HomeMy WebLinkAbout109 Friesan Way 17-136 RoofECEiVE
JAN 2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 3
Documented Construction Value: $
Job Address: ® Historic District: Yes No,-
Parcel ID: l L 20 ,3 / , Z5— z w Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Moove
Description of Work: Lt" /&:&
LCJ^A':til<- ;9a8-,
Plan Review Contact Person: M i
Phone: {Di -S'7 J % Fax:
Q Title: /911u D
Email: f141"! i J"54F,' N!jA/no
f
Property Owner Information
Name &1W Phone: .} — S% — Ilk
Street: /Q Cj F" e-r 14 1.7 Resident of property?
City, State Zip:
Contractor Information
Name %'ll X-
ee/ /'7
Street: 6
City, State Zip: 21-2-
Phone:
Fax:
State License No.: CCC 133Ds3 S
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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. 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: 51' 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 of Owncr/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
Signal re of Cont actor/Agent Date
Print Cont or/Agent's Name
ry,14 - &Ot7 /
Signature of Notary -State of Florida Date
Produced ID
ANNETTESCOTT
Notary Public - State of Florida
My Comm. Expires Jan 16, 2018
Commission # FF 071760
BELOW IS FOR OFFICE USE ONLY
Me or
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'B t jsr
City Sanfordof
Building and Fire Preventionil\4.Fy_1.?H
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide theinformationandproductapprovalnumber(s) on the building components listed below if they are to beutilizedontheconstructionprojectforwhichyouareapplyingforabuildingpermit. We recommend thatyoucontactyourlocalproductsuppliershouldyounotknowtheproductapprovalnumberforanyofthe
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.florid building.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product ---FFlorida Approval #
Description (include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underlayments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
Manufacturer
FW--M
Product Florida Approval #
includino decimal)
16
June 2014 2
1 - . ,
Category Subcategory
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
Manufacturer
June 2014 3
Product
M
Florida Approval #
include decimal)
6
Licensed & Insured
First in Quality
First in Service
k First in Satisfaction
Roofing & Construction,., 800-411-0920
LIC # CCC1330939 6767 Hoffner Avenue
LIC # CRC1331435
Orlando, Florida 32M
M S a-1Ah rA, () <A ; S (o 1 Q y4. 001 Co P-1 Ins.
Co,- Tei.# '
F77, 700 L 3'7% q Claim #
7 `f I ,? 6 Adj.
Name APIA BA/Q GT AJ Tel. #
e24+ 7 trS 1 Fax #
rs"
1floctc .co!^. PROPOSAL SUBMITTED
TO r--,. VA )O rl SO F` DATE J / STREET tog
Fr ; e 5. is n l j t L 4JOB # CITY, STATE,
ZIP _SQe~+1g-0( 2 7-? SUBDIVISION a HOME PHONE
a JS-7 BUSINESS PHONE SPECIFICATIONS FOR
LABOR AND MATERIAL Te Off
Shingles: _ Layers 8 Prossionally
Install: Brand bc-, r Type rT r 4 Color A fl 13Ne alleys
Ft. n 11.:
30 lb. Felt Peel & Stick Synthetic Undedayment Q Re
1, sidewalls, counter and wall flashings Re -Use Drip Edge Dnp Edge row 1-1/
2' 2' 3' 4' or Plumbing Vents J C Vert '
on:. Goose Necks Off Ridge Vents Ridge Vents Color 1' fl (.J.h enail Plywood
Sheathing to Code Sht 2x2
4x4 C-Cean-
urp P° replaced
at $60 -per sheet (if needed) and haul
off all job related Va oil ya w h mag tic rofer P voted %y and shrubs Atlantic Roofing
is not responsible for }ire -existing structural conditiohs. Buyers agree
they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS
HAVE A 5 YR LABOR WARRANTY CONTINGENT This
proposal
Is contingent upon the Insurance company paying for damages This proposal will be VOID only if claim is disallowed by Insurance company, Property owner'
s out-o pocket evense is not to m heed the deductible amount The Insurance company will determine and set the price of the claim. YOU, THE
BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION.
BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN
RECEIVED. We propose
t0 hereby furnish materials and tabor, complete in accordance with above spec ns for sum of the insurance as per the insurance company loss
scope sheet for which is incp rated h and mad refs to ' de customary profit and overhead when multiple trade incurred
S 11 P lion of ea trad Authorized Signature
i ( ws—, 41 Must be
approved by company owner. No other wort[ ei pressed or implied verbally. Ail to be in writing and accepted before commencement of changes. NOTE:
This proposal may be withdrawn by us If not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above prI rditions are satistactory and are hereby accepted. You are authorized to do the work as
specified. 7 / Payment will
be made as outrme above X / '" Date
NTHIS INSTRUMENT PREPAR , D BY: '
Name: 114(( '
Address -=-?
Z
NOTICE OF COMMENCEMENT
Permit Number:
GRANT 11ALOY; SEIIINOLE COUNTY
CLERK OF C:IRC:UI:T COURT & C:OVIPTROLLER
BK 884.1 Rj 411
CLERK' S Y 21317003095
RECORDED 1 11/10/2C117 01:24: i i; P11
RECORDING FEES
f:::;RGLG BY hdevore
Parcel ID Number: I.,.-i ( .5 =U 06) v
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 PROPERTY: (Legal description of the property and/street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMAWON OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Z/ %
Interest in property: 4n 19 *
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR: Name:
Address: O'c! 2_
5. SURETY (If applicable, a
Address: Amount of Bond:
6. LENDER: Name:. Phone Number:
Address:
7. 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)(a)7., Florida Statutes.
Name: Phone Number:
Address
8. In addition, Owner designates of
to receive a copy of the Lienor•s Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Dale of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
b
a
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.
VG--Sfl hSDIV) 2',----(
S1g RaDtCref Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
4Stateof County of —fy
The foregoing Instrument was acknowledged before me this
sO
day of
by m l ) o f Vt S V , 1
r
Who Is personally known to me 0 OR
Name of person making statement
who has produced identification pe of identification produced: L • 5 Z ?
ii4: GRACIELA GAGNE
P MY COMMISSION # FF985941
EXPIRES April 25, 2020MO
407 32"153 FloridallotarySarvioe.com
JAN 10 2017
SCPA Parcel View: 18-20-31-505-0000-0040 Page 1 of 2
i Property Record Card
i
Parcel: 18-20-31-505-0000-0040
j Owner: JOHNSON EVA
sew+asonwn,ann.
Property Address: 109 FRIESIAN WAY SANFORD, FL 32771
Parcel Information Value Summary
Parcel! 18-20-31-505-0000-0040
Owner j JOHNSON EVA
Property Address 1 109 FRIESIAN WAY SANFORD, FL 32771
Mailing 109 FRIESIAN WAY SANFORD, FL 32773-6853
Subdivision Name , BAKERS CROSSING PHASE 1
Tax District ; S1-SANFORD
DOR Use Code 01-SINGLE FAMILY _--_— --—
T
Exemptions
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value j $127,136 121,628
Depreciated EXFT Value 450 463
Land Value (Market) 32,000 32,000
1
Land Value Ag
Just/Markel Value "
r
159,586 154,091
r....................................................... l ............ -........................................
Portability Adj I
Save Our Homes Adj 0 0
Amendment 1 Adj 0 13,783
P&G Adj 0 0
p
Assessed Value 159,586 140,308
Tax Amount without SOH: $2,916.73
2016 Tax Bill Amount $2,916.73
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 4
BAKERS CROSSING PH 1
PB 60 PGS 27 - 29
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
Schools 586
i City Sanford
159,586..................................................................................-$0..........................................................$159,.....
159,586 0 159,586
j..............................................................................................................................................
SJWM(Saint Johns Water Management) 159,586 0 159,586
i County Bonds
p-_____...__._.... __.._..._.-........__...........-....._..'-.
159,586 j 0 159,586
County General Fund 159,586 0 159,586
Sales
r----...___.__.._..--------------------......---.._..-----.............. -........ --------.._.._._..._
Description j Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 5/1/2016
WARRANTY DEED 4/1/2004
08687
05289
0257
0932
199,000 Yes
176.700 Yes
Improved
Improved
WARRANTY DEED 1/1/2004 05214 1267 198,000 No Vacant
I # Description Year Built Fixtures
Actual/Effective Bed Bath Base Area Total SF Living SF Ext Wall Adj Value I Repl Value Appendages
1 SINGLE 2004 7
FAMILY
3 I 2.0 1,751 2,307 1,751 CB/STUCCO
FINISH
127,136 $133,476
Description Area
439.00
http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=18203150500000040 1/5/2017
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: l Q - (3
I,hereby acknowledge that I personally inspected
06400f deck nailing and/ort?FSecondary water barrier work
at i d G'n Lt/ and have determined that the work
Job Site Address) /
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Sig a e of Contractor Date
4 a- CCG 133y,939
Printed Name of Contractor License #
License Type: General Building 0 Residential'oofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF I-AW
Sworn °° (or ffirned) and subscribed before me this day of 7 ,1va , 20 l , by Ge (
who i§Arersonally Known to me or has Produced (type of identif
tion) as identification. SEAL)
Signature'
of Notary Public State
lorida \ ' c%
ea t t{1°P:;% STEPHENPATRICKDOIAN Print/
Type/Stamp Name * * MY COMMISSION ItFF071532 EXPIRES:
December 27, 2017 of
Notary Public +"SOF°- Bonded Thru Budget Notary services