HomeMy WebLinkAbout126 Lindsey WayCITY OF SANFORD
I& BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: " t0 " ?ca_3
Documented Construction Value: S 45
Job Address: /o26 ,(_phyy L G1/wt/; Si " Ao,u, ,CL J.L77/ Historic District: Yes No
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Parcel ID: ' / 9 • .3-v - c57'/• p p()o .0 7,4 U Residential ['r Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: %t ER.ao Vh1--Jg /Es TQh 6e y^/ars erh n /es
Plan Review Contact Person: rq, j pT 4 0L4a'v' Title:
Phone: VO 2, ?X), - q SS-k Fax: V() 7. 3,X L - 994 ,_ Email: cc cvcl r ti'S 1C hellScW i, . t
Property Owner Information
Name /CCAI /Al LL C G/U
Street:
City, State Zip: 626 NCO /L0. -fir c of 77 /
Phone:
Resident of property? : /1/D
Contractor Information
Name 1 AA.)2"EAJ 40&oc
Street: Pnc - . /2r—L, AA p `
City, State Zip: U JCL 2oL77 /
Name:
Street:
City, St, Zip:
Bonding Company: /JA
Address:
Phone: </D 7. ?a - 9, a 6
Fax: 4107- 3,0,., . 9 S y'.._
State License No.: CCC Ol Architect/
Engineer Information Phone:
AIA Fax:
E-
mail: Mortgage
Lender: /1fA Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 inthisjurisdiction. 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: St° 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 tee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeof'submittal. The'actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued,
1.
accordance with local ordinance. Should calculated charges figured off the executed contract exceed th
in
credit will be applied to your permit fees when the permit is issued. e actual construction value,
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning.
41
Signature of Owner/Agent
Print Owner/Agent s Name
Signature o tary-State of Florida Date
r
MARJORIE MARIE ADCOCK
Notary Public - State of Florida
c' • + • My Comm. Expires Jul 29, 2016OwnerIhfttutit7abhyOtY4023Do, r • or
Produ ""' 60 0 Mional Notary Assn.
3 • '7 / P
DONALD R:
ofFlorlda
war)is
Notary Public - Sta
Commission #
F6ContrtMyComm. Expires A2019Batdedtl {j+4rlMdtiIUtn. Me or
Produ
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas El Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps.
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes[] No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
a
WASTE WATER:
BUILDING:
Revised June 30, 2015
Permit Application
03/04/2016 16:50 4073309333
PAGE 07/10
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl@bellsoutb.net
www.adeockroong' conr>!
STATE CERTIFICATION CCCO22501
March 4, 2016 ESTIMATE
Name: Mr. Bruce White Phone: (407) 739-8639
Address: 3.24 -126 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.
8. Install new ventilation vents to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
labor & Material: $8100.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft. Extra — Aluminum Soffit work - $30.0o per hour/noticed very little
Warranty: 25 Year Warranty an Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andu Adcock
THIS INSTRUMENT PREPARED BY:
Name: Adcock Roofing
Address: 800 S. French Ave.
Sanford, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
I Itllll tIIII Ilttt IIIII Illit I ,,; ;
F,(,(„ nii(,., - , :, . _
Itttllll Ittl
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L ° - F-Ciilli)LL i::pLIhIT'r' 7F Cl'F;ra1I7 ra_)tIF;T c CONPTF;ii(_LF:F; r:C E:F;K rS V ?fl1 l)?3r2: F li lftp G 3
1'2 91;
i IFI(1rF;,F..F:b lii•iiii
Parcel ID Number: 33-19-30-511-0000-07AO
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) 126 LINDSEY WAY SANFORD FL 32771
LOT 7A 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 adrirp— ICW IN%/ I I rr r`/ri mmi i^
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: N
Address: 800 S.
jOCOCK Nootin
Ich Ave., Sanford, FL 32771
5. SURETY (If applicable, a copy of the payment bond is attached): Name
6. LENDER:
Address -
MARKHAM
Phone Number: 4
Phone Number:
D SANFORD FL 321fl
37-322-9558 p
z r
Amount of Bond- M
U
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by713.13(1)(a)7., Florida Statutes.
8. In addition, Owner designates
Phone Number:
of
n JO
a c_
1 tiUw
Z
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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTYANOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
11 /Aj Y. 1ySignatureofOwnerorLessee, or Owner or Lessee's V L
Authonzed Officer/Director/Partner/M nager) (Pont Name and Prowde Signatorys Tide/Office) State
of (h County of The
foregqn4 instrument was 1
acknowledged20
beforemethis / dayof by %
G1,
I 1 .
k-Q of
Person making who
has produced identification type of identification produced: MARJORIE
MARIE ADCOCK Notary Public -
State of Florida My Comm.
Expires Jul 29, 2016 Commission # EE
220257 t O.,oe `-
Bonded Through National Notary Assn. Who is
personally known to me If -OR 1' " "4— /
Ly t7? otary Signature
SCPA Parcel View: 33-19-30-511-0000-07AO
Property Record Card
W/
A pp Parcel: 33-19-30-511-0000-07A0
Owner: ICW INV LLC C/O BRUCE WHITESCMuCriCOtxrrv'KLOFt
Property Address: 126 LINDSEY WAY SANFORD, FL 32771
Parcel: 33-19-30-511-0000-07All
Property Address: 126 LINDSEY WAY
Owner: ICW INV LLC C/O BRUCE WHITE
Mailing: 821 LONGWOOD MARKHAM RD
SANFORD, FL 32771
i Subdivision Name: LINDSEY ESTATES REPLAT
j Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 0108-SFR - 1 UNIT OF DUPLEX STRUCTURE
J
Legai Description
LINDSEY ESTATES REPLAT
PB 42 PG 18 -
Taxes
C Taxing Authority
I i-ounty General Fund
Schools
City Sanford
SJWM(Salnt Johns Water Management)
L
County Bonds
Sales
Value Summary
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market € Cost/Market
Number of Buildings ! 1 I 1 _
Depreciated Bldg Value $45,578 ;32 2g4
Depreciated EXFT Value I
i Land Value (Market) I $15,000 - $11,500
f Land Value Ag---
j Just/Market Value I
60,578 - $43,794
Portability Adl
Save 0ur Homes Adl $r;0
if Amendment 1 Ad] $12,405 { $p !E
Assessed Value $48,173 ! $43,794
y
i Tax Amount without SOH. $891.27
2615 Tax Bill Amount $891.27
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value Exempt Values
48,173 0 48,173
60,578
48,173
0 60,578 '
0 48,173
0 48,173
I $48,173 0 48,173
Descr'pt'on Date1 Book Page Amount Qualified Vac/ImpQUITCLAIMDEED8/1/2013 08099 1746 100 } No Improved
QUIT CLAIM DEED 1 12/1/2009 07297 0275
QUIT CLAIM DEED 9/10/2009 07251 1882
100 No - _ - Improved - -
QUIT CLAIM DEED 10/1/2004 05505 1 $
100 : No ImI
proved
1853
100 No Improved QUITCLAIMDEED11/1/2003 05133 1821 100 No WARRANTY
DEED 4/1/2003 04783 1_ , _
Improved
11 ,-- -
1974
j $35,300 I No Improved WARRANTY
DEED 8/1/1991 02326 1500 r -
51,
900 Yes QUIT
CLAIM DEED 6/1/1991 02307 1459 f_ - --
Im proved Fmd
Comparable Sales within this Subdivision 100
0No i Vacant Land
LOT
Frontage
Depth 0
Units
Price ; Land Value 15,
000 Page
1 of 2 http://
www.scpafl.org/ParcelDetailInfo.aspx?PID=33193O51 l'0O0OO7A0 3/6/2016
SCPA Parcel View: 33-19-30-511-0000-07A0 Page 2 of 2
Building Information
j Descn tion Year Budt LBase keajTotap
Act.
r.Bu"
t— _ Fixtures l SF Living SF 6ct Wall AdI Value Repl Value I Appendages
1 MULTI f 1991 — -- — — ----
5---78 --- —--------
5 f 892 954 — —
v
892 CONC $45,578 i $50,642FAMILY < 10
BLOCK i AreaUNITS[__De_scrill tion — —
OPEN PORCH I
I _r FINISHED 62
Permits
Permit # Type Agency I Amount f CO Date Permit Date
i
No data In display
Extra Features
tionDescriYear-BuiltpYearBuilt Units i Value —
i New Cost
No data In display
I
http://www.scpafl.org/ParcelDetaillnfo-aspx?PID=33 l 930511000007AO 3/6/2016
City of Sanford
Roof Permit Application ChecklistD`
1
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:
EJ-/ Building Permit Application completed, signed and notarized. Application must include correct addressandcompleteparcelI.D. number.
CR" Copy of applicable contractor's license issued by the State of Florida (if the contractor is theapplicant).
L9/ 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.
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). 0 Completed and signed Owner Builder Statement / Affi davit (if the owner is the applicant).
These guidelines were compiled to assist the dpplicant 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 #: A . 74'_ j
1,—''%`'` '4OLhereby acknowledge that I ersonall pyinspected Roof
deck nailing and/or Secondary water barrier work at /.
2 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 fully understandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantintheperformanceofhisorherofficialdutyshallconstituteamisdemeanoroftheseconddegreepursuanttoSection837S. v'`
oC/• (0 SignatuContractorDate
Printed
Name of Contractor 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 ,, k) L 4 Sworn
to (or affirmed) and subscribed before me this day of /1F , 20 rL , b c. I , who
is C1 Personally Known to me or has Produced (type of tilnas
identification. SEAL)
Notary
Public Stake
of Flori a DONALD
RASH Print/Type/StampName F-ar) otary PuDllc -State of Florida of
Notary Public Commission N FF 221706 y
Comm. Expires Apr 16, 2019 nded
through National Notary Assn.