HomeMy WebLinkAbout2518 Highlawn AveD 2016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
F D $y; PERMIT APPLICATION
Application No:
Documented Construction Value: $��'
Job Address: aSl � �� "haw h '(+}-v2_ Historic District: Yes ❑ No ❑
Parcel ID: lD • a-0 - >01- b% d O - O-) c0 % Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: �C 9_,ce4--- \�a.'f- o'a- c�-tp�c��, c1(� Sc,
Plan Review Contact Person: TiM d`l\a Title:
Phone: 7A7- 2e 7 4100 Fax:
Email:
Property Owner Information
Name ` tA-p-e. MCS Phone: �{U�• 3�� .•7x33
Street: -')-51 S k4k QAnn\aw vi Resident of property?
City, State Zip:.S CGry r �\_ FG
The Home Depot
Name of Home Services
9208 Floridd Palm Drive
Street: Tom= -Fl. 33619
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:. -7,,)7 Q37 -J -Y CSD
Fax:
State License No.: CC:C. 04 3A 7
Architect/Engineer Information
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 pcnnit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a pen -nit 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: 5'" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application 4 61
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 disiricts, 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 pen -nit 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 coning.
Signature of O%wtter/Agent Date *S--n-'1'-fC-n"r-C
tor/Agent ( Date
Print Owner/Agem's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
I,
SiE61tate of Flo
MARYLOU SESAK
Y COMMISSION #FF146073
XPIRES July 29. 2018
FloridallotaryService corn
Cis ersonally_ Known to Me or
Produced ID Type 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: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
HOME IMPROVEMENT CONTRACT
PLEASE READ THIS
Sold. Furnished and InstalloYl by:
Branch Name: Tampa Dote: /� — THD Ai -Home Services. Inc.
d/b/a The Home Depou At -Home &r•ires
9208 I-Icrida Palm Drive. Tampa. FL 33619
Branch Number: 49 Poll Frce 877.903-3768
Fl. Lir r C'CCV58327. WC1507(r)3, C'ROLIh,458
,`` Fedcrrl ITV 75-2h.r84h)
Installation Address: 2SIS NIGALA 1O WG. 5FV\r-0IZ-Q R_
City Stale Zip
Home Address:
(if different from Installation Address) City State Zip
E-mail Address (to receive projoxt communications and Home Depot updates
❑ 1 DO NOT wish to re'aive any marketing entails from The Hoene Dapoit
Project Information: Undersigned ("Customer'). the owners of the property located at the aNwe misiallatiom adds:.:. agnc,
to buy. and THD At -Home Services. Inc. ("The Horne Depot") agraas tofurnish, deliver and arrnge for the installation
("Installation") of all materials described on the trlow and on the relerenced Sgrec Shutt.,). all of which are mcorp.oaied mro
this Contract by this reference. along with any applicable State Supplement and Pawncnt Suni n.mn attached hcro•m• and any
Change Orders (collectively. 'Contract"):
Job r: o.r..r R.a...... Products: Stiee Shcettsi I: Protect Amount
t�ling Sidi%Z�Q
j_9 19;
Z worn i Cover. ❑Entry D tic rm 0
D S�
2_-X_
Roo ing LjSidjnjz Lj Wintim" Insulation
S
❑Gutter / Cowers ❑Entry Qom ❑
Roofing; Siding Windnw;s Insulatnn
❑Gutter / Coven ❑lintry Down ❑
Roofing Siding Cj Window., Lj Insulation
S
I
❑Gutter / Cower% ❑Entry 1.> kw., ❑
10% of Contract Allmon t
Too Contract :11lx/un1
$
due upon execution of this contract
Customer aLTvs that. immediately upon completion of the aeork for each Product. Customer will execute a Completion
Certificate (one for each Product as defined by an individual Spar Shceil and pay any balance due. As applicable. each
Customer under this Contract agrees to he jointly and severally ohligated :std liahle hereunder.
The Home Dcpol reserves the right Io issue a Change Order or iermmnate this Contract orally individual I'rolutms) included
herein. at its discretion. if 71te Home Deport or its auUuirizad sen'icr provider detenmmes that it cannot I%rlitrm its obligations
due to a struc(ural problem with the home. cnvironnncntal hazards such as mold, asM.ros or lead paint. oohar safety concerns.
pricing error..• or because work required to complete the job was not included in the C'ontrirt.
Payment Summary: Thr Payment Summary # /]W2- O . included as pan of this Contract. secs firth the
total Contract amount and payments required for the depoisiis and final payments by Product (as applicable ).
NOTICE TO CUSTOMER
You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion
Certificate Inote: there is one Completion Certificate for each listed Product ac defined by individual Spec Sheets)
before work on that Producl is complete.
In the event of termination of this Contract. Customer agrees to puy The Hone Ihlxrt the coMs of material.* lul►ior.
expenses and services provided by The Home depot or authorized Service Provider Through the date of termination.
plus any other amounts set forth in this Agreement or allowed under applicable law. THF. HOME. UF.P()'f AIA1'
W1THIM1.11) AMOUNTS OWED TO THE HUMS DEPOT FROM THE DEPOSIT PAYMENT OR O'l'IIRR
PAYMENTS MADE. WITHOUT LIMITING THE HOME DEIrO T:S OTHER REMMIKS FOR RE(Y)1'VR1' OF
SUCH AMOUNTS.
Acceptance and Authorization: Cmsainter agrccs sod uoderat:unds that this Agreentenr is the cmire ag:ra'a'incon Ft'taaacn
Cumene) and'111r Home MP.o woh rcg:: id no the Pro tluvis and Installation servicca and sulviwite, all prior' Jisrussnuis and
agrteoicia,. either ural ox %%ween. relating: to %aid Vwdi i, and htaallauoo. 11.i., Agiventcmr C:mnut IV a1siguad or :ntk•nde.l
C.rcpn by a wrioing:.ig iicd by Customer and 'I1ne Ronde Wpot Cu.to iocr ackn.ravicdges :ukl agree.. chat (-u.tomet has w.rol.
understand;. voluntarily accepts Uta Terms ul and has received a ropy ol'thra .lgreamnemt,
rlieCj*d br. i Su b
Customer's Signature Data: Sales Con. h;utl's Si,_natun Date
X I Telephone tin. - ^_-- -- _--
Customer's Signature Date Sale, C'onsult.nm Licenv No.---
CANC'ELLATION: Cl 5-110 MER MAS' CANCFJ. 71IIs
AGRF.FTIFNI' WnMO1J1' PENAI:IN OR OBI.1GA11ON I
BY DELIVERING WRrITF:N %*M('F: 1Y! '1111. WNW
DF:Pll1 KV 111DNll:IU ON 1111-. 1111RD III ISINDAA'
AVIV.R SIGNING THP; AGRI-Y.MEN'I: 111E 1111:
svtnn.KMF7.fr ATrA(1IFJ) 11MV111) (r)N'1:\INN A
F'111Rhl'IO USF IP()NF:ISSIVA3FICALIN1'ItF:�t'RInFa>
IScarred b ( „111V LAW IN Cliti rI I'MER :1 STAW. Scanner
14MICII: AI)hITI11NA1.'1'F:R111ANI/C'()ND1'1'11)N�.\RF:1'1'.\'1'F:1)1►!ai'1'11�:1f1•:\1: ♦ ..
ANI) ARK 1'AR'1' /)FT111S ('1>IYI'RA/ "1'
To Whom It May Concern:
This letter will authorize the following person(s) to act as agent(s) on behalf of THD At -Home
Services, INC, D/B/A The Home Depot At -Home Services, 2690 Cumberland Pkwy SE, Suite 300,
Atlanta, GA 30339 to sign and pull for permits, inspections, and licensing with respect to the installation,
maintenance and repair of roofing under Florida State Residential Contractor license number CCC058327.
Authorized person(s):
Brian Kirby
Don Kirby
Katrina Jaramillo
Frank Jaramillo
Tim O'Malley
Christine O'Malley
Elizabeth Hutchinson
John Hutchinson
Erick DeDios
Aaron Hallich
Larry Ha ,
Qualifier — Quinn berts
THD At -Home Se ices, INC
The Home DeDot t -Home Services
Owner: Renee Vickers
ress: 2518 Highlawn Ave
Sanford, FL 32773
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH t
J
The foregoing instrument was acknowledged before me this % day of '1�1-IZC_2016y Quinn
Robert .
Not ublic — State of Florida
Fen
Printed Name A
F1er*er
L9 71t (/a Va9 NOTARYPUBW
TE
My Commission Expires F=ATJQA
Personally known _x_ or Produced Identification
Ares 7n aw
THD At -Home Services, Inc.
9208 Florida Palm Drive - Tampa, FL 33619
Phone: 813-626-7548 - Fax: 813-630-4112 - Toll Free: 855-729-6002
��'� t l��i�! II�i� li�fl �II�I Ilif� 11�111i111�1i
THIS INSTRUMENT PREPARED BY: The Home D6p011 11ARYRi' NE MORSE, SE MINOLE COUNTY
Name: of Home Services CLERK OF CIRCUIT COURT & COMPTROLLER
Address: 9208Flor1do 0m rive B11% 8817 I'q 3`�S (1F'3s)
Tampa" CLERK'S v 2016125320
RECORDED 12/05/201: 09:42-15 All
RECORDING NOTICE OF COMMENCEMENT RI"CDR D l) BYEES I devoi a""
Permit Number:
Parcel ID Number: 6OU O— d'% (4-6
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. DESCRIPTIOtLOF PROPERTY: (Legal description of the property and street address if available)
ai —1(o e -n kAS �—Ce C C 6t .1,I �
aSl X w V1 U�
2. GENE AL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: 9'4m -e - y> OI -9 Gan e 14-4.4 .w" 0=1[p— SaykL4'r& r(-
Interest in property: 6
Fee Simple Title Holder (if other than owner listed above) Name:
r�uur cis.
iJ• CONTRACTOR:
Address:
S. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Phone Number:
Amount of Bond:
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.
8. In addition, Owner designates
Phone Number:
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.
) //CIC141r
(Signature of owner or Lessee, or Owner's or Lessee's (Print Name end Provide Signatory's Title/Office)
Authonzed Officer0FOCIormarineNManager)
State ofCounty of SIZ Ttit vIL U I
The fptogoing Instrument was acknowledged before me this C)'0—IN day of 20
by 'r� Q.h'�. �� l Zy-P. 1r--5
Name of person making statement
who has produced Identification O<type of identification produced:
S yds JOHN LUND
NOTARY PUBLIC
1a,;fl4tict"i!7FLORIDA
CoTnmft Er -828310
DEC
052
rn o y ° Expires 12/312016
�03Z
Who is personally known to me 0 OR
'�> L
,Votary SiOneture
'IT AND
t t„`ou
DfPIIiY CLERM
!�R OFir:C1:CUIftCU:2
At Tf10U'tt
cCOUNTY,fLOplliq
,��� I Property Record Card
oavioJODnson,cra I Parcel: 02-20-30-.502-0000-0760
�PAPPPRJ115ER
Owner: VICKERS RENEE C
v sxccaw�xridww Property Address: 2518 HIGHLAWN AVE SANFORD, FL 32773
Parcel Information
Value Summary
Description
I Qualified
Parcel 02-20-30-502-0000-0760I I
i WARRANTY DEED
12017 Working
2016 Certified
--- --- - --- ----- -- - --
Owner I VICKERS RENEE C
WARRANTY DEED
I Values
Values ;.
Valuation Method
Cost/Market
Cost/Market
- - ---
Property Address ' 2518 HIGHLAWN AVE SANFORD, FL 32773
Number of Buildings
1
1
Mailing 2518 HIGHLAWN AVE SANFORD, FL 32773-4951
-
I Deprecated Bldg Value
Depreciated EXFT Value
Land Value (Market)
$67,542
$600
$10,000
$65,059
$600
$10,000
Subdivision Name GENEVA TERRACE AMENDED PLAT
--
Tax District S1-SANFORD
--
DOR Use Code 01 -SINGLE FAMILY
$30,000
Land Value Ag
Improved
01370
Exemptions 00-HOMESTEAD(2000)
I JustlMarket Value "
$78,142
$75,659
01346
Legal Description
LOT 76
GENEVA TERRACE AMENDED
PLAT
PB 12 PG 82
Taxes
Taxing Authority
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
County General Fund
Sales
I Page
Description
I Qualified
Date
i WARRANTY DEED
9/1/1999
WARRANTY DEED
3/1/1993
WARRANTY DEED
10/1/1985
WARRANTY DEED
10/1/1982
WARRANTY DEED
12/1/1981
WARRANTY DEED
12/1/1981
QUIT CLAIM DEED
6/1/1981
WARRANTY DEED
4/1/1981
001131
$45,900
Land
Portability Adj I
Save Our Homes Adj $5.144 $3,168
Amendment 1 Adj
P&G Adj $0 $0 I
Assessed Value $72,998 $72,491
Tax Amount without SOH: $703.27
2016 Tax Bill Amount $671.11
Tax Estimator i
Save Our Homes Savings: $32.16 !
i
I *Does NOT INCLUDE Non Ad Valorem Assessments I
Seminole County GIS
Assessment Value I Exempt Values I Taxable Value
$72,998 $25,000
$72,998 $47,998
$72,998 $47,998
$72,998 $47,998
$72,998 $47,998
Book
I Page
I Amount
I Qualified
I Vac/Imp
03725
154
$68,000
Yes
Improved
02552
0924
$63,300
Yes
Improved
01682
0711
$55,000
Yes
Improved
01419
001131
$45,900
Yes
Improved
01370
0909
$30,000
Yes
Improved
01370
0910
$43,000
Yes
Improved
01346
0933
$100
No
Vacant
01332
1453
$44,400
No
Vacant
$47,998
$25,000
$25,000
$25,000
$25,000
City of Sanford
Roof Permit Application Checklist
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:
eI Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel T.D. number.
CI -/j -Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
ECJ 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.
Cj,� 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).
O ffA 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, slate, and federal code requirements.
8ECEIVE
JAN1?
DCITY OF SANFORD BUILDING SERVICES a 1017
�
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: /6 - 0000 3 a- 3
I, eh r F(' /% hereby acknowledge that I personally inspected
Aoof deck nailing and/or L'Secondary water barrier work
at o�5 / 0 144 gh l ew /7 Aiye 'I'd tZ4 `3d -R 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 FS.
Signature of to
Pe nr q FL) 6 o'a
rinted Naifie of Contractor
/116%o1�
Date
ccc 13.,?9e73
License #
License Type: O General O Building O Residential dRoofing Contractor
O or any individual certified in accordance with F.S. 468 to make such an inspection.
0
STATE OF FLORIDA 'COUNTY OF ���� /70 /ef
Sw n (or ffirme ) and subscribed before me this fe dayofjonuafq 20 L7—, by
who is O Personally Known to me or had O Produced (type of
iden 4& ag t entification.
(SEAL) - - — - �-
Signa&Vof Nouiollllc
�►��%a'yt STEPHANIE J. yYILl1AWtS
State of Florida �..
Print/Type/Stamp Name
of Notary Public .
_. ,= Notary Public . State of Flj
y Commisslon 0 GG 0083
''o'l;,a� „d;:r��' My Comm. Expnes Oct 29,
3