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152 Gleason Cv 17-1567; ROOFt 41 Zu x S x t OITV OF SANE( tIIL©III PERMIT APPLICAZ J Documented C©>'strucdo: Value: 32% tiisto e Dist-iet: Yes rI ' C Residential, CommerciaJabAddress: 2 C I Z Parcel — "so — 5z. — C ( Nlov rrI ;-K De±o C Change of Use -- Type of Work: New:'] Addition!1 A.teratior. L_ _ Rena_. Description of Work: Flan Review Cop -tact Person: Phone: 1 Fax: Title:4 rnail-_ , 5 Vb @ a d d 1 formationProperty ®W-r . . Ia 7 - 75 Name y n n1 / riV Phone: Resident of Property, Street:e l bYd F 3 Z 73 City, Sate Zip • Contract®r Information -7C, 7- yRPhone: Named761 Street. 9 0 Ivy Z ZZ Fax: State License No.: tmD Sq City, State Zip: Name: Street: City, St, Zip: Bonding CompanY: Address: Arch itectlEngineer Information Phone: Fax: Er -mail: Mortgage Lender: Address: WARNLNG TO OWNER: FOUR FAILURE TO RECORD A NOTICE OF C®NLMEN Ch N NT MAY REENT PAYThC TWICE FORD ROVEMENTS ON THE JOB SITE BEFORE YOUR® THE FIRST IN PECTF®!'• ?T YOU INTEND TC RECORDED AND POS FLNANCLNG, CONT SULT WITH ='OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR _ COMMENCEMENT. Application is hereby'nade to obtain a perrnit to do tyre work and installations as indicated. I certify that no work or inst con enced p or to the iss arce of a per. t and ' 2t all Fork will be perfonned to meet stp— dards Or all laws regulating c in this ju indiction. I understand that a separate permit must be secured for electrical work, DPIlL26'II, signs, P 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: = Edition. (201' Florida Buildin Perna ADDI'cZticII l ^ie tc ruts property that mayest. coons appi±cam TT.rE: 1' 2dditi0n t0 the'eC1L"remenu f i^.iS Je???'` there may be aeda:o-a - e..ut.es such 1. there may be add±tforal pe*--, s reQ=.=eC fro^ o e* cove —mental ntl as W" found ± the public records of nis CC-,.jr., and t d-t±icts state agencies, or federal agencies. M.aziagCreme- _ iy i f—iorida : ien Law, FS 713. p_heretheOwne- Othe DrOpo Ac--epta-: ce ofDe-^t :s VeriIca:On that ! will noti The CTiv Of S2yfOrd reQu re5 payment of a plan review fee at the ti=e o.. --t subnirai: '' copy cf e executer- contract is requ in. Order t0 cal —late a plan review Charge and will be considered the es.:, -rated const'ucL±on value Of t?e job ai the Lime of submi The aC tia! cons. C11on Vale-'e wii! be :i cSed based or. the V rreIlt !C Val':at±On Table i' e Ise at the tea the permit c lSs v-, I e dance with local Ord ::a.. '. $120u!d calculated charges fI *ed O:I the executed contract exceed, ii?' actual CCr1St I=CLl CTI Vc nc credit wiL be aDDlTed to your pe=,nt fees when the pertnit is ±Ssaed. OWNER'S AFMAVI' T: ; certify that all of the foregoing information is accurate and that all work be done in compliance with all applicable laws regulating constructor and zoning. Dzce si`^arse et _Cortrzc.o.- Date Sia arLe Prn nt-actor/ Aeent'sName Print owner/Agent' s N?-ne 17 5 sigaa=eof Notary -Sate of Florida Dzte si nu., 1rR„uY " ue'',, ANNETTEBLAND Notary Public - State of florida Commission N 66 060623 dd g;'. MComm. Expire Jan 16, 2016 or I onto_ e t l _ s .a:. _ wn to Me Owner/AD nt is Personally Known to Me or T e of ID Produced ID Type of ID Produced ID yp BELOW IS FOR OFFICE USE ONLY n Permits Required: Building i Electrical Mechanical Plumbing Gas Roofl=l Construction 'Type: Occupancy Use: ?Mood Zone: _ Total SQ Ft of Bldg: Alin. Occupancy Load: _ of Stories: New Construction: Electric - 0 of Amps Plumbing - Tr of Fixtures Fire Sprinkler Permit: Yes 7 No F7 # of Treads Fire Alar*n Permit: Yes E] No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: CONLN ENTS: Permit Application. Re- yaed: June 30, 20 i 5/23/2017 t SCPA Parcel View: 02-20-30-523-0000-1020 Property Record Card CIA Parcel: 02-20-30-523-0000-1020 Owner: HERNANDEZ BEATRiZ Property Address: 152 GLEASON CV SANFORD, FL 32773 Parcel Information Parcel ' 02-20-30-523-0000-1020 l Property Address l 152 GLEASON CV SANFORD, FL 32773 Mailing ; 424 FAIRFIELD DR SANFORD, FL 32771-6838 i .... .......,,.,, ,,,,,,,,,,,,,, .,,........ .............. ................ Subdivision Name ( PLACID WOODS PH 2 Tax District j S1-SANFORD DOR Use Code : 01-SINGLE FAMILY Exemptions Seminole County GIS Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market 3......................................,........................ i Number of Buildings 1 1 Depreciated Bldg Value 106,536 90,849 Depreciated EXFT Value I Land Value Market e ( Market) 25,000 18,000 I Land Value Ag JUsUMarketValue"' 131,536 108,849 I Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 26,813 13,646 P&G Adj 0 0 I Assessed Value 104,723 95,203 Tax Amount without SOH: $2,012.00 2016 Tax Bill Amount $2,012.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 102 PLACID WOODS PH 2 PB 58 PGS 4-6 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value v _ _, _,,,,_, _, County Bonds 104,723 0 104,723 City Sanford 104,723 0 ' 104,723 SJWM(SaintJohns Water Management) 104,723 0 104,723 Schools 131 536 0 131,536 County General Fund 104,723 ` $0 104,723 Sales r-- Description Date i Book Page— Amount Qualified E Vac/Imp 3 SPECIAL WARRANTY DEED 1/1/2001 04001 '.. 1982 --—$90,800 Yes Improved F c Compar-tbie- S ies i Land Method i Frontage Depth Umts Units Price Land Value LOT 1 r 25,000.00 ? 25,000 Building Information — Year Built I Description 'Actual/Effective Fixtures I Bed Bath ! Base Area Total SF Living SF Ext Wall Adj Value Repl Value I Appendages 1 SINGLE ' 2001 6 4j 2.0 1,406 1,680 1,406 CB/STUCCO j $106 536 $112,736 Description I Area FAMILY FINISH € scnpto I OPEN 8.00 hftp://parceldetai l.scpafl.org/Parcel Detai I Info.aspx?PID=02203052300001020 1/2 v THIS,INSTRUMREPAF D BY: E T P Name: b Address: z2, NOTICE OF COMMENCEMENT Permit Number: I ri— /f5 bf] Parcel ID Number:l n J Z "W "36 ' GRAhIT t1111-0Yy 0EI11NOLE COUNTY CLERK OF' C:1:RC:U1:1' COURT ce C:OiIPTROLL.ER BK 8922 Ps 3359 (11-'ss ) CLERK'S t 20171-.152973 RECORDED 05/36'12 117 09905,,,:.i F r--)N RECORON-Ki FEES >iCi>Oit RECORDI*D BY I,smit:h 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. ESCRIPTION OF PROPERTY: (Legal descn tion of the property and street.Address if available) 0 3- 10 2 121a0 A Ir l(nc s PH Z aB 57 eC7 S L/-(o 1 2 -7 Lecu on CV '.(2 T / 3 `7 -7 2. GENERAL DESCRIPTION OF IMPROVEMENT: Y-C —rt) 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:. 3 {a-Wiz 1eY iot,& Z )5 2 C, U a say I Cy. Ste 4,r/ 3Z7 •7 3 Name and address: Interest in property: Fee Simple Title Holder (if other than owner listed above) N 4. CONTRACTOR: Address:(,- 7 i 5. SURETY (If applicable, a copy of the payment bond is attached): Phone Number: VIU I 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 Lienof s 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 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, t Si ature of Owner or Less or owner's or Lessee's (Print Name and Provide Signatory's Title/Office) A, u/thlorized , Officer/Direr or/PartnertManager) / / State of T t l/ 1' 6 dc- County of Q/1 Y b L The foregoing instrument was acknowledged before me this Mm day of by Name of person making statement who has produced identification ytype of identification produced: k GRACIELA GAGNE c MY COMMISSION # FF985949 EXPIRES April 25, 2020 407) 398-0153 FloridallotarySarvice.00rn J . Who is personally known to me OR V • `' b. Ins. Co-. Licensed k Insured a° Tel.# % 271 i' 25c O° °' First in Quality str First in Service r iA KI—rI C First in Satisfaction Claim # `Z 0 V 17/0 C-3 Roofing & Construction ,,, 800-411-0920 Adj. Name LIC # CCC1330939 6767 Hoffner Avenue- Tel. # LIC # CRC1331435 Orlando, Florida32822 V1- 1- . l -Co", Fax # IP (; C v..;;er- F-SA 17'(,) 1 CyC7 PROPOSAL SUBMITTED TO X-% 2 Ll 2rvt-Ly e DATE STREET Z ec i JOB # CITY, STATE, ZIP `' 3Z72 SUBDIVISION HOME PHONE CYO7) 7S l % BUSINESS PHONE SPECIFICATIONS FOR ILA13OR AND MATERIAL Tear Off Shingles: ' Layers VPr91essionally Install: Brand l n e Typerc G Color a M Valleys Ft. 30 lb. Felt Peel &Stick Synthetic Undertayment I ` la' es I, sidewalls, counter and wall flashings Re -Use Drip Edge D[Jrip Edge 1, N t_/2° 2" 3' V or Plumbing Vents J V I ation:, Goose Necks Off Ridge Vents Ridge Vents Color Renail Plywood Sheathing to Code Sk Jght 2x2 4x4 EffI replaced at $60 - per sheet (if needed) Clean- up and haul off all job related trash Roll yard with magnetic roller a Protect yard and shrubs Atlantic Roofing is not responsible for }ire -existing structural conditions. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by Insurance company. Propertyowner's out-of-pocket expense is not to w beed the deductible amount. The Insurance company will determine and set the price of the claim. YOU, THE BUYER, MAY CANCEL. THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose to hereby furnish materials and Labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company loss scope sheet for which is i rated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade incurred $ i r S , ry-c-CeaJ Payment upon completion of each trade. Authorized Signature Must be approved by company owner. No other work ekpressed or implied verbally. All changes to be in wrWmg and accepted before commencement of changes. NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL- The above pri , sp bons and condi' re satisjMry and are hereby accepted. You are authorized to do the work as specified Old Date ] 7— / _7 PaymentwillbemadeasoutlineaboX ry7N T PERMIT # l `" City of Sanford Building Division Residential Re -Roof Scope of Work' JOB ADDRESS:I,52, r`1l,(Ciil S )n OV. Sj- /6 I E 3Z77' STRUCTURE TYPE: C,IINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: T PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) j DECK TYPE (PLEASE SPECIFY): , 7. 0 C / PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"" ROOF VENTILATION: 0OFF-RIDGE $IDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL: #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 04:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE JI/ "1 Q I %i FL# O METAL FLU# 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 BITUMEN FL# O TORCH DOWN FL# OINSULATED FL-4 O TILE FL# O OTHER: FL# 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) I 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 result in an affidavit provided by a Florida Design Professional (architect or engineer), certi ' code compliance y personal inspectii000n. CONTRACTOR (OR OWNERBUILDER) SIGNATURE: '/ DATE: /