELD DR SANFORC, FL 32771
Parcel Information
Parcel 1 32-19-31 515 0000 0030
Owner ! ANDERSON TIFFANY M
Property Address 106 PINEFIELD DR SANFORD FL 32771
Mailing 106 PINEFIELD DR SANFORD, FL 3277 ! 1
Subdivision Name -CELERY LAKES PI_1k4F, 1_
Tax District S1 SANFORD
I DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2014)
Legal Description
LOT 3
CELERY LAKES PHASE 1
PB62PGS75&76
Taxes
Assessment Value
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Value Summary
2017 Working 2016 Certified
Values Values
1 Valuation
Methodg Cost/Market Cost/Market
Deprecated Bldg Value 132,374 114,999
Depreciated I Value
Land Value (Market) 30,000 23,000
Land Value Ag i
Just/Markett/Marclue'_ 162,374 137,999 P
yPd/ j
Save Our Homes Adj 37,827 16,014 Amendment
1 Adj I
P&G Adj 0 0 Assessed
Value 124,547 121,985 f
Tax
Amount without SOH: $1,953.00 2016
Tax Bill Amount $1,632.00 Tax
Estimator i
Save Our Homes Savings: $321.00 i
Does
NOT INCLUDE Non Ad Valorem Assessments Exempt
Values 124,
547 - 124,
547 124,
547 124,
547 124,
547 Taxable
Value 50,
000 74,547 25,
000 99,547 50,
000 74,547 50,
000 74,547 50,
000 74,547 Sales
Description
Date Book Page Amount Qualified1 Vac/Imp I
SPECIAL WARRANTY DEED 1/1/2012 0767 1908 98,000 No Improved SPECIAL
WARRANTY IDEED 4/1/2011 07575 1856 100 No Improved CERTIFICATE
OF TITLE 4/1/2011 07552 1606 100 No Improved SPECIAL
WARRANTY DEED 11/1/2003 051.E 0701 131,300 Yes Improved _. Find
Comparable Sales Land
v.,
r _
a. _
i _, __ ...
Method
I Frontage Depth I Units Units Price Land Value LOT
1 $30,000.00 $30,000 Building
Information Is
Bed/Bath count incorrect? Click Here i
Description Year Built Fixtures Bed Bath Base Area 1 Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 2003
9 3 7 5 1,120 2,659 2,215 $132,374 $139,341 Description
Area http://
pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=32193151500000030 7/26/2017
This a reement is made on this -S day of ( 2017 between
VI- i I Ll dl h of 39 (7 tT" V &7
Name Address City
07— L- 533jContractor) State
one and
Phie----- Na
Address City ftg-7 (Client) State
ip Phone c
The
above contractor will perform the following work as described in this agreement for $ 0 60: in
compensation from the client. Job
Description: pe& O-
A<- qp_
J
too
1,01d 6 e_ att GtLLoo
o f—S - Iu I C C jo P
a- 0 sB,-pC Work to commence
on- t Zd1 nd is estimated to be completed on l 7d/ Da e LYate
Contractor: Date: s
Signature I err
w,
jK S Client: T' /!4 /¢/
2.
1L°L' sO', Print Date: 7`
2
s``17
iItiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiI THIS
INSTR NT PR ARF Name
I ` Address: '
NOTICE
OF COMMENCEMENT State
of Florida County
of Seminole Permit
Number: r
r.: ..04...1._E: r, t. t.
LCRX'S c:...2f'170 7 516'-' C..',.:
i(,:%C:.:.! i t; _ - ,`l-t., i•}; a 4J,1 = ..._ i i! Parcel
ID Number: i_ -/o r 3l — 5'`S' tq00D— Do S o 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 p operty and street address if available) l
Db P n r - --V GENERAL
DESC IPTIO F IMPROVEMENT: Fee
Simple Title Holder (if other than owner) Name: 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 Designates To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. 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 perjury, I declare that I have read the foregoing and that the facts stated in it are true to
the best of owledge and be t Owners
Signature - Owner's rin ed 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 Q7't{ County of The
foregoing instrument was acknowledged before me this 9 _ day of 1201 by
I ` Q n n " Who is personally known to meX , \ti Name
ofperson making statement C'
Spa ORwhohasproducedidentification type of identification produced: \ ti
RENNE L CORBIN 11 ' V r C MY
COMMISSION N FF 0839D4 Notary Signa EXPIRES:
SwWed
ThruNotaryPubi c Und erwriters
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
r I
Date: ` 2-W7
I hereby name and appoint:
an agent of: 6?- L)-.L 0 9-
Name of Coy
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 permit and application for work located at:
10 J6'
Street Address)
Expiration Date for This Limited Power of Attorney: S'e r+ - Z-617
License Holder Name: C`- dJ U C14\S61^
State License Number: // CC / 3
Signature of License Holder:
STATE OF FLORIDA,
COUNTY OF C)
The foregoing instrume t was acknowledged before me this day of - Lj
200 Tj , by per; M',\'PC7 who is f ersonally known
to me or who has produced as
identification and who did (did not) take an oath.
A n _ , y
Signature
Notary Seal) Q A VI M-A rQ Print
or type name DAVID
J MITRO Notary
Public - State of ]FloridaM Comm. Ex ires Jan 3Y pCommissionFF081Rev.
3/27/07) Notary
Public - State of Commission
No. ML LG My
Commission Expires: " rAv 31 26l00
FAD PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 166 /Jj neC-;`eD j0t
STRUCTURE TYPE: 40 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): / lK t.J 00 r->
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"'`
ROOF VENTILATION: DOFF -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 1 m ber4 A 'C_ r6:1 FL# -
O METAL FL#
O MODIFIED BITUMEN FL#
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#
0 OTHER: FL#
FAD',
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 SanfordHistoricPreservationBoard
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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: J ( /
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: . — - I ADDRESS: l oh Pl ne v p AP—`
S4_-L&,, rc 3A77
I w L= r D L) c h s ce, \ , 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 #: C_r!/
COMPANY / CONTRACTOR: GAP I/-
1 Q CONTRACTOR SIGNATURE: t DATE: "'U
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
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 S(Zm 110 e-
Sworn to and Subscribed before me this. ° A day of 20'\9 by:
Nyr "C`8 Who is Xpersonally Known to me or has Produced (type of
identification) as
Signature of Notary Public
State of Florida
DAV'I W,kTO
Print/Type/Stamp Name
of Notary Public
identification.
o%,`r n`Bi": DAVID J MITRO
Notary Public - State of Florida
N, ,"'•• oPc My Comm. Expires Jan 31, 2018
Commission # FF 081976