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HomeMy WebLinkAbout364 Placid Lake DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMITAPPLICATION Application No: DocuniciitedConstruction Value: $ 1.0, 900 JohAddress: 364Placid Lake Dr Sanford, FL 32771Historic 'iDistret,:,Ves 0 No n Parcel ID: 02-20_30-520-0000-0360Residen tial nx Commercial Type of Work:, New 1:1 Addition 1:1 Alteration El Repair 0 Demo 1:1 CliangcW Use 11 Move El Description of 81N'oek: Re -Roof, Owens Corning FL 10674, Tech Wrap FL 17194, 25.year, supreme Plan Review .Contact. Person; Danielle Diaz T'iffe: Admin Phone- 407-278-7788 —rax: -800-337-336i Email.- Permit@1jasperinc.,com Property Owner Information Name Monique Doherty Street: 364 Placid Lake Dr City, State Zile: Sanford, FL 3,2771 Phone. 407-221-9,235 Resident of property? : Yes Contractor Information Name Jasper Contractors Phone: 407-278-7788 Street: 5318.0 E Colonial Dr Fax: 800-337-3361 City,,Statezip: Orlando,, FL j2867CCC1329651StateLicenseNo— Architect/Engineer Information Name: street: City, St, zio. Phone: Fax: E-mail: Bonding Company:; Mortgage Lender: Address: 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, CON9U Lr WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOIJR 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, urisdiction, I understand that a'separate permit, must be secured for electrical work, plumblingi signs, wells, pools, furnaces,, boilersheaters, tanks, and air conditioners, etc. F13C 105.3 Shall be, inscribed with the date ol'application and the code in effect as ofthat date: 5" E.dition (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 ofa 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 o1'0%%ner/Agent Print 0%vncr/Agents Name Date Signature of Notary -State of Florida pate Owner/Agent is Personally Known to Me or Produced ID Type oi'1D sienalure. of Contrac(or/Agent 2 Agent's Na'. ry n Sighature61)Not 7lnrid D"+tc SAMANTHA MURRAY MV COMMISSiON it FF9"322 a EXPIRES pecember 16.2019 Wr.7M:.lS G`tQnawparySavice. cum Contractor/Agent is Personally Known to Me or Produced ID X Type of 1D DL BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq i?t of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTiLITl_ES: All of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised; June 30, 2015 Permit Application Parcel Information Property Record Card Parcel: 02-20-30-520-0000-0360 Owner: DOHERTY JOSEPH D &MONIQUE Property Address: 364 PLACID LAKE DR SANFORD, FI -32771 Parcel 02-20-30-520-0000-0360 Owner DOHERTY JOSEPH D &MONIQUE F20'1 Wues Values Property Address 364 PLACID LAKE DR SANFORD, FL 32771 Mailing PO BOX 951966 LAKE MARY, FL 32795-1966 Subdivision Name PLACID WOODS PH 1 Tax District Sl-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 0 01 9 A FN- al Value Summary Tax Amount without SOH: $1,792.00 2015 Tax Bill Amount $1,792.'00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments U LRM -211"r Seminole County GIS Legal Description 6 Working 2015 CertifiedF20'1 Wues Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 Depreciated Bldg Value 86,777 76,926 Depreciated EXFT\lalue Land Value (Market) 18,000 18,000 Land Value Ag justiMarketValue 104,777 94,926 PortabilityAdj Save Our Homes Adj 0 0 Amendment 1 Adj 12,694 11,214 P&G, Adj 0 0 Assessed Value 92,083 83,712 Tax Amount without SOH: $1,792.00 2015 Tax Bill Amount $1,792.'00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments U LRM -211"r Seminole County GIS Legal Description Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FI 32807 407) 278-7788 800) 337-3361 Fax JasperRoof.com inIM4iasncr nc.org AccountManager e Contact {f " Z i i 4-0-7c 401 > Insurance,Companv Information CompanyJASPER tt Policy y ,..`— q JaSp0fR00f.¢om Claim Contractor's License # CCC 1329651 Mortgatze Companylnformation Company ftc u5 Loan Number ROOF REPLACEMENT CONTRACT Owner(s): /, alit f P 3 Phone; D Address: Pt bac, & ( ( IJP Alt Phone: City: St State: fJyipc Shingle Color: 4:4- 1 IV) RooCVamount: V -©am Drip Edge Color - AL-1- If Owneris Insurance Company does not agree to pay for a full -roof replacement, this contract shall be voidable. Assignment of Insurance Benefits for the Full Roof` Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance: policies to Jasper Contractors, Inc: ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested by Jasper; its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy rights. If payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's''responsibility to `pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet, UNLESS replacement/repair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall overrule Deductible listed above. Deductible: $ /005 MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX ko—(initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for fc ra s Mortgage Co to speak with Jasper on matters including, but not limited to, the claim and draw status. S_Vt (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper, based on the following pay schedule: (i) Deposit in the amount of $ due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus Upgrade Costs, due and payable ,to 1asper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation, and/or change orders) due and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM:' R QTY: 0 PRICE: S 6, TOTAL: $_C22 Replacement Work and Price: Upon insurer's approval and subject to the -terms and conditions herein, Jasper agrees to furnish all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, 'conditions permitting. Owner's Declaration of Intent: Owner, acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company: CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s); that the claim. for payment on roof contract has been denied, in whole or in part: All written notices of cancellation, regardless of reason, shall be postmarked .or delivered to Jasper's corporate office: 1955 Vaughn Road, Suite 209, Kennesaw, CA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairsas time is of the essence, I, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree tbat-all details are acceptable and satisfactory. I further understand that this contract constitutes the entire agreement between the parties and that any further changes or alterations to "this contract must be made in writing and agreed upon by both parties. Each party represents and w rrants to the other that it has the full power and authority to enter into the contract and that it is binding, and enforceab e°cor ance with its terms. All td Asper Representative Date Date T 4 S AND CONDITIONS: Acceptance of Terms: 1, Owner, hereby agr t in Jasper for a full roof replacement on the terms and c n tions stated herein. I further agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full access to the,property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with Owner's, insurance 'in the event that the estimate is incorrect and/or additional damage is discovered after Permit Number: Folio/Parcel 117#: O -aQ,. h-i_ OOOC-O I'IARYANNE HORSEY SEMINOLE COUNTY 502Preparredby: _ JQgb n t'Jtti-q} SYS' CLERI; 6F C':rGOUf T it COMPTROLLERl EK E776 F's 1151)2 (].F'9s t t'• _ CLERY.'S Y 20161172179 RECOMED 09/20/2016 111:19*01" iH Return to: 'aC 1 5 RECOWING FEES $10.00 1535&5 C I ntnV, I n, RECORDED BY jeckenro NOTICE OF COMMENCEMENT State of Florida, County of Orange 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. Descri tion of pro ely (le al descri tion of the propert ,and street address if available LOT 34e F 4 cl A N%o0s 'P H tL PB 51 P66 23 JH PQ 29 2. Genawl descriptlon_of1mprovement 3. Owner information or L if the Lessee contracted for the improvement Interest in Property. Q Wnf>__f- It Name and address of fee simple titleholder (If different from Owner listed above) Name Address 4. Contractor ¢ r pNametjqrl b;LG"j ` Telephone Number_ 14 D% '-z"7 o 18 D Address Y". Orlavido PL 52 -So -7 5, Surety (if applicable, a, copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ 6. Lender Name Telephone Number Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided,by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in ,§713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 BEFOR HE FIRST INSPECTION. IFYou INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 90MMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT'. Ax, Signature of Owner or Lessee, or Owner's or Lessee's Authorized. Officer/Director/Partner/Manager The fo as instrument was acknowledged before me this day of% far mo year v•:""Y Name of party on behalf of whom instrument j1( Iwas executed Sa. Print, type or stamp commissioned name of Notary Public e.g., officer, trustee, r ut twtopy ruuuc—otatt: uuriujma PersonfViqqu ly Known OR Produced ID X Type of ID Produced L Form content revised; 01/23/14 Ytt LFq cc -q • ' if Signatory's Title/Office '" : a, ; byOh1Q name of Berson co cel 71\ SAKI AN'iTHP, MURRA yvtYCOMMISSir)N K FF9 4AO22294* r. ti;M •: co cel 71\ Altamonte $I Date: I lercby name and °a an stent of: JA to be my lawful attoi'm lieessary to this al}ppi 6 All permits ane zi The specific pe LIMITED POWER OF ATTORNEY rags, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs itttC DANIELLE DIA7 ER CONTRACTORS wanrc oIt, -on)11Zuw) in -tact to act far ine to apply lora receipt tor; sign for and do all thins Elent for (check only one option): api lia)tions submitted by this contractor. it and application for work located at: A-1616diWe -Dr Sarl+r She l ,gad«.,) Etipiration Date For This Limited Power Of Attorney: Li ense Holder Name: MICHAEL ST EPHEN State License Number: CCC 1329651 SiLrlatl.WC of License l-l ilder 30 STATE OF FLORIDAi COUNTY OF a —(A QThef rc oiiu, instrument wits acknowledtoedl« bere me this I day of j amA_ 201-. b5' C' S: who is personally known to nye/ or who has produced _DL _ as identilicatior and who did/did not ' Z n oath. Si nature SAMANTHA MURRAY MY COMMISS6ofd # FF944322 EXPIRES DeCembgr 1tj. 2419 Print or -Type Name Notary Public — State of p 1 Ccnnnlission Number i1- LA , a 4' My Commission Expires 12-0 "tom_ City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. /447' 49 & G ISSLJE DATE: CONTRACTOR: JOB ADDRESS: a(, 4 • A Post this Permit in a conspicuous place outside I PROTECT FROM WEATHER Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit expires six (6) months from date of issue or last approved inspection A R OOF DR Y -IN INSPECTION IS REQ UIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Miti ate ion Affidavit will not suffice as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED REIE.CTED INSPECTOR MISCELLANEOUS INSPECTION TYPE. APPROVED REJECTED INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF 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. 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. FBC 105.3.3 REVISED: October 2014 Inspection Line 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof 111 Miscellaneous Notes: Miscellaneous Sheathing - Roof 106 Insulation - Roof 119 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . 16-00002664 Date 10/03/16 Property Address . . . . 364 PLACID LAKE DR Parcel Number . . . . . . 02.20.30.520-0000-0360 Application description . ROOFING APPLICATION Subdivision Name . . . . Property Zoning . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 956565 Permit pin number 956565 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / /