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HomeMy WebLinkAbout206 Yale Drti r iris Rj i JUN 2 g 2015 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / 01 d 1 Documented Construction Value: $ S 5 Z0 , VU; Job Address: 20 rd F1 3277 / Historic District: yes No2,, Parcel ID: 3 S - 19 - 3O - E Z 3 -- 0006 - n l 9 n Zoning: AfeeS td e4-1 Description of Work: 0-2 1JJ l2 o&i! S k 1 C4 1-- Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information 7 $ "7 30 I `y7 - -7 S' - Name ,'ow- , t, Phone: ,D i Street: eQ X (L? 2 Z 0 1 g Resident of property? : MO City, State Zip: Ovt e," R 3 Z -7(.o2 2O1$ Contractor Information Name P 104 Phone: 3Z1 - S-7--7 •- 8'77 4, Street: 2-I -? 40u r 4r, A. Fax: A)14 City, State Zip:.0ot SSj 6c y-r4 P 3 z 70 7 State License No.: CCC /3 Z ' z Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: _ Address: Building Permit ( 0,-- Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Z 3sg S Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/ Alarm No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07. 14 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. USignature of Owner/Agent " Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: LO- t -7 20 S' ature of ont_actor/Agent Date yt S li( S Print Contractor/Agent's Name S Signature of Notary -State of Florida Date o." DE S. WALTER S. Notary Public - State of Florida N, o' My Comm. Expires Dec ?6.2017 oF ';:•' Commission # FF 079571 Contract i„ Me or Produced ID _lam Type of ID ->iv(5yS 1,,cclz- se-• WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 R fdr,t 'r q ,s 1. ,. 'f ri s. _•;fi.":4 i - RESIDENTIAL, ( CONTRACTNO. ei Arl 217 Hound Run Place I' erxklRoofing, Inc Casselberry, FL 32707 When quality matters." Owner' s Name: Owner's Address: 321.377.8776 Sari Hopkins PO BOX 622018 jameswalthers@gmail.com Owner' s City: 1'632762-2cOl wner' s zip ode: Owner's Phone: Owner's Work Phone: FL License NO. CCC1325882 Oviedo 8 407-705-7873 Project Name & Address: Email: - - 206 Yale Dr. Sanford, Fl. 32771 Irenehop@bellsouth.net WE, the Owner(s) of the premises described above authorize The Above named hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: a. Description of the work and the materials to be used: Remoye old roof down to deck , ••lncludes,one layer«. Replace any,.rotted- or deteriorated decking.. ••See °, Exclusions _and Clarifications" below.., .._ Re, nail_deck with,2 3/8" ring shank,nails_per code., .,, _.r.. Dry in. roof with Rhino Roof U1.5 premium synthetic_underlayment.,, Remoye and_r_eplace.with_,new:,..drip,edge,, lead -boots, and exhaust.vents___ _,_ _____,_ Line., valleys,,with_self-adhered_underlayment.and_16 "galvanized, v lle metal~._,.,.-..,. Install_ new.Certainteed XT25.3 tab_shingle..,.C.olor.: 0 t t11h, r` x 1-IN.T.; / Haul..away- all..debris_associated.with.ro.ofing work—.._.__.._._. Supply. all necessary... permits,_.labor., material, and,licensing.to.complete contracted project.....-.. .. __ _. _... ...... ..... .._,_,_... A, Supply, customer with.a 5,year labor. warranty ....... _____...... OP.TIONALUPGRADE:- Add -$,345.00_to."total_sum" below -to _ upgrade to a limited lifetime..warranty G.ertainteed_Landmark architec-, tural shingle....,.__.... EXCLUSI.ONSAND CLARIFICAT..IONSi=_.ROTTED.AND..DETERIORATED.DECKING.W. .ILL,BE_REPLACEQ.AT_A.RATEDF $75.00, PER SHEET OE.P_LY.WOOD_AND_$5.00 PER, FO.OT.F..OR.ANY 1-BY.OR-2..BY.-DIMENSIONAL LUMBER._.____.__._. b. Description ofany areas that will NOT beworked on: y THIS LIST OF SPECIFICATIONS MAYBE CONTINUED ON SUBSEQUENT PAGES (SEEPAGE NUMBER BELOW) c. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the Total Sum of $5520. 00 Down Payment (if any) $0.00 PAYMENT DUE WHEN AMOUNT PAYMENTS TO BE MADE IN INSTALLMENTS AS FOLLOWS: 1. Upon Completion 5520 2. 3. 4. d. Commencement and Completion of Work: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date: TBD Approximate Completion Date: TBD e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges. Additional Provisions Of This Contract Are On The Reverse Side And May Be Continued On Subsequent Pages (see page number below). Read Arbitration of Disputes" provision on page two (2), provision 13 and the NOTICE following this provision. If you agree to arbitration, initial on the line below the NOTICE where ' ndicated. Also, initial in the same place on EACH COPY of this contract. You, the Buyer, may cancel this transaction at any time prior date to midnight of the third business day after the date of this approved an/accepted (owner) transaction. See the attached Notice of Cancellation form for an explanation of this right. approved and accepted owner)_,. 120 i_5 NOTE: This contract may be withdrawn or renegotiated after 30 approved (contractor) date days from 06-17-2015 if not approved and signed by BOTH parties. Form 110-C Copyright © 1996-2014 ACT Contractors Forms (800) 820-5656 www.calform.com Page ONE of 3 Total Pages 6/17/2015 vkDavidJohnson, CFA PROPERTY111=11C1112APPRAISERSWINOLECOUNTY, FLORIDA SCPA Parcel View: 35-19-313-523-0000-0190 Property Record Card Parcel: 35-19-30-523-0000-0190 Owner: HOPKINS THOMAS D &SARI I Property Address: 206 YALE DR SANFORD, FL 32771-3073 Parcel: 35-19-3D-523-0000-0190 Property Address: 206 YALE DR Owner: HOPKINS THOMAS D & SARI I Mailing: PO BOX 622018 OVIEDO, FL 32762-2018 Subdivision Name: ACADEMY MANOR UNIT 02 Tax District: SI-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY 20 Legal Description LOT 19 ACADEMY MANOR UNIT 2 PB 16 PIS 24 Taxes Value Summary 2015 Working 2014 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 Depreciated Bldg Value 55,669 58,376 Depreciated EXFT Value 200 Land Value (Market) 9,500 9, Soo Land Value Ag Just/Market Value 65,369 68,076 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 65,369 1 $68,076 Tax Amount without SOH: $1,355.64 2014 Tax Bill Amount $1,355.64 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 65,369 $0 1 1 -- - - . -- --- . 65,369 1 .-- - --- Schools 65,369 o 65,369 City Sanford I 65,369 i 0 65,369 SJWM(Saint Johns Water Management) 65,369 so 65,369 CountyBonds 65,369 so 65,369 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 9/1/2004 105501 0010 92,900 Yes Improved WARRANTY DEED 7/1/20D 05395 1693 70,000 1 No Improved QUIT CLAIM DEED i 7/1/1991 02322 1379 100 No Improved WARRANTY DEED 6/1/1980 1 01283 1159 44,000 Yes Improved WARRANTY DEED 10/1/1979 01247 1246 71,000 No i vacant t-ina (-omparaDie baies vAmin Enis z)uouivison Land Method Frontage Depth Units Units Price Land Value LOT 01 0 1 9,500.00 1 $9,500 Building Information hUplMtww.scpafl.orgfParceiDeta7ilinfo.aspx?PID=35193052300000190 1/2 Illllliilllillllllll! IIIIIIIIII IIII IIIITHISINSTRUMENTPREPAREDBY: Na_._ James Walthers Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: I`i€RYANNE: i'IQF;SE} SEI1:[tdl[.E :QUIi'f LERK OF CIRCUIT COURT & `:QIIE'7FiQLi..f::41: CLERK'S A 20/5066327 ECORDINGFEES `•1t .00 iECORDED BY h'dL y/ore 35- 19-30-523-0000-0190 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. DES Ip ICtN.AF.PEti P€J2„Tj(A(L,e,al,d gFriptio nLt11e pfpp@r2Y Itd street address if available) 2U Yale L)rr.. Swann oTr , II.. 32111 UIVI I t'ti Ili F'( L4 4NERAL D SCRIPTION OF IMPROVEMENT: ew root OWNER INFORMATION: Name: Sari Hopkins Address: PO Box 622018 Oviedo, FI. 32762-2018 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: Peak Roofing, Inc. Address: 217 Hound Run PI. Casselberry, FI. 32707 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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 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. Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true to the besf my kn ledge and elief. 74 Owner' s Signature Owners Printed Name Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State of` rud County of t'N1 D Theforegoing instrument was acknowledged before me this day of 20 by Styo( u --s-ireAe ` ) .,t..YA s Who is personally known to me Name of person making statem nt OR who has produced identification type of identification produced: r a h` h i,s C"S e' DE S. WALTERTt r No re OF HE 1 r Notary Public - State of Florida tAt DCOP i — IARYANNE MORSE 4,5' c' G9 14 My Comm. Expires Dec ?6CLERK CIRCUITCOURTA D aForF d;S Commission # FF 079 92019 COMPTROLLER lllllll111''' 'l.d04 SEMINOLE CO 1 , FLO c y= 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: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). 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). For Re -Roof Permits other than asphalt shingle, wood shake or wood shingle, please provide two (2) copies of Florida Product Approval and Manufacturer Installation Instructions for the roof covering product and the underlayment. 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 of Sanford, state, andfederal code requirements. Revised.• February 2015 City of Sanford Residential Re -Roof Hurricane Mitigation Inspection Process 1. Roofing contractor shall be responsible for the protection of contents and structure at all times. 2. An in -progress inspection shall be scheduled after the old roof has been removed and the dry -in is complete. All components of the dry -in must be in place. To schedule an inspection, call 407.688.5151. 3. For roofs using an entire peel and stick dry -in, a nailing affidavit shall be required to be posted on jobsite at time of in -progress inspection. 4. A minimum of one hundred (100) square feet of the new roof component shall be installed at time of inspection. Up to fifty percent (50%) of the new roof may be installed, but all flashing and valley metal shall remain exposed for inspection. 5. The contractor shall contact the inspector the day of the scheduled inspection between 7:30 a.m. and 8:30 a.m. to coordinate the inspection time. Please call 407.688.5061 or 5063 6. At time of inspection the inspector shall, at his or her discretion, select location(s) for inspection. 7. A representative of the contractor shall be on job site to facilitate any necessary repairs. 8. After the inspection is conducted, the contractor will make any necessary repairs and proceed as directed by the inspector. 9. For approved inspections, the inspector shall collect the required affidavit for filing with the permit application. The above shall serve as the inspection process to meet requirements per Florida Statute. Any and all suggestions to better serve the contractor needs will be considered. Revised: February 2015 Y-r 5 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /,! ` 2-20 2- I, lz)4b L rS hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at Z O to qMl e- 1Jr'. <-ahJ',,-J Ff . 327 7 1 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 7 Date CCC 13Z1ag82 License # License Type: General Building Residentialk Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OFVV111( Sworn to (o affirmed) ands bscribed before me this day of Jv , 20 , by who is Personally Known to me or hAX Produced (type of identification) - 0 '-Lk- as identification. SEAL) Signatur of Notary Public State of Florida d'Y *4" THOMAS L DINARDO ror Natary Public -State of Florida JP My C: in. Expires Jul 7.2015 Print/ Type/Stamp Name ;FOF,o: Commission # EE 110182 of Notary Public Revised: February 2015 .