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Home My WebLink About126 Brushcreek Drlka*' OCT 19 2016 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: A"'2 0 Documented Construction Value: $ Job Address: Id 6 0,, k A\ _ Historic District: Yes No Parcel ID: Residential 1 Commercial Type of Work: New Addition Alteration Repair Demo El Change /of Use Move Description f Work: _a:(24 L ne_ dz C Zih Plan Review Contact Person: e Title: Phone: d % 7,5 % Fax: Email: Property Owner Information Name 4 Q I lle v N iq Phone: W '% — Street: 1,2: & kt(:'Le ( r Resident of property? City, State Zip: o El -3 2-7 7 Contractor Information / C, Name A fM d /L Phone: 02— 77r1 — z 91 / Street: to Fax: %% — 6r11 City, State Zip: State License No.: M'_ 1:5 %3 S 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. 1 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: 5'1' Edition (2014) Florida Building Code 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 i ure of Contracto Agent Date J_ 16z _'0 / e_ Pr n on ractor ent's Name ota'ry-State of Florida r Date SHEYLA A. VILLEQAS Notary Public, State of Florida Commission# FF 965028 fd4 Comm: expires Feb. 25, 2020 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: W dJa,0=,CFA P P Parcel Information Property Record Card Parcel: ',33-19-30 516()000 1420 Owner: SANTOS GUILLERMO A SIR & ORDONEZ-SANTOS CARLA Property Address: 126 BRUSHCREEK DR SANFORD, FL 32771 Value Summary Parcel j 33-19-30-516-0000-1420 Owner r SANTOS GUILLERMO A SIR & ORDONEZ-SANTOS CARLA Property Address i 126 BRUSHCREEK DR SANFORD, FL 32771 Mailing 126 BRUSHCREEK DR SANFORD, FL 32771 Subdivision Name 1 COUN-1 RY CLUB PARK PH 2 Tax District Sl-SANFORD DOR Use Code; 01-SINGLE FAMILY Exemptions i 00-HOMESTEAD(2001) Legal Description LOT 142 COUNTRY CLUB PARK PH 2 PB 54 PGS 22 THRU 24 Taxes Taxing Authority L County General Fund I Schools I City Sanford SJWM(Saint Johns Water Management) County Bonds Sales Description QUIT CLAIM DEED QUIT CLAIM DEED SPECIAL WARRANTY DEED WARRANTY DEED d ?%,qmparahSales Land Method Frontage LOT Building Information Seminole County GIS Assessment Value Q1') A 170 124, 278 124, 278 124, 278 124, 278 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 I Depreciated Bldg Value $135,392 123,605 Depreciated EXFT Value $901 951 Land Value (Market) $32,000 28,000 Land Value Ag Just/ Market---11Value $ 1681, 2193 152,556 Portability Adj Save Our Homes Adj $44,015 29,142 Amendment 1 Adj P&GAdj $ 0 0 Assessed Value $124, 278 123,414 Tax Amount without SOH: $2,040.00 2015 Tax Bill ArnOL1111 $1,447.00 Tax Estimator Save Our Homes Savings: $593.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Exempt Values Taxable Value 100,000 24, 278 25,000 99, 278 50,000 74, 278 50,000 74, 278 50,000 74, 278 Date Book Page Amount Qualified Vac/Imp 12/1/2015 08596 0229 88,500 No Improved 8/1/2008 07051 1482 100 No Improved 10/1/2000 03948 0235 122,300 Yes Improved 6/1/2000 03884 1318 23,500 Yes Vacant i Depth Units Units Price Land Value 32,000.00 32,000 ; A: LIC # CCC1330939 6767 Hoffner Avenue LIC # CRC1331435 Orlando, Florida32922 PROPOSAL SUBMITTED TO L Lj, L STREET U6 6 Y-p pee L d r . - CITY, STATE, ZIP v lit Ft-, 32 l HOME PHONE (-1-1D'7) clc) S=,3 Ins. Co, C___— r Li Tel.# Claim # Adj, Name Tel. # Fax # JOB # SUBDIVISION BUSINESS PHONE DATE SPECIFICATIONS FOR LABOR AND MATERIIA L Tee Off Shingles: Layers ssionally Install: Brand 'r- ,; /, e— Type f jve Color (j1 Ft. I: 30 lb. Felt Peel & Stick Synthetic Undedayment R I, sidewalls, counter and wall flashings Re -Use Drip Edge J:I Drip Edge i: R- qetn*a-iI 1- 1/20 2" 3" 4' or Plumbing Vents -1 latiom, Goose Necks Off Ridge Vents Ridge Vents Color—Lrr"l), - i Plywood Sheathing to Code Sk"ht 2x2 4x4 l;rPi replaced at $60 - per sheet (if need! lean•up and haul off all job related trao 6 Roll rd with magnetic roller 8"Prot yard nd sh ubs 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 If claim is disallowed by Insurance company. Property owner' s out-ofpocket expense is not to exbeed the deductible amount. The insurance oompanywill 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 0ROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose to hereby fumish 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 refer' ce, to include customary profit and overhead when multiple trade incurred S ; S r /E'i G-i P t Asa ca etiaa a ad u Authorized Signature' Must be approved by company owner. No other work ekpressed or 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 whin 30 days. ACCEPTANCE OF PROPOSAL- The above prf spe ' one and ca itions are $ati and are hereby accepted. You are authon ed to do the work as specified Payment will be made as outline abo Date / / G I N211111151111111 lolls 1111112111811111;11N THIS INSTRUMENT PREPARED BY: *' I Name: " Address: NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 30 '1 7 QQ t Ti The undersigned hereby gives notice that improvement will be made to certain real property, and in following information is provided in this Notice of Commencement. 1. DESCRIPTION OF„PROPERTY: (Legal descriptlpn of the prop Ijy and 2. GENERALpESCMPTION-OF IMPROVEMENT: ilt=iit'trli'1PlE 1101 EY 1"111:hOLE COLl1%Vf'Y i...EFtI:. f i t i:1,:CUT 1 CilURI' ?. CClh1f'TF:OI_L:It ii i:il br '_7 1.'i 2, CL.ERL ` r 1 `? 016108276 IZ.I_t: t l. ls t_11 10/ 19/ 221.16 1.1.'-. 3" 'r 8 rlrl FEE6 s?i, i,l„I_Ili If Wj'rRFOCOPY—MARYANNEMORSE CLERK OF Tr-_IRCUIT COI D COP PTRO t.r , cc rc n e t t C ta FI rids Statutes; fh'e, F;4sMtLc. ury jr'. [a ., t < 3. OWNER INFORMATIONIORLESSEE INFORMATION IF THE LESSEE CONTRACTED FORTH E IMP Name and address:,( I L t f'l Cam% l7% 5 % 7'LLG sLi c4e-e—,e 41,If i` ni7 A 37 Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: Address: I _ 4. CONTRACTOR: Name: Address: 47 / 7 Phone Number: 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Address: Phone Number: 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 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) e 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. c '`' r'`' U = 1 . C' r Ctil't d S Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) q State of County County of The foregoing instrument was acknowledged before me this M) day of C / /( , 20 l (U by j J IA,o 5, ! . Who is personally known to me O OR Name of person making statement f j who has produced identification type of identification produced: t — 2 f D 6 7 — 0 LI GRACIELA GAGNE MY COMMISSION # FF986949EXPIRES April252020753FlatldaNMNotary'Signature 9 20i1 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: /,/) /011(o I hereby name and appoint: %4)1 an agent of: P,f0.A,4- Nam 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): The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: C C State License Number: Signature of License H STATE OF FL RIDA COUNTY OF(ACtV The foregoing ins a ent wa ackr) 20q, by (- to me or bwho has produced identification and who did (did not) Notary Seal) VASHEYLA A. VILLEOAS Notary Public, State of Florida Commission$ FF 965028 Mir semen; expires Feb: 25; 2020 Rev.08.12) ledged before me this (C day ofV L who is personally known as Print or type Notary Public - State of oot G ' Commission No. My Commission Expires: City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 3 )--7 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 6 1+4 1 th te-e d) Zzz H w,- t i eC r 0 Underla ments c a tz <- 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 Ka- t U Other June 2014 A . . 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 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit 4: /( — ,- n & I, g Yl t— hereby acknowledge that I personally inspected Roof deck nailing and/orplsecondary water barrier work at 77 % 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. d Zd / 1 Signatur of Contractor Date M(J,,ae I 6& OCC 139 05 3 c Printed Name of Contractor License 4 License Type_ E General 7 Building L ResidentlalXkoofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Z)V-A-t'3 Sworn to r affirmed) and subscribed before me this day of a , 20 , by who isMerson"'(all/yy Known tome or has C Produced (type of ident' ca as identification. TignathrKof Notary Public Sta a of Mori Print/Type/Stamp NameSiEPHENSSTONCKDO N MY COMMISSION # FF 0715377207ofNotaryPublic * * EXPIRES: December 27, otNolerySe, es l'Teat 4 0 @ond4'j!ty s4p9