HomeMy WebLinkAbout500 Riverview Ave (2)CITY OF SANFORD
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FEB 15 20% BUILDING & FIRE PREVENTION
F D
PERMIT APPLICATION
13Y:
Application No: /69—
6
Documented Construction Value: $ODO
Job Address: 500 Riverview Avenue, Sanford, FL 32771 Historic District: Yes No X
Parcel ID: 22-19-30-5AD-0000-013B Residential X Commercial
Type of Work: New Addition Alteration Repair Demo X Change of Use Move
Description of Work: Interior demolition
Plan Review Contact Person: Kyle Nich0IS Title: Project Manager
Phone: 407-322-3103 Fax: 407-322-1205 Email:Kyle@ShoemakerConstruction.net
Property Owner Information
Name Society of Saint Pius X Orlando, Florida Inc. Phone: 407-948-7850
Street: 550 Riverview Avenue Resident of property? : Yes
City, State Zip: Sanford, FL 32771
Contractor Information
Name Shoemaker Construction Company, Inc. Phone: 407-322-3103
Street: P.O. Box 1885 (2525 Old Lake Mary Rd.) Fax: 407-322-1205
City, State Zip: Sanford, FL 32772-1885 State License No.: CGC 1510423
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: N/A Mortgage Lender: N/A
Address: 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
RN
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.
Signatu f Owner/Agent Date
fait
Y tIA&C — VLC-14 iolrPrintOwner/Agent's Name
4A;e,
Signature of Contractor/Agent Date
Alan Dean Shoemaker
Print Contractor/Agent's Name / /
6&1; Q 2& iyl,,'^ l —6
Signature of Notary -State oflFlorida Date
MAROMET SIMONTON
NoWI'ubk - Site o1 Fl WWW
COMISMO N FF 921431 t ri:'r' PATRICIA A. MANN
Mr COM. EWNS Oct 5, 2019
4-R MY COMMISSION # FF 110411
A =a:,a EXPIRES: 17 2018
bl rwrU n
Owner/ -; or Contractor '$i tf1iP ' BW or
Produced ID Type of ID Produced ype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min: Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: February 12, 2016
I hereby name and appoint: Tammy S. Hanes
an agent of: Shoemaker Construction Company, Inc.
Name of Company)
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):
N The specific permit and application for work located at:
500 Riverview Avenue, Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney: February 12, 2017
License Holder Name: Alan Dean Shoemaker
State License Number: GCG 1510423
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 12th day of February ,
22016, by Alan Dean Shoemaker who is o personally known
to e or who has produced
identification and who did (did not take an oath.
v
Signature /
Notary Seal) 4 I -R,&„4 %'• %% ? ni N
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No. Er /l D Y;/)
My Commission Expires: — /8
as
PATRICIA A. MANN
MY COMMISSION IE FF 110411
EXPIRES. Vaaw in
gondedThN No19ry
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No. Er /l D Y;/)
My Commission Expires: — /8
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D`; City of Sanford
Demolition 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:
C Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Cd .Copy of applicable contractor's license issued by the State of Florida
E 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.
Ef" 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).
4 Original DEP form 62.257.900(1) completed, signed, and mailed to district per form instructions. (see
attachment)
A copy of an onsite sewage disposal system abandonment permit that has been issued by the Seminole
County Health Department. ( if applicable) — ON 4E -W E(2,
These guidelines were compiled to assist the applicant in preparing a demolition permit application and may
not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised: February 2015
THIS INSTRUMENT PREPARED BY:
Name: Alan Dean Shoemaker
Address: P.O. Box 1885
Sanford, FL 32772-1885
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
a g o of 11111111nfa ifHff 11191 311111 full 1111
116RY6NNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT 1, COMPTROLLERSK8633Ps999 (1P9s)
CLERK'S r 2116016358
RECORDED 02/15/2016 01:13:.1: P1,1
RECORDING FEES `I10.00
RECORDED BY hdevore
Parcel ID Number:
22-19-30-5AD-0000-0136
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
N 210 FT OF E 210 FT OF LOT 14 FLA LAND + COL CO S CELERY PLANTATION PB 1 PG 129
500 Riverview Avenue, Sanford, FL 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
Residential Demolition, Remodel, New Roof and Addition
OWNER INFORMATION:
Name: Society of Saint Pius X, Orlando, Florida, Inc.
Address: 550 Riverview Avenue, Sanford, FL 32771
Fee Simple Title Holder (if other than owner) Name: Same
CONTRACTOR:
Name: Shoemaker Construction Company, Inc.
Address: P.O. Box 1885, Sanford, FL 32772-1885
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name: Alan Dean Shoemaker, Shoemaker Construction Company, Inc.
Address: P.O. Box 1885, Sanford, FL 32772-1885
In addition to himself, Owner Designates Alan Dean Shoemaker, P.O. Box 1885, Sanford, FL 32772-1885 of
Shoemaker Construction Company, Inc. To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 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 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. g
Under penalties of perjury, l declare that I have read the foregoing and that the facts stated in it are true C
to the best of y know) a and belief.!,1
er's Signature Ownefs Printed Name yv.:,,
Florida Statute 713.13(1)(g): "The owner must sign the notic of commencement and no one else maybe permitted to sign in his or her stead' w;, :_ 0lo
State of Florida county of Seminole
The foregoing Instrument was acknowledged before me this / . day of February 2016
by I vl ArR C \/r yLNOY Who Is personally known to me I
Name of person making statement
OR who has produced identification type of identification produced:
aggat" Ita
MARGARET SIMONT]
F19kNcluyPublic - State of
Cot1xe1011on 0 FF 927
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Notary Signature
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CITY OF SANFORD
BUILDING & FIRE PREVENTIONBUILDING _
PERMIT APPLICATION
JUN v 2016 i-Y14al
BI-. tp cation No: Y.
umented Construction Value: $ 1,F" O
Job Address: 500 Riverview Avenue, Sanford, FL 32771 Historic District: Yes No R
Parcel ID: 22-19-30-5AD-0000-0136 Residential Q Commercial
Type of Work: New Addition 0 Alteration 0 Repair Demo Change of Use Move
Description of Work: Install new roof on addition and reroof existing structure '14 /'U &t -CS
Plan Review Contact Person: A -u oy AD Goof L— Title:
Phone: 4U7 - i - a55 S Fax: 0-7- 312 - a SS -2_ Email:
Property Owner Information
Name Society of Pius X Orlando, FL Inc. Phone:
Street: 550 Riverview Avenue
City, State Zip: Sanford, FL 32771
Name Adcock & Adcock Construction, Inc.
Street: 800 S. French Avenue
City, State Zip: Janford, FL 32771
Name: N/A
Street:
City, St, Zip:
407-948-7850
Resident of property? :
Contractor Information
Phone: 407-322-9558
Yes
Fax:
State License No.: CCCO22501
Arch itect/Eng1neer Information
Phone:
Fax:
E-mail:
Bonding Company: N/A Mortgage Lender:
Address: Address:
N/A
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. ^
1
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Buildine
Revised: June 30, 2015 Pennit Application
g odWay
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.
Signature of Owner/Agent Date
VLA '4 /?ACk e) z
Signature of n for/Agent Date
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Sig ature o Signa eofN ry-Sta o a8,,
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DONALJ16,
Notary PC -State of Florida
Commission # FF 221706
Notary Public -da
N 4c; My Comm. Expires Apr 16, 2019Commission "•.;Fove d°
ftly Comm.
Expir19Bonded through Natmal Notary Assn$• `
Bonded through Nassn.
Owner/Age t ersona y e or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof X
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
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.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
L; 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.
Q/ 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).
4 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, and federal code requirements.
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
June 14, 2016 ESTIMATE
Name: Dean Shoemaker Phone: (407) 321-1470
Address: 500 Riverview Ave. Cell: (407) 314-9292
City: Sanford, FL 32771
Email:
Fax: (407)
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT — NEW ROOF AND REROOF EXSITING STRUCTURE
1. Remove old existing roof on existing structure and install new roof on addition.
2. Re -nail decking as per building code.
3. Dried in with new layer of Palisade Synthetic'"" underlayment as per new building code (July
2015).
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 ventilation to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $18,000.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 30 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock