HomeMy WebLinkAbout140 London Fog Way 12-2483 (reroof)SE'P 2 b 2012
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CITY OF SANFO D
BUILDING FIRE LLPREV1`fON
PERMIT APPLICATION
Application NoDocumented Construction Value: $ //> i l 02. 6P l Job
Address: Historic District: es No Parcel
ID: 3 { 01 3 6 513 o -16 Ol 3O Zoning: Description
of Work:j=" Plan
Review Contact Person: 1 P /?/ 1 2 Title: ry'e /0_
1
O Phone:
i°U Ole 602(2 Fax: E-mail: 6 1, Ile %7 AX. o. r OrJ ` `' cam' r
Property
Owner Information Name
A- cb oA 13Phone: 3 J o 5_ 3,5 Street: U
kaK)abPi FiAq Resident of property? City, State
Zip: SAa 7 / Contractor Information
Name10YM cY1
Phone: Sl31 6 . u g Street: d ,
Fax: City, State
Zip tdN G W 32;7 2 State License No.: 13 r- q T 3 Architect/Engineer Information
Name: Phone: Street:
Fax: City,
St, Zip:
E-mail: Bond* ompany: Mortgage
Lender: Ad ess: Address:
PERMIT INFORMATION Building
Permit Square
Footage: 0
3a qt Construction Type: No. of Stories: No. of Dwelling
Units: Flood Zone: Electrical Plumbing New
Service— No:
of AMPS: New Construction - No. of Fixtures: Mechanical 11 (Duct
layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
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 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 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.
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:
ENGINEERING:
COMMENTS:
LFW*FfrTCt0r/AgLFnt Datei
4
UTILITIES:
FIRE:
Print Contractor/Agin't-1s-Name
V
q+ public, State of Florida0ryDDS98262Commission# 10 2013esJuneM1ICOMM. expires
Contractor/Agent is_z,Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
PREURED
BBs, axiom CONWTOg
R 'ust 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: 877-294-2620
Hww.axlomcontracting .com FL License# CCC 1329763 Job #
AGREEMENT
THTSAGREEMENT„IS SUBJECT TO INSURANCE COMPANY APPROVAL .OF PAYMENT E
CUSTOMER
SPECIA.L.INSTRUCTION&
STREET /` (ice ijrJ
J —T
CITY .u,rJ d) ST ZIP 17 7
HOME?0 23 WORK
CELL f t 7/ S(o r FAX
E-MAIL ADDRESS r3
SOURCE
ACCOUNT REPRESENTATIVE
PHONE NUMBERCo:1-J , ' J
SPECIFICATIONS
D'FYPE OF TILE / SHINGLE -s Fly'
7COLOR OF TILE /,SHINGLE
G;-GALLEY'
EVENTS STYLE &-l&d- PAYMENT SCHEDULE
D-TEAR OFF g-fES LAYER (S) FIRST PAYMENT 509%
LlL- ITCH 2 STORY SECOND PAYMENT
I;-PERMIT FURNISHED El REPLACE ALLBOOT JACKS FINAL PAYM ENT DUE AFTERI200F COMPLETED,
9-1 13 FELT ICE & WATER SHIELD CUSTOMER AGREES TO PAY AXIOM 15%
2<E4OVE ROOF TRASH FROM ROOF, GUTTERS & YARD OF THE INSURANCE,APPROVED DOLLAR AMOUNT
CCO
DRLL YARD WITH MAGNETIC ROLLER IF CUSTOMER CANCELS AFTERTHE INSURANCE
C{IP 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 UNLESS IT 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
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 ,CONTRACTAMOUNT. 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. TI fEREFORE AXIOM CONTRACTING GROUP LLC ACTING' AS YOUR CONTRACTOR WILLBE ENITITLED'TO ALL
INSURANCE PROCEEDS IN ACCORDANCE WITH THIS AGREEMENT. PROP ERTY"OWNER RECO,GNIZES AXIOM'CONTRACTING GROUP
LLC AS A GENERAL CONTRACTOR AND AS SUCH WILL BE ENTITLED';TO, I0% OVERHEAD.& '10% PROFIT AS ALLOWED BY INSURANCE
INDUSTRY 'ST,ANDARDS. ALL WORK WILL"BE`PERFORMED AT INSURANCE COMPANY. RATES; FIGURES & MONEY. ALL PRICES
ARE SUBJECT TO CHANGE. i THE
FINAL ROOF PRICE IS THE RCV,AMOUNT O TH .INSURANCE PAPERWORK PLUS THE APPLICABLE CONTRACTORS 9 - -
OVERHEADAND PROFIT. ` CUSTOMER INITIALS E
YOU,
THE BUYER; MAY CANCEL THIS PURCHASE A ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS` DAY AFTER. THE DATE OF
THIS AGREEMENT. AXIOM
CONTRACTING GROUP LLC CONTRACTING GROUP, INC. DISCLAIMS ALL WARRANTIES, 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 ACK, T AMENT ACCEPTED
BY HOMEOWNERS) ON: DATE / /% 2. )Y X CO-
OWNER: DATE ! / BY X AXIOM
REPRESENTATIVE: DATE / ,'2.4 /)Z" BY INSURANCE
CO. CLAIM NO. ADJUSTER'S NAME. o
THIS INSTRUMENT PREPARED BY:
Name: 1 n) r
Address: +eA
P-rdt1 7 OT I SEA411\10LE COUAITY
State of lorida
MARYANNE MORSE, CLERK OF CI RCU I,T COURT
SEMINOLE COLWTY
RK 07859 Rg 0317I Upg)
CLERK'S ## 2012112052
RECORDED 09/2V/20126 12:43:42 Ft#
RECORDING FEES 10.0%
RECORDED BY J Ecllenroth(a11)
J
NOTICE OF COMMENCEMENT
Permit Number L Parcel ID Number (PID) 3 01
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 property and s eet address if avail ble)
r
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
ie VShe (a
Name and address: v" `
Aft) 102
r
CONTRACTOR RX, t Name and address: Yy —
1 g 10 C!, (4-61 k) K)_P-v % t C 12 f -C o
Persons within the State of Florid esignated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates
1
of
To receive,a copy of the Lienors 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 IMPROVMENTS 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.
STATE OF—FLORIDA COUNTY OF SEMINOLE
RS SIGNATURE OWNERS PRINTED NAME
OTE: Per Florida Statute 713. g), owner 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 20 1
by J l yo Who iE personally known to me _
Name of persoryaking statement
OR who has produced identification type of identification produced
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PE13LTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT
ARE TR ET THE BEST F Y KN EDGE AND BELIEF.
CERTIFIED COPY
SIGNA R RAL PERSON SIGNING ABOVE R E MORS
E OF RCUIT COU
FL IDA
SHERYL GRF-ENE MILLER
Ml' COMMISSION # EE101636 C66RKSotarySignature
EXPIRES June 09, 2015
407) 398.0153 FlorltldNotaryService.com
SEP 2020.
SCPA Parcel View: 33-19-30-513-0000-0130 Page 1 of 2
r. .
Parcel: 33-19-30-513-0000-0130
Owner: BRAGA JACOB A & SHEILA D
i;F.tu o0+.CCdlfNry Property Address: 140 LONDON FOG WAY SANFORD, FL 32771
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Parcel: 33-19-30-513-0000-0130 1 Value Summary
Property Address: 140 LONDON FOG WAY
Owner: BRAGA JACOB A & SHEILA D
Mailing: 140 LONDON FOG WAY
SANFORD, FL 32771 - 7761
Subdivision Name: MAYFAIR OAKS 331930513
Tax District: S1-SANFORD
Exemptions: 00-HOMESTEAD (1997)
DOR Use Code: 01-SINGLE FAMILY
W {
qC
R LL
Uj
fy
Map Aerial Both Footprint + - Extents Center
Larger Map 11 Dual Map View - External
2012 Working 2011 Certified
Values Values
Valuation
Cost/Market Cost/Market
Method
Number of
1 1
Buildings
Depreciated
76,047 84,088
Bldg Value
Depreciated
EXFT Value
Land Value
21,000 23,000
Market)
Land Value Ag
Just/Market
97,047 107,088
Value **
Portability Adj
Save Our Homes
0 0
Adj
Amendment 1
Adj
Assessed Value 97,047 107,088
Tax Amount without SOH: 1 ,330
2011 Tax Bill Amount 1,330
Tax Estimator TRIM Notice
Save Our Homes Savings: 0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LOT 13 MAYFAIR OAKS PB 50 PGS 38 THRU 41
Tax Details
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
97,047
97,047
97,047
97,047
97,047
Exempt Values
50,000
25,000
50,000
50,000
50,000
Taxable Value
47,047
72,047
47,047
47,047
47,047
Sales
Deed Date Book
WARRANTY DEED 10/1996 03154
Page
1006
Amount Vac/Imp
93,700 Improved
Qualified
Yes
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth
LOT
Units
1.000
Unit Price
21,000.00
Land Value
21,000
Building Information
Description Year Fixtures Base Total SF Living
Built Area SF
1 SINGLE 1996 7 1,377.00 1,840.00 1,377.00 CB/STUCCO
FAMILY
Ext Wall Adj Repl
Appendages
Value Value g
76,047 $80,473
FINISH
GARAGE FINISHED 423
http://www.scpafl.org/ParcelDetails.aspx?PID=33-19-30-513-0000-0130 9/20/2012
City, Sanford
BUILDING DIVISION
RE: Permit # yr
Inspection Affidavit
I C'G!/Y G zD,g ,licensed as a(n) Contractor* /Engineer/Architect,
please print name and circle Lic. Type) FS 468 Building Inspector*
License #; C C C /,3e2 % % 6 .3
On or about I did personally inspect the roo
Date & time)
deck nailing and/or secondary water barrier work at
circle one) (Job Site Address)
Based upon that examination I have determYned the installation was done according to the
Hurricane Mitigation. Retrofit Manual (Based on 553.844 F.S.)
STATE OF FLORIDA
COUNTY
Sworn to and subscribed before me thiVgy'Cday of c', ia%c/Y!/d 7G . 2042,
By
r A15
BONNIE
J. MURRO Notary
Public, State of Florida Commission #
EE 224619 My
comm. expires Sept.16, 2016 Not
Public, State of Florida GC Personally
known or Produced
Identification ,/ Type
of identification produced. 4z - A2L, e-1 L 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.