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Home My WebLink About145 Golfside CirCITY OF SANFORD n, C), BUILDING & FIRE PREVENTION 1 VP. PERMIT APPLICATION Application No: k o - / -74S Documented Construction Value: $ Job Address: 14 60 Ift * C i - Parcel ID: bLi -20 - Jd - 3 - 0000 -- 0 15 0 Historic District: Yes No Residential 12Commercial Type of Work: New Addition Alteration Repair Demo Change ofRUs9e Move Description of Work: Q M 0 v e W) U K W S M U M Y-- 1 a g, i v\ glw iQwo *ooge Cott, Plan Review Contact Person: Q l a Odom Title: MIYAW1 I a Phone: (3Q) W - 4 1 G Fax: 0 f - i I - (19 4 Email: om o OC• net Property Owner Information , Name C e R. I PoMmh Phone: 401 -401- O co' Street: 149 Da If si a VI ( Resident of property? : Tl.- 2 City, State Zip: S O SIM J Contractor Information Name Wtmmcmn Nfi LLC Phone: 2rL - Lfu 41 1 r Street: 30421 -mLt W V fi Fax: Du - 6Lfl - cJ_1 1 City, State Zip: Soo f oo"l 0 , FL33ry 1 y State License No.: \CC MD 1 U Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer 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. 1S- 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. A I / 1w It4 Signatur o r/ gent I Date Print Owner/Agent's Name of Notary -State of Owner/Agent is Produced ID loridd' CHRISTIE K. MAJOR U PNV PUe i -i Notary Public -State of Florida Commission # FF 898705 My Comm. Expires Nov 2, 2019 Bonded through National Notary Assn. Type of ID Signatur 6Y CUrador/Agf t D to Print Contractor/Agent's Name Signature ofNota - — -- aY a 'CHRISTIE K. MAJOR Notary Public - State of Florida Commission * FF 898705 My Comm. Bonded throughNationaloNotaryAssI Contractor/A a is persona ly Known to e or Produced ID Type of ID BELOW IS FOR 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 sl I 1 w RN1 AFTER RECORDING —RETURN TO• S-,11 J,174K(0 42- 3.35? 6 PERMIT NUMBER: NOTICE OF COMMENCEMENT t'ir)1 it;hif 1 iu =E"il:) a'E"I I1;!11' '1'liIAI' f'_E?Y: t!t ._:it t.J _t)i3fi' i _,011€' I ROII ER LE u ')1:4j 111!fl?7!F 1i_t41JFit.ti'l' iii'llt> -;ly, l_I; F`i to (:0RID111r, FE"Ec:•, 110.06 Nut t. The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes. the Ibllowing information is provided in this Notice ofCommencelnent. I. DESCRIPTION OF PROPERTY (Legal description of the property & street address, iravailable) TAX FOLIO NO.: 04-20-30-513-0000-0150 SUBDIVISION MAYFAIR CLUB PH 1 BLOCK TRACT LOT 15 DLDG UNIT 145 GOLFSIDE CIR, SANFORD, FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a. Name and address. POKLEMBA, CHERYL; 131 STONEY RIDGE DR, LONGWOOD, FL 32750 b.Interest inproperty: FEE SIMPLE c Name and address of fee simple titleholder (ifdilrerent from Owner listed above): 4. a. CONTRACTOR'S NAME: Neumann Roofing, LLC pRSE • , SE C`11S...N 1:t 1 Contractor's 30427 COMMERCE DR, SAN ANTONIO, FL 33576 b.Phonenumber. 352-668-4875 MA t 6 S. SURETY (ifapplicable, a copy ofthe payment bond is attached): CERTIFIEDTM IRCUITCOURTANDCLERKOF a. Name and address: LER FL b. Phone number. c. Amount of bond: S SEMI NTY, 6.a.LENDERSNAME: W. 1vLender'saddress: b.Phone number. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by S K Section 713.13 (1) (a) 7., Florida Statutes: a. Name and address It. Phone numbers of designated persons: 8. a. In addition to himself or herself, Owner designates of_ to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. b. Phone number of person or entity designated by Owner. 9. Expiration date ofnotice ofcommencement (the expiration date may not be before the completion ofconstruction and final payment to the contractor, but will be I year from the date of recording unless a different date is specified): . 20_ Under penalty of perjury, 1 declare that I have read the foregoing notice ofcommencement and that the facts stated therein are true to th my knowledge and belief: I11I/Illllll -- Renee pol let c lx oh/le Signature of Owner or Lessee, or Owner's or Lessee's (Print Name Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) State of FLORIDA t County of )}E~ ' The foregoiin) instrume%nt was acknowledged be tore me this day of j l%i 20 by 6'Z 1^ / r` 7-ee r tY&) /t'1 1) as rJ name ofaerson) (type of authority,... e.g. officer, trustee, attorney in fact) for — — name of party on behal f of whom instrument was exec d) 1 5 L Personally Known or Produced Identification " Type of Identification I>d ec " ` r f I%T / fr r} Rev 10-01-I1 IS WILLIAM N6 nt, Type, or Stamp Commissioned me of Notary Public) Notary Public - State of Florida s .- + r` MyCommlaalonri Fes `1 360726, 16 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: Wmmm Q 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): The ion for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: J D v 1 WMQOVI State License Number: Signature of License F STATE OF FLORIDA COUNTY OF Paso-o The foregoing instrument was acknowledged before me this day 200jp , by e So4.. 49i ir,sn who is w-personalknown to me or who has produced identification and who did (did not) take an oath. Signature Notary Seal) Print or type name o;"' 'P"% HRISTIE K. MAJOR Notary Public - State of FLOri l A - Ve . NotaryPublic -State of Florida Commission No. r, r—i k 7U S Commission FF 898705MyComm. Expires Nov 2, 2019 My Commission Expires: )i / 2 / DUI -7 F "• Bonded through National Notary Assn. as Rev. 08. 12) City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 14g bolf i CtAL D k - R 11-13 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Tj C Ig81 4. Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's NameV kJ Please Print) m M A\/\ n June 2014 W1 W! tit W M 1 ttt\I llAtttr f1 Neumann Construction, LLC 2417 Emergency Service Division FOR OFFICE USE ONLY: Date Processed: Project Manager Assigned: Processing Representative: Insurance Company: Date Processed: Neumann Intake Number. M A S . REPAIR AUTHORIZATION 27 Commerce Drive, San Antonio, FL 33576 12630 Curley Street, Ste 104, San Antonio, FL 33576 1031 Blanding Blvd., Unit 401, Orange Park, FL 32073 877) 762.6350 / (813) 782-9080 www.nfoc.net - CBC 058155 IMIe, ;Y IL 141 n g e m w a, , ("Owner/Insured") hereby request and authorize Neumann Construction, LLC, ("Neu- mann") and their--employees/representatives to enter the premises located at: Street Address: City: 0 Phone: (Zfn ) 4' V Z'" 0 L q State: ft- Zip Code: 3ti1 !3 Property"), to perform the following scope of services, repairs, labor and/or work (collectively, "Work"): Emergency Services (circle): Water Extraction/Dry-Out Board -Up Tarp Mitigation Structural Repiairs n y/ } j It f '/ / j Cg// Other Vv`1 IUtI it 1 K-111 t It ti 1 i Owner's Insurance Company: Claim Number a; If Neumann shall perform all Work, as identified above, on the Property for the amount of the estimate agreed upon with the Owner and/or Owner's Insurance Company. Any supplements to the estimate for covered items will be paid by the Owner's Insurance Company. Any work not covered by Owner's Insurance Company will be agreed to in the form of a change order, signed by the Owner and Neumann prior to the commencement of such additional work. Payments for all Work performed under this Repair Authorization, including any additional work not related to the Owner's Insurance Company scope or estimate of repairs, is the sole responsibility of the Owner, regardless of su nce coverage. Owner/Insured Initial I/We understand that in the event that this Repair Authorization is for Emergency Services, as identified above, it does not constitute a contract for p a ent repairs to the Property. Additionally, Owner recognizes and understands that the scope and cost of the Emergency Services provided by Neumann may not be specifically quantifiable at the time of execution of this Repair Authorization. Should Owner's Insurance Company exclude coverage of damage or loss to the Property, Neumann will require a standard agreement to receive installment payments as the job progresses, with final payment due upon completion, and Ow er hall be fully responsible for all amounts owed to Neumann for the Work performed on the Property. OwnedInsured Initials I/We hereby assign any and all interest in the proceeds from any payment from Owner's Insurance Company to Neumann, and I/We further authorize an i Owner's Insurance Company to issue payment directly to Neumann for such Work, or, to include Neumann as an additional payee on the face of any payment draft for the Work performed on the Property. If any payment is made to the Owner, Owner agrees to immediately endorse same and fumish to Neumann. Owner/Insured Initials I/We understand that I am individually, jointly and severally, liable to Neumann for full payment in connection with Work performed on the Property. 1 e ac owledge that this RepairAuthorization and the Work required hereunder is subject to Florida's Construction Lien Law, and that should I/We fail to make ful to Neumann, as provided in this Repair Authorization, a lien will be placed on,the Property. Ownerinsured Initials 1/We understand that I/we are solely responsible for the following expenses: (1) Any insurance deductible or non -recoverable depreciation in accordance with the Owner's Insurance Company; (2)Any and all repairs or work performed on the Property by Neumann, which are not authorized by this Repair Authorization; (3) Any and all code upgrade items that are not covered under the Owner's Insurance Company; (4) Any and all additional work requested by any chang ord r, d (5) Emergency services, in the event that no insurance coverage is available for any repairs made to the Property. Ownerllnsured Initial I/We understand that should I/we choose to cancel this Repair Authorization prior to completion of the Work, I/we will remain responsible to pay Neuman II actual expenses associated with Neumann's performance of the Work, which includes any overhead and profit payments agreed to by the Owner's Insurance Company, regardless of the quantity or completeness of Work performed by Neumann. REMEDIES FOR NON-PAYMENT: Neumann shall have all rights to payment and enforcement provided by Chapter 713, FLOPoDA STATUTES, which is incorporated herein by this reference. In the event it is necessary to collect any amount of money owed hereunder by referral to an attorney, collection agency, or court proceeding, it is agreed that the prevailing party (or substantially prevailing) in such matter will reimburse the other party for its reasonable attomeys' fees and enforcement costs at all tribunal levels and in all dispute resolution proceedings, including bankruptcy and post -judgment collection, whether or not suit be brought A service charge of 1.5% per month will be due on all invoices ten (10) days past due, along with all collection costs incurred. Work may be suspended or terminated by Neumann if not paid in full ten (10) days after invoice or billing, In the event of termination by Neumann as a result of delinquent payment or non-payment, Neumann shall be entitled to compensation for lost profit and unabsorbed overhead for all Work not preformed. Neumann shall also be entitled to collection from the Owner/Insured of any monies withheld by a lien holder as party to a co -payee check as a result of default or delinquency by the Owner/Insured on a mortgage or other obligation on the property. It is expressly understood that Neumann pre -construction services including but not limited to estimating, site visits, planning, permitting and similar activities shall be payable at a minimum of 10% of total value of the estimated repairs if the Work is not performed by Neumann. PAYMENT TERMS AND SPECIAL NOTICE ON INSURANCE CHECKS: As it relates to Emergency Repairs, the Owner is jointly and severally responsible for all payment(s) owed to Neumann Construction, LLC, for any and all Work performed on the Property, and such payment shall be made as directed by Neumann, with final payment due immediately upon completion of the Emergency Repairs. As it relates to Work approved by the Owner's Insurance Company, Neumann is agreeing to perform Work on the Property based solely upon Owner's agreement to make payment for the Work performed, as set forth in this Repair Authorization. Owner hereby agrees to assign or endorse any and all payment received from Owner's Insurance Company directly to Neumann Construction, LLC. Owner is responsible for any unpaid amounts, including any deductible owed. You are a trustee of any funds paid by the Insurance Company for the whole Work perforated on your Property. FLowDA STATuTE 713.31, specifically states: "The name insured who receives any proceeds of the policy shall be deemed a trustee of the proceeds': Moreover, execution of this RepairAuthorization gives Neumann joint ownership of the check(s) issued by the Owners Insurance Company fdrthe work done under this RepairAuthorization. This joint ownership exists regardless whether Neumann is co -payee of any check(s). Any negotiation of such check(s) without the express written permission of Neumann may be subject to criminal prosecution under FLowDA STATUTE, 812.014. In the event that such check(s) exceed $300.00, the offense may be a grand theft felony. CHANGE ORDERS: There shall be no deductive change orders from the original scope or estimate of repairs exceeding the amount of the Insured's deductible. Any additive change orders shall require: (1) the written consent of Neumann and the Owner, (2) a change order fee of $250.00; and (3) any and all actual cost(s) including overhead and profit) associated with th:._.erforming the additional work. Should Owner choose tr: a,5grade or custom order replacement materials more expensive than the "like kind and quality" reimbursed by Owner's Insurance Company, Owner will be responsible for the additional costs of such upgrades. Any andallexecutedchangeordersshallbeconsideredpartofthisRepairAuthorization. Payment for change orders will be due as follows: 50% upon acceptance of the change order and the entire balance due upon completion of the additional work. WARRANTIES PROVIDED BY NEUMANN CONSTRUCTION, LLC• Neumann hereby warrants and agrees to: (1) Perform all Work in a timely and workmanlikemanner, in accordance with current industry standards; (2) Provide workman's compensation and liability insurance to all personnel hired by Neumann; (3) Provideallstandardindustrywarranties; and (4) Perform any warranty repair upon complete and final payment of all amounts owed to Neumann. Neumann shall have no warranty obligation for any Work performed hereunder if the entire amount due under this RepairAuthorization is not paid in full within sixty (60) days ofthe last workwasperformedontheProperty. APPLICABLE LAWAND VENUE: The provisions of this RepairAuthorization shall be construed in accordance with the laws of the State of Florida and the exclusive venue for any action brought to enforce this Repair Authorization shall be the Circuit Court of Pasco County, Florida. In any action arising out of or related to the terms of this RepairAuthorization, mandatory mediation shall be held in Pasco County, Florida. The parties hereby agree to first mediate such dispute in good faith and foreachpartytobearthecostsofmediationequally; if any party(ies) fail to mediate prior to the initiation of litigation, then such party(ies) shall be obligated to pay the attorney's fees of the participating party(ies) regardless of whether those participating party(ies) prevail at trial. SITE ACCESS: Neumann shall have full access to the Property to perform the Work every Monday through Friday commencing at 8:00 a.m. and ending at 5:00 p.m. Owner shall remain responsible for Property security and safety unrelated to Neumann's Work. In the event the Owner requests Work be performed other than Monday through Friday commencing at 8:00 a.m. and ending at 5:00 p.m., Owner may be responsible for over time labor rates, as same may be applicable. DAMAGES: Any damaged property shall be compensable at actual cash value. Owner shall have no right to consequential damages related to the time of performance or schedule, or arising or related to the'work itself. EXCEPTIONS / AMENDMENTS: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHOARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. This Repair Authorization is intended to be a legally binding contract between all parties, their successors and/or assigns. I/We have read, understand and accept all terms of this Repair Authorization. O E NSURED Print Name: 0 b"I ,ea R2 L e%ZI GL Date:_- 1 Print Name: NEUMANN CONSTRUCTION, LLC, a Florida limited liability company By: c U lX V Its: Ac S t fi Date: AUTHORIZATION OF PAYMENT IS HEREBY ACKNOWLEDGED: Charge to MC / Visa #: Expiration: Name on Credit Card: Amount to be charged: $ Authorized Signature Date: There will be a 2% credit card fee added for Master Card and Visa and a 3% credit card fee added forAmerican Express to the total charged amount. SCPA Parcel View: 04-20-30-513- "100-0150 Page 1 of 2 Dc vid-k*vuon•CFA Property Record Card A® PEKff Parcel:04-20-30-513-0000-0150 PPRAMI7R Owner: POKLEMBA CHERYL SELUIX r=COurRV FLORIDA Property Address: 145 GOLFSIDE CIR SANFORD, FL 32773 Parcel: 04-20-30-513-0000-0150 Property Address: 145 GOLFSIDE CIR Owner: POKLEMBA CHERYL Mailing: 131 STONEY RIDGE DR LONGWOOD, FL 32750 Subdivision Name: MAYFAIR CLUB PH 1 Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY Z A& Legal Description LOT 15 MAYFAIR CLUB PH 1 PB53PGS7&8 Taxes Value Summary 2016 Working Values 2015 Certified Values Valuation Method Cost/Market CostfMarket Number of Buildings I 1 j 1 Depreciated Bldg Value 124,319 120,944 Depreciated EXFT Value Land Value (Market) j $25,000 25,000 Land Value Ag Just/Market Value 149,319 I 145,944 I Portability Adj Save Our Homes Adj 0 i $0 Amendment 1 Adj i 0 i $0 Assessed Value 149,319 i 145,944 Tax Amount without SOH: $2,970.16 2015 Tax Bill Amount $2,970.16 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value CountyGeneral Fund 149,319 ' 0 149,319 Schools 149,319 1 0 I — 149,319 City Sanford 149,319 . 0 I 149,319 SJWM(Saint3ohns Water Management) 149,319 0 149,319 County Bonds 149,319 i 0 149,319 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED f 2/1/2004 105269 10736 160,000 Yes Improved WARRANTY DEED 11/1/2001 104247 1380 j $129,900 i Yes i Improved SPECIAL WARRANTY DEED i 5/1/1998 103425 0627 105,000 Yes Improved LMO Comparable Safes within this Subdivision Land Method Frontage Depth Units Units Price Land Value LOT i 1 $25,000.00 ; $25,000 Building Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 j SINGLE 1998 7 1,874 ' 2,290 1,874 ; CB/STUCCO $124,319 i $132,962 i Description Area FAMILY I i i FINISH i P http://www.scpafl.org/ParcelDetailInfo:aspx?PID=04203051300000150 11/13/2015 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 roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. f J. CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: hereby acknowledge that I personally inspected 0 Roof deck nailing and/or Secondary water barrier work at W 'U e Cf r(-"( 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 Section 837.06 FrS of Date Printed Name of Contractor License # License Type: General 0 Building 0 Residential @ oofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sw a tojor aftmed) andsubscribedbefore mg this day of , 20 , by jj ,who is O Personally Known to me or has Produced (type of i e tificat' as identification. SEAL) SignatWre' 6t NotaW PuigFc too Lori a 6L)\ Prin / Type/Stamp a , 'yt4 NOTARY - THIA BL CL Yr of Notary Public STATE OF FLORIDA FO Expi es 8131 0 6 3