HomeMy WebLinkAbout107 Lindsey WayCITY OF SANFORD
BUILDING & FIRE PREVENTION
Y +
PERMIT APPLICATION
Application No: 7SO
Documented Construction Value: S -,I,)OU
Job Address: /D7 4./NoS 4,.rfa 4/Lo Y'-L Historic District: Yes No [3
Parcel ID:.33 e d' 4 V Residential [3 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: %t E40o e f Vh/^f 9 / CS e-a rL •4c,h nLc- , r
Plan Review Contact Person: 4til/7 t/ L,0CJ( Title:
Phone: qQ7• J.Z.• Fax: q07. 3.Z1 9S`q..l Email: Gtdcoc./L/1 ofi yy 2 ale/to t>,• 7e
Property Owner Information
Name 10hllV LLC l/U 2.4,,C,- /IM-re-
Street: &/ "_DI)q tAjooclt
City, State Zip: 69n 0 2rJ- 'L 9o07 /
Phone:
Resident of property? : /V D
Contractor Information
Name 4Q&ocZ: An ACZ Adoe'l^f,l Phone: S/D 7- Za.?_- gS-4U
Street: ALP- ; Fax: 4f077. 9 S y'a-
n /
City, State Zip: UUZh /6 2n- ,<'L joL77J State License No.: CCC 0 Z1SU 1
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company: /JA
Address:
Phone: A,iA
Fax:
E-mail:
Mortgage Lender: /UA
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 befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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.
ell -
Signature ofOwner/Agent Date
I
Le- -.2
Pri t weer/Agents Name
3 7. 1(P
Signature o Notary -State of Florida Dat
MARJORIE MARIE ADCOCK
r°(s Notary Public State of Florida
c My Comm. Expires Jul 29, 2016
o;= Commission EE 220257
Owner/ g>?", 9; '' Biqa
Produc ype 07 ID
3. 7'
nature o ntractor Agent Date
Atv C KJ OCN • c-AC
ontractor/ gent Name
Si at re otary-State of FILoricia
DONALD RASH
Notary PublIC - State of Florida
Commission # FF 221706
My Comm. Expires Apr 16, 2019
fded thr h National Notary Assn. Contctd?' ,, i e o n o Me or Prod
e Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Construction
Type: Electrical
Mechanical Plumbing Occupancy
Use: Gas
Roof 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: —WASTEWATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:
Revised
June 30, 2015 Permit
Application
03/04/2016 16:50 4073309333
PAGE 03/10
ADCOCK ROOFING
800 French ,Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fak)
adcocklroofingl IPliellsouthmet
ww ,adcockroofing,com
STATE CERTIFICATION CCCO22501
March 4, 2016 ESTIMATE
Name: Mr. Bruce White
Address: 107 Lindsey Way
Phone: (407) 739-8639
Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email: centralflorida47@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT— Y. DUPLEX
I. Remove old roof on complete house. `
2. Re -nail decking as per building code.
3. bry 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: $4100.00
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: 77 3 - I q - 77U - (( • 0C"C70 • 0,4 a
11r1f,Y hIhIF: 110PSE r SE:1-1'1 J1LE (.0UPI F'rLE=F,X OF (.1RG1_IT FOW;T & i:01'IF`FULLFk' BK
LERF;'S Y 2016023718D17f,
PM
ftEC0RDU4G FEES i.i l.i1n
ril=_CL11iUi=D r:' hr•I,,vorr.
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)
107 LINDSEY WAY SANFORD FL 32771
LOT 2B 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
Interest in property. Owner
Fee Simple Title Holder (if other than owner listed above) Name
Address
4. CONTRACTOR: Name: Adcock Roofing
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: 407-322-9558
Amount of Bond.
Phone Number -
dt 5 --°rb0 co
u N
z=
UA
W
v
Ln
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:
8. In addition, Owner designates
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 date is specified)
Ui O al3Vvui
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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTYANOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTIONIFYOUINTENDTOOBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Signature of Owner or Lessee, or Lessee's Pont Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partne anager) _
State of . cQyvLI o /} County of 2 - VVW I -,—
The foregoing instrument was acknowledged before me this 7 day of 11 sL 20
by 6A.&P i1`j e
Who is personally known to me OR
Name of person making statement
who has produced identification type of identification produced:
MARJORIE MARIE ADCOCK
rM -Al/w
Notary Public -State of Florida Nota y signature —
My Comm. Expires Jul 29, 2016
Commission # EE 220257
r '' ° ``
Bonded Through National Notary Assn
SCPA Parcel View: 33-19-30-511-0000-02130 Page 1 of 2
Property Record Card
Parcel: 33-19-30-511-0000-02B0
Owner: ICW INV LLC C/O BRUCE WHITE
0;
NOLECOUNTv,FLOkIW
Property Address: 107 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-02BO
Value Summary
Property Address: 107 LINDSEY WAYE
Owner: ICW INV LLC C/O BRUCE WHITE 2016 Working 2015 Certified
clues
Mailing: 821 LONGWOOD MARKHAM RD
Values
Valuation Method Cost/Market j Cost/MarketSANFORD, FL 32771
Subdivision Name: LINDSEY ESTATES REPLAT
F I Number of Buildings 1-
Tax District: Sl-SANFORD Deprecated Bldg Value ; $44,122 $31,271
Exemptions:
Deprepre dEXFT Value ecate+ ;200 $200 DORUseCode: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE Land
Value (Market) ;15,000 ;11,500 Land
Value Ag r -
Just/
Market Value i 59,322 I $42,971 IE
PortabilityAdISave
Our Homes AdIso Amendment 1
Ad1 $12,054 $0 I Assessed Value $
47,268 i $42,971 i Tax
Amount
without SOH. $874.52 2015 Tax
Bill Amount $874.52 Tax Estimator
MOMSave Our
Homes Savings: $0.00 Does NOT
INCLUDE Non Ad Valorem Assessments j Legal Description
LOT 2B
LINDSEY ESTATES
REPLAT PB 42
PG 18 Taxes Taxing
Authority
uounry beneral
Fund Schools City
Sanford
SJ W
M(Saint Johns Water Management) County Bonds
Sales Assessment
Value
Exempt Values Taxable Value 47,268
i $0 $47,268 v $59,
322 $
0 $59,322 0 $47,
268 $47,268 47,268 -- - - $
0 -_ $47,268 47,268 $
0 1 $47,268 Description Date
Book Page Amount Qualified VacJImp QUIT CLAIM
DEED 8/1/2013 08099 1746 t 100 ;
No
Improved QUIT CLAIM
DEED 12/1/2009 07297 0275 100 No QUIT CLAIM
DEED 9/10/2009 07251 1882 1 100 No Improved Improved
QUIT
CLAIM
DEED 9/1/2005 05902 1245 1 100
No
Improved QUIT CLAIM
DEED 10/1/2004 05505 1846 100 No Improved QUIT CLAIM
DEED 4/1/2003y_ 04808 0855Y 100
No
QUIT CLAIM
DEED 8/1/1991 j 02328 1500 Improved I
100
No
Improved WARRANTY DEED
1 7/1/1991 02316 1272 51,900 i Yeses Improved QUIT CLAIM
DEED 16/1/1991 02307 11 149
45
100No r Find Comparable
Sales wdhm Lhhiti Subdivision Improved I
Land Method
I
Frontage Depth ; Units ! Units Price Land Value r http://
www.
scpafl.org/ParcelDetailInfo.aspx?PID=331930511000002B0 3/6/2016
SCPA Parcel View: 33-19-30-511-0000-02130 Page 2 of 2
LOT 0 1 0 1 15,000.00 15, 0 O
Description Year BFiMuresuilt
c -al/Ellectm Total SF SF Ett Wall dj Value Value Appendages i
MULTI FAMILY
C 10 1990
5 839 951 839 CONC 44,122 $49,298 1-- UNITS
BLOCK Area UTILITY
48
FINISHEDescriptionHDOPEN
PORCH FINISHED
Permits
Permit #
Type 1-- - - -- --- - --- Agency Amount CO Date Permit Date 00641
Addition - Residential t Sanford $18,500 1 1/14/2014 Extra
Features Description
Year Built Units Value New Cost 260 $
500 http://
www.scpafl.org/ParcelDetaillnfo.aspx?PID=331930511000002BO 3/6/2016
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:
El Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
LZ Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
C 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.
d 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.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: /6 ` 7, —s
I, /_ - CO CA hereby acknowledge that I personally inspected
Roof deck nailing and/or E Secondary water barrier work
at ,/ "J'a Se riiJ qy
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual
and have determined that the work
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 making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection806F.S.
Signat of Contractor Date
i /ato to e iL 6 ( ( U ZZ,j—V/ Printed Name of Contractor License #
License Type: General Building Residential QRoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF a j n o t, t
Sworn to (or affirmed) and su cribed before me this at-t day of / I e- 20 60 byD/Z4- O , who is Personally Known to me or has Produced (type of
Mcation) as identification.
SEAL)
Signature of Notary Public
State of Florida
UlAn if —P-A-4 h a``"u""'•
n
DONALD RASH
Print/Type/Stamp Name =3'T I Notary Public - Sate of Florid&
d:' of Notary Public Commission # FF 221706
a+ dMy Comm. Expires Apr 16, 2019 Bonded
thra ph Nxlonal Notary Assn. i
3
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: A ` 7,s d
I, 'Q^/h-r c ', / eq:0 1,0 C_& hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at `0 7 k/ ^t O S t j W cy j and have determined that the workJobSiteAddress)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my
understand that in
performance 14
Section 6 F.S.
S
statements herein are true and accurate to the best of my belief and that I fully
a_king any false statements in writing with the intent to mislead a public servant in the
or her official duty shall constitute a misdemeanor of the second degree pursuant to
Date
1,o uJ x4n Cz cit. e << 0 Z ZSv
Printed Name of Contractor License #
License Type: General Building Res idential•TRoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me this day of J.L , 20 , byccC,Q , who is Personally Known to me or has Produced (type of
ntifi atio ) as identification.
SEAL)
S ure of Not Public
State of F1Qrid
DONALD RASH
i10 L .. *' ry Notary Publk -State of Florida
Prmt/Type/Stamp Name Commission • FF 221706
of Notary Public =;?` My Comm. Expires Apr 16, 2019
Bonded through National Notary Assn.
3