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HomeMy WebLinkAbout112 Bent Oak CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ! l ® a Documented Construction Value: S %%2i0 Job Address: 0/ Historic District: Yes No P` Parcel ID: %/ U • 3.0 • 6_0 5 • 00 U© • Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: /P iZ,Q c') F - / t:iS' Plan Review Contact Person: A^1Oi/ A0 C-0C_ Title: Phone: V17. 3,k1- 9 Fax: C/0? ,.Z1. • Isla —.Email: Q U'(kdd-•-/S' 2-cv belkovff,. Name Street: City, State Zip: Property Owner Information Phone: Resident of property? : Contractor Information Name ALj oye-L.J An c0 e-A Phone: V07' Street: eT Fax• y ' a City, State Zip: _ 70Q_ State License No.: Architect/Engineer Information Name: I)OX Street: City, St, Zip: Bonding Company: 1"f /2"- Address: 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: 5t' 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 1 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 10Date Signature of C ctor/Agent Date t—t N tom- V D y • -. i C - Print caner/Agent's Name Print ontractor/Agen Na e Z. l L, Sign a Da MARJM ON AOCDCK Notuy PrrbNc • >um of f lodge DONALD RASH aY P a Notary Public - State of Florida CowasMa N GG 013492 : Commission # FF 221706 Comm. Expires JW 29.2020 Comm. Expires Apr 16.2019MMyAssn. 9ond10 Mm* Nitio N OW" Assn. %Faa F,, Bonded through National Notary Ow r n s r o n o TrAe or e' I ersonally Known to Me or Produced ID Type of ID 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: # 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: COMMENTS: Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: ADCOCK ROOFING Address: 800 S. FRENCH AVE. SANFORD, FL 32771 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 11-20-30-505-0000-0250 u+si 111111111111111111111pEusi oiu is;i 11ARYi' i1111.= NORSEP ?EiiINOL.E C0LII%FF1' CLERK iJf' (:IftCIJII (=Oltfti ?. r:i)r1F`Tfi1=tLLrft CLEWS 0 20161148.5 ftECi] h:UL C :L:L/I:i ;';?hlir; ia:l F11 f%.-. 1 tC{:lNG FEES a>1.il,liii hECi) RLrEGr BY ilclavor/ 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) LOT 25 HIDDEN LAKE PH 3 UNIT 1 PB 27 PGS 44 TO 47 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re - Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: PELOQUIN PAULINE G'112 BENT OAK CT SANFORD FL 32773 Interest in property: 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 5. SURETY (If applicable, a copy of the payment bond is attached): Address: Amount of Bond: 6. LENDER: Address: Phone Number: 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. 8. In addition, Owner designates Phone Number: 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Lessee, or Owners or Less (Print Name and Prowde Signatory' i IOtfice) Authorized Officer/Director/Partner/Manager) State ofCounty of The foregoing instrument was acknowledged before me this by Name of person who has produced identification type of identification produced: MARJORIE MARIE ADCOCK o,arru•, ovPry'SL Notary Public - State of Florida Commission N GG 013492 My Comm. Expires Jul 29. 2020E Et r,,,rY• Bonded through National Notary Assnn rkc OV 0 3 2016 eY day of hi 0 \ 20 1 Who is personally known to me OR CLERK SCPA Parcel View: 11-20-30-505-0000-0250 Page I of 2 Prop qy Reqqrd..Card, Dam hmw, CFA Parcel: 11 20-3C 505 0000 02,50IPMIIIRWIROwner: PEL00'UIN rAULINF G Property Address: 1123ENI` GAK OF SANF0PD F L 3217-,3 Parcel Information Parcel 11-20-30-505-0000-0250 Owner PELOQUIN PAULINE G Property Address 112 BENT OAK CT SAN FORD, FL 32773 Mailing 112 BENT OAK CT SANFORD, FL 32773-5626 Subdivision Name: LAKE PI-13 UNI'T 1 Tax District SI-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(1994) Legal Description LOT 25 HIDDEN LAKE PH 3 UNIT 1 PB 27 PGS 44 TO 47 Taxes Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings Depreciated Bldg Value 68,339 65,877 Depreciated EXFT Value 600 600 Land Value (Market) 21,000 21,000 Land Value Ag JustL" tKet Val; le 89,939 87,477 Portability Adj Save Our Homes Adj 26,258 24,239 Amendment I Adj P&G Adj 0 so Assessed Value 63,681 63,238 Tax Amount without SOH: $749.89 70 16 Tax, Bill Arn unt .............. P.- $471.72 Tay Estimator Save Our Homes Savings: $278.17 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value 1 Exempt Values Taxable Value Schools 63,681 25,500 38,181 City Sanford 63,681 39,181 24,500 SJWM(Saint Johns Water Management) 63,681 39,181 24,500 County Bonds 63,681 39,181 24,500 County General Fund 63,681 63,681 0 Sales I - - - - ----------- - ------ - Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 3/1/2009 ofl 7 1628 100 No Improved WARRANTY DEED 7/1/2002 0-14?0 1211 100 No Improved WARRANTY DEED 4/1/2000 03837 0047 100 No Improved WARRANTY DEED 9/1/1983 01488 05101 45,700 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 1 s 21,000.00 21,000 1 Building Information Built # Description Year Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value i Appendages Actual/Effective 1983 6 3 2.0 1,066 1,442 1,066 $68,339 $80,875 Description Area http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 1203050500000250 10/31/2016 Extra Features Description Year Built Units Value New Cost SCREEN PATIO 1 12/1/1983 1 ', $600 $1,500 http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 1203050500000250 10/31/2016 ADCOCK ROOFING 800 French i ,, i . do: b- www.adcockroofing@bellsouth. net October 22, 2016 ESTIMATE Name: Pauline Peloquin Phone: (407) 321-0709 Address: 112 Bent Oak Ct. Cell: (407) City: Sanford, FL 32773 Fax: VNIFI III SCOPE OF WORK: COMPLETE ROOF REPLACEMENT 1. Remove old existing roof on complete house. 2. Re - nail decking as per 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 new lead flashings on plumbing pipes. 8. Install new ventilation to match existing. 9. Secure all permits. 10. Clean up & haul away debris. 11. Inspections included. Labor & Materials: $ 6720.00 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 City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the leftor indicate n/a on this submittal. A complete application package shall include the following: r/Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. r- Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). 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. 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). j 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.