HomeMy WebLinkAbout265 Clydesdale Cir 17-399 RoofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No- / — 3 qJ
Documented Construction Value: S f 6 96 "
r0
Job Address: a(D `L?L S Jock L-1 Historic District: Yes No
Parcel ID: -go — 3 l - d 7 70 Residentiaa Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
i n i n
Descriptipn of Work:
Plan Review Contact Person:
Phone: Fax: Email:
Title:
Property Owner Information
Name C GA Phone: S— C
Street: Resident of property?
City, State Zip:
C01-1
Contractor Information
Name y- z 1-1 Y C v Phone: Xd %—%
Street: b 26 Fax:
City, State Zip: G J ` a'Z- State License No.: OCL
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 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 owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas(] Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPa Para.:l View: 18-20-31-505-0000-0440 Page 1 of 2
CFA
16
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Parcel Information
Property Record Card
Pam a I: 18-20-31-505-000"440
Owner: PENA LYDIA
Property Address: 265 CLYDESDALE CIR SANFORD, FL 32773
Parcel 18-20-31-505 0000-0440
Owner PENA LYDIA
Property Address 265 CLYDESDALE CIR SANFORD, FL 32773
Mailing 265 CLYDESDALE CIR SANFORD. FL 32773
Subdivision Name BAKERS CROSSING PHASE 1
Tax District S7-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2005)
V
0
V r
0
Seminole County GIS
Value Summary
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Markel
Number of Buildings 1 1
Depreciated Bldg Value 148,133 141,656
Depreciated EXFT Value 15.052 15.602
Land Value (Market) 32.000 32,000
Land Value Ag
JusUMerket Value " 195.185 189,258
Portability Adj
Save Our Homes Adj 50,066 47,124
Amendment 1 Adj
P&G Adj 0 s0
Assessed Value 145,119 1$142.134
Tax Amount without SOH: $2,980.44
2016 Tax Bill Amount $Z035.80
Tax Estimator
Save Our Homes Savings. $944.64
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l 8203150500000440 2/7/2017
Ins. Co..
Licensed & Insured7-7Y?-2051 0
Tel.# •• FirstinQualityv First
in Service ATLANTIC
A First in Sotisfacron Claim # Roofing &
Construction 800-411-0920 Adj. Name LIC #
CCC1330939 6767 Hoffner Avenue Tel. # LIC #
CRC1331435 Orlando,
Florida 32822 Fax #
O
PROPOSAL
SUBMITTED TO L i DATE STREET
2 S e JOB # CITY,
STATE, ZIP.S C 'r 1 3')SUBDIVISION ! / HOME
PHONE MS) 5q1 ql
l () SPECIFICATIONS FOR
LA13OR AND MATERIAL J/Tear
Off Shingles: Layers ` 1 1
I 1 P 0
Professionaly
Install: Brand {.r Ce Type A f Av 'P.0 U a l Coloura r h 1 (Q h V1 ct t ew
Valleys Ft. fd I
stall: O 30 lb. Felt O Peel & Stick D'Synthetic Underlayment I, seal, sidewalls,
counter and wall flashings O Re -Use Drip Edge U Drip EdgeI'ra W I GrNe r
1-1/2' 2' 3' 4' or Plumbing Vents entilation:. Goose
Necks Off Ridge Vents Ridge Vents Color bud Y QRenail
Plywood Sheathing to Code Vplywood kyright
2x24x4 replaced at $
60 - per sheet (if need ' la/clean-
up and haul off all job relaledtiasl 13-Roll yard with magnetic roller Protect yard and shrubs 5 / V
r r)
Df- A I- cdv r vt
e, 1 rP- - MV I IC- 71v N_f- •;I Vor a U . Atlantic Roofing
is not responsible for pre-existing stru ural con I ohs. p 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 Kol CONTINGENTThis
proposal
Is contingent upon the Insurance company paying for damages. This proposal will be VOID only If claim is disallowed by Insurance company. Prop" owner'
s out-0f-0ocket eVense is not to exioeed 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
to hereby furnish materials and labor, complete in s000rdance with above specifications for the sum of the insurance as per the insurance company loss
scope shea for which is Inc{Pewed herein and made a part hereof by reference, to include customary proft and overhead when multiple trade incurred
S1tnC1f'rA — Paym pon completion oteach trade. b id
C r r l ad Authorized SignaM
Must be
approved by company owner. No *"'Pressed or implied verbally. Ali changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be raven try us If not accepted within 30 day& ACCEPTANCE OF
PROPOSAL- The above;specificati conditions are satisfactory and are hereby accepted. You are authorized to do the work as
t will
bed , J ' \ 1
Payment
willbemadeasoutrmeaboX ^ — Date
N 1191111111111111111188 1111111111 loll fill
THIS INSTRUMENT PREPARED BY:
Name:
Address: L -?
z z
NOTICE OF COMMENCEMENT
Permit Number.
GRANT 11ALOYf SF.MINOLE COUNTY
CLERK 017 CIRCUIT COURT & COMPTROLLER
BK 8859 P9 1120 (11`9s)
CLERK'S A 2017014369
RECORDED 02/09/2017 12:0 2:3h PM
RECORDING FEES $10-00
RECORDED BY hdevor•e
Parcel ID Number: I , iL .3 ( 57o,5-00e)o 0 S/ 0
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: Jl_egal descripbo0 of the property andrslreet Address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMA ON OR SSEE IffORMATION IF THE
Name and address: L'a r Y' C -, X
Interest in property: /
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name=
Address: &,Z/, i i
S. SURETY (If applicable, a co the payment bond is attached):
THE IMPROVEMENT:
Phone Number: y0 / /17' /'
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
713.13(1)(a)T., Florida Statutes.
Name: Phone Number:
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:
i>Z
9. Expiration Date of Notice of Commencement (The expiration is 1 year from dale of recording unless a different date is specified)
O
CV
W
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.
LN iL07v via
gnature of Owner or -Lessee. or Owners or Lessee's (Print Name and Provide Signatorys Tide/Office)
Authorized OMcedDuector/Panner/Managen
State oft l A County of
The foregoing ins rument wa acknowledged before me this 1 S f-
day of r/V y , 20
1
by 0-- .Who is personally known to me O OR
Name of person making statement J 1 ,
who has produced identification a of identification produced:F , r, O o — 5-ao — 3- / D`"t' `
Ii'
r
GRACIELA GAONE
MY COMMISSION 0 FFOWW9
3'a •' EXPIRES April 25, 2M Notary signature
e0r)390-0163 FlorldsN earn
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), certifyingFBC code compliance b/6rsonal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: ^ F " /
0 1
PERMIT #
STRUCTURE TYPE: SINGLE FAMILY RESIDENCEITOWNHOUSE
City of Sanford Building Division
Residential Re -Roof Scope of Work
O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 08LREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
1( iS
DECK TYPE (PLEASE SPECIFY):
1
Z 6
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: k ,OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: OYES &NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 9A:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
HINGLE f ee FL#
OMETAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN
OINSULATED
FL#
FL#
OMLE 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#
OTORCH DOWN FL#
OINSULATED FL#
OBILE FL#
O OTHER: FL#