HomeMy WebLinkAbout1504 Palmetto Ave 17-365 RoofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D
Application No: 1 % — 365
Documented Construction Value: $ + og no _ oc)
Job Address: 5-'>4 Paj Historic District: Yes No 13
Parcel ID: .2.S - ( 9 - 3 — SAResidential [v]1"'
Commercial
Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Lae-'a i Plan
Review Contact Person:lUL1_' Title: Phon .
Fax: Email Property
Owner Information Name
M C X--r .7Si l / mck- n Phone: L1 -01 - 4 9g - 1 %14 Street: 1
S OLA (-1t1 rule.±" o A \ b vim. Resident of property? City, State
Zip: S91'l oC; , EL,- 71 Contractor Information
Name Street
City,
4
Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
q
An -0 Lq ` q.59 Fax: State
License
No.: Arcnitecvtngmeer 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. 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,
beaters, tanks, and air conditioners, etc. FBC 105.
3 Sball be inscribed with the date of application and the code in effect as of that date: "Edition (2014) Florida Building Code Revised: June
30, 2015 'q :3 G' v 5 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 Owner/Agent Date
r•~ .`,`'
t• NANCY L 1vENNGEHOLD
MY COMMISSION FF 19=1
EXPIRES: Avivy 26
Owner/Agent is ersonally own to or
Produced TD Type o
Signature of Contractor/Agent Date
PntContractor/Agents Name
7 F OVI 1 ' 0 Pp 0,4 04 1
Signature of Notary -State of Florida Date
Rr •W4k4+ P. ENE BROEI ER
MY COMMISSION 0 FF 963471
EXPIRES: Me" 3. 2020
0lno BoMteilriluaWNotryt3.nAora
Contractor/Agent is Pe own to Me or
Produced TD Type of ID
e-
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Mn. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No #.of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
2/12017
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Parcel Information
SCPA Parcel View: 25-19-30-5AG-1702-0010
Property Record Card
Parcel: 25-19-30-5AG-1702-0010
Owner: SILLMAN MICHAEL A
Property Address: 1504 PALMETTO AVE SANFORD, FL 32771
Parcel 25-19-30-5AG-1702-0010
Owner SILLMAN MICHAEL A
Property Address 1504 PALMETTO AVE SANFORD, FL 32771
Mailing PO BOX 1574 SANFORD. FL 32772-1574
Subdivision Name SANFORD TOWN OF
Tax District SISANFORD
DOR Use Code 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT
Exemptions 00-HOMESTEID(2014)
B
0
Legal Description
LOTS I +2BLK17TR2
TOWN OF SANFORD
PB 1 PG 60
Taxes
Seminole County GIS
Value Summary
2017 Working
Values
2016 Certified
Values
Valuation Method Cosi/Market CostlMarket
Number of Buildings 1 1
Depredated Bldg Value 103200 99,734
Depreciated EXFT Value 913 925
Land Value (Market)
Land ValueAg
27.000 27,000
Just/Market Value " 131.113 127,659
Portability Adj
Save Our Homes Adj 17,721 15,055
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 113,392 112,604
Tax Amount without SOH: $1,745.64
2016 Tax Bill Amount $1,443.85
Tax Estimator
Save Our Homes Savings: $301.79
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
Schools 113,392 25.000 88,392
City Sanford 113.392 50,000 63.392
SJWM(Salnt Johns Water Management) 113,392 50.000 63.392
County Bonds 113.392 50,000 63.392
County General Fund 113,392 50,000 63,392
Sales
Description Date Book Page Amount Qualified Vactimp
WARRANTY DEED 4/1/2002 04381 11053 129,000 1 Yes Improved
WARRANTY DEED 12/1/1994 02855 1558 67,000 Yes Improved
WARRANTY DEED 3/1/1993 02566 11117 52,000 Yes Improved
Find Comparable Sales
Land --_
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 100.001 117.00 01 $270.00 $27,000
Building Information
s Bed/Bath count incorrect? Click Her
Description
Year Built
Fixtures Bed Bath Base Area Tohal SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective
httpl/parceldetail scpall nrgfParcl;'r)s illnto.aspx?PID=2519305AG17020010 12
2/2/L017 Estimate000=from American Homes Roofing Inc. RC29027427
American Homes Roofing Inc. RC29027427
1465 Grove St Apopka,Fl 32703
Mike Sillman
1504 Palmeto Dr Sanford,Fl
ESTIMATE
Estimate * 0000073
Estimate Date 01/19/2017
Item Description Unit Price Quantity Amount
Service Dry in with new cool synetic felt,new plumbing boots,new 6800.00 1.00 6,800.00
eve drip and cover with galv alum roof panels.
NOTES: 10 yr guaranteed on labor,all trasi c p daily,deposit for mi charge
for garage repair. Signature Owner "Signature Contra Subtotal
Total
Amount
Paid Estimate
at
start, of nJA~.
aynax.com/printEsbmate.php
lv THIS INSTRUMENT PREPARED BY: ltt tt l t t t 11111 rill 1111
Name: L a9' 70V9'STRPOPM,F ----- Address: GRANT MALOYr SEI'IINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
Br, 3853 F's 766 (1F'ss )
NOTICE OF COMMENCEMENT CLERK'S 4
i)1/31/2l/31/20856RECORDED41712»30» Lam' PM State
of Florida RECORDING
FEES $11 -00 RECORDED
BY hdevore County
of Seminole Permit
Number. 1 -7- Parcel ID Number. W — 1 qr — 3o— S ,16 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. DESC
PTION OF PROPERTY: (Legal description of the property and street address if avails le bo
G (,'10 Q
I en ci-t- Syn'f-0f ci P L- 3?. '7 7 1 NERA
eroo'
DESCRIPTION
OF IMPROVEMENT: OWNER
Address:
Fee
Simple Title Holder (f other than owner) Name: Address:
CONTRACTOR:
Name:
American Homes Roofing Inc Address:
1465 Grove St Apopka,Fl 32703 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:
Michael Altizer Address:
1465 Grove St Apopka,Fl 32703 In
addition to himself, Owner Designates of To
receive a copy of the Llenoes 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 1 have read the foregoing and that the facts stated In it are true to
the best of my knowledge and belief. owners
Signature Owners Printed 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 l l County ofY1— 11`a The
foregoing Instrument was acknowledged before me this91 1% 0ay of by Who
Is personally known Name of
person making statement OR who
has produced Identification type of Identification produced: r. NANCY
L
HENGEHOLD f w *
MY
COMMISSION / FF lrM EXPIRES: January
26, 2019 _ signaturo J 03
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LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ` . - ' 1A
I hereby name and appoint: \—A>Y-
an agent of:
Name of
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):
IN]
Expiration Date for This Limited Power of Attorney:
License Holder Name:1 r
State License Number Ly11 20Ll
Signature of License
STATE OF FLORIDA
COUNTY OF SO rl`t Key--
h _
The foregoing instrument was acknowledged aefore me this 22 day of cJ RIyG(C!A 4
20P_ , by C AnQ GL f*i-(,.-- i Z. e.(Z who is (personally known
to me or o who has produced as
identification and who did (did not) take an oath.
Signature
Notary Seal) P=G 1 h °L f r o ek e 2
Print or type name
P. ELAINE BROVER
WCOMMISMON n FF MU71 Notary Public - State of --
Fa
PIRIS: Moo 3.2M Commission No. ® F
My Commission Expires: l7
Rev. 08.12)
City of Sanford Building Division
a n Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REvrEw 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), certifyingFBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUIIAER) SIGNATURE: DATE:
o,
PERT # —7MIS City
of Sanford Building Division Residential
Re -Roof Scope of Work JoB
ADDREss• d `+ ! C \ STRUCTURE
TYPE: ® SINGLE FAMILY RESIDENCE%TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) RE-
COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): PLEASE
NOTE: ONLY 100 SQUARE FEET OF THE E UST/NGDECKI'S PERMUTED TO BE REPLACED** ROOFVENTILATION:
DOFF -RIDGE ORIDGE 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 O
SHINGLE FL# I METAL
FL# OMODIFIED
BITUMEN FL# O
TORCH DOWN FL# O
INSULATED FL# OTILE
FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS. ETC.) **IFAPPLICABLE** ROOF
SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 ® 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLOREDA PRODUCT APPROVAL O
SHINGLE I-A FL# ') , METAL
FL# O
MODIFIED BTTUMEN FL# OTORCH
DOWN FL# 0INSULATED
FL# O
TILE FL# 0
OTHER: FL#
City of Sanfort
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS:
eY [iC_A T ` 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.rCHAPTER
553.
844). LICENSE #:tj
Q AQ l Q2n `i'/) COMPANY / CONTRACTOR: -
e . ` CONTRACTOR SIGNATURE:
IZA DATE:,)" , 1 MUST BE
SIGNED BY LICENSE HOLDER OR O UILDER) 25 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 ino LLB Sworn to and
Subscribed before me this day of 20 by: m i c
hg el.. - 2'Who is kWe'rsonally Known to we or has U Produced (type of identification) ^as identification.
Signature of Notary
Public State of Florida
P_ CC c
ne erocvee Print/Type/Stamp
Name rr of Notary
Public ?
o .• °kg, P.EWNEBROVER W COMMISSION N
FF 163171 N; A EXPIRES:
1`
I roA S 1010
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #• / (a s
0,A; 7r—r hereby acknowledge that I personally inspected
0 Roof deck nailing and/or D Secondary water barrier work
at St7 T P} % ni e— ,,p and have determined that the work
Job Sit6 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.
Signature of Contractor Date
Printed Name of Contractor License #
License Type: 0 General D Building D Residential D Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S L-Q-'
Sworn or aftrmeck) and subscribed before me this f bdayof yy. Y , 20 , by rn
10\q6,— PtL+ Ze-2 , who is ['Personally Known to me or has 0 Produced (type of identification)
as identification. SEAL)
Signature
of NotaryPublic State of
Florida i r, ":!' ,
P. MME
eaoa R P f
i n• {7 f P_ 1Le r . W COMMISSION 0 FF 9WR Print/Type/
Stamp tam NameS4s` EXPu Es: Mao a, 2020 p 'Eo
F d° e amueuaarNoe e. of Notary
Public Revised. • February
2015