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HomeMy WebLinkAbout152 Pinefield Dr--,. C. :. g + DEC 8 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION = Application No:/ (.o - 3 00, Documented Construction Value: $ 95 Job Address: /LTJ/�'l� /G historic District: Yes ❑ Nor Parcel ID: .� - l Q'c.3I -- 57,E Ian a - 2% 0 Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 11 Repair Lfll Demo ❑ Change of Use ❑ Move ❑ Description of Work: �`� [�-� W , 7�i r4&A&J� Q Plan Review Contact Person;-) t2l, I LA_ OA City, State Zip - L Nam6_ JdL,v- ] Street: W4 /" ) City, State Zip:a Street: City, St, Zip: Bonding Company: Address: Title:. a2rEmail• Information 3v-10 Phone: Resident of property? Contractor Information Phone:2162-262-gj Fax: Z 216 - Alte License No.:2-3 )d0 Name: 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. 1 certify that no work or installation has commenccd 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: 54a Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application L] 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 inforn,tion t urate and that all work will be done in compliance with all_applicable laws regulating construction pa zoning. ofowner/Agent c Date of Florid tORRAINE GAETA Dale Notary Public - Slate of Florida Aly Comm. Expires Jan 25. 20`19 Commission # FF 165086 128 ,Z Date Name r- LORRAINE GAETA Notary Public - State of Florida My Comm. Expires Jan 25, 2019 Commission # FF 165086 Ownef/Agent is Personally KnQWR to Me or PIft,aetg36A1ge*j �1-&ersm11,, o' to or Produced ID Type of ID Produced IDType of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Mn. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: COMMENTS: Revised: lune 30, 2015 UTILITIES: ENGINEERING: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ tl.7Wyl04 "" A 00Z'4 BUILDING: Permit Application �JM� ROOFINGjf' 10 6 JTI Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljonesgjtiroofing.com State -Certified Roofing Contractor - CCCI325756 State -Certified General Contractor – CGC036067 Jan Tukktomer ,Contractor � � n r� Customer Name: ,�� 1yw. Address: Insurance Co. Adjuster: Claim #• Phone: Date: City/State/ZIP. (.Zt�_4wrl Home Phone: Cell: Psi—Work Phone: Email: Project Address: SPECIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear -off shingle Ridge Vent A ount Replace shingle Insurance Co. Agreed Off -Ridge Vents S Replace underlayment a� Decking Hurricane Retrofit $ Insurance Supplement Steep TOTAL Date: $ 2nd Story Charge Debris Removal Valley Material C Drip Edge ✓ Vents 1" Vents 2" f Vents 3" Goosenecks 4" Goosenecks 10" Flat Roof Interior xterior Skylights Solar Panels Notes: ITEM TYPE QTY AMOUNT TOTAL Ridge Vent A ount Insurance Co. Agreed Off -Ridge Vents S Amount Decking $ Insurance Supplement Lead Boots TOTAL Date: $ Debris Removal Wood Shingles -Manufacture: Style: Type: Color: SOA -0, Warranty Labor Roof -3D S RrA nce lnitia d Date: $ A ount Insurance Co. Agreed Date: S Amount Upgrades $ Insurance Supplement S TOTAL Date: $ ✓ Remove Trash from Roof, Gutters and Yard PAYMENT SCHEDULE ✓ Roll Yard with Magnetic Roller $046 99%RiP YMENT PRIOR TO ORDERING MATERIALS ✓ Protect Landscaping Where Applicable PAYMENT IN FULL UPON COMPLETION / r V/Delivery/Spoial Instructions: EARNEST DEPOSIT: o $500.00 o $1000.00 0 $.6 /�� J S10 �o& DOWNPAYMENT $ FINAL PAYMENT $ //yyy�� x1D 1 %MA,e "I"ii/oZep JAN TUKKER, PRESIDENT TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING. OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT The above prices, specifications and conditions of this agreement are satisfactory and are hereby accepted. We have read and understand the terms and conditions located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations of this agreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor and mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and services as described in the specifications. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES S NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIG T OF E T IfBU AFTER THE DATE OF THI AGREEMENT. Homeowner Approval: Date: M), A. Contractor Approval: Date: / 3C THIS INSTRUMENT PREPARED BY: Name: Lorraine Gaeta Address: 406 Hermitage Drive Altamonte Springs, Florida 32701 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: _ 32-19-31-515-0000-0260 MARY(iNNE MORSEr SEMINOLE COUNTY CLERK OV CIRCUIT COURT & COMPTROLLER 13K H21 Po 89 CLERK'S Y 20161274.71 RECORDED 12/0312016 12-'34,'I_) PH RECORDING FEES $10.00 RECORDED BY hdevore 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) ror Lot 26 Celery Lakes Phase 1 Pb 62 Pas 75 & 76 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: o Name and address: Keith & Amy Grandchamp 152 Pinefield Dr. Sanford FI. 32771 W cv Interest In property: Fee Simple Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number. Address: 406 Hermitage Drive Altamonte Splings, Florida 32701 5. SURETY (if applicable, a copy of the payment bond Is attached): Name: d w Mi o Address: Amount of Bond: o 6. LENDER: Name: Phone NumberLL ti Z z Address: W ^ W s 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 Llenor•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 dale 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. (slonaturc of Owner saes. or Owra a or Le ee'a ( t Nene and Provide 619natoye'rift0fte) k0odzed OfrksdDlreetoAPaMer per State of County'4��/Y) /� The f9regoing Instrument was agknowledged before me this r� O day of >� 1 nye,. . . 20 by C- Name of person maldng c t who has produced I entlficatlon D' of Identificadon prodw LORRAINE GnETn Statc of Florida Notary Pubi — Jan 25, 201 h1y omm Cis 'AP ft FF S 65086 Com SCPA Parcel View: 32-19-31-515-0000-0260 IUX -M Iecvaaoau►rry Rano. Parcel Information Page 1 of 2 Property Recbrd Card Parcel: 32-19-31-515.0000-0260 Owner. GRANDCHAMP KEITH 8 AMY C Property Address: 152 PINEFIELD DR SANFORD, FL 32771 Parcel 32-19-31-515.0000.0260 Owner GRANDCHAMP KEITH & AMY C Property Address 152 PINEFIELD DR SANFORD, FL 32771 Mailing 152 PINEFIELD DR SANFORD, FL 32771 Subdivision Name CELERY LAKES PHASE 1 Tax District S1-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(2011) Sorry, we have no Imagery here. Legal Description LOT 26 CELERY LAKES PHASE 1 PS 62 PGS 75 8 76 Taxes Sales Land Value Summary Tax Amount without SOH: $1,967.99 2016 Tax Bill Amount $1,162.33 Tax Estimator Save Our Homes Savings: $805.66 Does NOT INCLUDE Non Ad Valorem Assessments Method 2017 Working Values 2016 Certified Values Valuation Method Cost/Market Cosl/Market Number of Buildings 1 1 Depreciated Bldg Value $120,519 $115,301 Depreciated EXFT Value $338 $350 Land Value (Market) $23,100 $23,100 Land Value Ag Just/Market Value " $143,957 $138,751 Portability Adj Save Our Homes Adj $44,707 $40,191 Amendment 1 Adj P&G Adj s0 s0 Assessed Value $99,250 $98,560 Tax Amount without SOH: $1,967.99 2016 Tax Bill Amount $1,162.33 Tax Estimator Save Our Homes Savings: $805.66 Does NOT INCLUDE Non Ad Valorem Assessments Method Frontage Depth Units UnitsPrice Land Value LOT 1 $23,100.00 1 $23,100 Building Information Is Bed/Bath count incorrectlick He,e # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rept Value Appendages ActuallEffective 1 SINGLE 2004 9 3 2.5 1,120 2,659 2,215 CB/STUCCO $120,519 $126,529 FAMILY FINISH Description Area OPEN PORCH 24.00 FINISHED GARAGE 420.00 FINISHED UPPER STORY 1095.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date 00336 NEW -RESIDENTIAL ISANFORD $97,752 1 3/5/2004 1 10/28/2003 Extra Features Description Year Built I Units Value New Cost http://parceldetail.scpafl.org/ParceiDetailInfo.aspx?PID=32193151500000260 11/23/2016 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit I, J dyx M." &_A_e4k. hereby acknowledge that I personally inspected 0 Roof deck nailing and/or 0 Se ondary water barrier work at Z_ e_ 1,92, L and have determined that the work (Job Site Address) I/ 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 of Contrac-toorr :Z / r Punted Name of Contractor Date License # License Type: 0 General 0 Building 0 Residential 0 Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY O Sw n to (or affirmed) and subscribed before me this19 day of 0, by L , who isPersonally Known to me or has 0 Produced (type of ti ion) as identification. EAL) n ture of Notary Public State of Florida ' Pri t/Type/Stamp Name =o+el LORRAINE GAET • ° Notary Public Stale of Florida of Notary Public My Comm. Expires Jan 25.701° t Commission # FF 165086 3