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SOP 19 2016 ;
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 4,125.00
Job Address: 93 EXETER CT, SANFORD Historic District: Yes NoEA
Parcel ID: 12-20-30-300-0130-0000 Residential X Commercial
Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description
of Work: SHINGLE ROOF REPLACEMENT Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name
KATHY POWELL Phone: 407-212-6742 Street:
93 EXETER CT Resident of property? : YES City,
State Zip: SANFORD, FL 32773 PHYLLIS
A. SIMMONS Contractor
Information Name
SIMMONS PERFORMANCE ROOFING, INC. Phone: 352-483-9598 Street:
22335 HORIZON VISTAS DRIVE Fax: 352-483-9599 City,
State Zip: EUSTIS, FL 32736 State License No.: CCC1325617 Architect/
Engineer Information Name:
N/A Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: N/A Mortgage Lender: N/A Address:
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: 5" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 he secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
yS'm AlW dt ,(1 ri Alen[ Date
1\rn 2f1r
Print Ommed/Agent's Name
of
SV RLEY CONLEY
my COMMISSION # FF027820
EXPIRES: June 30, 2017
Sienatt 'c nl'Cuntrac9nn nt Date
Print ContraLAtr(.AQ s Name
RY p°,
SHIRLEY CONLEY
MY COMMISSION # FF027820
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oF oQ°` EXPIRES: June 30, 2017
Owner/Agent is _ Personally Known to Me or Contractor/Agent is>0 Personally Known to ivie or
Produced ID Types 11$i Cr prt, r5 Ll.nte<—produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
WASTE WATER:
BUILDING:
Shaft be inscribed with the date of'appfication and the code in effect as of that date (Code 2010 Ff3C) 731.135)(5)(6) Florida Statutes.
SCPA Parcel View: 12-20-30-300-0130-0000 Page 1 of 2
Property Record Card
Cfl1
Parcel: 12-20-30-300-0130-0000
Owner: CARRIAGE COVE LLC 27777 FRANKLIN RD
stAasarxttoca+rv.
Property Address: 751 E LAKE MARY BLVD SANFORD, FL 32773
Parcel Information
Parcel 12-20-30-300-0130-0000
Owner CARRIAGE COVE LLC 27777 FRANKLIN RD
v
Property Address 751 E LAKE MARY BLVD SANFORD, FL 32773
Mailing STE 200 SLOT RAY327 SOUTHFIELD, MI 48034
Subdivision Name
Tax District 51-SANFORD
DOR Use Code 28-MOBILE HOME PARK
Exemptions
RED COA,CH-CT—
Seminole County GIS
I i /
Value Summary
2016 Working
Values
2015 Certified
Values
Valuation Method Income Income
Number of Buildings_I 3 1 3
Depreciated Bldg Value
T
Depreciated EXFT Value i
MLand Value (Market) E
Land Value Ag
Just/Market Value ** 11,542,578 1 $10,476,223
Portability Adj
Save Our Homes Adj 0 0—^
Amendment 1 Adj — 18,733 I $0
P&G Adj
y— W~
i 0 0
Assessed Value' _ 11,523,845 10,476,223 —
Tax Amount without SOH: $213,206.00
2015 Tax Bill Amount $213,206.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Hell)
Does NOT INCLUDE Non Ad Valorem Assessments
1 Legal Description i
SEC 12 TWP 20S RGE 30E
BEG SW COR RUN N 2 DEG 43 MIN 35
SEC E 97.16 FT NELY ALONG CURVE
263.3 FT N 58 DEG 1 MIN 47 SEC E
1814.96 FT NELY ALONG CURVE 285.74
FT E 600 FT S 280 FT W 660 FT S 990 I
FT W 1974.56 FT TO BEG & IN
13-20-30 N 1/2 OF NW 1/4 OF NW 1/4
E 2/3 OF SE 1/4 OF NW 1/4 OF NW
1/4&E2/3OFNE 1/4OFSW1/4OF
NW 1/4 (LESS E 25 FT FOR RD) & BEG
I SWCOR OFNE 1/4OFNW 1/4 RUN E 258
FT N 141 FT N 86 DEG E 237.2 FT N
38 DEG 47 MIN E ALONG R/W 326 FT S
86 DEG W 32.5 FT N TO NE COR OF NW
1/4 OF NE 1/4 OF NW 1/4 W 660 FT TO
NW COR OF N E 1/4 OF NW 1/4 S_ 1329
FT TO BEG (LESS RD) Taxes
i-
1
Taxing Authority Assessment Value Exempt Values Taxable Value CountyGeneralFund
Ipi 11,523,845 i 0 f 11,523,845 I
Schools i 11,542,578 i 0 j 11,542,578 City
Sanford i 11,523,845 0 11,523,845 SJWM(
Saint Johns Water Management) 11,523,845 ! 0 1 11,523,845 County
Bonds 4 11,523,845 0 I 11,523,845 L
Sales
Description
Date Book Page Amount Qualified Vac/Imp No
Sales httpJ/
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=12203030001300000 September 16, 2016
loo Go z l
RESIDENT NAME /
ADDRESS
TELEPHONE NUMBER
Carr- i't.q e (b v" e—
OMCMU ITY NA E
iY716
DATE F REQUEST
PROPOSED COMPLETION DATE
The above named Resident requests approval to build, add -on, or otherwise alter his/her manufactured home, its
associated structures, or site. Approval by the Community Management does not waive Resident's responsibility to
secure any and all permits required by the governing municipality whose name and telephone number is:
Description of Alteration:
Upon review of the above request, we find it is within our guidelines.
Resident will obtain any and all permits necessary to construct improvement.
If Resident hires an independent contractor, it is recommended that they be licensed and insured.
Upon review of the above request, we find it is not within our guidelines.
CO U MANAGER ATE
US CE BELOW 6SKET H THE ALTERATIONS AND LOCATION ON YOUR HOME SITE.
H SEPARATE SHEET IF NECESSARY)
Off- Old 5ti nc L_5 6YN
J
U. 't°uv> D e ' (rwA,,_4-e_vc_r- e-)Sc_
V'ce,
FOLLOW-UP INSPECTION
Management reserves the right to inspect the alterations described above upon completion.
COMMUNITY MANAGER DATE
WHITE - Community Files YELLOW -Resident SUN 045 EIR 7/06
SIMMONS PERFORMANCE ROOFING, INC.
22335 Horizon Vistas Drive, Eustis, FL 32736
Ph: 352-483-9598 / Fax: 352-483-9599
roofingbysimmons@aol.com
LIC# CCC1325617
CONTRACT/'PROPOSAL* *
Kathy Powell
407-212-6742
krairsky@yahoo.com
DATE: 9/9/16
Contract #R16-DV-090902-RIt
Shingle Color Choice: SL 1 ve. -
Vent Color Choice: Black, tile, or , Brown
JOB: 93 Exeter Court, Sanford - Shingle Roof Replacement (2:12 Pitch)
Install a new Lifetime Architectural shingle roof according to manufacturer's recommendations and the 2014 Florida Building Code
1) Obtain the permit and file the notice of commencement as required by local codes.
2) Remove the existing single and double -layer shingle roof down to the decking. Examine the exposed deck
for damaged/rotted wood and replace as necessary (see ADDITIONAL COST below).
3) Install a double layer of new mechanically -fastened roofing underlayment (30lb Gorilla Guard® [FL#16226]
or comparable) as a secondary water barrier, using Simplex nails.
4) Install new plumbing pipe flashings (2x 1-1 /2"), J-vents (8x 10"), white eave drip (18x 1-1/2"), and attic
vents (8x10" [replace 3 add 5 more]). Install new self -adhering underlayment and metal in all valleys. Re -
flash the exhaust stacks (lx4", 3x10").
5) Install up to 1500 sq. ft. (includes standard waste calculations and 2 bundles of ridge caps) of new Lifetime
Architectural shingles (CertainTeed Designer Landmark [FL#54441) using 1-1/4" barbed roofing nails.
6) Remove and haul all job -related debris.
7) Provide a ten (10) year warranty on our workmanship under normal weather conditions and use.
ESTIMATED COST* (SEE ADDITIONAL COST BELOW) S 4,125.00 **
Price reflects cash discount. Add 4% to total cost lfpaying via credit card Balance is due upon final furnishing
ADDITIONAL COST.'
Rotted wood replacement and cricket builds will be performed at an addtnonal cost of $30 QO penman hourplus the cost of materials
If you accept the terms above, please sign and date below and return a copy to m. In doing so, you accept responsibility for the removal and re -attachment ofany roof -
mounted equipment (includes, but is not limited to, solar panels and satellite dishes), and for securing of items on the walls and ceilings of the above -named property, with the
reasonable expectation of personnel walking on the roof and mechanically fastening roofing materials. Simmons performance Roofing accepts no responsibility for damage to
conduit below the decking that may be punctured by fasteners in the normal course of installing the roofing system. Installation of roof -mounted equipment may void our
workmanship warranty; we recommend attaching satellite dishes to the facia rather than the decking. Contract is binding unless cancelled within 72 hours of signing. A
signed/dated Gen information sheet and original, signed Notice of Commencement must be on file prior to commencement of this project. If requested, a Lien Release
will be c-mailed upon receipt of final payment.
AUTHORIZED SIGNATURE: Cz--^-- % 71 DATE:
CONTRACTOR: Cr' ` DATE: 61-j LCt116 St
E. Simmons, Pre THLS
PROPOSAL BECOMES NULL AND VOI ATHEABOVE DATE AFTER THIS TIME, PLEASE CONTACT USA T(352) (352) 483-9598 FOR
A NEW PROPOSAL MATERIAL PRICESARE SUBJECT TO CHANCE AT THE DISCRETION OF THE SUPPLIER MATERIALS LEFTOVER AT JOB COMPLETION
REMAIN THE PROPERTY OFSIMMONS PERFORMANCE ROOFING, INC
f 11"11 1fill ION 1111111
I...t:a;l". Lii G i:i;:ir U)' l i;(±lii<:
THIS INSTRUMENT PREPARED BY: j}i%
Name: SIMMONS ROOFING r I I. I v - t ;r t 116 ic, 6, :
Address: 22335 HORIZON VISTA
EUSTIS,FLORIDA32'3G
State of Florida .::
i..> .i.i;l ljfI
NOTICE OF COMMENCEMENT
Permit Number Parcel tD Nrnnber (PID) _1 "-20-30-300-130-0000
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance wrath Chapter 713, Florida Statutes, the
follownng information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY (legal description of the property. and street address it available)
93 EXETER COURT, SANFORD, Ft_ 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT: SHINGLE ROOF REPLACEMENT
3. OWNER INFORMATION:
Name and address: -i° Y POWELL - 93 EXETER CT. SANFORD, Ft_ 32773
Interest in property: OWNER
Name and address of fee simple titleholder {if other than Owner): N/A
4. CONTRACTOR: (name, address and phone number): SIMMONS PERFORMANCE ROOFING
22335 HORIZON VISTAS DR. EUSTIS, FL 32736 352-483-9598
5. SURETY:
Name, address and phone number:
Amount of bond S
IWA
6. LENDER: (name, address and phone number): N/A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by section 713.13(1)(a)7., Florida Statutes: (name, address and phone number):
8. In addition to him/herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified).
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF'I ER T'HE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTE'S, 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.
STATE OF FLORIDA COUNTY OF SEIMI'NOLE
YdNERS:StGNATURE OWNERS PRINTED NAME
The for eggtrrg insvurrientw4sacknowled Gd before me this day of C% Uo r 1')S3J 204-_ by
Who is personally known to me OR who has ,produced
identificationr—L D ri vc-r! -type identification produced P'jn C) 5—i 7 - fo Z-_-_ Sal L_:
Ge Sc_ VERIFICATION
PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER
PENALTIES OF PERJURY, t DECLARE THATt HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARETRUE TO THE EIEST OF MY
KNOWLEDGE AND 13E0EF. /7 seal)
OF
NATURAL PERSON ShgY
Plq`G SR1P.iL s^• 7920 ihu'.: .......
1o_2017 Print.
Type or Stamp Commissioned Name e'
I ptEn COPY— MARYANNE MORSE CLERK
OF THE CIRCUIT OURT AIuD s ors COMPTPO
U., o`
er SEMINOLE
F RID Pitt = CGUNS BY
DEPIJ
9
City Sanfordd
a A1 Rs.11-17a Building and Fire Prevention
Product Approval Specification Form
Permit#
Project Location Address 93 EXETER COURT
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.floridabuildina.org.
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
Description
Florida Approval #
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
Florida Approval #
including 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 CERTAINTEED LANDMARK 5444.1
Underla ments ATLAS GORILLA GUARD 16226.1
Roofing Fasteners PRIMESOURCE RING SHANK COIL NAILS NOA 15-1123.04
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 LOMANCO 750 ROOF LOUVER NOA 11-0602.04
Other POLYGLASS POLYSTICK IR-XE 5259.1
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 t^^ cvpp9
Applicant's Name PHYLLIS A. SIMMONS
Please Print)
June2014
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 9/19/2016
I hereby name and appoint: CYNTHIA MIMMS-BAKER
an agent of: SIMMONS PERFORMANCE ROOFING, INC.
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
93 EXETER COURT, SANFORD, FL 32773
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: PHYLLIS A. SIMMONS
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF LAKE
The foregoing instrument was acknowledged before me this 19 day of SEPTEMBR 200.
16 , by PHYLLIS SIMMONS who is cK personally known to
me or who has produced as identification
and who did (did not) take an S
ignature vww
Kota
R.
LEY CONLEY 0
iISSION#FF027820 i<
PiR1iS: June 30, 2017 Rev.
08.12) SHIRLEY
CONLEY Print
or type name Notary
Public - State of FLORIDA Commission
No. FF027820 My
Commission Expires:_ 6/30/2017
CITY OF SANF®RD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16_2571
I, PHYLLIS A. SIMMONS hereby acknowledge that I personally inspected
XRoof deck nailin and/ r [X Secondary water barrier work
at 93 EXETER CT 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
9/22/2016
Signature of Contr for Date
PHYLLIS A. SIMMONS CCC1325617
Printed Name of Contractor License #
License Type: General Building Residential )W Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF LAKE
Sworn to (or affirmed) and subscribed before me this 22ND day of SEPTEMBER , 20 , by
PHYLLIS A. SIMMONS , who is k Personally Known to me or has Producede of
iden ' as identification.
SEAL)
Signature of u lic
State of Florida 10`°° SHIRLEY CONLEY
SHIRLEY CONLEY MY COMMISSION # FF027820
P EXPIRES: June 30, 2017
Print/Type/Stamp Name 's°F°
of Notary Public