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Home My WebLink About142 Brushcreek DrBYE7 c VED JUL 9 2015 RE CE"VF JUL9 2015 t CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documente onstruction Value: $ Job Address: / q oi B&tt,&A czeeie,- -Tx - S-&,N v " Parcel ID: -33 - / 9 - 30 - Z-A., - 0 0 -0 0 - 1 0 4-0 No 0 -2 Historic District: Yes 0 NoEJ' Residential 9- CommercialEl Type of Work: New 0 AdditionEl Alteration 0 RepairEl DemoEl Change of UseEl Move 11 Description of Work: .,g_ J, /6 Plan Review Contact Person: AtJ4 4L)coc_je_ Title: Phone: Lf07 - Z2 Fax: qb 7 - 2p d;_ - q N5- Email: -1 &- beflaut-4 ne;e' Property Owner Information Name NPJ)JP'Je',V POR tit -Le-) Street: I)IL. City,StateZip: S"A2,0- 47L- .3A-7-7 I a Phone: Resident of property? Contractor Information Name Phone: YO-7 Street: Fax: V-0 7 - .3, 5- 57 City,StateZip: -f-L- 3--77/ State License No.: C6 c- 0 2_,2-i;-V/ Name: /i A\_ Street: City, St, Zip: Bonding Company: Address: Arch itect/Eng ineer Information Phone: Aj A_ 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: 5"' 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 rpanagement 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 Owne/A4g—.nt Date .009-ignat&f Contractor/Agent Date S h uz- I c%: _,+1JV0 (2 Print Owner/AgenA Name MARJORIE MARIE ADCOCK Notary Public - State of Florida i6 MY Comm. Expires Jul 29, 2016 Commission # EE 220257 Bonded Through Owner/Agent is National Notary Assn. Personally Known to e'or Produced ID Type of ID Print Contractor/Ag s Name NIUAL-- gi 7 ature of Not4-S- te of Florida Date DONALD RASH flotary Public - State of Flulds Commisslan # FIF 221706 My Comm. Expires Apr 16, 2019 BELOW IS FOR OFFICE USE ONLY to Me or Permits Required: Building 0 ElectricalEl MechanicalF] Plumbing[] Gasn RoofE] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesF] NoF] APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] No [] k1l 11M, I I ; 3 Wmi " t4 r-181841101" Revised: June 30, 2015 Permit Application i ADCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 330-9592 (Fax) adcockroofinglgbellsouth.net www.adcockroofing.com STATE CERTIFICATION CCCO22501 July 7, 2015 ESTIMATE Name: Shirley Portillo Phone: (407) 341-4150 Address: 142 Brushcreek Rd. Cell: (407) City: Sanford, FL 32771 Fax: Email: lambpot@yahoo.com SCOPE OF WORK: COMPLETE ROOF REPLACEMENT 1. Remove existing roof on complete house. 2. Re -nail decking as per building code. i Dry in with new layer of Palisade SynthetiCTM underlayment as per new building code (July 2015). 4. Install new 25 year fiberglass; 3 tab shingles. 5. Install new drip edge; 26 gauge, painted galvanized. 6. Install new kitchen and bathroom vents. 7. Install new lead flashings on plumbing pipes. 8. ihstall new off ridge vent -a -ridge. 9. Secure all permits. 10. Clean up & haul away debris. 11. Inspections included. Labor & Materials: $ 8400.00 EXTRA: Bad wood - Time & Materials Warranty: 25 Years on Materials from Manufacture 5 Years on Workmanship Andy Adcock, Owner Andy Adcock 3 NIT I I I n 1311 ITHISINSTRUMENTPREPAREDBY: Name: ANDREW ADCOCK Address: 800 S. FRENCH AVE. SANFORD< FL 32771 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 33-19-30-516-0000-1040 A'Y'. Z, I-INNE SENT JCq E- C.-,3Utf-ryA,371% 0 ** h" `F '.,1RCU11' COUR1'- EqK - 6'2 (1P_q5) & COVIPITZOLLEF 0 .1 - PS LERK'S a 2015074046 R'E_'Z'2EP; 67`09/20115 RC0 D"Wa FEES $113.00 i " U I- ECO","EV BY hdLlvare 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) LOT 104 COUNTRY CLUB PARK PH 2 FIB 54 PGS 22 THRU 24 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: 4. j\j 6) 5. 6. Name and address: PORTILLO SHIRLEY E 142 BRUSHCREEK DR SANFORD, FL 32771 Interest in property:. OWNER Fee Simple Title Holder (if other than owner listed above) Address: CONTRACTOR: Name: ADCOCK ROOFING Phone Number: 407-322-9558 Address: 800 S. FRENCH AVE., SANFORD, FL 32771 SURETY (if applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: LENDER:Name: Phone Number: Address: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(l)(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(l)(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) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEW ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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. Signature &-`Owner or Lessee, or Owner's or Lessee's (Print Nate and Provide Signatory's Title/Office) Authorized Officer/Direct.or/Partner/Manager) Stateof !Qn County of m i n Li The foregoing iinstrument was acknowledged before me this day of1 20 by person making statement Who is personally known to me 0 OR who has produced identification 0 type of identification produced: MARJORIE MARIE ADCOCK Notary Public -State of Floridac E,My Comm. Expires Jul 29, 2016 W Commission # EE 220257 OF f 0111811110, Bonded Through National Notary Assn. CLERKOFTHE COMPTROLLEI SEMINOLE CO By SCPA Parcel View: 33-19-30-516-0000-1040 Page 1 of 2 Property Record Card Parcel. 33-19-30-516-0000-1040 Owner: PORTILLO SHIRLEY E Property Address, 142 BRUSHCREEK DR SANFORD, Fl. 32771 Parcel: 33-19-30-516-0000-1040 Property Address: 142 BRUSHCREEK DR Owner: PORTILLO SHIRLEY E Mailing: 142 BRUSHCREEK DR SANFORD, FL 32771-7749 Subdivision Name: COUNTRY CLUB PARK PH 2 Tax District: SI.-SANFORD Exemptions; 00-HOMESTEAD (2002) DOR Use Code: 01-SINGLE FAMILY 1 Legal Description LOT 104 COUNTRY CLUB PARK PH 2 PB 54 PGS 22 THRU 24 Taxes 44 ' Value Summary 2015 Working Values 2014 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value Depreciated EXFT Value 109,724 10,736 104,574 11,253 Land Value (Market) 28,000 28,000 Land Value Ag Just/Market Value 148,460 143,827 Portability Adj Save Our Homes Adj 31,072 27,371 Amendment I Adj Assessed Value 117,388 116,456 Tax Amount without SOH: $2,065.86 2014 Tax Bill Amount $1,520.80 Tax Estimator Save Our Homes Savings: $545.06 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 117,388 $50,000 67,388 Schools City Sanford 117,388 $25,000 117,388 $50,000 92,388 67,388 S3WM(Saint Johns Water Management) 117,388 $50,000 67,388 County Bonds 117,388 $50,000 67,388 Sales Description Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED WARRANTY DEED 2/1/2005 8/1/2001 05617. 04160 0784 1006 100 150,000 No Yes Improved Improved SPECIAL WARRANTY DEED 6/1/1999 03674 0574 132,700 Yes Improved WARRANTY DEED 3/1/1999 3619 1734 2.3,500 No Vacant Fincl comparam baes witnin tnis buDaivision Land Method Frontage Depth Units Units Price La.d Value LOT 28,000.00 1 $28,000 Building Information http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=33193051600001040 7/9/2015 I^- SCPA Parcel View: 33-19-30-516-0000-1040 Page 2 of 2 SINGLE FAMILY CB/STUCCO FINISH Description Area OPEN PORCH 162 FINISHED GARAG I IFINISH:D 41 OPEN PORCH 35 FINISHED Permit # Type Agency Amount CO Date Permit Date 00753 Miscellaneous 02035 Addition - Residential Sanford 2,277 1/29/2014 4/1/1999Sanford11,500 01558 i Addition - Residential 11- . . . . ........ I ...... ... . .... I I 01556 New -Residential Sanford Sanford 2,490 130,130 6/2/1999 3/1/1999 3/1/1999 Description Year Built Uni ---Fv--,- New Cost SCREEN ENCL 2 11/1/1999 1 2,336 5,000 POOL 1 11/1/1999 1 8,400 14,000 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051600001040 7/9/2015 City of Sanford Roof Permit Application Checklist F 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: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). ES/ 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. 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). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roofpermit application and may not be complete. The applicant is required to meet all City ofSanford, state, andjederal code requirements. rivld" CITY OF SANFOR, D , UILDING Residential Re -Roof SERVICES Hurricane Mitigation Inspection Affidavit Permit #: I , 2=2=96 I, A4,j of" f—,*-o C"o C:Ie— hereby acknowledge that I personally inspected 0 Roof deck nailing and/or 0 Secondary water barrier work at A/2 Dr,' JkkQ)" 45C- and have determined that the work Job Site Address) V 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 7-10 -az'D.16— of C,0 CA — Printed Name of Contractor Date 6 6 License # License Type: 0 General 0 Building 0 Residential 0 Iroofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF thot _ Sworn to (or affirmed) and subscribed before me.Ws 2,72 day of ,J 1 20 by who is TTersonallv Known to me or haJ 0 Produced (tvve of as identification. SEAL) Stnature UNotary Public State of Florida DONALD RASH Notary Public - State of FWWPrint/Type/Stamp Name Coffffffillion # FF 221706 of Notary Public My Comm. Expires Apr 10. 2019 Bd*dftough N*wW Natary AsaSIM