122 Mayfield Dr 17-1052; RoofJob Addre
Parcel ID:
Type of Work:
Description of Work:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
Application No:
FECEIVE
APR 17 2017
1 I
Documented Construction Value: $ 1 t
PERMIT APPLICATION
17- / o 3-,,,
Historic District: Yes No X1
Residential [ Commercial
Alteration 9, Repair Demo Change of Use Move
r
Plan Review Contact Person: L Title: 1,(
Phone:3E Q,31 . Fax: Email:'Locba
1 n' C'-
Property Owner Information
Name Ja lIUI ,I II I>° Phone:
Street: a@ t rlyA.Pjo"
f-
C)r" Resident of property? _
City, State Zip:,
Contractor Information
Name I Phone: _c CLt•
Street: Iq Fax: (940, 3U3
00/1
City, State Zip: l ffAl State License No.:1. C1c Y"t Q,
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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: 5" 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.
Signature of Owner/Agent Date Signature fC.ntractor/Agent `" Date
GI' !/ IIIA YV
Print Owner/Agent's Name Pr t Contractor/Agent's Name
Signature of [votary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Si,-*thre of Notary-!f kte of FTrida
LN DSAY DUCKHAM
Commission k FF 172210
My Commission Expires
s'c
October 28, 2018
Contractor/Agent is Personally Known to Me or
Produced ID Tvne 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I
I ------------------ ----- - ---------------------- -- - - - --------- - ----- 1.1-1-1 .. ............. "..1.1 ..... .. . ....... . ........ -----------------------------
6
Parcel: 32-19-31-516-0000-0720
Property Record Card
Owner: GADDY JACQUELINE L
Property Address: 122 MAYFIELD DR SANFORD, FL 32771-6822
Parcel Information
Parcel 32-19-31-516-0000-0720
Owner GADDY JACQUELINE L
Property Address 122 MAYFIELD DR SANFORD, FL 32771-6822
Mailing 122 MAYFIELD DR SANFORD, FL 32771-6822
Subdivision Name CELERY LAKES PHASE 2
1
Tax District S'l-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2011)
Value Summary
2017 Working 1 2016 Certified
Values Values
Valuation Method Cost/Market CostlMarket
Number of Buildings 1 1
Depreciated Bldg Value $110,114 105,309
Depreciated EXFT Value $350 363
Land Value (Market) $30,000 23,000
Land Value Ag
JustlMarket Value $140,464 128,672
Portability Adj
Save Our Homes Adj $47,224 37,350
Amendment 1 Adj
P&G Adj $0 0
Assessed Value $93,240 91,322
Tax Amount without SOH: $1,766.00
2016 Tax Bill Amount $1,017.00
Tax Estimator
Save Our Homes Savings: $749.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
I.- ............... 1 1....._1....
Legal Description
LOT 72
CELERY LAKES PHASE 2
PB 65 PGS 29 & 30
Taxes
z
Taxing Authority Assessment Value Exempt Values Taxable Value
SJWM(Saint Johns Water Management) 93,240 50,000 43,240
1.111.1.1-1 ............... . .
City Sanford 93,240 50,000 43,240
County General Fund 93,240 50000 43,240
County Bonds 93,240
111.1 ..........
50,000 i 43,240
Schools 93,240 25,000 68,240
Sales
Description Book Amount Qualified Vac/Imp
WARRANTY DEED 6/1/2010 07407 0617 118,800 Yes improved
QUITCLAIM DEED 3/1/2010 07350 0588 100 No Improved
SPE CIAL WARRANTY DEED 8/1/2009 07258 I .. ...... .. ....... ... 1878 vu118800 No
40
improved
CERTIFICATE OF TITLE 5/1/2009 07192 0496 No Improved
SPECIAL WARRANTY DEED 1 7/1/2005 05845 i 1882 174,600 i Yes Improved
r---
I Find Comparable Sales
Land
IMethod Frontage Depth Units Units Price Land Value
I-- . . .........
LOT 30,000.00 30,000
I Building Information
1"" - ...... ................... , - - ..........
1410 Emerson Street, Leesburg, FL 34748
Phone: 352-314-3625 • Toll Free: 855-314-3625 o Fax: 352-240-3439 • www.covenantrnc.com
State Roofing License: CCC1329936 • License: CGC037504
SALES CONTRACT
Covenant Roofing & Construction, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Name (,A Phone V6" Phone (w)
Address /Z_2 D!' Date % =4
City State C
Zip
Email
In accordance with specifications given below:
REROOF:
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE. "$)(
Initial),r
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE ANY ROTTED WOO WITH STA D D SHEATHING @ $ PER FOOT AND $ PER SHEET OF PLYWOOD, IF ANY+ p
5. INSTALL FHA/VA EAVES DRIB COLOR r
UNDERLAYMENT 0 ER ENTIRE ROOF
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY..
7. INSTALL N W LE D 300 OVER VENT PIPES AND RESEAL VENTS. r
8. INSTALL IBERGLASS SHINGLES. COLOR C
9. INSTALL FEET OF RIDGE VENT WVf COLOR
10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB Si E CLEAN.
CONYA R WILLCSET NATE VAL AND RrSL ALLATIO F OF RXTERIPHE f i' L UCH AS (B T LIMITED T OLAR UNITS, S LIGHTS ISH
AND DITION C. RE VE AND REINEXISTING FIT AN$4.25P FOOTINADD N TO CONT PRICE, IF R ED. T ST FOR SUCWILL
B DDITIO ONTRACTAND HER PPROVMEOW R. Initial) 12, ALL
WORK COVERED BY A 5 YEAR WORKMANSHIP WARRANTY. 1. Contract
Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments hereunder are
to be financed, all financing documents. No promises other than those specifically set forth in the contract documents shall
be recognized by either party. The entire understanding and agreement of the parties is contained in the contract documents.
2. It
is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly approved, accepted,
signed and witnessed by an officer or officers of the Seller. 3. Work
on the job described in the c r t ents will commence on approximately and be completed on
approximately _. The recited dates are approximations and are subject to scheduling difficulties of
Seller, labor and'or material s ortages, acts of God and other events not foreseen by Seller. Seller reserves the right
to employ any sub -contractor for the completion of the work described in the contract documents. 4. Covenant
Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required materials such
as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other changes required
by New Jurisdictional Code Enforcement Laws may result in additional charges. 5. Interest
at the rate of eighteen (18%) per cent per annum will be charged on all balances not paid as per the terms specified above. Reasonable
attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an attorney for
collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay. 6. Parties
agree that this agreement shall be construed according to the laws of the State of Florida and any action brought thereon may
be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida. 7. BUYERS
RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel this agreement
by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you do not
want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this
agreement. 8. Both
worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be performed. 9.
It
is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction, Inc., for any damages that may occur to
the buyer's driveways) during delivery of materials and/or removal of the work related debris that may be required to perform
this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and typical waste
removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract. 10. Contractor
will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, skylights, TV dishes
and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner. 11. Covenant
Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines or other
mechanical components that have been improperly installed near roof decking and may be damaged while performing installation of
roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to roof decking
that may have old materials adhered in such a way that requires redecking of structure. 12. Construction
Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed under contract,
where the loss results from specified violations of Florida law by a state -licensed contractor. For information about
the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the following telephone
number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904) 727-6530.
13. Chapter
558, Florida Statutes contains important requirements you must follow before you may bring any legal action for
an alleged construction defect in your home. Sixty days before you bring any legal action, you must deliver to
the other party to this contract a written notice referring to chapter 558 of any alleged construction defects and to
consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept any offer
which may be made. There are strict deadlines under this Florida Law which must be met and followed to protect your
interests. Contract Price $ _
1_iS__V_ e__1 ®V__ Homeowner Portion $
rem, Plus Total
from Item No. 3 above) UPON COMPLETION
Executed in
triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this - o?
2 day of , 20_12 Approved and
Accepted: NOTICE TO
OWNER a. Do
not sign this home improvement contract in blank. b. You
are entitled to a copy of the contract at the time you sign. Keep ' to pro ct your rights. Seal) (X) (
Seal) Dealer -Seller) (
Purc er Sign Here) BY Title)
LESMAN
X)
Seal)
Purchaser Sign
Here) FORD PRESS,
INC. 352-787-4650 (mike)
i;Rtahf i I°h=it_Ci r I I°IJ:I'aCiL Ci)i_ll.l i,,
t:a.£::ft6,. OF t_ 3 E:C(1I T COURT & CONIF T ROLLE'R
After recording, return to:
1 _
CLERK'S A 2i 17C1374•61
Covenant Rooring & Construction, Inc. e75GD V l r•. to 1 R[-D1:1lRD 1* N
t_t r r' :i. U I J. r I_I: •a`i !' i i
F,:,_:cl r:c Ir t FEES
I`>
LfJr.l:lfl
14 10 Emerson St. Leesburg, FL 34748 I1:i,;O('I;O B'1' Ji'::I:ai'11"1)
Permit No.: Notice of Commencement
Tax Folio No.: /' - 3 - 5 - 0b - 07 a a State of Florida 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 the Property: (legal description of the property and street address if available) Legal
Description: Z-o7 % a LI d e-r t/ & )O?\ / G C.•. &,s Street
Address: 3 2.
General Description of Improveme t Reroof
3.
Owner's Information or Lessee information if the lessee contracted for the improvement: Name:
e, Address: -
7-7 Interest
in Property: of-Reer Name &
Address of fee simple titleholder (if different than ovmer): 4.
Contractor Information Name:
Covenant Roofing & Construction, Inc. Address:
1410 Emerson St. Leesburg, FL 34748 5.
Surety (if applicable, a copy of the payment bond must be attached): Name:
Address:
6.
Lender Information: Name:
Address:
Phone
No.: 352-314-3625 Phone
No.: Amount
of Bond: S Phone
No.: 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.
13(1)(a)7., Florida Statutes: Name:
Address:
Phone
No.: 8.
In addition to himself or herself, Owner designates of to
receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.: 9.
Expiration date of notice of Commencement (the expiration date will be 1 year from the date of recording unless different date is specified). v
10
a
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 YOUR LENDER OR AN ATTORNEY BEFORE COMMEN ING WORK OR CORDING YOUR NOTICE OF COMMENCEMENT. Ignatur
f owner or Lesse_, or O:vner's or Lessee's Authorized OfficedDirectoNPanner/6tanager Q
Sri — Signatory'
s Title/Office The
foregoing instrument was acknowledged before me this '% day of 20L;7 , by_Me,,,s for
who Type
of authority (i.e. officer, trustee, attorney in fact) + Name of party on behalf of whom instrument was executed is
personally known or produced 0 e<-- as type of identification. ya1F
rv, t,'
r'
q i It"; "' Ci,l H. Runt O
Y',
a.ef? ^!F!'>;rn, !'t 11 S•'3 ioi% Signature f lary Pub c—State of Florida (print. type or stamp commissioned name of Notary Public) PiX ." jaw%
d`r. ri.rl iv;;fMARY,COM Astatula,
Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake, Notice
of Commencement— BF29 (Updated 05!1312013) Lake County, Leesburg, Mascolte, Minneola, Montverde, Mount Dora, Tavares, Umatilla t—
O
CV
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: ®SINGLE 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)
11
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: OA'L Y 100 SQUARE FEET OF H ISTING DECK IS PERAIITTED TO BE REPLACED**
ROOF VENTILATION: DOFF -RIDGE 41 RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ®NO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# ,
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#,
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
0INSULATED FL#
O TILE FL#
0 OTHER: FL#
SD
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:
y'E X
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: _ l ADDRESS: ly ,6 7
I ) `
C i 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRA TOR, ENGINEER, A CHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING
NFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE
REFERENCED ADDRESS HAVE BEEN INSTALLED N 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 #:
COMPANY
CONTRACT
MUST
BE CAI
G CONTRACTOR:
10ifoa-4 _&x)4o0j OR
SIGNATURE: DATE: SIGNED
BY LICENSE HOLDER O VNE ER) 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, UNDERLAY
MENT, 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 La :e Sworn
to and Subscribed before me this day of 20 Uy: GWho
isPersonally Known to me or has D Produced (type of id itification)
as identification. Sig a
ure of Not y Public ";':', LINDSAY DUCKHAM S to
of Florida - Commissilon a FF 172210 My Commission
Expires o ia,
o°;;•` OCtobet 28, 2018 Print/Type/
Stamp Name of Notary
Public