HomeMy WebLinkAbout108 Placid Woods CtJob Address:
NOV 3 0 2016
BY
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 (' 319
Documented Construction Value: $ a, MD. on
Historic District: Yes ❑ No ❑
Parcel ID: D,Q - (20 - 30 - 58?a - o001> - oo 2 Q Residential P Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ;9 Demo ❑ Change of Use ❑ Move ❑
Description of Work:
ShiAQ1
Plan Review Contact Person: 1 Title: I�r tY'torlS
Phone: 40-1-(oll-7i
NOTICE: In addition to the requirements of this permit, there may 6 -: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. r
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 submitl3l.
The actual construction value will be figured based on the current TCC 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 regulatir
Signature of OACRAAgent to
Owner/Agent is Personally Known to Me or
Produced ID _ Q Type of ID—T123aq 11.71 C>
BELOW IS FOR OF]
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type:
Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Property Record Card
a Parcel: 02-20-30-522-0000-0020
P Owner: JEFCOATGLENN
Property Address: 108 PLACID WOODS CT SANFORD, FL 32771
D �rwnl 1 nfnr.n ��:..n
Parcel
02-20-30-522-0000-0020
Owner
JEFCOAT GLENN
Property Address
108 PLACID WOODS CT SANFORD, FL 32771
Mailing
108 PLACID WOODS CT SANFORD, FL 32773
Subdivision Name
PLACID WOODS PH 3
Tax District
S1-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions
Depreciated EXFT Value
Legal Description --
LOT 2
PLACID WOODS PH 3
PB 56 PGS 65 8 66
Taxes
Sales
Value Summary
Tax Amount without SOH: $1,817.35
2016 Tax Bill Amount $1,817.35
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value I Exempt Values I Taxable Value
$94,895
2017 Working
2016 Certified
$94,895
Values
Values
Valuation Method
; Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
i $82,495
$79,219
Depreciated EXFT Value
$651
$701
Land Value (Market),
$18,000
I $18,000
Land Value Ag
Just/MarketValue"
$101,146
$97,920
Portability Adj
Save Our Homes Adj
$0
$0
Amendment Adj
, $6,251
1$11,652
P&G Adj
; $0
$0 —
Assessed Value
$94,895
$86,268
Tax Amount without SOH: $1,817.35
2016 Tax Bill Amount $1,817.35
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value I Exempt Values I Taxable Value
$94,895
$0 ,
$94,895
$94,895
$0
$94,895
��— —
$94,8951
$0
$94,895
$94,895
$0 ;
$94,895
$101,146 I
$0 ;
$101,146
Find Comparable Sales
� Land - -----------------•-- ----------- -----
Building Information
Is Bedfath count inco;recr Click Here,
Year Built
Method Frontage Depth Units Units Price
Land Value
LOT !
I � 1 � $18,000.00 � $18,000
# I Description I Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE 2000 6 ' 2 $,Q' 1,204 1,466 I 1,204 { CB/STUCCO ' $82,495 $87,761
FAMILY ! f FINISH
I i
i
Description
Area
GARAGE
238.00 '
FINISHED
Permit Date
OPEN
ADDITION - RESIDENTIAL
PORCH
I 24.00
FINISHED
ADDITION -RESIDENTIAL
I - I
Permits -- -- - - ---- ,
Permit #
Description
Agency
Amount CO Date
Permit Date
02817
ADDITION - RESIDENTIAL
! SANFORD
$500 j 9/102003
02078
ADDITION -RESIDENTIAL
I SANFORD
$1,8001
14/1/2000
02072
NEW. RESIDENTIAL
— SANFORD
- ----
- ! — $53,000 8222000
4/12000
- -- — - ------ ------------------.—.�_-------- •------------------- ••- --•--.....--'•-------
Extra Features
Description Year Built Units Value I New Cost
SCREEN PATIO 1 12/12000 1 $651 1 $1,500
' � ^5 • LVof- lI VT
l
-0200*
JA Edtwarda ofAmerfta, Inc.
Yourillbafing Mpecfla/bt#
r 1�R AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
Customer: ��'�Coo� Date: to /-3J/
Property Location: h IOCA WIDOJ S Day:
City: Zip: 3 7 73 Evening:
E -Mail:
ROOF SPECIFICATIONS Brand: Style: Color: S +e-
Ridge Mate ' �-. ey: Open Closed Tear -O • 1 / 2 Vents: Box gle Ov Aluminum Felt-15
elt. / R
Ice & Water Shield er C Pitch: Story 1 / 3 Walkout: Yes o
* Roof Accessories to a laced new and/or painted to match, shingle col
Drop Instructions• 1
SIDING ICATIONS Brand:
Style: Straight Lap / Dutch Lap z o 5" other:
Elevation bein g at house from street): Front Left
Drop Instructions:
GUTTER SPECIFI
Special Instructions:
Style: Color:
Back Right
Homeowner Initials:
TERMS
1. By signing this Agreement, you authorize JA Edwards of America Inc. to be present during the insurance adjustment and negotrate the settlement with your insurance company.
2. Unless otherwise agreed in writing, your out -of --pocket costs will be limited to your insurance deductible amount However, you must promptly pay JA Edwards of America Inc.
all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses.
3. This Agreement is not valid or binding on any party unless and until it is signed by both you and JA Edwards of America Inc. Once signed by you and JA Edwards of America Inc.
JA Edwards of America Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the insurance adjuster's summary.
4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement Please camfirUy read the entire front
and back of this Agreement.
S. Homeowner agrees to assignment of benefits to Contractor (JA Edwards of America) for payments from insurance company to
facilitate timely payments to contractor for all works approved in insurance scope.
ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance
benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to
be rendered by JA Edwards of America and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of
America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my
insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative(s) and/or its attorney for the
purpose of obtaining benefits to be paid by my insurance carrier(s) for services rendered or to be rendered and authorize JA Edwards and my
carrier(s) to communicate as needed with each other in this regard.
Believe the appropriate insurance carrier is: 1
I First Check: S /4/ —=-1R--
�'/lam Check# Date
Signature (L Omer) Date
Balance Due: $ _
Check # Date
Signature (JA Edr ds ojAr r ca Inc. Rep) Date Agreed Price: $ 00 � • �
plus additional supplements & t
fees paid by insurance company
7058 Stapoint Court • Winter Park, F132792.Office: 407-677-7663 • Fax: 407-677-7664 • License #CCC057521
1
THIS INSTRUMENT PREPARED BY:
Flame: Meredith Smith
1111 C11. 101111=1 Park, Pt 32792
Address:
NOTICE OF COMMENCEMENT
MARYANNE MORSE? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
UK 8813 P9 429 QP9s)
CLERK'S T 2016123352
RECORDED 11/30/2016 09:19:14 AM
RECORDING FEES $10.00
RECORDED BY hdevol•e
Permit Number:
Parcel ID Number: -e20' 30 -5aoZ - COM- WRO
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 esc ' tion of the property and street address if available)
L_o+ a 71 a6d L_ OSS TH 319 5(0 oS &54(042
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Reroof
3. OWNER INFORMATION OR LESSEE INFORMATION IF
THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:CnlPnn fie 'o0�t (08`�1aG(d (x)cC S l_.!_. Sa ffi- . FL 321-7 1
Interest in property: (7 tx:.> nt'_r
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: JA Edwards of America, Inc. Phone Number: 407.677.7663
Address: 7058 Stapoint Ct. Winter Park, FL 32792
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: >(;
Address:
CIRCUIT COURT AND
9 Y P i �sK aun 1 r f
7. Persons within the State of Florida Designated b Owner upon whom notice or othe o t n n e served -as proviaicl► Otino��
713.13(1)(a)7., Florida Statutes. G
WRb 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.
Glenn Me-Pcoa+
gnat or Owner or Lessee. or Owners or Lessee's (Print Name and Provide Signatory's Title/Office)
od..d Olgcer/Director/Partner/Manager)
State of EbridG, County of Selmi,ndle
The foregoing instrument was acknowledged before me this r9 "I+41day of Q ov• , 201 (A
by C,:;,IPnln
Who is personally known to me O OR
Name of person making statement (� p �1 7�
who has produced identification�ype of identification produced: M23 2-18- b I - 1 � / - Q
i4o MEREDITH SMITH
MY COMMISSION #FF137903
p
Notary Signature
?o,! EXPIRES July 1, 2018
(407) 308.0153 FlorldeNoto Sorvice.com
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 11-aq 'ICD
I hereby name and appoint: ` " 1 er Ar Coal Ort e
an agent of:
(Namc of
l CQ
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):
O All permits and applications submitted by this contractor.
or
The specific permit and a__pplicati--q9n for work locate at:
(Street Address)
Expiration Date for This Limited Power of Attorney: i 1 -IRP - 11
License Holder Name: Gtf-wd �QSC�O�eil�
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF 'X iMlt
The foregoing instrument as acknowled ed before me this c' ay of NOV- ,
201 , by � ,rQId LOSLh p jer who is�ersonally known
to me or o who has produced as
identification and who did (did not) take an path.
Signatur
.04
(Notary Seal)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
(Rev. 8/06/13)
ITH SMITHSION
9EMN
#FF137903
20188
July 1 ,
Service.com
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 1(0 - 3 1q a
1, aaldhereby acknowledge that T personally inspected
�)toof deck nailing and/or Secondary water barrier work
at
3-1'13
L 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
►a-5-1�
Signature of Contractor Date
C Cad La5chc�r CcC�,I
Printed Name of Contractor License #
License Type: 0 General 0 Building 0 Residentiaj ' bofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S ( nb lif-,
Sworn to (or formed) and subscribed before me this fiday of C . , 20 1 to , by
who ip_11::�ersonally Known to me or has 0 Produced (type of
identificatiobl as identification.
Signatur otary Public
State o lorida
Print/Type/Stamp Name
of Notary Public
3
MEREDITH SMITH
=•t `
MY COMMISSIONFF137903
July 1 2018
�.,•••?p���d�
EXPIRES ,
(4U7) 976,p1g�
PIorideNOW SONIC9.COm
3