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Home My WebLink About104 Lindsey WayCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S 4- 7.5 q Job Address: ml_/ ,L/i odL—U G.JAcrdv))62h Historic District: Yes No 2 Parcel ID: 33 / 9. 3 v 5// 0000 90 Residential a Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: %l EI ay'oe leS .S" V /L %-c% ey2 9 aSs 4-Ainq/e-r' Plan Review Contact Person: A-13 LoC-* Title: Phone: Lfljz, qA1- Fax: 4107. 3,4. • 9,591 Email: (,t LCX,fC/Uyfiny=l eiisDrl ii rl b Property Owner Information Name /C N/ /A1GL C G/U 13k44_ce G./,4c Tts Phone: Street: &1 4, 01) i & JVOCJ_ Mae/-haho 12d Resident of property? I City, State Zip: czn 0a-ri. Contractor Information ND Name / VVQ2 £ w 4a@4-oc t . 4010 cz RoOPhone: IYO '7 • Z.2 Street: RKx::> cf. 42r_ n6_4(-1 A tA_P_ ; Fax: qO-7. City, State Zip: L' L 2d-77i State License No.: CC C 0 Z_2_SO / Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E- mail: Bonding Company: %JA Mortgage Lender: /UA Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR QI 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: 5t° 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 complia' nce with all,applicable laws regulating construction and zoning. A0 signature of Owner/Agent Date nature o ractor/ gent Date 13w e e w AAtal c J A sa Lo c- Print wner/Agent's Name Pr t Contractor/ gent s Name AAAL,— A 3 7. A0 Signature ry- to f I a S iglitaiWof Notary -State of Florida Date_ . pis%'. MARJORIE MARIE ADCOCK i RY g, s Notary Public - State of Florida E My Comm. Expires Jul 29, 2016 e:= Commission # EE 220257 f.. 111Bonded Through National Notary Assn. Owner/ Akan Produced ID Type of ID DONALD RASH Notary Public - State of Florida Commission # t FF 221706 My Comm. Expires Apr 16, 2019 1,.21 Noun Assn. BELOW IS FOR OFFICE USE ONLY ID 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: or Revised June 30, 2015 Permit Application 03/04/2016 16:50 4073309333 PAGE 02/10 A,DCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 330-9333 (Fax) adcockroofingl9 bellsouth.net www.adcoclfroofing xom STATE CERTIFICATION CCCO22501 March 4, 2016 ESTIMATE Name: Mr. Bruce White Phone: (407) 739-8639 Address: 104 Lindsey Way Cell: (407) City: Sanford, FL 32771 Fax: (407) Email: centralflorida47@aol.com . SCOPE OF WORK: COMPLETE ROOF REPLACEMENT — Y2 DUPLEX 1. Remove old roof on complete house. 2. Re -nail decking as per building code. 3. Dry in with new layer of peel & seal. 4. Install new 25 year 3-tab; fiberglass 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 vents to match existing. 9. Secure all permits. 10. Clean up & haul away debris. 11. Inspections included. Labor & Material: $5220.00 Extra -- Bad wood: Time & Materials - $70,00 per sheet plywood; 2 x 4 and fascia - $4.50 ft. Extra — Aluminum Soffit Work - $30.00 per hour/noticed very little Warranty: 25 Year Warranty on Materials from Manufacture 5 Years on Workmanship Andy Adcock, Owner Andy Adcock THIS INSTRUMENT PREPARED BY: Name: Adcock Roofing Address: 800 S. French Ave. Sanford, FL 32771 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 33-19-30-511-0000-12BO C.UtPIROLLERF'8 16"r'$ (If'r7) CLERK', Y 20141_i23717 RE:(:lj1rdN:f1 i_i.?/I-i;r'2 l),,' REC:Iaft[i]'h)Ci E-tES 11,i,1'ui 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) 104 LINDSEY WAY SANFORD FL 32771 LOT 12B LINDSEY ESTATES REPLAT PB 42 PG 18 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address ICW INV LLC C/O BRUCE WHITE' 821 LONGWOOD MARKHAM RD SANFORD FL Interest in property Owner Fee Simple Title Holder (if other than owner listed above) Name - Address 4. CONTRACTOR: Name:_ Adcock Roofing Phone Number Address. 800 S. French Ave., Sanford, FL 32771 5. SURETY (If applicable, a copy of the payment bond is attached): Name Address 6. LENDER: Name. Address. Phone Number• 7-322-9558 Amount of Bond 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by713.13(1)(a)7., Florida Statutes. Name Address Phone Number: 8. In addition, Owner designates 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 date is specified W ooho WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTIONIFYOUINTENDTOOBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT y Signature of Owner or Lessee, or Owners o Lessee's - (Print Name and Provide Signatory's Title/Office) Aulhonzed Officer/Director/Partner/Manager) State of -,rj 124 D A Countyof _ The foregoing instrument was acknowledged before me this day of L n , . 20 by (` j) k x Who is personally known to me El OR Nameofpersonmakingstatementwho has produced identification type of identification produced: r P •. MARJORIE MARIE 7ADCOCK;a° Notary Public - Staterida N ary gnatL;iMy Comm. Expires J016 orr Commission EE7 Bonded Through National Notary Assn. 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: 1 M. M 0 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). 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. au SCPA Parcel View: 33-19-30-511-0000-12130 Page 1 of 2 15 Property Record Card Parcel: 33-19-30-511-0000-12BO Owner: ICW INV LLC C/O BRUCE WHITE ErcvCSIECOIXliv FLORx Property Address: 104 LINDSEY WAY SANFORD, FL 32771 Parcel:33-19-30-511-0000-12B0 Property Address: 104 LINDSEY WAY Owner: ICW INV LLC C/O BRUCE WHITE Mailing: 821 LONGWOOD MARKHAM RD SANFORD, FL 32771 Subdivision Name: LINDSEY ESTATES REPLAT Tax District: Sl-SANFORD Exemptions: DOR Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE Value Summary 2016 Working 2015 Certified I Values Values Valuation Method Cost/Market I Cost/Market_ Number of Bwldings. Depreciated Bldg Value 44,122 _ 31,271 Depreciated EXFT Value j $200 200 I! Land Value (Market) 15,000 11,500 Land Value Ag Just/Market Value 59 322 i 42,971 Portability AdI a! Save Our Homes Adly 0 _ 0 Amendment 1 AdI 12,054 47,268 i 4 ;0 Assessed Value 42,971 f i i f Tax Amount without SOH. $874.52 2015 Tax Bill Amount $874:52 i Tax Estimator Save Our Homes Savings: $0 00 Does NOT INCLUDE Non Ad Valorem Assessments legal Description LOT 12B i LINDSEY ESTATES REPLAT PB 42 PG 18 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 47,268 : 0 1 47,268 Schools 59,322 0 59,322 City Sanford 47,268 0 — — SJWM(Safnt Johns Water Management) 47,268 0 47,268 f County Bonds 47 268 1 47,268 Sales IDescription - -- - Date Book Page 7 - - -- Amount Qualified Vac/Imp QUIT CLAIM DEED 18/1/2013 08099 1746 100 No I Improved i QUIT CLAIM DEED 12/1/2009 07297 0275 100 NoImproved--- i I ; QUIT CLAIM DEED vinnnno n71c1 QUIT CLAIM DEED 10/1/2004 05505 QUIT CLAIM DEED 11/1/2003 05133 WARRANTY DEED 13/1/2003 -- 04763 WARRANTY DEED 8/1/19914 02329 QUIT CLAIM DEED 6/1/1991 02307 rmproveo Improved I Improved Improved Improved Improved - ri ^fxn civic mco wwwf lnfs JU WIVISIOn Land Method LOT Frontage 01 1859 100 1 No 1820 j y 1100 1 No 1377 54,900 Yes 1 1134 € 51,900 Yes 1459 - i 100 No Depth Units 01 Units Price Land Value 1 $15,000.00 $15,000 f http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=331930511000012BO 3/6/2016