HomeMy WebLinkAbout116 Lake Ada Cirt CITY OF SANFORD
a BUILDING & FIRE PREVENTION
PERMIT APPLICATION
F ' D JAN 6 2016
I Application No: - 05
gy.
Documented Construction Value: S
r— D
Job Address: H LP Historic District: Yes Np,
Parcel ID: I I 'W ' Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Q-C- — &C2
Plan Review Contact Person: • ' I)
Phone: l 9aAa- Fax:
IUI-t Title:
Email• MM
Property Owner Information
Name Lou S GI) " Salad crs
Street: l ®35 U' A(4y * nos Wd
City, State Zip:
Contractor lnforn
Name tY1 U_S. , Ol: Sd
Street: 1060au
City, State Zip: Nude i'
rI.
3)A32- Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Resident
of property? : ND Phone: & - (
D 13 6"7 60 D Fax:
0-7 530 010 State
License No.: 0' GR ArchitectlEngineer
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: 51h Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application 00V
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to -this -property that maybe
found in the public records ofthis county, and there may be additional permits required from other governmental entitie's 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 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
u4y M Ak-, n, ),/b)) Co
Signature of Contractor/Agent Date
0,hn, sh M N , 6
Nm
rgnature of Notary -State of Florida Date
ut" .......... DEBBIE BLANTON
MY COMMISSION # FF 17M
EXPIRES: February 25, 2019a
t Bonded Thru Notary Public Underwriters
Contra c or gent1 n to Me or
Produced ID Type of ID l e
101
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTEWATER -
BUILDING:
Revised: June 30, 2015 Permit Application
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. n
o6
S`tgnatdre of Owner/Agent Date Signature of Contrac r/Agent Date
tol t d Va J Ted
e
ant / Roofina Servic LC
nj Owner/Agent's Name 1
Print Contractor/Agent's ame
SiValure of Notary- tate of Florida D I Signature of Notary-Sta of Flon Date
sa(uagtiGoNi Ps8N41PaD 8 ,o`,p,iaogfYff
BtOZ'ZL eunl`:S3HIdX3
WZ133 t NoiSsmww AW E c?
NWlH0'WVNI18lbH0
Owner/Agent is esonally Kno to a or Contractor/Agent is Personally Known to Me or
Produced ID
Owner/Agent
of ID Produced ID Type of ID
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
1/5/2016 SCPA Parcel View:11-20-3D-512-0000-1300
pa,C,q Property Record Card
62P Parcel: 11-20-30-512-0000-1300
q,p iRAtS Owner: SANDERS LOUIS K SR & BETTIE J
sa+irtotEcotxvTv Eioaloa Property Address: 116 LAKE ADA CIR SANFORD, FL 32773
Parcel: 11-20-30-512-000 .01KI
Property Address: 116 LAKE ADA CIR
Owner. SANDERS LOUIS K SR & BETTIE 3
Mailing: 1035 WINTER SPRINGS BLVD
WINTER SPRINGS, FL 32708-4042
Subdivision Name: HIDDEN LAKE PH 3 UNIT 5
Tax District: SI.-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
IValue Summary
2016 Working
Values
2015 Certified
Values
Vakiation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 68,463 66,276
Depreciated EXFT Value
Land Value (Market) 18,000 18,000
Land Value Ag
Just/MarketValue B4276
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 1,940
Assessed Value 86,463 82,336
Tax Amount without SOH:
2015 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
1,690.88
1,690.88
0.00
Legal Description
LOT 130
HIDDEN LAKE PH 3 UNIT 5
PB29PGS40&41
Taxes
Sales
Find Comparable Sales within this Subdivision
Land
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 86,463 0 86,
463Schools86,463 0 86,
463CitySanford86,463 0 86,
463S]WM(Saint Johns Water Management) 86,463 0 86,463
County Bonds 86,463 0 86,463
Description Date Book Page Amount Qualified Vac/Imp
QUITCLAIM DEED 4/1/1994 02770 0168 100 No Improved
SPECIAL WARRANTY DEED 2/1/1994 02727 0269 49,700 No Improved
CERTIFICATE OF TITLE 10/1/1993 02660 1750 63,000 No Improved
SPECIAL WARRANTY DEED 10/1/1993 02672 1141 100 No Improved
SPECIAL WARRANTY DEED 5/1/1989 02075 1407 56,300 Yes Improved
WARRANTY DEED 1/1/1989 02033 1504 600,000 No Improved
WARRANTY DEED 3/1/1985 01624 1277 65,000 Yes Improved
Method Frontage Depth Units Units Price Land Value
LOT 0 0 1 18,000.00 18,000
httpJ/www.scpafl.org/ParcelDetaillnib.aspx?P[D=l 1203051200001300 1/2
VGA
MIM • A P,1
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: c. wu
I hereby name and appoint: Brent Coughenour, Scott Stoeckert, Willie MiddleBrooks Eddie Walke , Tina Griffin
an agent of. US Roofing Services 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.
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 06/08/2016
License Holder Name: Ted Bryant
State License Number:
Signature of License F
STATE OF FLORIDA
COUNTY OF 0 Caj&
The foregoing instrument was acknowledged before me this -1 day of
2@0au & by T d.1f who is o personally known to
me or who has produced _d ( t d u S 1 L f' .¢,c--ou . identification
and who did (did not) take an o th. CN(
A I I lgna&
e Notary
Seal) TONI
ANN WEST s
Notary Public • State of Florida y
Pam,: My Comm. Expires Mar 16, 2018 o.?;:
Commission # FF 102097 IA
LA Print
or type name Notary
Public - State of Commission
No. C F I 0 cl 0 4,1 My
Commission Expires: I I LO L Rev.
3/27/07)
THIS INSTRUMENT PREPARED BY:
Name: U.S. Roofing Services, LLC 150Address:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
11ARYANNE PIORSEY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BIC 861C1 P3 1459 QP3S)
CLERK'S 2016001639
RECORDED 01/0612016 03.03=18 I'M
RECORDING FEES $10-00
RECORDED BY tsmith
Permit Number: Parcel ID Number: 11-20-30-512-0000-1300
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 77113, Florida Statutes, the following information is provided in this Notice of Commencement.
DrOSf1 8,0M &PR CE 43al,dpngrigiop,afgt ppt!g 4r r4r address if available)
K2-KOOt
ESCRIPTION OF IMPROVEMENT:
Qf WE CQ
CERTIFIED COPY— MARYANNEMORSE-•,
OWNER INFORMATION: CLERKOFTHECIRCUITCOURTAND
Name' Louis & Bettie Sanders COMPTRpr r ER `
Address: 1035 Winter Springs Blvd. Winter Springs, FL 32708 SEMWOL UNN i OA
Fee Simple Title Holder (if other than owner) Name: DEPUiYCLERK
Address:
CONTRACTOR: I A ( O ( 2016Name: Ted Bryant/U.S. Roofing Services, LLC JAN V
Address: 10524 Moss Park Rd. #204-150, Orlando, 32832
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:
Addrea
In addition to himself, Owner Designates
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 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the beA of mymyyknowl Uge and b lief.
OWnEr's Signature Owner's Printed Name
FloridaStatute 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may — perm ed to sign in his or her stead '
State of 006ACounty of 3 i A^/, /t r
The foregoing instrument was acknowledged before me this tday of •J o i t'A' } _ 20
by u V 1 su)- ,, C41 . Who is personally known to me
Name of person making stateme t'
OR who has produced identification ype of identification produced: o%
Ay P:;°,,
CHRISTINA M: GRIFFIN
MY COMMISSION f FF 124905
EXPIRES: June 12, 2018 Notary Signatureafrran .
4 JVBondMlhruBudgetNdarySlrvkes
w 1/71111
r-l7 1100% Financing Available (0% Interest for 1-Year)
CONTRACTOR PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
U.S. ROOFING SERVICES, LLC Quality First Builders Louise Sanders
10524 Moss Park Rd. #204-150 Attn: Mr. Sam 116 Lake Ada Cir.
Orlando, FL 32832 4500 36th St ,
Sanford, FL 32773407) 536-8332 Orlando, FL 32811
877) 693-5766 Office 321) 315-6170
407) 530-0169 Fax sam@gfbuilders.com
MrTedBryant@Gmail.com 50yr Shingle / 15yr Full System Warranty*
SCOPE OF WORK
Supply Permit, Notice of Commencement, Materials, Equipment and Labor as required to perform said work,
A. Conduct an on -site project start-up meeting with employees to ensure all safety and job site procedures are followed
accordingly. All bushes to be covered and extra care taken for lawn and plants. Clean daily as required throughout.
B. Remove all existing roof and flashing membranes to the deck surface and haul away to an approved roofing disposal
facility (1 layer shingles).
C. Replacement of any damaged or deteriorated plywood decking at an additional cost of $65 per sheet. New decking shall
be APA rated for structural use. Deck fastening will meet or exceed local building code requirements (8d Ring -shank
deck nails, 6" spaced, nailed to rafters on center) and H-clips will be used between all rafters, all per FL Hurricane Wind
Code. Trusses, studs, rafters, fascia, etc. will be replaced at a cost of $1.89-$4.89 per board foot if required.
D. Replacement of following flashing materials: step flashings, collars, pipe jacks, lead plumbing boots, perimeter drip edge
material and all edge flashing materials. All materials to meet or exceed manufacturer's requirements and to be installed
hidden nail" fashion so that no "shiners" are present.
E. Install new Atlas WeatherMaster SA directly to the wood deck, in all valleys, per current building code requirements.
F. Installation of one layer of Premium Gorilla Guard roofing underlayment over the newly prepared decking surface. The
premium roof felt will be fastened using 1-inch plastic -capped nails with a 1-inch diameter head. Fasteners shall be at 6
inch centers along the side and end laps and at 12 inch centers in two staggered rows in the center of the roll. Each
center row will be approximately 12 inches from the side of the sheet.
G. Installation of new 50-year, laminated architectural style, algae -resistant shingles. Shingles will be installed in strict
accordance with the manufacturer's specifications and shall be fastened using six (6) nails per shingle.
H. Paint all penetrations & lead flashings, as needed.
I. Installation of a shingle vent with a Net Free Vent Area of 18 square inches per lineal foot. Roofing system currently has
a vented soffit underneath the eaves. Roof currently has 10' ridge vent, install 60' additional new ridge vents.
J. Installation of manufacturer's premium hip and ridge shingle material. Hip and ridge rows will be run straight and shall be
installed according to manufacturer's instructions and sealed with hidden fasteners.
K. Clean all related construction debris from job site and run magnet daily. Inspect new roof with owner for project close out
final.
Satellite Dish to be reinstalled by cable provider company, following new roof installation.
Installation Warranty. 1 5 years Lifetime Manufacturer Warranty. 1 50 years (15-yr Full System Warranty)
Total Cost: $5,385.00
All material Is guaranteed to be as specified, and the above work to be performed In accordance with the drawings and specifications submitted for above work and completed In a substantial workmanlike manner for the sum
listed above with payments to be made as outlined above. Terms listed above. Any alteration or deviation from above specifications Involving extra costs, will be executed only upon written orders, and will become an extra
change order over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance on above work. workmen's
Compensation and Public Uability Insurance on above work to be taken out by U.S. ROOFING SERVICES, U.C.
NOTE -- This proposal may be withdrawn if not accepted within 7 days. Ted Bryant (407) 536-8332
Respectively submitted by US Roofing Services Representative
ACCEPTANCE OF PROPOSAL -
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
Date Signed:
Signed Printed
U.S. ROOFING SERVICES, LLC, 10524 Moss Park Rd. #240-150, Orlando, FL 32832
r
Notice: Important
Www.MVFLRoof.com FL DBPR Ccc1325922
I ,
City of Sanford
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:
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).
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.
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 roofpermit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: ( (p`"I
I, &an-i-
hereby acknowledge that I personally inspected
oof deck nailing and/or Secondary water barrier work
at (_Q_ CI 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 makingpily fal dents in writing with the intent to mislead a public servant in the
performance of his icial duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 1E.S
Signature&PAIraceor Date I I
ont cooPrintedNameofJContractorLicense #
License Type: General Building Residential 2/Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S-Cftf)Oklf,
Sworn to (or affirmed) and subscribed
beforePsi'd
this 1 ' day of J MLL I 20 Alp b
who isersonally Known to me or has Produced (type of
i e tificat'on) entification.
i (SEAL)
Signature of Notary Pil lic
State of Florida aY PL
20 .... CHRISTINA M. GRIFFINnYlClM ' % * MY COMMISSION 1 FF 12405
Print/Type/Stamp Name EXPIRES: June 12, 2018
of Notary Public "'+,e' so oearnNeua9e Honrysen ees,