HomeMy WebLinkAbout805 E 20 StCITY OF SANFORD
BUILDING & FIRE PREVENTION
AUG 15 2p16 -
PERMIT APPLICATION
1 Application No:
Documented Construction Value: $j"7yy Job
Address: PO2; C p'" j _ fja-f& , `, ' ° Historic District: Yes No Parcel
ID: !S, I . \41 .12A 61Q-.Q0g) A Residential Commercial Type
of Work: New Addition „ Alteration Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Fax:
Title:
y'N Email:
Property
Owner Information Name
V0 e_u) Street:'_..
n t.e City,
State Zip: Phone:
qc-- Cl pato Resident
of property? : Contractor
Information Name
Im++ eVr, o\; tilPrr z kcA,- Phone: c 3 Street:
l`f• "S Nr N C,!S- Fax: City,
State Zip:'Gs State License No.: 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. 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: 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
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 construction and zoning.
kg-rb of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
E t ia;,s
Signature of Notary -State of Florida Date
c`k1kY a° P. ELAINE BROEKER
MY COMMISSION # FF 963471
EXPIRES: M 3 2020
F f l P Bonded Pru et Notery Services
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Ztr
Print Contractor/Agent's Name
Qa,&
Signature of Notary -State of Florida Date
P. ELAINE SROEKER
MY COMMISSION # FF 963471
EXPIRES: March 3, 2020Ni
t"t 000l SdedW NU budget Notary Services
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: 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: FIRE: BUILDING:
CONUMENTS:
Revised: June 30, 2015 Permit Application
j
Property Record Card
Parcel: 31-19-31-512-0000-024A
Owner: MATTHEW WEST LLC TRUSTEE FBO
s.eCtx,mrry
Property Address: 805 E 20TH ST SANFORD, FL 32771
Parcel Information Value Summary
Parcel 31-19-31-512-0000-024A _-._. .-__-____ 2016 Working 2015 Certified
I Values Values
Owner MATTHEW WEST LLC TRUSTEE FBO J _
Valuation Method Cost/Market Cost/Market
Property Address 805 E 20TH ST SANFORD, FL 32771
Mailing 2908 LAKEVIEW DR FERN PARK, FL
Number of Buildings 1 1
32730-
Depreciated Bldg Value I $53 561 $52 690
Subdivision Name MAGNOLIA HEIGHTS
Depreciated EXFT Value $1 200 $1 200
Land Value (Market) $9,918 $9,918
Tax District S1-SANFORD
DOR Use Code
Exemptions-----
01-SINGLE FAMILY
and ValueAg
Legal Description
LOT 24 (LESS W 10 FT & E 16 FT)
MAGNOLIA HEIGHTS
APB 5 PG 76
Taxes
Taxing Authority
v
Assessment Value Exempt Values _ Taxable Value
County Bonds $64,679 $0 R $64,679
SJWM(SamtJohns Water Management) $64,679 $0 € $64,679
County General Fund 64,679 $0 $64,679
0 $64 679CitySanford $64 679
Schools — „ - ,---------------
Sales _- $
64,679 - - $0 $64,6_9
Description -- Date Boo, k Page Amount _,•- -_., Qualified Y
Vac/Imp
WARRANTYDEED 1/1/2016 0886-26------ j 0689 $52000 No Improvedi,_.__ .-.. , , -__, __ ..._______..__
WARRANTY DEED 2/1 /2008 06944 1516 $140 000 Yes Improved
I
I WARRANTYDEED 5/1/2003 04850 1096 $100) No Improved
WARRANTY DEED 7/1/1980 01290 0757 $900 j_No------------- Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH j 44.00 138.00 0 $230.00 $9,918
Building Information
Is Bed/Bath count incorrect? Click Here.
Year Built _.
till! 0,111 11M H1111 11M 11111 ill"I IN
THIS I STRUM PNTP IR Q BYc
Narne: tl^ 1
Address: I
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 31 -19-31 -512-0000-024A
it ji Ili_)I I Ifi.tflt' L.. Ilfi I
1,41,E
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: (Legal description of the property and street address if available)
805 E 20TH ST SANFORD, FL 32771
LOT 24 (LESS W 10 FT & E 16 FT) MAGNOLIA HEIGHTS
PLAT BOOK 5 PAGE 76
2. GENERAL DESCRIPPON OF IMPROVEMENT:
3. OWNER INFORMATION CIR LESSEE INFOR ATION F THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: VY111,C.1A,!,N-N-e-,—
Interest in
Fee Simple Title Holder (if other than owner listed above) Name: Matthew West LLC
Address: 2908 Lakeview Dr-, Fern Park, FL 32730
4. CONTRACTOR: Na
Address:
American Homes Roofi
5. SURETY (If applicable, a copy of the payment bond is attached): Na
6. LENDER: Name:
Address:
Phone Number: 407-814-4458
Phone Number:
Amount of Bond:
7. 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)(a)7., Florida Statutes.
Name:
Address:
8. In addition, Owner designates
Phone Number:
M
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 ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
Signature of Owner or Lessee, or Owner's or Lessee's
Authorized OffceriDirector/Partner/Manager)
Matthew West
Pent Name and Provide Signatory's Title/Office)
State of Y of 1 t• ,,, =; Y-) f i, Count
The foregoing instrument was acknowledged before me this I day of l _t t. 20
by t J ..; `1 :-b%ot ` Who is personally known to me O OR
Name of person making statement ; •.„.,._
who has produced identificationtype of identification produced:
et l,tl ri I'}
1t
i5-
PAULA CROBELSKI
Notaty Public State of FloridaCommission # FF 226552
o ' My Comm Expires May 4, 2019 y/$- Cf• Ft '
91f
Illll tt 1AU11 r
yap•^ --
NotarySignature yp T rnWpY—MARYANNEMORSE
CLERK OF
THE RC COUfND SEMFNOLE CO `
DEPUTY CLERK
BY
8/11/2016 Estimate 0000047 from American Homes Roofing Inc. RC29027427
American Homes Roofing Inc. RC29027427
1465 Grove St' Apopka,Fl 32703
Matt West
805 E 20 th Sanford,Fl 32771
ESTIMATE
Estimate # 0000047
Estimate Date 08/11/2016
Item DescriptionUnit Price Quantity Amount Reroof
tear off old replaced with new 30 yr shingles. NOTES:
Owner Q Y ax CONTRACT="C1-ea ZCQP6fl http:/
twww.ayriax.com/printEstimate.php 1/1
a44 JLCity of Sanford
AUG 1 5 2016 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:
CQ" Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
CAN 1 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
N/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.
1``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 roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
6124/2015 Florida Building Code Online
1
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i BCIS Home Log In User Registration i Hot Topics j Submit Surcharge ? Stats & Facts ( Publications FBC Staff i BCIS Site Map i Links j Search
Business ss r
Professional Product icUserApprf Product
Approval Menu > Product or Application Search > Application List > Application Dena 2,
1 FL5444-R7 sEt - FL # Application
Type Revision Code
Version 2010 Application
Status Approved Comments
Archived
Product
Manufacturer Address/
Phone/Email Authorized
Signature Technical
Representative Address/
Phone/Email Quality
Assurance Representative Address/
Phone/Email Category
Subcategory
Compliance
Method CertainTeed
Corporation -Roofing 18
Moores Road Malvern,
PA 19355 610)
651-5847 mark.
d.harner@saint-gobain.com Mark
Harrier mark.
d.harner@saint-gobain.com Steven
Lawrey 1400
Union Meeting Road Blue
Bell, PA 19422 215)
274-2425 Steven.
T.Lawrey@saint-gobain.com Roofing
Asphalt
Shingles r
Evaluation
Report from a Florida Registered Architect or a Ucensed Florida
Professional Engineer Evaluation
Report - Hardcopy Received Florida
Engineer or Architect Name who developed Robert Nieminen the
Evaluation Report Florida
Ucense PE-59166 Quality
Assurance Entity UL LLC Quality
Assurance Contract Expiration Date 07/03/2017 Validated
By John W. Knezevich, PE Validation
Checklist - Hardcopy Received Certificate
of Independence FL5444 R7 COI 2014 04 COI Nieminen.pdf Referenced
Standard and Year (of Standard) Standard Year ASTM
D3161, Class F 2006 ASTM
D3462 2007 ASTM
D7158, Class H 2O07 Equivalence
of Product Standards Certified
By Sections
from the Code x/
pr app dN.aspx?param=wGEVXQwtDgtah1g07CSsoycOrl28CcpCyphighHeUzk%3d 112
6124/2015, Florida Building Code Online
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Date Revised
Summary of Products
Method 1 Option D
04/29/2014
05/05/2014
05/07/2014
06/23/2014
03/16/2015
FL # Model, Number or Name Description
5444.1 CertainTeed Asphalt Roofing 3-tab, 4-tab, strip (no -cut-outs), laminated and architectural
Shingles asphalt roof shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5444 R7 H 2014 05 FINAL ER CERTAINTEED Asphalt
Shingle FL5444-R7.odfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER Section 5 for Limits of Use Evaluation Reports
FL5444 R7 AE 2014 05 FINAL ER CERTAINTEED Asphalt
Shingle FL5444-R7.odf
Created by Independent Third Party: Yes
Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-497-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section
455.275(1), Florida Statutes, effective October 1, 201Z licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have
one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a
personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter
455, F.S., please didc here .
Product Approval Accepts:
hftps:i floridabuilding.orgtprlpr appdtl.aspx?param=wGEVXQwtDgtahlgO7CSsoycOrl2BCcpCyphighHeUzk%3d 212
r
CITY, OFSANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:I (.p coy OQ d} (
I, yea Cl-z''e a6 - hereby acknowledge that I personally inspected
RKoof deck nailing and/or Secondary water barrier work
at, 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 837.06 F.S.
A?
Signature of Contractor Dat
Printed Name of Contractor License #
License Type: General Building Residential @'Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S 4 m' no L -2.
Sworn to (or affirmed) and subscribed before me this Wh day of (emu GUAJ , 20 160 , by
M ` C kaPI 4- ZP r , who is Blersonally Known to me or has 0 Produced (type of
identification) as identification.
P • (SEAL)
Signature of Notary Public
State of Florida
o
StY PUB(
i P. ELAINE BROEKER
o
MY COMMISSION # FP 963471
mA',e°.
EXPIRES: March 3, 2020Print/Type/Stamp Name OFF Bonded rnnBudget Notary Services of
Notary Public