HomeMy WebLinkAbout128 Bushcreek DrD JUL 0 9 2015 CITY OF SANFORD
BUILDING & FIRE PREVENTION
BY: PERMIT APPLICATION
Application No: C1 l + Documented Construction Value: $ 1 Q & I, `-I I
Job Address: . )C,l C esL Y Historic Distinct: Yes No
Parcel ID: Zoning:
Description of Work: V"EW V4, ru l as C -) [ z
Plan Review Contact Person:
Phone: Fax: E-mail:
Title:
Property Owner Information /
Name E o' c Phone:
Street: l cif (, Resident of property? :
City, State Zip: f PtR QTVA( 3 a` n
T'
Contractor Information
Name H C\ lX A. cto- nb ,VL - l na
Street: _ (jet 'S h_rj('V -[ Q a _ ea.,&.L
City, State Zip: LjL (Qjn C)Z PL
Name:
Street:
Phone: q bq" (9 -71-97 a
Fax: Llb q- b 9 W__ 3 `29 i State
License No.: Architect/
Engineer Information Phone:
Fax:
City,
St, Zip: E-mail: _ Bonding
Company: Mortgage Lender: Address:
Building
Permit Square
Footage: 3 '2r Address:
PERMIT
INFORMATION Construction
Type: n
No.
of Stones: No.
of Dwelling Units: Flood Zone: Electrical
0 New
Service — No. of AMPS: Mechanical
0 (Duct layout required for new systems) Plumbing
0 New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm 0 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(5x6) 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.
c'- "-z c /zs/,s Signature
of Ow er/ ent Date Prin4ChmeriAgent'
ame c
o . 95. is Sign4
Date pp`"""`•°
a'
ROSE A SMITH MY
COMMISSION # EE871629 EXPIRES
March 24, 2017 407)
399-0153Fla idallotaryServico com Owner/
Agent is Personally Known to Me or Produced
ID — Type of ID . L- APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Signature
of Contractor/Agent Date mD6-
o-s R vvg 1 Print
Contractor/.Agent's Name Signature
of Notary -State of Florida Date aO{
pPY PL6`t'"
ROSE
A SMITH MY
COMMISSION # EE871620 EXPIRES
March 24. 2017 i40I;
398 0153 FloridallotaryService com Contractor
Agent is Personally Known to Me or Produced
ID Type of ID UTILITIES:
FIRE:
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(5x6) Florida Statutes. REV
07.14
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature-t\,`
Applicant's Name Opto-S V P- k ( -
Please Print)
June 2014
Product Approval Specification Form
Permit #
Project Location Address I a 0 creo L b r —'Ao1n (O Yd 3a -
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Sin le Hung
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles ez ` wL4,ep—
Underla ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
7/7/2015 SCPA Parcel View: 33-19-30-516-0000-1430
p yld Johnson. CAA
PROPERTY
APPRAISER
SEAM1INOL COUNTY. Pt,OFtIL A
Property Record Card
Parcel: 33-19-30-516-0000-1430
11
Owner: WATERS EARL 7 & PATRICIA A
Property Address: 128 BRUSHCREEK DR SANFORD, FL32771 n
Parcel: 33-19-30-516-0000-1430 1 Value Summary
Property Address: 128 BRUSHCREEK DR
rk
Owner. WATERS EARL J & PATRICIA A
Mailing: 128 BRUSHCREEK DR Valuation Method
SANFORD, FL 32771
Number of Buildings
Subdivision Name: COUNTRY CLUB PARK PH 2
Tax District: S1-SANFORD Depreciated Bldg Value9
Exemptions: 00-HOMESTEAD (2001) Depreciated EXFT Value
DOR Use Code: 01-SINGLE FAMILY Land Value (Market)
Land Value Ag
V 1
Aj
2015 Working 2014 Certified f
Values Values
Cost(Market Cost/Market j
1 1
118,997 113,374
28,000 $28,000
w ... _. ... just/Ma et a ue $146 997 $141,374
Portability Adj
Save Our Homes Adj $28,673 $23,989
u Y Amendment 1 Adj
g
Assessed Value $118,324 $117,385
4 1A
f
r
t rA$• '
Tax Amount without SOH: $2,017.01
2014 Tax Bill Amount $1,539.29
Tax Esbmator
i Save Our Homes Savings: $477.72
Does NOT INCLUDE Non Ad Valorem Assessments
ff Legal Description
L._..._._..
LOT 143
COUNTRY CLUB PARK PH 2
PB 54 PGS 22THRU 24
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
I
County General Fund 118,324 50,000 68,324
Schools 118,324 25,000 93,324 ,
City Sanford 118,324 50,000 68,324
SJWM(SaintJohns Water Management) 118,324 50,000 68,324
County Bonds 118,324 50,000 68,324
Sales
Description 1 DateDescription Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 7/1/2000 03898 1764 117,600 Yes Improved
WARRANTY DEED 2/1/2000 03813 1466 23,500 Yes Vacant
Find Comparable Sales vnthin this Subdivision-
Land
f Method Frontage Depth Units Units Price Land Value
LOT 1 28,000.00
f
28,000
Building Information 1
Year Built
Description
Actual/Effective
Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE 2000w7 . 1,627 2,178 1,627 CB/STUCCO $118,997 125,591
Description Area
FAMILY FINISH
http://www.scpafl.org/Parcel Detail Info.aspx?PID=33193051600001430
1/2
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 I -) I I5
mp"kt' I hereby name and appoint:
an agent of:
NameorCom
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
C The specific permit and application for work locate at:
3 a
Street Address)
Expiration Date for This Limited Power of Attorney: ka-3 k- 5
License Holder Name: knokkag 6L.
State License Number: Cc (' oS a 4 i ` )
Signature of License Holders
STATE OF FLORIDA
COUNTY OF CUL
The foregoing instrument was -acknowledged before me this -1 day of S,
200 , by aS l d1Q 2.t who i r ersonally known
to me or who has produced
identification and who did did not) take an oath.
cam_.
Signature
Notary Seal)
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
as
p 9; ROSE A SMITI'
pAy COMMISSION # Er
EXPIRES March 2,
53
01ppV pv9 ROSE A SMITH
MY COMMISSION # EE871629
o?; EXPIRES March 24, 2017
407; 39MI53 FloridallotaryService oom
THIS IN UMEN RF-PAW BY: 11 Hill 111il hill Dili IN111iii 1111
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
IIARYfi111114E HORSEY SMINOt_E COUNTY
CLERK OF CIRCUIT COURT c: GOhiF'1'ROI_t_tR
r 8503 Ps 57
CLERK'S AV 2015074.063
RECORDED 071 /0 /2015 11:37:21 i AN
c" CORGih;l, FEES $10.00
Et:l)RDED BY h(3 ivol`Q.
Parcel ID Number:-33 " (q" 30 `51- — 00CC)- I `30
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.
OF P PERTY: (Le al descriptio of the roperty and r et address if ava'I ble)
3 Tuv t- n 0 .lu_o ar k ti a P 3 s4 Ii G a a i a
GENE,L DESCRIPjTQN OF IMPROVEMENT:
h (D
f
OWNER WfORMQTIO N:'
Name:
Address: bL`-SL1 C'_i('C Q
Fee Simple Title Holder (f other than owner) Name:.
Address:
CONTRACTOR: Advantage Roofing Ind.
Name: 6903 Partridge Lane
Address: Orlando, FL 32807
Persons within the State of Florida Designated'byOwner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
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 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.
Under penalties of perjury, i declaie that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge
A LL (i.JF1Ti:t2S
s Signature Owners Printed Name
Florida Statute 713.1 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 F County of Oy- lti
The
Gforegoi ing
instrument was acknowledged before me this _ day of , 20
by [ Ci i 1 W('1''- Who is personally known to me
Name of person maldng statteemenntt
OR who has produced identification 11 type of identification produced: ! '
ROSE A Sid ITH
r,(MNIISSI .N f G EFIZ 716'79dY .n
ExPlRl^S march 24, 2017
Flmitlallofaaoi s,<•u,,3
rmFIEDCO —MA N RAORSE
CLERK OF T CIRCUI COU AND
SEMINOLE
Notary Signature
1,
b
IItiN\
BY UTY CLERK
City of Sanford
Roof Permit Application Checklist
F - D JUL 0 9 2015
BY:
All permit application packages must be complete prior to acceptance. You must checkeach box to the
le 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.
6Y 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).
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 roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements.
i
Revised: February 2015
r
t s
II
R 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
FLORIDA'S ROOFING Phone: 407-862-ROOF
ADVANTAGE SINCE 1989 I
Fax: 407-678-3791
ANGIE'S LIST SUPER SERVICE Advantage ST. LIC. # CCC052477
AWARD WINNER 6903 Partridge Lane
Roofing Inc. Orlando, FL 32807
gg$ Web: www.roofingadvantage.com
T Email: advantageroofingine@yalioo.com
Roofing Estimator: 7_,&sw\ rKt C LC (Z
Proposal Submitted For:
Name: IFL A C2 t-y3 w1 -E. CL,5
Address: 12 2uS t EL1` i7iL.
City: `JFlr11-UIL 1 ST. C= L- Zip:
Email:
Estimator's #: L i (:y-)- 3b 1 - 9 (Y7t
Date: LQ - - a - I S
Home #•
cell #: 1 O -7 - y 30 - 5 S a4A
Office #•
Fax #•
Advantage Roofing Inc. is dedicated in combining its resources to ensure the highest quality of workmanship and commitment. We have
familiarized all personnel with project conditions and are familiar with all local building codes. Thank you for the opportunity, time, and
attention in your process of choosing a qualified Roofing Contractor.
RE -ROOT% PREPERATION
Cover all plants and shrubbery with tarps to eliminate damage and catch all loose trash and nails.
Obtain and post all necessary permits in accordance with all local codes.
ROOFING SYSTEM , ! `
Remove existing roof. 5*•1 a L LC- (Roof type). c i t #Layers. Additional Layers $25.00 Extra Per SO.
Re -nail deckink per FL. Wind Mitigation Requirements. (81) RING SHANK NAILS)
Install new: PW-C.\\ . SH t ^1 G L-L S in accordance with manufacturer's specifications and all local codes.
WOOD WORK
Replace defected wood at: Additional-cost:-($60:00)=aer-sheet plywood-&-($4:00)-rser-t. plank -boards -and -fascia
initial) Price Includes Labor & Material Costs. e.zv
UNDERLAYMENT/DRY-IN 1
Install c--0 cz.V \ 6.1 uAN ;L5, bC G\4- 2C r C T I throughout entire roof.
Install Peel & Stick Leak Barrier in the following vulnerable areas that apply (valley's, Penetrations, walls, and Chimney's).
SAVE DRIP. FLASHINGS & SKYLIGHTS
O"' New eave drip .3 \ #pieces. Color:
O""Remove and install new lead plumbing boots: 3" 2" 1 a/z"
O Install new valley metal over peel and stick membrane: Lin. Ft.
O Remove and install new skylights: 2x2 Qty. 2x4 Qty. Custom/Type:
VENTILATION. CAP & STARTER SHINGLES
e Remove and install new shingle over ridge vents: 41D Lin Ft.
O Remove and install new 4ft. off ridge vents: Qty. Color:
0' Install new goose neck vents: 1 10" 4" Color: $<2-0 W
O Install upgraded hip and ridge cap shingles. I (ZIU Lin. Ft.
O Install required starter shingles at eave. 150 Lin. Ft.
IOB COMPLETION
Clean job site thoroughly each day and remove all job related debris from premises. Magnetically drag job site for any loose nails.
Request all necessary permit inspections (Please do not remove any county permits until final inspections have been completed).
WORKMANSHIP WARRANTY \
Workmanship warranted againstALL LEAKS AND DEFECTS for DE-V F=t l ) Years from date of completion.
Manufacturer's warranty applies•to materials only.
ADVANTAGE ROOFING INC. hereby propose to furnish labor, materials, insurance, permit fees, dump fees, supervision, equipment, qualified
installers, and taxes - complete in accordance with the above specifications, for the Sum Of:
Roofing Option #1 Roofing Option #2 Low Slope Flat Roof
Manufacturer Warranty: (-G IBC Manufacturer Warranty: Manufacturer Warranty:
Manufacturer: 2T t iv TF_ Manufacturer: Manufacturer:
Color: Color: Color:
Style: Style: Style:
Flat Roof: $ 14 h1 Flat Roof: $ Flat Roof: $
TOTAL INVESTMENT: ,$ ln'a, `I. -
TOTAL INVESTMENT: $ TOTAL INVESTMENT: $
3fInitial Initial Initial
PAYMENT DUE IN FULL UPON FINALIZTION OF ROOF PERMIT INSPECTIONS
ACCEPTANCE OF PROPOSAL'—
c
COMPANY AUTHORIZED SIGNATURE:
CUSTOMER SIGNATURE: =— `'' ` "/ =—
EXTRAS:
DATE: 0 S - I S
DATE: 6t J