HomeMy WebLinkAbout158 Rose Hill TrlCITY OF SANFORD
DEC 0 5 2016 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Y:_ --
Application No: \ �- �a3L\
0�
Documented Construction Value: $ %40
Job Address: T t SW& fQHistoric District: Yes ❑ No [�
Parcel.ID: _If t —W00— OZOD Residential El Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change of Use ❑ Move ❑
Description of Work: IY ia b e t [hulate
Title: &Lln
Phone: n 31�F (�� r i Fax:
Property Owner Information MEG-�" �
Name PilWAl-I rI EGO R-T� Phone: C,I�Oc�
Street: t- ALA ll 7-9— Resident of property?
City, State Zip: '99n,' . ���
,tractor Information
Name � Phone:
Yn 2N
Street: Ito /Ov; Fax -
City, CSL u.�y�i
City, State Zip: �17Ti�0� State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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, 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: 5t° Edition (2014) Florida Building Code
Revised. lune 30, 2015 Pcrmi, Application
I
RO S E HILL Architectural Review Request
Homeowners Association
"ease compete this form and mwm to the ArIchitsawal Review Committee:
NOTICE TO OWNER: OWNER NAME:
Thm d>rn am rai..nd for drUnit ADDRESS: •-w-L—lot •
WnftdpWaedd
md,edc o "* ft-ih ae Home Phone fl: �� u&S Work Phone it: L�
taryiaroe d div PVP0 ed VI,,
..d+tl,.mrouteionapsiad dr Description of Improvement: (Check off that apply, and Gat calor/s),
hose KM co ww" Asudaw t manglocturer, typ, sW4 mmW, etc. as ap qwk te. The more k0 matfon you
Ther a..,.. d 0. ttr.d provide, the easier it is* r -the Commhtee to�re1 n�deer a decision own YOW requesQ
.Het,, orm,n,I wltl,.nr (�,;'�.Ol,e�enwt . 7tl"� 9w,.$'G, - vt,"Aw —(*^-
wdO +�r. A, o,oaa v� ak S�Yi/� � �, c., �� d�
nwq tt tr.n u4hbolmis.td dRooting:
bWk*4 odes. end dw hmem e _ QA49z AfAng J74
D
,wntdR.nalneam ryps,dtsd Painting: CO(AWS - ',0/1rL - SW (, ,wr- Su(/o5
appomsv+ d % — - sw 6
0 Fencing: ;tea/ms's/!6
TO BE COMPLETED BY
REVIEW COMMITTEE: 0 Screened Patio/Pool Enclosure:
Date Reed: 0 Spa/swimming Pod:
Respond Sr.
proved: AS NOTED 0 Garage Door/Front Door/Doors/Windows:-
Denied:
Incomplete: 0 landscaping;
By: D. PARKE (3 Ughting/Ligttt Foctures/Security Equipment:
PRESIDENT
Date: 1Mj§ 0 Siryligttts/Solar Panales:
Comments/Restrictions: 0 other Project (please specify in detail):
ALL METAL SOFFITS
& EAVES ARE TO
athms/samMes Estch ed/Attadted7 —Yes /I lo
opiesddrn.brae.rmpkbra.de..0ois.la..veraoraAssuch Yro) —
AND
cOnUW rS Name: �
47
REMAIN
PREFI NISH ED Pltor►e:
(407) 66 -'?Q9
Fav vr►rwvr= ARC Approval Form is required according to Mile V, Sections I and 2 4 the Rose
VUK MDI Comms ity Declaration of Covenants, Conditions, and Restrictions ased In
VICEAX ll ZR A. the Seminole County ORiad Records,
COMMENTS/RESTRICTIONS: ALL METAL SOFFITS & EAVES ARE TO REMAIN
PREFINSIHED FACTORY WHITE. EAVES AND SOFFITS ARE TO REMAIN PREFINISHED
FACTORY WHITE METAL TRIM; DO NOT PAINT. ALSO GARAGE DOOR COLOR MUST
MATCH TRIM OR VICE VERSA.-D.PARKE
A/1-whomblUmcm
PAPPR E6
etew+eu: oowrv, twwo.
Parcel Information
Property Record Card
Parcel: 18.20.31-503.0000.0300
Owner: JAFFER MASUMA 8 LALJI RIZWAN M
Property Address: 158 ROSE HILL TRI. SANFORD, FL 32773
Parcel
18.20.31-503.0000.0300
Owner JAFFER MASUMA & LALJI RIZWAN M
Property Address
158 ROSE HILL TRL SANFORD, FL 32773
Mailing
158 ROSE HILL TRL SANFORD, FL 32773.7237
Subdivision Name
ROSE HILL
Tax District
S7-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions 00-HOMESTEAD(2005)
0
Legal Description
LOT 30
ROSE HILL
PB 54 PGS 41 3 42
Taxes
I Value Summary
Taxing Authority
Assessment Value Exempt Values
2017 Working
2016 Certified
Schools
Tax Amount without SOH. $1,674.46
Values
$62,993
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
15101,113
1
Depreciated Bldg Value
' $97,108
Depreciated EXFT Value__—
$50,000
$37,993
County General Fund
$27,000
Land Value (Markel)
$27,000
Land Value Ag
FINISH
i
Just/Market Value "
$128,113
3124,108
Portability Adj
_
I
Save Our Homes Adj
340120
$36,727
Amendment 1 Adj
P&G Adj
ISO
i
s0
Assessed Value
$87,993
$87,381
Taxing Authority
Assessment Value Exempt Values
Taxable Value
O
Schools
Tax Amount without SOH. $1,674.46
$25,000
$62,993
2016 Tax Bill Amount $938.25
387,993
$50.000
Tax Estimator
SJWM(Saint Johns Water Management)
Y 387,993
Save Our Homes Savings: $736.21
$37,993
County Bonds
' Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
Schools
$87,993
$25,000
$62,993
City Sanford
387,993
$50.000
$37,993
SJWM(Saint Johns Water Management)
Y 387,993
$50,000
$37,993
County Bonds
587,993
$50,000
$37,993
County General Fund
$87,993
$50,000
$37,993
Sales
Description
Date
Book
Page
Amount IQualified
Vactimp
WARRANTY DEED
WARRANTY DEED
7/1/2004
12/1/1999
05379
03779
0494
0407
$144,500 Yes
$102,100 Yes
Improved
Improved
I
SPECIAL WARRANTY DEED
9/1/1998
03496
1L
31,456,500 No
Vacant
Find Comparable Seles
Land
Method Frontage Depth Units Units Price Land Value
LOT I I 1 I $27,000.00 I $27,000
Building Information
It RPdrRath mint inmimPM9 Mirk HPrP
0
Description Year Built Fixtu
Actual/Effective res
Bed
Bath
Base Area
Total SF
Living SF
Ext Wall
Adj Value
Repl Value
Appendages
1 SINGLE 1999 I 81
Al
L01
1,3931
1,911
1,393 CB/STUCCO(
$101,113
$108,142
Description
Area
FAMILY II
FINISH
i
I
I 420.00
I
ALAN'S RoOFING,wc.
110 Candace Drive Suite 104
Maitland, FL 32751
Please Print
CONTRACT , Phone: (407) 774-2158
Commercial & Residential Toll Free: (800) 309-5667
"Home of the FREE Roof Inspection" Fax: (321) 207-0437
www.alansroofinginc.com ox 1�'�( � 0
LICENSE NO. CCC046942 Ogz/ (o �7 •� Cf
NAME
51
H.PHONE
C.PHONE D?
DATE
^W
g
—rcCITY 62MEh1w
3
ADDRESS J S
ZIP E -Mail
/
MAILING ADDRESS
/ CITYr2i,
M. E HONUS
SALES MA
CONTACT PHONE J
OTHER ERCIAL
JOB #
BRAND AND 6ESCRIPTI N
`
/��
OF PRODUCT
"
COLOR `i ' IT
1. PULL A CITY OR COUNTY PERMIT ' –_42->7 SO. RENAIL WOOD 44 /
2. TEAR OFF: r Q. OF OLD SHINGLES SQ. OF FLAT ROOF SQ. OF OLD TILE
3. DRY IN: R YMW' 64YER _ 2 LAYERS PEEL & SEA
4. INSTALL: GALV. VALLEY METAL LF SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF
5. INSTALL: ALUM. DRIP EDGE LF S EEL DRIP EDGE LF PAN FLASHING LF _ L. FLASHIN C'O'LOR
16..INSTALL REPLACE: LF OF R.V. PLUGS COLOR C L 4ifWz l/r_.tzr FT. VENT SURE I I I
7,,REPLACE: 11/2 IN. 2IN. _% 31N. LEAD BOOTS_ 4IN. GRV�_ 10 IN GRVS ELEC.RISEN
L " 8. STARTER ROLL L�[7 STARTER STRIPS CIRCLE ONE
9. LAY SQUARE OF ' N FIBERGLASS SHINGLES 2 3 CAP 3 – TAB / PERF I HIP & RIDGE
❑ 10. INSTALL: SM. DEAD VALLEY LG. DEAD VALLEY MODIFIED LIBERTY
❑ 11. INSTALL: - TPO LAYER OF INSULATION TBAR / SEAM TAPE
E3I 12. STALUREPLACE: —2 X 2 2 X 4 4 X 4 SKYLIGHTS ACRYLIC SFA FIXED GLASS
DOMES CM CLASSIC
r13. H jUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS I I I I
I. ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL ` k!57—) !, n / J_lw a// //I/' . bt — „n I I I
116. SPECIAL INSTRUCTIONS
f'Jj�,)lI 11-M/7ljX AA/41/ Wil, /h., "/„S,F1'///j Z, &T.ATAL"CONTRACT AMOUNT I -f U/ 1-1,(J I— I
Price is"90 d for 30 days DEPOSIT /
ACCESS: Customer agrees to allow access to the property and reafaes that heavy equipment is being used.
Contractor shag not be liable for, without limitation, damage to driveways, sidewsks, lawns, sprinkler systems, gardens, tic systems and any
other structures thereof, as a result of rooftop or job deliveries. BALANCE DUE UPON
DAMAGE ETC.: Customer shall be responsible for removal, reinstallation and recalibration of satellite dishes. Should customer become aware COMPLETION
of damage to property by Contractor, his agents, or employees during the course of Installation of the roof, said damage shall be brought to the
attention of the Contractor prior to the time of payment for the roof In question. If Customer fails to notify Contractor of sold damage, within 5
woldng days of occurrence. then shag waive all rights against Contractor concerning sold damage. Men's Roofing is not responsible for roofing nails penetrating AfC lines in the attic. Customer agrees to secure and
prated their assets Including shelves, calling fans, toots and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc
DELAYS, ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by tnctement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the
Contractor and hereby accepts delays occasioned by one or all of these circumstances a the in
sagatron of the roof.
PAYMENT OF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon compbtetion of Installation. Any amounts unpaid wig bear Interest at a rate of 1 12% per month. Contractor shag
be entitled to all costs of collection Including attomeys' fees
RIGHT TO CANCEL: It this is a Home Solicitation Sale, and If you do not want the goods or services, you may cancel this agreement by Providing written notice a the seller inrperson, by telegram, or by mag. This notice
must indicate tllol yat you do not
down pewant
ellre goods or service and must be delivered or postmarked before midnight of the third business day ager you spm this agreement If you nkat this agreement, the seller may not keep
all F THIS IS NOT A HcashOME SOLICITATION CONTRACT: Once It is signed, you are bound to It by the laws of the Sate of Florida. If In the event you breach or attempt to can I U' cl, the Contractor shag be
entified a all lost profits from the contact
ACCEPTANCE PROPOSAL. The above prices, specifications and conditions are satisfactory and hereby accepted.
All contracts are subject to Alan's Roofing, Inc. management approval. Customer agrees to allow Alan's Roofing. Inc.
to use photos, letters of recommendation, satisfactions forms. etc. to be used for advertising purposes.
In csae any ons or more of a provisions contained herein shag be Invalid, Illegal or unenforceable in any respect.the validity, /
legally a� enforceabgity he frTing provtslons a other application thereof shall not la any way be a % or ire rigid. SALESMAN SIGNATU E
CUSTOMER SIGNATURE DATE /I MANAGEMENTAPPROVAL
ar
Construction Industries Recbvery Fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed under contract, where the
loss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim, contact the Florida CILS at the following
telephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01
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 execute 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
be done in compliance with all applicable laws regulating 94
Signature of Owner/ gent Date
LArLJ-f
Print
Signature
is accurate and that all work will
nd zoning.
itUDY KEIS►Gnrc'�^�
MY COMMIS810N p FF228448 RUDY KELSICK PETERSEN
d><PIRSS MeY i1, !019 MY COMMISSION p FF228448
`';� �., ,• EXPIRES May 21, 2019
_ �CIr)D!I-C'�1 rM�IdU+o;a BavlwcoR
Owner/Agent is ersonally Known to Mem Contractor/Agent is rsonally Known to
Produced ID Type of 1D Produced ID Type o
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: Junc 30, 2015 Pcrmn Application
N
THIS .INST MENT PREP RED
Name:
Addres .
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
I'IAR'fAHME 11ORSE7 SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
EI, 9317 Pi 466 (!Pv`"s)
CLERK'S Y 2016125.342
RECORDED 12/05/2016 09:58:31 All
kli.c:iIRDIHG FEES $10.00
RECORDED BY
Parcel ID Number:
i r- ze- 31-5d 3 -- ocoo •- 0 3d
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.
IM
OWNER
of the pr oty and street address
Address: /—'- Y 4? e27T % X--• 3 f �✓l 5 /� / / S
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:�/s On —
Name: 1 /`7 /�
Address: ��� 6N/'r�' tom/ rtA1'4> � ,
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)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date 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 wledge and belief.
(�c2�ww7J �t
ees Signature Owner's Printed Name
Florida Statute 713.13(1)(9): " The owner must sign the notice of commencement and no one else may be permitted to sign In his or her steed.'
State of 62 County of
The foregoing Instrument was acknowledged before me this day of / llyU 20�
byreZw (�'LcT/ Who Is personally known to me
Name of person making statement
OR who has produced ident' ation ❑ type of identification pro)490: AI __-y
.y „Yt;RSEN
btY COMPA►SStnls 21.201Q
EXP1Ft-S ^h`.
17 uNSATcS MI
FOR SC'AUNMIA " .
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City of Sanford
Roof Permit Application Checklist
1
All permit application packages must be complete prior to acceptance. You must. check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
®� Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
m ---*Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
[ A A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
OP' A Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
D Dom' Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:I
hereby acknowledge that I personally inspected
w,of deck nailing and/or O Secondary water barrier work
at / !g� 90:52 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 F.S.
Signature of Contractor Date
AXE,,L 6-c- ei ccc 0 lyZ
Printed Name of Contractor License #
License Type: ❑ General ❑ Building ❑ Residential WRoofing Contractor
❑ or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF .�•-
Swo to (�o affirmed) and subscribed before me this _ day of
Q�� , 20 Jam , by
T,," r-, -1v
, who is BIFe rsonally Known to
me or has ❑ Produced (type of
entifica 'on ; L •
as identification.
(SEAL)
Signature of Notary Public
State of FI r/i/dj/af�
""`4,
�c
DAVID T MURA
#FF039243
fJA(/%/ " / G/1�
{•
MY COMMISSION
Printfrype/Stamp Name
EXPIRES July 2a. 201?
_
"
of Notary Public
N07►39eo153
FtoridnNotorySorvice.com
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