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HomeMy WebLinkAbout102 Prince PlCITY OF SANFORD ECEI 'E' . BUILDING & FIRE PREVENTIONIviDMAR2016 PERMIT APPLICATION BY Application No: Documented Construction Value: $ 0 OSa, - Job Address: L4M,'sae o Fc --"277 / Historic District: Yes No 0' Parcel ID• 9 -'3 S/ .p Residential [Commercial Type of Work: New Addition ElAlteration Repair Demo Change of Use Move Description of Work: Q '2oo-- - -#,5-yy /, 1 T-/11 uM U ynl21.r9 Y'7 F nfT Plan Review Contact Person: Q16kY1Title: (%1Cl Phone: 3a 1-Q'19-9C79 Y Fax: , VY-7 / Email: Se%i i 11 rrerr Property Owner Information c4 Name' 12 ,40 Sq^lp cAs z— Phone: Street: / cYa i'24Atcy, Resident of property? City, State Zip:. Contractor Information Name Xtu' + C' Phone: Street: / C Q5" S'c J I.`rN.wf (> k Fax: u 7 City, State Zip: J4 L'r/-}ju QJZ'S c State License No.: 0(- C J Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E_ Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 inthisjurisdiction. 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 1 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies. Acceptance ofpermit 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, inaccordancewithlocalordinance. 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. e4- Signature ofOwner/Agent Date Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Flo ' Date O r/Agent is Personally Known to Me or P oduced ID Type of ID 0-1recr-'12 A /'I'/ /2 Print Con r gent's Name ature ofNotary -State ofFlorida Date Notary Public State of Florida Linda W Pigoizi My Commission FF 043599' p Expires 06/07/2017 Produced ID Type BELOW IS FOR OFFICE USE ONLY Known to Me or 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: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application axiom CONTRA CTINO GROUP For Roofing It Just Makes Sense... 1025 Sunshine Lane, Altamonte Springs, FL 32714 Office: 321-9724094 Fax: 321-9724471 www.axiomcontractinL.com FL License# CCC1329763 Solar License# CVC56964 EIN:27-5097304 Locations: Jacksonville, Margate, The Villages CONTRACT/BUILD CONFIRMATION MR/MRS/MS (=; c cJ +• I"n,41riG1c4 crf IPr HOME# STREET /'Cyr &;ne•P_ IP/ CELL# CITY STATE ZIP T7_'7'7 i ORIGINAL AGREEMENT/CONTRACT DATE l SHINGLES & RIDGE: CERTAINTEED LANDMARK Driftwood Weathered Wood Burnt Sienna UNDERLAYMENT RJ Synthetic Felt Other (Charges may apply) GUTTERS Cobblestone Gray Colonial Slate Georgetown Gray VENTILATION" I Ridge Vent Off Ridge Vents GOOSE NECKS Heather Blend Sunrise Cedar Moire Black VALLEY Ice & Water shield 0 Valley Metal PLUMBING STACKS Charcoal Black Silver Birch Mojave Tan Pewter Resawn Shake Other Drip Edge 2 2.5" Painted, Color Other ROLL ROOFING Detach & Reset as necessary] 4" Goose Neck _QTY 1-1/2" Lead QTY 2-Ply Peel-n-Stick New 10" Goose Neck QTY 2" Lead _CITY Other Color 3' Lead ---,L—QTY Color Job Description and Additional Items (i.e. Solar Panels, Interior, Chimney Flashing, Skylights etc.) TOTAL CHARGE FOR ABOVE LISTED WORK: $ C> 0jit- 3 PAYMENT SCHEDULE IS AS FOLLOWS Down Payment Due: Upon Roof Completion: $ /, re- cD' ''t{ Depreciation Amount Due: $ '-& -7.3 / I Includes Deductible) -Tel 99-1-i,, c/ q -,r/,, Axiom has the right to supplement the insurance company for any and all additional damages or missed items. When supplements are approved, customer agrees to pay that money to Axiom Contracting Group LLC. The work listed above is to be performed under the same conditions as specified in the original Agreement/Contract unless otherwise specified. Customer acknowledges explanation of Florida Supplier Lien Rights letter (see back of Contract). AUTHORIZED BY: 106 z". -0; Homeowner Date I Homeowner Date We hereby agree to furnish labor and materials — complete in accordance with the above specifications and in conjunction with the original Agreement/Contract at above stated price. Please make all a payable to Axiom Contracting Group I.I.C. Z 6 1G Axiom Contracting Gr Authorized Representative Date NOTE: This CONTRACT becomes part of and in conformance with the existing Agreement/Contract LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: %C,4KZz_ an agent o£ Ax t C34 corgi T, cj,&, U o LL c- 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): ICJ r The specific permit and ication for work located at: a-T -, Address) Expiration Date for This Limited Power of Attorney: License Holder Name: C&'V yL, 6Al State License Number: Signature of License H STATE OF FLORIDA COUNTY Ol The foregoing instrument was acknowledged before me this/,jr day of 206 (o , by sj- o)r U7-L_ who i to me or o who has produced identification and who did (did ;yature th. 4 Notary Public State of Flonda Print or type name i• LindaWPigouiMyCommission FF 043599' OF mod' Expires 08/07/2017 Notary Public - State ofl- a- f CYr Commission No. f-j='C)V 3 7 My Commission Expires: 3-2- i Rev. 08. 12) PUcwld .lohnson, CFA Property Record CardROPERTYParcel: 33-19-30-513-0000-0870 APPRAISER Owner: SANDLER BRAD & PATRICIA BsFrwuvaEcouNryaoRo Property Address: 102 PRINCE PLSANFORD, FL 32771 Parcel: 33-19-30-513-0000-0870 1 Property Address: 102 PRINCE PL Owner. SANDLER BRAD & PATRICIA B Mailing: 102 PRINCE PL SANFORD, FL 32771 Subdivision Name: MAYFAIR OAKS 331930513 Tax District: S1-SANFORD Exemptions: OD -HOMESTEAD (2002) DOR Use Code: 01-SINGLE FAMILY a is a F • k M ,yj Value Summary I Working F2015 CertifiedValueses Valuation Method Market CQ/Market Number of Buildings 11 Depreciated Bldg Value $122,809 #118,523 Depreciated EXFT Value $300— Land Value (Market) $32,000-- $28,000 Land Value Ag Just/Market Value # 155,109 $146,836 PortabilityAdjAdj 1 Save Our Homes Adj $39,274 r# 31806 Amendment 1 Adj Assessed Value ! $115,835 ,835 $115,030 Tax Amount without SOH: $2,166.97 2015 Tax Bill Amount $1,519.68 Tax Estimator Save Our Homes Savings: $647.29 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 87 MAYFAIR OAKS PB 50 PGS 38 THRU 41 Taxes Taxing Authority Assessment Value Exempt Values PTaxable Value County General Fund__ 115,835 50,000 61,835 Schools - i - — - - - - -- 115, 835 25,000 ' 90,835 City Sanford I 115,835 r- — SJWM( Saint Johns Water Management) County 1 --- 115, 835— 50000 50, 000 - 65, 835 Bonds - -- 1 115,835 50,000 65, 835 65, 835 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1/1/2001 WARRANTY 04005 1376 5100,500 Yes improved DEED 4/1/1999 03648 1145 123,500 Yes Improved Comparable Sales within this Subdivision i Land LandMethod Frontage Depth Units Units Price Land Value LOT I 1 1 $32,000.00 1$32,000 Building Information Description PYear Built Actual/ Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1 1999 8 ! FAMILY 1, 592 2,240 1 1,592 CB/STUCCO ! $122,809 130,648 IFINISHDescription Area nD THIS INSTRUMENT PREPARED BY: Name: _ Axiom Contracting Group, LLC Address: 1025 Sunshine Lane Altamonte Springs, Florida 32714 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: C i iiiiii iiii! iiiii iiili iii r iiiii iifi ii1I I"IAEtYAHI1E 1101-k'Er 1;E111M)LE WUHTY CI F.R:. (1F CIR(-Ul•I C.OUNI' & CfjrlF'TROLLER BE, •rsr;4.l h'j 11386 (1/1p•9s) REC+JM)-D RL: OF`DTHt, FEES $10-CIA RECORDED BY hdevol',2 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Lrn c S ,(3 Sp /Jc ? iul 1 771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Residential ReRoof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: '! / t e c— '7 -7 __? Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Axiom Contracting Group LLC Phone Number: 321-972-4094 Address: 1025 Sunshine Lane, Altamonte Springs, Florida 32714 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: 6. LENDER: Nam Address: Persons within the State of Florida Designated by Owner 713. 13(1)(a)7., Florida Statutes. //— Name: 8. In addition, Owner Amount of Bond: Phone Number: notice or other documents may be served as provided by Section Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different dale is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENTUnder penalties of p>_y, I declare hat I have read the foregoing and that the facts stated In it are true to the best of my knowledge and belief. Le - Signature of Owner orLessee, or Owner'sor Lessee's (Print Name and Provide Signatory's Title/Office) AuthorizedOfficer/Director/Partner/Manager) State of eLc_y?A a& County of The foregoing instrument was acknowledged before me this (o day of `/L.( //_ ll 20 by ' S/'.I`(;/L- Who is personally known to me OR Nameofpersnmakingstatementwho has produced identification p—pLof identificationproduced: - /J (_j C r,,. 0 ru Notary Public State of Florida Lindg My C m PslOr" F MyCommissionFF043599' orFdf Expires0810712017 +aye F EDCOPY— MARYA ORSE CLER OFTHE R TC RTAND M COM y. SEMIN C LOR 4t °rF' '. BY DEPUTY CLERK CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: Ao -- 56-5 % I, C-Ltei!" A M It A ZIZ, hereby acknowledge that I personally inspected eck nailing and/or B'Secondary water barrier work at /t Pl2.., f j T,r l an Xave determined that the workJobSiteAddress) i 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 fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 F.S. Signat or Printed Name of Contractor Date CZC 3;2q License # — License Type: General Building Residential L9'Rooting Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF SZ /17 1 ^-jo Sworn to (or affirmed) and subscribed before a ay MN(4Z C 20 _"bywhoisonallyKnowntomerhas Produced -(type of- iden i ca ' n) as i en i ica ion. SEAL) gnature of Notary Public State of Florida L&O"o— w Notary Public State of FloridaPrint/Type/Stamp Name Linda W Pigozzi.1p of Notary Public g, My commission FF 043599' OF Fxpirea 08/0712017