HomeMy WebLinkAbout2004 Adams Ave 17-3224 roofCITY OF SANFORD
BUILDING & FIRE PREVENTION
ECERVE PERMIT APPLICATION
NOV Q 2 20il Application No:
ocumented Construction Value: $ ",7 rj-0Q , eD
Job Address: 2 4vf , 3Z"?7 1 Historic District: Yes No
Parcel ID: ' (' j / - sz: • /obb Residentialp Commercial
Type of Work: NewX Addition Alteration Repair Demo Change of Use Move
Description of Work: e ° J`•%L lfi1 l s
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name L A V: kk A A SZ>A Phone: `,o 7- ? 6 3- 2 2 ai
Street: 2-ooLf rt-AA w,S Resident of property? : 2
City, State Zip: 5A 4> r11 IF '3-7-71
Contractor Information
Name eo,L'qrVC SVI Phone: 7' 13O - TC 2 -CC
Street: a 14 P"S Fax:
City, State Zip: Or (• '= 32ga33 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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: 51h Edition (2014) Florida Building Code 1 /t'
Q
Revised: June 30, 2015 Permit Application
1 `
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 fro' m 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
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
1l ozfJ
Signature ntractor/A nt Date
Print Contractor/Agent's Name
L-'A
ITONINI
to of FloridaNota(
yMyCorrun' ry 21,2018
42Conu111"
Conen is
r.
Personally nown to Me or
Produced ID i/ 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
A CITY OF
kr DEPARTMENTSk40RD
FIRE
PERMIT # / -% - 39a"Y'
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 2- &0 q PrAj vKS 14Ve .
STRUCTURE TYPE: 9 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ((REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
40 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY:
PLEASE NOTE: ONL Y ] 00 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: p OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: ,O YES 0 NO 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
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE C Q_ 1 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 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#
O OTHER: FL#
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
c )RE DE PAR T V, NT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / ADDRESS: I q L)a ( 1 1' A .
or Ian cl 3;r6 63
I C a _) 1, L, 4 _ Y__ , 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 C-C 1
7
3o ''Lfo
COMPANY / CONTRACTOR: CC/ 3 i C i ///C/ JAC.-%
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSEIiOLDER OR ER/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 (fit"
Sworn to and Subscribed before me this _ day of AM lleAIIANZ20 n by:
Who is ersonally Known to me or has Produced (type of
identI ij atio) as identification.
Ignature of otary Public KIM E NELSONStateofFloridaL'4" State of'Fiorlda Notary Public
Commission # GG 98238
G 9toe`O My Commission Expires
April 29, 2021
Print/Type/Stamp Name
of Notary Public
SCPA Parcel View: 31-19-31-504-1000-0170 Page 1 of 2
Property Record Card
PA CPR
Parcel: 31-19-31-504-1000-0170
Owner: MASON, CLAUDIA A
Property Address: 2004 ADAMS AVE SANFORD, FL 32771-4613
Parcel Information Value Summary
Parcel 31-19-31-504-1000-0170
Owner MASON, CLAUDIA A
Property Address 2004 ADAMS AVE SANFORD, FL 32771-4613
Mailing 2004 ADAMS AVE SANFORD, FL 32771-4613
Subdivision Name BEL-AIR SANFORD
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2012)
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
v
1Y— Number of Buildings 1
Depreciated Bldg Value 35,636 33,585
Depreciated EXFT Value
Land Value (Market) 30,690 $30 690
Land ValueAg__
a.__._..
Just/Market Value **
w
66,326 64,275
Portability Adj
Save Our Homes Adj
0$O.__.._._,._
859 658
Amendment 1 Adj
P&G Adj 0 0
LL
Assessed Value 65,467 I $63,617
Tax Amount without SOH: $897.60
2017 Tax Bill Amount $897.60
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
ADVERSE POSSESSION LOTS 17 +
18+19BLK10
BEL-AIR
PB3PG79&79A
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $65,467 _$16,824$48,643
Schools $65,467 $16,824 1 $48,643
City Sanford - - $65,46 1 $16,824 - $48,643
SJWM(Saint Johns Water Management)
R $
65,467 1 $16,824 $48,643
County Bonds
W $
65,467 i $16,824 _ $48,643
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 10/1/2010 07466 1 1727 $100 No Improved
WARRANTY DEED 02761 1274 $100 I No Improved
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH { 165.001 125.00 i 01 $200.00 1 $30,690
I
Building Information
Is Bed/Bath count incorrect? Click Here.
Description
Year Built
Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1952 3 : 1 i 1.0 j 832 ' 1,339 832 CONC 1 $35,636 1 $69,534
Description Area
FAMILY BLOCK i
88.00
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=31193150410000170 11 /2/2017
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 t - b'Z' 1 '?-
I hereby name and appoint: 8 T'r -1; ,n C o *e Z
an agent of.
Name
Cd
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: t33 4 C40
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoinginst ment as acknowledged before me this oc of Y2 20,
by L who is *ersonally known to
me or who has produce as identification
and who did id nZ take an oa . Notary
Seal) INN
Notary Public State of Pbrida StephanieMBateyJ
My Commission FF 096576 atExpires
02/27/2018 Rev. 08.
12) Print oA
type name Notary Public -
State of C)r I0. Commission No.
My Commission
Expires:
THIS INSTRVME T PREPARED By- X9)rl 0 17rk: 21
Address: /910 k, /,<C( —
F) - -3 4 1111111111111111111111111111111111111111
GRANT ? SENINOLE COUNTY
NOTICE OF COMMENCEMENT CLERK OFHALOYCIRCUITCOURT.& COMPTROLLER BK
901-117 P9 1234 (INS) State
of Florida CLERK'S T 2017110984 County
of Seminole RECORDED 11/02/2017 11.57:52 AN 0 .
0 17.1 Permit
Number. Parcel ID Number: The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION
OF PROPERTY: (Legal description of the property and street address if available) ADAEIL54
0#55e-Ssion Lc4s 1-4 4-1$ +A JZZ ,-v arL aja rya GENERAL
DESCRIPTION OF IMPROVEMENT: W-
et- iZen,-f OWNER
INFORMATION: Name:
r— L.4vj> Address:
ZQ" 41 Fee
Simple Title Holder (if other than owner) Name: Address:
CONTRACTOR:
ea
Name: Address:
I Ct e) 1.1a, ka— -0 As .1 A. 3 Z-7 sit 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 of 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 I 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 1, 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 0 tot
ogbest ofmync wiedge dbeffief. Owners Printed
Name Owners Signaturee) Florida Statute
713.13(1)(9): 'The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead' n I
County of State of7D l — I — , -eI - The foregoing instrument
was acknowledged before this day of )&ye aL i, by Who is
personally known to me Name of person
making statement OR who has
produced identification El type of ide N b State
of Florida Stephanie otary PuBkey
M
BateY vWNotarypublic
State M Commission 0965
y y CommissionFF096576NignatuExpires 02 j
01 8Expires OV271=18