HomeMy WebLinkAbout141 Walnut Crest Run (2)CITY OF SANFORDR - E CIE-: V '
BUILDING & FIRE PREVENTION
J N 2 7 2016 PERMIT APPLICATION
Application No: 3-5-5
Documented Construction Value: $
go
Job Address: W201#114 CzeV A—Vid Historic District: Yes El No 0
Parcel ID: 11- 0060 -1 oqo Residential 9 CommercialEl
Type of Work: NewEl AdditionEl AlterationEl RepairEl DemoEl Change of UseEl MoveEl
A 0!11 -1 -4 1 11 1 1 11-01
Description of Work:
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
5/- Name Phone: :5,?5v
Street: Resident of property?
City, State Zip: 6411 M, Y,1,
V I
fi'V_A_
I
Name
Street:
City, State Zip:
Name:
Street:
city, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone: 6'
Fax:
State License No.:
Arch itect/Eng 1 neer 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
A N
NOTICE: In addition to the requirements of Ois 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.
O"ERIS 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.
1, iga , ofMwne r/Agent /
ZDat0eZ--'-
Jr--Fr-P—C-:Y 12-6,4t.,S
Print Owner/Agent's Name
Notary Public State of Florida
Tracey Cooper
my Commission FF 03210044T,v Expires 06flW01? L"
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature ofyo#cracibr/Agent
P
Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
MARKFREW
MY COMMISSION # FF 150736
EXPIRES: August 15, 2018
e., oo- Bonded Thru Budget No ry Services
Contractor/Agent is Personally Known to Me or
Produced ID — Type of ID — ------
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingE] ElectricalF] Mechanical[] Plumbing[] GasFJ RoofF]
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 0 No R # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
CONRYIENTS:
FIRE:
Fire Alarm Permit: Yes R No El
WASTE WATER:
BUILDING:
This insirument preparecd by;__ InWFeA N.)RI"(011E HOR,SE! 3-EfiIHOLE CDU1,1T`fName: -
I IPTROLLER14507josairOr- 1 _ E Fl [, Or, C.TR(_.Uj*j' C.[jURj' " COt
Address: Orlando, FL 3282C 23K F-4 4*5i`]-* (I.P.9s)
CLERK'S a 201LOO9549
NOTICE OF COMMENCEMENT RECORDEDvjj!/*'?/`016 117-'20-02 P1,11
RECORDING FEES -!0.00
STATE OF FLORIDA Permit 4h RECORDED 5Y
COUNTY OF SEMINOLE PARCEL ID 0 - 510 -A n 0( -IN 0
THE UNDERSIGNED hereby gives notice that improvements 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
I Description of Property: (Legal description of the propqrty andstreet address if
2 General Description of Improvements:
3 Owner Name: K C 01 -) C Phone:
Address: —/Y( oki
Interest in property:
Name & Address of fee simple titleholder: (if other than owner)
4 Contractor's
5 Surety Name:
4 Phone:
Address: Amount of Bond: $
6 Lender Name: Id Phone:
Address: A7-F-r
7 Persons within the State of Florida designated by Owner upon who notice or other documents maybe served as provided by Section
713.13(l)(a) 7. Florida Statues: Name:
Address:
m 1 0 Phone:
FV —r
8 In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes: Name: A , 0 Phone:
Address: IV —p-
9 Expiration Date of Notice of Commencement:
the expiration date is I 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Verification Pursuant to Section 92- 5, Florida Statutes
Under penalties of e I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief
Sjg6 1:Wdlbwner or Owner's Authorized Signatory's Title/Office
Officer / Director / Partner / Manager
The foregoing instrument was acknowledged before me this /Q `#Lday of /17 M / I A A 20 LIP by I A
4in' U-
I
name of person) as -0 -t,- type of authAy, ...e.g. officer, trustee, attorn fact) for
SEAL)
CWMED Copy- MARYANNE MORSE
CLERK OF THE CIRCUIT COURT AND
COMPTROLLER
SEMINOLE COUNTY, FLORIDA
of party on behalf
Public State of Flodda
imission FF 032100
06/30/2017
was
of Florida
Print, TWe or Stfimp Coffinissioned Name of Notary Public
Personally Known 9-- or Produced Identification 0
By
00 UFVCLERK 0 2 12016
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ('P 6- Lb
I hereby name and appoint: Itiskja S W(o
an agent of- fe-eA- Rco-pn
Name of CMdpany)
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):
V The specific permit and application for work
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF 5 t
X
eaj
2 -'a 6 - NO
ccc—IN ?38
40
The foregoing instrument was ac owt.-dged before me this 2Cday of
209jo_, by 61kf(p Pf-,,e who is Ofersonally known
to me or o who has produced as
identification and who did (did not) take an oath.
Signature
Notary Seal) k4t 1L. w
Print or type name
Rev. 08.12)
Notary Public - State of fl.. -JE,
Commission No. F F- 15M 6,
My Commission Expires: 8 - 15-- 4 5
ozppi. m'i' uvv J$' zo4W 'Voby4ILV6
C -
DwAd Johnson. CFA
PR501PERW
PRAISER
SEMINOLE COUNTY, FLOFUDA
Property Record Card
Parcel: 22-19-30-502-0000-1040
Owner: ROGUS JEFFREY & STACEY
Property Address: 141 WALNUT CREST RUN SANFORD, FL 32771
I Parcel: 22-19-30-502-ONO-10" 1
Property Address: 141 WALNUT CREST RUN
Owner: ROGUS JEFFREY& STACEY
Mailing: 141 WALNUT CREST RUN
SANFORD, FL 32771
Subdivision Name: PRESERVE AT LAKE MONROE
Tax District: S3-SANFORD-WATERFRONT REDVDST
Exemptions: 00-HOMESTEAD (2011)
DOR Use Code: 01-SINGLE FAMILY
102
N
Legal Description
LOT 104
PRESERVE AT LAKE MONROE
PB 62 PGS 12 - 15
Taxes
0
21
W".
IValue Summary I
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 142,330 137,173
Depreciated EXFT Value 15,026 15,609
Land Value (Market) 34,GDO 32,000
Land Value Ag
Just/Market Value
191,356 184,782
Portability Adj
Save Our Homes Adj 55,866 50,234
Amendment I Adi
Assessed Value 135,490 134,548
Tax Amount without SOH:
2015 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
2,939.23
1,916.89
1,02-2.34
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 135,490 50,000 85,490
Schools 135,490 25,000 110,490
City Sanford 135,490 50,000 85,490
SIWM(Saint Johns Water Management) 135,490 50'GG0 85,490
County Bonds 135,490 ON 85,490
Sales
Description Date Book Page Amount Qualified VacjImp
WARRANTY DEED 6/1/2010 07392 1525 16 000 No Improved
WARRANTY DEED 1/1/2005 05585 0491 231,100 Yes Improved
I F111U %AMIPOIdUlt: Odlt:b VVIL11111 U115 ZUUU1V1b1UF] I
Land
Method Frontage Depth Units Land Value
LOT 1 34,ODO.00 1 $34,000
Building Info ation
Year BuiltIDescriptionIjftr-hia1/Fffi-,fi. I Fixtures I Base Area I Total SF I Living SF I Ext Wall Adi Value I Rep[ Value I Appendages
Name
ANDREW PEET INC.
14507--Josair Dr 9 Orlando, FL 32826
Lie # CCC1327383
Licensed * Insured
A Family Tradition Since 193 7"
Orlando
407) 268-3178
SALES AGREEMENT
Andrew Peet Inc. agrees to furnish all materials and labor i
do rodernization work on the premises located at the follom
rl,?-. I e nu --- 50- V1
city
Job Address -
15C4 VYI e city
in accordance with the specifications given below:
REROOF WITH SHINGLE ROOF AS FOLLOWS:
N/ 1. Remove____L_Iayers of roofing to a smooth workable surface.
2. Replace any bad wood for $4.00 per Lft for lx, $6.A(O per Lft for 2x.
3. Install Eaves Drip. _CircleOne. Brown - Black
W) 4. Install ice and water shield in v leys. Circle: No
V5. Install 30 lb. Base fVNew Reuse6InstallVallevMetal
Each additional layer at
60.00 per sheet of 4x
Mill - Beige
7A. Chimney Step Flashing New Reuse 7B. Chimney Counter Flashing _
8A. Wall Step Flashing New Reuse 8B. Wall Counter Flashing —
9. If Flashing cannot be reused additional amount may be added as necessary.
10. Soil Stack Boots -
A
New Reuse
yeE s ng e§. Manufacturer11. Install1w ;, hi I
Color . 4okanea, wiv& Style____—,
W 12. Install Roof Ventilation, MI W&V-7-3ft, Lft Ridge Vent, Lft Shii
power vents, 2'x 4'Off-Ridge Vents. Electrical hookup to be
b t ean. 13.- Ckanup-allwork--related d6b Iris. Haut - away, leavejol si-ql
Additional information: 5'- )609 W-
INSURANCE CLAIMS ONLY-.
All work specified in this sales contract is subject to the approval of the Insurance
Company. This agreement becomes binding to the undersigned as soon as the
Insurance 6 mpany approves the scope of the work, and is for entire Insurance
proceeds plus any deductibles, bad wood, extra work, and supplements. ffin—,W)
I
Ifio ales,-agreewent.- if contractor
cannot replace entire roof for insurance proceeds plus deductible, agreement is
void.
nnv
Total Cash Pric
Down Payment OR
Upon Delivery of
Materials
Cash Upon
Completion of Job
Plus Total for Woc
K)ry? day ofExecutedbtheBuyerthis
I
y
Approved, and Accepted
a. Do not sign this home improvement contract in blank.
b. You are' entitled to a copy of the contract before performance commences on your home. Keep it to I
M7- ha!-ve read and understand the terms and conditions- located on the back of this document, which
reference and made part of this legal and binding Agreement.
DIRECTION OF JOINT PAYMENT
I hereby authorize and direct you, my homeowners Insurance company, to issue paymentjointly to the misur
C'Assignee') and any applicable mortgage company(s), such sums as may be due and owing for all damcontractofinsurance, with the exception of damages payable under the Contents and Additional Livin!
insurance.!
Additional Terms: This agreement does not obligate the Customer to Andrew Peet Inc. (hereinafter "Con
1 carrier to pr4insuranceproviderapprovestheclaimoracourtofcompetentjurisdictionorderstheinsurancethedamag6(s) suffered by customer. Unless additional work or upgrades are requested, the Contractor a
WITHIK46COS TO THE CUSTOMER, EXCEPT THE INSURANCE DEDUCTIBLE.
I —? Z/,557
Claim# I olicy#__, Signature
Acceptance of Proposal: The above specification and conditions are satisfactory and herebyaccepted. Andre Peet Inc. is authorized to begin the work as specified above after receipt Ofw
RIS RIGffr TO CANCEL: Signature
intention of full payment from Iny insurance company BUYEYouhavetherighttorescindthiscontractwithin3businessdays after the date you sign it by
notifying the contractor in writing that you are rescinding the contract Signaturc
to
ess:
Date
zip -3aWl
Zip
3 oper square.
Decking.
Reuse
New Reuse
New Reuse
310
e over Vent, or
additional charge.
40fuvrvilM
from Item 2 and Item 9)
Ab
ct your legal rights.
incorporated herein by
I and also to Andrew Peet Inc.
3,es payable under the subject
Expenses applicable lines of
actor"), in any way unless the
ide coverage and payment for
ces project will be completed
Date: 1074 t I Is
Date:-
Date:-
I JAN 2 7 2016
W,
IG-355
City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
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 holdef, 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, andjederal code requirements.
CITY OF -SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 1-3
1, "'Ovul hereby acknowledge that I personally inspected
A"Roof deck nailing and/or 0 Secondary water barrier work
at 1q1 Wo I nuf (Ve 4 A-44 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
Signature
A
a N4
vooeco T-ee
Printed Namb of Contractor
Date
License
License Type: 0 General 0 Building 0 Residential b4/0'O"fing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF jV00le
Sworn to (or affirmed) aqd subscribed before mohis i3 1ldayof Ft jtjg& 20 by
61,4 xw W+ , who is VPersonally Known to me or has 11 Produced (type of
identification) as identification.
jjj!AA (SEAL)
Signature of Noirary Public
State of Florida MARK FREW -
MY COMMISSION # FF 150736
EXPIRES: August 15,2018
Print/Type/Stamp Name Bonded Thru Budo Notary Services
of Notary Public
3