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
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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