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