HomeMy WebLinkAbout101 Shady Oak Dr (2)/} L CITY OF SANFORD PERMIT APPLICATION
Permit # : Date: _
Ini c1- – i,__].T
Job Address:
Description of Work:
Historic District:
Zoning:
Value of Work: $
Permit Type: Building_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets —
Occupancy Type: Residential X_ Commercial
Addition/Alteration Change of Service Temporary Pole _
– Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair – Residential or Commercial
Industrial XTotal Square Footage:
Construction Type: �# of Stories/: #^offDDwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: v — tet/yJ (Attach Proof of Ownership &Legal Description)
�( Owners Name & Address: M i+0 S , LIP0 li ( ('7' 2)-kI �N
773
Contractor Name &
State License Number:
Phone & Fax: ORLANDO, y Contact Person:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect(Engineer: Phone:
Address: Fax:
-- 330-3139'
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.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
this county, and there may be additional permits required from other governmental entities such gs *ter management dis
Acceptance of permit is verific ion that I vrill notify the owner of the pyoperty of the req 7iatur�e
f r• a In�av
Signa�`'re of Owner/Agent Date ntracto /Ager
C ri- t n, 6r- u-\ K0,
t wne Agent's N e Prin o or/Agent' Naq
a ore of No tate of Florida Date Si afore of No a -State of 1
r........................ .en41M'^""'
SHERRY MCGINNIS
voB11%o, Comm# OW371973
�; Fires 11/1
Owner/t�gent isgr wn o "ConteiietoBlaA�elihis l)4416
F)Oms 11/15/2008
Banded thru (800)1324
L190114M[1a7�1
Special Conditions:
may be. found in the public records of
tritate agencies, or federal agencies.
(3:
Date
GDrn�
Date
ly Known to
Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
Maitland ❑
R IN
State Licensed CCCOS 108
Job # A7
Customer: \i0
Address: JU 4
City, St, Zip:
Winter Haven ❑
Rep & Cell �� � % .� PC --�5�> ,
County: i.^— t c- Subdivision:
Home: -55 c - 6— Work:
Cell: Email:
'713
SPECIFICATIONS
aECOVER ROOF WITH Lf� vc i 40,.
rio:,YLOROFSHINGLS
LE OF SHINGLES .e
- O
R OFf C, ' e✓
�) YEAR MAUFACTURER WARRANTY
STALL APPROVED STARTER C URE
92STALL
TALL APPROVED VALLEY S
RIDGE
, FLASHINGSV M
AL EDGING= .W
MATERIALS # GRADE
SLO • E SfYSTE
�G r/c,
N UP AND HALL OFF ALL DEBRIS
Er5RITE TOP TO FURNISH OWN INSURANCE
YEAR(S) WARRANTY ON WORKMANSHIP
❑CLEAN GUTTERS
EXTRA WORK
XOTECT LANDSCAPING AS NECESSARY
SPE L INST UC IONS
WE HEREBY PROPOSE to furnish all permits, labor and material
complete in accordance with the above specifications, for the sum
of -rs�
$��
PAYMENT IS DUE AND EXPECTED ON THE DAY OF
SUBSTANTIAL COMPLETION.
WHEN ACCEPTED THIS ECOMES A CONTRACT SUBJECT
TO SPECIFICATION A VE AND THE BACK OF THIS
PAGE.
Accepted by: / '�
Date Accepted
Mortgage TelAcc #
Accepted by Mgt
Kissimmee ❑
8350 Parkline Blvd # 160
Orlando, FL 32809
407-895-1551, Fax) 407-895-1320
www.BriteTopRoofing.com
.4- Homeowner Notices
1) ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
(SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE
WHO WORK,ON YOUR PROPERTY OR PROVIDE MATERIALS
AND ARE NOT PAID -IN -FULL HAVE A RIGHT TO ENFORCE
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.
THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF
YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO
PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MA-
TERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LE-
GALLY REQUIRED PAYEMENTS, THE PEOPLE WHO ARE
OWED THE MONEY MAY LOOK TO YOUR PROPERTY FOR
PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR
IN FULL. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY
COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR,
MATERIALS, OR OTHER SERVICES THAT YOUR CONTRAC-
TOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.
F RIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT
*AECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM
ARISES, YOU CONSULT AN ATTORNEY.
2) Payment may be available from the Florida Homeowner's Con-
struction Fund if you lose money on a project performed under con-
tract, where the loss results from specified violations of Florida law
by a licensed contractor. For information about the recovery fund and
filing a claim you may contact the Florida Construction Industry Li-
censing Board at:
CILB 1940 North Monroe St. # 42 Tallahassee, FL 32399
3) RIGHT -TO -CURE: CHAPTER 558 NOTICE OF CLAIM.
Chapter 558, Florida Statutes contains important requirements you
must follow before you may bring any legal action for an alleged con-
struction defect to your home. Sixty days before you bring any legal
action, you must deliver to the other party to this contract a written
notice referring to Chapter 558 of any construction conditions you
allege are defective and provide such part, the opportunity to inspect
the alleged construction defect(s) and to consider making an offer to
repair or pay for the repair of the alleged defect. You are not obli-
gated to accept any offer which may be made. There are strict dead-
lines and procedures under this Florida Law which must be met and
followed to protect your interests.
4) You may cancel this contract, without cause or expense, within
3 business days when signed in your h me You may not cancel
this contract without expense following a ate without written au-
thorization from this contractor. / z Customer Initial
Workf ut rization and Contingency Agreement
do hereby authorize,
Brite Top oofing, to document, meet with, and, or, otherwise ob-
tain, an "Agreed Price" approval for the repairs or replacement, that,
in my and Brite Top Roofing's opinion, are required due to the cov-
ered loss that occurred to my home. I understand that there are no
charges for these services other than thea of the restoration
contract, and, 1 hereby award the contrac c gent upon approval
of my insurance company.
er Initial
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
F --
DAVID JOHNSCH, CFA, ASA
94 100 4',
PROPERTY -3 4 4, 911/
a7
APPRAISER
1!i2
SEMINOLE COUNTY Fl— 113
1101 E. FiRsT sT8XV
101
SANFORD FL3=1-1468
407 -'665-7506X,
101
2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
02-20-30-5GJ-0000-
Number of Buildings: 1
Parcel Id: Tax District: SI-SANFORD
1110
Depreciated Bldg Value: $71,910
Owner: O'BRIEN JOHN IN & Exemptions: 00-
CLAIRE
Depreciated EXIFT Value: $0
HOMESTEAD
Land Value (Market): $18,000
Address: 101 SHADY OAK DR
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32773
JUst/Market Value: $89,910
Property Address: 101 SHADY OAK DR SANFORD 32771
Assessed Value (SOH): $54,398
Subdivision Name: HIDDEN LAKE VILLAS PH 3
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $29,398
Tax Estimator
SALES
2004 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
Tax Value(without SOH): $1,017
WARRANTY DEED 10/1998 03518 0257 $55,500 Improved
2004 Tax Bill Amount: $570
QUITCLAIM DEED 11/1990 02245 1156 $100 Improved
Save Our Homes (SOH) Savings: $447
WARRANTY DEED 03/1984 01534 1309 $50,000 Improved
2004 Taxable Value: $27,814
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND
LEGAL DESCRIPTION PLAT
Land Assess Land Unit Land
Method Frontage Depth Units Price Value
LEG LOT 111 HIDDEN LAKE VILLAS PH 3 PB
28 PGS 3 TO 6
LOT 0 0 1,000 18,000,00 $18,000
BUILDING INFORMATION
Bid Bid Type Year Fixtures Base Gross Heated
Ext Wall Bid Est. Cost
Num Bit SF SF SF
Value New
1 SINGLE 1984 6 1,128 1,568 1,128
FAMILY
CB/STUCCO $71,910 $78,163
FINISH
Appendage / Scift GARAGE FINISHED / 308
Appendage / Scift OPEN PORCH FINISHED / 52
Appendage / Sqft OPEN PORCH UNFINISHED/ 80
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
*** Ifyou recently purchased a homesteaded property your next year's property
tax will be based on Just/Market value.
http://www.scpafl.org/pls/web/re- web. seminole_county_title?parcel=02203 05GJOOOO I 110... 8/1/2005
Le� G) I LLI-I�
Inas 9L*a �
4w Cass�lbw
These N2ec%l -to �o c��+h I�pPS.
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ISn4 Ec)/2 License #:
Owner: 0' Rf_ t e n
name
Project Information
Permit #:
C� <b" ' V n('l �_i C` Subdivision:
addre s
Lot #:
phone
affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor: /
ature
s
1p med name
STATE OF FLOA
COUNTY OF �"�
This instrument was acknowledged before me this f day of 04 C , 20 , by the
above referenced individual, ,who acknowl ged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this
day of 20
Notary Pu tc
"" DEBBIE BLANTON
My CO'P„e^ SIGN # OD 188491
EXPIRE,,: February 25, 2007
1 -800 -3 -NOTARY FL Nota Discount Assoc. Co.
_J
Permit Number
I'M 14,41
Parcel Identification Number —,caiI
nrl
Prepared by: Brite Top Roofing COCO— CLQ;;
i l ..l
l 8350 Parkline Blvd., Suite 160 RW I
Orlando, FL 32809 RtiU `I
Return to:
NOTICE OF COMMENCEMENT
State of Florid
County of
3LE CCLNW
05843 P6 18E%
?ED OEVW2005 tB%.08.L411 AN
),':D BY t holden
CERTIFIED COPY
MARYANNE M009
CLERK 0 C; C IT COURT'
SEMINOLE/VoINI , FLORIDA
The undersigned hereby gives notice that improvement(s) 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. Descripti n of property ilegal description of the property, and street address is available):
ioi
2. General Description of improvement(s): Reroof
3. Owner information:
Name: `jDk" (�rrE�_CA- Telephone Number: ,
Address .5c_i-/X �,— Fax Number:
4. Fee Simple Title Holder (if other than owner shown above:
Name: N/A Telephone Number:
Address: Fax Number:
5. Contractor:
Name: Brite Top Roofing Telephone Number: 407-895-1551
Address: 8350 Parkline Blvd., Suite 160 Fax: 407-895-1320
Orlando, FL 32809
6.. Surety (if any):
Name: N/A
Address:
7. Lender (if any):
Name: N/A
Address:
Telephone Number:
Fax Number:
Amount of bond $ _
Telephone Number:
Fax Number:
N/A
8. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by §713.13(1)(a)7., Florida Statutes.
Name: N/A Telephone Number:
Address: Fax Number:
9. In addition to himself, Owner designates the following to receive a copy of the Lienor"s
Notice as provided in §713.13(1)(b), Florida Statutes.
Name: N/A
Address:
Telephone Number:
Fax Number:
10. Expiration date of Notice of Commencement (the expiration date is one year from the
date of recording unless a different date is specified):_ Al
Date Signed Signature of Owner /
Driver's License: — j -z1 -c)
Sworn to and subscribed before me thi, day of J �o�by
anarn,_, V
ge
aeon" ' �a
who is perspna►I`y knowrrteY �ri'i ' �« produced
as identification. '`:= p,�aa�o;'M ••' ""'«` �'
.I Sinnat!!re of t`1o.ary (notar�a)lseal to appear below)