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HomeMy WebLinkAbout170 Brushcreek Dr (2)01/e4/2016 14:37 4073309333 PAGE 02/e4 CITY OF SANFORD BUILDING Sr. FIRE PREVENTION PERMIT APPLICATION Application No: /j —CP Documented Construction Value: S I D . m I'rob Address: l'0 flistoric District: Yes No E P :urcel ED: 33 1 q • Q 000 ©a U Residential [l Commercial Type of Work: New Addition .A,lteration Repair Demo Change of Use Move Description of Work: P;a.n Review Contact Person: 4'Jrp t, Cde Title: 11, 4011c: 40-7.3y2-- fssy Fax: 4LQ Email: ag c.oclG,e Property Owner Information Name - A4 s34, reet: 170 &uChCjoe iL . /[onhell tidy, State Zip: n-0- L 7 =7 -7 1 -- Phone: Resident of property? : -Y-Je;` Contractor Information tila the k0o .., c Phone: O7 - Ia:•: reet: d Q f 2 fly, State Zip: _ dn h s /2r . ' 7' [ State License No.: CC(- U 7 z S-0 1 Archltect/ Engineer Information 1" Fame: /\(i - Phone: S lxeet: Fax: Ci y, St, Zip: Banding Company: Ai A al, 0d ress: E- mail: Mortgage Lender: Address: A- ARNING TO -OWNER: YOUR FAILURE TO RECORD .A, NOTICE Of COMMENCEMENT MAY RESULT IN YOUR 1'.SYTNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE R; i:CORDED AND POSTED ON THE JOB SITE•BEFORE THE FIRST INSPECTION, IF`YOU INTEND TO OBTAIN RNANCING, CONSULT WITH YOUR FENDER OR AN ATTORNEY BEFORE RECORDTNG YOUR NOTICE OF Q:rMMENCEMENT, ' j Anolication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has ra mmenced prior to the issuance of a permit and thatall work will be performed to meet standards of all laws regulating construction in thisjurisdiction. I understand that a sepArgte permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc li l V' 105.3 Shall he inscribed with the date of application and the code in effect AR of thnt date: 5(4F,dition (2014) Florida Building code Ho. vised; June 3edi S Permit Appllcetion 01/04/2016 14:37 4073309333 PAGE 03/04 in addition to the requirements of this permit, there may be additional restrictions applicable to this property that may beli:rond in the public records of this county, and there may be additional permits required from other governmental entities such as watern-.:masement districts, state agencies, or federal agencies, A:ccptance of permit is verifleation that I will notify the owner of the property of the requirement,, ofFlorida Lion Law, FS 713 The City of Sanford requires payment of a plan review fee a.t the time of permit submittal. A copy of the executed contract is required inrudertocalculateaplanreviewchargeandwillbeconsideredtheostimatcdconstructionvalueofthejobatthetimeofsubmittal, TheactualconstructionvaluewillbefiguredbasedonthecurrentiCCValuationTableineffectatthetimethepermitisissued, in occordanecwithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction vallic., or-.xlit will be applied to your permit fees when the permit is issued. 1, T INER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will lay:: dome in compliance with all applicable laws regulating construction and zoning. atur' oorowner/AgeJn,t Date .1 rc of ctnTtAnent Dato Ce qt? nil yr/Agen 's Nit es _ Print rnetor/Agent's Na r. Hmurrvupnn®ry-WEtTe'01 Hondae Date Signs it fwotsry.Stat 0f r' DONALD RASH nY P MARJORIE MARIE ADCOCK 'ot«,1 P%%; Notary Public - State of Florida ova ? r » « Notary Public -State of Florida Commission Ar FF 221706 My Comm. Expires Jul 29, 2016 "9r . My Comm. Expires Apr 16, 2019 PT' 411 r1 Trtr4 t 7M or edttir National Notary Assn. IDVIner Con actb / to Me or t" I e ro ational Notary Assn. oIt'du Pro used D Type of iD 13ELOW IS FOR OFFICE USE ONLY P;: rmit9 Required: Building Electrical Mechanical Plumbing Ga,S Roof Construction Type: Total Sq Ft of Bldg:, Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: alcw Constructions: Electric - # of Amps Plumbing - # o£Fiatures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No Ai' PROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FiRE: BUILDING: CIONT. MENTS: t' iscdf Lune 30. 20I9 Pcrmit Application I ;lip , j;I; 1a ,J l71/ 1641201b 14: J 1 401 JJb7JJJ liiiiiiiiiiiiiiiiiiiiEHIIHIII[iiiI TWS INSTRUMENT PREPARED BY: N,.mlee: Adcock Roofing AfIldress: BOO S. French Ave. Sanford, FL 32771 NOTICE OF COMMENCEMENT fcnnit Number. MARY;-tNNE NORSEr SENIHOLE COUNTY CLERK OE' CIRCUIT COURT " COMPTROLLER BK U114 F's 9fiul (11":s) CLERK'S 201Ei_i17.13944 RECORDED 01/12/2016 03=12'13 Phi RECORDING FEES $10.00 RECORDED BY hdev,r-e P:; ra of ID Number. 33-19-30-514-0000-0290 Thia undersigned hereby gives notice that Improvement will be made to certain real property. And In accordance with Chapter 713, Florida Statute$, therol*wing information is provided In this Notice of Commencement I. DESCRIPTION OF PROPERTY: (Legal description of the property and streat address If available) LOT 29 2. rrENERAL DESCRIPTION OF IMPROVEMENT, REROOF 3, OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT. Name and address; D & J O'CONNELL FAMILY TRUST FBO J M O'CONNEI,I_• 170 BRUSHCRr=EK Dr. SanfQla3; 277`!+,, Interest In property: Owner oY: Fee Simple Title Holder (If other than owner listed above) Name: Address: ' CONTRACTOR: Name; AdCOCk RoOfing i_ Phone Number: 407-322-9558 •hha oa` Address: 800 S. French Ave, Sanford FL 32771 — 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address; 13. LENDER: Name: Phone Number. Address: — Amount of Bond: z_q 7. I'ereons within the state of Florida Designated by Owner upon whom notice or other documents maybe served as provided by gpa713.13(1)(a)7„ Florida Statutes. Name; Q Uj Phone Number, c ~ A.1.1-..-... _-- W lL B. In addition, Owner designates of ar2rw to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number: a. Explratlon Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date Is Specified) M'4RNING_ TO O_ INNE_' ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT Arl= CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I. SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOURI'F,"ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOElSITEBEFORETHEFIRSTINSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBL•dFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 7 J r ( Owneri' Stannof twnaLessenon , or O.+mafa or Le::nn')) A1111toriznA Oftftorl IreetoNPgnnerliWnrwper) (Pflnl Name ehd PmNtle :Ignatory'a 7'111afOMca) "— ctrto of County of _,:2 Th-, a foregoing Instrument was acknowledged before me this day of bi,_ 3- --e NfI c 11t ,5& . to d %I ' 20 wiin has produced Identification type of Identif eatlon produced: i' = Nn ARIE ADCOCK" Pee- State of Flortda•pires Jul 29, 2016n EE220257o"NationalNotaryAssn. 'n#,F Who fe personally known to mo OR Nolery Slpnquira. 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: J Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. C/ 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. U 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. SC:PA Parcel View: 33-19-30-514-0000-0290 porvldJohnaon,CFA Property Record Card IROPERTY Parcel:33-19-30-514-0000-0290 hr Owner: D & 3 O'CONNELL FAMILY TRUST FBO 3 M O'CONNELL S0WJ0LECAX#4Y FLONDA Property Address: 170 BRUSHCREEK DR SANFORD, FL 32771 FParcel:33-19-30-514-0000-0290 Property Address: 170 BRUSHCREEK DR i Owner: D& I O'CONNELL FAMILY TRUST FBO J M O'CONNELL Mailing: 170 BRUSHCREEK DR SANFORD, FL 32771-7749 Subdivision Name: COUNTRY CLUB PARK Tax District: Sl-SANFORD Exemptions: 00-HOMESTEAD (1999) DOR Use Code: 01-SINGLE FAMILY F i=""fit J, - T -,-; - & - ` T' Value Summary 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market _ Number of Buildings 1 1-__- Depreciated Bldg Value 116,519 112,495 Depreciated EXFT Value 275 288 Land Value (Market) 28,000_- - 28,000--.-.._... i Land Value Ag Just/Market Value 144,794 140,783 Portability Adj Save Our Homes Adj 30,523- 27,419 Amendment 1 Adj Tmm Assessed Value 114,271 113,364 Tax Amount without SOH: $1,789.85 2015 Tax Bill Amount $1,231.83 Tax Estimator Save Our Homes Savings: $558.02 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description COUNTRY OT 29 CLUB PARK 8 50 PGS 63 THRU 66 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 114,271 100,500 I 13,771 Schools 114,271 ' 25,500 88,771 City Sanford 114,271 ' 50,500 63,771 SJWM(Saint Johns Water Management) 114,271 ~ 50,500 63,771 ; County Bonds - 114,271 50,500 63,771 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED Y WARRANTY DEED 10/l/1998 7/1/1998 03529 _ 03466 0781 $111,700 i 1133 $22,000 No Yes Improved Vacant Firid Comparable Sales within this Subdivision Land Frontage Depth Units Units Price Land ValueMethod LOT 1 i $28,000.00 28,000 Building Information t. i Description YearYear BuiltI Fixtures Base Area Total SF Living SF Ext Wall Adj Value Rep] Value Appendages I I SINGLE 1998 1 FAMILY 7 1,462E 2,150 E 1,462 I CB/STUCCO $116,519 FINISH 124,619 Description Area 162 Page 1 of 2 h lip://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051400000290 1 /4/2016 SCPA Parcel View: 33-19-30-514-0000-0290 Page 2 of 2 i i I SCREEN i I i I PORCH i FINISHED { i I OPEN .._......._. PORCH 35EEEFINISHED I GARAGE 491i i FINISHED Permits Permit # Type Agency Amount CO Date Permit Date 01065 Miscellaneous Sanford 3,580 3/6/2008 02304 Addition - Residential Sanford 2,000 f 6/1/1998 02303 1 New - Residential i Sanford i $109,637 10/12/1998 i 6/1/1998 Extra Features Description Year Built Units Value I New Cost PATIO 1/1/1998 1 275_____ _$500 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=33193051400000290 1/4/2016 U ADCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 330-9592 (Fax) adcockroofingl@bellsouth.net www.adcockroofing.com STATE CERTIFICATION CCCO22501 November 19, 2015 ESTIMATE Name: Joyce OcConnell Phone: (727) Address: 170 Brushcreek Dr. Cell: ( ) City: Sanford, FL 32771 Fax: Email: tktres@gmail.com SCOPE OF WORK: COMPLETE ROOF REPLACEMENT 1. Remove layer of existing roof of shingles on house. 2. Re -nail decking as per building code. 3. Dry in with new layer of 15# felt. 4. Install new 30 year architectural shingles 5. Install new drip edge; 26 gauge, painted galvanized. 6. Install new kitchen and bathroom vents. 7. Install new lead flashings on plumbing pipes. 8. Install new off ridge vent -a -ridge. 9. Secure all permits. 10. Clean up & haul away debris. 11. Inspections included. Labor & Materials: $9880.00 Extra: Bad wood - Time & Materials Warranty: 30 Years on Materials from Manufacture (Shingles) 5 Years on Workmanship Andy Adcock, Owner Andy Adcock CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 1 - a ,C i i 2;(. I A n ca (ZE— hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at 1 71) n,v . .% r. ,., -fit 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 .S. 3, / 4 lignature Contractor Date YdNce, y a r7 C. (. Printed Name of Contractor CLLU2?S License # License Type: General Building Residential i)f RoofingContractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OFF Sworn to ( or of 'rmed) and subscribed before in is I day of { , 20 , by t oC_ X , who is- Personally Known to me or has Produced (type of idenkiri&tioW as identification. SEAL) otary Public Print/Type/ Stamp Name of Notary Public DONALD RASH Notary Pubilc - State Commisalan My Comm. Expires Apr Bortdedttsdl IN liona! RON— DONALD RASHPublic - State ofFlorid,ission # FF 221705m. Expires Apr16, 2019hrough National NotaryAsap.