HomeMy WebLinkAbout108 Kelly Ciri r
Job Addr
Parcel ID:
EIVE CITY OF SANFORD
BUILDING & FIRE PREVENTION
FEB 1 1 20% PERMIT APPLICATION
13Y: Application No:
Documented Construction Value: $ ` 15 T 0
ess: 0 Q- G' Historic District: Yes No 9
0 II —100 00 - 0 S 6 0 ResidentiaQ Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 2 W
Plan Review Contact Person: J '4"r-tJ C_C A _ Title: ntn //1 Pr
Phone: c1 S Z222- Fax: '321 Zq _71 ? 1 Email: (afCjra• F o91y I Ca ni n R fJ , (p,y_
Property Owner Information
rI Name
J of cave iflip- ldlac Street:
2 op S V L City,
State Zip: S (A'n A.%L 3 z l-1 Phone:
Resident
of property? : Contractor
Information Name
0 Dyl% 1 A Q -3 Phone:g0_ --22J.2 Street: y
W pk CK tj q r Fax:
S2[
2q f —'7S1j City, State
Zip: 0 V l i Q , ! 2- State License No.: C c C 3Zgp?0 Name: Street:
City,
St,
Zip: Bonding Company:
Address: Architect/
Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
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: 5" 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 twthis 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 applicable laws regulating construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtu
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 1 Permit Application
Application No:
Job Address: 108 Kel
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 9957.02
Circle, Sanford, FL 32773 Historic District: Yes No
Parcel ID: 12-20-30-511-0000-0560 Zoning:
Description of Work: 29 square shingle re -roof
Plan Review Contact Person: Jared Conte Title: Contractor
Phone: 407453-2222 Fax: 321-296-7571 E-mail: eared .roofing pioneers. corn
Name Jacqueline Turner
Street: 2000 S PARK AVE
Property Owner Information
Phone:
Resident of property? :
City, State Zip: SANFORD, FL 32771
Contractor Information
Name Roofing Pioneers, LLC Phone: 407-453-2222
Street: 1945 West County Road 419, Suite 1141-216 Fax: 321-296-7571
City, State Zip: Oviedo, FL 32766 State License No.: CCC1329030
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical 0 (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 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 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.
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:
Rev 11.08
UTILITIES:
FIRE:
t
ignature o Contractor/Agent Date I
ar'a cj yj
Print Contractor/Agent's Name
k)2f 26= -
Signature of Notary -State of Plorida Date
r.
DEBBIE BLANTON
MY COMMISSION li FF 17WA8
a
p ; c'
EXPIRES; February 25, 2019
onded Thnr Notary Poblic Underwriterslit
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
S!
HIIITHISINSTRUMENTPREPAREDBY:tl+Name• Roofing Pioneers, LLC iO3stt# =
I11
III 7i 77 II III Address:
1945 West County Road 419, Suite 1141-216 Oviedo,
FL 32766 NOTICE
OF COMMENCEMENT .v 2, .•:
6
State
of Florida County
of Seminole Permit
Number: Parcel ID Number: 12-20-30-511-0000-0560 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 street address if available) LOT
56 MONROE MEADOWS PB 46 PGS 16 & 17 108
Kelly Circle, Sanford, FL 32773 GENERAL
DESCRIPTION OF IMPROVEMENT: re -
roof OWNER
INFORMATION: Name:
Jacqueline Turner ! Address:
2000 S PARK AVE SANFORD, FL 32771 Fee
Simple Title Holder (if other than owner) Name: Address:
CONTRACTOR:
Name:
Roofing Pioneers, LLC Address:
1945 West County Road 419, Suite 1141-216, Oviedo, FL 32766 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:
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 1 y 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 Cgtm to
the best of my knowledge and belief. OHmer
s SignalOwner's Printed Name F s i VIA Florid 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." 7j .......... a
w
wState
of
UY^( Gam_ County of The foregoing
instrument was acknowledged before me this day of j w a z
byThi4
eu Who is personally known to me ame of
person making stateme t_ < j OR r2!
as
prod
rca f `e of identification produced: _L-- t c Z CRYSTALROSARIO v
W „c-', F `' MY
C )NiMISSION ;# FF 939783 _ y c018
ratiEXPIRES: Ma 6,"•••••o?"' Bonded
ThruNotary Public Underwriterszz t1i i Y Z F ,•' Notary Signature
i
r u O w w
State Farm
TURNER. JACQUELINE
59-71.69-739
Insured: TURNER, JACQUEL(\QE
Property: 108 Kelly Cir
Estimate: 59-7L69-739
SANFORD, FL 32 i73
Claim Number. 597L69739
hIome: 407-322-2389 Policy lumber. 30-BU-0192-5
Type of Loss: Wind Damage
Price List: FLOR28_Iv1.AR 15
D ed t'bl 1 4 4 Restoration/ServicAemodel
uc t c. . 7 W
Date of Loss: 3126(2015
Date Inspected: 1212/2015
Summary for Coverage A - Dwelling - 35 Windstorm and Hail
Line Item Total
3.148.12
Material Sales Tax
135.35
Replacement Cost Value
8,333.47
Less Depreciation (Including Taxes) (5,115.99)
Less Deductible (
1,474.00)
Net Actual Cash Value Payment $1.743.48
Maximum Additional Amounts Available If Incurred:
Total Line Item Depreciation (Including Taxes) 5,115.99
Replacement Cost Benefits 5,115.99
Total Maximum Additional Amount Available If Incurred 5,115.99
Total Amount of Claim If Incurred S6,859.47
Phan, (jelly
844-529-5982 x 2534394826
ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND
LI-MITS OF YOUR POLICY.
Date: 12i20-015 3 23 PM
Pape: 3
State Farm
TURNER, JACQ'UELINE 59-7L69-739
Insured: TURNER JACQUELINE
Property: 108 Kelly Cir
Estimate: 59-7L69-739Claim
SANFORD, a 32773
Number: 597L69739
Home: 407-322-2389 Policy -Number SO-BU-0192-5
type of Loss: Wind Damage
Price List: FLCR2S_A]AR15
Dd Restom lon!Sen-iceiRemodeleuctrble. au.00
Date of Loss: 3r26l2015
Date Inspected: 1212/2015
Summary for Coverage A - Dwelling - 35 Windstorm and Hail - BC
Line Item Total
1,639.07
Material Sales Tax
30.52
Replacement Cost NIalue
1.669.59
Less Depreciation (Including Taxes) 96 (792) 96.
63
Less Deductible
Net Actual Cash Value Payment 50.)
Maximum Additional Amounts Available if Incurred:
Total Line Item Depreciation (Including Taxes) 792.96
Replacement Cost Benefits 792.96
Total Maximum Additional Amount, Available If incurred 792.96
Total Amount of Claim If Incurred S 1.669.59
Phan, Kelly
844-529-5982 x 2534394826
ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TEILNIS, CONDITIONS AND
LIMITS Or, YOUR POLICY.
Date: 12-12F2015 3:23 PM
Page: 4
ASfateFarm-
Explanation of Building Replacement Cost Benefits
Homeowner Policy
Coverage A - Dwelling - 35 Windstorm and Hail
To: Name: TURNER, JACQUELINE
Address: 108 Kelly Cir
City: SANFORD
State/Zip: FL, 32773
Insured: TURNER, JACQUELINE
Date of Loss: 3/26/201 5
Claim Number: 597L69739
Cause of. Loss: WIND
Your insurance policy provides replacement cost coverage for some or all of the loss or damage to your dwelling or
structures. Replacement cost coverage pays the actual and necessary cost of repair or replacement, without a deduction
for depreciation, subject to your policy's limit of liability. To receive replacement cost benefits you must:
1. Complete the actual repair or replacement of the damaged part of the property
2. Confirm completion of repair or replacement, by submitting invoices, receipts or other documentation to your agent or claim office assoonaspossibleaftercompletion.
Until these requirements have been satisfied, our payment(s) to you will be for the actual cash value of the damaged partoftheproperty, which may include -a deduction for depreciation.
Without waiving the above requirements, we will consider paying replacement cost benefits prior to actual repair or
replacement if we determine repair or replacement costs will be incurred because repairs are substantially under way oryoupresentasignedcontractacceptabletous.
The estimate to repair or replace your damaged property is $8,333,47 . The enclosed claim payment to you of $1,743.48 is for the actualcashvalueofthedamagedpropertyatthetimeofloss, less any deductible that
may apply. We determined the actual cash value by deducting depreciation from the estimated repair or replacement cost. Our estimate
details the depreciation applied to your loss. Based on our estimate, the additional amount available to you for replacement cost benefitsrecoverabledepreciation) is S 5,115.99.
If you cannot have the repair completed for the repair/replacement cost estimated, please contact your claimrepresentativepriortobeginningrepairs.
All policy provisions apply to your claim.
Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application
containing any false, incomplete, or misleading Information is guilty of a felony of the third degree.
Date: 1212/2015 3:23 PNI
FC0015099 11/3(2015 Page: 5
State Farm
TMNE-R, JACQUELINT
S KETCII2
Main Level
2.620.36 Surface Area
254.32 Total Perimeter Length
35.40 Total Hip Length
QUANTITY UNIT PRICE T.t-N
1. Remove Tear off. haul and dispose of comp, shingles - 3 tab
26.20 SQ 4S.25 0.00
2. 3 tab - 25 yr. - composition shingle rooiina - incl. felt
29.00 SQ 194.36 170.07
3. Roofing felt - 15 lb. - double coverage1ow slope
5.67 SQ 43.95 3.82
4. Taxes. insurance, permits & fees (Bid item)
1.00 EA 100.00 0.00
5. Drip edge
254.32 LF 2.10 15.49
6. Flashing - pipe jack
2.00 EA 32.69 1.12
7. Plat roof exhaust vent / cap - gooseneck 8"
1.00 EA 66.47 1.89
S. Valley metal
81.72 LF 4.38 9.38
9. Re -nailing of roof sheathing - complete re -nail
2.620.36 Sr 0.19 1.83
10. Roof vent - ofridge type - 4' 4.
00 EA 103.42 8.72 11.
Step flashing 12.
83 LF 8.25 1.50 12.
Detach & Reset Digital satellite system with one receiver 1.
00 EA 25.12 0.00 13.
Digital satellite system - alignment and calibration only 1.
00 EA 75.37 0.00 Date:
122/2015 3:23 Plvl 59-
7L69-739 26.
20 Number of Squares 68.
79 Total Ridge Length RCV
AGE/LIFE DEPREC. ACV CONDITION
DEP % 1,
264.15 1.264.15 5,,
R06.51 20125 yrs 4,645.21) 1,161.30 Avg.
80.00% 253.
02 20;20 yrs 202.42) 50.60 Avg.
80.00% 100.
00 549.
56 20j35 yrs Avg
66.
50 20'35 yrs Ave.
68.
36 20'35 vrs Ava.
367.
31 20.,"35 yrs, Avg.
499.
70 20/150 yrs Avg.
421.
90 2035 vas Ave.
107.
35 20:35 yrs Avg.
25.
12 75.
37 314.
03) 57.
14% 38.
00) 57.
14% 39.
06) 57.
14`Yo 209.
89) 57.
14% 66.
62) 13.
33% 241,
09) 57.
14% 61.
35) 57.
14% 100.
00 235.
53 28.
50 29.
30 157.
42 433.
08 180.
81 46.
00 25.
12 75.
37 Paee:
7
v
State Farm
Tlj-% ER, JACQUELINE
59-7L69-739
CONTLNUED - Roofl
QUANTM' UNIT PRICE TAX RCS' AGEIL W E DEPREC. ACV
CONDITION DEP %
14. Detach & Reset Gutter I downspout - aluminum - up to v
89.50 LF 2.66 0.00 238.07 38.0715. Prime & paint roof vent
5.00 EA 22.31 2.55 114.10 20!15 vrs (91.28) 22.82
A%". 80.00%
rotals: Roofl 215.87 9,957.02 5,908.95 4,048.07
Area Totals: Main Level
648.51 Exterior Wall Area
2.620.36 Surface Area 26.20 Number of Squares 508.64 Total Perimeter Length
65.79 Total Ridge Length 35.40 Total FIip Length
Total: D9ain Level 215.87 9.957.02 5,908.95 4.048.07
Area Totals: SILETCH2
648.51 Exterior Wall Area
2.620.36 Surface Area 26.20 Number of Squares 508.64 Total Perimeter Length
68.79 Total Ridge Length 35.40 Total Hip Length
Total: SKETCM) 215.87 9,957.02 5,908.95 4,048.07
Labor :Minimums Applied
QUANTITY UNIT PRICE TA\ RCV AGE/L DEPREC. DEPREC. ACV
CONDITION DEP °l,
16. Painting labor minimum
1.00 EA 46.04 0.00 46.04 46.04
Totals: Labor 17iinimunts Applied 0.00 46.04 0.00 46.04
Line Item Totals: 59-7L69-739 215.87 10,003.06 5,90895 4,094.11
COVERAGE
TAX RCV DEPREC. ACV
Coverage A - Dwelling - 35 Windstorm and Hail 185.35 8,333.47 5,115.99) 3,217.48
Coverage A - Dwelling - 35 Windstorm and Hail - BC 30.52 1.669.59 792.96) 876.63
rotal
215.87 10.003.06 5.908.95) 4,094.11
Date: 12. 2/2015 3:23 PM
Page: 8
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16-499
I, Jared Conte hereby acknowledge that I personally inspected
N Roof deck nailing and/or X Secondary water barrier work
at 108 Kelly Circle, Sanford, FL 32773 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 837.06 F.S.
AAA of,14,
Signa ure of Contractor
Jared Conte
Printed Name of Contractor
February 22, 2016
Date
CCC1329030
License #
License Type: General Building Residential ® Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before nfithis Z2 day of &OMoln4 20 1 l0 , by
C t ae , who is n to me or has Produced (type of
iden o ficati n) as identification.
SEAL)
gnature oA otary Public
State of Flo ida
T %
SONIA M. TRUJILLO
Print/Type/Stamp Nam ;r: MYCOMMISEXPIRES:
Ma:Ma#FFy 6, 201818 of
Notary Public BondedThmNotaryPublicWerwdtem 3