HomeMy WebLinkAbout232 Belgian WayCITY OF SANFORD
1E11V1E BUILDING & FIRE PREVENTION
PERMIT APPLICATION
DEC 2 8 2017 Application No:
BY: (4qocentedConstructionValue:$
Job Address: /J3o 6teg (&n LO , Sc nfurd FL 3 oZ }T3 Historic District: Yes No lJ Parcel
ID: Residential Commercial Type
of Work: New R Addition Alteration Repair Demo Change of Use Move Description
of Work: 9-f - wv `" 5 h. c4 Plan
Review Contact Person: C)A qr. 4 t nej Title: ot^)Ae-r- Phone:
Fax: Email: Property
Owner Information 3o33 Name '
U i L\na '5 G'.'Lc Phone: Street:
a 3 a bek ca `or W,yResident of property? City,
State Zip: Scnra , F L 3a3+3 Contractor
Information Name
Phone: 40-- O-Y-\ Street:
c'4 y-+y a'A 5 Fax: City,
State Zip: Ucc. t Mo„R,e- FL 3 a 7 LP State License No.: CCL M 13 3 S Name:
Street:
City,
St, Zip: Architect/
Engineer Information Phone:
Fax:
E-
mail: Bonding
Company: Mortgage Lender: Address:
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 q .- I1
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
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
Electrical Mechanical
Occupancy Use: _
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing[] Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
r_.-. . - ---
M.
A&G UNITED ROOFING
PO BOX 4704248
LAKE MONROE FL, 32747-0248
407) 982-0757
AGUNITEDROOFING@GMAIL.COM
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8uZ&O2 A&atc
Contractor's License # CC 13 A A 3 3 S
33 33 5--
ROOF REPLACEMENT MUTUAL AGREEMENT
14
Sales Rep Uf1" wle
Contact # Llo t 2 ;-4#- G X,) U i
Insurance Company Information
Company -',.} S
Policy # 5S 3 10 } zl & V 5
Claim # 5T I A? 0 S `ri /
Mortgage Company Information
Company i r A
Loan # % U
Owner(s)
ll
Phone:
r
U
a( U OIU1Cko) LJ7rcc
Address: Alt Phone:
City:
C, r
State:
I[_ JZip code:
32123
Shingle Color:
Email: Roof RCV amount: Drip Edge Color:
IF THE HOMEOWNER'S INSURANCE COMPANY DOES NOT AGREE TO PAY FOR.;A FULL ROOF REPLACEMENT, THIS AGREEMENT SHALL BE VOIDABLE
y-Assignment of Insurance Benefits for Full Roof Replacement or Repairs Only:l hereby assign and all insurance rights benefits and proceeds urideLanv
applicable insurance policies to A&G UNITED ROOFING LLC. (A&G), the scope of which shall be limited to a Full Roof Replacement or Roof repair. I make
this assignment and authorization in consideration of A&G's agreement to perform services, supply materials and otherwise perform its obligations under
this agreement, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested
by A&G, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this
regard, I waive my privacy rights. If payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to A&G immediately upon receipt.
I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the
undersigned on the day of installation.
00
Deductible: $ ?s 160 .`jO MUST BE PAID IN FULL, PLUS APPLICABLE SALES TA
1
4— (initial)
MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for Mortgage Co. to speak with A&G on matters including
but not limited to, the claim and draw status.
PAYMENT SCHEDULE: Owner agrees to pay A&G based on the following pay schedule: (i) Deposit in the amount of $ U/{ due upon signing
i this agreement:(ii) the agreement price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus Upgrade Cost, due and payable
to A&G upon completion of work being performed; and ,(iii) the remaining Agreement Price (equal to any applicable depreciation and/or change orders) due
and payable to A&G upon completion of work performed. In the event of a pending inspection, no more than 2% of Agreement Price may be withheld until
inspection has passed.{ I I
Optional: UPGRADE ITEM /wtr' ) tb' Qty: i / Price $ ! 114 TOTAL $ A) (t% Replacement
Work and Price: Upon insurer's approval and subject to the terms and conditions herein, A&G agrees to furnish all materials and provide the labor
necessary to perform the full roof replacement or repair which shall take place following Owner's insurance company's approval, approximately within 30
days, conditions permitting. y
Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement or repair, A&G shall perform
the roof replacement or repair upon receipt of funds from Owner's insurance company. CANCELLATION:
If Owner elects to terminate the services of A&G, Owner may do so before midnight on the third business day after Agreement is executed.
Owner shall receive a full refund of all deposits. Owner may also rescind Agreement before midnight on the third business day after the contract
is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in whole. All written notices of cancellation,
regardless of reason, shall be postmarked or delivered to A&G's corporate office: 565 Merry Brooke Circle, Sanford FL, 32746. CANCELLATION
EXCEPTIONS: The Three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I,
Owner have read and understand all statements, terms and conditions of the "Roof Replacement or Repair Agreement" and agree that all details are acceptable
and satisfactory. I further understand that this agreement constitutes the entire agreement between the parties and that any further changes or
alterations to this contract must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power
of authority to enter into the agreement and that it is binding and enforceable in accordance with its terms. Authorized
AS(G R presentative Date Owner Date TERMS
PND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain A&G for a full roof replacement on the terms and conditions stated herein. I
further agree to provide A&G with the Scope of Loss Report generated by my insurer and authorize and grant full acdess to the property for the purpose of staging
and completing all agreed upon work. Supplemental Claims: A&G reserve the right to file a supplemental claim with Owner's insurance in the event L
theestimate is incorrect and/or additional damage is discovered after.
Commencement. The supplemental claim amount(s), in addition to any depreciated amounts held back by the insurer, are immediately due to
A&G United Roofing upon receipt. Commencement of Work: Work shall commence at A&G United Roofing's discretion. A&G United
Roofing shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of God, war,governmental
actions, inability to obtain materials from usual sources, delays caused by and/or as direct result of Owner's insurer or other circumstances not
listed which are beyond the control of A&G United roofing. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of
Owner to remove any and all items, which are not secured to walls including, but limited to, items on mantles, shelves or other areas susceptible
to vibrations, as these may fall. A&G United Roofing shall not be liable for noise pollution and/ or vibrations due to the performance of work
contracted herein, or damages resulting to person(s) or property. Construction Debris: Upon completion of work, A&G United Roofing will
make reasonable efforts to remove debris from the property, including but not limited to, a general clean-up of construction -related debris and a
magnetic sweep of the eve line and walkways surrounding the project area. As A&G United Roofing cannot guarantee the removal of all nails
and/or debris, it shall not be liable for resulting damages. Landscaping: While A&G United Roofing will make reasonable efforts to cover the
lawn and/or shrubbery, it is the sole responsibility of the Owner to remove and/or safeguard any and all plants, shrubbery, lawn ornaments,
furniture and/or valuables. A&G United Roofing cannot guarantee the safekeeping of these items nor shall it assume liability for damages.
Timely Payment: It is Owner's responsibility to ensure prompt payment from Mortgagee and/or insurer. A&G United Roofing must be paid
immediately upon receipt of funds or, in the alternative, not exceed 30 days from date of install. If A&G United Roofing is not paid within the
requisite time period, all promotions, advertising specials, and/or discounts shall be voided. Owner shall also be responsible for any collection
fee(s) incurred. Force Majeure: A&G United Roofing shall not be liable for any natural and/or unavoidable catastrophes that interrupt the
i expected course of events and restricts A&G United Roofing from fulfilling its obligations herein, such as, but limited to excessive wind, hail,
ice, rain, extreme weather conditions, fire, war, governmental actions or other Acts of God. Labor Warranty: A&G United Roofing shall
provide the Owner a two (2) year, non -transferable warranty on labor once the contract is paid in full. A&G United Roofing is not responsible for
any damage below the roof due to, but not limited to: leaks, cracks, fissures, etc. caused by excessive wind, ice hail, snow or any Act of God
during the warranty period. In the event of an extreme weather- condition or Act of God, which warrants an insurance claim, Labor Warranty
shall be voided. A&G United Roofing shall not be liable for damages from fires, windstorms or other hazards as is normally covered by
Homeowner's Insurance or Builder's Risk Insurance unless a specific, written agreement is made prior to commencement. This contract, and any
warranty provided herein, shall not be assigned or transferred by either party, except by written instrument and signed by both parties.
Manufacturer's Warranty: All materials used are subject to Manufacturer's Limited Shingle Warranty. Any defect of materials is covered, and
subject to, the manufacturer's warranty specifications; this shall void A&G United Roofing Warranty. Pre -Existing Materials: Repair of
deteriorated decking, "waves" in decking, fascia board, roof jacks, ventilators, flashing, chimneys, gutters or other such materials (unless
otherwise expressly stated in the Contract) are not included. Should Owner elect to repair any and/or all of these pre-existing materials, Owner
shall be charged for both materials and labor. A&G United Roofing shall be liable neither for the replacement of, nor for ny damages arising
from, Owner's election to retain these pre-existing materials. Pre -Existing Conditions: A&G United Roofing shall not be responsible or liable
for issues due to improper ventilation, deteriorated decking "waves" in decking, appearance of roof due to irregularities in underlying rooting
system or other pre-existing, structural defects. Shingle Color Change: Should a shingle color change be requested within 48 hours of mutually
agreed upon installation date, a $200.00 express shipping fee shall be charged by A&G United Rooting to Owner. This fee MUST be paid on
date of installation. Minimum Contract: A&G United Roofing reserves the right to terminate any Contract if Contract Price does not exceed
4,999.99. The invalidity or unenforceability of any provisions of this Agreement shall not affect the validity or enforceability of any other
provision of this Agreement, which shall remain in full force and effect. BINDING ARBITRATION: If a dispute arises from or relates to this
contract or the breach thereof, and if the dispute cannot be settled through direct discussions, the parties agree to endeavor first to settle the
dispute by mediation administered by the American Arbitration Association under its Construction industry Mediation Procedures before
resorting to arbitration. The parties further agree that any unresolved controversy or claim arising out of or relating to this contract, or breach
thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Construction Industry
Arbitration Rules and judgment on the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The statue of
limitations on all disputes, which arise from or relate to this contract or a breach thereof, shall be one (1) year from the date of signing Roof
Replacement Contract. Claims shall be heard by a panel of three (3) arbitrators. The mediator shall not be empanelled as an arbitrator. The place
of arbitration shall be Orlando, Florida. The arbitration shall be governed by the laws of the State of Florida. All deposits, fees and expenses of
the mediation and/or arbitration, including required traveling and other expenses or charges of the mediator and/or arbitrator, shall be borne by
the initiating party. Depositions shall be limited to a maximum of 25 per party and shall be held within 180 days of the making of a request.
Additional deposition may be scheduled only with the permission of the arbitrators, and for good cause shown. Each deposition shall be limited
to maximum of 8 hours duration. Any dispute regarding discovery, or the relevance of scope thereof, shall be determined by the arbitrators,
which determination shall be conclusive. The arbitrators will have no authority to award punitive, consequential or other damages not measured
by the prevailing party's actual damages not measured by the prevailing party's actual damages, except as may be required by statute. In no event
shall an award in arbitration exceed the amount. of the Roof Replacement Contract. Any award in an arbitration initiated under this clause shall be
limited to monetary damages and shall include no injunction or direction to any party other than the direction to pay a monetary amount. The
award shall not include pre or post -judgment interest. The award of the arbitrators shall be accompanied by a reasoned opinion. Notwithstanding
i any language to the contrary in the contract documents, the parties hereby agree: that the Underlying Award may be appealed pursuant to the
AAA's Optional Appellate Arbitration Rules ("Appellate Rules"); that the Underlying Award rendered by the arbitrator(s) shall, at a minimum,
be a reasoned award; and that the Underlying Award shall not be considered final until after the time for filing the notice of appeal pursuant to
the Appellate Rules has expired. Appeals must be initiated within thirty (30) days of receipt of an Underlying Award as defined by Rule A-3 of
the Appellate Rules, by filing a Notice of Appeal with an AAA office. Following the appeal process the decision rendered by the appeal tribunal
may be entered in any court having jurisdiction thereof. Except as required by law, neither party nor an arbitrator may disclose the existence,
content or results of any arbitration hereunder without the written consent of both parties. Should either party disclose the existence, content or re
results of any arbitration hereunder, that party shall forfeit any and all damages awarded as a result of arbitration. Damages: To the extent
permitted by law, in no event shall A&G United Roofing, its officers, directors, shareholders, representatives, employees, attorneys, affiliated
entities or insurers be liable to Owner for any incidental, indirect, punitive, special or consequential damages arising out of or related to the
performance, nonperformance or termination of Contract. Cancellation Fees: Should owner elect to cancel the Contract outside of the statutory
three (3) day time frame, a cancellation fee shall apply to compensate A&G United Roofing for its time, expense and professional services which
were rendered to Owner. The fee shall be 25% (twenty-five oercent) of Contract, but shall not exceed $2.500.00.
v
t
GRANT 11A1.OY? SEMINOLE COUNTY
THIS INSTRUMENT PREPARED BY: CLERK OF CIRCUIT COURT & CON'TROLLER
Name: Lov t_ \ iAi yne- BK Sit 480 1-:;669 (1Pss )
Addres— C) "'r,c; t-(y yx C:LERK)S s 2017130797
k1 YV:,nrue- F L- 3 J-?—t RECORDED 12f 2812017 09:00-54 4N
RECORDING FEES $10.00
NOTICE OF COMMENCEMENT
RECORDED BY hdevore
Permit Number:
Parcel ID Number: S C> s^ "-Oc.,06
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)
232 Belgian Way Sanford, FL 32773. Single -Family Home Dwelling
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Replacing Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Nicholas Grace 232 Belgian Way Sanford, FL 32773
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: A&G United Roofing Phone Number: (407) 982-0757
Address: P.O. Box 470248 Lake Monroe, FL 32747
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6, LENDER: Name: PennyMac Loan Services, LLC Phone Number: (818) 224-7442
Address: 3043 Townsgate Rd, Suite 200 Westlake Village, A 91361
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.
J
Nicholas Grace
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of p( (t: lb County of
The foregoing instrument was acknowledged before me this Ul-LIlt 5( 60' day of Lr I , 20
by 6 & ` Who i Personally known to me OR
Name of person making statement]( _ z —1 — ( ( ,,
h.ohas..pr .d,4y ed l ratification type of identification produced: U C Ur,- l lGtrr\<„e_ pek r P .., rr;r,ntnv
CL^E i/ I) r .,Y
ANI ;i1lii f t
4Y MyCommission GG M910
0 i r Expires 03/22/2021
L
CITY OF
SjkNFORD Building &Fire Prevention Division
RESIDENTIAL RE -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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATUR DATE: /Q
i CITY OF
SkNFORD I IPERMIT #
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ,21 i,7e - X-73
STRUCTURE TYPE: 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 THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES &50 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE OWL'f15 LOrv,, C l' FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH 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#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
SCPA Parcel View: 18-20-31-505-0000-0420 Page 1 of 2
Property Record Card
f OP Parcel: 18-20-31-505-0000-0420
p Owner: GRACE NICHOLAS G
senar'c7.iE tq s rv, rtS aan
Property Address: 232 BELGIAN WAY SANFORD, FL 32773
Parcel Information
Parcel 18-20-31-505-0000-0420
Owner GRACE NICHOLAS G
Property Address 232 BELGIAN WAY SANFORD, FL 32773
Mailing 232 BELGIAN WAY SANFORD, FL 32725
Subdivision Name BAKERS CROSSING PHASE 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2017)
Legal Description
LOT 42
BAKERS CROSSING PH 1
PB 60 PGS 27 - 29
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings _ 1 1
Depreciated Bldg Value 1 $167,080 I $157,491
Depreciated EXFT Value
Land Value (Market) 34,000 34,000
Land Value Ag
Just/Market Value'* i $201,080 1 $191,491
Portability Adj
Save Our Homes Adj 5,568 0
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 195,512 3 $191,491
Tax Amount without SOH: $2,858.42
2017 Tax Bill Amount $2,858.42
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
I
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 195,5121, 50,000 i 145,512 Schools
195,512 i 25,000 E 170,512 City
Sanford 195,512 ' 50,000 ; 145,512 SJWM(
Saint Johns Water Management) 195,512 ; 50,000 : 145,512 County
Bonds 195,512 50,000 { 145,512 Sales
Description
Date I Book I Page J Amount i Qualified L Vac/Imp WARRANTY
DEED 10/1/2016 08801 a 1512 218,000 i Yes Improved WARRANTY
DEED 4/1/2015 08446 1383 188,000 Yes Improved CORRECTIVE
DEED 4/1/2015 i 08446 1378 100 No i Improved QUIT
CLAIM DEED 7/1/2014 08301 0856 100 ' No i Improved CORRECTIVE
DEED 12/1/2002 04625 0990 100 No Vacant WARRANTY
DEED 11/1/2002 04625 0799 170,300 Yes i Improved WARRANTY
DEED 5/1/2002 04416 0365 390 000 No Vacant Find
Comparable Sales Land
Method
Frontage Depth Units Units Price Land Value LOT
1 $34,000.00 $34,000 Building
Information 4
http://
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 8203150500000420 12/28/2017
SCPA Parcel View: 18-20-31-505-0000-0420 Page 2 of 2
Extra Features
Description Year Built Units Value New Cost
PATIO NO VALUE 5I1I2002 1 $0
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 8203150500000420 12/28/2017
CITY OF
U SANFORD Building & Fire Prevention Division
RESIDENTIAL RE-R 0OF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAIILIN'G, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / I u ADDRESS:
1 G Fiiu C1tY Q j 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 1 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 #: C- C_C_ 13 3 1 i
COMPANY / CONTRACTOR: A" (!, Ur 1 ca Koa"r
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICEI UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: Id d V
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT TILE 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 sc'ur Gy d
Sworn to and Subscribed before me this a I day of MG,VCk 20 [S by:
0rtA `A-m- s Who ist&Personally Known to me or has Produced (type of iden
ifiation) as identification. Sign#
f re of Notary P lie e
Staf Florida JULIA
P JENSEN 1rgYPVi s
State of Florida -Notary Public Ise,
M{,n °• *= Commission # GG 186518 My
Commission Expires Print/Type/Stamp Name February 16, 2022 of
Notary Public