1601 Locuts Ave 17-1124; ROOFAPRr I 17
ip
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 —1 I I c y
1,
Documented ConstructionsValue: S ( I/V
Job Address: / 6 Ly( lVe SqMgrd Historic District: Yes No A Parcel
ID: 31 fT i'j=;j Residential Commercial Type
of Work: New Addition Alterations RepEir Demo 0 Change of Use Move Description
of Work: Plan
Review Contact Person: Phone:
W-,b 7-?7/f Fax: Title:
Email:
Property
Owner Information Name
6 f Street:
Z") ; Atlif City,
State Zip: '/'/r "'CL Phone:
Resident
of property? : lQt'ci/Iet/ Contrae
tor Information 7
Name /%%
yy/f%e/l CQ/T/ Phone: d -L — zZ ;7- 771J— Street: /%!/ $
Fax: City,
State Zip: &V 111zAd 167-13 2zY67 State License No.: 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. I 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: 5" 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 co c i n and,&o-n4pg.
Print Owner/Agent's
q
Signature of Notary -State of Florida
Owner/Agent is
Produced ID
Personally
Type of ID
zj
Print ontractor/Agent'e `111111i111/
s\*`JP p F • SPIe„Q rj"4—
Signature of Notary -State of Florida
2 #FF 173590
0 `. l BoridadihN:
Q
Contractor/Agent is Personally Kno p0d1l'lP e`\
ae
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name GFiiti`II I'I(3L_i11'r KIT[I•IiiLE COU111''f
Address: C t` ;ll ia:i';Ctly:'( isDLifiT a -ER
Address: LI::."t,,,
Zf lrl1 rJ_l.
B
RI C01ZD1*--C
NOTICE OF COMMENCEMENT ftl_(::(j1 171_l)
13BiiL
C 5Pi1`I'i,11"
III_I
Permit Number: '—
Parcel ID Number: I —3 1 "' SOS-=6 —y g)
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.
1. DESCRIPTION OF PROPERTY: (Legal de cription of the pro erty and street address if available
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INF^ORMATION IF T/H LESSE CONTRACTED FOR TH IMPROVEMENT: —
7
Name and address:Q f h/" G Io i &- LoS pike O-N- C)!7 > L :31 y
Interest in property:
I
l ujyr- J
Fee Simple Title Holder (if other than owner listed above) Name:
5. SURETY (if applicable, a copy of the payment bond is attached):
Address: Amount of Bond:
6. LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number.
8. In addition, Owner designates of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 1, 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or ee, or Owner's or Lessees (Print Name andProvide Signatory's Title/Office) Authofted
Officer ctor/Partner/Manager) , y-
State
of County of II JV The
foregoingins trumenliwas acknowledged before me this % day of , 20 by
CAG Who is personally known tome OR me
of person making statement who
has produced identification type of identification produced: Zo
COPY - CEgZIrtO rNEC1RCU1r ION r : e-
n
COMPigO ANN 25r 20
i •• Z3 7 t;M
DEpUTV C`ER_ J tN•. ='------"NotarySignat e 40 0, ;
4
TAX-EXEiVfPTION NUMBER$ Board OF C Ounty Commissions
FLORIDA SALES: 85-8013708974C-0 Seminoje County, Florida
FEDERAL SALES/USE- 59-6000856
PURCHASE ORDER
COMMUNITY SERVICE/ASSISTANCE
534 W LAKE MARY BLVD
SANFORD FL 32773-7400
PAT LYNCH CONSTRUCTION LLC
909 DENNIS AVE
ORLANDO FL 32807
Luis Albelo 407-665-2385
PURCHASING AND CONTRACTS DIVISION
1301EAST SECOND STREET SANFORD
FLORIDA 32771 PHONE (
407) 66571161 FAX.1407) 6657956 Cindy
Baldus 407-665-2361 1:
000 EA 1 FB 602172-15/ROOF/B THOMAS Order
in accordance with pricing, terms, and conditions of
1FB-602172-15/GCM T arm Contract for Roofing Repair and
Replacement for ReE idential Properties expiring April 8,
2018. CONTRACTOR OUST CONTACT LUIS ALBELO
407-665-2385 P IOR TO COMMENCEMENT OF
WORK. A NOTICE PROCEED WILL BE ISSUED BY
THE COUNTY. 06691617.
580833.000 1' 1601
S. LOCUST AVE-SANFORD dab
REQUESTING
06691617 BALE DEPT/
DIV THIS
ORDER IS SUBJECT TO THE TERMS & CONDITIONS ON THE REVERSE SUBMIT
ALL INVOICES IN DUPLICATE TO: CLERK -
B.C.G. FINANCE DIVISION POST
OFFICE BOX 8080 SANFORD,
FL 32772-0869 Accts.
Payable Inquiries - Phone (407) 665-7681 CYNTHIA
OF
THIS ORDER. 6,
900.00 PURCHASING
AND CONTRACTS DIVISION - AUTHORIZED SIGNATURE for:
SEMINOLE COUNTY BOARD OF COUNTY COMMISSIONERS
SCPA Parcel View: 31-19-31-505-0000-0580 http://parceldetail.scpafl.org/ParceiDetailhifo.aspx?PED=3 1193 15050...
Parcel 31-19-31-505-0000-0580 -
Owner THOMAS BETTY A
Property Address 1601 LOCUST AVE SANFORD, FL 32771
Mailing 1601 S LOCUST AVE SANFORD, FL 32771-2959
Subdivision Name
I Tax District
SAN LANTA 3RD SEC
S1-SANFORD i
DOR Use Code 101-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1999) f
LOT 58
SAN LANTA 3RD SEC
PB 13 PG 75
T2i)17 Working 2016 Certified
Values 9Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 47958 44,625
Depreciated EXFT Value
Land Value (Market) j $15,000 13,500
Land Value Ag
JusUMarket Value " 62.958 58 125
Taxes
1 Taxing— Authority I Assessment Value ;Exempt Values Taxable Value
County General Fund 52,200 27,200 25,000 i
Schools 52,200 ; 25,000 i27,200It
t City Sanford 52,200 27,200 - 25,000
SJWM(Saint Johns Water Management) 52,200 27,200 25,000
County Bonds 52,200 27;200 25,000
Sales
i Description Date I Book - Page Amount Qualified j Vac/Imp
WARRANTY DEED 2/1/1998 03372 0918 56,900 Yes Improved
CERTIFICATE OF TITLE 12/1/1997 03345 0769 100 No Improved
QUIT CLAIM DEED _ 1/1/1990 02158 1495 100 — No Improved
Find'coMparable Sales
Land
iilding Information
Is Bed/Bath count incorrect? Click Here. _
r -- - r r r— TjDescription
Year Built
Fixtures Bed Bath Base Area ` Total SFI Living SF I Ext Wall j Adl Value ( Re I Value Appendages
1 of 2 4/22/2017 6:37 AM
PERMIT # ( I- 1 1 ali
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoB ADDRESS:
STRUCTURE TYPE: SINGLE FAMILY RESIDENCEITOWNHOUSE 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): YTCD6 m j PLEASE
NOTE: ONLY 100 SQUARE F ET OF THE EXI TIN DECKIS PERMITTED TO BE REPLACED** ROOF
VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES )KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 X2:12 - 4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
L, FL# b -355_'p -z- O
META- FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# OINSULATED
FL# O
TILE FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** 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 BnumEN FL# O
TORCH DOWN FL# OINSULATED
FL# OBILE
FL# 0
OTHER: FL#
I-I-ii2'-(
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that
will be installed on the project.
A 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 Sanford
Historic Preservation Board
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in 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 permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
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 components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will
Professional (architect or engineer), certi
CONTRACTOR (OR OWNERBUILDER) SIGNA
by a Florida Design
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: //O? / ADDRESS: ,a/ Zoe&5 Ivy
y /L'/(_iL /.-L /V L!p AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
kTRACTOR, ENGINE , ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
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 #: e V I {
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE
f( (ifl
DATE:
NSE H R
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
PAPERWORKFORFURTHEREXPLANATIONOF 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 OFF PCl Slyto and
Subscribed before me this r j', day of ..UP4A _ 20Q_ by: C . Who is
rson Known t a or has MProduced (type of identification) as identification.
Si nature of
Notary Public-"' P •6 Iil tB19
o,\ ,1RA SPF
i g \o o M
s 2ioN • ;
F '%
State of Florida 5\
Gl. 2@2k2 Print/
Type/Stamp NaiA
of Notary Public gam '
Am: PF 17359D
K Q
U ice`9 Q`
l
BondedthN O