HomeMy WebLinkAbout141 Walnut Crest Run (3)CITY OF SANFORD
BUILDING & FIRE PREVENTION
AN 2 7 2016 PERMIT APPLICATION
Application No: 3-55
Documented Construction Value: $ if
Job Address: hlalfl,4 6?nY Avil Historic District: YesEl No El
9- Parcel ID: _ 11- ooeo -I c)qo Residential R' Commercial El
Type of Work: New El Addition El Alteration 1:1 Repair El Demo R Change of Use 11 Move El
Description of Work: &— A 0 1
O'' , Lf- 4 " / Y17 f ft /
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Title:
Name -Fili, zoruc Phone:
Street: em Resident of property?
City, State Zip:
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
State License No.: e-C( 13
Arch itect/Eng ineer 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: V Edition (2014) Florida Building Code
I I
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.
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.
0 16AgnaMofOwncr/Agent //DLatoe/
J apr-p—r--y pfe-,4i..'s
Print Owner/Agent's Name
L ?JN Notary Public State of Florida
11 Tracey Cooper
My Commission FF 03210044T,,/ Expires 0 012017
Owner/Agent is Personally Known to Me or
Produced ID Type of ED
I —6A
Signature ofro*a0br/Agent Date
AV[( V 0) P
Print Contractor/Agent's Name
ftm Pa. 0
Signature of Notary -State of Florida Date
MARKFREW
MY COMMISSION I FF 150736
EXPIRES: August 15,2018
v DondedThru 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] ElectricalE] MechanicalF] PlumbingF] GasF] RoofE]
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 F No Fj # of Heads
APPROVALS: ZONING:
ENGINEERING:
CONRYIENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes [-] No []
WASTE WATER:
BUILDING:
This ins6ment preplArew Peet
Name: 110R,13Ey SEMINOLE COUNIT'"I"'
1-4-907 jospir Or CLERK OF C-*1R('JJl1* COMO* & COMPTROLLER
Address: Orlando, FL 3282(" M 836`3 F',4 li,53 (lPfj-:,)
CLERK , S 4- 2016009549
NOTICE OF COMMENCEMENT RECORDED 01/217 ' "21016 03:20.,02 PH
ZECORDING F'EES $icl.00
STATE OF FLORIDA Permit #: RECORDED 5Y Jec-kanrci
COUNTY OF SEMINOLE PARCEL ID #: boo( -1.0yo
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.
1 Description of Property: (Legal description of the property and_street address if aw3ijable)
2 General Description of Improvements:
3 Owner Name: q -C
Address:
Interest in property:
Name & Address of fee simple titleholder: (if other than owner)
4 Contractor's
5 Surety
Phone: 5 1 -1 - 1;Z et in -
Name:
4 Phone:
Address: Amount of Bond: $
6 Lender Name: 4 Phone:
Address:' A/ --F r-
7 Persons within the State of Florida designated by Owner upon who notice or other documents may be served as provided by Section
713.13(l)(a) 7. Florida Statues: Name:
Address:
M I Phone:
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 —Pf-
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 EYPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED MPROPER PAYMENTS UNDER CHAPTER 713, PART L 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 92.525, Florida Statutes
Under penalties of pep,unt,,l declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief.
WS*K3 tWollowner or Owner's Authorized Signatory's Title/Office
eer / Director / Partner I Manager
The foregoing instrument was acknowledged before me this dayof aillIlAht, 20 by larrArl I A
04, ...e.g. off in fact) fornameofperson) as tflA-2)A -0 t- (type o auth cer, trustee, attom4 U-
SEAL)
CWPED Copy— MARYANNE MORSE
CLERK OF THE CIRCUIT COURTAND
COMPTROLLER
SEMINOLE COUNTY, FLORIDA
of party on behalf gf-wtruniltnstrument was
Public State of Florida
imission FF 032100
06/30/2017
YrinT, type or war,
Personally Known
Publ of Florida
sioned Name ofNotary Public
or Produced Identification 0
By
00 Ury CLERS
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ("P 6- Lb
I hereby name and appoint: 'Is kja
an agent of- fe-eA- Rco-kn
Name
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):
I/ The specific permit and appjication for work
Address)
Expiration Date for This Limited Power of Attorney: 2 A 6- 1\0
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTYOF 5( ftl
Wv'eaj
ccciN ?3
10
The foregoing instrument was ac owtedged before me this 2Lday of
200 0by6k1C(jJ %e who is Kersonally known
to me or o who has produced
identification and who did (did not) take an oath.
Notary Seal)
Rev. 08.12)
Signature
kq Ic ;r e-w
Print or type name
Notary Public - State of fl.. 4N, Ict
Commission No. r- 15-Y-U 6
My Commission Expires: B- 1-5- a
zoWWAr*:16
left
M.
a Property Record Card
Parcel: 22-19-30-502-0000-1040
Owner: ROGUS JEFFREY& STACEYCPNEWN0LF- Proper'ty Address: 141 WALNUT CREST RUN SANFORD, FL 32771
I Parcel: 22-19-30-502-0000-1040 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
Legal Description
LOT 104
PRESERVE AT LAKE MONROE
PB 62 PGS 12 - 15
Taxes
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) 34,000 32,000
Land Value Ag
Just/Market Value
191,356 184,782
Portability Adj
Save Our Homes Adj 55,866 50,234
Amendment 1 Adj i i
Assessed Value 1 $135,490 1 134,548
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
1,022.34
Taxing Authority Assessment Value I Exempt Values Taxable Value
County General Fund 135,490 50,000 85,490
Schools 135,490 25,ODO 110,490
City Sanford 135,490 50'G00 85,490
SIWM(Saint Johns Water Management) 135,490 50,000 85,490
County Bonds 135,4907 50, 85,490
Sales
Description Date Tl ok Page Amount Qualified VacjImp
WARRANTY DEED 6/1/2010 07392 1525 165,000 No Improved
WARRANTY DEED 1/1/2005 05585 0491 231,100 Yes Improved
I rina LOMparaDie :)aies wanin inis buDaivision I
Land
Method Frontage Depth Units Units Price I Land Value
LOT
I
1 34,00.00 1 $34,000
Building Information
I Year Built
Description
Ah,.j/Fff.,H. I Fixtures I Base Area I Total SF I Living SF I Ext Wall Adj Value I Repl Value I Appendages
Q
A
Job Address
5clfvyl-e- I
ANDREW PEET INC.
14567-.Josair Dr 9 Orlando, FL 32826
i
I
Lic # CCC1327383
Licensed *Insured
A Family Tradition Since 193 7"
Orlando
407) 268-3178
I
SALES AGREEMENT
Andrew Peet Inc. agrees to furnish all materials and labor i
located at the funom
Phnne— 50- 91
City
city
in accordance with the specifications given below:
REROOF WITH SHINGLE ROOF AS FOLLOWS:
I
Q 1. Remove____L_Iayers of roofing ! to a smooth workable surface. Each additional layer at
I
2. Replace any bad wood for $4.00 per Lft for lx, $6 0 per Lft for 2x. $60.00 per sheet of 4x
rown Black - Mill - Beige -
3. Install Eaves Drip. —CircleOne:
Q)) 4. Install ice and water shield in va leys. Circle:- e - No
30 lb. Base felt.,
V5. Install
6. Install Valley Metal New
I
Reuse
7A. Chimney Step Flashing New Reuse 7B. Chimney Counter Flashing _
8A. Wall Step Flashing New
I
Reuse 8B. Wall Counter Flashing —
9. If Flashing cannot be reused additional amount may be added as necessary.
10. Soil Stack Boots New Reuse
11. Install ?O/M=;shi AF
ye, ngleR. ManufactiVerI
Color 460wm,, Wco& Styli- V2n!L1
Lft Ridge Vent, Lft Shin12. Install Roof Ventilation, All 0ov-7*
power vents, I 2'x 4'Off-Ridge Vents. Electrical hookup to be,
j-ob s- ite c ean. 3. Clian up all work -related debris. Haul away, lii;i6
Additional information:
Total Cash Prici
INSURANCE CLAIMS ONLY:
Down Payment OR
All work specifiedin this sales contract is subject to the approval of the Insurance
Upon Delivery of
Company. This agreement becomes binding to th undersigned as soon as the
Insurance C6mpany approves the scope of the work, and is for entire Insurance Materials
proceeds plus any deductibles, bad wood, extra N,ork, and supplements. ffls—W) Cash Upon
If contractor Completion of Job
Pcannotreplaceentireroofforinsuranceproceeds lus deductible, agreement is (Plus Total for Woo
void.
Insurance ComDany
day ofExecuted y the Buyer this
Approved and Accepted
a. Do not sign this home improvement contract, in blank.
b. You areentitled to a copy of the contract before performance commences on your home. Keep it to I
IM7- have read and understand the terms and conditions located on the back of this document. which
reference and made part of this legal and bin! I
ding Agreement.
DIRECTION OFJOINT PAYMENT
I hereby authorize and direct you, my homeowners insurance company, to issue paymentjointly to the insur,
C'Assignee') and any applicable mortgage company(s), such sums as may be due and owing for all dam; contract of insurance, with the exception of daijiages payable under the Contents and Additional Livinj
insurance.
Additional Terms: This agreement does not obligate the Customer to Andrew Peet Inc. (hereinafter "Con
1 ider approves the claim or a court ofcompetentjurisdicfion orders the insurance carrier to pr( insuranceprov
the damag6(s) suffered by customer. Unless additional work or upgrades are requested, the Contractor al
WITH Mb COSTTO T r, CUSTOMER, E QbE rTHE rNSU ZANCE DEDUCTIBLE.
I I -,—? -// -
Clairn#— i Polic Signature
Acceptance of Proposal: The above specification and conditions are sa isfactory and herebyaccepted. Andrew Peet Inc. is authorized to begin the work as specified,above after receipt of
intention offulipayment from my insurance company. BUYER'S RIG,HTTO CANCEL:
Signature
You have the Tight to rescind this contract within 3 business days after the date you sign it by
notifying the c6ntractor in writing that you are rescinding the contract Signature
to
Date
Z ip_34))71
Zip
3 oper square.
Decking.
New Reuse
New Reuse
370
over Vent, or
additional charge.
Rif-066W
T
r
4wuVaill-f-
fL6t--6—W-.S
from Item 2 and Item 9)
ct your legal rights.
mcomorated herein by
I and also to Andrew Peet Inc.
res payable under the subject
Expenses applicable lines of
r"), in any way unless the
coverage and Payment for
project will be completed
Date: la —it— I
Date:_
Date: / 0 A -15
I AN 2 7 2016
I G-3 55
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 holdet, 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, andfederal code requirements.
CITY OF -SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 1-3 _
hereby acknowledge that I personally inspected
heRoof deck nailing and/or 0 Secondary water barrier work
at Iql Wo I nuf Cve 4 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 ofron or DateNt,
C (t I ) -)-'7,7 '0
Printed Namb of Contractor License #
License Type: 0 General 0 Building 0 Residential Let roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF iyw oole
Sworn to (or affirmed) aqd subscribed before mgthis __Lt"%day of. _.klflu OLIV 20 16 by
4ntWW W-f' _, who is VPersonally Known to me or has El Produced (type of
identification) as identification.
61A A -ty- (SEAL)
Signature of Norary Public
State of Florida MARKFREW -
m4s k- h4 %J MY COMMISSION # FF 150736
Print/Type/Stamp Name
of Notary Public
EXPIRES: August 15,20118
SondedThru Budget Notary Services
3
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