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Home My WebLink About120 Lindsey Way (2)CITY OF SANFORD BUILDING & FIRE PREVENTION4j) PERMIT APPLICATION Application No: / (D- %(tj Documented Construction Value: $ S!/ U U . op Job Address: / ,L/jqsl Ja y p/1 n 6,2o FL Historic District: Yes No [' Parcel ID: e3o• /9.3 . 5/ • d 00 O•c3 O Residential Q Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: _ ,Q p p,C / ,Q p /, X 5 /•2R. r Plan Review Contact Person: AAj o y Ar oc Title: Phone: y('7 3 95 Fax: 107• ,3.1,1 ei'Sy',2 Email• Gc%oc4_- Aeq!<1y 2 Property Owner Information Name / Ck/ /Al / GLG C/o /3,e jt, Ce GyAde Phone: Street: AGJDjl QResident of 2 ha''' ro er . P Pty • ' ND City, State Zip: e> n O/zo. At Contractor Information Name - o,, jo. __;i A of oc.K A)G Phone: _ 07 .d t • !'S Ssr Street: P& e-mc-h Ac.a • Fax: 44<) 7• 3.,22 - 9S'r.i City, State Zip: U I?yj L 3,17 / State License No.: i_CCZ rZSU / Architect/Engineer Information Name: /v A Phone: Al• 4 Street: Fax: City, St, Zip: Bonding Company: NA - Address: E- mail: Mortgage Lender: / V A Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITHYOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. Applicationis hereby made to obtain a permit to do the work and installations as indicated. I certify that'no work or installation has commenced priortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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, 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 willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. 7 Signature of Owner/Agent Date 13" te --D Print Owner/Agent's Name w Signs JrMotary-Siate4o!iWorid Date Ferg,Jg"J c7r%% p MARJORIE MARIE ADCOCK Notary PublicState of Florida My Comm. Expires Jul 29, 2016 Commission # EE 220257 Owner/A . Produce pe o D aMnature ntractor/Agent Jet Pn ntra\tor/A isLName S Ignal&e of Notary -State of FIc 7-1( Date DONALD RASH Notary Public - State of Florida Commission N FF 221706 My Comm. Expires Apr 16, 2019 Contractor/A ,II11111„` R-dmt allonal Notary Assn. Produced ID Type of ID 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 05/10 ADCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 330-9333 (Fax) adcockrooflngl@bellsouth.net www.adcockroo ing comet STATE CERTIFICATION CCCO22501 March 4, 2016 ESTIMATE Name: Mr. Bruce White Phone: (407) 739-8639 Address: 120 Lindsey Way 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. 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. S. 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 And Adcock THIS INSTRUMENT PREPARED BY: Name: Adcock Roofing Address: 800 S French Ave Sanford, F 332771 NOTICE OF COMMENCEMENT Permit Number: I IIIIII IIIII Ilfll IIIII IIII1 IIIII IIII IIII hlr Fi'i f1Nh1C 1-1OR C, 3f_.111Nf)LC Cl-1 INTY Ct.. K Elf, f'1'f;i.Url' CaN)F''j \ i`QI'IE'TfiQLI.EFi GLEfit Y 21.11 j i7J( ly kE.CQF;DIJ'1+ HE REC':QfiliED RY hilr vrrl ,: Parcel ID Number: 33-19-30-511-0000-08BO 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) 120 LINDSEY WAY SANFORD FL 32771 LOT 8B LINDSEY ESTATES REPLAT PB 42 PG, 18 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re-RoofccSit •:7i x3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: o i Name and address ICW INV LLC C/O BRUCE WHITE; 821 LONGWOOD MARKHAM RD SANFORD FL 32 ra Interest in property. OWnerLUto Fee Simple Title Holder (if other than owner listed above) Name R Address 4. CONTRACTOR: Name Adcock Roofing Address 800 S. French Ave., Sanford, FL 32771 S. SURETY (If applicable, a copy of the payment bond is attached): N Address. 6. LENDER: Name Address Phone Number- _407-322-9558 Amount of Bond. Phone Number. W x a- Z 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by t@n4 m713.13(1)(a)7., Florida Statutes. Name. Address: 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 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 7 Signature of Owner or Lessee, o Owners or Lessee's / ( Pont Name and Provide Signatory's Title/Offce) AuthorizedOfficer/Director/ rtner/Manager) State of-AY11;7A County of--" 113, 1,.(. The foregoing instrument was acknowledged before me this 7 day of '/,{ 20 by ( U— .e . Who is personally known to me i OR Nameofpersonmakingstatementwho has produced identification type of identification produced: 01 FtYP'• MARJORIE MARIE ADCOCK v - Notary Public - State of Florida N r My Comm. Expires Jul 29, 2016 Not a"ry Signature Commission # EE 220257 Bonded Through National Notary Assn. SCPA Parcel View: 33-19-30-511-0000-08130 Property Record Card0Parcel: 33-19-30-511-0000-08B0 Owner: ICW INV LLC C/o BRUCE WHITErE Property Address: 120 LINDSEY WAY SANFORD, FL 32771 Parcel: 33-19-30-511-0000-08B0 j— t Value Summaryt Property Address: 120 LINDSEY WAY I Owner: ICW INV LLC C/0 BRUCE WHITE 2016 Working 2015 Certified Mailing: 821 LONGWOOD MARKHAM RD Values Values SANFORD, FL 32771 Valuation Method Cost/Market Cost/Market Subdivision Name: LINDSEY ESTATES REPLAT Number of Bwldmgs 1 1 - Tax District: Sl SANFORD Depreciated Bldg Value 44,122 - i31,271Exemptions: Deprecated I i DOR Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE ii EXFT Valuet 200 ;200 Land Value (Market) 15,000 I $11,500 Land Value Ag E IIJIJust/Market Value 1 $59,322 $42,971 h '"79 1 Portability Adz - i 7 Save Our Homes AdI 0 ( #0 Amendment 1 AdI 12,054 i $0 Assessed Value Tax Amount without SOH: $874.52 1 2015 Tax Bill Amount $874.52 Tax Estimator Save Our Homes Savings: #0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description I I LINDSEY ESTATES REPLAT PB 42 PG 18 u Taxes Taxing Authority L-ounty General Fund 1 Schools City Sanford u SJWM(Sarnt Johns Water Management) i County Bonds Sales Assessment Value I! r Exempt Values j Taxable Value j 47,268 ' 0 $47,268 i 59,322 0 $59,322 47,268 0 47,268 p ;47,268 47,268 $0 1 $47,268I Description Date Book Page Amount r 1 r - Qualified f Vac/ImpiQUITCLAIMDEED i 8/1/2013 08099 1746 j $100 No QUIT CLAIM DEED 12/1/2009 07297 0275 Improved i i QUIT CLAIM DEED 9/10/2009— 07251 100 : No Improved I QUITCLAIM DEED 8/1/2007 106807 1882 i 100 j No Improved 0492 100 No Improved I QUIT CLAIM DEED 10/1/2004 05505 1847 i $ 100 No 1 QUITCLAIM DEEDW w ' 4/1/2003 04808 085--- Improved QUIT CLAIM DEED 8/1/1991 02328 1500 100 No 100 No I Improved WARRANTY DEED 8/1/1991 02324 4 1 0 - 51,900 I Yes Improvedproved i QUITCLAIM DEED 6/1/1991 02307 1459 4 Improved I I 100100 NoNo i Improved IQUITCLAIMAIMDEED6/1/1990 02192 0066 1 $100 ; NoFmdmparCoableSalesvaithmthisSubd^- I Vacant Land Page 1 of 2 http:// www. scpafl.org/ParcelDetailInfo.aspx?PID=3 3193 0511000008B0 3/6/2016 SCPA Parcel View: 33-19-30-511-0000-08130 Page 2 of 2 Method aFronta ----- -._ t 9 i Depth 1 Units Units Price i Land Value 0 — ILOT , 0 I 1 $15,000.00 $15,000 I Building Information - 1 # Description Year Built ectivei xt Wall AdI Value _ IfActual/Effective Fixtures i Base Area E Total SF Living SF ERepl Value Appendages i j 1MULTI - - - - 1990 s 5 ----"` ` FAMILY < 10 i 839 951 839 CONC ;44,122 i ;49,298 - UNFM BLOCK Description Area t UTILITY _.__ FINISHED 48 I r i i 4 OPEN PORCH FINISHED i Permits Permit # Pe encYTVmot 'ODate - Permit Date j No data to disolav i i ExtraFeatures i i[ TDescr!pbonYear Built Value Units NewCost- _ 2/1/ 1990 1 - 200 $ 500 http://www. scpafl.org/ParcelDetaiIInfo.aspx?PID=331930511000008B0 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 r indicate n/a on this submittal. A complete application package shall include the following: 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). A site specific notarized power of attorney shall be required from thee licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. j/ 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 of t Florida (must be submitted with each application if contractor is the applicant). Completed andp 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 becomplete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: l ' 7 6 L/ hereby acknowledge that I personally inspected Roof deck nailing and/or W Secondary water barrier work at 12 1) k/N arGZ ( Job Site Address) and have determined that the work 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 fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 .S. S Signature o ontractor Date Printed Name of Contractor License # License Type: General Building Residential Kl Roofing 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 /s day of /yl4 20 / 4 bywhois Personally Known to me or has Produced (type of Z cation as identification. c SEAL) ureof otary Public State of Florida ( Print/ Type/Stamp Name, of Notary Public P OolrArlo RASH taorary Public - Stab o1 Florida Curr. miWon0FF221705 MyCornm ExphnApr16.2019 Boner, "), oughMr M IaTyAftfl. ras HEAR OJAMOG to 910a - *ItdL 3 erns .0r 14A mlgx nz?A;Z$AbwM%l' f. ,