HomeMy WebLinkAbout128 Circle Hill RdCITY OF SANFORD
BUILDING & FIRE PREVENTION
D OCT 2 'r 26% PERMIT APPLICATION
Application No: a 9
Documented Construction Value: $ 2 /,SC)
Job Address: (20U Historic District: Yes No Parcel ID:
9 q -n-w, n Residential Commercial Type of
Work: New Addition Alteration L J Repair Demo Change of Use Move Description of
Work: Pr(2,ppF - cj-=(LT/}-j j-T,66o `VVY, I Plan Review
Contact Person: —j6-yL nI(1 Title: C1 Phone: 3a
1-q']Q-909 Fax: 22 1-979- Yf7/ Email: setl i 11 rre-nml crNc an Property Owner
Information c NamePhone:'-?
a
Street: ClQ h4 ((
4 , a jcr Resident of property? : V f r City, StateZip:
S 9n//-tom T/ic Y1.l /)/->•- %%3 Contractor Information Name /
q (CCc,
ITiI q=A)G- Ce! eA- LLC Phone: _ja I -9 7 p- yU9 z Street: Sc -jSN &
14- L/9A-)!L= Fax: '?o l 972 - u V 71 City, State Zip:
A L- / GQ7,- S124AAd _ f-L y State J.icense
No.:
O-C C / -a3 7L D Architect/Engineer Information Name:
Street: City, St,
Zip:
Bonding
Company: Address: Phone:
Fax: 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: 4-i addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
fou.d 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 Date
Print Owner/Agent's Name
Signature of Notary -State of Flo Date
O r/Agent is Personally Known to Me or
P oduced ID Type of ID
y
Signature of Co for/Agent Date
J
Print Co for gent's Name
a'
rgn tttr G+7 e o Date
Notary Public State of Flodda
a4 Linda Pigo
My Comm FmissionF043599'
a
Expires 0810 '_
Contractor/Agent is
BELOW IS FOR OFFICE USE ONLY
Known to Me or
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
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
In
ALProperty Record Card
Wdason. Cry I Parcel: 04-20-30-514-0000-0150
PA$0P,0P,
RMWR Owner: RES SHARON R
fa:ragxr uxxvrv,runzr, j property Address: 128 CIRCLE HILL RD SANFORD, FL 32773I
i,
Parcel Information Value Summary
Parcel 04-20-30-514-0000-0150
Owner FIES SHARON R 1
Property Address 128 CIRCLE HILL RD SANFORD, FL 32773
Mailing 1 IRCLE ILL RD SANFORD, FL 32773-4770
w
Subdivision Na AYFAIR CL B PH 2
Ta istrict S1-SANFQ
DOR se Code 01-SIN FAMILY
J
Exem OMESTEAD(2000)
Working 2015 CertifiedJ2016ValuesValues
Valuation Method Cost/Market Cost/Market
Number ofBuildings 1 1
Depreciated Bldg Value 143,798 138,894
Depreciated EXFT Value
Land Value (Market) 25,000 25,000
Land Value Ag
Just/MarketValue" 168,798 163,894
Portability Adj
Save Our Homes Adj 44,780 40,738
10 3 o0 55 < " Amendment 1 Adj
P&G Adj $0 $0
i Assessed Value $124,018 $123,156 I
P
Tax Amount without SOH: $2,514.00
87 0 a
t •"-
t
2015 Tax Bill Amount $1,685.00
Tax Estimator
50
Save Our Homes Savings: $829.00
Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GISnL ' 4 7,
Legal Description
LOT 15
MAYFAIR CLUB PH 2 — — — —
PB 54 PGS 84 & 85
Taxes _
Taxi AuthorityunTaxingAssessmentValueExemptValuesTaxableValue
County General Fund 124,018 50,000 74,018
Schools 124,018 25,000 99,018'
lCity Sanford 124,018 50,000 74,018
SJWM(Saint Johns Water Management) 124,018 50,000 74,01El
County Bonds 124,018 50,000 74,018
Sales
Description Date Book Page Amount Qualified Vac/Imp
f QUIT CLAIM DEED 3/1/2004 05247 1864 $100 No Improved i
j SPECIAL WARRANTY DEED 5/1/1999 03651 0775 $120,100 Yes Improved
i
Find Comparable Sales i
Land
Method Frontage Depth Units Units PrPrice Land Value
jLOT 1 $25,000.00 $25,000
Building Information
Is Bed/Bath count incorrect? Click Here.
Description Year Built Fixtures Bed Bath Base Area ' Total SF Living SF EM Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1999 9 4 2- 1,120 2,583 2,142 CB/STUCCO $143,798 $152,977 Description Area
FAMILY FINISH
GARAGE
420.00
FINISHED
OPEN
ACCREDITED
BUSINESS ShingleWster
For Roofing It lust Makes Sense...
1025 Sunshine Lane, Altamonte Springs, FL 32714
Office: 321-972-4094 Fax: 321-972-4471 www.axiomeontracting.com
FL License# CCC1329763 Solar License# CVC56964 EIN:27-5097304
Locations: Jacksonville, Margate, The Villages
CONTRACT/BUILD CONFIRMATION
MR/MRS/MS SInroyl P'm HOME# 3LI --2-707 _ 3 % -5-7
STREET l Zs C,li-, & /' z& J
CITY Sl rl4 6/
STATE F1 ZIP Z773
SHINGLES & RIDGE: CERTAINTEED LANDMARK
Driftwood
Weathered Wood
Burnt Sienna
UNDERLAYMENT
Er Synthetic Felt
Other (Charges may apply)
GUTTERS
Cobblestone Gray
Colonial Slate
Georgetown Gray
VENTILATION
Ridge Vent
15J7 Off Ridge Vents
GOOSE NECKS
Detach & Reset as necessary
New
CELL #
ORIGINAL AGREEMENT/CONTRACT DATE Z h,6
Heather Blend
Sunrise Cedar
Moire Black
VALLEY
7 Ice & Water shield
X Valley Metal
4" Goose Neck — QTY
10" Goose Neck QTY
Color
Charcoal Black Silver Birch
Mojave Tan Pewter
Resawn Shake Other
Drip Edge
9 2.S" Painted, Color.
Other
PLUMBING STACKS ROLL ROOFING
J 1-1/2" Lead QTY
2" Lead a
3' Lead QTY
Job Description and Additional Items ( i.e. Solar Panels, Interior, Chimney Flashing, Skylights etc.
TOTAL CHARGE FOR ABOVE LISTED WORK: $ `7 56 ' 7
PAYMENT SCHEDULE IS AS FOLLOWS: (Deductible to be Paid Upfront)
Down Payment Due, $ s2tUponRoofCompletion:
Depreciation Amount Due: $
2-Ply Peel-n-Stick
Other
Color
Axiom has the right to supplement the in company for any and all additional damages or missed items. When supplements are approved, customer agrees to
pay that money to Axiom Contracting Group LLC. The work listed above is to be performed under the same conditions as specified in the original Agreement/Contract
unless otherwise specified. Customer acknowledges explanation of Florida Supplier Lien Rights letter (see back of Contract).
AUTHORIZED BY:
0
o
Homeowner Date Homeowner Date
We hereby agree to furnish labor and materials — complete in accordance with the above specifications and in conjunction with the original Agreement/Contract at
above stated price. Please make all ks payable to Axiom Contracting Group LLC.
Axiom Contracting ro Authorized Representative Date
NOTE: This CONTRACT becomes part of and in conformance with the existing Agreement/Contract
THIS INSTRU EfIT PREPARED BY:
Name: \ 1 OBI G,/1 0 U
Address:
NOTICE OF COMMENCEMENT-Sf
Permit Number.
Parcel ID Number:
I'ir l Y ;idl IE Oh fLi' SE!` R-10LE COUNTY
C:]:FiCU f COURT r. C:0NF'THL.LEF,:
CLERK'S Y 201E111928
ECOI'kDED 1i1/-1 /21116 1l_i.'S1° Ii
i7 FEES $1.0,11il
itipi
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 avai ble)
D ,Q1 r 12Ct.Y; 1N t Lc n-OA10. .1e__C1< i 04. 3
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: / ) _t{ % t c Pick S/
Interest in property: ,)h4
Fee Simple Title Holder (if other than owner listed above) Name:
Address: ^
oZ ( / 4. CONTRACTOR: Name* I Cyr Ct C' AV4197 -d (A o Phone Number: a- L - T Y7z
Address: S' S't ',)rJ /_4, 1 49-&x" /4-L7 _Z%/ y
5. SURETY (if applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name: Phone Number:
Address:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
713.13(1)(a)7., Florida Statutes. —
8. In addition, Owner designates
to receive a copy of the Lienor's Notice as
9. Expiration Date of Notice of
713.13(1)(b), Florida Statutes. Phone number:
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.
j c 6 I t 1 2&c n 0) TTes:
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized officer/Director/Partner/Manager)
State of (—_L/2_1 01-E County of
The foregoing Instrument was acknowledged before me this day of C9<37rY3 pel-, . 20 !
by S7;,.// eC/ k f -/ jL ( . Who Is personally known to me OR
f
Name of person making statement
J
who has produced identification type of identification produced: — Gt -1 - / S` S -2 2 -0
sc+P11 Notary Public State of Florida
Linda W Pigozzi
My Commission FF 043599'
Oa T 2 7
Expires OBI0712017
CLERK OFT CIRCUIT COd11 TAND
MINOI COUP Tom, FLORIDA r4j? F ;.
f5EPUTY CLERK
LIMMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwoo Sanford
Seminole County, Winter Springs
Date: Z&„
I hereby name and appoint:_I iE2
an agent of: pA24 CT jr cwbou10 L L
Name of Company)
to be my lawful attomey-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):
All permits and applications submitted by this contractor.
or
The specific,permit and application for work located aft:
Address)
Expiration Date for This Limited Power of Attorney:_ Q _ 3 /- /G
License Holder Name: FJi2n -a J171 L ,4,
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF _,-n,,.o L/
The foregoing instrument was acknowledged before me tlg vday of ,
201 (o , by Q_A_kffia6 Q A . v )'1 i l.lZ who is i TErsonally known
to me or who has pro»rPd
identification and who
Notary Seal)
public State of Honda
01 °lik.
Notary W pigozziLinda 04359T
MY mission 7
Expires
or) L
JJZY ) /71 Gt-- Z
Print or type name
Notary Public -State of r— -C 2t D&
Commission No. FF-O q"3Sz? 9— My
Commission Expires: .9— ?- a0/ as
Rev.
8/06/13)
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
I, Ct..tf-tcW,0 MI cA/1Z hereby acknowledge that I personally inspected
t+ oot deck nailing and/or H- condary water barrier work
at 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.
Signature ` t r Date
Printed Name of Contractor License #
License Type: General Building Residential N-1toofing Contractor y
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before a ay , 20 — by
t , who is onally Known to me r has Produced (type of -
iden i cat o) as i en i ica ion.
SEAL) C.Fig-nature of Nota ublic
State of Florida
L.
PV Notary Public State of Florida
LindaWPigozzi
Print/Type/Stamp Name Expires 08/07/2017 043599'
of Notary Public