HomeMy WebLinkAbout111 Lindsey WayCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
5ApplicationNo:
Documented Construction Value: S J`—V00
Job Address: //l LIkJOSe_sl AAV ,' • idr n2fJ. 'L 9-1-77 / Historic District: Yes No 2
Parcel ID:.3& •/9• 3o- S// - ooc-)o • 0 3 8 o Residential a Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: I EI 60"' , "tMI-J9 /Cs JD eezt-L 'cfeCyCV14-'t
Plan Review Contact Person: AjVoy AD Lv LX Title:
r--
Phone: _L/07•,321. 99-5'9- Fax: Email: 'dcvclC uvfia 10 is{/sodtf,.eb
Property Owner Information
Name/ChI/AI LLC qO &,V_4tCe 1-iMTF
Street: &/ ,LOI'I Gi &JDOCt
City, State Zip: CJ& h 0 /Lj'J-
Phone:
Resident of property? : ND
Contractor Information
Name A1V1,)2 £w 406ocZ :.40Lr6 rx leoO'e-i.Je) Phone: 5/D 7 .2 - 9 S4U
Street: Rnc, cr/Zty h t%tc.e
City, State Zip: Celt, L'L 3oL77
I
Name: ^('4
Street:
City, St, Zip:
Fax: 4f07. • 9 S 9.1-
State License No.: C C C O _-x SO /
Architect/Engineer Information
Phone: AIA
Fax:
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
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: 51h 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, 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 S gnature of ractor/Agent Date
Print
Owner/Ageq
Produced ID
s Name
14
of Florida
MARJORIE MARIE ADCOCK
Notary Public - State of Florida
My Comm. Expires Jul 29. 2016
Commission # EE 220257
Type
q,,, c_o
Pri o ctor/Agent' ie
7• %6
Sign ture otary- tate Florida Date
1,,,,, DONALD RASH
o v pUO s Notary Public - State of Floridaa •
Commission FF 221706
My Comm. Expires Apr 16, 2019
Contract /Ac"ge „y Rond rallotl>q' a orProduced -yp •o
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: 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: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised June 30, 2015
Permit Application
03/04/2016 16:50 4073309333
PAGE 04/10
ADCOCK ROOFING
800 .French Ave. Sanford,,FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl 9bellsouth.net
wwAr.adc ckroo:8n .corm
STATE CERTIFICATION CCCO22501
March 4, 2016 ESTIMATE
Name: Mr. Bruce White Phone: (407) 739-8639
Address: 111 Lindsey Way Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email: centralflorida47@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT— % DUPLEX (ONLY ARCHITECTURAL SHINGLE)
I. 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 30 year Architectural shingles — Color Weatherwood.
5. Install new drip edge; 26 gauge, painted galvanized.
6. Install new kitchen and bathroom vents.
7. Re -flash chimney.
8. Remove and reinstall gutter.
9. Install new lead flashings on plumbing pipes.
10. Install new ventilation vents to match existing.
11. Secure all permits.
12. Clean up & haul away debris.
13. Inspections included.
Labor & Material: $5400.00
Extra — gad 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: 30 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: 33-19-30-511-0000-03B0
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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)
111 LINDSEY WAY SANFORD FL 32771
LOT 3B 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 32771
Interest in property. Owner s • nordo
Fee Simple Title Holder (if other than owner listed above) Name
Address
4. CONTRACTOR: Name Adcock Roofingram- Phone Number 407-322-9558
R
o ii •• •;,:.
Address' 800 S. French Ave., Sanford, FL 32771
5. SURETY (If applicable, a copy of the payment bond is attached): Name- u,
Address.
Amount of Bond: o
6. LENDER: Name Phone Number
Address. z i7
a o -
7. s
J
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by seictioa- 713.13(1)(a)7., Florida Statutes.
Name: Phone Number
r>uac
i 0
Address
O
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)
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 ATTORNEYBEFORECOMMENCINGWORKORRECORgINGYOURNOTICEOFCOMMENCEMENT
4o
CP__ IliSignatureofOwnerorLessee, or wner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/P ner/Manager)
State of i fa County of_!syi AI IA13O
The foregoing linstrument was acknowledged before me this day of fi 20
by--' Y(f N del e Who is personally known to me OR
Name of person making statement
who has produced identification type of identification produced:
MARJORIE MARIE ADCOCK * r` RY h(/"'
Notary Public -State of Florida
E My Comm. Expires Jul 29, 2016 ota.1 ignature
Commission EE 220257OFFP``
Bonded Through National Notary Assn.
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SCPA Parcel View: 33-19-30-511-0000-03130
1rti^. FA Property Record Card
Parcel: 33-19-30-511-0000-03 BO
MR9Tf Owner: ICW INV LLC C/o BRUCE WHITE
Property Address: 111 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-0360
Value Summary -
Property Address: 111 LINDSEY WAY :=
1.011.6orkng2015 Certified Owner: ICW INV LLC C/O BRUCE WHITE Values
i
Mailing: 821 LONGWOOD MARKHAM RD I ! - — SANFORD,
FL 32771 ( ! Valuation Method f
Cost/
Market J
Cost/
Market Subdivision
Name: LINDSEY ESTATES REPLAT Number of Buildings Tax
District: Sl-SANFORD Depreciated Bldg Value ' $44,122 — 31,271 Exemptions:
I Depreciated EXFT Value DOR
Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE - ---- $467
1 $501 i
Land Value (Market) $15,000 tp E.
J Land Value Ag Just/
Market Value 1
v $
59,589 $43,272 - Portability
AdI C,
Save Our Homes Ada I $0 i ;p Amendment
1 AdI j $11,990 $p LI
Assessed Value 1 $47,599 [ $43,272 J
aI
Tax
Amount without SOH. 880.65 2015
Tax Bill Amount 880.65 Tax
Estimator Save
Our Homes Savings: 0.00 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description I
LOT 3B 1
LINDSEY ESTATES REPLAT PB
42 PG 18 IIiff
t _Taxes Taxing
Authority— Assessment Value Exempt Values Taxable Value I County
General Fund 47,
599 0 47,599 Schools
59,
589 0 59,589 ity
Sanfo rdd 47,
599 0 47,599 j SJWM(Saint Johns Water Management) County
47,
599 - 47,
599 Bonds
47,
599 ; 0 47,599 Sale
Page
Land
Page
1 of 2 http://
www.scpafl.org/ParcelDetailInfo.aspx?PID=331930511000003130 3/6/2016 t
iLl
SCPA Parcel View: 33-19-30-511-0000-03130 Page 2 of 2
Methodd— Frontage Depth Units Units Price ;Land Value I
T 0 $15,0000 ; 1 ;15,000.00
Buildiny Information
Ext Wall AdBuiltIIDescriptionYearFixturesBaseAreaTotalSFLivingSFValueActual/Effective I Repl Value I Appendages
1 MULTI 1990 5 f 839 I 951 , 839 CONC $44,122 $49,298 i
FAMILY < 10 i BLOCK rDes cript ion Area
UNITS
I
l i i FINISHED 48
OPEN PORCH
64
FINISHED -_
i
EPermit # Type Agency I Amount ( CO Date Permit Date
i
No data to display j
Extra Features
Description Year Built 1 Units Value f New Cost
COVERED PATIO 1 — ; 2/1/2000— — 1 ;467 ;1,000
0
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=331930511000003BO 3/6/2016
City of Sanford
Roof Permit Application Checklist
y
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:
L' Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
L2( Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
L9 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.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: _AR , 'Zs---
hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at I %/ qav and have determined that the workJobSiteAddress)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
1 certify that my statements herein are true and accurate to the best of my belief and that I fullyunderstandthatmakianyfalsestatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofh' or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837. .S. ,
Signature
lot/ci , cjE
Printed Name of Contractor
t-- d/- d ')/,6
Date
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 L
Sworn to (or affirmed) and su cribed befo emthis day of /V)Cut_ 20 bc , who is Personally Known to me or has Produced ` e ofridntiftatio) ., (type
as identification.
SEAL)
S ture o Notary Public
State of Florida
ll
Print/Type/Stamp Name '"+sey"''-
Sf" DONALD RASHofNotaryPublic z Notary Poptlo . SlatsCommissionpFF
Florida
d 22MYComm, Expires q
1706
Bonded throughpr 11, 2019
National Notary Assn.