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109 Mayfield Dr 17-1566; ROOFCITY OF SANF®F MAY 3 U 20V I BUILDING & FIRE PREVENTic PERMIT APPLICATI( BY: iDocumentedconstructionValue: S ---! Historic District: Yes LNJ Job Address:Iv ' I A'I ' r Parcel ID: —) -'31 " 51 " 0 3 _ Residential 11 Commercial Re air Demo Change of Use Move Type ® f Work: New L ? Additi©n Alteration P ' b Description of `'York: Plan Review Contact Person- I I IL4 Phone: - 7 / "y / J' Fax: T' itleAP S ly eA 4 Email: r`^,iync•Ca/v7 Property Owner Information 1171 361( ArPhone: CI )-C IName SI M /', y / d ny Resident of property`' Street: city, State Zip: .l I rl 7 y r Contractor Information Name ITI ( 01+t}' J U 4 Phone: Street: f n 7D 7 NUi-' a Pax: City, State Zip: D 1 i 1 1 a I P. *32 ZZ State License No.: CCC 133d i 31 Architect[Engineer Information Phone: Name: Street: City, St, Zip: Bonding Company: Address: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYYNG TWICE ' FOR IMPROVEMENT TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT Mt RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION - IF YOU INTEND TO C FLN..NCLNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT) COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or install; corntnenced prior to the issuance of a permit and that ail work will be perfor ed to meet standards of all laws re ulgns, con in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, well 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 C Permit Application Re ised: Jrse 30, 2015 bq ,a5 h the _e,-1 , of this perm ` there may be additional r*St-ictions appLcable to his property that may tICE: In 2QdalOn t0 reCll'en' r n'_ _ h r c m 1 found in he public records of this scurry, and there may be additional permits reci.=.:ed f:07_ of _e. overnmenta, entities s.ch as wat management districts, sate agencies, or federal agencies. ACCeDtanCe OS permit 1S VeP.flCattOP. that? wlll nOtlty tl:e Owner OI the property o. the reaui=em_ Ls of l-lOrid2 mien T aV, FS 713• ed contract is reqyof The City of Sanford reau res pays ert of plan rej': w considered the fee ai the tirnCes mated constn:ction value of the jcb at het me of submits in order to calculate a plan. revi.w c.. e andwill Tab;e .n effect at the time the permit is issued, Theactualconsactionvaluewillbeftgtredbasedonthecurrent ?CC Va:aat;on accordancewithlocalardinarce. Should calculated charges fig:red o:T the executed contract exceed he actual const'uction val credit will be applied to your pe=- -t fees when the permit is issued. OWNER' S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work a be done in compliance with all applicable laws regulating constru_ coon a-'nd zoning. Si*: an:re of Co.^.trzcror/A e.^.t Date S graide of owner/Ag nt Date P int Owner/Agent's Name Sipatiiree of Notary -State of Florida Date Owner/ Agent is Personally Known to Me or Produced ID Type of ID Z ta S&- tl Dare ANNETTE BLAND Notary Public - State of Florida Commission # F 60 OW23 My Comm. Expires Jan 16, 16 1)= rCnr 5;11V1P to Me C Produced ID Type DEL®' IS `® IZ OFFICE USE ONLY Permits IZeetuired: Building Electrical Mechanical Plumbing[]Gas Roof 7 Occupancy Use: Flood Zane: Construction Type: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: CONLn' IENTS: T of Stories plumbing - # of Fixtures of Heads — Fire Alarm Permit: Yes No !.! UTILITIES: FIRE: WASTE WATER: BU?LDTNf G: Pcr rit Application. Revised: Jane 30, 20l 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 vit provided by a Florida Design Professional (architect or engineer), cer in C co mplia a pe nal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DOWNER/BUILDER)^ DPERMIT # y , City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: IV I / 1a Id DV Sa i&J jEI' 32 77 I STRUCTURE TYPE: INGLE 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 INSTAALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): I f'J PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"" ROOF VENTILATION: XFF-RIDGE Q RIDGE OSOFFIT QPOWERED VENT QTURBINES SKYLIGHTS: O YES 40 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 SHINGLE FL# 95 .16 - P 1 I O METAL FL# O MODIFIED BITUMEN FL# Q 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 Q 2:12 - 4:12 . O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# 0 TILE FL# 0 OTHER: FL# 1 THIS I:NSTRUM NT PREPjrED,,BY: I " Nameb Address: CvYIG k)Ab, znzl NOTICE OF COMMENCEMENT Permit Number: { / — Parcel ID Number:S2c 111 '161—S1G-bd00`U030 GWIT 11) LOY'f SE111HOLE: COMITY OF CI: r;CUI:T COURT-OrIE'TIROLLER BK 89') 2 1`19 76", CLERK'S 4 2017052974 RECOh:L'/ Eli Ij"f;,Cl/'7iitr fl9"fl:rs+4 i11`( C:I:. 00i;:01I`IG FEE' 1>].ii,Clii RECORDED i} Y tstfl GI1 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 property and street address if available) LL04- V3C'e I ear 1a1 5 Ryiase Z PB & 5 P -75 29 ,i D 9 M C )A Dr,.t fir/-/ u-7 2. GENERAL DESCRIPTION OF IMPROVEMENT: VP,J/a6 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: I I. . , h _ , , . . /t A . — . , _ Name and address: Interest in property: Fee Simple Title Holder (if other than owner listed above) N 4. CONTRACTOR: Name: l f l Address: ! /O / I 1 SL U Phone Number: g67--7q 7r yq5 -7 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: S. LENDER: Name: Phone Number: Address: Amount of Bond: 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. _ . Address: 8. In addition, Owner designates Phone Number: 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 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. a Uyolo-VJ15C 16([ na ure of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)A,uthoriZed Officer/Oireaor/ Partner/Manager) State of 1" I a County of LY 1 iy The fore 9oing instrument was acknowledged before me this day of I l 20 i J.r a_ 1 ' nIl by name or person maxing statement who has produced identification type of identification produced GRACIELA GAGNE MY COMMISSION # FF985949 w EXPIRES April 25, 2020 407) 398.0153 FIorICeNote rviw. 00m R, Who i ersonally known to me 0 a I (Q --7 I I 1 j . Nota ign 4. E e l o-T 14 0 D LIC # CCC1330939 LIC # CRC1331435 PROPOSAL SUBMITTED TO STREET 16 CITY, STATE, ZIP 54 "COY' Ins. Co. S Licensed &Insured I . First in Quality Tel* First in Service First in Satisfaction Claim # 0 1 q_7 2 800-411-0920 Adj. Name 6767 Hoffner Avenue Tel. # C T b 1 J UDR I a" l Orlando, Florida 32922 Fax # 1 o iG V 67 4IJ D` 01-WA01,' . DATE +7 JOB # SUBDIVISION HOME PHONE 40) —7 - y BUSINESS PHONE SPECIFICATIONS FOR LA13OR AND MATERIAL x4ofessionally ar Off Shingles: Layers j ; tnstait: Brand n Type & \ GC`)0. Color "isk-`G 0.0 Clew Valleys Ft. T Zeseal, tall: 30 lb. Felt Peel & Stick C 3'Synthetic Undedayment Q/ sidewalls, counter and wall fiashings Re -Use Drip Edge © Drip Edge 0 C 2"New 1-1/2' 2' 3' 4' or Plumbing Vents venblation:. Goose Necks Off Ridge Vents Ridge Vents Color . c .—. Renail Plywood Sheathing to Code Skyrrght 2 x 2 4 x 4 L9pl `'''ood replaced at $60 - per sheet (if neeNoll bean -up and haul off all job related trash yard with magnetic roller a otect rd and shrubs 1 S l)raAA C C C6V e-V_ 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 P CO? MNGENT This proposal is contingent upon the Insurance company paying for damages. This proposal wM be VOID only if Bairn 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 prim 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 WORKSHEE r WHIM RECEIVED. We propose to hereby famish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company loss scope sheet r wfr is inkrp rated herein and made a pars hereof by reference, to include customary profit and overhead when multiple I rade incurred $ : o & 2(1J Payrr upo mpietion of each de.. t *- J Authored Signature r Must be approved by company owner. No other Irkxpressed or impped verbally. Au changes to be'm wrifmg and accepted before commencement of changes. NOTE: This proposal may be withd if not accepted within 30 days. ACCEPTANCE OF PROPOSAL- the abo p spe ' cations a nditions ar and re hereby accepted. You are authorized to do the work as specified / Date Paymentwillbemadeasoutl7neaboveX 5/23/2017 SCPA Parcel View: 32-19-31-516-0000-0630 Property Record Card Aotattt+n`Flt Parcel: 32-19-31-516-0000-0630 Owner: BELL YOLANDA s rr..rcx v'iv'rir rt» Property Address: 109 MAYFIELD DR SANFORD, FL 32771 Value Summary i 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market p° Number of Buildings 1 1 Depreciated Bldg Value 100,082 89,696 Depreciated EXFTValue I 350 363 Land Value (Market) 30,000 23,000 Land Value Ag i.._.... Just/MarketValue 130432 113,059 Portability Adj Save Our Homes Adj 52 105 36 343 Amendment 1 Adj P&G Adj ..... 0 0 Assessed Value 78 327. 76 716 Tax Amount without SOH: $1,453.00 2016 Tax Bili Amount $124,00 Tax Estimator Save Our Homes Savings: $729.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 63 CELERY LAKES PHASE 2 PB 65 PGS 29 & 30 Taxes Taxing Authority Assessment ValueExemptValues Taxable Value County General Fund 78,327 I 50 000 ; 28,327 Schools 78,327 25 000 j 53 327 City Sanford j._ 78 327 i mm ... 50 000 " 28,327 SJWM(Samt Johns Water Management) 78 327 50 000 28,327 I County Bonds 78,327 , 50 000 - 28,327 Sales ii _..... ................. .......... .......... Description i : Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 11/1/2008 07112 0453 d 129 900 No Improved CERTIFICATE OF TITLE 4/1/2008 06967 0144 100 No I Improved QUITCLAIM DEED 6/1/2007 06748 1193 100 No Improved SPECIAL WARRANTY DEED 8/1/2005 05894 0733 153,000 Yes Improved Find c,mparable Sales Land Method Frontage Depth — Units Units Price Land Value LOT 1 30,000.00 30,000 Building Information Is Bed/Bath count incorrect? Click Here, Bed Bath TBase Area Total SF Living SFDescriptioniYearBuiltFixtures Ext Wall ( Adj Value I Repl Value Appendages http://parceidetail.scpafl.org/Parcel Detai I info.aspx?PID=32193151600000630 1/2 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ( l S— (J ADDRESS: jt R.A n CP I ( R C--- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, AICHITECT, 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 #: Ci4!!r-6 13 3 0139 COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER Olt 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 J' T Sworn to and Subscribed before me this - day of ( 20 ` 7by: Who is $Personally Known to me or has Produced (type of dent' cat' n) as identification. c Signature of Notary P lic Sta e of Florida iMY °y USA M. COOPER MY COMMISSION A FF 093745 Print/Type/Stamp N me = a,= EXPIRES:, of Notary Public February 18, 2018 T of Sod ' Bonded T Notary PublicUndenvrders