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i CEIV CITY OF SANFORD hN, . .' Tn r4 BUILDING & FIRE PREVENTION DEC 19 2017 PERMIT APPLICATION Application - .3 O BY. No• % Documented Construction Value: $ $6,750 Job Address: 130 GLEASON CV SANFORD FL 32773 Historic District: Yes No Parcel CD: 02-20-30-523-0000-1130 Residential Commercial Type of Work: New Addition Alteration Repair Deemo Change of Use Move Description of Work: RE- ROOF 2;-76 S Lrq-S Plan Review Contact Person: Phone: Name CARLOS RODRIGUEZ Street: 130 GLEASON CV City, State Zip: Name Fax: Title: C 4//-,7 Email: q 7'e Property Owner Information SANFORD FL 32773 Phone: 407 437 7686 Resident of property? : YES Contractor Information TRU TEK WATERPROOFING, INC Phone: Street: 16621 GRAND BAY BLVD, CLERMONT FL 34711 Fax: 407 885 3805 City, State Zip: CLERMONT FL, 34711 State License No Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: N/A N/A Phone: Fax: E-mail: _ Mortgage Lender: Address: CCC 1331331 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. 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: 51n Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 39.c2- 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. I 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 ]CC 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: t certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct' nd zoning. Signatur t Date Signature of Contractor/Agent Date tt- 3ba- t t o - 5 -3o.1-p c."- w- Od%.c %4-- Print Owner/Agent's Name E/11&//17 of Florida C--' Date Print Contractor/Agent's Name gnature orNolary-State of Florida Date NProducedID Public State of Floridao t Notary Public StateJCVerasommissionFF952974 ? Julio C mimo s01/21/2020 Ex Commission 2ad Expires01/2t1202s n to Me or Known to Me or Type of ID i Produced ID ype of ID 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 Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: _ FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 02-20-30-523-0000-1130 Page 1 of 2 affi sce,aroi.a ca.r+rk rxoan Parcel Information Prop e riy_f2 e c n rd_Card Parcel: 02-20-30-523-0000-1130 Owner: RODRIGUEZ CARLOS J & DIEPPA AIXARELLY Property Address: 130 GL.EASON CV SANFORD, FL 32773 Value Summary 08 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 1 Depreciated Bldg Value 113 181 $106,727 Depreciated EXFT Value Land Value (Market) 25,000 $25,000 p ... i Land Value Ag JustiMarket Value 138,,181 $131 727 Portability Adj Save Our Homes Adj 63,719 i $58.797 1 I Amendment 1 Adj 0 P&G Adj 0 $0 Assessed Value 74,462 $72.930 Tax Amount without SOH: $1,720.43 2017 Tax Bill Amount $626.67 Tax Estimator Save Our Homes Savings: $1,093.76 Does NOT INCLUDE Non Ad Valorem Assessments http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052300001130 12/15/2017 POWER OF ATTORNEY Date: I hereby name and appoint J of TRU-TEK WATERPROOFING INQ to be my lawful attomey-in-fact to act for me, and apply to the Division of Building Safety for a ROOFING permit for work to be performed at a location described as: Parcel ID #: Section Township Range Subdivision Block ' Lot 15 Digit Parcel Number). Subdivision Name:J} i J.an S Owner of Property:, C F1 - /— ©S rj 0A rl,C-1 Vel Project Address: / 30 "7 I4 Dn (' V City: J 64 alil f-() 1Z Zip Code: Z and to sign my name and do all things necessary to this appointment. JACOB PORTILLO CCC1331331 Contractor Name) (Type or Print) (Contractor's License Number) Contractor Signature) The foregoing instrument was acknowledged before me this day. of ,(CPa-z F/Z of20 by JACOB PORTILLO who is personally known to me or who produced FLORIDA DRIVER LICENSE as identification and. who did not take an oath. JULIO C VERAS Seal Notary Pu lie (Print name) ry Public (Signature) Rev 03/13/13 41P Notary Public State of Florida Julio C Veras My Co__, FF 95297a Expires 01/21/2020 CITY OF Building & Fire Prevention Division SANFORD -- RESIDENTIAL RE -ROOF POLICY &PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS -NO -PLAN REVIEW REQUIRED E AND COMPLETED ION. RESIDENTIAL RE -ROOF SCOPE OF WORK ARE THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURAT REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLI 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 REQUIREDOFOR RESIDENTIAL T ( SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) 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 SCOPEOWORK) OR ADDRESS IN EACH PICTURE) DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE SE RULER) NAILS) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE 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 VIDED BY A FLORIDA FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT CODE COMPLIANCE BYOPER ONAL INSPECTION.ESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FB --- -- -- - •- -- t - --- •------ C n CONTRACTOR ( OR OWNER/ B DATE: % Z• / / 1 / % UILDER SIGNATURE: /yam C CITY OFy SkNFORD PERMIT # Building & Fire Prevention DivisionFIREDEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: gliEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): WOO - PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: OFF -RIDGE 0 RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 412 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE lj° FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED 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# OINSULATED FL# O TILE FL# O OTHER: FL# THIS INSTRUMENT PREPARED BY: Name! TRU TEK WATERPROOFING, INC Address: 16621 GRAND BAY BLVD, CLERMONT FL 34711 NOTICE OF COMMENCEMENT Permit Number: ! 7 - 3-1 0-) Parcel ID Number: 02-20-30-523-0000-1130 Gfn"INT NALOYr 7SEi1INOLE COUM-1— C: L(ERK OF CIRCUIT COURT & GONPTROLLER Br, 004* i I}a 171 CLEfiK' S u 20 7127E52 ECORDED "`/ 10/2017 09.,-23x2O All RECORDING FEES $10.00 ORDER 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) LOT 113 PLACID WOODS PH 2 PB 58 PGS 4-6 2. GENERAL DESCRIPTION OFj I A`PROCVENJENrlL 1 G F1 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: CARLOS RODRIGU_ EZ, ADDRESS: 130 GLEASON CV SANFORD FL 32773 Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: TRU TEK WATERPROOFING, INC Phone Number: 407 885 3805 Address: 16621 GRAND BAY BLVD, CLERMONT FL 34711 5. SURETY (if applicable, a copy of the payment bond is attached): Name: N/A Address: Amount of Bond: 6. LENDER: Name: N/A Phone Number: Address: 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. N/ A 8. In addition, Owner designates Phone Number: to receive a copy of the Lienors 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. 1 31o-11D-"15-3oa -- Signature of O er or Lessee)or Owner r esseo's Authorized Ofric Partner/Manager) State of QLL 21d2 4i' County of L q- /C e- The foregoing instrument was acknowledged before me this / by Name of Z 0MUMM who has produced identification type of identification produced: e fl Notary Public State of Florida Julio C Veras y ` My Commission FF 952974 taM1`' Expires 01/21/2020 Print Name and Provid Si natory's Title/Office) day of _p1<6yew er , 20 t 7 Who is personally known to me OR Notary Signature wcr T lF11 D COPY GRANT MALOY CL E f';X Gr tN. "!; " !:7 t.GtJc r CITY OF IP SkNFORD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT4: 7'— 3? ADDRESS: j>C> &M—P4,S©A_) 6t/ t'9TV Oc)Zd -/""/ 32 7-7 I j N4600 z'tr 10 , 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 #: /P C C 13 / -3 3 / COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICE gt' - Geer /hcj,C."u .171j. DATE: [ I I NSE HOLDER WNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: 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 Sworn to and Subscribed before me this a i day of b gee rC40-f_ 20 lZ by: j6C0(3 '(i{ Who is Personally Known to me or has Produced (type of identification) ( //— as identification. gnature of Notary Public State ofFlorida E4= NotaryState ofFlonda Print/ Type/Stamp Name n FF se2s7a of Notary Public2020