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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 s r f 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