HomeMy WebLinkAbout124 London Fog Way 12-2482 (reroof)r.
c1 ! 0 2012
CITY OF-SANFO D
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: a-- Documented Construction Value: $ 9 r_a —
Job Address: Historic District: Yes No'%
Parcel ID:c2 Zt2 Zoning:
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Description of Work: ' /C f P &A
Plan Review Contact Person:
v
Title: ,r.,
Phone: S/ D SOG - 6.1 Fax: E-mail: Spmz)jrj4f..Yiienr oo 7,pcT Jr , co,K
Property Owner Information
Name Ku1j. nj. 4A Q 9691-k,,,- .r[ Phone: JVP C 3
Street: JAY j_ '"4e"0'_ L, Resident of property?
City, State Zip: S r Q
9 j
Contractor Information
Name Phone:
Street: Fax: 9.2l
City, State Zip: , State License No.:
Arc hitect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Mortgage Lender:
Address:
PERMIT INFORMATION
Square Footage: .294 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 0 No. of heads:,
7
1 ,
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 zomn-g.
WARNING TO OWNER: YOUR FAILURE T O 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 ?OB 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 pen -nit, 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.
Signature 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:
ENGNEERING:
COMMENTS:
UTILITIES:
FIRE:
rMtor' -ne" s Date
t Contractor/Agee s e
fi " q
tor/Agent MPersonally
ate
ODRIGUEZ
tate of Florida#
DD898262s June
2013CPersonally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 1 l .08
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longtiwood,.Sanford,
Seminole County, Winter Springs
Date: S - 1 - I ,
i hereby naive and appoint:
an agent of: JC L O Y O 1 A-
Name of Company)
to be my lawful attomey-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):
W-
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All permits and applications submitted by this contractor.
The Specific pem7it and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:-,
Y/
V- 9
License Holder Name:
State License Number: ({
Signature of License Holder:r
STATE OF FLORIDA
COUNTY OF-n,,.•
The foregoing instrument was ackno-xvledged before me this day of
200 , by who is personalAy known
to me or who has produced y `llc j , v. ti n - • '\ j . a
identification and who did (did no to oaths l
rgrrcnure
Notary Seal) _
Print or type name
A
PATRICIA J. PANAYOTl1 Notary Public -State of
My COMMISSIC-N q 00 "21678 \
EYPIRES:Aprii 3 _M,, CO]t7mISS10n 0.
Bonded byCNASurety ( \J`y' Con1misslon x'plres=r 1
Rev
THIS INSTRUMENT PREPARED BY:
Name: i•s I / ,
Address: iC 'n- " sn
SEA41NOLE COLIAIT'
State of lorida
MARYANNE MORSE CLERK OF CIRCUIT COURT
SEMINOLE COz
AK 07859 pg 0316; (1pg)
CLERK'S # 201211 051
RECORDED 09/ 0/202 12:43:42 PM
RECORDING FEES 10.621
RECORDED BY 3 Eckenroth(all)
NOTICE OF COMMENCEMENT
2
Permit Number Parcel ID Number (PID) 33 ! 56 5-13 ea J 1G
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 -
DESCRIPTION OF PROPERTY (Legal description of the Kyrty and street address if available)
U / J
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION //
Name and address: 'P 1) l z/ X) 0 1
0"
CONTRACTOR
Name and address: r ogj/ 11
Ca v V eew
I
p
Persons within the State of -Florida Designated by Owner upon whom notice or other documents may be served as
by Section 713.13(1)(b), Florida Statutes.
Name and 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 recordii different date is
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 INIPROVMENTS 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.
i
ESTATE F RIDA COUNTY OF SEMINOLE
i ,'.-
O E GNA R , OWNERS PRINTED NAME
1 OT.f . P f-f orida Statute 713.13(1) (g),Mowner must sign...... and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this .,— day of 1 t4 20G
by. S iO l l l k ('%l.Pi L [ '%L Who is personally known to me _4_,/
NarneofpefsoUnakingstatement
OR who has produced identification type of identification produced {
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTIES OF PERJU Y; I DECLARE TflA i!E READ THE FOREGOING AN
TR O TAE1 ST OF MY KNOWLED AF. 010k0NE MILLER14
j ,
1. /
lr' % Z MY COMMISSION # EE101636
IsXF IF7E9 June 09, 2015tTIREOF'NATURAL PERSON -SIGNING ABOVE 4!„'
407)398.0153 Florlaalloinry3erviom.com
es 10-96C(LOP)
glOZ '60 aunf S32llit C3
9E910639 # NOISSIWW00 AW
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8311IW 3N33219 IA83HS
Signature
W.11FIEb . COPY
PRUIRRED
OR
x i o rr . CONTRA(TOR
h just makes sense...
210 Crown Point Circle, Suite 200, Longwood, FL 32779
Office: 321-972-4094 Fax:321-972-4471
Toll Free: 877-294-6678 Fax: 877-29472620
www.axiomcontracting.com FL License# CCC1329763 Job #
AGREEMENT
THIS AGREEMENT IS SUBJECT Tp XSURANCE COMPANY APPROVAL OF PAYMENT J
CUSTOMERIL;/:Zitii LL- STREET ' -- (_`
Jr" ' 0 ,1-v' r--bC--, C J 1+Y CITY
Lg,,JPY-U.) STY ZIP '3 7HOME /
ic WORK CELL
3 (14 ' FAX E-
MAIL ADDRESS C'?, Cal?.- vJ(-P SOURCE
ACCOUNT
REPRESENTATIVE I) PHONE
NUMBER e,4J i _I-z) - 1-9 SPECIFICATIONS
2—
TYPE OF TILE / SHINGLE 3 I A 1 COLOR
OF TILE / SHINGLE CTVALLEY
9--
GENTS GEAR
OFF YES IPITCH
D-
ERMIT FURNISHED B
FELT STYLE
LAYER (
S) 2
STORY REPLACE
ALL BOOT JACKS ICE &
WATER SHIELD SPECIAL
INSTRUCTIONS Y--%:
7 YL2- PAYMENT
SCHEDULE FIRST
PAYMENT 50% SECOND
PAYMENT FINAL
PAYMENT DUE AFTER ROOF COMPLETED CUSTOMER
AGREES TO PAY AXIOM 15% D<
EMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD OF THE INSURANCE APPROVED DOLLAR AMOUNT O
I OLLYARD WITH MAGNETIC ROLLER IF CUSTOMER CANCELS AFTER THE INSURANCE DAP
EDGE KEEP /REPLACE COLOR APPROVES PAYMENT FOR THE DAMAGE INITIALS TERMS:
THIS
CONTRACT DOES NOT OBLIGATE THE PROPERTY OWNER OR AXIOM CONTRACTING GROUP LLC IN ANY WAY UN' LE SIT IS APPROVED
BY THE PROPERTY OWNERS INSURANCE COMPANY AND ACCEPTED BY AXIOM CONTRACTING, GROUP LLC., BY SIGNING THIS
AGREEMENT THE PROPERTY OWNER AUTHORIZES AXIOM CONTRACTING GROUP LLC TO PURSUE THE PROPERTY OWNERS b BEST
INTEREST FOR PROPERTY REPLACEMENT OR REPAIR AT A "PRICE AGREEABLE" TO THE PROPERTY OWNERS INSURANCE COMPANY
AND AXIOM CONTRACTING GROUP .LLC WITH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE
DEDUCTIBLE. WHEN "PRICE AGREEABLE" HAS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACT AMOUNT AND
THE PROPERTY OWNER AUTHORIZES AXIOM CONTRACTING GROUP LLC TO OBTAIN LABOR AND MATERIAL IN ACCORDANCE WITH
THE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT HERIN AND ON THE REVERSE SIDE HEREOF TO ACCOMPLISH THE REPLACEMENT
OR REPAIR. THEREFORE AXIOM CONTRACTING GROUP LLC ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL
INSURANCE PROCEEDS IN ACCORDANCE WITH THIS AGREEMENT. PROPERTY OWNER RECOGNIZES AXIOM CONTRACTING GROUP
LLC AS A GENERAL CONTRACTOR AND AS SUCH WILL BE ENTITLED TO 10% OVERHEAD & 10% PROFIT AS ALLOWED BY INSURANCE
INDUSTRY STANDARDS. ALL WORK WILL BE PERFORMED AT INSURANCE COMPANY RATES, FIGURES & MONEY. ALL PRICES
ARE SUBJECT TO CHANGE. THE
FINAL ROOF PRICE IS THE RCV' AMOUNT ON THE IN'8/1UJIRANCE PAPERWORK PLUS THE APPLICABLE CONTRACTORS OVERHEAD
AND PROFIT. CUSTOMER INITIALS. YOU,
THE BUYER, MAY CANCEL THIS PURCHASE AT ANY TII 4E PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF
THIS AGREEMENT. AA70!
U CONTRACTING GROUP L11 C,--I NTRAi,TIivG GROUP, INi.. DISCLAIMS ALL WARP—INTIES, EXPRESSED OR, IMPLIED WARRANTY
OF MERCHANTABILITY OR FITNESS FOR: A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON THE REVERSE
SIDE OF THIS AGREEMENT. CUSTOMER
HAS READ AND AGREES TO ALL TERMS AND CONDITIONS ON T BACK ACCEPTED
BY HOMEOWNER(S) ON: DATE / ( r / % Z --by X ,C 4, CO—
OWNER: DATE rl Z— BY AXIOM
REPRESENTATIVE: DATE /r/L Z BY X INSURANCE
CO. CLAIM NO.
SCPA Parcel View: 33-19-30-513-0000-0210 Page 1 of 2
Chc.vIp rv
p/,
CrA Parcel: 33-19-30-513-0000-0210
RUPER Q g Owner: O'DONNELL KEVIN G & ERIN L
APPRAISER, SE 11NOI.[ COUNTY, FLORIDAProperty Address: 124 LONDON FOG WAY SANFORD, FL 32771
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Parcel: 33-19-30-513-0000-0210 Value Summary
Property Address: 124 LONDON FOG WAY
Owner: O'DONNELL KEVIN G & ERIN L
Mailing: 124 LONDON FOG WAY
SANFORD, FL 32771 - 7762
Subdivision Name: MAYFAIR OAKS 331930513
Tax District: S1-SANFORD
Exemptions: 00-HOMESTEAD (1997)
DOR Use Code: 01-SINGLE FAMILY
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Map Aerial Both I + - Extents Center
Larger Map 11 Dual Map View - External
2012 Working 2011 Certified
Values Values
Valuation
Cost/Market Cost/Market
Method
Number of
1
Buildings
1
Depreciated
g99,340 109,954
Bldg Value
Depreciated
EXFT Value
Land Value
S21,000 523,000
Market)
Land Value Ag
Just/Market
g120,340 132,954
Value **
Portability Adj
Save Our Homes SO So
Adj
Amendment 1
Adj
Assessed Value g120,340 5132,954
Tax Amount without SOH: 1,846
2011 Tax Bill Amount 1,846
Tax Estimator TRIM Notice
Save Our Homes Savings: SO
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LOT 21 MAYFAIR OAKS PB 50 PGS 38 THRU 41
Tax Details
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $120,340 $50,000 $70,340
Schools 5120,340 $25,000 $95,340
City Sanford 5120,340 $50,000 $70,340
SJWM(Saint Johns Water Management) 5120,340 550,000 570,340
County Bonds 5120,340 550,000 570,340
Sales
Deed Date Book Page Amount Vac/Imp Qualified
WARRANTY DEED 08/1996 03115 1362 $112,200 Improved Yes
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth Units Unit Price Land Value
LOT 1.000 21,000.00 521,000
Building Information
Description Year Fixtures Base Total SF Living
Ext Wall
AdJ Repi
Appendages
Built Area SF Value Value
1 SINGLE 1996 7 1,933.00 2,3 75.00 1,933.00 CB/STUCCO 599,340 $105,122
FAMILY FINISH
GARAGE FINISHED 406
http://www. scpafl.org/ParcelDetails.aspx?PID=3 3 -19-3 0-513-0000-0210 9/20/2012
Citybf Sanford
BUILDING DivisaoN
RE: Permit #
Inspection Affidavit
I f6z,?VA'a licensed as a(n) Contractor* /Engineer/Architect,
please print name and circle Lic. Type) FS 468 Building Inspector*
License #; C e C 4 g:2 q 2/ 3
On or about
Date & time)
deck nailing and/or secondary water barrier work at
circle one)
I did personally inspect the roof
Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
STATE OF FLORIDA
COUNTY OFF -ten,
Sworn to and subscribed before me thisdOfi,e day of J g-,O Ino -.L- . 200/
BONNIE J. MURRO
Notary Public, State of Florida
Commission # EE 224619
My comm. expires Sept. 16,2016
Not ublic, State of Florida LLB
Print, type or stamp name)
Commission No.: A-2 q &/ I
Personally known or
Produced Identification v
Type of identification produced, Zip
i
General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.