HomeMy WebLinkAbout162 Brushcreek DrFAUG IVY CITY OF SANFORD
BUILDING & FIRE PREVENTION
2015 PERMIT APPLICATION
Application No:
Documented Construction Value: $ 2.7 ao . O
Job Address: /& ,Q- 10,2ushCR-Eerc 0e, Jdn-i6rz/3 I-L Historic District: Yes No
Parcel ID: 33 • / 9 •&?) • S/SF . o o0o • O as'y Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Apr• ko0 le ' ulw)! l =S
Plan Review Contact Person: /1N Title:
Phone: 407. 9a/. a31 9- Fax: Email: a c«lC nvFc 4''—bt/Isotsf.s
Property Owner Information
Name 44AJ&6' 166 T2&u tAg4Ln Phone: Y0 7. • .3.2/. (/ 8
Street: /(P L /D/Z • Resident of property? ves
City, State Zip: d!A^ b () Lq. oCL_ -3 4 7 7
Contractor Information
Name AC)GoCJL Phone:
Street: 49W A-r -e Fax: 1/0 -7
City, State Zip: D yzn - Pt— 2d771 State License No.: CGGo 22 TO
Architect/Engineer Information
Name: /U A Phone: AJ
Street:
City, St, Zip:
Fax:
E-mail:
Bonding Company: /l A -A Mortgage Lender:
Address: 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 a plicable laws regulating construction and zoning.
Signatilre of Owner/Agent Date Signature of Co or/Agent Date
w2 nGtc T1244a,t iaat A lvoo A-oe-a cl-,— A
Print Owner/Agent's Name Pri t Contractor ent's Name L N
U.
signatu a of tart' -State of Flo i a Date Si ]
Florlda
a y W
Yo DO.NAI 0 QASH
1s Notary Public • St,tte ofMARJORIEMARIEADCOCK • •- Commission # ;r '?
Notary Public - State of Florida MyComm Expire,
My Comm. Expires Jul 29, 2016 (r Bondedthiough Nahona rmt .;'••,,
Commission # EE 220257Owner/A ti° ` g PeouMalb gllrulaltdr 1"oWyW Contractor/Agent is Personawn to ' -
Produced I y e 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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 33-19-30-514-0000-0250 Page 1 of 2
C1a dJLftwt tm CFq Property Record Card
Parcel:33-19-30-514-0000-0250
JAP1A15ER Owner: TRAUTMAN LAWRENCE T
SEMVJC=! CIXHJ71 FLORtOd Property Address: 162 BRUSHCREEK DR SANFORD, FL 32771
Parcel:33-19-30-514-0000-0250 1
Property Address: 162 BRUSHCREEK DR
Owner: TRAUTMAN LAWRENCE T
Mailing: 162 BRUSHCREEK DR
SANFORD, FL 32771-7749
Subdivision Name: COUNTRY CLUB PARK
Tax District: Sl-SANFORD
Exemptions: 00-HOMESTEAD (1998)
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2015 Working 2014 Cert
Tax Amount without SOH: $2,238.98
2014 Tax Bill Amount $1,669.55
Tax Estimator TRIM Notice Help
Save Our Homes Savings: $569.43
Does NOT INCLUDE Non Ad Valorem Assessments
Values
ified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 108,563 103,746
20,775 - Depreciated EXFTVaIue 20,108
Y ~
Land Value (Market) 28,000 28,000
Land Value Ag
Just/Market Value
156,671 152,521
Portability Adj
Save Our Homes Adj 31,754 28,595 `
Amendment 1 Adj
Assessed Value 124,917 123,926
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051400000250 8/18/2015
SCPA Parcel View: 33-19-30-514-0000-0250 Page 2 of 2
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051400000250 8/18/2015
City of Sanford
Roof Permit Application Checklist
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:
ER' Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
C 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.
C 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).
C 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.
THIS INSTRUMENT PREPARED BY:
Name: ANDREW ADCOCK
Address: 800 S. FRENCH AVE.
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 33-19-30-514-0000-0250
MARYANNE MORSEL SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & CONF'TROLLER
BK 8530 Pg 601 (1Pss)
CLERK'S s 2015091298
RECORDED 08/19/2015 12r54:113 PM
RECORDING FEES $10-00
RECORDED BY tamith
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)
COUNTRY CLUB PARK
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: TRAUTMAN LAWRENCE T; 162 BRUSHCREEK DR SANFORD, FL 32771-7749
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: ADCOCK ROOFING Phone Number:
Address: 800 S. FRENCH AVE., SANFORD, FL 32771
5. SURETY (If applicable, a copy of the payment bond is attached):
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
W
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)(a)7., Florida Statutes.
Address:
8. In addition, Owner designates
Phone Number:
of
to receive a copy of the Lienor's 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)
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.
v v _ l4
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Tice/Off(ce)
Authorized Officer/Director/Partner/Manager)
State of (,o,tuo l County of 5 m I nin,1 !?/- /
The foregoing, instrument was acknowledged before me this D day of f A4 - / , 20
by L—Lt.w f 6me y IAJCM.(A. i i V1 Who is personally known to me Lf OR
Name of person making statement
who has produced identification type of identification produced:
o rar'o'&,a1MARJORIE MARIE ADCOCK Notary
Public - State of Florida NA;
P<IMY Comm. Expires Jul 29, 2016 ea
10°• Commission # EE 220257 Bonded
Through National Notary Assn. M
I
Notary
Signature
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9592 (Fax)
adcockroofingl@)bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
July 28, 2015 ESTIMATE
Name: Larry Trautman Phone: (407) 321-6189
Address: 162 Bushcreek Dr. Cell: ( )
City: Sanford, FL 32771 Fax:
Email: Itrautman43@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove existing roof on complete house.
2. Re -nail decking as per building code.
3. Dry in with new layer of Palisade SyntheticTM underlayment as per new building code (July 2015).
4. Install new 30 year architectural 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. Install new off ridge vent -a -ridge.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $8990.00
EXTRA: Bad Wood —Time & Materials
EXTRA: Remove (7).Solar Panels and Reinstall - $370.00
EXTRA: Install (2) new cradles on solar - $420.00
TOTAL: $9780.00
Warranty: 30 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
CITY OF SANFORD 1BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: IS-) k U
I, Akj otZew A A c,a 0- hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at / to 02 /3tzu 6hLtZC-. R; 0 P,.,o A- Z>d77' 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 his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section
S' ature ontractor Date
Aj,r j r ew do t_o c- 6,
Printed Name of Contractor License #
License Type: General Building Residential B'Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn t (or a armed) and subscribed before me is day of-QR'/i , 20, by
J l C U , who is ersonally Known to me or has Produced (type of
entifit at ) as identification.
SEAL) `
gnature of Notary Public
State of Florid r
nNALD RASH
Notuy Public - State of Florid,
Print/Type/Stamp Name =• Conrad{=Ion #F FF 22170E
of Notary Public My Comm. Expkee Apr 16, 2019
fleiid dthouph National NchyMa
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