102 Royalty Cir 17-1400; ROOFCITY OF SANFORI
I'VE: 'BUILDING & FIRE PREVENTIO!
MAY 1 5 2017 1 i'
PERMIT APPLICATIO
Application Iio:
Documented Construction value: S
Jab Address:
Z 1 historic District: Yes No
Residential Commercial
Parcel ID: -
1 b
Move
T e of Work: New U Addition Alteration Repair, Demo Change of Use
YP
Description of Work:'Y^
1 yl, Title:
Plan Review Contact Person:
Phone: IU _ Fa--:
Email: ilni oq b 1
j^
Property Owner Information J
nm r `
Phone: ' 0, _V3 Z6 Name
1 J Street:
Resident
of property' City,
State Zip: Contractor
Information '_7
7 y 5 Name
RIO 1-T l 1'' koku G' 0 / Phone: Street:
7 D r _AAj t P
ate
License No.: MCC-12-6 C)3q Y1
State City,
State Zip: .l: Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: _ Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MU I-
F YOU INTEND TO 01 POSTEDONTHEJOBSITEBEFORETffEFIRSTINSPECTIO".'\- - RECORDEDANDCONSULT
WITH OUR LENDER OR AN FINANCING, CO_ ATTORNEY
BEFORE RECORDING YOUR NOTII( COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installa commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconsin
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells 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`t Edition (2014) Florida Building G Permit
Application Revised:
Jxne 30, 2015
TICE: In addition to the requiremen*s 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 water
r agencies. management districts, state agencies, Or federal . bencies.
Acceptance of permit is verincation hat ?will notiry the owner of the property of fre requirements of Florida Lien Law, FS 713.
ed contract is
The City of Sanford requires payment of a plan ililbe considwfeeai
ered the estimatedmated consetimeof'perrziit mtn ctior. value ofthe job at he time of submittal.
in order to calculate a play. review charbe and w is
The actual construction value will be figured baseohaQ s'r d off the executed ation
lcontract eineexceedthe actual consitructionu value, accordance
with local ordinance. Should calculatedb b 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 oninabe
done in compliance with all applicable laws regulating constr b S -(
7 Date
Signature of Contractor/A.9=1 Dace Signature
of Owner/Agent Print
Contractor/Agent's Name Print
Owner/Agent's Name ae
Signature
of Notary -State of Florida Date Signature o* \4t State of Florda D DEBBIE `
IYEa'
IP.BLANTON MYCOMMIF S A4Y (
u1tM :SION =" Fr 118648 EXPIRES o
EXPIRES: February 25, 2019 Bonded Thr! !erg Bonded
Thru Not2rr Public'Jnderhriters V, -,--, Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID Produced ID Type of ID BE
IS ]E'OR OF7ICE USE ONLY Permits
Required: Building Construction
Type: Total
Sq Ft of Bldg: Electrical
Mechanical Plumbing Gas[] Roof Occupancy
Use: Flood Zone: _ Min.
Occupancy Load: of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No rr of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:
Permit
Application Revised:
June 30, 2015
5/5/2017 SCPA Parcel View: 33-19-30-5QS-0000-0060
n
ro o rkr_e c r.. C a rd.
C 4
Parcel: 33-19-30-5QS-00100-n060 Owner:
SINtr H DYANAND & MALINDA E L'
Ui. Property
Address: 102 ROYALTY CIR SANFORD, FL. 32771 Parcel
Information Value Summary Parcel
33-19-30-5QS-0000-0060 2017 Working _,.__ g2016 Certified Owner
SINGH DYANAND & MALINDA E Values Values PF
PropertyAddress102ROYALTYCIRSANFORDFL32771Valuation
Method Cost/Market Cost/Market I
I Number of Buildings Mailing-
102 ROYALTY CIR SANFORD, FL 32771 Depreciated Bldg
Value $168,053 $156 354 Subdivision Name
CROWN COLONY SUBDIVISION Depreciated EXFT
Value $4,163 $4,275 Tax District
i S1-SANFORD Land Value (
Market) $40,000 $33 000 DOR Use
Code 01-SINGLE FAMILY 6 Land
Value Ag Exemptions 00
HOMESTEAD(2008) I Just,MarxetValue $
212,216 $193,629 Portability Adj
1 Save
Our
Homes Adj $81,330 $65,435 j 60 j
94 Amendment 1 Adj t ry % C
P&G Adt $0 $0 Assessed Value $
130,886 $128,194 r= Ta
x Amount without SOH' $3 068 00 C, 016
Tax Bill Amount $1,756.00 Tax Estimator
4 d
Save
Our Homes Savings: $1,312.00 C TRIM
Notice Nelo Does NOT
INCLUDE Non Ad Valorem Assessments Legal Description
LOT 6
CROWN COLONY
SUBDIVISION PB 61
PGS 76 - 78 Taxes 1.. ._ ....................
Taxing
Authority
Assessment Value Exempt Values Taxable Value County General
Fund 130,886 50,000 80,886 Schools 130,
886 25,000 105,886 ?; City Sanford
130,886 50,000 : 80,886 i SJWM(Saint
Johns Water Management) 130,886 50,000 80,886 County Bonds
130,886 50,000 80 886 ' l Sales Description
Date
Book Page Amount Qualified Vac/Imp WARRANTY DEED
5/1/2006 062.32 021( 279,900 Yes Improved i QUITCLAIM
DEED 4/1/2004 05341_ 1708t 100 No Improved SPECIAL WARRANTY
DEED 87 44 700Improved WARRANTY DEED
1/01//20033 04 044 285,800 No Vacant CaPar ,;.x"
Land Method Frontage
i..........................
Depth Units
Units
Price I ........... Land Value LOT 1 40,
000.00 40,000 Building Information Is
Bed!Bath
count incorrect? lick Here. Description Year Built
Fixtures t I Bed
1 Bath
Base Area Total SF Living SF Ext Wall Adj Value Rep] Value Appendages http://parceldetaii.scpafl.
org/Parcel Detai I lnfo.aspx?PID=3319305QS00000060 1/2
LIC # CCC1330939
LIC # CRC1331435
Y+1A' t Ir
PROPOSAL SUBMITTED TO
STREET 101_ -q a.-
tV Q ` 10 /19 °--j "o
Ins. Co,' 1^'\
Licensed & Insured
First inOuality Tel.#
First in Service
First in Satisfaction Claim # S q ! ( P13 aq
800-411-0820 Adj. Name
6767 Hoffner Avenue Tel. 1 n)-73-)--52q Orlando, Florida 32822
Fax #
WE
GZjr\a VA S I vt DATE
G I V- JO #
CITY, STATE, Zip ScLYY\VC (d1 'G ` _ SUBDIVISION
HOME PHONE I 1W /Mcol, —PA 10 BUSINESS PHONE
SPECIFICATIONS FOR LA13OR AND NtATERIIAL.
U/Tear Off Shingles: Layers
C Professionally Install: Brand Type ATA id0 Color w 5' of ' (A
aw Valleys Ft.
131nstall: 0 30 lb. Felt O Peel & Stick O" Synthetic Undedayment _ j
eseal, sidewalls, counter and wall flashings 0 Re -Use Drip Edge ia'Dnp Edge Y11
tiiation-
1-1/2'2'3' 4' or Plumbing eats
oose Necks Off Ridge Vents Ridge Vents Color aLe-
E`Renail Plywood Sheathing to Code
9kyrrght 2 x 2 4 x 4
Atlantic Roofing is not responsible for Pre-existing structural conditiohs.
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,
Property owner's out-of-pocket expense is not to emceed the deductible amount. The insurance company will determine and set the price of the claim.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF
THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED wrrH THE WORK AS PER PROPERTY -LOSS
WORKSHEET WHEN RECEIVED.
We propose to hereby fumish materials and tabor, complete in accordance with above specifications for the sum of the insurance as per the insurance
company loss scope sflich is incp rated herein and made a part hereof by reference, to include customary profit and overhead when multiple
trade incun ed $
e for hCA
P!!t u om letion of eal trade. n
n AJO Authorized
Signatur Must
be approved by Wm—pany owner. No o rk ekpressw or implied verbally. All changes to changes.
NOTE: This proposal may be witlWawn by us if no;! ce tted within 30 days. ACCEPTANCE
OF PROPOSAL- The above work
as specified. Payment
will be made as outline aIJ44 and
are hereby accepted. You are authorized to do the Date_
tv THIS INST UMENT PlPARED BY: ,
Name: Cr
Address:
Y lGn66, t d 32 Zz
Permit Number:
Parcel ID Number: 33 q ^36' S y S add Q 6 D
61:F 11' Ilk-bY g SEP' IMOLE COUfffY
Ct_ERK OF CTRCU11' COURT ', C:Ohll"I'ROLLER
BK 31)12 Pg 1677 (1F'ss)
CLERK'S 4 201704-7785
RECORDED n 5/:t' /2017 102 915Al°I RE'
CORti1I%lG FEES $10.00 RECORDED
BY G5i'd I t 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.
D SCRIPTIONR F PROPERTY: (Legal description of the property and street address if available) LQ+(n COY-bWi'\ 601DJI 1 S U)0c1 1V1SID11 PS Col 9%sJ76 --7y 107- (
Zaiyal-kf lrCU-. 32-7-71 2.
GENERAL DESCRI01ON OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: 0?) CAh/A ld S l h9 V )0 ?_ RuvcOq CirGlt Su fby' V l S277L Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: Address:
7`
4.
CONTRACTOR: Name: / ,/ YLI, JW lri 11 )S+ C,
v
Phone Number: 16% Address: &/&
Q`f'ilX Atm- 006?1lCSO)F 3292Z 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: S.
LENDER: N Address:
Phone
Number: Amount
of Bond: 7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as p 713.
13(1)(a)7., Florida Statutes. Name:
Phone Number: Address:
8.
In addition, Owner designates of to
receive a copy of the Lienor'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) W
r
T—
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. iA
Ct 1AA i 1 Signature
of Owner or Lessee, Ovmers or Lessee's (Print Name and Provide Sigi at 's Title/Office) Authorized
Officer i eNManager) State
of l- (O Y I AG County of U& V ` II ) U The foregoing
instrument was acknowledged before me this _ day of mgm byy
11V:11AY) d S 1 r . Who is personally known to me O OR Name of
person make g statement L f1 who has
produced identification L) type of identification produced:) +-- '— (Q %—Q E-0
RACIELAGAGNECOMMISSION#
FFM949XPIRES April25. 2020 Notary Signature FlorklgNote Com
20 17
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
t
JOB ADDRESS: 162 %aom &W SaA(1 i
STRUCTURE TYPE: Q R[NGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: CYREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
4DECKTYPE (PLEASE SPECIFY: V?,
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: XOFF-RIDGF Q RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
FL#
I&
KSHINGLE
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
Q TILE FL#
Q 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
Q SHINGLE FL#
Q METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
Q TILE FL#
Q OTHER: FL#
A i, 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 result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying mpliance by rsonal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 4
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:
r?
V (/ " / ADDRESS: O
l
I ( a if ( 10, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCMTECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THEFOREGOINGINFORMATIONISTRUEANDACCURATEANDTHATALLROOFINGCOMPONENTSLISTEDONTHESCOPEOFWORKATTHEABOVEREFERENCEDADDRESSHAVEBEENINSTALLEDINACCORDANCEWITHTHEIRPRODUCTAPPROVALSANDALLAPPLICABLECODEREQUIREMENTS — 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 4:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: r
MUST BE SIGNED BY LICENSE HOLDER
FA
OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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
PAPERWORK FOR FURTHER EXPLANATION OF 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 OF D /
Sworn to and Subscribed before me this 30fk day of _ 20 a by:
Who i ersonally Known to me or has Produced (type of
identification) as identification.
Signatu of Notary Public o P".:be% STEPHEN PATRICK DOLAN
State of Florida *
MY COMMISSION # FF 071532
EXPIRES: December 27, 2017
G/5w —1 /C \ FF
P BondedTBruBudgetNoaryServices
Prin t/Type/Stamp Name
of Notary Public