HomeMy WebLinkAbout372 Hansom PkwyJob Address:
Parcel ID:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
OCT 12 2016 PERMIT APPLICATION
A Application No h
Documented Construction Value: $ 53S R. g6
Type of Work: New Addition Alteration
District: Yes No R --'-
Residential [ "Commercial
Repair Demo Change of Use Move
Description of Work: /(Z ppm — R.T r 7E F1J S/,i •./c t f`y y . /
Plan Review Contact Person: !2- QlI L Yl't u -1 Title:
Phone: 3;9 1-a'J Q-909 Fax: '2 (- 979- Y 17 / Email: Se -'-I i l-r'e1.Zyc c--, civ, met 'n ,
Property Owner Information
c
CAnAe- tU-X— CAOJI!:. U—C—
Name s W o t. a:!L. 3 Phone:
Street: '37,Q A-fJon 61)471c r Resident of property? : 'kr
City, State Zip:/y yirL 77
Contractor Information
Name / lC]r c)''-,)n1C,- C QL4 LLC' Phone: 3-1-9 ? ,)" t/U9 Z
Street: ZCP,5' S'c SN tit [ ,jam Fax: ' / 9%— V71
City, State Zip: G07eS D2! AAd _ ICC. /
y
State License No.: Cr C , / 3 29 Z?
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, beaters, 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`e Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NJ TICE: 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 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
JL/
Signature of Co tractor/Agent Date
0_
Print Contr4Wr/Agent's Nanien
of
X00
Au Notary Public State of Florida
Linda W Pigozzi
My Commission FF 043599'
o p Expires 08/0712017
Contractor/Agent is— A
Produced ID -Type
BELOW IS FOR OFFICE USE ONLY
A,),
Known to Me or
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:
Revised: June 30, 2015 Permit Application
Property Record Card
a Johnson' Crk" Parcel: 12-20-30-300-0130-0000
Owner: CARRIAGE COVE LLC 27777 FRANKLIN RD
SEMC+PiOLL l:(XR+tI'Y. FLC1Yt:4J,F.
Property Address: 751 E LAKE MARY BLVD SANFORD, FL 32773
Parcel Information
Parcel 12-20-30-300-0130-0000
r Owner I CARRIAGE COVE LLC 27777 FRANKLIN RD
Property Address 751 E LAKE MARY BLVD SANFORD, FL 32773
Mailing STE 200 SLOT RAY327 SOUTHFIELD, MI 48034
Subdivision Name
Depreciated Bldg Value
Tax District S1-SANFORD
DOR Use Code 28 MOBILE HOME PARK
s
Exemptions
Land Value (Market)
i
Y
till !
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rpt
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Seminole County GISIbIrrrrt..,
Legal Description
SEC 12 TWP 20S RGE 30E
BEG SW COR RUN N 2 DEG 43 MIN 35
SEC E 97.16 FT NELY ALONG CURVE
a 263.3 FT N 58 DEG 1 MIN 47 SEC E
1814.96 FT NELY ALONG CURVE 285.74
FT E 600 FT S 280 FT W 660 FT S 990
FT W 1974.56 FT TO BEG & IN
13-20-30 N 1/2 OF NW 1/4 OF NW 1/4
E 2/3 OF SE 1/4 OF NW 1/4 OF NW
1/4&E2/3OF NE 1/4 OF SW 1/4 OF
NW 1/4 (LESS E 25 FT FOR RD) & BEG
SW COR OF NE 1/4 OF NW 1/4 RUN E
258 FT N 141 FT N 86 DEG E 237.2 FT
N 38 DEG 47 MIN E ALONG RAN 326 FT
S 86 DEG W 32.5 FT N TO NE COR OF
NW 1/4 OF NE 1/4 OF NW 1/4W660FT
TO NW COR OF NE I/4 OF NW1/4S
1329 FT TO BEG (LESS RD)
Taxes
Value Summary
Tax Amount without SOH: $213,206.00
2015 Tax Bill Amount $213,206.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2016 Working
Values
2015 Certified
I Values
Valuation Method Income Income
Number of Buildings 3 3
Depreciated Bldg Value
11,542,578 0
Depreciated EXFT Value
City Sanford 11,523,845
Land Value (Market)
11,523,845
1
SJWM(Saint Johns Water Management)
Land Value Ag
0 11,523,845
j Just/MarketValue" 11,542,578 10,476,223
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 18,733 0
P&G Adj 0 0
Assess ed Value 11,523,845 10,476,223
Tax Amount without SOH: $213,206.00
2015 Tax Bill Amount $213,206.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 11,523,845 0 11,523,845
Schools 11,542,578 0 11,542,578
City Sanford 11,523,845 0 11,523,845
1
SJWM(Saint Johns Water Management) 11,523,845 0 11,523,845
County Bonds
i
11,523,845 0 11,523,845
Ae
axiom
contracting group, Ile
for ravfing
it fust makes sense..
Customer Info:
Job #: N/A
Williams, Jimmy
372 Hansom Parkway,
Sanford, FL, 32773
321) 578-2860
Axiom Contracting Group
1025 Sunshine Lane Altamonte Springs, FL
32714
Phone: (321) 972-4094
Fax: (321) 972-4471
Company Representative:
Will FLores
407) 920-1183
wflores@axiomcontracting.com
Job (dumber: N/A
Description Quantity Unit
Remove Tear off, -.haul and dispose of shingles 16.55 SQ
Replace Shingle- Laminated- Standard without felt 18.2 SQ
Replace Roofing felt -30 Ib. 16.55 SQ
Replace Complete re -nailing of roof sheathing 2227 SF
I.
Replace Ice & water shield 100.91 SF
R & R Flashing, 14" wide roll Valley Metal 80.89 LF
R & R Drip edge 245.83 LF
Replace Ridge cap 68.02 LF
R & R Flashing, lead pipe jack 2 EA
R & R Continuous ridge vent 60 LF
S' I e 13 v -c " \ Total for all sections: $5,382.85
v/ k Dr k
Total: $5,382.85
Notes/Comments:
Roll yard with magnet throughout the re -roof pr(Ress. Cleanup & Haul all roofing debris from job site. Obtain all permit
inspections as required. Plywood - first 3 sheets of plywood are covered under this estimate; anything beyond the 3
sheets are at a cost of $60.00 per sheet.
Company Authorized Signature Dateustomer Signature ate
Customer Signature Date
l
THIS INSTRUMENT PREPARED BY:
Name: Axiom Contracting Group, LLC
Address: 1025 Sunshine Lane
Altamonte Springs, Florida 32714
NOTICE OF COMMENCEMENT
l d111 Hill 1tit11lf 1 Ililt flf fl tlfl Ittl
MARYANNE MORSE, SEIIINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY. 8783 P9 1154 (1Pss)
CLERK'S A 2016105896
RECORDED 10/12/2016 11.43:3E AN
RECORDING FEES $10v0ii
CORDED BY hdevore
Permit Number:
Parcel ID Number: ,;—,vo -'3 0 - 300 - d / 3co —00 o o
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 available)
sr c s '26 r Sul CO2 QsJ esr AJ 191_` G_ 1`7/-V 3-SS Sr
272 1,46A 1 NiR7Aa21c t..1M:i3-:;L72,? rT T To .
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Residential ReRoof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THf LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address 4,6 LLL De-- /,
Interest in property: 0A1%y,/L —
Fee Simple Title Holder (if other than owner listed above) Name: —
Address:
4. CONTRACTOR: Name: Axiom Contracting Group, LLC Phone Number: 321-972-4094
Address: 1025 Sunshine Lane Altamonte Springs, Florida 32714
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice er 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)
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
bell
J&." es ( u/ %l 3!13
ov-(Sign lure ofDwneir or essee, or Owners or Lessee's (Print Name and Provide Signatory's Tige/Office)
Authorized Officer/Director/Partner/Manager)
State of County of J'l_ Iel I ^.n -_
The foregoing Instrument was acknowledged before me this eS2 9 ]!:J day of 7 i'y i -20
by Who is personally known to me OR
Name of p n making statement /
j c1(
who has produced Iden type of identification produced: ! ` w $a /
ypY P& Notary Public State of Florida
r° Linda W Pigozzi
FMy Commission FF 043599'
A Expires 0810712017 tiH aptNbtdrySignature
r t- NIARYA NE MORSE '' 9 /i
CLERK OF HECIRC TC
COMPTRO LER
122016l: _
SEMINOLE U loo
OCT
DEPUTY CLERK
S'l;.r<s f1
SEMINOLE COUNTY MULT/ JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwo d, Sanford,
Seminole County, Winter Springs
Date: y–1
I hereby name and appoint: Jay Baker
an agent of: Axiom Contracting Group, LLC
Name of 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):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
i
Expiration Date for This Limited Power of Attorney:
License Holder Name: Clifford A. Miller
State License Number:
Signature of License He
12-31-16
STATE OF FLORIDA
COUNTY OF _ S-,AAo u-1c
The foregoing instrument was acknowledged before me this day of
20_1_,by nu F-Fo P4. Mt 2 who is ersonally known to me or
who has produced
and id (did take an oath.
Signature of tary
as identification
L /"Jy & f j P I GytZ'—
Print or type Notary name
R Notary Public State of Florida]
My
Notary Public - State of /`LQ OR
Linda W Pigozzi /
QMyCommissionFF043599'Commission No. F V 90'_ 7Expires08/07/2017
Q
Commission Expires:
CI'T'Y OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 42 —
I, MI cA-—/Z- hereby acknowledge that I personally inspected
trRoot deck nailing and/or E-econdary water barrier work
at lh—L2 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.
Printed Name of Contractor License #
License Type: General Building Residentialoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF i II
Sworn to (or affirmed) and subscribed before e - ay C4 -o b r , 20 by
00 Ill l C ti , who is onally Known to me r has Produced (type of
ide is ion) as i en i ica ion.
SEAL)
Signature of Nota Public
State of Florida
LG/»- /J 2 oyPo Notary Public State of Florida
Print/Type/Stamp Name =° Linda W Pigozzi
of Notary Public tQ`
My Commission FF 043599'
or o Expires 08/07/2017