HomeMy WebLinkAbout116 Lindsey WayCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 4/DSO
Job Address: Historic District: Yes No []
Parcel ID: 33 /9 70. S-i/ pocb 0 43 O Residential 13- Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: A,%1oy AL) WOr- Title:
Phone: _407. 99S-:f Fax: qO 7• .1 95 Email: ad oc rvof. 1 c:.f/6adti,•ne+
Property Owner Information
Name /C N/ //%/ LL C G/U &.V 4(ce /„ /M Tts Phone:
Street: &I Lzny &J000L /lita'z ha14') "2d Resident of property?
City, State Zip: 62n p /Z.0. ,L 2,1 i7 /
ND
Contractor Information
Name _i4/I//J2£w.4p ncZ lleoa-lnf'l Phone: S/D • aa- 95.6
Street: Rrx, cr 2 1 , 1Qtt.e Fax: elo 3. 9 s 9
n
City, State Zip: UU2h L'L c3o-77/ State License No.: CCC I
Name:
Architect/Engineer Information
Phone: VA
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: AIA
Address:
Mortgage Lender: lkfA
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 constructioninthisjurisdiction. 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: 51' Edition (2014) Florida Building Code
Revised: June 30, 2013 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 water
management districts, 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 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 o fO''w..ner/AgentDate Signature of ctor/Agent Date
SAW
Print Owner/Agent's Name Print C ntractor/Agent's ai e
S nat re Notary -State of Florida Date Sig ture Notary -State of Florida Date
r ,
r, DONALD RASHMARJORIEMARIEADCOCK , o ,.
Notary Public - State o1 FloridaNotaryPublic - State of Florida » =
Commission FF 221706MYComm. Expires Jul 29, 2016 =;®Po` M Comm. Expiresr` Commission # EE 220257 osrvd:• Y p Apr 16, 2019
Owner/ geYt °f ' B n d t;i,% bN VOdt fiyQA r Contr ', . Bonded
Me orProducProducedIDTypeofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
Electrical Mechanical Plumbing[] Gas Roof
t-
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
4 Permit Application
03/04/2016 16:50 4073309333, PAGE 10/10
AIDCOCK ROOFING
800 French. Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (]Fax)
adcock roofingl Obellsouth.net
www.adcoCkroofing.com
STATE CERTIFICATION CCCO22501
March 3, 2016 ESTIMATE
Name: Mr. Bruce White
Address: 116-118 Lindsey Way
City: Sanford, FL 32771
Email: centralflorida47@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT - DUPLEX
1. Remove old existing roof on complete duplex
2. Re -nail decking as per building code.
3. Dry in with new layer of peel & seal dry in.
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.
S. Install new ventilation to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included,
Phone. (407) 739-8639
Cell: (407)
Fax. (407)
Labor & Materials: $8100.00
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 Years 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: 33-19-30-511-0000-09BO
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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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
116 LINDSEY WAY SANFORD FL 32771
LOT 9B LINDSEY ESTATES REPLAT PB 42 PG 18
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. VwIVtR INN-URMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address- ICW INV LLC C/O BRUCE WHITE' 821 LONGWOOD MARKHAM RD SANFC
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):
6. LENDER: Name -
Address
Phone Number: 407-322-9558
Amount of Bond
Phone Number
3277
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided713.13(1)(a)7., Florida Statutes.
Name
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)
wx
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 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 ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
i
Signature of Owner or Lessee, or O ner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Part r/Manager)
State of /LIQ12-A Uja County of LnVA t " Lr,-
The foregoing instrument was acknowledged before me this day of M , 20
by . Who is personally known to me gNOR
Name of person making statement ,
who has produced identification type of identification produced:
MARJORIE MARIE ADCOCKnYae.
Notary Public - State of Florida
My Comm. Expires Jul 29. 2016
Notary Signature
o Commission # EE 220257
O i i
fie Jo?;``'
Bonded Through National Notary Assn
ym
SCPA Parcel View: 33-19-30-511-0000-09130 Page 1 of 2
Property Record Card
t R i/tA i Parcel: 33-19-30-511-0000-09BO
R Owner: ICW INV LLC C/O BRUCE WHITE .
sE.arrvC)t.ECOtXa7v,r-7.pRr0,. Property Address: 116 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-09 BO
Property Address: 116 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
F
Value Summary
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market 1 Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value $45,578 32,294 i
Depreciated EXFT Value
j Land Value (Market) 15,000 11,500
Land Value Ag j
Just/Market Value
i
jj $60,578 ( $43,794
Portability Ad1
Save Our Homes AdI j $0
Amendment 1 AdI 12,405 $0
Assessed Value 548,173 t $43,794
Tax Amount without SOH. $891.27
2015 Tax Bill Amount $891.27
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
1
Legal Description ---
j LOT9B-____--
j LINDSEY ESTATES REPLAT
PB 42 PG 18
Taxes
Taxing Authority _ Assessment Value Exempt Values - ?Taxable Value
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Sales
48,173 0
60,578 0
48,173 `-....-
i — - 0
48,17348,173 f 0
60,578
48,173
48,17.
48,173
Description Date Book Page Amount Qualified Vac/Imp
j QUIT CLAIM DEED 8/1/2013 108099 1746 100 ' No Improved
QUIT CLAIM DEED 12/1/2009 07297 0275 100 No Improved
QUIT CLAIM DEED 9/10/2009 j 07251 1882 100 , No Improved
CORRECTIVE DEED 4/1/2005 05682 0975 100 1 No Improved
QUIT CLAIM DEED 12/1/2004 05655 1600 100 , No Improved
WARRANTY DEED 12/1/2004 05571 0410 139,000 No Improved
WARRANTY DEED - 8/1/1997 i 03288 1392 19,600 ' No Improved
WARRANTY DEED 8/1/1991 02322 1083 51,900 1 Yes
1I
Improved I
QUITCLAIM DEED- 5/1/1991 102307 1459 100 ; No Vacant I
Find Comparable Sales wdhin Lhra Subdiv,sion
Land
Method j Frontage Depth ( Units Units Price Land Value j
r
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=331930511000009BO 3/6/2016
SCPA Parcel View: 33-19-30-511-0000-09130 Page 2 of 2
LOT
i 0 : 0 ' 1 $15,000.00 $15,000
Building Information __.- -__—__ ___— ___ _ _____—.__—_____ —__,•_—_._, _ _
Descri tion Year Built
p
Actual/Eifectrve Fixtures Base Area Total SF Living SF Ext Wall AdI Value Repl Value Appendages
1 MULTI 1991 5 892 i 954 892 CONIC 1 $45,578 1 550,642jFAMILY < 10 i i BLOCK Description Area
i{
UNITS I I
OPEN PORCH
62jFINISHED l
Permits
l---- - - - --- - _1
TI Amount CO Date Permit Date Permit #
ype Agency t
ttt Nn
data to drv,phy i
Extra
Features Description
Year Built Units (Value New Cost i — No
data to display http://
www.scpafl.org/ParcelDetaillnfo.aspx?PID=331930511000009BO 3/6/2016
City of Sanford
Roof Permit Application Checklistf D
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:
Z Building Permit Application completed, signed and notarized. Application must include correct addressandcompleteparcelI.D. number.
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.
t Certificate of insurance indicating worker's compensation insurance coverage and naming the City ofSanfordascertificateholder, or a copy of a worker's compensation exemption issued by the State ofFlorida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). PP t)•
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not becomplete. The applicant is required to meet all City ofSanford, state, and federal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: ! b ' ? & Q
I, Q`+'Jc'' hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at ,-J 0 S' "
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 fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe
performance of Vs or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837. S.
Signature ontractor Date
c-j 4,01,0 f_& (!C ( 0 2-2,s'ri /
Printed Name of Contractor License #
License Type: General Building Residential C ofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF c/ n U t_ S_
Swor to (or affirmed) and subscribed before me this o?l day of / , 20 , byGcr' c.o c.!/ , who is Personally Known to me or has Produced (type ofidation) as identification.
SEAL)
Si re of Notary Public
State of Florida
nOphVt.'e ICQ L` ,DONALO RASH
Print/Type/Stamp Name Notary pabllC - State of Florida
of Notary Public Commisalm • FF 221706
My Comm. Enplra Apr 16, 2019
Rnn 1nd thmiinh Natrona! Nntar! Assn