HomeMy WebLinkAbout161 London Fog Wayrc•V - CITY OF SANFORD
BUILDING & FIRE PREVENTION
D MAR p g ZU16 PERMIT APPLICATION
By. Application No: I Q-
Documented Construction Value: $ y
Job Address: J4l Londoi moo{ VJezt So r6ra FL Historic District: Yes No 0—
ParcelID: 33-(q--30-513-ca000 -OOZo Residential 9--c-ommercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Compl,-f e_ `fear- o•lF r Re-roo-i< Plan
Review Contact Person: Lenny (oon 2R[r Z Title: (O A4 Phone:
Fax:321—zo7•-693-7 Email: 1e1nye4riAc&ar124?,'/(oovt, Property
Owner Information Name
Ja fern eo l rhsPhone: Street:
l Cr ( Lon d orlEoq GX Resident of property?: t S City,
State Zip: ,Sa-rFora L 3 Z771 Contractor
Information Name
A1.0e, Feld Phone: qd) - 771- 245 t Street:
110 6r?r ea a Fax: 3 2.i- Zo -7 - b Y3 7 City,
State Zip: 3. -751 State License No.: q Architect/
Engineer Information Name:
N Phone: —" Street: --,
Fax: —' City,
St, Zip: E-mail: - Bonding
Company: /J f9" Mortgage Lender: PA - 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: 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 be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, 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 required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. 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 co ru i zon
z,g616 3 • Z - /
aaturmeofOwner/Agent Date Signature ofContract/Agentt Date Ts
l l inS //7V e /CL Print
Owner/Agent's Name Print Con is Name i
atureof Notary- ri ate Signature of Notary -Stale of Florida Date NOTARY PUBLIC
ntoMeor STATE
OF
FLORIDA LEONARD GONZCartrt* FF149843MY COMMISSION # EEExpires 8/11/2018 '• EXPIRES May 10, 2crvbaOwner/Agent isPersonallyKnowntoMeorConacor/Ag fR'1g"—'rsor1a Produced ID
Type of ID F-1- AL Produced ID Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing Gas[] Roof Construction Type:
Occupancy Use: Total Sq
Ft of Bldg: Min. Occupancy Load: New Construction:
Electric - # of Amps. Fire Sprinkler
Permit: Yes No # of Heads APPROVALS: ZONING:
COMMENTS: UTILITIES:
Flood
Zone:
of Stories:
Plumbing - # of
Fixtures Fire Alarm
Permit: Yes No WASTE WATER:
ENGINEERING: FIRE:
BUILDING: Revised: June
30, 2015 Permit Application
C rivkf Jotx gmn. C.FA
V0
SFJr1UVOLS COUNTY, FLORIOA
Property Record Card
Parcel: 33-19-30-513-0000-0020
Owner: COLLINS 3AS0N B & KATHLEEN 3
Property Address: 161 LONDON FOG WAY SANFORD, FL 32771
1 Parcel:33-19-30-513-0000-0020 1
Property Address: 161 LONDON FOG WAY
Owner. COLLINS JASON B & KATHLEEN ]
Mailing: 161 LONDON FOG WAY
SANFORD, FL 32771-7761
Subdivision Name: MAYFAIR OAKS 331930513
Tax Dlstrkt: Sl-SANFORD
Exemptions: 00-HOMESTEAD (2010)
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2016 Working 2015 Certl
Tax Amount without SOH: $2,134.98
2015 Tax Bill Amount $1,504.91
Tax Estimator
Save Our Homes Savings: $630.07
Does NOT INCLUDE Non Ad Valorem Assessments
Values
fled
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 121,500 117,264
Depreciated IXFT Value
Land Value (Market) 32,000 28,000
Land Value Ag
Just/Market Value
153,500 145,264
Portability Adj
Save Our Homes Adj 38,396 30,960
Amendment 1 Ad)
Assessed Value 115,104 114,304
ALAN's ROOFING,wc.
110 Candace Drive Suite 104
Maitland, FL 32751
Please Print
CONTRACT Phone: (407) 774-2158
Co' mmdreial fit Residential Toll Free: (800) 309-5667
Home of the FREE Roof Inspection" Fax: (321) 207-0437
www.alansroofinginc.com
LICENSE NO. CCC046942
4OR110 oDa
NAME VG() COI / n2 PHONEI— y I r O U tr2
DATE
ADDRESS / W t-040h F0 CITY SG'l 1 Uri] ZIP — 17
r s 2 J
SALESMAN l I CONTACT PHONE "(C " / L3
M. HOME OUS
OTHER C CIAL
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JOB # (/%
BRAND AND DESCRIPTION /i! - t
OFPRODUCT (/tc3/'1S lJ/n OQ t el COLOR PITCH `fYZ
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1. PULL A n" CITY OR j ,_--1! , COUNTY PERMIT a ' 33 SQ. RENAIL WOOD
2. TEAR OFF:SQ. OF OLD SHINGLES — SQ. OF FLAT ROOF SQ. OF OLD TILE
3 T 1 LAYER LAYERS frp Arm,,, —PEEL & SEAL
INSTALL: (0 GALV. VALLEY METAL LF (p SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF
5. INSTALL: ALUM. DRIP EDGE LF 01 STEEL DRIP EDGE LF --'PAN FLASHING LF = L. FLASHING LF COLOR
6. INSTALL REPLACE: odd LF OF R.V. PLUGS COLOR
4 Rv FT. VENT SURE
7. REPLACE: 1 1/2 IN. 2 IN. 3 IN. LEAD BOOTS 3 4 IN. GRV'S -- 10 IN GRV'S 1 ELEC. RISER
of STARTER ROLL STARTER STRIPS CIRCLE ONE
9. LAY SQUARE OF 5R NEW FIBERGLASS SHINGLES ILf Wflafts CAP DGE
10. INSTALL: — SM. DEAD VALLEY LG. DEAD VALLEY MODIFIED LIBERTY
11. INSTALL: TPO LAYER OF INSULATION TBAR I SEAM TAPE
12. INSTALL/REPLACE:--2 SFA FIXED GLASS2X2 —'2 X 4 X 4 SKYLIGHTS4 DOMES CM CLASSIC
JL, HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
14. ALL WOODWORK WILL BE EXTRA PER ATTACHED WOOD BILL
o 1
ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT C OICE TO15. CONDUCT ANY OR ALL INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW
16. SPECIAL INSTRUCTIONS
4 nn
D o-
TOTAL CONTRACT AMOUNT
Price is good for 30 days DEPOSIT
CCESS: Customer agrees to allow access to the property and realizes that heavy equipment is being used.
ontractor shall not be liable for, without Imitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and any
rther structures thereof, as a result of rooftop or job deliveries. BALANCE DUE UPON
AMAGE ETC.: Customer shall be responsible for removal, reinstallation and recalibration of satellite dishes Should customer become aware COMPLETIONifdamagetopropertybyContractor, his agents, or employees during the course of installation of the roof, said damage shall be brought to the
ittention of the Contractor prior to the time of payment for the roof in question If Customer fails to no* Contractor of said damage, within 5
vorking days of occurrence, then shall waive all rights against Contractor concerning said damage. Alan's Roofing Is not responsible for roofing nails penetrating A/C lines in the attic. Customer agrees to secure and
irotect their assets including shelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc.
ELAYS, ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the
ontractor and hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof.
AYMENT OF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon completetion of installation. Any amounts unpaid will bear Interest at a rate of 1 12% per month. Contractor shalt
a entitled to all costs of collection including attorneys' few
LIGHT TO CANCEL If this la a Home Solicitation Sale, and if you do not want the goods or services. you may cancel this agreement by providing written notice to the seller In person, by telegram, or by mail. This notice
nust indicate that you do not want the goods or service and must be delivered or postmarked before midnight of the third buslness day after you sign this agreement. If you cancel this agreement, the seller may not keep
ill or part of any cash down payment.
F THIS IS NOT A HOME SOLICITATION CONTRACT. Once it is signed, you are bound to it by the laws of the State of Florida. If in the event you breach or attempt to cancel this contract, the Contractor shall be
intitled to all lost profits from the contract.
1CCEPTANCE PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted.
UI contracts are subject to Alan's Roofing, Inc management approval. Customer agrees to allow Alan's Roofing, Inc.
o use photos, letters of recommendation, sabs s, etc to be used for advertising purposes /
n case arty one or more of the provisions herein shall be Invalid. Illegal or unenforceable in any respect the validity,
egality and enforceability of the remaini rovisions and other ' bon thereof shall not in any way be affected or imparted SALESMAN SIGNATURE
USTOMER SIGNATURE DATE 4T MANAGEMENT APPROVAL
Construction Industries Recovery Fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed under contract, where the
loss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim, contactthe Florida CILB at the following telephone
number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01
iffid
THIS INST UMENT PREPARED BY:
Nerpra: hlr;h' r Ir)hlhYl= 1 11,]iti SEI7IhIF]I_ f= L;OI lha f r
Address: O r zzttz `I EFzK r1F islRt 1flS G0lli:! ?, Otlf'1Fa;l i..E_f'
I I- ; clnQ —E:'K sx;a I-'j 1.790 (IRi
CLERK'S It 7II1,6023188
NOTICE OF COMMENCEMENT `1-'"r GF11. l:i l []F+:i 1 hl(; F t Ei,
State of Florida
County of Seminole
Permit Number: l l 0—
r
l L• I Parcel ID Number: 33 —''l 3 O— 5 13 —COOO OOZO
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
OF PROPERTY: (Legal descri tion of the rope arid street address if available) 117e-"J1G;rd-r C57 19M i 6IS Fs't>7,—v y/
GENERAL DESCRIPTION OF IMPROVEMENT:
1'lOV42L-lt
OWNER
Name: Jc?.3l&" 6 !DI bi-tS
Address: / (A 67dc-n e 6 Fee
Simple Title Holder (if other than owner) 0/
h Address:
5eii-
7AIl-0 EEL 3 L-7 iy
h FL
Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided 4y Section 713.13(1)(b), Florida Statutes. Name:
P Address:
In
addition addition to himself, Owner Designates of To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement (The expiration date 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
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA
STATUTES, AND CAN 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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in It are tru% to
the best f-Cwledgq and belief. er
s Signature er's Printed Name Flonda
Statute 713 13(1)(g) " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead " 9t12
oStateof;
O(f(J<t Countyof g z y
z Theforegoinginstrumentwasacknowledgedbeforemethis 1 day of '- oa LL b ,
I aS'c» j2 S y
i Who Is personally (mown to me a Name
of person making statement r 1
u OR
who has produced Identification type of Identification produced: R u DONNA
WILHELM NOTARY
PUBLIC s
STATE OF FLORIDA cam*
FF149843 s
E Expires si11/2018 0
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7
Date:
do hereby authorize to jl,%j y Avg
pull the permit for l (o` LA," Fo,
Type of Permit Job Addres
Signature
Sri
Personally known to me or driver's license #
State of Florida, County of S -,•,
g4c-A ,20 /6
LEONARD GONZALEZ
MY COMMISSION it EE197491
Sy EXPIRES May 10, 2016
3a2F AS QI V ftonn/nwc smke orrn
on day of g
tv,•:.
City of Sanford
Roof Permit Application Checklist
li
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
U orBuilding Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
al -/ Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
10,XA 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.
LK" Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (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 roofpermit application and'may not be
complete. 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 #: / ( - —) (
I, 4I G ti Fi ,e 1C hereby acknowledge that I personally inspected
Aoof deck nailing and/or Secondary water barrier work
at l (Oi L alt4- .- Fng Gy SC tS_R j 161 and have determined that the work
Job Site Address)
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
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Sectio 83 .06 F.S.
Signature of Contractor Date
Printed Name of Contractor License #
License Type: General Building Residential Q'Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S e r,
Sw n to (or affirmed) and subscribed before me Pis _' day of /'la c , 20 16 , by
kz i, a who is ersonally Known to me or has Produced (type of
l
tslei at'n) as identification.
c (SEAL)
Signature of Notary Public
St of Florida ;""%
c; DAVID T MURAnmi` q sUMYCOMMISSION #FF039243
Print/Type/Stamp Name ''? °f EXPIRES July 24. 2017
of Notary Public (407) 3WO153 FloridallotaryService.com
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