HomeMy WebLinkAbout121 Lindsey WayCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
IApplicationNo:
Documented Construction Value: S Vloo .
Job Address: /9-/ kl^JOCLLV NlgN fc,, 4,Q FL Historic District: Yes ElNo [
Parcel ID: ;3 / 9. 3o CW0 . p A D Residential a Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move ElDescriptionofWork: t%E2a0V'6.'-J'q /ES ' 01 5 VQa2 t-hP g /ass Plan
Review Contact Person: Atio y 44)tocy, Title: Phone: _
V07 .Zl, 9SSdr Fax: t1o7 j.1.)- Email: adcveJ!ItCd )4-A . rl" Property
Owner Information Name
q0 (3,Qu wy T Phone: Street:
602/4,01) &JnpoL /lilCcrz/U)a&) Resident of property? : ND City,
State Zip: c n dot 77 / Contractor
Information Name /
Q//J2 J Aa oc.L .40 y /QOl inJG/ Street:
t 4n ALP- _ Ci
tY State Zip: UG1Z 6 n_ L'L c3d-77 v
Name: ^
bcf Street:
City,
St, Zip: Phone:
yD 7. Fax:
4/U7. 3,.4,.1, State
License No.: CC C Ol Architect/Engineer
Information Phone: Ac
A Fax: E-
mail:
Bonding Company:
AJA Mortgage Lender: /
VA Address: 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: 5`h 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 I 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.
C
Signature ofowner/Agent 7 1!0
Dat S ture o ntractor/Agent / DatePB - rintOwner/Agent's Name N'.J'0KeL-I on"3
A , PrintContractor/Aa— ,nr ..
to ofIA lkJO ilE MARIE ADCOCIVat
1
Notary Public - State of Florida
My Comm. Expires Jul 29, 2016
Commission # EE 220257
Bonded Through National Notary Assn.
Owner/Agent is Personally Knownto e orProducedIDTypeofID
P
DONALD RASH
PZ
U°`
t Notary Public - State of Florida
Commission N FF 221706
4,`,
MBoes Apr 16, 2019ndedmthouphm. rMonaNNotuyAm
ContraeTmV
Produced ID
IG
r-crsonal l3r &'noWn-10 Me or
Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingEl Electrical Mechanical Plumbin
Construction Type: g Gas Roof
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Revised June 30, 2015
of Heads Fire Alarm Permit: YesEJ No
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Permit Application
03/04/2016 16:50 4073309333
PAGE 06/10
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl ftellsoutknet
W'ww.adcockroofin> cnm
STATE CERTIFICATION CCCO22501
March 4, 2016
ESTIMATE
Name: Mr. Bruce White Rhone: (407) 739-8639
Address: 121 Lindsey Way Cell: (407)
City: Sanford, FL 32771 Fax; (407)
Email: centralfforida47@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT— % DUPLEX
A. 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
Andy Adcock
THIS INSTRUMENT PREPARED BY:
Name: Adcock Roofing
Address: 800 S. French Ave.
Sanford, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
1'1itF I ilhahlG: 11l)I?.'.31:_, :Ct1l:l'1tlLl. Commf•I_EH,% Of (If:C.Ull UUf{T ?. ifl1'IF'1RCILLE.f
CLERK'S Y 20 /6023722
h:f:GUDEC' Ii;1/li? ;?t.tl L? r71; §'r F'1'1111_17 Of., 1_'IhaC; f E E:S 1u•(trl
Parcel ID Number: 33-19-30-511-0000-06A0
C
The undersigned hereby gives' notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedtothisNoticeofCommencement
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 121 LINDSEY WAY SANFORD FL 32771
LOT 6A 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 FPS
FLInterestinpropertyOwner 71
Fee Simple Title Holder (if other than owner listed above) Name.
Address: 5 U
N
4. CONTRACTOR: Name Adcock Roofing se+ sE
Phone Number 407-322-9558Address. 800 S. French Ave , Sanford, FL 32771Cif
5. SURETY (If applicable, a copy of the payment bond is attached): Name- z
Address:
Amount of Bond6. LENDER: Name.
G AC_ Phone Number.
oAddress
a
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provideaOb S`ectlon713.13(1)(a)7., Florida Statutes.
O LL p Name
Phone Number: ` n~ ZAddress. - _ —
w
8. In addition, Owner designates
of
to receive a copy of the Llenor'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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDING (OUR NOTICE OF COMMENCEMENT
Signature of Owner or Lessee, or Owners r Lessee's /
AIthonzed Officer/Director/Partner/Ma ager) •= (Pont Name and Provide Signatory's Title/Office)
State of ZL1ZAE4 QA County of 1'VLi i ti
The foregoing instrument was acknowledged before me this f day of V —
by rU,e--e IA L ?
Who is personally known to me O—OR
20
Name of person making statement
who has produced identification type of identification produced:
i
IFky MARJORIE MARIE ADCOCK
Notary Public -State of Florida +L, c My Comm Expires Jul 29. 2016
Nr• •o Nota-ySignatureF4AAMLti-i
OFF p,,
Commission # EE 220257
F `
Bonded Through National Notary Assn.
s
SCPA Parcel View: 33-19-30-511-0000-06A0
1j;3 @IER Property Record Card
Parcel:33-19-30-S11-0000-06A0
Owner: ICW INV LLC C/O BRUCE WHITE
Property Address: 121 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-06AO
Property Address: 121 LINDSEY WAY
Owner: ICW INV LLC C/O BRUCE WHITE
Mailing: 821 LONGWOOD MARKHAM RD
i SANFORD, FL 32771
I Subdivision Name: LINDSEY ESTATES REPLAT
j Tax District: SI-SANFORD
I Exemptions:
DOR Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE
K
7 y
r, 1
a
t
value Summary
2016 Working T,015 Certihed
Values Values
IFNd"'ng
cost/Market Cost/Market
s
1alue ;44,122i ;31,271
Depreciated EXFT Value I #200 (;200
fLand Value (Market) 1 $15,01 #11,500 j
Land Value Ag I i
Just/Market Value i I
59,322 $42,971
I Portability Ad1
Save Our Homes Ad) ` 1 $0 so
Amendment 1 Ad1 ;12 054
Assessed Value $47,268 r 42,971
f
Tax Amount without SOH: $874.52
2015 Tax Bill Amount $874.52
Tax Estimator
i Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 6A
LINDSEY ESTATES REPLAT
I PB 42 PG 18
axes
Taxing Authority
County General Fund
I Assessment Value Exempt Values Taxable Value
Schools 47,268 0 47,268
Gty Sanford
59,322
w.. _.. _ - 59,322
SJWM(Samt Johns Water Management)
47,268 0 47,268
County Bonds
47,268
47,268
47,26847,268 0 47,268
Sales
Descnpbon
QUIT CLAIM DEED
Date Book Page Amount i Qualified Vac/Imi p
QUITCLAIM DEED
8/1/2013 08099 1746 i 100 No
I
Improved
12/1/2009 107297 0275 100 I No
QUIT CLAIM DEED 9/10/2009
I---
07251 1882 I
Improved !
QUIT CLAIM DEED 10/1/2004 05505
100 No Improved
QUIT CLAIM DEED
1851
i_ _
r
100 No i Improved
QUIT CLAIM DEED
111/1/2003 05133 1822 100 No i Improved
Find Comparable Sales withinthis
11/1/1990
Sundiws,on
02238 0184
i 100 No Improved
Land y _ _
r
Method i Frontage1 Depth
LOT
0
Building Information
Units !Units Price ;Land Value
0 1 $15,000.00 ;
Page 1 of 2
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=331930511000006A0 3/6/2016
SCPA Parcel View: 33-19-30-511-0000-06A0
Page 2 of 2
Description Year Built Fixtures I Base Area ( Total SF Living SF ' 6d Wall AdI Value Repl Value AActual/Effective I ppendages jilMULTIj1990
j FAMILY < 10 i i 5 839 1 951 839 CONC ;44,122 , ;49,298UNITSBLOCK i Description Area j
i OPEN PORCH
FINISHED 64 I
iI i I
UTILITY
t FINISHED 48 f
Permits
Permit # --_
Agency !( Amount CO Date
I
TYPe
Permit Date
N,, d-ita to Ir,^I y
I
I
Extra Features--- eatures — — -
PATIO 1
Year Built
2/1/1990
Units I Value New Cost
500
http://www. scpafl.org/ParcelDetailInf6.aspx?PID=331930511000006A0 3/6/2016
City of Sanford
Roof Permit Application Checklist4D
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:
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 theapplicant).
E/ A site specific notarized power of attorney shall be required from the licensed contractor ifhe/she appoints an employee of his/her company to sign the permit application as the contractor.
CY 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
i'
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the a licpp ant).
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 #: - 769 2
hereby acknowledge that I personally inspected
Robf deck nailing and/or Secondary water barrier work
at /- /
d
S
Address) .-
es-
AJobSiteAddke and have determined that the work 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 fully understandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofhisorherofficialdutyshallconstituteamisdemeanoroftheseconddegreepursuanttoSection837.06,F.S. Signature
Printed
Name of Contractor S—• .
20 i co Date License #
License
Type:
General Building 7 Residential ;( Roofing Contractor 7. oranyindividualcertifiedinaccordancewithF.S. 468 to make such an inspection. STATE OF
FLORIDA COUNTY OF Sworn to (
or affirmed) and subscribed before me this / day of /lij4w , 201(—_, by igublic O'''
cs
c ,
who is Personally Known to me or has Produced (type of as identification.
SEAL) State
of
Florida PrintlType/Stamp
Name of Notary
Public uD a;,l D RASH o o N Notary Puhi :
ate o1 fbll rt " Commiss], YF221No N a My
Comm F . rr 110
aac BorMedthrnu;' c ';
4b ` tarYAtfi. J
Z"s '
p a •
0 DONALD
RASH
s o4'µv :
utary Public - Mate of Flor ,aN. Commission I
FF 22170b 3 Expires Apr
16. 2019 t thrm*
National Notary Assn. ,,oti