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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