2504 Poinsetta Ave 17-1251; ROOFEI CITY OF SANFORD
BUILDING & FIRE PREVENTION
MAY U 2 2017 PERMIT APPLICATION
BY: Application No: —
Documented Construction Value: $ % L/) q
Job Address: S'D % ioY s G y
r Historic District: Yes No
Parcel ID: Residential X Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
I, )
Description of Work: X6a1- -
Plan Review Contact Person: /1,,g Co6N 1 11ktf-A Title: v1 - peg-5
Phone: 0 %- t Fax: Email:,411N,4-rJ,&v L4 ,C'R, C0'-',7
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Name ZC- U
Street:.4<J41
1 City, State Zip:
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Street .
City, Sl'
m ..wl: r0
Name:
Street:
City, St, Zip:
Bonding Company: 1/11
Address:
Property Owner Information
Phone: .3a 3 _ d'Z sl_4
Resident of property? : Lfib'
IV
Information
Phone:
Fax:
State License No.:
ngineer 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 tC(-___JS
NOTICE: In addition to the requirements of this permit, there may 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 aswater
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
17SinaturofContractor/
Agent
Date
Print Co actor/Agent's Name
Signature of Notar,-State of Florida Date
i
ANNETTE BLAND
Notdry PbAfk • $ibte'pf Florida
Whatissloti li GG 060a
g it Polk - Sta<4i 00lOr1da
Commisebn.#r G6 00W3
BELOW IS FOR OFFICE L,comm. Expires Jan tt;, 2018
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
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Revised: June 30, 2015 Permit Application
ALLVAU, RGORUG WC,
CCC1326115
1215 WMU 57, SAUFORD, FL32"3
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ROOF PROPSAL
lob Addre%,-
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we pralMe to do the forrawfow- ,
r,58r 6ff llfd roof'wrg; down to the dftkftT& re-00 Itre deck joer may if needed, Haut &W&V all dgbrf§, j"qafl ndw ro6fI
wateirlao corKfStfng of, tfte farfowtfTg; -
SVIE
OTHER
Ir
The VOted, Price doe§ not fndctd;e I 6-ad wood found, tK wftg be repil 6,it fgrto4vCethew
fOO, ------ 17—ANY OTK69 rM OF per foot
Rve Year warkasasftip to be;;Urred bar the dating frc, wig, Mt be re§pofvg-bfe
for, any damage darte to drgvew&y§ "Oue t® 8aV Mwerr-6 made to ft J60,
Wea 6gve s a g a wf f# be UPon weften order, a become an ekte-,* c6q,
PAYMN'T UPON Comparfou OF -r"E fog" (86Y 05-t W Off9a MAeV Owed Wiff be the aWner§
f4l 41 A
m8er4f f§ f*V§,§pedfked and, the Work done area wofkM8n!;Wp m;*ftaeo.,
suifMo a, Y, Of 60t accepted withf(?tZL_ daV§ thj§ po,,gp6§gj mgv
ACCOT, Aua or
v
Prooe Record Card
Parcel:
do
06-20-31-502-0300-0180
Owner: ALLMAN ZELLA G
Property Address: 2504 POINSETTA AVE SANFORD, FL 32773-5244
Parcel Information I FVal., Summary
Parcel 06-20-31-502-0300-0180
Owner ALLMAN ZELLA G
Property Address 2504 POINSETTA AVE SANFORD, FL 32773-5244
Mailing 2504 POINSETTA AVE SANFORD, FL 32773-5244
Subdivision Name PALM TERRACE
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1994)
Jto
i
11 .
C3
4 19
i
20
13.0 j
Seminole County GIS
Legal Description
LOTS 18 19 + 20 BLK 3
PALM TERRACE
PB4PG82
Taxes
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market j Cost/Market
Number of Buildings 1 1 1
Depreciated Bldg Value 63,180 61,562
Depreciated EXFT Value 1,668 1.751
Land Value (Market) 29,925 I $25,650
Land Value Ag
Just/Market Value^*` 94,773
Portability Adj 1
Save Our Homes Adj 8,409 4,375
TMAmendment 1 Adj
0P&G Adj 0
Assessed Value 86,364 84,588
Tax Amount without SOH: $960.00
2016 Tax Bill Amount $872.00
Tax Estimator
Save Our Homes Savings: $88.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford i $86,364 50,500 35,864
SJWM(Saint Johns Water Management) _ + _ _ $86,364
County General Fund $86,364
j _ $50,500 35,864
j $50,500 35,864
Schools $86,364
County Bonds $86,364
25,500
1 $50,500
60,864
35,864
Sales
Description Date Book Page Amount Qualified Vac/Imp
No Sales
Flnd4Compardble'Sales 1
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH i 150.001 130.001 1 $210.00 C $29,925
Building Information
Bed/Bath count incorrect? Click Here.
Description
Year Built
Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective
1 SINGLE j 1957 6 ( 3 2.0 I 1,876 ; 2,592 1,876 ( CONC $63,180 $109,878
Description Area
i FAMILY ! BLOCK
600.00
i {
City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left oror indicate n/a on this submittal. A complete application package shall include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Cf Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Ak Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
791A For Re -Roof Permits other than asphalt shingle, wood shake or wood shingle, please provide two (2)
copies of Florida Product Approval and Manufacturer Installation Instructions for the roof covering
product and the underlayment.
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised: February 2015
D 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 FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: l
PERMIT # I J
F D
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: (YSINGLE FAMILY RESIDENCE/TOWNHOUSE 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): S A,"_A q
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE DECK IS PERMITTED TO BE REPLACED'"
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (2)'NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 :12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE jivl. I` FL#
O METAL 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: LESS THAN 2:12 Q 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
MODIFIED BITUMEN r FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
101111 gulf[ HE# 110[R folly 11NIN if if Igni
THIS INST \UMENT R PARED B GRANT 11ALOY r SEMINOLE COUNTY
i CLERK OF C:):RCIlI7 COURT t\ GOt'iF''ttiOi.LEf Name: ` . ,o '1
Address • BK iTI_I1r P3 v%7i (1F'9s) L / /• „
S a 2017042922
o/.a CLERk.
RECORDED i 5/02/2017 11 : tt 1; .ii`)
RECORDING FEES $10-00
NOTICE OF COMMENCEMENT RECORDED 13Y tsalich
Permit Number.
Parcel ID Number:
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.
RIPTION OF PRQPERTY: (Legal desg0tion of the property and street address if available)
2. GEN DE CRIPT N OF IMPROVEMENT:
r
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: l=l/ A/Jm R
interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address: •
7 2
4. CONTRACTOR: Name"In Phone Number:9/
Address/ 2/5 t Z
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
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 may be served as provided by Section
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:
S. 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.
Z•elJ4. fi;lJm ,n
Sig ature of Lessee. or Owners or Lessee's (Print Name and Provide Signatory s TiVe/Offire)
uthonzed Offi I ireaor/Panner/Manager)
State of cd (-> County of ,C,J-?S^ 4= • "pp
y,
The foregoing instrument (was acknowledged before me this day of // 20 1-7
by ze 4 6 ,f j % 1h f}N Who is personally kno n to me OR
Name of person making statement
Who has produced identification 0 type of identification produced:
GRP CvoT s
t
t''
f e,R (1 G1i t 1
Z05g£l # uolsslwuto3 Votary Signature `Q \' (1: Cjh OE ry coa" -
n satidx3 'wtuoo AW `- () C,OM i( F.
stoz'zl I r uN c:t; a!'
to o aleiS • 3110C AreloN • r: 5cpii
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D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
r '
PERMIT #: /rf 0,00p) ,2 ate` ADDRESS: oZ L—
I / t // iJ/ <% Z /I Lf/!1i!/ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, 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 #: GCS ` '5,L 0 (/ 5-
COMPANY/ CONTRACTOR: ( .
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE H D R 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.
STATE OF FLORIDA COUNTY OF Se m "'J o 1 e
Sworn to and Subscribed before me this —IS day of NIA -t 20 %l by:
A*, S w e 14a Ak1 M.An . Who is Urf—ersonally Known to me or has 0 Produced (type of
identification)
YV
Sign ure of Notary Public
State of Florida
Printfrype/Stamp Name
of Notary Public
as identification.
Py PU Notary Public State of Florida
Tricia B Frazer .
v My Commission 0'1A0103
n,OF0-04P Expires 02I2712019