HomeMy WebLinkAbout107 Dominion Ct - BR17-000255 - ReRoofI
o
EGEWCE. CITY OF SANFORD
20V BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S I -
Job Address: < er"A_ Historic District: Yes [I No El
Pat -eel ID: Residential'g- CorntncreialEl
TN pe of Work: NewEl Addition 1-1 Alteration 11 Repair El DernoEl Change of Use 1:1 Move Description
of Work: V(_'e") Plan
Revieve Contact Person: (1)
x-\\
JL Title: 7.
Fax: Phone: 7- (D_,-74 q p Property
Owner Information Name
Phone: Street;
j _03-1? 0 1 111_ r V_ - _ t _ Resident of property? City,
State Zip: Name
Depot Phone-. M
Florida Polm Drive Street: Fax: City,
State Zip: State License No.: Arch
itect/Engineer Information Nance:
Phone: Street:
Fav— CitN"
St, zip: E-mail: Bonding
Company Mortgage Lender: Address:
Address: NVARNINGTO
OWNER: YOUR FAILURETO REVORD A NOTICE OF ('OMMENCP:NIENI'MAv'IZESLII,'I'IN` YOUR PAYING TNNICT
FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTIC 'E OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON 'rl1E JOB SITE BEFORETHE FIRST INSPECTION. IF YOU; INT1"INDTO OBTAIN FINANCING, CONSLT-
r WITH YOUR UNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application
is
hereby made to obtain a permil, to do 1he work and installations as indicated. I certify that no work or installation has C011,1111cliced
prior to the issuance ot'a permit and that all work will be performed to meet standards ofall lairs reoulating coil s tructio n ill 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. FB('10--
s.3 Shall be inscribed Nvith tire date art" application and the aide in effect as of that date:5" Edition (2014) Florida Ruilding'Code J1111C30, 201I'
mmt Apph,:afion
0
N( )TICE: In addition to the re(Illirevilents of this liCrillit, there may he additional restrictions applicable to this property that may be.
firm in the ptilific records Ot'this COWAN% and there may be additional permits required Front other governmental entities such as water
nianagernew districts, stale ogencies, or tederal agencies,
Acceptance ol'pernin is Gerificaiioll that I will 1106l'y the owner ol'the property of'the requirements otTlorida hen Lww, FS 713.
The City ol'Sant"ord requires payrnent ot'a plan review tlec a( the time of permit submittal. A copy ol'the executed contract is required
in order to ca[CLIklte a plan re-vies charge and will be considered the estimated COIISIRICIr011 value ol'thejob at the time ol'submittal.
The actual constrtiction Naltre will be fit7tiredbased on the current WC Valuation 'Fable in effect at the time the hermit is issued, in accor(
hince with local ordinance..ShoUld calculated charges figurcd off the executed contract exceed the actwil construction value, credit
will be applied 10 Y(Alr I)CI-mit Ices When the permit is issued, OWNER'
S AFFIDANTI': 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. S;
112wlrarctof(hvnel Apcw Date Prml (
hNnci Agcnl's Nmlle Date
Owner/
Agent is Person ally Known to Me or f)
rodnce(i ID "I--,--,---- '
rype
ol'ID 17
if —((,
I Date signatollPrint
Contractor Agent's Name of'
Notarv-State of lorida Date CHMSTINE
OVALLEY MY
COMMISSION # FF 087307 E _
XXPIRES: January 29, 2018 Donded'
Thru Notary Pubk Underwritem Contractor/
Agent is Personally Known to Me or produced
ID Iype BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building D Electrical E] Mecliartical Ej PluinbingE] Gas[] Roof E] Construction
Type: Occupancy Use: Flood Zone: - Total
Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Kermit® YesE] No[] 4 of heads kPPROVALS:
ZONING: UT IL 141E S: EN61NEERING
FIRE: RMDNKFn
Fire
Alarm Permit: Yes [] No[] WASTE
WATER- Ro
sed:hlnc 10, 201 S 11crinit Alifflicanon
1 I11111 111 1111111 1 11111 fill fill
ie Home DepotTHISINSTRUMENT •PREPARED BY: Tlr COUI,ITY
at Home Services, Name: i.)IF C[01' ` COViFfROLLEIR
E
Address:
CL M'% 'S u 2017008459
NOTICE OF COMMENCEMENT J
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.
1, DESCRIPTIQ F PROPERTY: {Legal desori tion of the property and street address if available)
1(s
2.
3.
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4, CONTRACTOR: Name: at Home Services Phone Number:
Address:
9208 Florida Palm Drive
5, SURETY (if applicable, a copy of the payment bond is attached): Name:
Address:
I -- Amount of Bond:
6. LENDER: Name:
Address: -
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
Florida Statutes.
8. In addition, Owner designates
I of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNINGTO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE, JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. jSkgjnahu,
reofowDneror Lessee,a w—ne—rrsorLessee's (P nt Name and Provide Signatory's TiNatt?tfioa} Authorized
ot#certmector/Padner[Managen State
of County of (VN k "' The
egoln In ent acknowledged before me this day of 20_1 ru
by
Iwho
l
t {1 L Who is personally known to m Cl OR Name
oI person making statement has
produced Ident t.
iwy
Si nature ICI ()--)
PR$PERTY
RAISER
Parcel Information Value Summary
Parcel 33-19-30-5QS-0000-0350 2017 Working 2016 Certified
Values Values
Owner RESNICK MICHAEL
Valuation Method Cost/Market Cost/Market
Property Address 107 DOMINION CT SANFORD, FL 32771 Number of Buildings 1 1
Mailing 107 DOMINION CT SANFORD, FL 32771 Depreciated Bldg Value 123,417 $118,107
Subdivision Name Depreciated EXFTVaIue
Tax District S1-SANFORD Land Value (Market) 33,000 $33,000
DOR Use Code 01-SINGL.E. FAMILY Land Value Ag
Exemptions 00-HOMESTEAD(2005) 156.417 $151,107
Portability Adj
Save Our Homes Adj 55,573 $50,964
Amendment 1 Adj
P&G Adj 0 $0
Assessed Value 100,844 $100,143
r,
Tax Amount without SOH' $2,215.68
1,194,08
l'
Save Our Homes Savings: $1,021,60
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 35
CROWN COLONY SUBDIVISION
PB 61 PGS 76 - 78
Taxes
Taxing Authority
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
County General Fund
Schools
Sales
Assessment Value Exempt Values Taxable Value
100,844 $50,000
100,844 $50,000
100,844 $50,000
100,844 $50,000
100,844 $25,000
Description Date: Book Page Amount Qualified
WARRANTY DEED 1211(2004 170,000 Yes
SPECIAL WARRANTY DEED 12l112003 136,300 Yes
WARRANTY DEED 7l112003 680,000 No
Vacilmp
Improved
Improved
Vacant
50,844
50,844
50,844
50,844
75,844
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 $33,000,00 $33,000
Building Information
t Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Real Value Appendages
Actual/Effective
1 SINGLE 2003 7 1,617 2,053 1,617 CB/STUCCO $123417 129,913 Description Area
FAMILY FINISH
GARAGE 415MFINISHED
OPEN
PORCH 21.00
FINISHED
Permits
Permit # Description Agency Amount CO Date: Permit Date
021€9 NEW - RESIDENTIAL SANFORD $7:3,766 '12/29/2003 5/112003
Extra Features
Description Year Built Units Value New Cost
PATIO NO VALUE 1/1/2003 1 0
To Whom It May Concern:
This letter will authorize the following person(s) to act as agent(s) on behalf of THD At -Home
Services, INC, D/B/A'Fhe Home Depot At -Home Services, 2455 Paces Ferry Rd #C-1 1, Atlanta, GA
30339 to sign and pull for permits, inspections, and licensing with respect to the installation, maintenance
and repair of roofing under Florida State Residential Contractor license number CCC058327.
Authorized person(s):
Brian Kirby
Don Kirby
Katrina Jaramillo
Frank Jaramillo
Tim O'Malley
Christine O'Malley
Elizabeth Hutchinson
John Hutchinson
Erick DeDios
Aaron Hallich
QualificIN—'Quinn Roberts
THD At-Uomc Services, INC
The Home Depot At -Home Services
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Owner: Michael Resnick
Sanford, Fl. 32771
C -
The foregoing instrument was acknowledged before me this 3 day of 7
20 by Quinn
Roberts
Notary a licic State of Florida
PriracNameC_
Amber
FW" NOTARYpUSUC
1_
1 STATE OF FLOPJDA My
Commission Expires CwnO FF970934 Expires
7111/2020 Personally
known _x— or Produced Identification THD
At -Home Services, Inc, 9208
Florida Palm Drive - Tampa, FL 33619 Phone:
813-626-7548 - Fax: 813-630-4112 - Tot! Free: 855-729-6002
Branch Name: l'ampa
Installation Address: 107 Dominion Ct
I
Mr. Michael Resnick
Honic Address: 107 Dominion Ct
II'different fi-om installation Address)
i 1, ' "I '! \ 11" ku '01 ", 2 ", i " t "I", I i = \ ( Sold, Fturnished and Installed by
I 111) Al-1 look services, Inc.
kl/lva The I lome Depot At -flame ices
920i4 Florida Palm Drive,'Vampa,Fl- 33619
1 oll Frcc 8779033768Tax 8009678632
Date: I /18/-10 17 1:1 . Lic ,' C('('OiS327, CGC' I 507093, ('R('046858 LA
Lic, 1i I ItO ' iLL50419 MS ic. 4 R05788 At. ic s 1 0656_ S-
43 16i I-ederal 11) 9 75-1699460 SANFORD 111 32771
Citv State Zip
Nark Phone: Home
Phone: Cell Phone: 407) 841-83
10 1 (407) 312-1800 SANFORD 111 332771
CitN State /ip
E-mail Address (
to i,ecei\cpi,oiectcoiiimiinicatiotisand ltome Depot kipdates):Mtesiiicklei,]cL),,ilaidocba,oi.k--.—, Marketing crimils \\ illnot
be sent trom"The I lonle Depot. t indersioned ("Customer"). the
ore ners ol'the propero, located at the above installation address. agrees to bu'' and I 111)
Al-1 Ionic Ser\ ices. the. ("The Home Depot") stan-ecs to furnish, deli\ er and arrange for the installation ("Installati on Ofull materials described
on the helow and on the rclerenced Spec Shect(s), all ol'which are incorporated into this Conlract hN this reference. "doril, \\
ith anN applicable State Supplement and PaN ment SumnlarN (khere applicable) attached hereto and anN Change Orders (collectivelN. "Contract"):
Internal Reference) Products: Spee
Sheets) : Project Amount 9803807 ltoerlrn 9803807 $11,
860,05 1(m. oft -ontract
Amount 'rotall Contract Amount Sl
1 860,05 due upon execution ofthisContract1--- Customer agrccs that. irilnicdiatel
upon completion oFthe wri< for each Product. CUSIOMU \01 execute a Completion Certificate (one l6r each
Product as del-mcd ban indi\ idualSpec Sheet) and pad an\ balance due. As applicable. each Customer UfldCr this Contract agrees
to beJointlN and se\,crallN obligated and liable hereunder, tic I lonic Depot rescr
es the right to issue at Change Ordcr or terminate this Contract or art-, individual ProdUCUS) itiClUded iercin, at its discretion. if
I tic I 10111e Depot 01' its aUdl01-i/Cd service pro\ idea determines that it cannot perf'orin its obligations ILIC 10 a Sti-LIC1,
111'al problem \\ ith the home, cn\ ironmental ha/ards such as mold. asbestos or lead paint, other sal'el concerns, wicing errors or because Gkork
required to complete lhcJoh x\as not illClUded in the Contract, PaNnient Summary: HIC PW,111011
SLA11111IM-, 9803807 included as part ol'this Contract, sets f'orth the total Contract UITIOLIatand pay,merits I'
CtlUirecl lot- the deposits and final pay ments b-, product (as applicable). NOTICE: ADDITIONALTERNIS AND C ON
DITIONS ARE BELONN AND ARE PARTOF'17111S CONTRAC F 06/17/14-SA paw1
of 9
NOTICE'ro CUSTOMER
You are entitled to a completely filled -in copy of the Contract at the time of sign. Do not sign a C'mopletion Certificate (note:
there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that
Product is complete.
In the event of termination of this Contract. Customer agrees to pay 'Fire Dome Depot the costs of materials, labor,
expenses and services provided by The Dome Depot or Authorized Service Provider through the (late of termination, plus
any other amounts set forth in this Agreement or allowed under applicable lave. TFIE HOME DEPOT MAN' WITHHOLD
AMOUNTS ONVEDTOTHE 110INU,, DEPOT FROWITIE DEPOSIT PAYMFNTOR O-rlIER PAYMENTS MADE,
WITHOUT LIMITINC' TIIF HOME DEPOT'S OTHER REMEDIES FOR RECOVER OF SE CD AMOUNTS.
01d I he I 10111e DC110t \\ ith N2W-d to the Products and Installation set\ ices and SLIPel-SC&S t111 prior diSCLISSiOIAS and agreements.
either oral or \k rittell. relating to said ProdUCtS WId Installation, I his Agreement cannot lit" assigned or acnetided except b\ a writing
siuned h\ Customer and I'lle I Ionic Depot. Customeracknm\ ledoes and aurees that Customer has read. understands, \ 04111tarik
accept.,, the tennis ol'and has receix ed a copofthis Agreement. Customer'
s signature below constitutes Customer's acceptance and e\ecution of each of the applicable Contract Documents You
are entitled to a paper copy ofthis Agreement if you choose. If you consent to an em ailed copy, your consent applies only to
this Agreement. By contacting sales Office -t&7-7)-9QL-3-7fL, youmay update your email address, withdraw your conseni, or
obtain a paper copy of the Agreement at no charge. By signing below, you confirm the following: You consent
to receive only an ernaded copy of this Agreement You have
access to a computer that can receive and open eumils and PDF (Adobe Reader Version 10. 1.4 or later) formatted
documents. Your entail
address is correctly listed on the lion( Improvement Contract Submitted by::
Accepted b-, Sales Consultant
John 1) Lund m W Customer License
Name,
Signature: Fia-
el-We snic PNO 977-
3
lty,,-37 9 Customer 6:45
Telephone No.
Signature: Sales Consultant
License No,
I 111 c aN17
AIA-N OR OBLIGATION' Ir CANCE'Ll .% 1,10 T PEN DLLIN LRINC
NN I UICETOTHE, HONIE, DEPOT RYMIDNICHT ON ['HETHIRD fit SINESS DAY Ain FFIR SIGNING
I'll IS,%GRf'1EM1 N1 .TIIE STAFF. S(TPLENIENTA ITACHED IIERETO CONTAINS FORNI F0 I SE
IFONE IS St'FrCIFICAl PRFS( RIBIA) BNAANX IN CUSTO IER'S S IATF 06117M4 SA Page, 9
of 9
6PO# 98033807-001 PurchaserderHOME
lot' I PO
Total Delivery
Date Will Call SERVICESVendor '
Bill[To Distributor
ARC Orlando TI 11) At I foine Services, I t1c, Address
1216WAmohl tStreet Accounts Pm,)blc Cite,
State, Zip Oilando, FL 3,28052090 Ctmilm nd I)mkwm, Fats
Number (407)8.49-(1411) Suite 300 Allanta,
Ga 30:131) offm
Delivery
Method Drop Off- Normal Home
Osvner Nfielmel Resnick Phone
Number 407) M 1-83 10 Street
107 Dommlon 0 City,
State, Zip SANF()RD FL 32771 Contact
Info Ordered
By J AM EFL A I I CA RS W1], 1, Order
Date 1/20/20 17 PC
Phone (770) 779-1300 Est PC'
Email JAMFELAH IS.
Phone/Name (813) 508-0072 JACOB WWI RRAY product
Color Qty UOM Al
Ridge \ ,nt - 4 Ft Black 2 Fach 11drk
mw F"'11 15 Shin
le, I tip&'Ridge Atha~ (dassmasm. shmgde,
Siafier Ath Shinlllc-
s 1,,A Barrio, Generic AS` M 970 2 q z, Dip
I,dg Rt Angf k\ Lip ( iah Sin x ]Ott \N bite N
enfilafion Ridge Vcnt Rigid 6AF"Cobra 111 -4 11 IXed\
iw,, ( )SB 4x5 Sheo 7 16 in Shingj,
c Atlas Gla,smaster 30 Vote
to installer - Installer
Notes: Deliver-*
Instructions: ffiffiffiffi2mm
Not
Apjllwabh 9 Roll WeatlicrQd
Wood 6 Bundle Not
ApphcablQ 2 Bundle Nol
Applicable I Roll Not
Applicable 29 Fad) Not
Applicable I I Fides ot
AI)TIficable 4 Sheet Wealhorcd
X\ood 2s; Ila Sq. Home
Depot SuplVier Brat hIrg Agreement (WIA) and the Distributor Quote Process will govern the terms and conditions of till
Purchase Orders. Please conlactyour merchant r`fyouhave questtons eoncerninq these terms and conditions.
City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete for to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Building permit Application completed, signed and notarized. Application niust include correct address
and complete parcel 1.D, number.
Copy ot'applicable contractor's license, issued by the State of Florida (if the contractor is the:
applicant).
A site specific notarized power of attorney shall he required fturn the licensed contractor if`
he/site appoints an employee of his/her company to sign the permit application as the contractors
Certificate ofinsurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the .estate of`
Florida (must be sctlxlutted with each application ifcontractor is the applicant).
FI('/ IN Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
7'/rt,s(, ;gllidelillcs Iverc, cr>mpilc d to assist the ap lrcai t in prepetring a r°oofpetsi t aj)plrc ation and mart' not he
C0111p1ct(% The ulrq)licant is required to meet all C'itt, caf'.`icrrtford, stater, andfe deral code requirements,
CITY OF SANFORD BUILDING SERVICES
Hurricane Mitigation Inspection Affidavit
Pennit #: 17 -
hereby acknowledge that I personally inspected
A/Roof deck nailing and/or t'S"econdary water barrier work
at ?,t 7 /, 1, ,-! /-/, "2. ' ", /
and have determined that the workfobS—ite—A —dd —re —ss)—
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553,844 F.S.)
I certify that my statemems herein are true and accurate to the best of my belief god that I ji, understand that making any f4be statements in writing wilh Jjj - - " AWni
Signature Contractor
Printed Naas of Contractor
z - Z7
Date
License
License Type: 0 General 3 Building 0 Residential oofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF *"' '0 S1 0,
Sworn to (or affirined) and subscribed before tire this day of 4i 20 j-2 —, byA
who is D Personally Known to7m—eWhns Produced (type ofitiLionasidentification. fijr a
11Fit1 '* (SEAL)
Signature of Notary Pub is
State of Florida
Aw !",ARLE" R A S YMOUR
Print /Type/Starap Natne tjrjv PeMlc . Mate Est HOW$ y
canqn ExptfsiW 17,2017 of NotaryPublic
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
11)
Permit #- - : , ) -
15
hereby acknowledge that I personally inspected
k/Roof deck nailing and/or /Secondary water barrier work
at il / 7 f -1, !- el /--3t") ") "? / Z, ?,11 , 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 pea
rformnce ofhis or sr official duty shall constitute a misdemeanor of the second degree pursuant to a 0Section837.
06 F. 7 Signature
Cont
ractorctor Date v 3
4,,- cPrintedNa
of Contractor License 9 License Type:
0 General 0 Building 0 Residential V4 oofing Contractor 0 or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF
FLORIDA COUNTY OF 0 iiZl Sworn to (
or affirmed) and subscribed before me this y of f, 20 FU ovi
whoisDPersonallyKnownto-meol 12, by
r "ha-
STPLoduced (typeof it ntin
ation) as identification. ir ; E;v a
i
4c
gtL (SEAL) Signature of
Notary Pub State of
Florida A e-
AF)Allt NE A, SEYMOUR N a
State of Florida y PibhcMy[Xp,
es JW i7, 2017 FF of
NotaryPublic0!7719 9