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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