HomeMy WebLinkAbout117 Venetian Bay Cir; 17-1847; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 -7-IF47
Documented Construction Value: $ 14
Job Address: u'j vwtAiop Historic District: Yes No 0—
Parcel ID: Residential [a Commercial
Type of Work: New Addition Alteration Repair [TDemo Change of Use Move Description
of Work: ccl"'A uy (ud kw 6 t- Plan
Review Contact Person: VwN ti)MA. 1(; Title: Phone:-
4O-N,c 2AJ Fax: Email: v(•Q,CLJ O l c_,_Qsr Property
Owner Information 7t
NameM :yr1X0A Phone: (401) Y19-17 1 Street:
I j VWe,'cnn.Y I &
M (
A*f-dt, Resident of property? : W5 _ City,
State Zip:k, Contractor
Information Name (.,
u Vl a_-l. Street:
V)156 W . Qrb g1A 0A, G ' q City,
State Zip: Qyrn r biai !, CL -;)2,nq Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
State
License No.: caj oc-494Architect/
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: 5th Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application U
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 1 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent 13ate
M, Mary
Print Contractor/Agent's Name
D&
r
Q
1 ti
Signature of Notary -State of Florida Date
C11SC-_
Desiree Pichardo L.
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF954096
Expires 1 /26/2020
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 23-19-30-502-0000-0710
2017 Working2016 Certified
Values Values
Valuation Method i Cost/Market Cost/Market I
Number of Buildings 1 1
Depreciated Bldg Value 150,165 135 572
Depreciated EXFT Value
Land Value (Market) 37,000 35,000
Land Value Ag
Juslr'hiarketValue" 187,165 170,572
t Portability Adj I
Save Our Homes Adj 64,484 50,414 j
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 122,681 120 158 j
Tax Amount without SOH: $2,606.00
2016 Tax Bill Arnount $1,595.00
Tax Estimator
Save Our Homes Savings: $1,011.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 71
VENETIAN BAY
PB63PGS84-88
Taxes
Taxing Authority Assessment Value Exempt ValuesTaxable Value
County General Fund 122,681 50 000 72,681
Schools 122,681 25 000 97,681
City Sanford 122,681 i 50 000 72,681
SJWM(Saint Johns Water Management) 122,681 50 000 72,681
County Bonds 122,681 50,000 72,681
Sales
Description Date C Book Page Amount Qualified Vac/Imp
WARRANTY DEED 3/1/2012 07737 1.399 120,000 No Improved
QUIT CLAIM DEED 7/1/2007 06772 1272 100 No Improved j
WARRANTY DEED 6/1/2004 0 337 118 202 600 Yes Improved
WARRANTY DEED 11/1/2003 05091 0107 3,476 000 No Vacant
fa tt :6[tr2GiPssaF.:.iArg.; j
Land Value
37,000.00 $37,000
Adj Value ' Rep[ Value i Appendages
112
fro:
p.
o,P si.`' EXPIRES March 22. 2019
fC/);lEW 1'S:i FlorMaNn!iryServia":,
Rev. 08.12)
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:I I (cr111
I hereby name and appoint:
an agent of: Ci W, 5 t'1(,(G'1Gt G1
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):
tr The specific permit and application for work located at:
11I U.9.1')A1'(X 1 ba4 cn.rce
f (
Street Address)
Expiration Date for This Limited Power of Attorney: 6i(yit,
License Holder Name: I ' 1; (y'd W "' (I
State License Number: ('l'051P
Signature of License Holder: - \
STATE OF FLORIDA
COUNTY OF 1'114
The foregoing instrument was acknowledged before me this day of,
200__0_, by 01CJ,t&,' MGrV0 who is der nally kno
to me or who has produced
identification and who did (did not) take an oa
Sig"gn"
a't ure
Notary Seal) IVIMAI m
Print or type name
KERRY MCINT'YRE
MY COMMISSION # FF212303 Notary Public -State of N066
Commission No.
My Commission Expires:
wn
as
Permit No
Tax Parcel Number - go,
3 _ _ 'j,- Q- no NOTICE OF COMMENCEMENT
State of Florida
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 erty: (Legal description of the property, and street address if applicable.)
lay 1(
Pro
N Pl ke3 F6115 9-f-gs
2. General description of improvement
RE -ROOF
3. Owner informatiioon (or Lessee information if the Lessee"c"orn racted for the improvement)
a. Name: IAIii ---rux)m 1 IV n mAw
Address: _-i
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor Information:
a. Name: C.W. STRICKLAND, INC.
Address: 555 W GRANADA BLVD, SUITE G9; ORMOND BEACH, FL 32174
b. Contractor's phone number: 407.542.9700
5. Surety (if applicable, a copy of the payment bond is attached):
a. Name:
Address:
b. Phone number:
c. Amount of bond: $ .00
6. Lender Information:
a. Name:
Address:
b. Lenders phone number.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name:
Address:
b. Phone numbers of designated persons:
8. In addition to himself, Owner designates,
a. Name: of
GRANT 11ALOY s SE MINOL.E C:t UN*1"r'
CLERK OF' CIRCUIT C:C)URF & COMPTROLLER
CLERK'S Y 20170 15?3
RECORDED I I6/21-li 21_%17 0,3. ) 3 c j 0 All
RECORDING FE'E=S sjo.Cio
RECORDED BY jeck-inro
CERTIFIED COPY - GRANT MALOYw,
c!1,
CLERK OF THE CIRCUIT COURT.zsy
AND COMPTROLLER
SEMINOLE COUNTY, FLORIDA
BY . `-)A a.Qe`- i- DEPUTY CLERK
FOR CLERK'S OFFICE USE ONLY
of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number
9. Expiration date of Notice of Commencement (the expiration data is 1 year from the date of recording unless a different date is specified):
JUN 2 ® 2017
to receive a copy
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 1, SEC ON 71 .13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CoM ENC MENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAI MG, CO UL ITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT/
Signature of Owner (or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager (Section 713.13[1] [d]))
Signatory's Title/Office
State of `^" ` "` County of f &
The forgoing instrument was acknowledged before me this, day of
T -
W'b 20 l-a by
Type of authority ...e.g. officer, trustee, attomey-in-fact)
Signature of Notary Pu is - State of Florida
Personally Known OR Produced ID
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF954096
Print, Type or Stamp Name of Notary Public
Type of ID Produced Pt r a —
i S l
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) SIGNATUR
V
DATE: J11
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS X I'
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q!! REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): NNI &A
PLEASE NOTE: ONL Y 100 SQUARE 70T OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (0 0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 V 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
D-SHINGLE l,
r- ` FL# g:)4 fL
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
0INSULATED 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#
0 OTHER: FL#
x
Q -"'p LT3 i C im r L` C WORK AGREEMENT
Insured Name: ` f !y R l.a l G Primary Telephone qo 46 4
Loss Address: A 'Crt 1 AV 13 A Secondary Telephone
City: :5; A A) 10 fi L" State: ( Zip: z`i i Email Address:
Insurance Company: pPolicy No.: =r 1-1 -1Z CI im No.: Deductibles t
D j Date of Loss: Description of Loss: Time: Mortgage Company:
Mortgage Loan Number: TERMS and
CONDITIONS AUTHORIZATION: I/
We the Insured, hereby grant full permission and authority to C.W. Strickland, Inc. to discuss this claim directly with my/our
insurance company and all of its agents and/or adjusters. I/We further request that my/our insurance company schedule any and all necessary
inspections with our contractor, C.W. Strickland, inc. 1/We also acknowledge and understand that the insurance deductible is our responsibility,
and that no guarantee of par lament for damage has been promised by C.W. Strickland, Inc. and/or its representatives. SCOPE OF
WORK: For the complete sum of .f— w S J Q a 11 C,b` 6 r• ,.a d and in accordance with the Scope of Worts and damage/
estimate specifications provided by my/our insurance company, C.W. Strickland, Inc. is hereby authorized to furnish all labor and materials
for the work included in this claim. I/We will not seek out other contractors to do the work associated with this claim. Any insurance
proceeds disbursed as a result of this claim, will be used to complete the repairs to the above listed property, as follows: Remove all
existing layers/shingles and tar paper down to wood deck. Replace any
and all rotted or damaged wood decking (as needed). Apply ASTM
D226, d synthetic roof underlayment to decking. Install all
new 30 Year ARCHITECTURAL/DIMENSIONAL style shingles. Architectural Shingles
Color: Install painted
metal drip edge (Color): Install all
new metal box roof vents 0 Shingle -over ridge vents. Install Hip
and Ridge cap shingles O Standard O Enhanced N/A Install new
2" and 3" boot collars around vent pipes. Install new
Pipe Flashings O 3-n-1 Lead Install new
metal valleys Closed Open Install step -
and -counter flashing along party walls and chimney. Protect property
as needed daily and dispose of all debris properly. It Clean
job
site and gutters with magnet broom and/or roller. Furnish all
labor and materials and all necessary permits. Existing Driveway
Damage YES O NO Interior Damage:
Emergency Repair
and/or Tarps O YES NO Transferrable S
Year Warranty on all workmanship and labor. 30 Year
Prorated Manufacturer Shingles Warranty. Upgrade: Notes:
EXCLUSIONS:
Any
upgrades or changes to the scope of work NOT included in this claim by my/our Insurance company will require additional funds
from us/we the insured. I/We hereby agree to make additional payment for any and all additional work requested. r ASSIGNMENT
OF
BENEFIT: I/We are hereby placing my/our insurance company on notice that this is a direct assignment of benefits pursuant to
Florida Law. I/We therefore agree to irrevocably assign the insurance rights for this claim to C.W. Strickland, Inc. Any checks issued by
my/our insurance company are to be as a "joint check" listing me/us the insured, and C.W. Strickland, Inc. as co -payee. All checks for
approved work related to this claim, are to be mailed directly to me/us, the insured, for disbursement as the work is complete . CANCELLATION: I/
We may cancel this agreement without penalty prior to midnight of the third business day after the date of this agreement. Cancellations
must be sent in writing via certified U.S. Mail, return receipt requested. If I/we cancel this contract after the third day,
1/we agree to pay C.W. Strickland, Inc. 20% of the Insurance proceeds or $2,000, whichever is greater, as liquidated damages. IF APPROVAL
OF MY/OUR CLAIM IS DE IE , THEN I/WE HAVE NO FINANCIAL OBLIGATION TO C.W. STRICKLAND, INC. Accepted by
Insured: Date: Sign/Print:
Sign/Print:
C.W.
Strickland Representative! ( ) Date: Date:
C,
2& `c--
DEDUCTIBLE ACKNOWLEDGEMENT
The undersigned Homeowner/insured hereby agrees and acknowledges that a Deductible Payment is due to
C.W. Strickland, Inc. by the time the material is delivered to the home. This payment is due directly from the
homeowner, and not from the Homeowner's insurance company. C.W. Strickland, Inc. has NOT received any
deductible from your insurance company.
Homeowner further understands that state law requires that the customer pay the deductible in full, and that
any language contained in the Statement of Work (or Scope of Work) provided by the insurance company,
such as, "Less Deductible," or "minus Deductible," or "— Deductible" does not mean that said insurance
company has deducted, and/or thereby PAID the Deductible on behalf of; or for the Homeowner/Insured.
Amount of Deductible Due to C.W. Strickland, Inc.
Homeowner agrees to pay $ upon arrival of the first insurance check the ACV Check).
Homeowner agrees to pay $ upon arrival of the second check (the Depreciation Check).
Homeowner agrees to pay the Balance of the De uctible Due, if any, at the time of 'completion of the roof
installation, OR, Homeowner agrees to make payments of $ 1066,.c for the balance.
Homeowner/Insured: Date:.
Sign/Print:
Sign/Prints
www.cwStrickland,Roofing.com
Date:
Lic# CBC 059289 / Lic# CCC 05688441
o a: a = -
Secur ty first
insuranceiComp,any
BOX 459025POSTOFFICE
SQCUIIIyFICSi SUfdnC2 SUNRISE,FL33345-9025
InSUrjr g FlerkiO+comes r+
d Three Hundred Sixteen And 61/100
PAY 'Nine Thousando
ars n
TO THE E
GENERA CONTRACTOR AND-T J oRER;bF.`MR TURN TRUO.N TAT
D
THUY3 NGUYEN AND G.W ST:
RICKLAND INC S m
GRAHAM
ISAOAATIMA F
palmy:
SFIH7972519-05; ClaimlD: 00055316 n`
02L269211• :263L9138?- i
Two
Signatures Required BYAUI
BY
g
SIC
TuRE 0000
240 5 SOS F, 3110