HomeMy WebLinkAbout121 Golfoide Cir' RECEIVOID
CITY OF SANFORD
BUILDING & FIRE PREVENTION
JUN Y R 1016 PERMIT APPLICATION
F � �
BY' Application No: 1 6- I
F
Documented Construction Value: $ ay P)
Job Address: a 1 G(A ke Q.�.rc,_ Historic District: Yes ❑ No ❑
Parcel 1 D: Residential."Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: k -C cwyz S (Z-0- 's4c- &t'Z_e
Plan Review Contact Person-rT �u.��.� Title:
Phone: -1a7-6225 �jY4y Fax: Email: -t th-6��04 gK���(�,1a►��;
Property Owner Information
Name 0iosy�ni ��rc�eY1S� Phone: 3kre-?`i.9•33�`%
Street: 1a L (�o\ �st,-«-U Resident of property? :
City, State Zip: St.vkSAc �L re- Z>,4 7 -73
Contractor Information
Name p ZMdaws & Doors
Street: 350 W State Rood 434
FE 32750
City, State Zip:
Phone: -7X7-617-100
Fax:
State License No.: QZGOy GZ t a-
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
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 it permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of it 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.
Jf
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Revised: June 30. 2015 Permit Appliciiion ���
or
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 pen -nit 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 construction and coning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
;/-Z1 s 31-7-1 cP
Signature of Contractor/Agent Date
--E, %P, b` �\ c -Au
Print Contractor/Agent's Name
s-a�a i;P
Date
��..� •.
fo.- 4�•:.
MARYLOU SE$AK
•
My COMMISSION #t FF 146073
Pi
�..•�;,nd;{
EXPIRES July 29, 2018
(407) 398-0153
FtoridallotaryServiCe.com
Contractor/Agent is _�,X Personally Known to Me or
Produced I D Type of I D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes[] No ❑ # of Heads
APPROVALS: ZONING:(' LUTILITIES:
COMMENTS:
ENGINEERING:
v
S i--7 e t� 1 2Q
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30. 2015 Permit Application
property Record Card
JUN
q 9 c
RO Parcel: Oil-20-30-513-0000-D�70 JUN Y i 2��6
OariO bMson. CFA
A %=R Ownor: BORDENGA GIOVANNI 5 BY: I
:a.n•.rrcr,l.00irttv,l-i.ty�uA Property Address: 121 GOLFSIDE CIR SANFORD FL 32773
Parcel Information Value Summary
Parcel 04-20-30-513-0000-0270 2016 Working 2015 Certified
Values Values
Owner, BORDENGA GIOVANNI S -
Valuation Method Cost/Market Cost/Market
Property Address 121 GOLFSIDE CIR SANFORD, FL 32773
1
Mailing 121 GOLFSIDE CIR SANFORD, FL 32773 Number of Buildings 1
Depreciated Bldg Value $153,141 $147,963
Subdivision Name MAYFAIR CLUB PH 1
Depreciated EXFT Value
Tax Distract S7-SANFORD Land Value (Market) $25,000 $25,000
DOR Use Code 01 -SINGLE FAMILY Land Value Ag
Exemptions 00-HOMESTEAD(2013) JUSUMorkelValue" $178.141 $172,963
Portability Adj
Save Our Homes Adj $47,003 $42.737
+ 55 55 55 - 45.56 Amendment 1 Adj
I I a P&G Adj $0 $0
Assessed Value $131,138 $130.226 1
ET
,Tax Amount without SOH: $2,698.69
11 + 2015 Tax B.11 Amount $1,828.94
a rax. Estimator
j Save Our Homes Savings: $869.75
Does NOT INCLUDE Non Ad Valorem Assessments
55 55 55 _ _5_5 g 55
Seminole County GIS
inn � inn ,,.,,
Legal Description
LOT 27
MAYFAIR CLUB PH 1
PB 53 PGS 788
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $131,138 $50,000 $81,138
Schools $131.138 $25,000 $106.138
City Sanford $131,138 $50,000 $81,138
SJWM(Saint Johns Water Management) $131,138 $50.000 $81,138
County Bonds $131,138 $50,000 $81,138
Sales
Description Date Book Page Amount Qualified Vactimp
WARRANTYDEED 11/1/2012 07911 0078 $125,000 No Improved
SPECIAL WARRANTY DEED 11/1/1998 03529 076c, $123,700 Yes Improved
Land
Method Frontage Depth Units Units Price Land Value
- -- - --- - - -- -- - - - - - - --- - -- - - - --- - --- - - - ---- — ------------ - --- --- -- - — — --------
LOT 1 $25,000.00 $25,000
Building Information
Is Ded/Bath count incorrect? Click Here.
# Description Year Built : Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1998 9 i �.5 1,232 2,748 2.336 CB/STUCCO $153,141 - $163,787 Description TArea
FAMILY FINISH _- - _-
Contract - Detailed
Pella Window and Door Showroom of Longwood
® 350 West State Road 434
Longwood, FL 32750
Phone: (407) 831-0600 Fax: (407) 937-3282
Sales Rep Name: Piper, Benjamin
Sales Rep Phone: 386-316-5384
Sales Rep Fax:
Sales Rep E -Mail: piperbj@Pella.com
Customer Information
Project/Delivery Address
Order Information
Giovanni Bordenga
Bordenga,Giovanni,1726506
Quote Name: Bordenga,Giovanni,1726506
121 Golfside Cir
121 Golfside Cir
Order Number: 7216BPE5F
SANFORD, FL 32773-4766
Lot #
Quote Number: 7882419
Primary Phone: (386) 7483364
Sanford, FL 32773-4766
Order Type: Installed Sales
Mobile Phone:
County:
Wall Depth:
Fax Number:
Owner Name:
Payment Terms: WF 1015-12 months
E -Mail: johngio2@bellsouth.net
Giovanni Bordenga
Tax Code: CAP IMP 2
Contact Name:
Owner Phone: (386) 7483364
Cust Delivery Date: 07/28/2016
Quoted Date: 5/21/2016
Great Plains #: 1003767710
Contracted Date: 5/21/2016
Customer Number: 1007898381
Booked Date: 5/27/2016
Customer Account: 1003767710W'
Customer PO #:
Line # Location: Attributes
10 None Assigned ADDPRRMCOR020001 - Delivery & Disposal
Qty
1
For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pella.com
Printed on 6/7/2016 Contract - Detailed Dona ' ^�
Customer Giovanni Bordenga Project Name: Bordenga,Giovenni,1726506 Order Number. 72168PE51' Quote Number. 7882419
between the product(s) ordered and the product(s) delivered. If the Buyer(s) does not provide notice within the 7 -day period, the Buyer(s) waives any rights of
rejection and accepts the product(s) as is.
ARTICLE 14 - MISCELLANEOUS PROVISIONS. Seller offers this service and products, and Buyer(s) accepts them, subject to the foregoing conditions of sale and
limitations of warranty and liability, which may be modified only by written contract signed by a duly authorized representative of Seller. This Contract contains
the entire understanding of the parties concerning the subject matter hereof and supersedes all previous. understandings relating thereto, whether oral or
written. If any one or more of the provisions of this Contract shall be held to be invalid, illegal, or unenforceable, the validity, legality, and enforceability of the
remaining provisions of the Contract shall not be affected. Buyer(s) may not assign this Contract, in whole or in part, without prior written consent of Seller. This
Contract shall be governed by and construed in accordance with the laws of the state of Florida. Buyer(s) also agrees that jurisdiction and venue for said legal
action shall be in Seminole County, Florida or in the county where the product is delivered at Seller's election. Buyer(s) waives its right to a trial by jury on any
claim or dispute between the parties.
_t� Project Checklist has been reviewed
Customer Name (Please print)
1-4ULlidmer Slgn e
16 ?.t -1(a
Date
Credit Card Approval Signature
Pella Sales Re—p Neme'� (Please pent)
Pella Sales Rep Signature
:J' -,I- l JI --lir
Date
Order Totals
Taxable Subtotal
$1,333.12
Sales Tax @ 0%
$0.00
Non-taxable Subtotal
$1,149.8
Total
$2,483.00
Deposit Received
$0.00
[Amount Due
$2,483.00
C
For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pelia.com
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For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pelia.com
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HWINDOWS &DOORS
C, ED
JUN 13 2016
350 State Road 434 W
Longwood, Florida 32750
BY - 407 831 0600
FAX: 407 339 7742
Authorization Letter / Power of Attorney
I, James Samuel Rowland, do hereby authorize the following persons to act as agents on
behalf of myself and Pella Windows & Doors to pull and sign for any permits submitted
under my Florida State contractor License number CBC046712.
Authorized Persons:
Brian Kirby
Timothy O'Malley
Christine O'Malley
Erick DeDios
Aaron Hallich
Don Kirby
Joseph Orozco
Martin Sterling
John Christianson
Charles O'Neil
Eilonora Morejon
Owner: Giovanni Bordenga
Regards, Address: 121 Golfside Circle
Sanford, FL 32773
04gee-s S el Rowland
Qualifier CBC046712
Pella Windows & Doors
STATE OF FLORIDA
COUNTY OF LAKE
M
The foregoing instrument was acknowledged before me thiso�7 day of \' `°` , 201 (
by JAMES SAMUEL ROWLAND, who is personally known to me.
Notary Public
�""', I,,, 'S,s -,�
Print Name
My commission expires:
(SeaW9D
YLOU SEZAK
MAR #FF146073
MY COMMISSIONJuly 29. 2018
EXPIRES
SBrvice.comFjofidallotary
VIEWED TO BE THE BEST"
F ' ` ' D. JUN 13 2016
FNM . __ 3 BY:
City of Sanford
Doors - Windows Application Checklist
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:
All permit applications must be complete prior to acceptance. A complete application shall include the
following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
OA?�* Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
e a., A 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.
01-1/P 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).
O 1--rp- Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
Two (2) copies of the floor plan indicating size, type and location of windows/doors.
Completed and signed Statewide Product Approval Specification Form.
Two (2) copies of the manufacturer's installation instructions.
These guidelines were compiled to assist the applicant in preparing a windows / doors permit application and
may not be complete. The applicant is required to meet all City of Sanford, state, and federal code
requirements.
Revised: February 2015
RECORD COPY
RECEIVED
City of Sanford JUN 13 2016
Building and Fire Preventio Y�
Product Appro6va,.,*2-cification Form
REVIEWED FOR CODE COMPUANCE
Permit##16- 1 644 PIANSCEMMINER
DATE
Project Location Address 1 -� I 60110e C.0
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuildinQ.orci.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory I Manufacturer I Product I Florida Approval #
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hun
Fixed
Awning
LICENSE TO PROCE WITH THE WORK AND NOT Ab
AL-FER 9R 86T -
CVISIONS OF THE TECHNICAL
CODES, NOR SHALL I SUANCE OF A
REQUIRING A COR ECTION OF ERRORS IN PLANS,
Pass Through
CONSTR
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014 1
Category/ Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
T. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signatures'
Applicant's Name
(Please Print)
June 2014
Customer: Giovanni Bordenga Project Name: Bordenga,Giovanni,1726506 Order Number: 7216BPE5F Quote Number: 7882419
Line # Location: Attributes
15 None Assigned AODPRRMCOR020004 - Permit Fee - CBC 046712
Qty
1
Line # Location:
. .. • • - rlbu es .
20 Patio boor Vinyl Windows I Doors By Pella, Double Sliding Door Vent Right I Fixed, 70.75 X 95.5, City
White 1
,n1: 7296 Vent Right / Fixed Double Sliding Door
Frame Size: 70 314 X 95 112
PK # General Information: Standard, Vinyl, Nail Fin With Mullion Groove, 4 1/2", 1 7/16„, 3 1/16”
Exterior Color/ Finish: White
70 75 795 Interior Color / Finish: White
Glass: Insulated Tempered Low -E SunDefense"' Low -E Insulating Glass Argon Non High Altitude
Vievred From Exterior Hardware Options: While, While
Screen: Sliding Screen, Premium
Unit Accessories: No Accessory Option
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim, Factory Applied, Pella Recommended Clearance, Perimeter Length = 333", Glazing Pressure =
160.
Rough Opening: 71.-1/4;-X - 3/4'
Customer Notes/ 14010.3
+/-50
QUOMATMCOM010002 - Vinyl Flat Trim 1-3/4 in (LF) Qty 22
QUOMATMCOM030010 - Vinyl Framo Expander (LF) (EXCLUDING CURVE TOP Qly 22
UNITS)
INSTARMCOR020018 - 2 -Panel Non -Wood Patio Door Qty 1
For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pella.com
Printed on 617/2016 Contract - Detailed Page 2 of 11
REQUIRED INSPECTION SEQUENCE
BP# 14-11-44 Address: 17-A
BFJIL• mKG PERMIT
bum Max Inspection IIDescri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mbno Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building Other
REVISED: June 2014
(ELECTRICAL PERMIT
hen Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
l�llin Max Inspection IIDescri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
MECHANICAL PERMIT
min Max IIns action Description
Mechanical Rough
Mechanical Final
Min Ii7laA Inspection Description
Gas Underground
Gas Rough
Gas Final