HomeMy WebLinkAbout312 Placid Lake DrCITY OF SANFORD
1
BUILDING & FIRE PREVENTION
EC 2 $ 2 1 PERMIT APPLICATIONDr
q trcationNo: / 7 BY:
P P Documented
Construction Value: $ Job
Address: 3 (2 &c ) 01 14 Pc 2, ort V 2. Historic District: Yes No to Parcel
ID: d-Z - Z4-36 -S2o '6600 _ a-,,17Q Residential Commercial Type
of Work: New Addition AlterationX Repair Demo Change of Use Move i-
DescriptionofWork: -- k1)()% Plan
Review Contact Person: J;-I to Title: &o ZC- OkkugyV Phone:
yy7 121- QSGZ Fax: Email: )O40t &gS"64o(MBJrycCOM Property Owner
Information Name (2JoIeo
to Phone: !( Street: tot-"
c DFi'j2 Resident of property? : Y'2 City,State
Zi ,,,,,. a Contractor Information
qaemoName Dfa.
Gtra.Gl`lr C S64;pnPhone: Street: rmak
N i F Fax: _ City, State
Zip: 5aA 6 cok f'L b277 I State License No.: CGG GQ_%033 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. 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: 51" 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 Date S4na6re o actor/Agent to
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
hn 8y rle Jr
Print Contractor/Agent's Name
C /
Signature of Notary -State of Florida - Da e
ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
F,qP My Comm. Expires Jan 16. 2018
Co n 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
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of: MQLZ>; 06, ej CQR
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit a application for work located at:
31 eau Cie. Ptriye. San f (-A R- 3z77 ?! Street
Address) Expiration
Date for This Limited Power of Attorney: License
Holder Name! State
License Number: C, C G ~ \ () a ?)0 J2) Signature
of License Holder: A"/ - STATE
OF FLORIDA COUNTY
OF 1 `e The
foregoing instrument was acknowledged before me this La day of Ce4er-, 206Aa_,
by "RD9;At k who is)(personally known to
me or o who has produced as identification
and who did (did not) take an oath., n Signature
Notary
Seal)Q Print
or type name RliK
Stateof Florida elion
GG 153047 8/
2021 Rev.
08.12) Notary
Public - State of , 0. Commission
No. G(Z 1 j`30 1 1 My
Commission Expires: 1p - k8 - 2
Permit Number:
Folic!Parcel ID #. 2 ,
Prepared by:n:`
c7 `: 0 'a
Return to: 3715 Pembrook Drive
Orlando FL 32810
GRANT MALT) i r SEMINOLE couirry
CLERK OF CIRCUIT COURT h CONF'TROL.LER
CLERK'S s 2017130515
RECORDED 12/27/2017 01.3jD47 PM
RECORDING FEES $10.01)
RECORDED BY jecl:enro
NOTICE OF COMMENCEMENTStateofFlorida, County of
The undersigned hereby gives notice that improvement will be made to certain realproperty, with Chapter 713, Florida Statutes, the following information is provided in this Noticf Commencement. ementdance 1.
Desc ' t of prrope (legal dyscription of the pyopert)(,rand streel,address if available) 2.
Gerral d cription of improvement p 3.
Owner Info Name
K Address_
Interest
in Name
and Name
Address_
4.
Contractor Name
Masi or
of
fee simple 5.
Surety (if applicable, a copy 6.
Lender Lessee
contracted for payment
bond is attached) 7.
Persons within the State of Florida designated by Owner upon beservedasprovidedby §713.13(10(a)7, Florida Statutes. Namsa8.
in addition to himself or hemell Notice
as provided in §713.13(1 Kg --- Address
9.
Expiration date of notice of come unless
a different date is specified) nor
aesignates tl Florida
Statutes. 23 -
Tk-L rr,, .Z improvement
elephone
Number 4079220500 Telephone
Number Amount
of Bond $ Telephone
Number or
other documents may Telephone
Number Tollowing
to receive a copy of the Telephone
Number 0111011L
tLr1e expiration date will be 1 year from the date WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE WITHRECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOTDER0ATNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. 4§
ignature o er or ee, or Owner's or Lessee's Authorized Officer/Director/Partner/Mena er OW
A Ir 9
Signatory's Title/Office The
foregoing instrument was acknowledged before me this day of b Y f t 0 as
for
it 77_ip° monearnameperson~!.. t, Type
of authority, e.g., office...........trusteeattorney in fact Name of party on behalf of whom instrument was 3 SV
executed
gnature
of
Notary Pubiic —State of Florida 0 Print, type,
or stamp commissioned name of Notary Publics 5 i Personally KnownORProducedIDr/ Type of
ID Produced,r; a Ul
c rZ
i
I Notary Public
State of Florida p LL' CD
C) Beth EFi>shel 0 lL f
MycommissionGG153047F= is Form content
revised: 01/23/14 e, PA,
Expires 10/18/2021 W 2
w Srva. ac
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3
SCPA Parcel View: 02-20-30-520-0000-0870 Page 1 of 2
PPP
taG..4""- COUeT v, F 4rXt n
Parcel Information
Property Record Card
Parcel: 02-20-30-520-0000-0870
Owner: RIJO MEJIAS RODOLFO E & TAVERAS JOEMI
Property Address: 312 PLACID LAKE DR SANFORD, FL 32773
Parcel 02-20-30-520-0000-0870 _
Owner RIJO MEJIAS RODOLFO E & TAVERAS JOEMI
Property Address 312 PLACID LAKE DR SANFORD, FL 32773
Mailing 312 PLACID LAKE DR SANFORD, FL 32773-4412
Subdivision Name PLACID WOODS PH 1
Tax District S1-SANFORD
DOR Use Code
Exemptions
01-SINGLE FAMILY
00-HOMESTEAD(2004)
Land
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 99,425 _ 93,814
Depreciated EXFT Value
Land Value (Market) 25,000 25,000
Land Value Ag
Just/Market Value'" 124,425 118,814
Portability Adj
Save Our Homes Adj 55,136 $50,950
Amendment 1 Adj 0
Assessed Value 69,289 67,864
Tax Amount without SOH: $1,474.54
2017 Tax Bill Amount $593.39
Tax Estimator
Save Our Homes Savings: $881.15
Does NOT INCLUDE Non Ad Valorem Assessments
Method Frontage Depth Units Units Price Land Value
LOT 1 1 $25,000.00 1 $25,000
Building Information
Is Bed/Bath count incorrect? Click Here.
I Description I I Fixtures I Bed I Bath I Base Area Total SF I Living SF I Ext Wall Adj Value I Repi Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052000000870 12/28/2017
SCPA Parcel View: 32-19-31-516-0000-0910 Page 1 of 2
DaWdJohn
PWR Pon,
cra SUM@Jix ?
C,%71.P17Y, rL4[L7A Parcel
Information Property
Record Card Parcel:
32-19-31-516-0000-0910 Owner:
MILLER CYNTHIA C & ROSS CLIFTON K Property
Address: 312 FAIRFIELD DR SANFORD, FL 32771-6824 Parcel
32-19-31-516-0000-0910 Owner
MILLER CYNTHIA C & ROSS CLIFTON K Property
Address 312 FAIRFIELD DR SANFORD, FL 32771-6824 Mailing
312 FAIRFIELD DR SANFORD, FL 32771-6824 Subdivision
Name CELERY LAKES PHASE 2 Tax
District S1-SANFORD DOR
Use Code 01-SINGLE FAMILY Exemptions
00-HOMESTEAD(2013) O
L ,
C)
LO
Seminole
County GIS Value
Summary 2018
Working 2017 Certified Values
Values Valuation
Method Cost/Market Cost/Market Number
of Buildings 1 1 Depreciated
Bldg Value 129,787 122,297Depreciated
EXFTValue1,418 Land
Value (Market) 32,500 32,500 Land
Value Ag Just/
Market Value *' 163,705 156,298 Portability
Adj Save
Our Homes Adj 68,056 62,616 Amendment
1 Adj— __...,....i $0—_..,—._._._._ v
T
P&
G Adj 0 0 Assessed
Value 95,649 93,682 Tax
Amount without SOH: $1,944.55 2017
Tax Bill Amount $783.04 Tax
Estimator Save
Our Homes Savings: $1,161.51 Does
NOT INCLUDE Non Ad Valorem Assessments http://
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=32193151600000910 12/28/2017
CITY OF -
6 / 71 PERMIT # 3/
I S.XNFORD
Building & Fire Prevention Division
FIRE 1A i?T 4 E I 1
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:?, Its J Lake -
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: 0 \ M W d CY S A e, Ck 4k\lm
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMI D TO BE REPLACED **
ROOF VENTILATION: D OFF -RIDGE 9RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES ad, -, NO 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
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE N! T 1, W l l V( & FL# b 1
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
0 OTHER: FL#
CITY OF Building & Fire Prevention Division
SXDEN'XAL ROOF POLXCY & PROCEDURESSANFORD
FIRE DEPARTMENT
PERMITTING REQUIREMENTS —No PLAN REVIEW REQUIRED
HIS DO CUMENT SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL REROOF SCOPE OF WORK AREEQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION.
SHE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
OMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
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
3ANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED P RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM)
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTEDIN 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 PERMITNUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECKNAlLING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OFNAILS) 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-COIVIPONENTS,-PERFL PRODUCT APPROVAL o
DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE
TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULCODE CO T
IN'AN AFFIDAVITB PROVIDEDPER
OVALII iSPECTYON.SIGN
PROFESSIONAL (
ARCHITECT OR ENGINEER), CERTIFYING FBC / — -- -- -- - DATE: ,
2 v CONTRACTOR (
OR OWNERIBUILDER) SIGNATURE:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ( 1 — 31Ql' ADDRESS: ?i 2 A C CO-C N Q..'
T g r j pa I ! A Ac AS A(N) GFNFRAT. RTITT.T)TNG: RF.'MF.NTTAT._ 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 #: CC C- [3 7,-64
COMPANY / CONTRACTOR: I I CLA 1 6 tl0 hj,_Ai g CONTRACTOR
SIGNATURE: / d DATE: 7 1 MUST
BE SIGNED BY LICENSE HOLDER OR OWNER/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 3(2.j NN CIO\ Sworn
to and Subscribed before me this 3 day of 20 E8 by: k
Ck6cG _ . Who is Personally Known to me or has Produced (type of identification)
as identification. YZ
5 Signature
of Notary Public State
of Florida yiv e, a
Notary Pubis State of Florida BethEFishelMy
r-0-rnin orxplres
1 W11st — G 153047 Print/
Type/Stamp Name of
Notary Public
r
r: .