HomeMy WebLinkAbout118 Golfside CirY t .(
l3JUL CITY OF SANFORD
BUILDING & FIRE PREVENTION
Y: PERMIT APPLICATION
Application No: 1-5— Q t4 D 1 Documented Construction Value: $
Job Address: 119 Go I D S I Oi C b r Historic District: Yes No
Parcel 1D: 0g •110- 30. 513• M00 -NVID Zoning:
Description of Work: R e -ro Dj U S t n A GAE—ELK RoV Rue f n 15p S nc,ie S
Plan Review Contact Person:.gcoit maxwe_ ( I Title: G
Phoned1911)1 S7.' 35S_Fax: E-mail: 3 coj4cp home ice
Property Owner Information
CnA5 uc+It)(1 c ON-i
Name EI d 0_[ I Le q1-k- Phone:(40-1) 302 -q 59 y
Street: Go l S1 d e o r Resident of property? S
City, State Zip: Q f C F L211
Contractor Information
Name 4DMCDWALES ND) Le CDOWLL& IDA Phone: ($11)us'l-mss
Street: 0630 W KeAr\(j Bbyd DO Fax:
City, State Zip: i YL 33(pD4 State License No.: CCC 13 28533
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Old R 20 whi l C gu r P fy Mortgage Lender: WQ+ I D nq,+6 r
Address: PQ BOY W35 Address: %qSD C.r press vsd4 f S Blvd
M t 1 VV Gl., u e o \Y 5 2D I ATn i TX 15019
PERMIT INFORMATION
Building Permit
Square Footage: 210L Construction Type: No. of Stories: I
No. of Dwelling Units: I Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical 13 (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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
be done in compliance wit a plicable laws regulating construction a
fI tj )3011 —
Signature of Owner/Agent Date Signature of Contractor/Agent
iGlli,i V1cPh+e-
Print Owner Agent's Name
3d S
Sign re of -Notary -State of Florida Date
JOANNWEAVERY
MY COMMISSION 4 FF 17388EKn, EXPIRES: November4,2018
Bonded Thru Notary Public Underwriters
Owner/Agent is Personally Known to Me or
Produced ID %7-- Type of ID FL 13 L
zoning.
3 KA ma
Print Contractor/Agent's Name
that all work will
hU 'VP " 1)//s
Sig Ere of Notary -State of Florida Date
JO ANN WEAVERa
MY COMMISSION 8 FF 173882
a€ EXPIRES: November 4, 2018
RB R Bonded Thru Notwy Public Underwriters
Contractor/Agent is __N/ Personally Known to Me or
Produced ID 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:
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
t
City of Sanford
Roof Permit Application Checklist
1
All permit application packages must be complete prior 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:
Y Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
I Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
L/ A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
d' Certificate of insurance 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 State of
Florida (must be submitted with each application if contractor is the applicant).
0 l Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
1
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a artogdrarr pjib Chap ur713,hloddo SlatUlv%the roltowlnE InOrnintinn is prtavidcd in ifib Mice urcommententxrni. 1
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Name & Addressor I" simple fitleholdert (irolker tlw,n om7kcr)
Phone: (+ )-7 L 'q ft0%-
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Name; Phone;
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Mime: AG$i1 Drt t+12 r IV1 Phalle;
Address:
s . 7 Persoos within the Stale of Florida duipated by Owner upon who notice ar other•documenls may beserrcd as provided by-saellon
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B in addition to himself or herself, owner designates the following person(s) to rectirc acopy of the L iener's Nolice gs proyt.ded in Section
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Address:
1) Expiration Date Ofmot ice ot`Commcncement; li14expirellnndaw
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tH.I I G T9 OWNER ANY PAYMENTS MA DU By THE OWNER AFrGR 'TH13 8XI' ATION OF THE NOTICE QP COMMENCEMENT ARL' LONSEDERED
lhtPROPCtt i+AYMENTS UNDFA CttAPTI!R 7r3, PACT 1, SWrION 711113. FLORIDA, STATUTES, ANDCAN RIMULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A KOTICR OF CONIMMEMUNTMUST BE RECORDED AND POMD ON TUC JOB SITE BEFORE
THE (:rRsT WKCTION. Ir YOU INTEND TO OBTAIN FINANCING, CONSULT WMI YOM tFiNMIX OR AN ATrORN11rt Mr -FORE C0NI,
NjD.'CjNCr WOIek OR RECORDING YOUR NOTICE OF CMIMENC1: l ENT. Verinsidgif
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7/14/2015 SCPA Parcel View: 04-20-30-513-0O00-0480
Property Record Card
Parcel: 04-20-30-513-0000-0480
Owner: VICENTE ELDA
Property Address: 118 GOLFSIDE CIR SANFORD, FL 32771
I Parcel:04-20-30-513-0000-0480 I
Properly Address: 118 GOLFSIDE CIR
Owner: VICENTE ELDA
Mailing: 118 GOLFSIDE CIR
SANFORD, FL 32773-4775
Subdivision Name: MAYFAIR CLUB PH 1
Tax District: SI-SANFORD
Exemptions: OD -HOMESTEAD (1999)
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2015 Working 2014 Certified
Values Values
Valuation Method Cost/Market 1 Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value I $105,445 97,808
Depreciated EXFT Value
Land Value (Market) 25,000 $25,000
Land Value Ag
122Just/Market Value
130,445 808._
Portability Adj
Save Our Homes Adj
Amendment
I $30,414 23,571-
1 Adj
Assessed Value 100,031 99,237
Tax Amount without SOH:
2014Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
1,403.53
937.87
465.66
hHpJAvww.scpafl.org/Parcel Detail Irdo.aspx?PID=04203051300000480 1/2
CI'fy of S0 p ford
fI51MENS10NAL Installation AgreementCONSTRUCTION,
Lic# CGC 1513427
EIN# 38-3927480
Lic# CCC 1328533 (/! C.GL Phone: (888) 742-6163
Exterior Work: ROOF ',0JA1V(/ lezz a-?2-17.?
Shingle Types: GAF Royal Sovereign 25 Year Shingle- 3 TAB GAF Timberline H.D Lifetime Dimensional Shingle / Flat Roof: YES /NO $
Shingle Color: /la ! Drip Edge Color: r Ridge Vent: Metal Cobra Off Ridge V / Color_
Underlayment:_ Synthetic 30L.B Felt 15L.B Felt Peel N Stick *** Roof pitch can affect what is allowed per Florida Building Code***
DISH: DISPOSE vs. KEW/ w choose to keep the dish, we will not re -install it on your roof. You should call your network provider to relocate the dish***
Payment Details: Insurance: J?2!/, 7R Depreciation:
I
L&O Upg ade(s): Deductible: 1#011=
Payees on Loss Draft:
Circle One: Monitored or on-Monitore Mail Away r Local Bank Endorsement0
if you have solar panels, please select one of the following options: Nk
Dimensional Construction will handle the Bank Endorsement
I/We will handle the solar panel portion of this project ourselves. I/We will have the panels removed prior to our install date. The allowance from the
insurance company is to be returned to me upon completion of the project by Dimensional Construction, after Dimensional Construction has been paid in full. This
includes payment for depreciation.
I/We wish for Dimensional Construction to remove the panels, but I/We will have them re -installed. Dimensional Construction will remove the solar panels at
NO CHARGE, but Dimensional Construction is NOT liable for any damage that may occur as a result of handling the solar panels. The allowance from the insurance
company is to be returned to me upon completion of the project by Dimensional Construction, after Dimensional Construction has been paid in full.
I/We wish for Dimensional Construction to supervise the removal and re -installation of the solar panels. Dimensional Construction will have our laborers
remove the panels and will hire a licensed plumber to re -install them. Dimensional Construction does not accept any liability for handling solar panels and there is
no warranty implied or expressed. If the funds provided by your insurance company are not sufficient, we may supplement them for additional money.
ANY DEVIATIONS FROM THIS CONTRACT MUST BE APPROVED BY
Dimensional Con . n Auth 'zed Agent: Sign Date
ALL PARTIES AND SUBMITTED IN WRITIN THROUGH A CHANGE ORDER FORM
j G3
Customer Signature:
Customer Signature:
Date
Date
CITY .OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection ;Affidavit
4.
Permit
I, S co++ M G ywe i I hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
F
r
at 1 a d t n Y) nr, Qn n l ntlf P1 39_- I I and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation'Retrofit Manual. (based on 553.844 F.S.)
9
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that in ny false statements in writing with the intent to mislead a public servant in the
performance of is or her fficial duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 .S.
Signature Date
0,00132gr,3 Printed
Name of Contractor License # License
Type: General Building Residential C5"Roofing Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF _Man Lt_4-e e Sworn
to (or affirmed) and subscribed before me this -Ztv day of r 6r , 20 , by who
is -"ersonally Known to me or has Produced (type of i
iication R-b L_ as identification. SEAL)
Si
ature of Notary Public 01 State
of Florida ,r JOANNWEAVER MY
COMMISSION # FF 173882 Td
n J 2 a I le. r g= EXPIRES: November 4, 2018 Print/
Type/Stamp Name R ; ;.; Bonded ThruNotaryPublic Underwriters of Notary
Public 3
CITY 'OF SANFORD BUILDING SERVICES
11
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: IS — 2 "i
I, S Ca¢+ &A &XWa I hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at 1 1 0 r212g51 d C IQ(. 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 . r her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 S.
Signature o ntractor
26 HalMay W&I
Printed Name of Contractor
S
Date ;
ccc 13295 25,
License #
License Type: General Building Residential IeRoofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF M OA & 'Fif e cc
Sworn to (or affirmed) and subscribed before me this JAP day of _7L. , 2016_, by
3L0f M a, / I , who is FvTersonally Known to me or has Produced (type of inti
aMn)'—
rt_ b L as identification. SEAL)
Sign
ure of Notary Public State
of Florida '`ei: JoaNNwEnveR sT
A mi Wi ve r a.: r MY COMMISSION $ er ,
201 4: EXPIRES: November 4, 2018 Print/
Type/Stamp Name t f;; BWedTMuNotxyPuNicUndawrbrt of
Notary Public 3