HomeMy WebLinkAbout203 Tyler Avet
4;
q. d79
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 ,-7 -31 qa
Documented Construction Value: $ 5)
Job Address: 07/ y Historic District: Yes No Q---
Parcel ID: Off-- c,20 3l - S9.5- - 4:j e j --o?o Residential Or -Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: ll e
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name G Phone: laf &Z6
Street: 00 3 /A Resident of property? : 4 D
City, State Zip: soh Z; z a2 27 l
Contra for Information /
1 LcL
Name 2 i.- Phone:
Street: /f Ca J / [lam Fax:
City, State Zip: State License No.:
rchitect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 5"' 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 1 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 1CC 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 Co ractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of 1D
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:
COMMENTS:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
CONTRACTORS
Ccc /N If T-0
WORK PERFORMED AT: "
All Material is guaranteed to be as specified,. and the above work was, performed in accordance with the drawings and specifications
provided
Vfforthabove
work and was completed in a s bstantial workmanlike manner for the agreed. sum of
Dollars
ThisW Partial Full invoice due and payable by:
Month Day - Year
in accordance with our Agreement Proposal No. Dated
Month Day Year
NC3822 CONTRACTORS I
DocuSign Envelope ID: FBOE057E-7672-418A-83DE-9F3F9E127274
THIS, INSTRUMENT -PREP RE9 Y: , 61W4T 11ALO` i, ;EMINOLE C.-OUNT"
Name: T /' CICi i e'S CLERK OF CIRCUIT COURT & COMPTROLLER
Address: nferd-F"'T•t /' y e? f.nld ;41 G . 'LCLCLERK'S
8
4
017 (
794CLERI;'S T 2Ct1713t:1794
RECORD: EG 12,`28; 2! 1 7 CIS.- 57.33 An
RECORDING FEES ii+,C)Ci
NOTICE OF COMMENCEMENT RECORDED BY hdevoi-e
Permit Number: 1 -1 3 1 TL-
Parcel ID Number: 07-20-31-505-0H00-00
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 propperty aqq street address if
LOT 2 BLK H -,1n 3 7 _// ,4/i`/L F - . 5S ,
17 PG 11
GENERAL DESCRIPTION OF IMPROVEMENT:
E Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Preferred Trust Co., Custodian FBO Denise Medawar IRA 404301160
Interest in property: Owner - 2140 E. Pebble Pass Road, Suite 140, Las Vegas, NV 89123
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: C> frlcel //, 1i I Phone Number: re17rL1_114Yitc%_
Address: 11226 .Cfi l.}r.7 r C y717. ?
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: 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.
Name: Phone Number:
8. In addition, Owner designates 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.
C
Signature of Owner or Lessee, or )wner's or Lessee's ) { (Print Name and Provide Signato Title/Otrice)
Authorized Officer/Director/Partner/Manager)
State of eyada County of C lark._
The foregoing instrument was acknowledged before me this. V t day of _ W eGPYii. 20 1-7
by l . Y l r` l M . Try l/h O1 V Who is personally known to OR-CMJ
Name of person making stafement
who has produced identification, type of identification produced: WV Qr,ve Y IS
JENIFER OSTLER
Notary Public -State of NevadaE43APPT. NO. 12-9595-1
My Appt. Expires 11-30-2020
TEG
Property Record Card
sm, CFA Parcel: 07-20-31-505-OH00-0020
PAP' R Owner: PREFERRED TRUST CO
4
Property Address: 203 TYLER DR SANFORD, FL 327/1
0
UD
Valu4 Summary'
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 106,931 100,738
Depreciated EXFT Value 3,424 3,424
Land Value (Market) 28,000 28,000
Land Value Ag
Just/Market Value 138,355 132,162
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 14,334 19,416
P&G Adj 0 0
Assessed Value 124,021 112,746
Tax Amount without SOH: $2,274.39
2017 Tax Bill Amount $2,274.39
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
91009S6 iffdltCounty GIs I - Legal
Description LOT
2 BLK H SANORA
UNITS I + 2 REPLAT PB
17 PG 11 Taxes
Sales
Description
Date V Book Page Amount Qualified Vac/Imp WARRANTY
DEED 1/1/2014 08205 0375 105,900 Yes Improved QUIT
CLAIM DEED 12/1/2013 08205 0373 100 No Improved SPECIAL
WARRANTY DEED 6/21/2013 08054. 0467 54,000 No Improved SPECIAL
WARRANTY DEED 3/1/2013 07987 1911 100 No Improved CERTIFICATE
OF TITLE 1/1/2013 07956 71465 100 No Improved QUIT
CLAIM DEED 1011/2004 05751 1456 100 No Improved WARRANTY
DEED 11/1/2001 04228 1838 90,000 Yes Improved WARRANTY
DEED 12/111986 01793 1775 65,000 Yes Improved WARRANTY
DEED 1/1/1975 01073 0680 37,000 Yes Improved WARRANTY
DEED 1/1/1974 01017 1233 541,000 No Improved Land
f
CITY OF
S.,kNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE --ROOF POLICY& PROCEDURES
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: 62 -rt'
CITY OF
SkNFORD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT # 1 I- 11 q
Building & Fire Prevention Division
RESIDENTL4L RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: (D-SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF STINXI G DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OOFF-RIDGE IDLE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES &V IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 T-ITOR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
HINGLE Gi. !G' FL# - S19 YO'- 1-p to
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH 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#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
CITY OF
t f SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I / _"-,3 ADDRESS:
J 0- 771
I l.T1 4r=Z 114 ' `' eJ , 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 4LI
Sworn to and Subscribed before me this day of 'D&eo 20 / by:
PK . f t - Who is personally Known to me or has D Produced (type of
identificatn) S'
re Notary Public State
of Flo ida Print/
Type/Stamp Name of
Notary Public as
identification. SILVIA
VINAS` MY
COMMISSION #FF180079 f
oFdP'
EXPIRES December 2, 2018 407)
398-0153 FloridallotaryService.com