HomeMy WebLinkAbout202 S Hampton Ct (2)RECEIVEis
DEC 2 7 2011
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / Documented Construction Value: $2040 - M
Job Address:
Parcel ID: -
Description of Work:
Historic District: Yes ❑ NoX
Plan Review Contact Person: (_SLAG,
Pboned�\)4-2!�� M 1 Fax:
E-mail:
Property Owner Information
Name n 1 Phone: l� O \ )-1321-gm
Street: ;;' -n2 L7 Resident of property?
City, State Zip: SWF=� S2175
Name
Street:
City, S
Contractor Information
Pbone: ('_`PI 14A\
Fax: (3201,W\ -2r_ -MS
State License No.: C�'_�__ _
s
Architect/Engineer Information
Name: kjA
Street:
City, St, Zip:
Bonding Company: A)IQ
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units:
Electrical D
New Service - No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender• kjA
Address:
PERMIT INFORMATION
Construction Type: - No. of Stories:
Flood Zone:
Mechanical O (Duct layout required for new systems)
,3e
It3(o
Z.l
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O 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, beaters, 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 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. 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 is released.
12
Xignature
\of Owner/Agent Date Signeof ont 6tor/n1�AgeDate
X Vv 1 V /Gl/1 cL '0��n��i V
Prins Ow er/Agent's Name Print Cont for/Age Name
Signature of No Stale of Florida _ _ FlIale e
gMELY J THOMAS ;; HMELY J THOMAS
'' •� MY COMMISSION # DD&%096 MY COMMISSION # DD856M
EXPIRES January 29.2013 EXPIRES January 29.2013
Owner/Agent is _X_ Personally Known to Me or
Produced ID Type of 1D
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
Contractor/Agent is X._ Personally Known to Me or
Produced ID Type of 1D
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Centm O lull S #1
485 Conlmcrcc Way
ROOF11g p cialisl!
Longwood. Florida 32750
3"21.441.2300
"`
�. Llc� qws
COLLIS 3 .2313 (Fax)
ruched
�(�',For,nryjTrNintd
srrlttC'rollitruofirrg.ronr
es0col
T" p'hfsured
.: ;. p Factory Ce r
F I N D ruroru.rnl/itrnnfin�.ronr
n.iJ, Ju,, Cerii6nl R,r.r SIN/',j1enn,.xl,., .creoceR::
ROOFING NSULTANT/ESTIMATOR_E�_?�=a
ESTIM TOR'S CELL PHONE
PROPOSAL REPARED FOR PIIOr /e DA / �w
/ V
NAME ��
a
WORK P4OONE CELL PHONE
I
STREET -� � Q.W
EMAIL
CIT
S A DP
Jo LOCATION
%-
/
STREET
STATE ZIP
EXISTING ROOF CONDITION
COLDS ROOFING SOLUTION B/
COMPLETE ROOF PREPARAnoN-SERVICES PROVIDED TO HELP YOU AVOID HASSLES AND TO PROTECT YWR HOME
PREPS! RATION
fedory Project
Year Manufacturer any
nspoaan with put wined managers.,
caro taken 10 prdletl Igme axlena". shrubs and landscaping.
_ Year Full La anany
cel Obtain and pass lord permits in accordance with local taws
U Remove/R Ce l�elr0 stem
SPUM Q
K 0 lexisiing single rooting and haul away all debris. it `^
Color IB
Cuslomer Rials
In 1 docking for notion and deteriorated wood
'• • tenoraried existing docking and 10scia roptaeod at a Cost of
SOh , A I Subtotal $C.L.
�i pry•sn wren 3010. INt throughout the entire root.
[•) Dry -in with double layer OI 115 fell for IDw slope
COLLIS ROOFINO SOLUTION B2
] Install rubberized leek barrier, woterpoe�of mombrareo In the fol g areas.
n Eaves O Skylights er.";ys , ons Pipes
- Year Manulatluter many
O Chimney n Cuckers O Low Slope O Other
Year Full La arrant'
r/v WC L� e
O Install modified Drum in in dead vaReya Dred low stopo areas.
FLASHINGS/1 Co
Color _ Slyte,#
Custom P nitials _ O•
W -/ Odor Customers mewls(! Inch go"nlzed or
Men mewl (d 00 We t saves A rake edges.
L food Doe boat Itashlngs
_
�in-D�'� J�4` _new
few 26 gauge anizod. Oro -formed valleyryR�al.
Sol On A2 Sub10ta1 S
( restate gaNanl kitchen anNd both Ion voters. �{•�,
COLDS ROOFING SOLUTIO 43
1Repbco _ skylight
VENnLATlO
n Year Manufaclur@r Warrant'
_ Year Full Labor Warranty
O Install ridgy vents a L. Install off ridge vents 0
O Install other venting e O O Afuminum
�SMr�rlpe�Over
Colo Customers INIOIS 'S—
G Remove/Replace ❑ e
Cobr Style � �:
Customer Initials •
• - I
ID
" IaN promlum high definition ridge O Install standard ridge
CLE P
r rout 17
I �WO
Solution e3 Subtotal S .
ngn.icaly sweep job site gunars eul away oN debris to approvod facilely
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS
FLAT /LOW SLOPE SYSTEM
713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR
Ye r Manu Ctur r Warranty
PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL
HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST
_ Y at Fu W arranty
YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR
FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR
Color _ _ Sty _
MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY
Cus mer Initials
LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE
ALREADY PAID YOUR CONTRACTOR IN FULL.AF IF YOU FAIL TO PAY
Ftat /Low Slope ubtotal S
YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN
TOTALROOFING INVESTMENT
ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR
�`
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
Solution Number s_
t LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
Flat / Low Slope $
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.
TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS
Other $
CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR
CONTRACTOR IS REOUIRED TO PROVIDE YOU' WITH A WRITTEN
Other $
RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS
TOTAL INVESTMENT s ��
PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S
Customer Initials \J • lZ
CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN ATTORNEY.
TM CpN.1G0t Jo109f b rYnneK. wpA hpOpep wtowI awry IJ01 dry-.,llp oe 1881 le acc. of Ile kiew rg I I I IM Cp,tr.tctpl Ilei 1KpvOd a MIeO w P,pt-.d sera IM Owr,-1.
,NIO,n4 . `n_3e .lvadablp a co"'" :b (..r.... "'""opo -'colo w— inetoDap IO carn0eten nre M correlet0 Ile work .wli,n A rMsonOWp gree.. stere to
I ' np,,rOIAY{ .- h pOnT,ife,H prep MS cpnbnol All metpul y owne111eM,f Vp dad A8 w k *0 be cpnplp.d.00prNtti a S4nd ne ro0191p puttee- Ally merroton or devWlOr,
,0tn pe DbeVO spew"'o"f e."lv.e 0-111 torts wt' to .-Otuled Only open wall" ONO- and will D090t� an .-b1 tllonJll 49- v , pip .lb" tiv- ontOpreM. AWeuah x0.-pcaO
•A dun Gluten. w. ronn0l U. ,.Ipom,p- Ip mck.e,kw"aye, damage. npm ran, Mi, or e„ Y dol p God AM look. de a wo,kmon,," antl nete"it mumu ti,,,n,,,a me GUWamoo
piled cads by rep-YOd per lMn wnle0n Ou1rMl.p AM IlSrrlaeO-.k10 IO kpU al ewNtee .u0 rip IIN 1gp0tyeAly of C0t4- Rtel.q, Ire
In ,ripOvral level any conlIc. re -Is beh00n new tllmpo W con- or conaluc40n erred the IterateW level Co -ft. IM ca,,mw yule b0 cove.", Wien mom n01eo IC 1M0—.O.
C.Ml . leor m.y StNf4luto IreloMry evil Ate.eWl in ,ok1MY to Ihoew SPWIe,1,11" CUMlpctpt do*,n- n .1dwSoble ID to. So
IMS .ptu0mM1 COn814ulOf IM pdI1Y oonne'd by on, b.h-. , Ctnh.cl0t .rid O"' ,p7 Ile "to" .10 -A bound oY We v -pee 4 o ill Iel.gwwven b/ env WInY 0t .1,pu M phot
prim The.dove Dnc". triOCdY311v►,i tend OpNNore3 u0 rWCWI np:OWW You .no 0141PO tl0d 10 UO inn welt W Spoofed BALANCE IS DDE IN FULL AT TIME OF COMPLETION
OF JOB In Gt-e of Lao p.Yre—, o, delatn a chattier W 15-. pot mp,tn wed apply en lee it IIII-M pvp JO I.Y. old. 1001" Proud Coe. Rmdmp. Int O rMknl0t1 to I.e. any me— 10
p-6.I1.1ORCopping Int'f o110tn0y Igo- end cOfi►. wllpinpl p rip o 81N n I•q0 Thp We0 m1pOd Ip IM pOposnl yw.00OooU 1p t1Y,iy UDye p 10161Ai1IpM).r
1ooml leiraNnOOption
�d(pI. CCOMnUSn
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Lt�ll�i�l3.j
Contract H 0204 4 8
,
0 -TE CUSTOWASIM"TURE j
POWER OF ATTORNEY
I J. Douglas Lanier, the "principal," of COLLIS ROOFING
INC., P.O. BOX 520668 Longwood, FL 32771, herewith appoints Ray
Henderson as their attorney in fact, to act in place and stead and
described herein; THIS IS A DURABLE POWER OF ATTORNEY
THE RIGHTS HEREIN SHALL CONTINUE DESPITE THE
INCAPACITY OR DISABILITY OF THE PRINCIPAL
To act for me in the regard to the following:
OBTAIN PERMITS AT THE BUILDING DEPARTMENTS
Job address: 202 South Hampton Court Sanford FL 32773
This power of attorney shall be in effect from 1/1/11 through 12/31/11
J. Douglas Lanier, As Principal
STATE OF: FLORIDA
COUNTY OF: Seminole
The foregoing instrument was acknowledged this 22nd day of December
2011, by J. Douglas Lanier_, who is personally known to me or has
produced (type of identification) as identification.
Signature of
MY COMMISSION # DD85W%
EXPIRES Jenuary 29.2013
Print, Type, of Notary Public
SCPA Parcel View: 07-20-31-506-0000-1220
4pnvld Jor.,aon.C:FA Parcel: 07-20-31-506-0000-1220
PIROPER'TY Owner: RODRIGUEZ OLIVERIO & VIVIANA
"P�'SM Property Address: 202 S HAMPTON CT SANFORD, FL 32773
TiEMeJO1.E COUNTY. R 01;�QA
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Parcel: 07-20-31-506-0000-1220 I Value Summary
Property Address: 202 S HAMPTON CT
Owner. RODRIGUEZ OLIVERIO & VIVIANA
Mailing: 202 S HAMPTON CT
SANFORD, FL 32773 - 7317
Subdivision Name: BRYNHAVEN IST REPLAT
Tax District: S1-SANFORD
Exemptions: 00 -HOMESTEAD (1994)
DOR Use Code: 01 -SINGLE FAMILY
Map I I Aerial I F—B—ot—h—jF—Foo—tprin-t; Extents Center
Larger Map I I Dual Map View - External
Page 1 of 2
Tax Amount without SOH: $663
2011 Tax Bill Amount $663
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Marke
Number of
1
1
Buildings
Depreciated Bldg
$53,980
$56,85£
Value
Exempt Values
Taxable Value
Depreciated EXFT
County General Fund
$68,480
Value
$25,000
Land Value
$14,500
$14,50C
(Market)
City Sanford
Land Value Ag
$43,480
$25.000
Just/Market Value
$68,480
$71,35£
$43,4801
Portability Adj
County Bondsi
Save Our Homes
$0
$C
Adj
Amendment 1 Adj
Sales
Assessed Value
$68,480
$71,35£
Tax Amount without SOH: $663
2011 Tax Bill Amount $663
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LEG LOT 122 BRYNHAVEN 1ST REPLAT PB 39 PGS 20 & 21
Tax Details
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$68,480
$43,480
$25,000
Schools
$68,480
$25,000
$43,480
City Sanford
$68,480
$43,480
$25.000
SJWM(Saint Johns Water Management)l
$68.4801
$43,4801
$25,000
County Bondsi
$68,4601
$43,480
$2500
Sales
Deed Date
Book I Page Amount
Vao/Imp
Qualified
WARRANTY DEEDI 07119901
222011 15341 $70,9001 Improvedi
Yes
Find Comparable Sales within this Subdivision
Land
http://www.scpafl.org/ParcelDetails.aspx?PID=07-20-31-506-0000-1220 12/22/2011
THIS I STRUMENT P EPARED BY: IMiRYISK NMI CLERK OF CIMUIT CWT
_�s� A rumor or SENINBLE Cu(lB1TY
Name: 1 BK 0%686 0158 (1
• Address: f`nllie D��� R9 ; PJ)
W
SEMNOLE COUNTY CLERK%S 0 2031338985
State of Flo Ida X ftORIDASNATURA CHOICE RECORM 12/22122011 01:59.-00 PN
Longwood, FL 32752-0668 DINS FEES 10.00
RECURM BY J Et:kearoth(all)
NOTICE OF COMMEENCEMENTL.�1 l �
Permit Number Parcel ID Number (PID) l -7- ^ 1-71 _" -n cm - i
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 P6t0AER7X(Legal description of the Droperly oad street address,iLavaila-ble)
GENERAL DESCRIPTION OF IMPROVEMENT
,e
OWNER INFORMATION �-
eand ad fess:2M S l
CONTRACTOR Collis Roofing
Name and address: P.O. Box 520668
tUn9W000, FL 32152-U668
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)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates of
Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienors Notice as Provided in
Expiration Date of Notice of Commencement:
The expiration data Is 1 your from data or recording unless a different data Is specinod.
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT I.RE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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.
SZq'fE OF FLORIDA D COUNTY OF SEMINOLE
L- CL _U101t) _ 9CiA iel�n`�toZ
OWNERS SIGNATURE OWNERS PRINTED NAME
"(NOTE: Per Florida Statute T 3.13(1) (g), owner must sign...... and no one else may be permitted to (siiggn�in his or her stead."
The foregoing Instrument was acknowledged before me this day of �l__a , '� - r .ti
by W o isspersonally known to me
Name of per O
OR who ha produced identificatio D type of Identification produced
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES,
CERTIFIED COPY
MARYANNE MORSE
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATEOLIPIIM OF CIRCUIT COURT
E RUE TO THE ;�4
T OF MY KNOWLEDGE AND BELIEF.
,
SEMINOLE COUNTY. FLORIDA
SIGNE OF NATURAL PERSON SIGNING ABOVE Q 41 w• p n
if
DEPUTY CLERK
(SWC LY J T6400" I DEC 2 2 201 j
"'it•! MY COMMISSION # DDg'� J
•d15> cXPIRES January v• 20 Notary Signature
RE: Permit # 27
1k,
City of Sanford
BUILDING DIVISION
Inspection Affidavit
I,licensed as a(n Contractor)/Engineer/Architect,
An -
(please print name VAircle Lic. Type) uilding Inspector*
License
On or about 3113//e2 3A0 , I did personally inspect the roo
—f
(Date &time) __
deck nailing and/or secondary water barrier work at M2 S , `_ mcka ,
(circle one) (lob Site Address)
CT,
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
6 D d •
(n
Signatu
STATE OF FLORIDA
COUNTY OV���
Sworn to and subscribed before me this qday of
By
Not ublic, State of Fl ' a
J
nnt, type or stamp name)
Comm s"
Personally known X or :�_ MY COMMISSION # DD8WM
Produced Identification , • EXPIRES January 29.2013
Type of identification produced. i07j 01SJ P10r0a"'° 3wvi .wm
* 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.