HomeMy WebLinkAbout138 Rock Hill DrECEIVE''\ CITY OF SANFORD
BUILDING & FIRE PREVENTION
` JUN 0 6 2016
PERMIT APPLICATION
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Bti•� Application No: /�7 -
Documented Construction Value: $ 00001 00
Job Address: 3 0 Rock Y/?/ Or ,Sa�ev d FG 3:.7-1 1 Historic District: Yes ❑ No L�
Parcel ID: 33-/?- 3 D -114 - 0000-1 Z/O Residential 2"Commercial ❑
Type of Work: New Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Rew 00-� S 41 n q IC R d o'F
Plan Review Contact Person:,r ll -PI/.. P.
� Title:
Phone: 3 O h - 90 �- f/Fax: Email: AvilG C /'001c'AA Q,W� ev, (_ 0/h
Property Owner Information
Name ')ig_nLX/ ly"n9
Street: 13 b & � #,'/I 1✓r .5on lro cr f1 327)/
City, State Zip: (. '3177/
Phone:
Resident of property?: r>' I
Contractor Information /
Name U 4le r, / //�� ''_//DD Phone: 3g�J1 -73 y -L3 2z
Street: I D1 D t e- Gi R V4Q �n • ElY► vb/crx %N YdAea GOM
City, State Zip: L2C 44n0� /_L 32-7 2 0 State License No.: t_( 1327
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
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. 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. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51" 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
Zund 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 construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
gnature off/Contractor/ ent Date
goid -t
Print Contractor/Agent's Wae
ignature of f Florida Date ,
°�+7':i •; DEBBIE BUWON
MY COMMISSION i FF 178648
' EXPIRES: February 25, 2019
Bonded Thiu Way Public UndewMna
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of 1LY
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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 33-19-30-516-0000-1210
Page 1 of 2
Properly Record Card
� Parcel: 3319.30.516-0000-1210
Owner. NING JEFFREY M b BASS REBECCA L
e Property Address: 138 ROCKHILL DR SANFORD, FL 32771
camel information
Parcel 331930-516-0000-1210
Owner NING JEFFREY M & BASS REBECCA L
Property Address 138 ROCKHILL DR SANFORD, FL 32771
Mailing 126 DUNCAN TRL LONGWOOD, FL 32779
Subdivision Name COUNTRY CLUB PARK PH 2
Tax District St-SANFORD
DOR Use Code 01 -SINGLE FAMILY
Exemptions
Legal Description
LOT 121
COUNTRY CLUB PARK PH 2
PS 54 PGS 22 THRU 24
r— — --
Taxes
Value Summary
Tax Amount without SOH: $3,282.59
2015 Tax Bill Amount $3,282.59
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2016 Working
Values
2015 Certified
Values
Valuation Method
Cost/Market
CostMlarket
Number of Buildings
1
1
Depredated Bldg Value
$145,230
$132,996
Depreciated EXFT Value
$288
$300
Land Value (Market)
$32,000
$28,000
Land Value Ag
$177,426
Schools
Just/Market Value"
$177,518
$161,296
Portability Adj
$100
No
Save Our Homes Adj
$0
$0
Amendment 1 Adj
$92
s0
P&G Adj
$0
$0
Assessed Value
$177,426
$161,296
Tax Amount without SOH: $3,282.59
2015 Tax Bill Amount $3,282.59
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
County Bonds
$177,426
$0
$177,426
SJWM(Saint Johns Water Management)
$177,426
$0
$177,426
County General Fund
$177,426
$0
$177,426
City Sanford
$177,428
$0
$177,426
Schools
$177.5181
$0
$177,518
Sales
Description
Date
Book
Page
Amount
Qualified
Vacnmp
WARRANTY DEED
9/1/2008
07077
1619
$215,000
Yes
Improved
WARRANTY DEED
3/1/2001
04024
1859
$142,500
Yes
Improved
OUIT CLAIM DEED
5/1/2000
03872
1088
$100
No
Improved
SPECIAL WARRANTY DEED
7/1/1999
03689
1 1273
$123,800
Yes
Improved
WARRANTY DEED
4/1/1999
0362
090
1 $23,500
No
Vacam
Find Comparable Sales
Land
Method Frontage Depth Units Units Price
Land Value
LOT 1 $32,000.00
1 $32,000
Building Information
0 I Description I Aur Built re I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Veale I Rept Value I Appendages I
http://parceldetaii.scpafl.org/ParceiDetaiiInfo.aspx?PID=33 l 93051600001210 6/3/2016
J,DjOUBLETROOPII�TG t, `"
L.nnstvpner vaggen
OWNER :r 386-734-9322 Lic. # ccc 1327661
Family Owned and doublecroofing@yahoo.com ;
Operated Since 1978 www.doublecr6ofing.com
* STATE CERTIFIED
PROPOSAL SUBMITTED TO ; r{.
DATE
STREET
JOB LOCATION
/39 Adol
STATE AND ZIP CODE
CITY, STATE AND ZIP CO_< -',D
ESTIMATOR
CELL OR FAX PHONE
WORK PHONE
HOME PHONE
We hereby submit specilicalio n estimates for:
* Reroof entire shingle roof.
* Remove existing shingles consisting of one layer. layer(s).
* Remove existing underlayment down to bare decking.
* Replace any damaged or rotten wood decking for an additional cost of $2.50 a
square/lineal foot. c%leS W40 Anitial).4 ,gl4f1iAloj
* Nail entire roof decking to current building code.
* D Install all new metal drip edge face. (color)
111,11se existing metal drip edge. (r,,,AA)
* 'Install dry -in material consisting of_3 elf adhered r other
* Install new yr. architec ura shingles using six nails per shingle.
* Install all new, stack lead boots. 3" -��_ 2". -%-cad- ► i�S - -
...
* Install ' S/f • - . L.F. of under the cap ridgevent ventilation system.
* Install 4' off ridgevent ventilation. color.
* Apply roofing cement on all roof edges, flashing, pipe stack, and vents.
* Haul away -trash and debris pertaining to roof.
* Includes 5 year workmanship guarantee. ,
* Includes reroof permit. -
Optional upgrades Special Instructions:
O. Skylights Roof color. ; .. .
O 'Suntubes
�_ if_etrme manufactures warranty on shingles... .
O Chimney cricket
O Solar power attic. fans
O Squirrel cages
0 Specific brand name of shingles
We Propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
dollars
-Payment 4^-�i� I` RF=FLINDABLE-DE Cl& —
to be
made
asfolloWs:
BALANCE IN FULL UPON COMPLE I N
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner Authorized '
according to standard practices. Any alteration or deviation from above specifications involving Signature
extra cost will be executed only upon written orders, and will become an extra charge over and '
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
contiol. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note: This proposal may be
O days
covered by Workman's Compensation Insurance. withdrawn by us it not accepted within
Acceptance of proposal • The above prices, specifications and conditions are
satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will
be made as outlined above.
Date of Acoeplance
Signature
Signature
JPermit Number:
Folio/Parcel ID #: 3 3 - % - "'D 51 - 00W - /'3. /
Prepared by: r l-
ol /
De- G.4 het, W, 7 2 O
Return to: `, "
1111111111111111111111111111111111111111
MARYANNE MORSEr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & C011PTROLLER
BK 8701 Pe 1388 QP9s)
CLERK'S ` 2016058239
RECORDED 06/06/201.6 02:26:42 PH
REC01 ;ZING FEES 81f!.i10
RECORDED BY jeckenro
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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.
1. Description of property (leggal description of the property, and street address if available)
L07/2l CovAXry I''/�6 /lad< P// ? A4 SNPIx.1r 3277/
2.
of improvement
3. Owner information or Lessee information if the Lessee
Name_ _ 1��cy r
4
improvement
Interest in Property (TJ cone r -
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
Contractor/�
Name o -41-C, ef gso.,K"Id Telephone Number Shf-%3y-93.22-
5. Surety (if
Name__
6. Lender
Telephone Number
Amount of Bond $
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as pr vided by §713.13(1)(a)7, Florida Statutes.
Name / Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name 44 4u Telephone Number
Address IVIII
9. Expiration date of notice of commenceme t (the expiration date will be 1 year from the date of recording
unless a different date is specified) /I7Onf�i S
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.
Signa re of,114pelressee, or Owner's or Lessee's Authorized Officer/Dir r/Partner/Manager Signatory's 4itle/O Celt-- `,.t^�': 1
The foregoing instrument was acknowledged before me this day of Tw- 204 by
in-onthtyear name of pbrson �k...-
as for
Type of authority, e.g., officer, trustee, attorney in fact
Signal Notary Ptift - State of Florida /
Personally Known OR Produged ID 1/
Type of ID Produced �/'iw..l �-/Cense
Form content revised: 01/23/14
Name of party on behalf of whom instrument was executed
�o
a
z� a
Print, type, or stamp commissioned name of Notary PN 9
ELYSHIAIIAGGETr
MY COMMISSION I FF 040463
EXPIRES: August 10, 2017
W
Soeded TIw Notary Public Uedenriew
a�
m
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address O Y ROC, 1Y11// A ,<onl ord Ft 32,-77
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.floridabuilding.ogq.
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 Manufacturer Product Florida Approval #
Description include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
.3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
er ►'
u
Underla ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
.5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. 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 Signature
Applicant's Name
(Please Print)
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: lD /5
I, �Olel- 9 hereby acknowledge that I personally inspected
0 Roof deck nailing and/or 0 Secondary water barrier work
at L.� P PDCk9"j/ ,or, 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 83 .06 F.S.
'Signature of Contrac Date
Printed Name of Contra6t-OrW License #
License Type: 0 General 0 Building 0 Residential xo"O'fing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 0 rah.
S orn to (or affirmed) and subscribed before me t1fis q day of 76vl e- , 20 1( , by
►'t5411,a.-CSe, , who is 0 Personally Known to me or has 0 Produced (type of
ntific ion F1, Dt_ as identification.
(SEAL)
Signature of of ry Public
State of Florida
BRENDA NAPMAN
:. COMMISSION I FF 170099
Print/Type/Stamp Name EXPIRES: February 14.2019
of Notary Public ? h' BondedThni/cla'vPuakUnderwrken
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