HomeMy WebLinkAbout118 Lindsey Way (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Y
Application No:
Documented Construction Value: S S U
Job Address: // ,? L,/^/oS'Eg ( oV'r (So),,, oao ¢'L • Historic District: Yes No 2
Parcel ID: 3 / 9 • 30 • S/ /• 0 OUCH • 0 9.4U Residential 13- Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: l cl1 dy V111"Jq /ES •? t 6
Plan Review Contact Person: A AJ O V A-o L oC_k Title: -
Phone: Fax: C/o 7 • 3J,t • q9- a- Email: a o be//so-641 - -1 t
Property Owner Information
Name /Ch//n/LLC G/U Sk4.cCe G, 417-t=
Street: 02/ .L OII l,Jpo MCc iz /C%)Q •- !2
City, State Zip: cfln A0 /Ls>. ,L c?d i7 /
Phone:
Resident of property? : /V D
Contractor Information
Name A %dQk Ek) A-i@[-ocZ : ,4Q Z /QOOi'iA eG Phone: S/D '7 -
Street: Rnp c-Tn 1 C&p ; Fax: 41y?. 3-i 4 S .' _
City, State Zip: UUZh _ C& 3d771 State License No.: CL C 0 1SU J
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company: N'A
Phone: VA
Fax:
E-mail:
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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 . Permrt 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 'fable 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.
Signature of Owner/Agent
s Name
Date gnatureofco for/Agent Date
3.7- l
iOa` °"s, MARJORIE MARIE ADCOCK
Notary Public - State of Florida
My Comm. Expires Jul 29, 2016
P Commission EE 220257
OF F ,
Bonded Through National Notary Assn.
Owner/A C`
Produced ID Type of ID
Print ntrac[
V/
sName
n
7- f
Si atur Not. tate of Flonda Date
DONALD RASH
Notary Public - State of Florida
Commission # FF 221706
My Comm. Expires Apr 16, 2019
Contract 8r/9;r elit igondedthrPeWdfi q W o Me or
Produ''Fd'ID'"' ". yTofID -
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised June 30, 2015
Permit Application
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
March 3, 2016 ESTIMATE
Name: Mr. Bruce White Phone: (407) 739-8639
Address: 116-118 Lindsey Way Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email: centralflorida47@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT - DUPLEX
1. Remove old 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 or 30 yearr 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. Install new ventilation to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $8100.00 (25 Year Shingles)
Labor & Materials: $8400.00 (30 Year Shingles)
Extra: Bad wood - Time & Materials
Warranty: 30/25 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 3 7771
NOTICE OF COMMENCEMENT
Permit Number:
11t1h;YAhIPaL f1111 -1 E11.1HOLF OUNU
C'1_E'RK Of C T RC:I_)l T ('01)R1 .rahlfl FaILLEF
13K : 6 rti f<i ( 11'::3:: )
LEFtK r S Y 21-.11602.3721
PH
iiE.(0F'CTHG f'EF'C T10.1-11-1
K(..QhiGf. ! 13'r' hdQvori:e
Parcel ID Number: 33-19-30-511-0000-09A0
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) 118 LINDSEY WAY SANFORD FL 32771
LOT 9A 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 SANF(
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
c
tv z --
Amount of Bond. > j
Phone Number >
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided713.13(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)
O
Y
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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTYANOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT
1
X
Signature of Owner or Lessee, or (own
er/
or Lessee's (
Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/ Hager)
State of _ rf 00 2 A County of
The foregoing instrument was acknowledged before me this day of )V L 20
by LC )IV., r i ,5 r r. 1
I
person
who has produced identification type of identification produced:
r' MARJORIE MARIE ADCOCKr,r,,
oti,av PY4',, Notary Public - State of Florida
My Comm. Expires Jul 29, 2016
N + •o; Commission IV EE 220257
FO;,;,`,°P, Bonded Through National Notary Assn.
Who is personally known to me OR
16,
11 AA,
Notary Signature
SCPA Parcel View: 33-19-30-511-0000-09A0 Page 1 of 2
p•
C F* Property Record Card
D lr /t i
p
Parcel: 33-19-30-511-0000-09AO
Owner: ICW INV LLC C/O BRUCE WHITESEAanIECOtXJTY'FiOat Dr
Property Address: 118 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-09A0
j Property Address: 118 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: SI-SANFORD
Exemptions:
l DOR Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE
i
Y -
I
EValue Summary
2016 Workmg-F2,0i5ue,rtifi 7Valuess
Valuation Method Cost/Market ! Cost/Market
Numberof Buildings 1 T 1 4
1
Depreciated Bldg Value- i $45,578 $32,294 1 1
Depreciated EXFT Value I x
Land
Value (Market) $15,011 - j11,500 Land
Value Ag - - - Just/
Market Value $60,
578 f
ra $
43,794 Portability
AdI Save
Our Homes Adz #0 $0 Amendment
1 AdI $1.2,405 $0 Assessed
Value 48,173 Tax
Amount without SOH: $891.27 2015
Tax Bill Amount $891 27 Tax
E5omator i
Save Our Homes Savings: ;0.00 I *
Does NOT INCLUDE Non Ad Valorem Assessments Legal
Description —------_ _---___ LOT
9A I
LINDSEY ESTATES REPLAT PB
42 PG 18 axes - - - - -- ---- --
Taxing
Authority Assessment Value Exempt Values - PTaxable Value I I
County General Fund #48,
173 I - $0 $48,173 Schools60,
578 ' $0 ` $60,578 i
City Sanford - #48,
173 _ __ _ _.O 48,173 I
SIWM(Saint Johns Water Management) - - 1 - - -- _. .-._ _ _.. _ _ ___ - - - i$
48,173 $0 $48,173 County
Bonds ( ;48,
173 0 $48,173 Description
Date - - Book r
Page
Amount Qualified i Vac/Imp QUIT
CLAIM DEED 8/1/2013 08099 1746 100 No l
Improved
QUIT
CLAIM DEED 12/1/2009 07297 0275 100 No QUIT
CLAIM DEED 9/10/2009 1 07251 1882 100 1 No Improved
Improved
CORRECTIVE
DEED 4/1/2005 05682 0975 No Improved QUIT
CLAIM DEED 12/1/2004 i 05655 1600 100 1 No Improved WARRANTY
DEED 12/1/2004 05571 0410 139,000 No i Improved WARRANTY
DEED 8/1/1997 03288 1382 I 19,500 No Improved WARRANTY
DEED 8/1/1991 02322 I
i
1074 51,900 !Yes Improved QUIT
CLAIM DEED 6/1/1991 02307 1459--^- I
Find
Comparable Sales wdhm Lhiti Subdro sion loo
No Vacant Land
77777-
7--7 Method
i Frontage Depth I _ PUnitsUnits Price Land Value http://
www.sepafl.org/ParcelDetaiIInfo.aspx?PID=331930511000009AO 3/6/2016
SCPA Parcel View: 33-19-30-511-0000-09A0 Page 2 of 2
LOT 0 i 0 1 15,000 00 15,000
Building Information
Desch tionp Year Butt —
Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adz Value Repl Value Appendages
1
1
i
MULTI ( 1991
FAMILY < 10
5 892 954 892 ' CONC 45,578 ! $50,642 I
f BLOCK i Description Area
UNITS
i OPEN PORCH
1
j — FINISHED 62
Permits
Permit # Type I Agency —_ — Amount I—CO Date1
W— —' ^
Permit Date __ — — —— t
No data to disrhy
I
Extra Features
Year Built Units —
No data to dis-, lay
i
Value New Cost
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=331930511000009AO 3/6/2016
r City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to theleftorindicaten/a on this submittal. A complete application package shall include the following:
Cl" Building Permit Application completed, signed and notarized. Application must include correct addressandcompleteparcelI.D. number.
L`1 Copy of applicable contractor's license issued by the State of Florida (if the contractor is theapplicant).
B 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 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).
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 of Sanford, state, and federal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 116 - -2 (le
I' Ar_,in Yne. hereby acknowledge that I personally inspectedr--r yr----
Roof deck nailing and/or Secondary water barrier work
at /ld"— &,j Q pe- (/q 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 statements herein are true and accurate to the best of my belief and that I fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofsorherofficialdutyshallconstituteamisdemeanoroftheseconddegreepursuanttoSection837F.S.
al , ozvi s
ignature ontractor Date
aowal
Printed Name of Contractor
6 C oZ 2 u
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 ? o L L
Sworn to (or affirmed) and su s ribed before me this —L day of /1l , 20 , byco , who is Personally Known to me or has El Produced (type oftdeticdatio _ as identification.
ig ture of Notary Public (
SEAL)
State of Florida
Print/Type/Stamp Name ,. DONALD RASH
of Notary Public =•: Notary Public - State of Florida
Commission # FF 221706
N1A,
O`F`
A:•' My Comm. Expires Apr 16, 2019
Bonded through National Notary Assn.