HomeMy WebLinkAbout115 Queens Ct (2)CITY OF SANFORD
O 77 2016 BUILDING & FIRE PREVENTION
PERMIT
APPLICATIONppicationNo •4--
Documented Construction Value: $ 1-7. P' a' 3
Job Address: It e ek (' k a, C G 3 'j I Historic District: Yes No
Parcel ID: ' ' S 3 _ " G%F b Residential [0 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: K -yc tf ') (, S k
Plan Review Contact Person: >(s54 Title: Cjs krinr'
Phone: 5 Z ZjY l Fax: Email:
Property Owner Information
Name )(P- l / kv- Phone: qb -75 G`1'-fsGC j Street:
U S Ikke.i-S C__ Resident of property? City,
State Zip: 9-1 -71 Contractor Information
Name -KJ
rt v rN 'fnC _ Phone: Street: Fax:
City, State
Zip: D(L4Lci, 3M -79 State License No.: CC % 3 a b7y0 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: 5"' 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Il- 7-I P
Signature of Contractor/Agent Date
P t Co ctor/Agent's Name
C
r f &
Y P LISA ANTONINI
Notary Public - State of Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
Co VMo e or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
11WO16 SCPA Par I View: 33-19-30-513-0000-0780
Property Record Card
Parcel: 33-19-30-513-0000-0780
Owner: KELLER LISA M
Property Address: 115 QUEENS CTSANFORD, FL 32771
50 50 50 50 50
x
50 50 50 50 50
Seminole County GIS
Legal Description
LOT 78
MAYFAIR OAKS
PB 50 PGS 38 THRU 41
Taxes — -
Value Summary
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1—
Depreciated Bldg Value 1 $106,292 102,051
Depreciated EXFT Value I
Land Value (Market) 32,000 32.000
Land Value Ag
Just/Market Value "' 138,292
Portability Adj
Save Our Homes Adj
Amendment 1 Adj
35,683
I
32,155
P&G Adj - 0 -
4---------
0 --_
Assessed Value 102,609 f $101,896
Tax Amount without SOH: $1,873.78
2016 Tax Bill Amount $1,229.21
Tax Estimator
Save Our Homes Savings: $644.57
Does NOT INCLUDE Non Ad Valorem Assessments
1 Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford
SJWM(SaintJohns Water Management) 102,
609 I 102,
609 j 50,
000 50,
000; 52,
609 52,
609 County
Bonds 102,609 50,000 52,609 County
General Fund --- 102,609—$50,000 t 52,609 Schools
102,609-------- 25,000 77,609 Sales
Description
Date Book Page Amount Qualified Vacllmp WARRANTYDEED ;
1/1/1998 03356 1983 f $102,500 Yes j Improved Find
Comparable S.Ies Land
i
Method
Frontage Depth Units Units Price Land Value LOT
1 t $32,000.00 32,000 i
Building Information Description
Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/
Effective 1
f SINGLE 1997 7' 3 1 2.0 i 1,377 1,840 i 1,377 j CB/STUCCO $106,292 I $114,910 j Description Area FAMILY
I I FINISH ! p GARAGE
http://
par Idetail.scpafl.org/Par IDetailinfo.a PID=33193051300000780 112
11/3/2016 SCPA Par I View: 33-19-30-5130000-0780
j
i i i i I
FINISHED ` 423.00
OPEN --k ---
PORCH f 40.00
FINISHED
i
Permits I
Permit# Description Agency Amount CO Date Permit Date
02308 ADDITION - RESIDENTIAL I SANFORD 1,454 6/18Y2003
00009 NEW -RESIDENTIAL 1 SANFORD 64,434 i 12/31/1997 — 110/1/1997 '
Extra Features
Description ` Year Built Units Value New Cost
Li
No Extra Features
i
I( I
httpJ/par Idetail.scpafl.org/Par IDetaillnfo.a PID=33193051300000780 2/2
Office Location: ORLANDO
Proposal Date 10/20/2016 JJobNumber 21164138 Sears Home Improvement Products, Inc.
Customer Name P.O. BOX
LISA KELLER S
Home Improvement Products
1024 Floridaida Central Parkway
Longwood, FL 32750-7579Customer's Home Phone Customer's Work Phone
407) 504-8007 Phone (800) 469-4663
Street Address ESTIMATE AND PROPOSAL Contractor License/Registration Number
115 QUEENS CT FL (CGC012538, CCC1329316)
RoofingCityStateZipCodeIFLSANFORDI32771' Is installation within city limits?
Yes/No): YESInstallationAddressCountySEMINOLE
Billing Address (if different from above) city State Zip Code Project Consultant Name & License No. (if applicable)
GUY CHERY
Description of the Project and Description of the Significant Materials to be Used andEquipment to be installed
The work to be done under this contract includes the following (where checked):
Specifications (Z = Included = Not Included)
Preparation 1. 0 Tear off existing roof shingles down to wood deck on entire house.
2. Q Inspect wood deck for rotten wood.
3. ® Replace any rotten wood found in the deck area at a rate of $ 3.00 per square foot.
PLEASE NOTE: this amount is not included in the TOTAL PRICE shown below.
Customer and Sears agree that the TOTAL PRICE will be amended via a Contract Change Authorization form to add the costs
of replacing rotten wood in the deck area discovered after existing roofing materials are removed.
Customer(s) initials
Installation 4. ®. Furnish and install Exterior Shingle:
TYPE: OC DURATION 3-D COLOR: SHASTA WHITE
5. ® Furnish and install PRO ARMOR underlayment over roof decking.
6. ® Furnish and install ice & water eave & valley protector.
7. Z Furnish and install starter shingle on all eaves.
8. 0 Furnish and install/replace any deteriorated "L" flashing.
9. Q Furnish and install metal drip edge along rake edges and eaves.
10. Furnish and install skylight systems. Reuse existing
11. Q Furnish and install new vent covers on all vent pipes.
12. RJ Furnish and install attic ventilation system (Check all applicable):
Turbines ,. Power vents- ® Shingle -over ridge vents
lia Off -ridge vents Soffit vents
13. Furnish and install new flat roof Exterior Protection System: COLOR:
Gutters 14. Furnish and install guttering: COLOR:
15. Dispose of old guttering.
Clean-up 16. 0 Clean-up and removal of all job -related debris including excess materials. (Extra materials are shipped with each job to avoid
delays). Manufacturer warranty will be sent upon completion of installation.
Sears recommends that Customers have their chimney siding or mortar between brick, stone, or blocks inspected periodical) b a rofessional and tuck ointed
and/or waterproofed as needed. Sears shall not be responsible for chimney integrity other than Customers Initials IFreplacingtheflashinginconjunctionwiththeinstallationoftheroofingmaterialsdescribedabove.
Additional work t0 be done: INSTALL R38 INSULATION IN THE ATTIC
Work NOT to be done: Repairs and replacement of any damaged existing structural members. Interior repair to walls or ceilings including sealing,
painting, and/or drywall repair. Removal and/or re -installation of items that may otherwise impede Sears' ability to install a new
roofing system prior to installation. Examples include, but are not limited to, satellite dishes, solar panels, pool heating panels,
gutter protection systems, TV antennas, HVAC systems, and weather equipment.
SOFFIT FASCIA GUTTERS LEADERS PAINT
SPECIAL INSTRUCTIONS: ATTIC ACCESS THRU THE GARAGE
All of the above check boxes, "Work NOT to be done," "Additional work to be done," and
Customer(s) initials
Special J4_ Instructions" sections have been reviewed and explained to me.
SR1-FL (Dig.) Rev 6/16/2016 Page 1 of 3
11111 111 1 1 111 111 Job Number: 21164138
APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:
The work will start approximately 4 To 6 WEEKS (Approximate Start Date)
It will be substantially completed by approximately 3 To 5 WEEKS (Approximate Completion Date)
These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ("Sears") or at any other time by mutual
written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to
schedule the actual start date.
ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ("AGMs") that would be disturbed in the
performance of the installation work. If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work, then
Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for
necessary asbestos abatement within thirty (30) days, Sears may cancel this contract upon Customer(s) initials I L- IFwrittennoticetoCustomer. uNt
The TOTAL PRICE including all labor, material, taxes and any applicable discount is $ 17, 801.23 Contract Price $ 17, 801.23
Initial Payment (not to exceed 30% of Total Price unless Special Order) $ 5 , 340. 37, State Sales Tax ( 0.00 %) $ 0. 00
Final Payment (balance payable upon completion of job) $ 12,460.86 Local Sales Tax ( 0.00 %) $ 0.00
The Initial Payment is due prior to Sears ordering products. I Total Amount Due 17 , 801.23
The form and method by which the Customer(s) will pay is described in a separate Cash/Credit Customers) initialsCardPayment: Addendum made a part of and incorporated into this contract by reference.
NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER) AFTER THE DATE OF THIS
TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
ADDITIONAL PROVISIONS
Proposal and Approval. Sears offers to fumish the materials and arrange for their delivery and installation as specified on the first page and/or the attached
sketches and specification sheets for the TOTAL PRICE shown. This offer must be approved by the Installation Department. If this is a credit sale or a payment
on completion sale, it must be approved by the Credit Sales Department. If this proposal is not approved or the installation cannot be made in accordance with
the law, this offer will be withdrawn and any payments you have made will be refunded to you. Any materials left over after the installation has been completed
are Sears property and will be removed by Sears.
Installation. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT
furnished or arranged by Sears. Sears' installation contractor(s) will obtain all building permits required by local law. For homes located in historic or landmark
zoning districts, Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract.
Authorization. I authorize Sears to: (1) arrange for a contractor (licensed where required by law) to make the installation of materials; (2) issue a work order
for this installation to a contractor; (3) inspect the installation; and (4) pay the contractor when the installation is complete if I have signed a certificate that the
installation has been completed to my satisfaction.
Delays in Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather, fire, strikes, war, government regulations or any
causes beyond Sears' control.
Oral Agreements and Changes in Contract. I understand that there are no oral agreements between Sears and me. Everything I expect Sears to do has been
included in writing in this contract. Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears.
Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work
described in this contract.
Electrical & Plumbing Service. I will provide adequate electrical and/or plumbing service(s) to run any newly installed appliances or other furnishings. If the
electrical and/or plumbing service(s) do not meet the standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at
my expense unless Sears has agreed in this contract to make the changes.
Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page.
Warranty Information. Appropriate product warranty documents will be given to me by Sears. Sears' Warranty on Installation is:
SEARS' LIMITED WARRANTY ON INSTALLATION
In addition to any manufacturer warranty extended to you on the product(s) used (which warranty becomes effective the date the merchandise is installed), if the
workmanship (or application) of any Sears' arranged installation proves faulty within five years (Best), three years (Better), two years (Good) or one year (Limited)
after products are installed, then upon notice from you Sears will cause such faults to be corrected by repair at no additional cost to you. If Sears determines that
repair is not commercially practicable or cannot be timely made then, at Sears' sole discretion, Sears may elect to provide replacement or refund. Service under
this Limited Warranty is available by calling Sears Home Improvement Products at 1-800-222-5030, Option 4. This warranty gives you specific legal rights,
and you may also have other rights that vary from State to State.
SRi-FL (Dig.) Rev 6/16/2016 Page 2 of 3
N
THIS INSTRU T PREPARED BY:
Name: Vei(55C, I`c(ora
Address: 9 1io D `s
C)CC<ic, C'L
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 13" N - 30 52 L C -0 0'790
NARYr-tNNE NORSEr SEMINOLE COUNTY
CLERK OF C:IRC:UIT COURT & COMPTROLLER
BK 8801 F's 174• (1Pss )
CLERK'S v 2016116004
RECORDED 11 / 07/2016 il^ r C3 a 14 PM
RECORDING FEES $1.0.00
RECORDED BY hdevore
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)
t,P :7 R AA 4(:g;y e--, )(-<, frs 5o a5 3K rfff U y/ f
I S 9gZ 6-s C 4- 5gm kyo R— 3 a77/ 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE IyN FOrRMATION IF THE LESSEE Name
and address: L('r hC l C e.( 5 RU ee4 Interest
in property: fy-0 r\L-- t/ Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR r c" Address:
AC10I ,UG 70"' S*% )CLtK FC 3yg 5.
SURETY (If applicable, a copy of the payment bond is attached): Is 6.
LENDER: Address:
D
FOR THE IMPROVEMENT: Phone
Number: 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: Address:
8.
In addition, Owner designates 4) 1,1- 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. Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief.
2z:
D Lim 1,A Signature
o1 Owner or Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized
Officer/Director/Partner/manager) r
State
of A0 County of t I Q The
foregoing ins ument was acknowl d d before me this day of 20 by
e Wh is per a11y known to me Name
of pe on making statement O
L/1 U[il/l O whohasproducedidentification1ttypeofidentificationproduced: FI€®
COPY ARYANNE MORSE ti"c CLERK
r iE CI COURTAND UOPwt
7R 'L SEMI
OL DF!
CLERK Guynemer
Chery mission #
FF952935—= 77-< es:
January 21, zuzu led
thru Aaron Notary
City I) Sanford
r
1
Building PreventionandFire
Product Approval Specification Form
Permit #
Project Location Address I ( a z S C, 7 I
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(including
Florida Approval #
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 r,-,e Def*CJiv, Sl ask i,, oLo'7(f-
Underla ments C Of4,A c (0 Arno,,— I 100A
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
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll up
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)
11-5 Le
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit
te ji ^ hereby acknowledge that I personally inspected
CYRoof deck nailing and/or N/9econdary water barrier work
at 115 Qu e-eks 0- _S k 7) l 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. r,
Signature of Contractor Date
Printed Name of Contractor
CC6/a 7y"v
License #
License Type: General Building Residential 1400fing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF Mari on
Sworn to (or affirmed) nd subscribed before me this day of NC00--W b04, 20 1 CO , by
L -e_rCx--) , who is Personally Known to me or has Produced (type of
i entification [_ Q as identification.
LL N• EAL)
Signature of Notary Public
State of F orid i
LAA• Vie --en
Print/Type/Stlimp Name
of Notary Public 2°kaY Pie` WENDY A. GREEN
Notary Public - State of Florida _.. _
My Comm. Expires May 13, 2017
y a` Commission # FF 016309
3