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Home My WebLink About169 Golfside CirM null DCIVED CITY OF SANFORD BUILDING & FIRE PREVENTION FEB 18 2016 PERMIT APPLICATION BY' pfication No: Documented Construction Value: $ 16 _) . I Job Address: I.I Go ifs i d e c cC.e Historic District: Yes No Parcel ID: 0000 — 0610 Residential Commercial Type of Work: New 19yAddition Alteration `nRepair Demo Change of Use Move Description of Work: Qemove u) S n 1koS m "C wlou 4 t 1t, U M W- I i VI 9I iV L RD R f WS fe Plan Review Contact Person: WWa Wom or Title: AdMl . P(%1S-Olfi Phone: 3G'2A? 0- 49-TS Fax: )qQQQ-gLQ1- C9_, -I Email: V660mm-f-0c. net Property Owner Information Name o C pQuPhone: Street: 11A DolSVW. Resident of property? City, State Zip: Sa _Wd F L 311-1 Name INVVIIIlull Street: 3lJ- I City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: r Information DAW . Wwwone: (312) U It e- 491 S Fax:R& W I - 1 1 I+ State License No.: CCQM_ wUc 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 wmmenced prior to_the ssuance of a p—and_that_a1L orlc wilL>ze_lZezfo gned t9 neet 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 qode q Revised:.Tune 30.2015 Permit Application <& k A 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. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be Aone in compliance with all applicable laws regulating construction and zoning. ier/Aeent's Name _ Signature Date 1-71l Cc.. P UTNIrnrrrr'. r L o NOTARY PUBLIC kie STATE OF FLORIDA VNe Comm# EE195094 Expires 8131/2016 Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature 1251 oI1,(a Date p CYNTHIAA. p L NOTARY PUBLIC STATE OF FLORIDA Comm# EE195094 Contractor/Agent is x 1r ersonally Known to Me 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: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: Ivan BUILDING: Revi¢ed• .1nne 30. 2015 Pennit Application City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address I IX " 1 mfode CiRdb 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.floridabuildina.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 I Underla ments e 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 y I Applicant's Sign Applicant's Namejagoyi W, Iyi'IIIAIIIII Please Print) June 2014 FLORIOA PENINSULA Insurance Company WORK AUTHORIZATION The undersigned (insured -owner -authorized representative), Rcc o Y Ayaoo o represent(s) that he/she/they are the Insured(s) and Owner(s) or Authorized Representative(s) of Owner(s) ("Owner") of the insured property ("Property") specified below and its contents and hereby authorize {enter contractor name here} Contractor") to enter the property to provide labor, equipment and materials required to make insurer authorized repairs which are in accordance h Owner's policy of insurance with Insurer ("Authorized Repairs") as a result of the loss dated I (Claim numberL.L 09IL440-00) to the Propertylocatedat: Vb(( 6 l-s ide- Address City State Zip It is understood and agreed that Contractor will perform all repair work in a good and workmanlike manner in accordance with all local safety standards and building codes. Owner agrees to allow timely inspections by municipal inspectors. It is further understood and agreed that Florida Peninsula Insurance Company ("Insurer") will pay Contractor for the Authorized Repairs. Insured is responsible to pay Contractor remaining balance of the deductible, if any, at the start of the Authorized Repairs. 2 ,1z DATE i ul`tA&(y 0 [2dor--1 N CONTRACTOR COMPANY NAME CCC 13,;c, (o- (,0 1 CONTRACTOR FLORIDA LICENSE NUMBER tq) 023 91 y Ue \\&v INSURE p- NE PRESENTATIVE INSURED - OWNER -AUTHORIZED REPRESENTATIVE POLICY NUMBER CLAIM NUMBER 903 NW 65th Street, Suite 200, Boca Raton, Florida 33487 6,1uL11 i"li'.Bif' I 1' 19,111 .11, R''I' 11" 'I I' I fft 'IPll it'll- I I i SCPA Parcel View: 04-20-30 513-0000-0390 ( , 0av idJcphnson,CF;A Property Record Card p 0 Parcel: 04-20-30-513-0000-0390 Prfr S Owner: ARANGO HECTOR O O & DELGADO MARTHA E A GEA NJOlECOUN'TY FLORKM Property Address: 169 GOLFSIDE CIR SANFORD, FL 32771 Parcel: 04-20-30-513-0000-0390 Property Address: 169 GOLFSIDE CIR Owner: ARANGO HECTOR 0 0 & DELGADO MARTHA E A Mailing: 169 GOLDSIDE CIR SANFORD, FL 32771 Subdivision Name: MAYFAIR CLUB PH 1 Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY Legal Description LOT 39 MAYFAIR CLUB PH 1 PB53PGS7& 8 Taxes Value Summary 2016 Working 2015 Cert Tax Amount without SOH: $2,702.14 2015 Tax Bill Amount $2,702.14 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Values ified Values Valuation Method Cost/Market Cost/Market Number of Buiidingsv 1 1 Depreciated Bldg Value 111,612 307,774 Depreciated EXFTVaIue Land Value (Market) 25,000 25,000 Land Value Ag Just/ Market Value 136, 612 132,774 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 136,612 132,774 Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 136,612 0 136,612 Schools City Sanford 136, 612 0 136,612 136, 612 0 136,612 SJWM( Saint Johns Water Management) 136,612 0 136,612 County Bonds 136,612 0 136,612 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 2/1/2014 8/ 1/2013 08223 08116 1956 1824 164, 900 100 No No Improved Improved CERTIFICATEOFTITLE _w WARRANTY DEED SPECIAL WARRANTY DEED 10/ 1/2002 04600 1301 141,500 Yes Improved 1/ 1/1999 03578 0052 104,800 Yes Improved rx lU VIIopal 0u1C JOIGI WIU IxI uIU JUWrvISxAI Land Method Frontage Depth Units Units Price Land Value LOT I I I l I $25,000.00 I $25,000 Building Information Description Year Built Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/EffectivelI 11998 17 I 1,6171 2,053I 1,617I I $111,6121 $119,371I htn,•/%ananu crnafl nra/Parr.PlT)PtailTnfn acnx9PTT)=n490*1051 iMMni9(1 1 1 11 Page 1 of 2 R/2( 11( r 111111, 111 V, r. -11 g I 1 1 SCPA Parcel View: 04-20-30-,-5.13-0000-0390 Page 2 of 2 SINGLE FAMILY Permits CB/STUCCO Description Area FINISH GARAGE 415FINISHED OPEN PORCH 21 FINISHED Permit # Type Agency Amount CO Date Permit Date 02466 I New - Residential I Sanford I $73,240 1 12/31/1998 17/1/1998 Extra Features Description Year Built Units Value New Cost PATIO NO VALUE 11/1/1998 I i l $0 httn://www.scDafl.ors/ParcelDetailInfo.aSDX?PID=04203051300000390 2/R/201 h NEUMROO-01 JFAVA v CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ASSOCIATES AGENCY, INC. CONTACT NAME, PAHicNN Ext : (813) 988-1234 A/c No): (813) 988-0989 Temple Tt r ace, FL 33617 rd St E-MAILDRESS: agent@associatesins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Southern Owners Insurance Co 10190 INSURED Neumann Roofing, LLC P.O. Box 1207 INSURER B: National Trust Ins. Co. 20141 INSURER C: Commerce and Industry Insurance Co. 09410 INSURER D : FCCI INSURANCE CO. 10178 INSURER E: San Antonio, FL 33576 INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO'THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADD I SD BR D POLICY NUMBER POLICY EFFMM/DD/YYYY POLICY EXPMMIDD/YYYY LIMITS A B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR 20358243 CA00229674 01/ 0112016 01/ 01/2016 01/ 01/2017 01/ 01/2017 EACH OCCURRENCE 1,000,000 pREMISEs Ea occurrence 300, 000 MED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY 1,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC OTHER: AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON - OWNED XHIREDAUTOSAUTOSGENERAL AGGREGATE 2,000,000 2, 000,000 Ea OMBacclidentSINGLELIMIT1,000,000 BODILY INJURY ( Per person) BODILY INJURY ( Per accident) S PROPERTY DAMAGE Per accident)$ D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE NIA BE011133190 010- WC16A- 73008 01/01/ 2016 01/01/ 2016 01/01/ 2017 01/01/ 2017 EACH OCCURRENCE 4,000,000 AGGREGATE 4, 000,000 X STATUTE ERH DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER/EXECUT I— OFFICER/MEMBEREXCLUDED9 Mandatory In NH) If es, descdbe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) I t F1ULUtK City of Sanford P.O. Box 1788 Sanford, FL 32772 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Y 6 TI/1 1 1111 - wMte. -_—A ACORD 25 ( 2014/01) w IDVV— GV IY AV V,\v vv.\. v•v-.••..... .... . The ACORD name and logo are registered marks of ACORD a 'II A 1 1A 11 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ' Le I hereby name and appoint:` an agent of. 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 specifi pe . 't an pplicat* f r work located at: i q! 6 I In Gi rzc Street Address) Fl Expiration Date for This Limited Power- of Attorney: License Holder Name: J C& 0 W- Iy W State Licens Signature of STATE OF COUNTY C The foregoing instrument was acknowledged before me this I day of 2AILf , by Jb S u r1 N bt-h--LO-n tq who is p'personally known to me or who has produced as identification and who did (did no take an oath. Signa e Notary Seal) C- - -C )-4 CYNTHIA A. dAL Print o type name (J Y NOTARY PUBLIC STATE OF FLORIDA Comm# EE195094 Expires 8/ 31/2016 Rev. 08. 12) Notary Public - State of Z-- Commission No. My Commission Expires: r AFTER RECORDING — RETURN TO: Neumann Construction, LLC 30427 Commerce Drive San Antonio, FL 33576 MARYANNE NORSEP SEMINOLE COUNTY CLFNI, OF CIRCUIT COURT & COMPTROLLER BK 8635 Ps 834 (1Pgs.) CLERK'S T 2016017716 RECORDED 02/18/2016 12:03212 PI1 RECORDING FEES $10.00 RECORDED BY hdevore PERMIT NUMBER: NOTICE OF COMMENCEMENT 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 & street address, if available) TAX FOLIO NO.: 04-20-30-513-0000-0390 SUBDIVISION MAYFAIR CLUB PH 1 BLOCK TRACT LOT 39 BLDG UNIT 169 GOLFSIDE CIRCLE, SANFORD, FL 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: REROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a. Nameand address: ARANGO, HECTOR - 169 GOLFSIDE CIRCLE, SANFORD, FL 32771 b. Interest in property: FEE SIMPLE TITLE HOLDER c. Name and address of fee simple titleholder (if different from Owner listed above): 4. a. CONTRACTOR'S NAME: NEUMANN ROOFING, LLC Contractor's address: 30427 COMMERCE DR., SAN ANTONIO, FL 33576 813-782-9080 db. Phone number: 5. SURETY (if applicable, a copy of the payment bond is attached): 00, ; •, I NE 10 4 N .•, a. Name and address: Op.TIN R p0 tIt¢\ b. Phone number: c. Amount of bond: $t®p 6. a. LENDER'S NAME: pjlpt> 'rw d 5 Lender's address: b. Phone number B`I 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided bySection713.13 (1) (a) 7., Florida Statutes: a. Name and address: b. Phone numbers of designated persons: 8. a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. b. Phone number of person or entity designated by Owner: I C Aft SOW 9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified): , 20 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 penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of m' y knowledge and belief. ignata of Owner or Lessee, or Owner's or Lessee's (PrintName and Provide Signatory's Title/Office) AuthorizedOfficer/Director/Partner/Manager) State of FLORIDA County of SEMINOLE The foregoing instrument was acknowledged before me this day of e—b 20 by _ C-fC l'( in , as for ( name of person) (type of authority,... e.g. officer, trustee, attorney in fact) name of party on behalf of whom instrument wasexecled) Personally Known or Produced Identification V Type i0y . rCYNTHIAA. DYAL NOTARY PUBLIC STATE OF FLORIDA Rev. 10-01-11 (S.Recording) OF Comm# EE195094 Expires 8/31/2016 Produced v( Signature of NoWy PubliA Print, Type, or Stamp Commissioned Nam f Notary Public) r I '"•iv _ - ,c , .,`f • tir••t'c r,; a ti5 4LSS- t, •,,, •. r ' _ - ,r 4r : : a 7.( • ' pity •of gal for d ^ fReS ' e 4 i: +.3- '! , t cM1_ , .• f r fry` to .,• . _ ,,, , F" a . ;] u ldl I >g •X'•Fire P e e nt o n I)i : orn ' i - '- :_', :. •; 4 t 3 e-HooM,e, e, rnlit'+C a d. y,' ti • • `' e";,, _' d+^ Ys , '.ci-. ;r -t c' F ar w t r . y ;( .. • • a H r.. ;. ilvIITtNO. _ ,. > . v•, - ``= M-i ,J1SSiJE DA• • - i, ' " s.>` a° V" f rt • ••{ ' , F5, i. - .•,• .- ; i '" i may'^' ^F ' 1 PIRC 16Z-113. _ Mf _ _t-g'r•'..• , • i. +. (, • .-ttY '` , k yr °ME ax Post thisPermit in a,co sn plcuousplaceoutsibec' _ t ` 'r, PROTECT FROM:wE THERr Approvedtplans must be posted with permit forinspection t, •, ,' Lea ealork uricoverecluntil inspected Permit es six+(6) moritfis•f[om datem is or-lasm )r_ovved ins60 pec[lon 7yy. 6 - h':'.•. g` .#'s 7' E$. { •cF. .? 3! . kycy.4 i' t S`1 ` e ; • ' • g' S-'` 4 $ t_ ; C F;'a f`s ,r 7,{ + v J• ' L,,c •Et?;= fin Won! y ` t<."fi - '!••rt ca.N 'o^.s ti l n''' r;% '. ' • Z• a:..i ' ;'uS:xb' . . yi ,`Ltb9`c..) > n•'+`. =' 1" . T _•_Y r ! i yC , 0 1 • 7 + a : •a f ° c ,-' Y »•_•,> •. .. ice a'S^'.{;.•t t< 1 R0ilNlNyPECTIO4 a,—Rev t'at*.. F°u .3k',:.zd.?'?'ta ++ ...u..v:+ w..,.it,r,r• c. .-.,.•r> •.... T„-?•aa :•.. a.,..n.,•..sa„nc.,,>.-e•.x.. .-,=a..s.` -3:r.-.>v.•u.-x- oasr.^xaa.rrtwa•rn.,x .:..'.>rt`:..•y' 7'''-"' YX'.••. ,ii- t`cr't'Aftpir ? ;'";f mr ^i1X.J'r t••v: ? °'I''-%Ai•:xu393 t:. 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NSCTONrPEa%3APPRO.VED "SECT D I S6CTOR INSPECTIONTYP.E& "ti`sAPPRO.VEDscXFJEsNSP.ECTOR ' syu: ll ', ^ iRM ,< Jr.:. l fit. y ' .• 3 r i . eh. s ', . . r t 7 p ;- ., „ ,'., eG' 1•I, G y ' E i ,' . tFgk f tom" . R ' FINayAIRQOF (% ; i q i,, s _ . ..4 ; ir,' n a ` m ZS+ j' .,. ..., •''r'•fl'J' r' 'Si``v` 'x° j'' ;.y a ••, i•• r 3 i' i - - r • i + s ..fr h'n s vt _2s, Y% ...xG t`.r'r+YeF i'.•' °. ,....an _ %%. ' - t. 5" eg,_ T P ' 1 `4,`pt, +r• nw < '. 1' Z .. ' _ 7: P. rS S.-ci.x Yt' „ sI, d t`Y'. .a" a 3` t •Yf b t 3' t' 3 k MORN f ai MINE` , r' W ' 6 G TO OO R•' YO 1 ' ' I 'I;O RECORD:A NOTICE OFF C®NIIII MNC E EMF NT SUI; T aIN YO ; PA`YING ITVV ICE PI), REiSPECTI® N: IFY®I INT ND TO ®BTAiIN : N• C ING, CONS'iT'LTWIT SOUR HE ApTxTU ' . E Y•BEF®t REC®• f ING YO.I RNO•xis'IIICE' OF CO -}I NCEIVIIFNT. ; • . 'k ;_ "• ¢ ; e. 4'ciS E J'^¢'° a.r 3 t +i: - >a- ' C <ei •S + •ids NOTICE FIN•ADDITIONiTOmTHEREQUIREMENT .gF THIS•P.ERMIT tTHERE MAY, BEADDITION RESTRICTIONS'APPLICABLE TO THIS PROPERTYTHAT MAY BE!FOUND IN THE PUBL'IC'Ly`t" RECORDS OF THIS COUNTY, AND THERE MAYeBE7ADDITIONAL PERMITS!REQUI 'ED'FROM OTHERiGOVERNMENTAL ENTITIESSUCH ASWATER MANAGEMENT DISTRICTSyST). AGES N'CIE OR 4FE AAGENCIESFBC OS 33t M9Ar syr* i: `.,st``71"" r c a? ,.'i i+'(i': .7. `Ye}••'` 't'}.t '>„ •'tom r r' •-••, '` p'` r,• ^ y's" ' • s `#,',x t ., s ,+., y*:;p t...•+s^s: '" X{.` ' rfsl^a ai'+i''..y{' ` r :4,• f 'Ct '-, , r ' • r+i• (- . `f' ... yr3u. '' t' 'i„1.;i'-7R;. ' `N. " . : >.t. S. a,' :'ss tt{{• d .:' • 1,.••f t, 22''''., f `r , "7 " ` - r.. 2 a , 3., M`F,• ' ,k,> iy, ' it!'?.. •`+ L '. '.?l s x ' W"r•r• fir... '- ,`i''o r?? ry k` • .5 ,_ r, y Qi ,,• • ''a''z .. # c.: ' ' lyy. c. -,: 7 • :f;. : •t yy,va {;S .G' "y' N:'Q, 'h..`L•, ° ` e^.. p "'s.. 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T" _ i ai+-• L 'rw._,. n if S'—ei4; f'C_.',,'-.3_l?_hJ_:d:: 3 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 t bUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number 16-00000595 Date 2/24/16 Property Address . . . . . . 169 GOLFSIDE CIR Parcel Number . . . . . . . . 04.20.30.513-0000-0390 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 929778 Permit pin number 929778 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF A., CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I, hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at 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 F.S. Signature of Contractor Printed Name of Contractor Date 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 me this day of , 20 , by who is Personally Known to me or has Produced (type of identification) as identification. SEAL) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public 3 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I V ' Ll MCk-n hereby acknowledge that I personally inspected 0 RoofIndeck nailing and/or 0 Secondary water barrier work LDat 0-C,- '2C-(-o— and have determined that the work Job Site ddress 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 Sect' 837 6 S. Sign tore of Contractor Date J MC V\ J, PAA VV 0,-VA V\ c aeA I b- Printed Name of Contractor License # License Type: 0 General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OFJ? Sworn to (or affirmed) and subscribed before me this day of A-20 , by who is ersonally Known to me or has Produced (type of ident' on as identification. ig of Notary Public S of kFloridag/`J/} rV II Kai; JOHNTHEEDE Print/ Type/Stamp Name *; +- MY COMMISSION # FF 145714 of Notary Public '.`•. EXPIRES: August 16, 2018 Rf, 1 Bonded Thru Notary Public Underwrrtera