HomeMy WebLinkAbout114 Golfside Cir (3)2"M
CITY OF SANFORD
BUILDING &FIRE PREVENTION
JAN`N'S 2019 PERMIT APPLICATION
ty:_ Application No: J jp-310
Documented Construction Value: S 0, "% OJ . C20
F
Job Address: W+ C fp_ Historic District: Yes No b
Parcel ID: _ 04-Z0- 30 - 5l - 6000 - dLt(oU Residential Commercial
Type of Work: New Addition Alteration Repair U Demo Change of Use Move
Description of Work:
Plan Review Contact Person: ` CSC-C-A Title: aUl}Ul
Phone: 62 3q-2_7z)Z Fax: (407)8Z3_09q___:) Email:_\.A ms @_ A41- - C.DL-1
Property Owner Information
rName
Street: t ly0 14C'fx Reside r 's - nt o'f property. A4i'°•o•... o.• r - o•
City,
State Zip: l i l= rV,12ti 43'2.7'73 ."'`'3 p,T 04 a
a + P1 Contractor
Information Y
on ` 0w Name _
4K.1 MA 270Z Street:
596( _-_-Z5 i ° F.a_ x:-( .•B ge4c:) City,
State Zip: L N G 3252 S't0c;License No.: --SZS928 Architect/
Engineer Information Name:
Street-
City,
St, Zip: Bonding
Company: Address:
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 inthisjurisdiction. 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 properf j- that may be
found in the public records of this county, and there may be additional permits re.Iuired from other governmentaFentities'such as water
management districts, state agencies, or federal agencies. 9
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 constulactio and 'zoning.
1- lrl- dt 12v *
Signatur fOwner/Agent Date Signature of ntractor/Agent Date
1 je <,tAPA
Print Owner/Agent's Name Print Contractor/Agent's Name
AGT I Lk
Signathre•e otary-S fFlo 'da ``` `t
N A /'' Signature(
oRMEO.•••••••.. A / State of Floridaue
nFF17432742017Owner/
Agent is Persona,ljy iw oires _ Contractor/Agenk is Personally Known to Me or Produced
ID Type of, 1 98 Produced ID V Type of ID - lL 1V)_ e
BA)',
F A. OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: 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
Illllllllllllllllllllllllllllltlllllllll
THIS INSTRU M E1 T PREPARED BY:
Name:l_N7 MMNTERMODALCORPORATION Address 631
CYPraESS TREE COURT, ORLANDO FL 32825 c NOTICE
OF
COMMENCEMENT Permit Number.
3 1 Parcel ID
Number: 04-20-30-513-0000-0460 MARYANNE MORSEP
SEMINOLE COUNTY CLERK OF
CIRCUIT COURT & COMPTROLLER BK 8623
Ps 1591 (1Pss) CLERK'S
t 20161]I)9912 RECORDED 01/
28/2016 12:21:01 PM RECORDING FEES $
10.00 RECORDED BY
lidevore 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 property and street address if available) LOT 46
MAYFAIR CLUB PH 1 PB 53 PGS 7 & 8- ADDRESS 114 GOLFSIDE 2. GENERAL
DESCRIPTION OF IMPROVEMENT: 3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and
address: Interest in
property: P. 1
Fee Simple
Title Holder (if other than owner listed above) 4. CONTRACTOR:
Name: MAXIMA INTERMODAL CORPORATION Phone Number. 407 Address: 531
CYPRESS TREE COURT, ORLAN_D_O FL 32825 5. SURETY (
If applicable, a copy of the payment bond is attached): N/A Address: Amount
of Bond: .. IR '' 6. LENDER:
Name: N/A Phone Number: Y z
Address: c
r m 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: NSA
Phone Number: Address: In
addition,
Owner designates N/A 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
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sibnature of
Owner or Lessee, or Owner's or lessee's (,'nt Name and Provide S'ignatorYs Title/Office) AuthorizedOfficer/Director/
Partner/Manager) State of
I County of The foregoing
instrument was acknowledged before me this , day of va - .20 / by a
U#Iyho personally known to me OR Name of
person making statement who has
produced identification O type of identification produce J A4
com, 1. Ell.:_ • v le
1 ^ s i Nq. No.
1629, Ciq CO N
W
N
zM
qC
30
rz Allied American Adjusting
11932 Sheldon RdalliedTampa. FL 33626
amencan
GAINES-45121-SUPPL
Roof
Roofl
DESCRIPTION
2782.69 Surface Area
234.44 Total Perimeter Length
93.48 Total Hip Length
QUANTITY UNIT COST
27.83 Number of Squares
57.94 Total Ridge Length
RCV DEPREC. ACV
1. Digital satellitesystem -Detach & 1.00 EA 25.13 25.13 0.00) 25.13
reset
2. Digital satellite system - alignment 1.00 EA 75.38 75.38 0.00) 75.38
and calibration only
3. Remove 3 tab - 25 yr. - comp. 27.83 SQ 48.30 1,344.19 0.00) 1,344.19
shingle roofing - w/out felt
4. Asphalt starter - peel and stick 234.44 LF 1.85 433.71 61.89) 371.82
5. 3 tab - 25 yr. - comp. shingle 30.67 SQ 173.80 5,330.45 1,005.73) 4,324.72
roofing - w/out felt
Includes 10%waste.
6. Roofing felt - 30 lb. 27.83 SQ 31.25 869.69 118.89) 750.80
7. R&R Drip edge 234.44 LF 2.41 565.00 81.59) 483.41
8. Re -nailing of roof sheathing - 2,782.69 SF 0.19 528.71 11.13) 517.58
complete re -nail
9. R&R Flashing -pipe jack - 6" 5.00 EA 51.59 257.95 41.12) 216.83
10. R&R Continuous ridge vent - 30.00 LF 7.82 234.60 33.60) 201.00
aluminum
11. R&R Roof vent - off ridge type - 1.00 EA 117.44 117.44 11.75) 105.69
4'
12. Roll roofing 2.00 SQ 85.81 171.62 42.26) 129.36
Protect valley with rolled roofing per code.
13. R&R Valley metal 34.00 LF 4.91 166.94 22.30) 144.64
Totals: Roofl 10,120.81 1,430.26-8,690.55
General Conditions
DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV
14. Dumpster load - Approx. 20 yards, 1.00 EA 372.0I 372.01 (0.00) 372.01
4 tons of debris
15. General clean -up 3.00 HR 28.51 85.53 (0.00) 85.53
GAINES-45121-SUPPL 1/5/2016 Page:3
Security First. `Insurance=°
inswing Florida Homes
January 11, 2016
Zachary P Gaines
Sonja Gaines
114 Goldside Circle
Sanford, FL 32773-4775
Insured Name
Insured Location
Policy Number
Policy Effective Date
Policy Expiration Date
Claim Number
Cause of Loss
Date of Loss
Initial Loss Report Date
AA k-C b f i`q0
Zachary P Gaines & Sonja Gaines
114 Golfside Cir, Sanford, FL 32773
SFIH7978039-04-0170
March 23, 2015
March 23. 2016
45121
Wind -Other
August 31, 2015
September 21, 2015
Dear Zachary Gaines and Sonja Gaines:
ff
c to /- S j0 k — GA F
U 6 CCA
Security First Insurance provides coverage for the above Insured and Location, subject to
all of the terms and conditions of the policy. Allied American Adjusting, LLC is the
claims administrator for Security First Insurance and acting on their behalf in the
handling of your.claim. This letter will confirm the claim adjustment and payments under
the loss settlement provision of your policy.
Coverage A Coverage B Coverage C Coverage D
Dwelling Other Personal Additional Total
Structures Property Living
Expense
Gross Loss 10828.65 0 10828.65
Less Recoverable
Depreciation 1430.26 1430.26
Less Non
Recoverable
Depreciation
Less Advances &
Prior Payments 546.24 0 546.24
Less Deductible 1000.00 1000.00
Payment 7852.15 0 7852.15
PHONE: 386-673-5308 I FAX: 386-673-5408 1140 SOUTH ATLANTIC AVENUE j ORMOND BEACH I FLORIDA 1 32176
www.SecurityFirstFlorida.com
i
r City of Sanford
z Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
p Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
Ei 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.
2/ 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).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
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, and federal code requirements.
41
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: of 160
I hereby name and appoint: L A62Ut LECZ-(k
an agent of: R X 1 MA
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):
The specific permit and application for work located at:
11 C oL's i C, ct t
Street Address)
The authorization for the above referenced shall expire on:
Expiration Date for This Limited Power of Attorney:
License Holder Name: P> S
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF S,p,,_,y_
The foregoing instrument was ac nowledged before me this day of ,
200-j!—, by #11 who is per ally known
to me or who has produced -S L. 2 g / I dui I a' as
identification and who did (did not) take an oath.
Signature
Notary Seal)
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
Rev. 08.12)
o
EYp cOMMis ivrpy
2ye2198
arcs
r,
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: / 6 3 _:_o
I, hereby acknowledge that I personally inspected
Roof deck nailing and/orxsecondary water barrier work
at \\,A GmL %" t = 0-17--cand 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 perform
a hi r her official duty shall constitute a misdemeanor of the second degree pursuant to Sectio
6 F Signature
of C ractor Date Printed
Name of Contractor 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 met is y of , 20, by who
i Personally Known to me Jr as 'Produced (type of ide
ifica 'on q0as identification. S
AL) g
Rotary'Pdtric State
of Florida KEMEDONTAE K. TILLMAN RB20nded
ry
PublicState of FloridaPrint/Type/Stamp Name omm.
Expires Jul 15 4016mmission # EE215440ofNotaryPublicThroughNationalNotaryAssn.