HomeMy WebLinkAbout100 Sano Pne CirCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Do
Documented Construction Value: $ (9& U0
Job Address: %d X",0 jeAre G A&f kn10 Historic District: Yes No [`-
Parcel ID: /)
v
a 62 _'T p • "' gY 0000. D 5S'-%h Residential PCommercialEl
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title: LaC.4-Ne4C___
Phone: 7 ,1 • lC's.S— Fax: Email: l 1 Yyc cZ L Q ia sv clf-b VI
Property Owner Information
Name /CLw Cteat I Phone:0
Street: //)U cfG./ //f`ft' L ;//Ll-e Resident of property?
City, State Zip:
Contractor Information
Name Phone: 967 _;l
Street: or Fax: :2 % - Y t)- -'? S
City, StateState Zip: State License No.:
Architect/Engineer Information
Name: % Phone: NA
Street:
City, St, Zip:
Bonding Company: Af A_
Address:
GCCo Z 2-ST
Fax:
E-mail:
Mortgage Lender: X A.
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
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
An
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 Signature o ntraetor/Agent Date
7 /I
Produced ID Type of ID
Print ontractor/Ag nt's c
fl• • 2plt,
Signa DONALD 1ASH
i°`
ter
s Notary Public - State of Florida
r • Commission # FF 221706
Nr9r
f O
My Comm. Expires Apr 16, 2019P=
Bonded through National D!otary Assn.
Contract en s a y nown to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps Plumbing - # of Fixtu
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING
Address: 800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
1 laPll 11111 fill 1111
hli=h:Yi°Ii H•IL 1'iiJ{i::., f i_!'ia:i'lliLl: c;),i•.L1..;,
1:R aI)1' C tl)itl ' C1)hIP-M0LLE(',
CLERK'S i` 21116114.854
rti'.`.`.11 .'.C1'•1('i ). Ccc
h' C:U(il i pill
Permit Number.
Parcel ID Number. 02-20-30-509-0000-0970
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 97
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: BRUMLEY BRIAN' 100 SAND PINE CIR SANFORD FL 32773
interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Adcock Roofing Phone Number. 407-322-9558
Address: 800 S. French Ave., Sanford, FL 32771
S. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(a)7., Florida Statutes.
Name:
Phone Number:
Address:
8. In addition, Owner designates of
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 ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
signature of Owner or Lessee. or Osners see's (Print Name and Provide Signatory's Title/ frice) Authorized OfficerlarectoNParinerOdB r)
State of -Pu)y?,((J% County of 5 Caul rW L,4, The
foregoing instrument was a knowledged before me this day of 2016 by
VI eL" Name
of person making who
has produced identification type o I.
A-V p oN MARJORIE MARIE ADCOCK Notary
Public - State of Florida Commission
N GG 013492 jpc`
My Comm. Expires Jul 29,.2020 BondedthtauolrNationa(
NotarrMssn. CLE
cor
8Y
Who
is personally known to mee--6R in
produced: C
1kr
hlDt, F
Dj DEPUTY
CW%
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofing1@bellsouth.net
www.adcockroofing@bellsouth.net
September 19, 2016 ESTIMATE
Name: Brian Brumley Phone: (407) 302-0871
Address: 100 Sandpine Circle Cell: (407)
City: Sanford, FL 32773
Email: bb73@att.net
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
Fax:
1. Remove old roof on complete house.
2. Re -nail decking as per new building code.
3. Dry in with new layer of synthetic underlayment as per new building code (July 2015).
4. Install new 30 year architectural shingles.
5. Install new drip edge; 26 gauge, painted galvanized.
6. Install new kitchen and bathroom vents.
7. Install (2) new 4' off ridge vents.
8. Install new lead flashings on plumbing pipes.
9. Install new ventilation to match existing.
10. Secure all permits.
11. Clean up & haul away debris.
12. Inspections included.
Labor & Materials: $6600.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 30 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
F : D
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:
19' Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
91 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.
L3 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).
Cd 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, andfederal code requirements.
SCPA Parcel View: 02-20-30-509-0000-0970 Page I of 2
cm
Parcel Information
Property jRecord. Card
Parcel: 02-20-30-5109-000') 0970
Owner: BRUMILEY BRIAN
Property Address: 100 SAND PINE CIR SANFORD, FL 32773
Parcel 02-20-30-509-0000-0970
Owner: BRUMLEY BRIAN
Property Address 100 SAND PINE CIR SANFORD, FL 32773
Mailing 100 SAND PINE CIR SANFORD, FL 32773-5681
Subdivision Name HIDDEN LAKE ViLLAS PI-1 I
Tax District Sl-SANFORD
DOR Use Code 0103-TOWNHOME
Exemptions , 00-HOMESTEAD(2001)
4i'
4
eminole County GIS
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1
Depreciated Bldg Value 67,815 65,351
Depreciated EXIFT Value
Land Value (Market) 16,000 16,000
Land Value Ag
ustj,'Market Vai'le 83,815 81,351
Portability Adj
O- u,-r-Homes AdjSave 30,302 28,210
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 53,513 53,141
Tax Amount without SOH: $817.37
20 16. Tax.-Bil.1 Amount $524.88
ax Estimator
Save Our Homes Savings: $292.49
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 97
HIDDEN LAKE VILLAS PH 1
PB 26 PGS 99 TO 101
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford 53,513 . 28,513 25,000.
SJWM(Saint Johns Water Management) 53,513 28,513 25,000
County Bonds 53,513 28,513 25,000.
County General Fund 53,513 28,513 25,000
Schools 53,513 25,000 28,513
Sales
Description Date Book"' PageBooT039718 Amount Qualified
WARRANTY DEED 12/1/2000 1693 68,000 Yes Improved
WARRANTY DEED 12/1/1993 02861 1014 100 No Improved
WARRANTY DEED 311/1992 1 02423 1857 62,500 Yes Improved
WARRANTY DEED 11/1/1986 3 (119010'' 9 60,500 Yes Improved
WARRANTY DEED 6/1/1983 01487 1424 48,400 Yes Improved
Find Comparable Sales
Land
Method Frontage Depth units Units Price 1 Land Value
LOT 0.00 0.00 i 1 16,000.00 16,000
Building Information
7 -77=-
Is Bed';Balh count inco,recr? Click Here
Y iYearBuilt
Description Actual/Effective FixturesFixtures Bed Bath Base Area Total SF Ext Wall Adj ValueI Repl Value
http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=02203050900000970 11/3/2016
SCPA Parcel View: 02-20-30-509-0000-0970 Page 2 of 2
1 SINGLE 1983 6 ? 2,0 1,116 1,558 ; 1,116 s CB/STUCCO $67,815 $80,254 j Description Area
FAMILY FINISH i
I' ((jGARAGE
FINISHED
426 00
j 9 i
I OPEN j
PORCH 16.00
FINISHED
Permits
Permit#Description
01266 :ADDITION - RESIDENTIAL
Extra Features _ ._...
Description ( Year Built
Agency mount CO Date Permit Date
SAN FORD $2, 200 3/1 /1998
Units Value ; New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203050900000970 11 /3/2016
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mifigati®n Inspection Affidavit
I
Permit #: I —a qs,9
I, Pwia ,&J hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at ) 00 4c Q t n ly(C t j . ,o rwo t. . 7-7 3 and have determined that the work Job
Site Arddress) 1 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 S
Date YA,
j ov--lam AQ,4?! CP- C C C 02ZSZ Printed
Name of Contractor License # License
Type: General Building Residential Roofing Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF _ "YV IyvoC,i Sworn
to (or affirmed) and subscribed before me this -3_ day of NUJ 920 1 w , by who
is 11 Personally Known to me or has Produced (type of iden '
a io as identification. SEAL,)
Sign
a of Notary Public State
of Florida s
DONALD
RASH Moe-
Print/
Type/Stamp Name Notary
Public -State of Florida Commission #
FF 221706 t sy`,
F11'o,My Comm. Expires Apr 16, 2Q'.S'' of
Notary Public Bonded through National Notary AssT :'