HomeMy WebLinkAbout128 Placid Woods CtI
DEC 2 0 2017
3
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /7c--
Documented Construction Value: S
Job Address: / al 6 VW C ( NO 0 D (--I- Gn %v Y
6670
Historic District: Yes No [2
Parcel ID: 6 , - a o - 30 '-r>a a - o o o o — D / 0 b Residential,] Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Ae ro or C33 SC/' CLK43j r)4qgJ- (nd hi A Plan
Review Contact Person: Phone:
Fax: 5 -
5 L St/`'/L/- #Jb Email:
Title:
Property
Owner Information Name .
CSC OLDCA L-- Phone: 9 y - 9 3 7- `f a3 3 Street:
a PLo'c', wcooAs 6Resident of property? :BLS City, State
Zip: S (11 vq_j o Yr F Q t ,Contractor
Information
Name IJ
i cn y Iti``27Q Z7G )40 rl'nS ) I L Phone: VO- f 9-03_ Street: 5050 `
1 0) `t l t 4- Fax: City, State
Zip: 2p P 0 ., IQ 32 7C 3 State License No.: CC( l 32 y Name: Street:
City,
St,
Zip: Bonding Company:
Address: ArchitectlEngineer
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 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: 511 Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
µ-fa- ,"
8iwatuw&faNQta&Zta1a LL1orida Date
AV Notary Public State of FloridaNicholeRMartin
v My Commission FF 185295
Expires 12/23/2018
Contractor/Agent is Personally Know to Me or
Produced ID Tv g e f 1
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:
X130 hifR;ll &I
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 02-20-30-522-0000-0120 Page 1 of 2
Property Record Card
P
Parcel: 02-20-30-522-0000-0120
A'P Owner: OLDEACK JOSEPH A & MARIA
ssnvacxe caurarv, Fl.or nA
Property Address: 128 PLACID WOODS CT SANFORD, FL 32773
Parcel Information Value Summary
Parcel 02-20-30-522-0000-0120
Owner OLDEACK JOSEPH A & MARIA
Property Address 128 PLACID WOODS CT SANFORD, FL 32773
Mailing 128 PLACID WOODS CT SANFORD, FL 32773-4454
Subdivision Name PLACID WOODS PH 3
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2017)
Legal Description
LOT 12
PLACID WOODS PH 3
PB56PGS65&66
Taxes
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value
1
108,756
1
i $102,5F73
Depreciated EXFT Value 1,925 --` 2,013
Land Value (Market) 25,000 25,000
Land Value Ag
JusVMarketValue" 135,681 129,586
Portability Adj
Save Our Homes Adj_
Amendment 1 Adj
3,374 $0
0
P&G Adj 0 0
Assessed Value 132,307 129,586
Tax Amount without SOH: $1,679.67
2017 Tax Bill Amount $1,679.67
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 132,307 50,000 82,307
Schools 132,307 25,000 107,307
City Sanford 132,307 50,000 82,307
SJWM(Saint Johns Water Management)
i $
132,307 50,000 82,307
County Bonds 132,307 50,000 82,307
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED
WARRANTY DEED
5/1/2016 I 0-868-4
5/1/2016 08684
0101
0098
160,000
165,000
Yes Improved
No Improved
WARRANTY DEED 5/l/2007 06720 1336 210,000 Yes Improved
WARRANTY DEED 12/1/2003 05133 0962 128,000 Yes Improved
SPECIAL WARRANTY DEED 3/1/2000 03828 0759 1 $84,800 Yes Improved
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 1 $25,000.00 1 $25,000
Building Information
Description Year BuiltActual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052200000120 12/19/2017
0 ` `... 3050 Hallidayto8881,'
70uah ROORNG JabSch Ave
A 76f3
4)RR infaedfin ZZ0 , 9 Il i(C.GOTI)l. r
as Orlando's Home Town Roofer Submittedo: ./
Q- `! Date: /Y G I
Address: % _ '
G/'
TL.r Z77. ola
fe e<a PttoneOr I
97—,
4: Source:
A ; D CONTRACTOR
AGREES TO PRO E LABOR AND,MATERIALTO COMPLETE THE WORK DESCRIBED IN THIS REPLACEMENT,
IS CALCULATED'AS UNSEEN DAMAGE AGREEMENT..
WOOD AND.
iF`#OTTEN.WOOD EXISTS AFTERTEAR'-OFF IT AD *
COST ABOVE THIS ES TE As FOLLOWIfES: Fascia wood:- (1" by Pine @$T00,per fp, (2,,,by. WILL,
BE, REPLACED AT AN ire
@ $>3.0Q Per ii,). Sir rc. turall = (2" x 4" @ $7. 0 per R), (Z" x B"@ $9.00 per ft.), (2,1 X 8,,@ $10 00 per, %). Deeliing 8 itt# per
fL), i 1' x fox, $9.00per fL}. $'X 8' Shee# of Plywood or OSB decking. $75:00 Contractor is not able to estimate unseen rotten wood damage or sec- ond
layers of roofing until work has been started. Warranty will not be valid if total invoice minus 10%:for retainage.Js not paid with in 7ldays from.invoice date. COMPLETEROOFREPLACEMENTincludesroofingpermitandallinspections, 1 aear off and disposal of ONE layer of existing
shingles, 2. re -nail entire deck to wind code, 3. install 30 pound. felt, DRY -IN 4. replalce all boots vents and valley
flashing 5. the COMPLETE INSTALATION OF_ROOFING CHOICE BELOW. unit,
cast Total Cost Architectural
Shingles 35 year,130mph athachment, Shingles sq. ft. color /' .-,; 7D 40., tiew
Roof Pmgrmeter Edge Metal Black White &6rn ified
sq. ft. Ta•Bced m*--fiesta llask Mask taAsitr—mvrrn IAddition
Tear -off sq. ft disposal of one layer of existing roofing included all others at $ 60.00 per sq s - - - - -
FRemoveandReinstallGuttersft. Dispose of ft - - ' _ _ _ _ _ _ _ _ _ _ _ _ _ gutters. 1 tP
e Mlacenmatisascodurea dam3p and is an mrtra expo al ov ft mstlir l nfmve RMIE TOTAL COST y Power
Pall Bashing_ stalf#
NE fgutter f--------------------------------------------------- Skylights
Tx T units 2'x 4' units h'__--_______--_______--__-_--__----___--_-___
WallfhtgZflashingftSpacial flashing ft. ______ Synthetic High
Wind Resistantlfnderlayment (Umn)_sq. ft. TOTAL PAYMENT
TO BE MADE AS FOLLOWED: At Time of Contract 6 At
timeofMaterialReliveryanCompletionLEGALN077GE
PAYMENTS RECEIVED LATER THAN TEN (10) DAYS WILL BE.LEt/lED A 50:00_ IFTEEAND SERVICE CCE GE OF THE UNDERSIGNED
AGREES THAT THEY WILL BE RESPONSIBLE FOR THE. COSTS':OF COLLECTION OF ANY"UNPAID, CE,; INCLUDING REASONA- BLE ATTORNEYS
FEES. The customer can hold back .10% of contrat.for any: punch fist items to be completed.. The customer will.be tVunded 100% of any. deposiits_if canceling this
contract within three days. Cancellations made after third (3) busing day; will result'in the contractor retaining '300%of thg total. price: as a restocking fee. WARRANTY: (5)
years covering -defects inworkmanship _on complete re.roof. Manufacturer warranty extended to Customer upon.payirient PRICES ARE GOOD
FOR 30 DAYS AND AFTER ARE SUBJECT TO CHANGE. Contractor is NOT responsible for•.interior damage in full for
work completed. from water penetration
into any structure until the
finished roof as been completed that is not a direct act of negligence. The contractor is NOT responsible for plumbing. or mechanical lines run, within 8" from the
bottom of the roof decking. Contractor assumes no liability for damages to.driveways, walkways, structure cracks.to walls or ceilings or landscape that is not a direct act
of negligence by the Contractor. All,verbal"agreement will not berecognized unle "s ulated in writing on, this' contract; 1 v2" Boots
Off RV / Ridge vents Black White Brown i A Selling Assocaat 2BoatsCap
End Caps Stature 3" Boots Starter
Strip Power Polls 4" J Vents
Valley Flashing Peel S Stick I7ate j 10" J
Vents Edge Metal Existing Skylights Any alterations or
deviation from above specified scope of work will. be On mar Autllta will became an
extra charge over and above the estimate: Rizzo Roofing Is Signx tixre' . I equipped with all
the necessary licenses and insurances required by the State of Florida to
provide contracting services in the roofing industry. This proposal Pri lwd: Name Jti Prat Ot f 0E AC with
an owner
authorized signature and upon final approval. by Rizzo Roofing corporate office
will become a contract directly between. the Date i signed owner
and
Rizzo Roofing: This agreement constitutes the entire understanding. The Authorized
signature warrants thathe or she is.the equita Tlie autt cn told signuttiro•alovo Mara lay read and agree
entirely to the terms owledgegt£rcy hTM
find smNiMs Thai
ble ownerof
the premises or represents the owner with viable documentation. are incorporated itt this proposal. Thank you for
your business we look forward to serving you. i
INSTPlYllENT PREPARE Y:
tote: Z
lass: 1
OTICE OF COMMENCEMENT
Permit Number.
Parcel ID Nurr:`=-'
GRANT MALOvy SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 91-144- P9 379 (1P9s )
CLERK'S Y 2017128415
RECORDED 12/20/2017 10:57:44 AM
RECORDING FEES $10.00
RECORDED BY hdevore
The undersigned hereby aives notice that imorovement will be made to certain real Drooerty. and in accordance with Chanter 713. Fiorida
followina information is Drovided in tnls Notice or uomm6-. -
1. DESCRIPTION . OF PROPE (Legal des tion of the Drooerty ana str t aaress Ir ar
j- Z U - t o wcsy QS 3 5 PGA 5 (__o - (D c,C,
Err DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
3 aaaress 4L:— C- — IL G O
Interest in property:
ramie Title Holder (if other than owner listed above) Name:
Address.
4. CONTRACTOR: Name:
Address: o t
1
ko
5. SURETY (If applicable, a copy of the paym rat bond is attached): Name:
6. LENDER:
Address:
Phone Number:
Phone Number
S G SCa,fI IJT'
Amount of Bond:
F_ 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:
R- !n addition. Owner desianates 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
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I; SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR
PAYING TWICE fpR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEF THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNE`-
B175R1COM , CING WORK OR RECORDING YOUR NOTICE OF COMMENCEMFN!T.
JoViO-AC) .n p t
fSignat re of Own o6LZeene ssee's (Print Name nd Provide Signatory's Title/Office)
Autt ooriized O,f/ficeror/Partne anager)
State of Iy 6! of County of 00 14V
The foregoing instrument wa acknowled ed before m this day of ' " r r
20 /
by o ho is personally known to me OR
Name of person malting statement D Z ` M 3-who has produced identification Elproduced.,type of identification produce
I
a Notary Public State of Floridaytr.. F
Douglas Oliver 4 :..
Commiaslor• FF 137993 h
Expiros
0710112018 - DEC
m..,_ t:.... _._.__ .._
w __,..
CITY OF
SkNFORD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCED UkES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER SIGNATURE: DATE: 12-2a=
CITY OF
SkNFORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: I A 6 RaC I G I'VovQ.S C-1- 'QIn 1"O/ -c) 32-71-
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: '0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
J
DECK TYPE (PLEASE SPECIFY): / w h) COO_0
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D OFF -RIDGE RIDGE 0SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
INSHINGLE C r
Q (0t1JMAIC FL#9L)1-)L/ - 9-JO
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TI LE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY OF
SkIN'T01W Building &Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: l -1 — 3 -7 q ADDRESS: 128 P L -A C 1 4 wooS G- lr__
ar F o, d I
T C Tji nOV1 n Y 12'ZQ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACTOR, -ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE
REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS —
SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS
FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL
REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #:
CCL 1 32(=—i S COMPANY/
CONTRACTOR: K121-20 CONTRACTOR
SIGNATURE: MUST
BE SIGNED BY LICENSE HOLDER OR S
L1C UILDER)
A
FINAL ROOF INSPECTION IS REQUIRED: DATE: . -
v — ' U THIS
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG
WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT,
FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS,
INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK
FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE
TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL
AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF 5Q Mil n old Sworn
to and Subscribed before me this L day of Frbrvfk rig 20 l by: Who
k 1Personally Known t, m or has Produced (type of iden '
cation) as identification. Signature
of Notary Publicj0 Notary Public State of Florida State
of Florida erian a league (S" I., My
Commission GG 177670 prV
Expir'0l/?2/2022 Print/
Type/Stamp Name of
Notary Public
Job Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
g-.Documented Construction Value: $ 6Y I-D
I a o R1(\04 e.
In Ghrplj Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 1( ICODE Z3 S 31 e -AJ ( canQ I'" 0 r
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name 1 V t U sC C C OW t l Phone: 1— 51 E' — Q i C>
Street: Resident of property?
City, State Zip: SO\h-(Ora ',k- 32-1-7
Contractor Information + {
Name 1 Zz (zoj i0c A1101003 rub Phone: LIU - I O ' .e-733
Street:Fax:
City, State Zip: APQ.A_.J' 32 State License No.: CC(
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015
Permit Application
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
zui u
Signature of Contractor/Agent Date
Hf \,f/_ ejtili ram; 2Z0
Print Contractor/Agent's f,4ame
lorida Date
e Notary Public State of :Florida]
Whole R Martin
o My Commission FF 18oFFd' Expires i2i fYOt8
O mN
LL N
O
O C LL co
fn l0 0 N0
Y.2 NN
E^
a o o "
U U a
ZZ2tu
a d
c
Contractor/Agent is,Iersonally Known to Me or
Produced ID VD
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:
New Construction: Electric - # of Amps
Flood Zone:
of Stories:
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
SCPA Parcel View: 32-19-31-515-0000-0120 Page 1 of 2
f[PRA6
ss caurv, Fcartn
Parcel Information
Proaeft Record Card
Parcel: 32-19-31-515-0000-0120
Owner: BROWN JOHN A Y MAYETTA
Property Address: 124 PINEFIELD DR SANFORD, FL 32771
Parcel 32-19-31-515-0000-0120
Owner BROWN JOHN A Y MAYETTA
Property Address 124 PINEFIELD DR SANFORD, FL 32771
Mailing 124 PINEFIELD DR SANFORD, FL 32771
Subdivision Name CELERY LAKES PHASE 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2007)
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value
1
132,129 124,603
Depreciated EXFT Value 1,200 $1 2250
Land Value (Market) 32,500 $32,500
Land Value Ag
Just/Market Value "
Portability Adj
165,829 158,353
Save Our Homes Adj 68,892 $63,410
Amendment 1 Adj
P&G Adj-- —
0
0 _---
1tI
0 -----
Assessed Value 96,937 94,943
Tax Amount without SOH: $2,227.44
2017 Tax Bill Amount $1,020.01
Tax Estimator
Save Our Homes Savings: $1,207.43
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=32193151500000120 12/19/2017
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dwhiiCTOR AGREES TO PROVIDE LABOR AND MATERIALTO COMPLETE THE WORK OESCRBED IN THIS AGREEMENT ` <i Uk`
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LEGAL NOTICE.° PAMENTS RECEIVED LATER THAN TCN 00).DAYS ULt BE LEVIED A•$150. LATE FEE AND SEfiVIC j ;THE:i1NDERSIGNED Nfi,REES'THAT THEY NJlLLBE ttESPONSIBLF FOR THE COSTS OF;CQLLECTION:OF AtfYUNPAID BALANCE:INCLUDING R ASONi% t
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JJNDE RSIQ FEES, Kttb Linoran hold b k 10%of conirecbforany punch list dansfo be completed, The customer vats be relfmded 900°bo(any Sal'os ( it fcanoelitgfhucontractvdhmthreedaysC :ncelleharrs matte niter third (S) birsinessday 411Tesultt in the conAactaxa[a5ting 30ao of tt a total prxk:as a rartukart ; A4VRRfITY:; ,dyes is criverina detPr n wodonar hip cncomplete re'roof Manufacturer warranty extended to Customer,upon pa( t nowork on iota enY, PRICES
ARE GOOD FORM DAYS AND AFTER -ARE SUBJECT TO CHANGE: 6ontaetoi is respons blefor fitleriofdamage - F
sPRICE ri pt the ROD FO «louts been completed thatis note deect act of negligence. The Contradar is NOT responsible for plumbing or.mechanxel Rnes run viithin. x. W. froin the:boltati of the roof dsdbig: Contractor assw>es:no liability for damages;to drivevrays, vralkways, structure erodes to walls or ceding or landscape that is no a
detected or r r9?uCe by Contactor• Ru venial agreement will notbe recognized unless s d in vmtlng on this contact lj I
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THIS INS UMENT PREPAR-yt BY:
dame• n iL l 2
Address: Cmp
Permit Number:
Parcel ID Number. Z ( , `71 v 0no — 01 -2c
111111111111111[111111 Mil Wil 11111111
RANT, MALOY? SEMINOLE COUNTY
CLERK OF CIRCUI1* COURT ic, COMPTROLLER
BK 9044 Pq 378 ( p9s)
CLERK'S $ 2017128414
RECORDED 12/20/20.17 10-- 7 c a.4 i-M
RECORDING FEES $10.00
RECORDED BY hdavore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, th9
following information is provided in this Notice of Commencement
OF street
2. GE RAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT-
ame and address.
interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:_
Address:
4. CONTRACTOR: Name: ZZfi lG
Address: , O F71'n (AA 4 O
S. SURETY (If applicable, a copy of the paymdnt bond is attached):
6. LENDER:
Address:
Phone Number: 'C/O % ALTO Y
Amount of Bond:
Phone Number.
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 numoer.
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 AR:.
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 ATTORN='
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Aw
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
utnorized Officer/Dimctor/Partner/Manager)
s
State of Lo County of 01&141®1e—,
The foregoing instrument was acknowledged before me this day of DG .
20 /
by r rO OJ Who is personally known to me OR
Name of person making statement
Gj
who has produced identification type of identifica.Vq jgpduce
State of Florida
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Notary Public
Douglas olive r
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DEPia , y
CITY OF
Building & Fire Prevention DivisionSkNFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
t
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 2O
x
CITY OF
p SkSORD
FIRE DEPARTMENT
PERMIT # I
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
j
JOB ADDRESS: iAy 6o- ,,e/d 0'ro'"'0/
STRUCTURE TYPE: () SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 'D REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D OFF -RIDGE Z>VRIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES '0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 p 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE C ( I n M FL# 5QLI 1-) - 12
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
0INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#