128 Royalty Cir; 16-3421; RE-ROOFDec 28 16 08:26p Nutech
r
7272401481 p.2
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: CP - 31+24
Documented Construction Value: S Ci
Job Address: I o2.sf OQG-tbJ 0-'.f -U Historic District: Yes No
Parcel ID: -
1+
Residential Commercial
Type of Work: New Addition Alteration Repair>kDemo Change of Use Move
Description of Work: (,C)o P en-h re r-n r P , C-
Plan Review Contact Person:
Phone: vl LfI - 50Y-eff
n ka- f- S
Email:
Property Owner Information
Title:
Name
1
GSS rYt CAA-) Phone: U rl' (p
Street: Sv,,,-y L1 Resident of property?
City, State zip:P-L 2>arjrl I
1 ac-fe ,'z
Z20Contractor
Information QName Eu -'e , ti-i n Ct -tcf' Phone: `low ( - ,q0 - I i -i
Street: I I () iZ n C % 5`'Lt tG 3 Fax:
City, State Zip: Giij L- '%' State License No. C.0 L- l 3 C a2 jG
Arch itectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
VI'ARNING 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 constriction iinthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, weds, pools, ' furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 1053 Shall be inscribed with the date of application and the code In effect is of that date: 511b Edition (2014) Florida Building Code
Revised.- June 30; 2015 , : , permit Application
Dec 28 16 08:26p Nutech 7272401481 p,3
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal, The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is,issued, inaccordancewithlocalordinance. 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 Iyate
Print OwnerlAgent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent
Sr J
Datc
Pr n r/ ent's Name
la a
Si ureofNotary-StateafFlorida Date
MYCOMMMONW991622
n. EXPRtES: May 11, 2020
mgoadedthtuM1bt&ry Pu61k1lndet"M ly
Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Q Mechanical[] Plumbing[] Gas Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps. Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGiNEERiNG:
COMMENTS:
Plumbing - #
of Fixtures of
Heads Fire Alarm Permit: YesEl No Q UTILITIES: aft"
WASTE
WATER:
BUILDING: Rrvised:
June
30, 2015 Permit Application
Dec 28 16 08:27p Nutech 7272401481 p.5
Ita
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: • I v- ;QC [ l 6
I hereby nameand an
agentof , t CO-IeC l Na
of Company) 0-
9 to
be my Iawful 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): El
The specific it and application for work located at: i
C" r .Y,, Streer
Address) Expiration
Date for This Limited Power of Attorney:___ (= I r ri License
Holder Name: RO&M ; "rC 2 b 61 State
License Number: 33c Signature
of License Holder. i STATE
OF FLORIDA COUNTY
OF Pr (1elft qO The foregoing
g i}}i trument was ackno eId, e^d before me this day of De ' "— --J z 200,'byKG,
I' 1- q c) who isle Sonally known to me or
o who has produced as identification and who
did (did not) take pn ffi. Notary Seal) ELIZA9ETHFEtlCIANO
1YG0yM1M10NA FF891812
2
EXPIRES; May
11.202D 9ondedThntNotaryPubPxUaden tflens Rev.
08.12)
Signatu Print or
type
name Notary Public - State
of Commission No. My
Commission Expires:
7272401481 p7
GCR«View: 33-19-30L-50S-mOOD-0190
Property Record Card
Parcel, 33-19-30-50S.0000-C190
Parcel Information Value Summary
Parcel 33-19-30-50S-0000-0190
Values i Values
Property Address 128 ROYALTY CIR SANFORD, FL 32771 Cost/Market
De
Subdivision Name CROWN COLONY SUBDIVISION
Tax District Sl-SANFORD
Land Value (Market) $33,000 $33.000
Land Value A.9
5320
LnIN19
132
70.71
Portammtymdj_
ow"om*v o
Amendment I Adj
P&G Adj so
764 ' -- -'_—
Tax Amount without SOH: $2,683.28
2016 Tax $szx zs
Tax Estimator
Save Our Homes Savings: 156.03
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 19
CROWN COLONY S000wmKON
naxmu
TaxingAuthorily AssessmentValue ExemptValues Taxable Value
County General Fund
Schools 92,581
Salesinc
Description Date Book Page Amount Qualified VacAmp
182,500 Yes Improved
Land
Method Frontage Depth units Units Price Land Value
LOT
Building Information
e.
YearBuilt
Fixtures I Bad Bath 1 BaseArea Total SF Living
Dec 28 16 08:29p Nutech 7272401481 p.8
12/20/2016 SCPAParcel View: 33-1%30-5QS.0000-0190
http:l/parceldetail.scpafl.org?'arcelDetailhNo.aspx9PID=3319305QS00000190 2/2
Dec 28 16 08:30p Nutech 7272401481 p.9
Installation Agreement and Details for Nutech Roofing/RRTNutechRoofingAndConstruction
522227 d CCC#1330266
EIN # EIN !t 48-2760037
13170 921 St N. Largo, FL 33773 7> 727) 240-1481—NMNutechClalmslR •melt mn t'3+6RA PM;
Customer Informatlom NLgECH Ro0FI ANp CONSTRUCTION RESPONSE TEAM
r
U[aearaCr,Ia1ea222rur 17.-331z, - -
Dale _
Customer name Gtt
p — •^
Phone Number _7^ (.83- 402J
Job Address { aSRoofinglnformatlon:
L; J f-d e 4R YCL 7 j v
Shingle
Type GAr 11m6ollint fl.D Color CI C6l i DripEdgeColorI .p Rldge/off rklge Vent ColorAMpp FlatRoofOShadRoofOFlaUShedHooftearoffSQAntennalLightning
Rod: Reattach i e 0 Solar Panels: Reattach 41ASe O + Satellite Dish*: Keep Dispose O Note:
We do not reattach satellite dishes to the roof. Your provider has special tools to calibrate the dish once it has been moved. tl
Paindr' ePopcom
O
Floor,,,, O Iomtw erfor.,G
Llftem,
p O 6
fol•
810V'
tkool COafgtq Q
eScreens O Stucco O Patio Rool O Roof Details: (The Insurance estimate
defines the total scope of work 7UPgrade Completed)Z25 Year or
Greatershingle
manufacturer wpr anty New ridge ventilation system z 10 Year'No Leak'
workmanship warranty zUpgnade Re -nail of root decking 1 AAC fm2v New plumbing vent pipes /lead
boDts Upgrade Secondary water barrierL>h,' p o j ey—Rw CountedStep Flashing Valley metal with
GAF Storm Guard —ZPennit and trash haul included Additional TermslNates: LLa'.rr 7.'
IEiIT•. we
We reserve'the right
to
adjust the Install as necessary Additional Costa may be necessary
for bed roof decking Estimated Install Data / 1 —) P
Tsar off So /• Roof Vents: Goosenecks 4Inch Cinch
2 Lead Soots 21nch Z-
31nchOffRidge Vent 4 it
Off Ridge Vent (Cobra) 4h (
Replace OU turtle Vents) Traditional Ridge Vent YIN Cobra
Verr& Undertaymeni: Rhlno Pesl and Stick
X_ 5L=NA Nib .10111
IM X Nuthech Roofing and Construction Authorize
Agent: PrintlDate Cust er. Prf ItDate x k, X I fh
Nuthech Roofing ancil6nstructlon Authartze Agerrf:
Signature/Date Custwner. Signature Date f ` Wnr Anrr.x ahscas soar
pgrdr w s Mpw pwd- a is raur sparse y a b pNPsrlsr Rr r o --w r a nW sw ar aa.d ti Mom! ssrsrrs orrsr re rirs A rrsow t srmaory r • Md wauA N r asrol. s Wrsd. Rss+bp Ana CsmsvcAn na.+ssnerpw sho/1 salplrs a Mvrases WRd.Ml rd error M deMls Wsat Asa rrMwM lA.ndenwaenc S Scanned by CamScanner
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ®' ISSUE DATE:
CONTRACTOR: ®V
JOB ADDRESS:
dm®
TYPE OF WORK:
Post this Permit in a conspicuous Tlace outside PROTECT FROM WEATHER
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected
Permit expires six (6) months from date of issue or last approved inspection
A ROOF DR YIN INSPECTION IS REQUIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit will not suffice as an alternative to receiving a dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE. APPROVED REJECTED INSPECTOR
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF
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. FBC 105.3.3
REVISED: October 2014 . Inspection Line 855.541.2112
w [ l If l 11i1! li 11l111 i 1![ Ili 111
itAf',Yfir{riE t 0^SE, SEM 11GLE 'OUNty
CLERK OF .M'(1JITCUURT'tx COMPTROLLER. ' THISINSTRM •NTPREP . ED BY: BK E°U P3 950 ( P95) Name: - _ -
CLE Y.`S T 2014125U19. Address:;
RECORDED 12/29/1++18 0017:01 'M REORDIK
FEES C10,00 RECORDEC
BY hdavora_ NO
1 ICE OF CO M.ENCE EN 1 Permit
Number. _ I n _ 101,
Parcel
ID Number. -- g 3 - 30 $QS - QOfjQ . M The
undersigned hereby_givos' notice that improvement will be made to certain real property; and in accordancevith Chapter 7.13, Florida'StatAm'lhe following
information Is provided In this Notice of Commencement 1.
D SCRIPTION OF PROPERTY:.(L.egei deserlogon of the property and street address If available) for Fm
3
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THEJMPROYENIENT: Name
and address 4ty kOS owfl I a:R Ra'lo s#h CAA S &4ord F 3'17 71 Interest
in property: Owner Fee
Simple-TltleHolder (if other than owner listed above) Name: 41
CONTRACTOR: Name: 14o (U ' 1 Phone Number. % 27 140 0 li R1 Address:) `i7o
tit RkL Sk tJ'10 ` N LaLrr r l 'N —n v S.
SURETY
Of applicable, a copy of the payment, blond,ls attached): Name Address- Amount
of Bond: 6: LENDER:
Name Phone Number. - Address: T.
Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(
1)(a)T., Florida Statute$. Name: Phone
Number. Address: 8.
In
addition, Ownerdosignates of to receive
a copy of the Uenoes Notice es provided In Section 713.13(1)(b), Florida -Statutes. Phone number. 9. ,Expiration
Dale ofNotice of Commencement (The 'expiration'Is 1,yea.r from date of rgcgrding unless a,different date ls'specified) WARNING -TQ
OWNER:' ANY PAYMENTS MADE. BY "THE OWNER AFTER THE EXPIRATION .OF THE, NOTICE OF COMMENCEMENT CONSIDERED IMPROPERPAYMENTSUNDERCHAPTER713, PART I. SECTION 713.13, FLORIDA STATUTES,: AND, CAN RESULT iN YOUR PAYING TWiCEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENTT MUST BE RECORDED AND POSTED ON THE JOB SITEBEFORETHE; FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORKORRECOJFtO1NGYOURNOTICEOFCOMMENCEMENT. f' t51 AuMadndd
ofAcadDimdD /
ParMsdMmga
s Print Noma
end Pruvfd 5 pmlory ilCelORm) P'ne (fQs
State of " d'/
uQ` County of qDecember_;zo l
The foregoing instrument was
acknowledged before me this ` day of l 9 f (,1
Who is personally known
to me 0, OR by — l ame of
poison --He
tlatamcnl who has produced.ldentificatlon
ypa of Idontfficatlon produced: ELOBEWFUU cuNo . f' WC0MMisStON/
FF9916V i`
yi1,20Z0 r RC"?
r`. No .Sgr!
aeae dod Ttuu itotrry PuN1t
tlndetwdters /mot e :- + { . ,5 lion .,(
CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
STATE OF FLORIDA /
COUNTY OF
This do c ent w ac ed a before me on 3 1 Ille [Date] by
s i C ,v Z [name of prin,cilw
Notary Seal, if any]:
Mary EM LaChiusa
NOTARY PUBLIC
STATE OF FLORIDA
Cantu# FF214209
Expires 3/26/2019
S (!! natur 21 Notarial Officer)
Notary Public for the State of Florida
My commission expires:
ACKNOWLEDGMENT OF AGENT
BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE
FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT.
VXXA- IC7C:) 0 Vl l n SZ_`
Typed or Printed Name of Agent]
Signature of
This documents was
Typed or pfiW
Signature]
PREPARATION STATEMENT
ed the following individual:
Page 7of7
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: _j 34 a 1
I, rAaM, ry t) ltohereby acknowledge that I personally inspected 9
Roof deck nailing and/or M Secondary water barrier work at
1'a$ c;c e rc Scm4rd and have determined that the work Job
Sire Ad3ress) was
done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I
certify that my statements herein are true and accurate to the best of my belief and that I fully understand
that making any false statements in writing with the intent to mislead a public servant in the performance
of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section
837.06 F.S. Nam--
Signature
of Contractor ra
2 b1°rJ Printed
Name of Contractor 113)
17 Date
UL -
13 License #
License
Type: General Building Residential "oofing Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF Jery,'i r je Swryll
nto (or affirmed) and subscribed before me this day of I4AUa/ , 20 1 , by i(
o nd ,who is Personally Known to me or has •oduced (type of identifi '
op) 1 as identification. 2 (
SEAL) Signature
of Notary Public State
of Florida;.. ELIZABETiiFEUCiANO Print/
Type/Stamp Name of
Notary Public i
MyCOMASION/FF"1Q22 s
hrq# EXPIRES: May 11, 2020 gl
Bonded Thru Notary Pu* Und*W4n