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HomeMy WebLinkAbout118 Lowdon Fog WayL�CEiVED OCT 26 2011 CITY OF SANFORD —= - ILDING S FIRE PREVENTION PERMIT APPLICATION Application No: 3 Documented Construction Value: $ f4 , S&O. Job Address: L 'f�O Historic District: Yes ❑ No 13 Parcel ID: -19 —.30- S DOO - Zoning: Description of Work: CC -r-ma-0 #gD Mph0.jL S�Lt. Plan Review Contact Person: Phone: Fax: E-mail: Title: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit D Square Footage: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing D New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Property Owner Information //��-�� G Name twali Swm- o r a /� A C pye_-&-, D Phone: V_012 - 3 a3 - 2/ Q Street: Resident of property? City, State Zip: 32-311 Contractor Information �" Name ") -Tu-mc-Q, Phone: 012, V01-7 0 - to % 1 Z Street: { krm t�b4-e.0 �l Fax: Y0/1 -74v7- 7 huff City, State Zip: Z%D) State License No.: t M 13 2,577 Arc itect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit D Square Footage: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing D New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit ;kreSased. A [04011 ( of No S�ate�off lorida o' ��,,,, LORRAINE GA '.� Notary Public - State of Florida �• : , My Comm. Expires Jan 25. 2015 P;Commission # EE 58561 Owner/Agent is Personally Known to Me or Produced I D Type of I D FL JXL APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: of ,q/ 's Name LORRAINE GAETA Notary Publid - Slate of Florida My Comm. Expires Jan 25. 2015 Commission # EE 58561 Contractor/Agent is ✓ Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 1P1A4W9L- V4lMt . 39 a 23 DAvm N.+CRA.ASA 7,0 OA41 PROPERTY 26 42o APSPRAISER ME*o�e 34 43 Courrrr sC t �tot — F1osrsZ Z z -414 T E CT tu�oub; R32771.148a 407 -OW 75De .� 48 1 m VALUE SUMMARY VALUES 2011 2010 Workina Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 33-19-30.513-0000-0240 Number of Buildings 1 1 Owner: ACEVEDO LUIS & FLORA Depreciated Bldg Value $86,878 $96.956 Mailing Address: 118 LONDON FOG WAY Depreciated EXFT Value $0 $0 CIty,State,ZlpCode: SANFORD FL 32771 Land Value (Market) $23.000 $27,000 Property Address: 118 LONDON FOG WAY SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: MAYFAIR OAKS 331930513 Just/Market Value $109.878 $123,956 Tax District: S1-SANFORD Portablity Adj $0 $0 Exemptions: 00 -HOMESTEAD (2006) Save Our Homes Adj $0 $0 Dor: 01 -SINGLE FAMILY Amendment 1 Adj $0 $0 Assessed Value (SOH) $109.878 $123,956 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $109,878 $50,000 $59,878 (Amendment 1 adjustment Is not applicable to school assessment) Schools $109,878 $25.000 $84,878 City Sanford $109.878 $50,000 $59.878 SJWM(Saint Johns Water Management) $109.878 $50.000 $59.878 County Bonds $109.8781 $50.000 1 $59,878 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vac/imp Qualified 2010 Tax Bill Amount: $1,681 WARRANTY DEED 10/2005 05956 ON $227,500 Improved Yes 3101 WARRANTY DEED 07/1996 2M"_4 $97,000 Improved Yes 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Com cable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... 0 LOT 0 0 1.000 23,000.00 $23.000 LOT 24 MAYFAIR OAKS PB 50 PGS 38 THRU 41 uilding Sketch Under construction BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1996 7 1,402 1,964 1,402 CB/STUCCO FINISH $86,878 $91,692 Appendage / Sgft OPEN PORCH FINISHED/ 96 Appendage / Sgft OPEN PORCH FINISHED / 24 Appendage / Sgft GARAGE FINISHED / 442 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished Base Semi Finshed Permits OTE: Assessed values shown are NOT certified values andtherefore are subject to change before being finalized /or ad valorem tax purposes. "' Ifyou recently purchased a homesteaded property your next ears property tax will be based on Just/Market value. http://www.scpafl.orglweb/re web.seminole countytitle?parcel=33193051300000240&... 10/26/2011 Permit No. Tax Folid No. 3 3- 12- 30 - � / ,3 •'000 -- p,9y O NOTICE OF COMMENCEMENT State of Florida County of Seminole 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. Description of property, (legal d c 'prion of the property, and street addres if oval Inc P /h iDNA -�-�.� .� / 17u � Alt dn IMIGUNUIN1111call 13Noa11INN111111140 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COIJa1TY 9K 07651 Pg 15711 UPI) CL E RK I S 4 ;i 01 1 1 3 37;26 RECORDED 10/21/2011 02:0�:57 PM RECORDING FEES 10.00 RECORDED BY T Soith 2. General description of improvement: e - Q 3. Owner information: Name: LL, -I PJ'eJt O Address: IPOe b. Interest in property: a c. Name and address of fee simple titleholder (ifother than Owner): Name: 4. (�� C. 5. surety Name Address: b. Amount of bond: $ 6. Lender: Name: Address: b. Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(I)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 - ST I%EF*ENCING U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR TORNEY WORK OR RECORDING YOUR NOTICE OF COMMENCE EN 0 1 1 N e - Signature of O.vrn r O v is t z fficer or Partner/Manager Signatory's Title/Office The foregoingtru t was acknowledge efore me this -IC?— day of 10 , Fye�� , by (name of person) as (type of authority .. e.g. officer, trustee, a orney in fact) for (name of party on behalf of w in r e uted) . ,�'o;•µv "�A�,,a LORRAINE GAETA (SEAL) r; Notary Public • stale of Flonda .nature of Notary Public z �� :o; My Comm. Expires Jan 25, 2015 F a isaion EE 58561 Personally Known OR Produced Identification ''f„ , of Id�hitvi'catton roduced Verification 92. n atutes: Under pe a les o perjury, I declare that 1 have read the foregoing and that the facts sta ed n t true to the best of my kn and belief. GSR I t'Flt;b 1:'l�1'Y Signatur to son MARYANNE MORSE Rev. date 3/2 8 �L IWIT COURT s NOL NYY, ftbRld OCT 26.1 2011 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: /'01 Z.w 1 hereby name and appoint: 'e n1 S. -?n d " S an agent of: c.pat r _ —j—" C 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): K/ All permits and applications submitted by this contractor. The specific pen -nit and application for work located at: (Strcct Address) Expiration Date for This Limited Power of Attorney: /o I Z7 , 1( License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY O iAl&4 The foregoing instrument was acknowHged before me this qday of Qct- , 20dj__, by _IA?q who is ? personally known to me identification and who did (did not) take i oath. Signature IORRAINE GAETA Notary public . stale of Florida MY Comm. Expires ,tan 25 2015 Commission a EE 58581 (Rev. 3/27/07) Lga of Print or type name Notary Public - State of "rA Commission No. Z7 SZa My Commission Expires: JAN -27-2011 15:25 FROM:FSU INSURANCE 4072601275 TO:4077677165 P:1/1 ACORO,„ CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIVYYY) 01/27/2011 PRODUCER (407) 260-1046 Florida Scat© Underwriters Inc. P.O. Box 300996 Fern Park FL 32730-0966 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC A INSURED Jan Tukker Inc. dba J1'I Builders and JTI Roofing 406 Hermita" Drive Altamonte S rine FL 32701- INSURF_RA.,Western World Insurance INSURER B: American Interstate Ins. INSURFRC: INSURER D: INSURER E: PMVIOMA1N-10Q THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMEiNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �INSRADD'L L NERD TYf E OF INSURANCE POLICY NUMBER POLICY EFFECTIVEPOLICY PATE (MM/OOITY) EXPIRATION DATE(MM100n, LIMITS A GONCRALLIABItJY ! ! ! ! F,ACHOCCURRENCE $ 1, 000, DOD PREMISE& E, occunence It 100,000 COMMERCIAL GCNERAL LWBILRI "- ' " -" CLAIMS MADE OCCUR PGJ? 0720466 01%20%2011 01/20/2012 MSD EXP An/am on) 5,000 PERSONAL d AOV INJURY S 1,000,000 GENERALAGGREGATE S 2,000,000 0 A 0EN1 APGRGGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,000 F L Y PRO. JEC7 LOC AUTOMOMLE LIABILITY / / / ! COMBINED SINGLE LIMIT ANY AUTO (Es So6denl) S BODILY INJURY ALL OWNCD AUTOS / ! ! / SCHEDULCD AUTOS (Po per-ron) S BODILY INJURY 8 HIRCD AUTOS ! ! ! ! NON-OVYNED AUTOS (Per ecddenl) . PROPERTY DAMAGE $ .. (Pet 9WK"Q GARAGE LIABILITY AUTO ONLY-EAACCIDENT 3 ANY AUTO /' / / ! OTHER THAN EA ACC S AUTO ONLY: AGG S EXC503)UMBRELLA LIABILITY I / / / EACH OCCURRENCE S OCCUR ❑ CLAIMS MADE AGGREGATE $ s ... DEDUCTIBLE i ' RETFNrION S B WORKGRS COMPENSATION AND AVWCFL1991492012 01/20/2011 01/20/2012 TOkYLmIITS OER • EMPLOYERS' LIARILm E.L. EACH ACCIDENT $ 100,000 ANY PROPRICTOR/PARTNERIEXECUTIVE E.L. DISEASE -EA EMPLOYEE S 100,000 OFFICERIMF.M(IEREXCWDEDl ! / / / I( 9. dPnorlbn un&r SPECIAL PROVISIONS below. E.L. DISEASE - POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OP12RATONSA.00ATIONWEHICLESMCLUSIONS ADDED BY ENDORSEMENVSPEC1AL PROVISIONS HOLDER ( ) (407) 330-5677 Building Department City of Sanford 300 N. Park Ave. Sanford WORD 25 (2001/08) IM INS07,5 (woe) oS RECEIVED 01-27-'11 15:15 CANCELLATION SHOVLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY ION° UPON THE INSURM ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ELECTRONIC LASER FORMS, INC. - (000)347.0545 FROM- 4072601275 TO - x°4.1 . r1_41. 0 ACORD CORPORATION 1988 flow I of 2 Jan Tukker, Inc. P001/001 Oct. 27. 2011 11:56AMLi' JTI Builders JT1 ROOFING AVnM No. 1214 P. 1 �o7Z2135 JT1 Poofin$ Contract Address: 406 Hermitage Drive r l t s Insurance Co.0—M � .V � r Altamonte Springs, FL 32701 Adjuster, — Phone/Email: (407) 767-691211jones®jtiroofing-com �/c 7+ y��� 6 p Claim #: - State -Certified Roofing Contractor - CCC1325756 -------- Phone: State -Certified General Contractor — CGC036067 Jan Tukker, Contractor Customer Name: 4 (/ ! Ac' V Dau: Address: 44 te/ZIP: e �( 1 Home Phone: 440 7-- — Z �CF�: Work Phone: SPECIFICATYONS/PRICE 13REAKDOWN ITEM TYPE TY AMOUNT TOTAL Tear-o$a6ingle Rcplaaa Shingle Replace rclt57 Hurticaaa Retrofit Sip 2 Story Charge VOW mucrial '41 IN Drip Edge VwWGooseNeck AP Flat Roof lnttaicrfflx iot SlVlighas solar rands S ' gles — Type: olor: ✓ Remove Trash fromAttlr and �A PAYMENT SCAEDUL>� ✓ Roll Yard with Magnl�I l C y f 50% DOWN PA'YMWT FRIOR TO ORDERING MATERIALS //� le PAYMENT IN FULL UPON COMPLETION ✓ Protect Landscaping Where AppliM�le �Q� p j� ;�Deliv eryISpe�/cia/�l ctions: EARNEST DEPOSIT: a 5500.00 o $1000.00 0 $ .r !�(/ (/�Or,&,o DOWNPAYMENT $ FINAL PAYMENT S Insurance Co: Inid"sthnared Dau: & Insurance Co. Agreed Amount a Upgrades _ Insurance Supplement TOTAL Date: MUM TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING OVERREAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT W�_ The above prices, specilkatious and conditions of this agreement are satisfactory ad are hereby accepted. l/We have read and undmoad the terms and conditions located on the back of this documentlagreement. TTI Roofing is authorized to do the work as specified and in accordance with the terms, condidow and stipulations of this agreement. Homeowner hereby authohm Insurance Company and/or Mortgage Company to make payment for completed repairs directly, to Contractor and mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and services as described in the specifications. THREE DAY GHT OF RESCISSION THIS WRITTEN AGREEMENT Y SERV A THAT I MAY CANCEL THI AGREE NT A7 ANY TIME PRIOR TO MIDNIGHT OF RD BUSINF.S D TER THE DATE OF TH1TA�Eb� Homeowner Approval: -1 A 1 I '[ dz - Date: Contractor Approval: / Date: A - City of Sanford BUILDING DIVISION RE: Permit # S Inspection Affidavit I -DAN i U K K.E�K ,licensed as a(n) Contractor* /Engineer/Architect, (please print name and circle Lic. Type) FS 468 Building Inspector* License #; Ccc 1:225z-:56- On 325,7.56-On or about 6 // 30 -- /,7-)K, I did personally inspect the roof ate & time) deck nailin an seconda water barrier work at L,55 htpp/(! e one) (Job Site Address) Based upon that tion I have determined the installation was done according to the Hurricane Mitigatio etrofit Manual (Based on 553.844 F.S.) ATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this'3 of .200 By Notary Public, State of Florida (Print, type or st name) sa� r ' jlllnlSSIT R A q Personally knownor Notary PUUIiC'• State of Florida Produced Identification••,, ' MY comm. Expires Jan 25, 205 ,,;; ��;� Type of identification produced. Commission N EE 58561 P1 a * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the deck for each inspection.