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Home My WebLink About110 London Fog WayMk'f-f 9 CITY OF SANFORD ECEIVE.x BUILDING & FIRE PREVENTION PERMIT APPLICATION FrD JAN 2 0 2096 BY Application No: l `(91 94 Documented Construction Value: $ /3.3o 1 . Job Address: 140 Lo n.1ac j (-bo; (h PA"-) 'Ds..o5 Historic District: Yes [INo B' Parcel ID: 33-(q Residential Commercial Type of Work: New Addition Alteration ® Repair Demo Change of Use MoveFT Description of Work: 1Q72.00is - C,2T..ITEf JS' ,i•./c,` y, 1 I u rh u^vn/-' JL LJ4) Y/*7 r< r"rT Plan Review Contact Person: 5SJJ6e-'yL A 1 Title: Vl t'- t924P1,. 14A;:;1 Phone: 3;9 1-a'3yo9 Fax:22 1-9 Email: S,^i -&r'e,Gigi ek.cc-i, 41-0'o /i Property Owner Information co-. Name Phone: A— 7 - 31 y 53? Street: / IQ t DMap'i ,ice gs. (,(1%'y Resident of property? : yT C City, State Zip: Contractor Information Name A) Jnn Ccn'. c'-r1A)G - C2e2(..1 LL (- Phone: a j — 97 a - VQ9 Street: C S S'c J.JSr! ,f_ [ Fax: ' / - CY? — V City, State Zip: ,4 QQ7/r 592.1 Aka _ f-L StateLicense No.: Cr C 29 Z Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: Mortgage 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: 51h 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 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 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 Signature of Notary -State of Date Date Print Con r/Agent's Nam UigIG-ture of Notary -State of F116ft Date LwV Notary Public State of Florida Linda W Pigozzi My Commission FF 043599' OFExpires 08107/2017 Agent is Personally Known to Me or Contractor/Agent Per nal y own to Me or d ID Type of ID Produced ID Type o BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application s.. J axiom 4114 CONTRACTING GROUP ShingleMaster- BBB, For Roofing It Just Makes Sense... 1025 Sunshine Lane, Altamonte Springs, FL 32714 Office: 321-9724094 Fax: 321-9724471 www.axiomcontracting.com FL License# CCC1329763 Solar License# CVC56964 EIN:27-5097304 Locations: Jacksonville, Margate, The Villages CONTRACT/BUILD CONFIRMATION MR/MRS/MS •Vnr 7 n 1,/ I g4_4 }2c.,JS HOME # L4Q-7 — 3 I t-i — C,SSQ STREET (I C7 / o11a.c o,n 15,!R; 1-Ja, CELL# CITY STATE X / ZIP 'Z'Z7? I ORIGINAL AGREEMENT/CONTRACTDATE SHINGLES & RIDGE: CERTAINTEED LANDMARK Driftwood Weathered Wood Burnt Sienna UNDERLAYMENT l Synthetic Felt Other (Charges may apply) GUTTERS Cobblestone Gray Colonial Slate Georgetown Gray VENTILATION Ridge Vent Off Ridge Vents GOOSE NECKS Heather Blend Charcoal Black Silver Birch Sunrise Cedar Mojave Tan Pewter Moire Black Resawn Shake Other Detach & Reset as necessary 4" Goose Neck QTY New 10" Goose Neck QTY Color VALLEY . Ice & Water shield Q1 Valley Metal PLUMBING STACKS 1-1/2" Lead 3 QTY 2" Lead QTY Ja 3' Lead _4_QTY Drip Edge 2.5" Painted, Color Other ROLL ROOFING 2-Ply Peel-n-Stick Other Color Job Description and Additional Items (i.e. Solar Panels, Interior, Chimney Flashing, Skylights etc. ) TOTAL CHARGE FOR ABOVE LISTED WORK: $ 1396 1 PAYMENT SCHEDULE IS AS FOLLOWS Down Payment Due: $ f D, /4 Cam" 7 -7 Upon Roof Completion: $ I, o o c, ° 0 (Includes Deductible) Depreciation Amount Due: $ 2! - q 17 Axiom has the right to supplement the insurance company for any and all additional damages or missed items. When supplements are approved, customer agrees to pay that money to Axiom Contracting Group LLC. The work listed above is to be performed under the same conditions as specified in the original Agreement/Contract unless otherwise specified. Customer acknowledges explanation of Florida Supplier Lien Rights letter (see back of Contract). AUTH IZED BY: 1.51 Ho eowne Homeowner Date W hereby a e to furnish or and I — complete in accordance with the above specifications and in conjunction with the original Agreement/Contract at ab ve stat price. Please make a ecks p yable to Axiom Contracting Group LLC. s 16 Axiom Contra Ing Gr up Authorized Representative Date NOTE: This CONTRACT becomes.part of and in conformance with the existing Agreement/Contract SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwoo , Sanford, Seminole County, Winter Springs Date: /- / 9 1 a I hereby name and appoint: Jay Baker an agent of. Axiom Contracting Group, LLC Name of Company) 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): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: C n.N %G WAN _ Ste./`pa-Q L 77 2 / treet Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Clifford A. Miller State License Number: CCC132 63 STATE OF FLORIDA COUNTY OF SE-j+i w jo 12-31-1.6 The foregoing instrument was acknowledged before me thisZqf%Jday of , 20 W , by 0-A.-i r-e,:Qo 14_ A t !=cam who is-15 rsonally known to me or who has produced an o did (di t) take an oath. Signature o Notary M w, Notary Pubiic state of Florida Linda W Pigozzi Nly Commission FF 043599' o j Expires 09107l2017 as identification L,/4.04 W A &CF2-2 1 Print or type Notary name Notary Public -State of /c njQ40f9 Commission No. 660!Z3 51? 9 My Commission Expires: 0 -- 7- ao j THIS INSTRUMENT PREPARED BY: NARYr';NNIE HORSEY SEMIHOLE COUNTY Name: AAj or1 CON7-1ja ^jC oz-10(4{0 CLERK OF CIRCUIT COURT & CONPTROLLE:R Address: f Ua:S F Lr;), t GNP 8618 P3 1.} '3 (IFOS ) iic-?- r Sp/La.f4 s a-9 d71 y CLERIC'S g 201bivab Cl7 f:ORDED 01/20/2016 01:57:45 PM NOTICE OF COMMENCEMENT' F'LC•OC,DEDRECORDINCBYEhdevorES lellll Permit Number: Parcel ID Number: —f 9 —?o S 3 —apon - O.g0 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. 1. DESCRIPTION OF PROPERTY: (Legal description of the roperty, and street address if available) 2 F3 yl (L-J Fri a -Dark t ( '2 ids a6 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address es- `t f'1 &I M,' U) 110 4-0,J41DN) & i LXA 21S}(YLO Interest in property: (1 Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Address: /F) Phone Number: r?•a f —9%a' YUr VONVAIel r r _ .3 -D'7/ so 5. SURETY (If applicable, a copy of the payment bond is attached): Name: _ Arfrlracc• Amount of Bond: 6. LENDER: Name: Phone Number: Q Address: 7. 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)(a)7., Florida Statutes. Name: Phone Number: Address: In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration 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)JVORK QR RECORDING YOUR NOTICE OF COMMENCEMENT. 6 inalure of OwnerfirVssee, or Own( r's or Lessee's (Print Name and Prov a Signatory's Title/Office) Authorized Off W (rector/Partner/ anager) State of //f ZO& County of 111f 7- 2/1 The foregoing Instrument was acknowledged before me this day of I HnIL//i 20 by rJrly fief ( (Y)AWho is personally known tome OR Name of person making statement who has produced identification S e of identification produced: RaD State ofFloridagozzi .•"N ionFF 043599' /%712017 CERTIFIED COPY-MARYANeTwND— Igsa ture ` / ( GreS zrj CLERK OF T 11iCOt1fi R.'. A JAN Z 0 2016 COUNTY nY .___ "C/ V `_ ---i5EPUTYCLERlt 11 I I I I I I I I IV 111 I PROPERTY Parcel: 33-19-30-513-0000-0280 APPRAISER Owner: MATTHEWS JAMES SR & DOROTHY B SEMWOLECOUNTY, FLORIDA Property Address: 110 LONDON FOG WAY SANFORD, FL 32771-7760 Parcel: 33-19-30-513-0000-0280 Property Address: 110 LONDON FOG WAY owner. MATTHEWS JAMES SR & DOROTHY B Mailing: 110 LONDON FOG WAY SANFORD, FL 32771-7760 ` Subdivision Name: MAYFAIR OAKS 331930513 Tax District: SI-SANFORD Exemptions: OD -HOMESTEAD (1998) DOR Use Code: 01-SINGLE FAMILY Legal Desciption LOT 28 MAYFAIR OAKS PB 50 PGS 38 THRU 41 Taxes Value Summary 2016 Waking 2015 Certilled Values Values Valuation Method i Cost/Market Cost/Market Number of Buildings 1 y 1 Depreciated Bldg Value 137,005 $137,746 Depreciated EXFTValue 1,300 $1,350_` - Land Value (Market) 28,000 $28,000 Land Value Ag JusVMarket Value 166305 $16 096 Portability Adj Save Our Homes Adj 32,788 $34,639 Amendment 1 Adj Assessed Value 133,S17 $132,457 Tax Amount without SOH: $0.00 201S Tax Bill Amount $0.00 Tax Estimator Save Our Hates Savings $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 133,517 133,517 0 Schools 133,517 133,517 . 0 City Sanford 133,517 133,517 0 SJWM(SalntJohns Water Management) 133,517 133,517 0 County Bonds 133,517 133,517 0 Sales De iptmn Date Boric Page Amount Quaified Vac/Imp WARRANTY DEED 4/1/1997 03227 1708 $125,600 , Yes Inoroved Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value LOT 1 $28,WO.00 $2M 000 Building Information Description Year Bud Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective 1 SINGLE 1996 10 1,293 2,SB3 1,932 CB/STUCCO $137,005 $148,114 Description AreaFAMILYFINISH Destripllo OPEN PORCH 77 FINISHED OPEN - - - PORCH 108 FINISHED i- .. GARAGE FINISHED i 466 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I, 6,1_4 Fr- M t Le A. z hereby acknowledge that I personally inspected exoof deck nailing and/or 0Secondary water barrier work at / i o LOn pn„) a 6u t.- 6tA240+ and have determined that the work Job SiteAddress) 3-a-77 / 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 thatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofhisorherofficidutyshallconstituteamisdemeanoroftheseconddegreepursuanttoSection856F.S. Signature of ontractor Date C U Ft -no .4 r 1 I WLLAR--/ 2;a9 % (. -7 Printed NameofContractorLicense # License Type: General Building Residential Ming Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF S'i'1•. Sworn to ( or affirmed) and subscribed before me this S 20 jr._, by CA-A inn +' A . M / , who onally Known to me or 1 Produced (type of " identification) as iden ' . SEAL) Signatu of Nota Public ta f F on C S i<nt/ Type/Stamp Name L of Notary Public Notary Public State of Florida Linda W Pigozzi R MyCommissionFF043599' Expires 08/ 07/2017 M