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Home My WebLink About137 Bob Thomas Cir (2)s C; f g;.", CITY OF SANFORD BUILDING & FIRE PREVENTION �j JUN 13 2016 i PERMIT APPLICATION BY:� Application No: fao Documented Construction Value: $ �l �? U 0,0 O Job Address: \o Tq OT A -t ( Historic District: Yes ❑ No)D Parcel 1D: I UIn Residential P Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: }g e `ac r -s, Sh -i n j p 4,) SAalt n g,, I c Plan Review Contact Person: 0 h r ; S Vn iA �De �. ��rn Title: 1) LA) in P -r Phone: 6V(P-SS04-a(flFax: Email:P VanJPi1Sul' 6)VA InaQeu�_1 Property Owner Information �� ^ S • e or-� Name USA Re clrou4tg E1., -nd LI.L Phone: Street: V) &I S :5W 1 n7 rrvrn't nom- Or% '(73 Resident of property? : Q 0 City, State Zip: MAC,, OR Contractor Information Nameyra n QUA Std ►, R oJ�^t nel Phone:,'ho -%0'-4- a (.o aV Street: �1�Vo, � eyt c t a C 't (- Fax: City, State Zip: 3b 9-9 CK 31-113 State License No.: e(Ie ( 310 ()tl (o 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 a permit to do the work and installations as indicated. 1 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. 1 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: 511 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 founa 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 ]CC 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 construction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date �J 1/, 11 3--7- 6 Signature of Contractor/Agent Date CNRtt VP r.+ Q,C- IJ Print Contractor/Agent's Name /(0 JACQUELYN GORMAN MY COMMISSION 0 FF96MOT EXPIRES February 11. 2020 Owner/Agent is Personally Known to Me or Contractor/Agent}'s Personally Known to Me or Produced ID Type of ID Produced ID J Type of MrDL 1LS Lt CQ1XSP BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: lune 30, 2015 Permit Application 2!912016 Oovld "of-3or+. • PROPERTY SENIWOLE OOUMY. FLORIDA Parcel: 35-19-30.5350000-1060 SCPA Parcel View: 35-1330-515-0000-1060 Property Record Card Parcel: 35-19-30-515-0000-1060 Owner: USA REGROWTH FUND LL( Property Address: 137 BOB THOMAS CIR�SA Property Address: 137 BOB THOMAS CIR Ovhnrer. USA REGROWTH FUND LLC Mailing: 17675 SW FARMINGTON RD #473 ALOHA, OR 97007 - Subdivision Name: ACADEMY MANOR UNIT 01 Taxptio Sl-SANFORD ExemptJons:s: A, DOR Use Code: 01 -SINGLE FAMILY —B08=h��As Gts{/ 07 6*' r Ln"=? Legal Description LOT 106 ACADEMY MANOR UNIT 1 PB 13 PG 93 Taxes FL 32771 Tax Amount without SOH: $636.58 2015 Tax Big Amount $636.58 Tax Estimator Save Our Homes Savings: aD.00 ' Does NOT INCLUDE Nan Ad Valorem Assesirnehts Taxing Authority 2016 Working Values 2015 Certifled Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $21,824 $21,779 Depreciated EXFT Value $31,324 $D Land Value (Market) =91500 $9,50D Land Value Ag $31,324 County Bonds Just/Mar(et Value ** $31,324 $31,279 Portability Adj $100 No Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 Assawd Value $31,324 $31,279 Tax Amount without SOH: $636.58 2015 Tax Big Amount $636.58 Tax Estimator Save Our Homes Savings: aD.00 ' Does NOT INCLUDE Nan Ad Valorem Assesirnehts Taxing Authority Assessment Value Exempt Values Taxable Value Page County General Fund :.31,324 $D $31,324 Schools $31,324 $0 $31,324 City Sanford $31,324 $D $31,324 SJWM(Saint Johns Water Management) $31,324 $0 $31,324 County Bonds $31,324 50 $31,324 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 12/1/2015 08597 0431 $38,81%) No Improved WARRANTY DEED 12/1/2015 08597 0432 $49,00D Yes Improved SPECIAL WARRANTY DEED 4/1/2014 08364 0960 $100 No Improved QUIT CLAIM DEED 1/1/2014 08194 0588 $100 No Improved SPECIAL WARRANTY DEED 2/1/2013 08108 1503 $100 No Improved CERTIFICATE OF TITLE 2/1/2013 07973 0477 $100 No Improved WARRANTY DEED 3/1/2005 05663 1753 $89,900 Yes Improved WARRANTY DEED 3/1/2000 03831 1096 $6 000 Yes Improved WARRANTY DEED 11/1/1999 03758 0428 $20,000 No Improved CERTIFICATE OF TITLE 9/1/1999 03719 0765 $100 No Improved I Fled Comparable Sales within this Subdivision Mtp•J/wwwscpafl.org(ParcelDetaillnfo.aspo(?PID=35193051500001060 1/2 s Customw wee Q 5 Monts So 3 30 �i 81,17 ■ s - 13� •SAN f cu a c, Std: f 30 CoIda: 3z-7 7 -7 1 - Tw 81s�aofPa�aa�de�,?rs + ti2��aE�1dP�o �! II��ac�orrfmtst�5dt9mmoIm deaftbibsoear sa momom 92 . irn�ibtfl5�tfldE, � Rfl�-OV@F: �►a�SsaDt�staa#�iab,�sar��h��nbiD�3�1�. r ' of p l - 41 Itlb$fl8: Its �. AFz�� Twac "45 Pc rt sac�r c�Ac LA 4a�C PE�ir�T ��J S�4c�IvN S 1-IwwOcCJ Qy t!cN :��c:zv� N q W -De-. P Coit C -T . ��'IiitO`t8 30�ofon. MARYANNE MORSE, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8673 P9 1211 QP9s) ' THIS INSTRUMENT PREPARED BY: CLERK'S i 2016041621 Nsmo: Tonya,=&Mn - RECORDED 1)4/21/2016 01:51:34 PI1 Address: Detlary, 1-# 327 13 Tr°� RECUkDING FEES $10.00 RECORDED BY hdevore NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: 35-19-30-515-0000-1060 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter p7113. Florida Statutes. the following Information is provided In this Notice of Commencement LO 11Ub ACaademy an�r U�llt 1 dp�n of the property and street address if available) 00 1 homaS ur, bantord, 1-1 JZ(fl CPNER.A DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name: USA Regrowth Fund LLC Address: 17675 SW Farmington Rd #473 Aloha Oregon 97007 Fee Simple Title Holder (it other than owner) Name Address: CONTRACTOR: Name: Van Deusen Roofing Address: 11 Valencia Cir DeBary F132713 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address. In addition to himself. Owner Designates of To receive a copy of the Lienors Nolte as Provided In Section 713.13(t)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a different data 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, I declare that I have read the foregoing and that the facts stated In It are true to the b at of my knowledge and belief. fs 8"tws Ormoes Pmtod Nsmo Flutd s 713.13(1 )(e): - The owrw moil s4r, Uro notics of cormwoement end no one eke may be pormM W to Won m his or her stood' state of (N, �- county of 1 The foregoing In"gument was acknowledged before me A ii day of n (A ITk- - Who Is personally known to me Nems of person ffa" eueemerq OR who hl produced Identification ❑ type of Identification produced: OFFICIAL STAMP 'try l l r PAMELA J LOWS NOTARY PUBLIC - OREGON !� COMMISSION NO. 932995 MY COMMISSION EXPIRES OCTOBER 08, 2018 CERflFIED COPY_ MARYANNE MORSE CLERK OF THFjMkkff C(/p"AND t Articles of Organization Secretary of State Registry Number. 877154-97 Corporation Division Type: DOMESTIC LIMITED LIABILITY COMPANY 255 Capitol Street NE, Suite 151 FILED Salem, OR 97310-1327 Phone:(503)986-2200 Aug 21, 2012 Fax:(503)378-4381 OREGON www.Minginoregon.com SECRETARY OF STATE 1) ENTITY NAME USA REGROWTH FUND LLC 2) DESCRIPTION OF BUSINESS 4) NAME & ADDRESS OF REGISTERED AGENT 531390 - Activities Related to Real Estate, Other jay hinrichs 22582 sw main st 309 3) MAILING ADDRESS Sherwood, OR 97140 17675 sw Farmington Rd $473 USA Aloha, OR 97007 USA 5) ORGANIZERS Jay hinrichs 22582 sw main st 309 Sherwood OR 97140 USA Authorized Signer jay hinrichs 6) DURATION perpetual 7) MANAGEMENT This Limited Liability Company will be manager -managed by one or more managers. 8) PROFESSIONAL SERVICES None 9) OPTIONAL PROVISIONS The company elects to Indemnify Its members, managers, employees, agents for liability and related expenses under ORS 63.160. By my signature, I declare as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document Is against the law and may be penalized by fines, Imprisonment, or both. By typing my name in the electronic signature field, I am agreeing to conduct business electronically with the State of Oregon. I understand that transactions and/or signatures In records may not be denied legal effect solely because they are conducted, executed, or prepared In electronic form and that It a law requires a record or signature to be In writing, an electronic record or signature satisfies that requirement. 10) ELECTRONIC SIGNATURES Jay hinrichs \11) CONTACT NAME. DAYTIME PHONE NUMBER \fav hinrichs----" 503-789-2451 Report Printed: 08/23/2012 10:28 AM Page 1 'of 1 City of Sanford Roof Permit 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: O Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. O Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). O 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. O 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 Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. 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 #: 16 16 S 6 VC1. 42? hereby acknowledge that I personally inspected 31R0of deck nailing and/or C7 Secondary water barrier work at l 3 _7 __F� tj b Thpyyn& S C '. r 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 Section 37.06 F.S. 2 S-1- L6 Signature of Contractor Date Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential Y'. Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF J0 I U s I Q Sworn to (or affirmed) and subscribed before me this'144" day of PACt#C A, 20 1 (o , by n Dh�l cin o c�,,m , who is 0 Personally Known to me or has Produced (type of 17fi=n" n) nv s - as identification. (SEAL) ature of Notary Public a of Florida Name of Notary Public FAM"053 ACQUELYN GORMAN MY COMMISSION 0 FF960067 EXPIRES February 11.2020 F1w4Mcz-V3W co car 3