109 Rockwood Way 17-1678; ROOFJob Address:
Parcel ID:
EGGIE CITY OF SANFORD
jUN .7 20V BUILDING & FIRE PREVENTION
PERMIT APPLICATION
B
Application No:
Documented Construction Value: $
I K0Ck600J1nIM SWiWIrL3277/ Historic District: Yes No'9
9 31 6-60oo - r O Z6 Residential Commercial
Type of Work: New Addition 11 Alteration Repair WDemo Change of Use Move
Description of Work: re _Kbo
Plan Review Contact Person: f I ! LN
Phone.Y07-79 7-7 95 % Fax:
Property Owner Information
Name L m i I ic' /1af6__c, Phone: '*-
7 7 y 5 -7 3 3) Street:
IU9 R }aj,/,1 QU 8 V M y
Resident
of property? : City,
State Zip: %Y Yf( ! (..() 2i2 Contractor
Information 7
Name
R I Ioahc 4fto t UJi% ot-hot, Phone: q0 / -7c/7 ,5 -1 Street:
bl U'I r 1V' Fax: l
City,
State Zip: r o L. 32 Y 2 / State License No.: (,CC/3 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: 51h 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 construction and zoning.
7-
Signature of Owner/Agent Date Tignature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY: ,.,• f fliffl Ilflf !llfl Ilf!! f fill llfll Ifli I!N
d Name: , A,, j 00 GRANT MALOY, SEMINOLE COUNTY
Address: CLERK OF CIRCUIT COURT & COMPTROLLER
BE, 3926 Ps 133'1 (1Pss)
CLERK'S A 2017056106
RECORDED 06/07/2017 08:114:11) All
NOTICE OF COMMENCEMENT RECORDING FEES $10.00
RECORDED BY tsmith
Permit Number.
Parcel ID Number. L - (- ` 15 bGUO__ (OZD
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 description of the prope and street address if availa{ iejLo4IOZCeIUxu. i CA1( .S E S e f f S (a L 4)C7S 75
h
O C kW 0 6 a *" (W C1Y) •Felt(. , EL 7 -7-7
2. GENERAL DESCRIPTION OF IMPROVEMENT:'/ f _Ud /
3. OWNER INFORMATION OR LESSEE INFORMATIONIFE L-fE-SyS E,,E CONTRACTED FOR THE IMPkOVEM NT: -7
Name
and address: Cif JJJCI T `0 S fQ I 0( d i h 1 . 7U ( 1 1 Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: Address:
4.
CONTRACTOR: Name: A L 007/11GG6 Q Obi C*(APhone Number. 67-7q 7- 7 Address: -
7 , y Q I
L.
z(/-2 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: Address:
Amount of Bond: S.
LENDER: Name: Phone Number: Address:
7.
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)7., Florida Statutes. Name:
Phone Number: Address:
S.
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) 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. M
A 4S Signature
of owner or Lessee, or Owner's o,• Lessee's (Print Name and Provide Signatory's Title/Office) Autnorized
Officer/Director/Partner/Manager) State
of bvick County of The
foregoing instrumentfras afknowledged before me this U day of by
Who is personally known to me G OR Name
os person maxmg statement ^ t^
l' j / / who
has produced identification pe of identification produced: WL rL L] Z l t7" (7 ( 603 --0 r'
GRACIELA
GAGNE MY
COMMISSION # FF88WQ EXPIRES
April 25, 2020 wi
3ee-o s3 , 20
J SUN
D
QUS C`(tK
JOB ADDRESS:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
I
STRUCTURE TYPE: q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: gREPLACEMENT TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
E-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
t/ %i
DECK TYPE (PLEASE SPECIFY): ?__ OS ',/
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: 015FF-RIDGE Q RIDGE OSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES flZNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 PTA.12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
VI-SHINGL K;C) FL#
O METAL FL#
Q MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
O INSULATED FL#
Q TILE FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
Q METAL FL#
Q MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
Q INSULATED FL#
Q TILE FL#
Q 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)
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), certify' co a plian b ersonal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: l
I I Ud —, -?C/747 <;it-
Licensed & Insured
H ®® °° * First in Quality
First in Service
ATLANTIC First in Satisfaction
fiRoong & Construction «x 800-411-0920
LIC # CCC1330939 Ad) 6767 Hoffner Avenue
Orlando, Florida 32822
LIC # CRC1331435 3`6 i 3 a l _ 414
Ins. Co, L'V I i
Tel.# _ 8 77-)--5- c5?' I - Yt? 6 Z-
Claim #
Ad'. Namey E l W Tel. # —
30 _ 1f 87 7-3 kt
C W fi5 F- QS eCu rr 4 46prt Po
cU.# S FT H t v -a/-0000 PROPOSAL
SUBMITTED TO STREET
10 1 190 JOB # CITY,
STATE, ZIP -SA^ 4-- SUBDIVISION HOME
PHONE Cho% 7' %3 BUSINESS PHONE DATE
q" a — ` 7 SPECIFICATIONS
FOR LA13OR AND MATERIAL Te
Off Shingles: _ Layersro sionallyInstall: Brand I /`''t Type "I- grColor ew
Valleys Ft. ns
II: 0 30 lb. Felt 0 Peel & Stick O Synthetic Undedayment Reseal,
sidewalls, counter and wall flashings Re -Use Drip Edge ; Zc)rip Edge 2'
34' or Plumbing Vents G renail
ooseNecks
Off
Ridge Vents Ridge Vents Color jo-- Plywood Sheathing
to Code 0 Sk
ght 2 x 2 4x4 PI od
replaced at $60 - per sheet (if needed) lean -up
and haul off all job related trash roll yard with magnetic roller CYProtect yard and shrubs Atlantic Roofing
is not responsible for pre-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 damage& This proposal will be VOID duty if claim is disallowed by insurance company. Property owner's out-of-pocket expense is not to emi -W 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.
SY 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 incp rated herein and made a part hereof by reference, to include customary profit and overhead when muttiple trade incurred
S Payment upo ompletion of each trade t Authorized Signatur
Must be
approved by company owner. No other work sed or implied verbally. All changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be wiihdra us If not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above PAM, specifications and conditions are satisfactory and are hereby accepted, You amauthorizedto do the work as specified
Date 7 ` ?-/ Z Payment will bemadeasoutlineaboveX
6/6/2017 SC PA Parcel View:32-19-31-515-0000-1020
Pro perty-Record Gard
saa'JS
Parcel: 32-19-31-515-0000-1020
Owner: MATOS EMILIA
n3rx.r cc asvetr p xaaa
Property Address: 109 ROCKWOOD WAY SANFORD, FL. 32771
Parcel Information
Parcel 32 19 31 515 0000-1020
Owner MATOS EMILIA
Property Address 109 ROCKWOOD WAY SANFORD FL 32771
Mailing 109 ROCKWOOD WAY SANFORD FL 32771
Subdivision Name CELERY LAKES PHASE 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00 HOMESTEAD(2014) J
Value Summary
2017 Working 2016 Certified
Values Values E
Valuation Method Cost/Market Cost/Market
Number of Buildings 1
Depreciated Bldg Value 133,622 116,076
Depreciated EXFTVaIue 951 1,001
Land Value (Market) 30,000 23,000 E €
Land Value Ag
Just,Warket Value 164,573 140 077 i
PortabilityAdj
Save Our Homes Adj 37 924 16 033
I Amendment 1 Adj E
0P&G Adl 0....
Assessed Value 126 649 124 044
Tax Amount without SOH: $1,995.00
2016 Tax Bill Amount $1,673.00
Tax Estimator
Save Our Homes Savings: $322.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 102
CELERY LAKES PHASE 1
I PB 62 PGS 75 & 76
h Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 126,649 50 000 76,649
i Schools 126649 25000 101,649
i City Sanford 126 649 50,000 76 649
SJWM(Saint Johns Water Management) 126 649 50,000 76 649
County Bonds 126 649 50 000 76 649
Sales
Description Date Book Page Amount Qualified Vac/Imp
1
QUIT CLAIM DEED 2/1I2013 07972 1154 100 No Improved
CORRECTIVE DEED 2/1/2013 08061 0683 100 No Improved
WARRANTYDEED
f........................................
8/1/2005 05881 0550 265,000 Yes Improved
SPECIAL WARRANTY DEED 2/1/2005
Y ........... .......
05638 1357 157,000
e ........... ............
Yes Improved
Find Comparable Sales
Land
1 .....
Method Frontage Depth Units Units Price Land Value
LOT 1 30,000.00 30,000
Building Information
Is Bed/Bath count incorrect? Click Here
Description I Year Built Fixtures
E
Bed I Bath Base
I
Area Total SF Living SF
f
Ext Wall Adj Value Repl Value Appendages
f
hftp://parceldetaii.scpaf .org/Parcel Detai I lnfo.aspx?PID=32193151500001020 1/2
6/612017 SCPA Parcel View: 32-19-31-515-0000-1020
Actual/Effective
1 a)NGLE 2005 9 3 25 1,120 2,680 2,215 CB/STUCCO 133,622 139,918 Description Area
i"FAMILY I i FINISH
UPPER
STORY 1095.00
FINISHED
OPEN
PORCH 24.00
FINISHED
GARAGE
441.00
i. . . .... ..
i FINISHED
Permits
Permit# Descnption Agency
I ..................................
Amount CO Date i Permit Date
03151 ADDITION - RESIDENTIAL
1.1.11'.., .....................
SANFORD 5,200 8/29/2006
02344 NEW -RESIDENTIAL SANFORD 97,752 2/15/2005 4/26/2004
Extra Features
f Description Year Built Units Value New Cost
I ............... .. ... ......... .......
SCREEN PATIO 1 1/1/2006 1 951 i4 566
11.11 .......... .
http://parceldetail.scpafl.org/Parce]Detaillnfo.aspx?P]D=32193151500001020 2/2
x.
u
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT##: 19 — I & " U ADDRESS:
I ti w(m e C-rx 5 K eG 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER RCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING 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 #: CCC 133053
COMPANY / CONTRACTOR: Andztjik, &"r, -/
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
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
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.
0"
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this
14,
day of -I'ULA a 20 l % by:
tt #1 L Who is 14 ersonally Known to me or has Produced (type of
i ntifi 'on) as identification.
Signature of Nota6 Public
State of Florida LISAM: q^"" COOPER
MY COMMISSION # FF 093745
P EXPIRES: February 18, 2018
f of°•' Bonded Thru Notary Public UnderwritersPrint/Type/ tamp Aame
of Notary Public