HomeMy WebLinkAbout127 Maple Wood DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: dy 1_1
Documented Construction Value: $ (,0
d
Job Address: /,/,n &PLeAvvof A Historic District: Yes No Z
Parcel ID: 33 19 3 0,5_0 r? 0 GG D 0 Residential`, Commercial
Type of Work: New Addition Altgation Repair LN Demo Change of Use Move
Description of Work:
Plan Review Contact Person: / <` C_ - - Title: /
Phone: 7%-7'%-z % Fax: (1%-
d 22 !Ll/ Email:
Property Owner Information /
Name ( Phone: 5-0 2
Street: 0 /` / Resident of property?
City, State Zip: ' 32-221
Contractor Information //
n
Name Phone: 42 -7 % %
Street: Fax•%- 977/
City, State Zip: 3} State License No.: MC /3'C!g 3
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
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: 5" Edition (2014) Florida Building Code q>
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
d
Signat4ee of Contractor/Agent D to
e Pi
Print Contractor/Agent's Name L
Signature of Notary -State of Florida Date
STEPHEN PATRICK DOLAN
MY COMMISSION t FF 071532
EXPIRES: December 27, 2017
Nj9rFOF F\o< Bonded Thru Budget Notary Services
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:
New. Construction: Electric - # of Amp
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Min. Occupancy Load:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
5 Profser Record Caa-rf
c iotrx,.cra Parcel: 3-1 J-30-507 "B({t-(314f>
Owner AZIL DOSE! t+ R DIANNE D
a. Property Address: 127 MAPLEWOOD C)kt ,ANFORD, Ft. 327 t 3660 Parcel
Information Value Summary Parcell33-
19 30 507-OB00-0140 { Owner
g GAZIL JOSEPH JR & DIANNE D i
Property Address 127 MAPLEWOOD DR SANFORD FL 32771-3660 Mailing
127 MAPLEWOOD DR SANFORD FL 32771-3660 Subdivision
Name i LDYLL.VJILIDE. 01 1 OCH ARBOR t; CTION 7 { I
Tax
District S1-SANFORD E DOR
Use Code ( 01 SINGLE FAMILY Exemptions
00 HOMESTEAD(1994) i 2017
Working 2016 Certifiedn Values
Values Valuation
Method Cost/MarketCost/MarketDepreciated
iI3
Number
of Buildings Bldg
Value 155 205 s $149 389 Depreciated
EXFT Value 2,136 2 136 Land
Value (Market) 34 000 34,000 Land
Value Ag Just/
Market Value" 191,341 185 525 I .
rx.r Portability Adt k
Save Our Homes Adl $47 148 $42,334 I ;
Amendment 1 Adl I
1 -P&
G Adl : $0 _ $0 Assessed
Value ; $144 193 - $143 191 r _
a 0 i
r
Tax
Amount without SOH: $1,122.15 4
2016 Tax Bill Amount $782.70 tax
Estimator I j (
I Save Our Homes Savings: $339.45 1
1 4
4 '. ' Does NOT INCLUDE Non Ad Valorem Assessments Seminole
County GIS Legal
Description LOT
14 BILK B i
IDYLLWILDE OF LOCH ARBOR SEC 7 PB
27 PG 94 Taxes
Taxing
Authority I Assessment Value I Exempt Values Taxable Value I j
rCity Sanford $144 193 $108 516 $35,677 SJWM(
Saint Johns Water Management) $144 193 $108 516 $35,677 I
County
Bonds $144 193 $108,516 $35 677 County
General Fund $144 193 • $108 516 $35 677 1 E
Schools $144,193 $98 516 $45,677 Sales
Description
Date Book Page i Amount j Qualified I Vac/Imp y --- --- —----__. —... -
WARRANTY
DEED 6/1/1984 i1 52 1615 $110,000 Yes Improved ( FarsrJ
tisra s Land
Method
Frontage Depth { Units U I_._nits Price Lan d Value I _
LOT 0.00 0.00 1 $34,000.00 ' $34.000 Building
Information i
Is Lied/Bntlr count incorrect? Click Here. i
Year Built ! l #
Description Fixtures Bed Bath 1 Base Area Total SF i Living SF Ext Wall Adt Value Repl Value Appendages Actual/
Effective 1
SINGLE 1984 9 ' ! 1,166 2,776 2,154 ' BRICK+WOOD $155 205 $182,059 Description ; Area FAMILY
COMBO
Licensed & Insured
First in Quality
First in Service.
First in Satisfaction
Atlantic Roofing & Construction .Co., Inc. (407)79`7--4957
LIC # CCC1330939 6767 Hoffner Avenue
LIC # CRC1331435 Orlando, Florida 32822
PROPOSAL SUBMITTED TO Jdn U, K nh
STREET 1,27 -JA ) [e 001Y 1 P-I
ii
CITY, STATE, ZIPS Ord -IF U, 3 2-2 2/
HOME PHONE (LO%) L{ 0 —S07I CT
Ins. Co. AAA
Tel.#
Claim # LfS 3 ;F-0
Adj. Name
Tel. #
Fax #
DATE %6 " 7" 1
JOB #
SUBDIVISION
BUSINESS PHONE (4o7) Lll — S0 V (t
SPECIFICATIONS FOR LABOR AND MATERIAL
Tear Off: O Composition hingle Layers ,
ro signally Install: Brand Type _ i
C
Color
Zw
Valleys Ft. Install: 30 lb. Felt El Peel & Stick c5Xt)7 ke r C h. G e-" 1r
ood replaced at $60 - per sheet (if needed)
I R al, sidewalls, counter and wall flashings Re -Use Drip Edge rip Edge
N 1-112" 2" 3" 4" or Plumbing Ve t
71ean-up
itation: Low Profiles. Goose Nec s Off Ridge Vents Ridge Vents Color
and haul off all job related trash pll yard with magnetic roller rotect yard and shrubs
size Color
Skylight 2 x 2 4 x 4
Atlantic Rouging is not responsible for pre-existing structural conditions.
Buyers agree they haue seen, read & understand all, terms & conditions of this contract & agree :to be bound by same.
o ALL ROOFS HAVE A 5 YR LABOR WARRANTY
CONTINGENT
This proposal is contingent upon the insurance company paying for damages. This proposal wiil:be VOID only if claim is disallowed by insurance company.
Property owner's out-of-pocket expense is not to exceed 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 furnish materials and labor; complete In accordance with above specifications for the sum -of the insurance as per the insurance
company loss scope sheet, for hich is ncorp rated herein and made a arl hereof by reference, to include cus omary profit nd overhead when multiggle
trade Incurred TWS• IP O CE a ment upd co lion of each trade. e/b 4cd v v GI-C t Authorized
Signature Mustbeapprovedbycompany owner. No other work ekpresjaYor implied verbally. All changes to be in writing and accepted before commencement of changes.
NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE
OF PROPOSAL - The above pric s specification d cp ions are satisfactory and are hereby accepted. You are authorized to do the work
as specified. a
XV — 1{z Payment will
be made as outline abo ` Date
A 1 1 111 1 Il ll 1111 11111 Hill loll
THIS INSTRUMENT PREPARED BY: t1i=h'i r°Ihi{'l t11 h L r 001:114OLE COUlTrY
Name: 44 (/l 2 CLERK OF C"1RCUI:T COURT C:ONPI'ROLLEFZ
Address: LI;. ;3r9`..
3 CLERK'Sx 2I11611073.
I1:ECOI'iis<ED 11)-25_1f.21-lf,v I,IjJ:; j•11; ::) t`,1i'1
NOTICE OF COMMENCEMENT
t`,
E,
ORD)*
D
FEE; :i.ii,itll
f:ECOI"iLiF[) BY hi1e',,,ar;a
Permit Number: ,
7,, 7ParcelIDNumber: 3 3 .5_ 6 Ul/y 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: (Legal c escr'ption of the[opert and sheet address if available)
7 /'-/i; ,7 /.,,r r,(/ !'J-t _ . C i4 f svcN 3-? 21
e-
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESS E INFORMATION IF THE LESSEE CONTR%/CTED FOR /THE IMPROVEMENT-
7Nameandaddress: G u
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Add
4. CONTRACTOR: Name:14
Address:
5. SURETY (If applicable, a
Address:
6. LENDER: Name:. Phone Number:
Address:
Amount of Bond:
I
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Address:
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.
LIP) t,;, Uos 1 G a- -z- I
Stature of er or Lessee. or Owner's or Lessee's (Print Name an Provide Signatory's Title/Orrice)
AuthorizecUo ficer/Director/Partner/Manager)
q -i
State of EL, County of
The foregoing instrument was acknowledged before me this day of C. , 20
by Who is personally known to me OR
Name of person making statement (
L % 1 }` % 2 C
who has produced identification type of identification produced: FL 'v Ly V L r ~ u L ^- GRACIELA
GAGNE MY
COMMISSION * FF985949 a
EXPIRES April25, 2020 ';.:.,,ro M) i F! COPY- RYA E MCRSE: '' ?y 407) 395-0153 Fbridahlota Service.00m e c it
2'5 ( F `rNE IR it co s COMPTR
r AMINOLFr
a re.$ .4
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: - / b .----
I hereby name and appoint: _ 51
an agent of: V 1'
4, C -ram .v
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):
Expiration Date for This Limited Power of Attorney:
License Holder Name: « (
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
33 11_1 1
The foregoing instrument as acknowledged before me this Zday of 0
200 , by kC who iersonally known
to me or who has produced
identification and who did (did not) take an oath.
ignature
Notary Seal) %P,41f'Gk- -(4'j
Print or type name
STEPHEN PATRICK DOLAN
MY COMMISSION # FF 071532
EXPIRES: December 27, 2017
ATFOF Fi\oe Bonded Thru Budget Notary Services
Rev. 08.12)
Notary Public - State of (V ivi--
Commission No. -Fcll
My Commission Expires: a i "%
as
Product Approval Specification Form
Permit #
Project Location Address 7
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 P, A r Dgp a D
Underla ments L 3,—/Z
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 I -- D
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 / e /
Please Print)
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
I, hereby acknowledge that I personally inspected
Roof deck nailing and/orndary water barrier workP
at and have determined that the work
Job Site Addiless)
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.
vz z . /.4_ / — .)-
Signatu of Contractor Date
rtcc e,I 452;L VU-It-f- CCG 1330g32
Printed Name of Contractor License #
License Type: General Building ResidentialX&ofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF B
Sworn to (or affirmed) and subscribed before me this UP day of 20 , by
who is $Rusonally Known to me or has Produced (type of
ident' tion) as identification.
SEAL)
Signature'of Notary Public
State.jpf Florida
n p a °,",P;B,O STEPHENPATRICKDOW4
cr1 'f A4-(, e * My COMMISSION # FF 071532
Print/Type/Stamp Name * EXPIRES! December 27, 2017
of Notary Public
s•,,FOFF7 Bonded ThruBudge' Notary services