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HomeMy WebLinkAbout110 Rockhill DrCITY OF SANFORD ter. BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: l ,I lJG'!C C 1 Z 7 ( Historic District: Yes No Parcel ID: 19 3 0 S /w 196 eI9 13-FO ResidentialOu Commercial Type of Work: New Addition AlteraAon Repair X Demo Change of Use Move Description of Work: I L i'NI C r Plan Review Contact Person: Title: Phone: Fax:Email:/%/f%q TP: IIProperty Owner Information Name Pl (h ".-j - Phone: Z/0- 10 Street: u Qvc_kh,l 11 Vh - Resident of property? City, State Zip: %( 3X77 / Contractor Information Name ou )9Phone: Street: Fax: City, State Zip: i 3 State License No.: Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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. t9 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 NOTICE, `n 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 thi,ocounty, 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 Owner/Agent is Personally Known to Me or Produced ID Type of ID 6 " (% lei Sign ure & Contractor/Agent Date Print ontractor/Agent's Name Signature of Notary -State of Florida Date otP" :Pose. STEPHEN PATRICK DOLANo* MY COMMISSION # FF 071532 EXPIRES: December 27, 2017 NrgTFpF "vBonded Thru Budget Notary ices Contractor/ Agent is " Personally Known 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: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Property Record Card Parcel: 33-19-30-616-UOOU-1350 Owner: GOBERDHAN PHILIP & KHALAMATTI ET AL Property Address: 110 ROCKHILL DR SANFORD, FL 32771 varcei imormauon l Parcel 33-19-30-516-0000-1350 Owner I GOBERDHAN PHILIP & KHALAMATTI ET AL Property Address 110 ROCKHILL DR SANFORD, FL 32771 Mailing 1110 ROCKHILL DR SANFORD, FL 32771 7747 I f Subdivision Name! COUNTRY CLUB PARK PH 2 i I Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) I -- I U .j. 1 4 i .. 1 + 50 102.11 f F 3 a 1l1 50 Legal Description LOT 135 COUNTRY CLUB PARK PH 2 PB 54 PGS 22 THRU 24 Taxes ii Taxing Authority Cdy Sanford i SJWM(Saint Johns Water Management) County Bonds i County General Fund Schools Sales D S -crip-tion- 1 WARRANTY DEED WARRANTY DEED I SPECIAL WARRANTY DEED WARRANTY DEED Find Go 1parz,btu Sias Land Method Frontage LOT Building Information nh Seminole County GIS I Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 140,327 134,676 Depreciated EXFT Value 425 438 Land Value (Market) 32,000 32,000 Land Value Ag JUst/ MarketValue" 172,752 167,114 Portability Adj Save Our Homes Adj 22,964 20,586 Amendment 1 Adj 0 2,206 P& G Adj 0 o Assessed Value 149,788 144,322 Tax Amount without SOH: $2,509.00 2016 Tax Bill Amount $2,096.34 Tax Estimator Save Our Homes Savings: $412.66 Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values Taxable Value 149, 788 38,412 ` 111,376 149, 788 38,412 111,376 I 149, 788 38,412 111,376 149, 788 38,412 111,376 149, 788 25,000 124,788 Date Book Page 1 Amount Qualified Vac/Imp 9/ 1/2011 07639 0222 136,500 , No Improved 5/ 1/2007 06692 U416 _ 261,700 Yes Improved 12/ 1/2000 03981 0315 135,000 Yes Improved 6/ 1/1999 03709 0743 23,500 Yes Vacant f Depth - Units Units Price Land Value 1 $ 32,000.00 . 32,000 II Ins. Co.. ' C r C Licensed &- Insured r First in Quality Tel.# First in Service First in Satisfaction ClaimATLANTIC # — Roofing & Construction 800-411-0920 Adj. Name LIC # CCC1330939 LIC # CRC1331435 PROPOSAL SUBMITTED TO STREET l lv CITY, STATE, ZIP 6767 Hoffner Avenue Orlando, Florida 32822 Tel. # Fax # l 6nVior V*) DATE JOB # SUBDIVISION HOME PHONE (407) 9'0 BUSINESS PHONE SPECIFICATIONS FOR LABOR AND MATERIAL e r Off Shingles: Layers - fessionally Install: Brand Grn7ii Type 1 LP(" ' C Color ow Valleys Ft. ' t 0: 30 lb.'Felt O Peel & Stick 47 Synthetic Undedayment Zpoweal,sidewalls, counter and watt flashings O Re -Use Drip Edge O Drip Edge 1-1/2' 2" 3' 4' 'or— titaaon:, ,Goose Necks Off Ridge Vents Ridge Vents Renail Plywood Sheathing to Code Ppi ylight 2 x 2 4 x 4 oodreplaced at $60 - per sheet (if neede Clean-up and haul off all job related trash d Roll. Plumbing Vents Color J magnetic roller d] Protect yard and shrubs Atlantic Roofing is not responsible for pre-existing structural conditions. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROM HAVE A 5 YR LABOR WARRANTY CONTINGENT This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only 9 claim is disallowed by Insurance company. Property owner' s out-of-pocket expense is not to exi;eed the deductible amount. The insurance company will determine and set the price of the claim. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose to hereby famish materials and labor, complete In accordance with above specifications for the sum of the insurance as per the insurance company loss scope sheet for which is incprporated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade Incurred S. TAM *AQQZP-EU Ply Ent upo omplelion of each trade. 0 Alf V . AuthorizedSignature' Must be approved by.company owner. No o. r ark ekprdsi changes. NOTE: This proposal may be withdre" us. Ifnot ACCEPTANCE OF PROPOSAL- The ab work as specified. Payment wig be made as outline ab ve X verbally. All changes to be In writing and accepted before commencement ir3p days are hereby accepted. You are authorized to do the Date 1 2- b CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I _ -)- 0 & q I, 1 l ( e— hereby acknowledge that I personally inspected Roof deck nailing and/orC4Secondary water barrier work at I I a pl cckt t l I Job Site Address) and have determined that the work 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. 4 S ignat ulr4 of Contractor 6, n Printed Name of Contractor Date 00C 13.3( '3 / License # License Type: General Building Residential XRoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 04 OV Sworn to (or affirmed) and subscribed before me this -.4 -1,4 day of iG O ' 720 % , by who iskPersonally Known to me or has Produced (type of identi ' tion) 4 as identification. SEAL) Signature of Notary Public State of Flori l p e/J rrG, l 11T J adl` ,, STEPHEN W RICK DOLAN Print/Type/Stamp Name * * MY COMMISSION # FF 071532 of Notary Public Nr aF EXPIRES: December 27, 2017 Y A ., Flop Bonded Thru Budget Notary Services LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, ^ Seminole County, Winter Springs Date: G}&,) l & I hereby name and appoint: Ae7W an agent of: A:`,jL of 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): JQ,_ The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: 3 Signature of License Holder: Q STATE OF FLORIDA COUNTY OF ,r The foregoing instrument was acknowledged before me this day of d , 200 lb , by c -,e /,/e— who is Personally known to me or who has produced identification and who did (did not) take an oath. J Signature l Notary Seal) '5Yr'c J%r4GJ Print or type name Y' STEPHEN PATRICK DOLAN MY COMMISSION 9 FF 071532 EXPIRES: December 27, 201714'FOFFOOO~ BondedThruBudget NotarySerices Rev. 08.12) Notary Public - State of P%y(4"64- Commission No. ('- U71a My Commission Expires: job-c-7-1 as 14 City of Sanford Building and, Fire Prevention Product Approval Specification Form Permit # Project Location Address 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.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 DU/S Go h v D 0--1)305'10/ Underla ments S n ,t e,,f- L5772S — /?-s- 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 t-, I -© 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 181if 111111111111111 folio 1111111111111NTHISINSTRUMENTPREPAREDBY: Name: M I1X 2 6:7, . Address: NOTICE OF COMMENCEMENT Permit Number: 11AIRYf'-tN1,1E 110IRSEr SENII'IOLE COUNTY GL.ERK OF C:IRC:U):T COLIRT• r, COI` -I 'TROLLER CLERK'S Y 2016110776 I.L i.J 08:40s _3 All h:ECORDED BY lidevore Parcel ID Number: `33 19 30 jr—(b 0QZ)0 M-0 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: (Legakdescription oWe property arto street address if available) 2. GEN N OF IMPROVEMENT: 3 OWNER sTIOi OR rElkE INFORMATION I IFl/Tl}SEE CONTRACTED THI iVPROVEMEN Name and address: /1O ;_rCj nY Interest in property: » , Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Address: f> 5. SURETY (If applicable, a copy 6. LENDER: Name: Address: payment bond is attached): Phone Number: Z 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: Phone Number: 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 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 1919RK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signs ure of Owner o Lessee, or wner's or Lessee's (Print Name and Provide Signatory's Title/Office) State of Lev- GA- County of The foregoing instrumentt was acknowledged before me this v day of - 0, lizi" 120 L by I1(I I n 90 ale (,—d ha V Who is personally known tome OR Name of person making statement _ j who has produced identification type of identification produced: GRACIELA GAGNE 5 MY COMMISSION # FF08f3W- ((__ __ P°f••' it25, 2020 EDIbPY-MARYAI EXPIRES AprU25.2020 rl ERK OF THE CIRCUIT COURT AND 07) 39M163 i ' 00fA ROLLER B''•, t} EMINO CO TY,FL 1IDA OCT2520I° lt t BY / ` J DEPUTY CLERK