HomeMy WebLinkAbout104 Brushcreek DrrL
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 4 O O O --
Job Address: J01Y a e u S A C't1 /C /) ? . Historic District: Yes No
Parcel ID: 33 • / 9 . .3y • S/& •y 0 orb. 3 76 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: XC--," .le i,7c, /e J'
Plan Review Contact Person: 4n!0 w Alat-.0 ci k Title:
Phone: VD7• Fax: Vo 7` 3.u.t be /r00-r,2
Property Owner Information
Name 41.,ra l itiat
Street: Z&1-1
City, State Zip: C% - 'L7. /'C_
Phone:
Resident of property? : YCZ
Contractor Information
Name AQ U C/c 1200 i.J L; Phone: r/d 7
Street: d cl < /LC- Ct -c Q ^ Fax: 440 7, 2-Z a • 9,5-4-
City, State Zip: I Gk d ij f-- State License No.: CL C D 2 2 SZ7 /
Name:
Street:
City, St, Zip:
Bonding Company:
Add ress:
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
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: 511 Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application
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
Print Owne gent's N m
Si nat o Notary -State of Florida Date
DONALD RASH
r°, `'•; Notary Public - State of Florida
5' • Commission # FF 221706
My Com Ex Ires rnL7 , i i y%sVn
Me or
P
sn.
P,e, DONALD RASH
Notary Public - State of Florida
Commission # FF 221706
C -emf Lamm. ExOMOP11i] (:9 n to Me or
P duNrc Bondedthr6 Igfial®ot Assn.
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING
Address: 800 S FRENCH AVE
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
I I (IIII IIII! IIIlI IIII Jillh1iI;YraN1.1E L10RSL:+ SE1I:CNOLE COUNTYUI7COURTZPK8650F:3 6tj3 QF'ysJ (.OhIF'1kOl-LER
CLFH, S * 2016112736ERU.'ORDED 03/.1 /,?1i16 111:.iF3:48 F. FEES $10.00RECORDEDt'..Y I,devore
Parcel ID Number: . 33-19-30-516-0000-1370
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)
LOT 137
COUNTRY CLUB PARK PH 2
PB 54 PGS 22 THRU 24
GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
OWNER INFORMATION:
Name: GARBETT RAYMOND B & LINDA M LIFE EST
Address 104 BRUSHCREEK DR SANFORD, FL 32771
Fee Simple Title Holder (if other than owner) Name:
Address.
CONTRACTOR:
Name ADCOCK ROOFING
Address 800 S. FRENCH AVE., SANFORD, FL 32771
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-
Address -
In addition to himself, Owner Designates
Section 713 13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
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. ,
u,
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it,; rue.-".?.
to the best of my knowledge and belief.
1?
J
Owner's Signature Owner's Printed Name Itk1
Florida Statute 713 13(1)(g) '• The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead*
W
O
a
State of _ County of S-h 4l lhoD LA z
The foregoing instrument was acknowledged before me this day of „&Z I,. - by _a I Who is personally known to me 0rNameofpersonmaringstatementu OR
who has produced identification type of identification produced: Pu' J1 IN1
0,
k.
f
ve''%
DONALD RASH a Notary
Public • State of Florida Commisslon #
FF 221706 N'.,e.°
My Comm. Expires Apr 16, 2019 ary Signature 1F
Bonded through National Notary Assn N
Q
SCPA Parcel View: 33-19-30-516-0000-1370 Page 1 of 2
t3rr.4d Jtc"161001 CFA Property Record Card
0 Parcel: 33-19-30-516-0000-1370
APPRaISEA Owner: GARBETT RAYMOND B & LINDA M LIFE EST (GARBETT FAMILY TR)
SCM1N1Xr COUNTY, FILMIDA Property Address: 104 BRUSHCREEK DR SANFORD, FL 32771
I Parcel:33-19-30-516-0000-1370
Property Address: 104 BRUSHCREEK DR
Owner: GARBETT RAYMOND B & LINDA M LIFE EST
GARBETT FAMILY TR)
Mailing: 104 BRUSHCREEK DR
SANFORD, FL 32771-7748
Subdivision Name: COUNTRY CLUB PARK PH 2
Tax District: SI-SANFORD
Exemptions: 00-HOMESTEAD (2000)
DOR Use Code: 01-SINGLE FAMILY
Value Summary I
2016 Workvig 2015 Certified
Values Values
Valuation Method Cost/Market i Cost/Market
of BuildingsNumber
Depreciated Bldg Value $145,230i 132,996
Depreciated EXFT Value $1,050 _ 1,100
Land Value (Market) 32,000- 28,000
Land Value Ag
F
Just, Market Value $
178,280
Portability AdI
Save Our Homes AdI $44,805
Amendment 1 Ad) j -- -
Assessed Value $133,475
1
162,096
i $29,549
132,547
Tax Amount without SOH- $2,477.54
2015 Tax Bill Amount $1,876.17
Tax Estimator
Save Our Homes Savings: $601 37
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 137
COUNTRY CLUB PARK PH 2
PB 54 PGS 22 THRU 24
i
Taxes
TaxingAuthorsAuthority Assessment Value Exempt Values
T -
i Taxable Value
County General Fund
Schools--- -
I $133,475 50,000 i 83,475
133,475 ^- ^- - 25,000 _ _^$108,475
City Sanford 133,475 50,000 83,475
jSJWM(Saint Johns Water Management) 133,475 _ - 50,000 - - 83,475
County Bonds 133,475 50,000 I 83,475
Sales
Description Date ^- Book -, Page -Amount Qualified Vac/Imp
WARRANTY DEED 12/1/2014 !!! 08407 ' 0946 $100 i No
ttt
Improved
SPECIAL WARRANTY DEED 5/1/1999 03650 0847 $118,200 Yes _ Improved
I
WARRANTY DEED _ 12/1/1998 - 103586 07264 $23,500 = Yes Vacant _..
Find Comparable Sales within this Subdivision _ - - - +'
i DepthFrontageMethod ---- ----_-_-- I g _ - Units ; Units PriceLand Value
I
LOT $32,000.00 , $32,000
Building Information
Description
Year Built
FixturesActual/Effective Base Area i! Total SF iILiving SF Ext Wall
I(
Adj Value Re I Value Appendages
1 SINGLE 1999 8 1,891 j 2,348 1,891 CB/STUCCO $145,230 500
FAMILY i ;
154,
Description AreaFINISH
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=33193051600001370 3/14/2016
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 *. (407) 330-9592 (Fax)
adcockroofing1 @bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
November 19, 2015
Name: Ray Garbett
Address: 104 Brushcreek Dr.
ESTIMATE
Phone: (407) 416-2415
Cell: ( )
City: Sanford, FL 32771 Fax:
Email: lindagarbett@sungardps.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old roof on complete house.
2. Re -nail decking as per building code.
3. Dry in with new layer of Palisade SyntheticT"' 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. Secure all permits.
9. Clean up & haul away debris.
10. Inspections included.
Labor & Materials: $10,000.00
Extra — Bad wood: Time & Materials
Warranty: 30 Years Warranty on Materials from Manufacture .
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
City of Sanford
F..D.
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:
Cl"' 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).
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.
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).
2 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.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: r (_ n
I, A J 9 /e .J /—%o cAo a(, hereby acknowledge that I personally inspected
1] Roof deck nailing and/or Secondary water barrier work
at .9&Uf Get ,( t jd, $R ,et2 /'L 3.)arRh,*e 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 maki g any false statements in writing with the intent to mislead a public servant in the
performance o ' or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 8 6 F.S.
Signatur Contractor Date
4..rn.ems cj< CEL L) 2 ZSZ
Printed Name of Contractor 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 at,,, IM,-f
Sworn to (or affirmed) and subscribed before me this I day of G/ , 20 , by
YES , who is Personally Known to me or has Produced (type of
i ficatio) as identification.
SEAL)
W ture of otary Public `
State of Florida
Print/ ype/Stamp Name
OF
DONALD RASH
Notar PofNotaryPublic - Y uDNo - state of FloridaCommission # FF 221706
bonded throw 6 pins Apr 16. 20199aryAssn.
3