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218 Odham Dr; 17-2157; ROOFi2c% l`, 1#° CITY OF SANFORD JUL 1 ZU17 BUILDING & FIRE PREVENTION b PERMIT APPLICATION w ri : LBY Application No: Documented Construction Value: $ j j Job Address: 2-18; rJdhcvym 0r. t l• 32773 Historic District: Yes No D' Parcel ID: Residential 2 Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: lk-rzo-ic Plan Review Contact Person: -r Title: Phone: C407)3,66-6QQn Fax: CLI07)366-60j65- Email: G.w a-y11 iSnh2ri aecr ca. Property Owner Information Name Phone: (907)701—_5 32 Street: 219 Q hC'J8C' ()f . Resident of property? : nL-_'A rf` City, State Zip: 5c,n-PoGr A R. 3Z773 Contractor Information Name Heritage Construction & Roofing Phone Street: 1544 Seminola Blvd. Suite 136 407)366-6000 Fax: (407)366-6065 City, State Zip: Casselberry, FL 32707 State License No.: CCC132650 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 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: 5th 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. MONEVEM.Aw S gnat;,eof`OvCm /Age t Date Print Owner/A s gnature ofN o on a Date SPk' P Not ublic State of Florida Lesley G Garza My Commission GG 009517 Expires07/07/2020 Owner/Agee is ersonal y nown to e or Produced ID X Type of IDDL&-YLFS{63Z'-17,(0-0 Permits Required: Construction Type: Total Sq Ft of Bldg: AA -A — Si Vatu, of Contractor/Agent Dat T we 0 It-5PrintContractoAgeame kO`f P`aG Notary Public State of Florida Les! GGarza C. gv," oa My Commission GG 009517 oF ce' Expires 07/07/2020 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Building Electrical Mechanical Plumbing Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Date to Me or Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: COrV'917- C"nri RCX-)-F N Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 2-195 Q6t-iry,, 0r Soyn- boC F1• 32773 Street Address) Expiration Date for This Limited Power of Attorney: 3o Ct cyS License Holder Name: James T. Welding State License Number: CCC132650 Signature of License Hol STATE OF FLORIDA COUNTY OF S v-trp e The foregoing instrument was acknowledged before me this, 200 1 7 , by ao,v , to me or who has produced identification and who did (di Notary Seal) l 1 day of 01--x1 V, who is oiSersonally known Notary Public - State of — Commission No. G<2 G-1 My Commission Expires: 7 / 7 /ZU Rev. 08.12) °` kY PGe no Notary Public State of r iorida Lesley f.3 Garza a My Co:nrn;Zen CGG 0095'i7 Expires 0 QJ712020 as THIS INSTRUMENT PREPARED BY: Name: Heritage Construction & Roofing A VN+%10M (7-0 Address: 1544 Seminola Blvd. Suite 136 Casselbeay. FL 32707 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Ball$ iasu 22151 shin Illii 1101fill GRANT MALOY, SEMINOLE COUNTY CLERK OF C:IRC:UIT COURT h COMPTROLLER BY, 8952 Ps 189 (1Pss ) CLERK'S T 2017070832 RECORDED 07/13/2017 09:11:11 All RECORDING FEES $10.00 RECORDED BY hdevore Parcel ID Number: 07 -2-0 006 )-0230 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 1_ 0+ 2.3 (ELK D Sc- norm 1 +-Z ile. Plcn-k- P R \? PCB 11 GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name: lVC-C-NC,-,C 1VYX'y-,-% o,%trN Address: ZI F Q- 1nAvh Qr. SC v1 ffiC A Ei- ' 773 Fee Simple Title Holder (if other than owner) Name: Address: Address: 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)(b), Florida Statutes. Name: In addition to himself, Owner Designates of To receive a copy of the Lienors Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of per'u , I declare that I have read the foregoing and that the fa stated in it are true to st of my kn w e e and belief. NG. G MVO w, V) s Signature efs Printed Name Florida Statut(13.13(1) ):'The owner must sign the notice df commence kn nd no one else may be permitted to sign in his or her stead' State of Pl or'1, d G\ Countyof S e,W"I V\0I e. The foregoing instrument was acknowledged before me this k I day of :5 nX 1/ 201-7 by Who is personally known to me Name of person making statement b W+ / V l/!i" ` 5- O ORwhohasproducedidentification type of identification produced: UUU] U4v, P4p4 Notary Putt.(ic.Sjate of Florida a K Lesley G za c - My Commission GG 009517 4pi PERMIT # ' 9 15 City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 21 OahG,Vv\ D('• _Gr,+1-FC r6 F I • _ j Z%7 2 STRUCTURE TYPE: (D/SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: (APLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (MEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): eb PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED** ROOF VENTILATION: O OFF -RIDGE (RIDGE O SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES (iO 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 HINGLE A Art FL# 16 0 S_ - O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER: IA30c,_5 nFL# 16 2—Z-6 -1- 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 O SHINGLE FL# O METAL FL# MODIFIED BITUMEN FI O TORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL# I -]-at 5 `7 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 locatedin 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: 4, 4A 0 DATE: 71(7.11L HERITAGE a ouConstructtori &Roofing Inc 4 a°" cc nt Maria erg' T 1544 Seminole Bivd.`Sitrte 136 Contact U '. INSURANCE COiVI ANY INF R T NCPHlberry,FL 32707 I y c, 407 366 6000 R TA Company 1.- Polley # 5TX4073666065construction ][o©r g Info@ . erltagecr corny Claim.N: CGC1505045 CCC1326650 ` MORTGAGE CONlPANY',NFOIRMATION Company: Loan Number: ROOF REPLNUMENT CONTRACT Owner's): /. Phone: Address: Ce 6-7 -7q City: State Zip Cod E AFL N.r Manufacture; Style: Color Roof CRY:` If Owner's"Insu"ranee Company does`not"agree to pay fora full ioof rrepl cemint this contract shall be'voidable Assignment ofdi surance $encfits foi the Fpll;Roof Replacement Only::I herebyassigipany and.all-insurance rights,, benefits. and proceeds' under. any applicabe insurance policies to Heritage Construction &-Roofing inc::(. Hentage ), the;scope of which` shall tie,timited to a Futl Roof Replacement. I make this assignment and authonzaUon'an consideration of HcnCage's agreement to perforrii services, supply materials and.other+vise` perfarm` its obligations undecahis contract mcludme not requiring full payment at^the time"of service I alsohereby:direct myinsurer(s);to release anb and' all information requested by Heritage its [epres, r .iative, or its attorne} for itie direct -purpose ofobtainirig acival'6enel[1610 be paid by my insurers) for services rendered In this"regard,`I waive. my privacy nghts:°if;paym'Ffit is mad6,directly to the O 6i/AgeniAhn iired(s) ii-- ' Ii,lie endorsed over to Heritage immediately uponreceipt, l agree that any portion of work; deductibles,`betierment or additional work requested byahe undersigned, not`' co+ered nsurance, must be'paid by the undersigned on the,day of.installifl ' , Deductible It is th'e Owner-'s responsibility to pay all insurance Deductibles. O++ nees out of'pocketea0,6hse:will not exceed the deductible amount, as stated on mstirer's loss sheet UNLESS replacemenUrepaii of. „ deteriorated decking is requ ed and%r Owner=requests_optional,upgrades: Hentage CANNOT pay waive rebate' or promtse`to pay, waive o:'rebate.all or sari} part: of the insurance"deductible'applicable to the insurance c.laim-for"payment ofwork: In the'eve.nt ofa`discrepancythe deductible.arriounts"tated on the insurer's Loss S heet s 11 over rule deductible hsted.belo++. Deductible.. , MUST. BE PAiI)111' FULL, PLUS ANY:APP LICAB E SALES TAX (Initials) MORTGAGE AU ,I, Owner /Mortgagor grant authorization for (j"JI Mortgage,Co to speal. ++tth' Hentage .Constrirctton &Roofing on matters including;, but not:hmited to the claim and pa} ment status PAYMENT SCHEDULE 'Owner agrees to pay Heritage based on the follo++itig: pad schedule (i) Dzposri in the amount of S; due upon signing this contract (ti) the Contract Price cress the'Deposit and any applicable depreciation retained b O+vner's.insurer(s) plus Upgrade Costs, due and payable,to Heritage upon completion of w ork being perfonned;,aiid,'(iii) the remaining Contract Price'(equal to any, applicable depreciation and/or h e°orders):due and payable, to Her e,upoircompletion of work performed. event of spending mspe you o more than 2%of Contract Pric a be withheld until inspection lias.p Optional: UPG E ITEM:;C i/°fy¢rjjf)TY: PRICE:.S TOTAL: S Repl cement Work "rid Price: U n Po insuret's.approval and subject to the tens and conditions herein; Heritage agrees to fumt all materials andprovide:the labor necessary,to perform, the frill roof replacement which shall take place'following O++ttees: nsurance"company s approval approrirriately s+-ithin 30 days; conditions permitting., gagrees.1that, upon approval by insurance company fora full:roof replacemerit,a-Ieritagc,shall OivnersDeclarationofIntcnt O+vrter :acknowlcd es and perform the roof, replacement upon receipt of funds.from Owner's insurance"company. CANCELLATION:If O++nerelects to ermmace the servues of Heritage, Owner may do so before'midnight,on the third,business,day after Contract is executed ;Oimer sliall reccrve a full Yefund of all'deposits O imer may,also rescind Contract'before,'midntght on the third business day after the contract is executed afternotifieation:from insurer (s),that the claim for pay nient on roof eontractha`s been deniedm whoCe or•in part All ++ritten notices of cancellation, regardless,of reason, shall be postmarl.ed oCdelivered- to Heritage's corporate office: ] 544 SemmolaiBlvd , Suitel36,'Casselbeny, Florida 32707 CANCELLATION'EXCEPTIONS: The.three (3)'day right of cancellation DOES NOT APPLY to contracts for emergency,tiome repairs as'time is,of the essence 1 Qwner, have read and understand all statements; terms and conditions of the. Roof Re lacement Contract and a :ree ttiatall detail`s are acceptable'andisatisfactory. l;'further understand'that thiscontract p g constitutestheentire agreement between the parties and that any. further changes or alterations to„this contract must lie made m venting and agreed upon by both parties Ea ;represen` d warrants to the other-tharit has the full power and authority to ter into the contract and•tiiat it is binding.'and enfo 1 cor Autho '",ed He ' e Representative Date O+viier Date Print Name Print Nanie TERMS.AND CONDITIONS Acceptance of Teims;I, O+yner, heieby agree. to:retain Hentage fora fulFroof replacement on the.terrns and'conditions j stated herein I further agree to provide Heritage with the Scope,ofloss Report-g'' ' ed:by my insurer and authorize and,grantfull access to.the " property for the purpose' of staging and completing all agreed upon tvork. Supple'ntentit Claims Hentage reserves the nghtto file.a supplemental claim v. h OwiieYs insurance in the; event that the estimate is. incorrect ind/oradditional damage; is discovered after commencement. The supplemental claim sin nt(s), in addition to any depreciated aino'unts held back l>y the insurey are. immediately due111'. to Hentage upon receipt "Commencement; of Vork: Work shall commence at Hentage s discretion: Hentage shall,not be liable for dday irt, or failure to perform due to:aabor controversies strdces; fire, weather, Acts of God war .governmental actions, inability to obtain m'atenals, from usual sources, delays.caused by tutd/oras a direct result of O>+me?.s insurer or.othercircumstances not listed which ace beyond the,control of:Heritage Noise.Pollutioniand Vitirat onsc. Prior to'installation, >t'is,the sole responsiti htyof,Owner to remove any imo, allatems +hicti,are-not•secured to +yells including, but riot lunrted to, items on mantles;'sfielves or other areas susceptit le,to vibrations as these, may fa1L; Heritage sliall not be liable: for noise'pollution and/or: vibrations due to the performance ofw— ork contracted herein, or damages resulting to person(s):or property.: HERITAGE Construction & Roofing Inc. 1544 Seminola Blvd. Suite 136 Casselbenry, FL 32707 PH: 407-366-6000 FX:407-366-6065 info@Heritagecccom CGC1505045 CCC1326650 I-RITAG E construction &Roofing ROOF REPLACEMENT CONTRACT Account Manage Contact: 4IL 1 - INSURANCE COM ANY INeRT N Company: / Policy #: S r3 m Claim fi: C MORTGAGE COMPANY INFORMATION Company: Loan Number: Owner( s): V ItA l- n Phone: Address: ... Cell: N City: State- Zip Cod--: 3 E il: A% / V(1 0 6A Manufacture: Style: Color: Roof CRV: if Owner's Insurance Company does not agree to pay for a full roof replacement, this contract shall be voidable. Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Heritage Construction & Roofing, Inc. ("Heritage"), the scope of which shall be limited to a Full Roof Replacement i make this assignment and authorization in consideration of Heritage's agreement to perform services, supply materials and otherwise perform its obligations under this contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested by Heritage, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy rights. if payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Heritage immediately upon receipt. i agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: it is the Owner's responsibility to pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount as stated on insurer's loss sheet. UNLESS replacement/repair of deteriorated decking is required and/or Owner requests optional upgrades. Heritage CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claim for payment of work. in the event of a discrepancy, the deductible amount stated on the insurer's Loss S'e et sh11 over rule deductible listed below. Deductible: — 5 1TO MUST BE PAID IN FULL, PLUS ANY APPJ,ICAB E SALES TAX (Initials) MORTGAGE AUTHORIZATION: I, Owner / Mortgagor, grant authorization for -A Mortgage Co. to speak with Heritage Construction & Roofing, on matters including, but not limited to, the claim and payment status. PAYMENT SCHEDULE: Owner agrees to pay Heritage based on the following pay schedule: (i) Deposit in the amount of $ due upon signing this contract: (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insure plusUpgrad, Costs, due and payable to Heritage upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or r e orders) due and payable to He a upon completion of work performed. event of ending inspe hon o more than 2% of Contract Pric bewithheld until inspection has Optional: iIPG E ITEM:S/'{ iTY:- PR10E: S TOTAL: S a Repl4cement Work nd Price: Upon insurees approval and subject to the terms and conditions herein, Heritage agrees to fu—m-NK all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting. Owner' s Declaration of intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, i leritage shall perform the roof replacement upon receipt of funds from Ownees insurance company. CANCELLATION: If Owner elects to terminate the services of Heritage, Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Heritage's corporate office: 1544 Seminola Blvd., Suitel36, Casselberry, Florida 32707. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence.1, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. 1 further understand that this contract constitutes the entire agreement between the parties and that any further changes or alterations to this contract must be made in writing and agreed upon by both parties. Eac A y represep$§and warrants to the other that it has the full power and authority o er into the contract and that it is binding and l rresentative ` Date Owner Print TERMS AND CONDITIONS: Acceptance of Terms: 1, Owner, hereby agree to retain Heritage for a full roof replacement on the terms and conditions stated herein. i further agree to provide Heritage with the Scope of Loss Report generated by my insurer and authorize and grant full access to the property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Heritage reserves the right to file a supplemental claim with Ownees insurance in the event that the estimate is incorrect and/or additional damage is discovered after commencement. The supplemental claim amount( s), in addition to any depreciated amounts held back by the insurer, are immediately due to Heritage upon receipt. Commencement of Work: Work shall commence at Heritage's discretion. Heritage shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of God, war, governmental actions, inability to obtain materials from usual sources, delays caused by and/or as a direct result of Owner's insurer or other circumstances not listed which are beyond the control of Heritage. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of Owner to remove any and all items which are not secured to walls including, but not limited to, items on mantles, shelves or other areas susceptible to vibrations, as these may fall. Heritage shall not be liable for noise pollution and/or vibrations due to the performance of work contracted herein, or damages resulting to person(s) or property. SCPA Parcel View: 07-20-31-505-ODOO-0230 Page I of 2 APPRAISER. OtMM4X-t OMrm,. rta'tx r+ Parcel Information Property Record Card Parcel: 07-20-31-505-ODOO-0230 Owner: NORMAN NANCY L Property Address: 218 ODHAM DR SANFORD, FL 32773 Parcel 07-20-31-505-OD00-0230 Owner NORMAN NANCY L Property Address 218 ODHAM DR SANFORD, FL 32773 Mailing 218 ODHAM DR SANFORD, FL 32773-5810 Subdivision Name SANDRA UNITS 1 AND 2 REPLAT Tax District S1-SANFORD DOR Use Code Exemptions 01-SINGLE FAMILY 00-HOMESTEAD(2003) Value Summary I 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market I Number of Buildings 1 1 Depreciated Bldg Value 88,727 71,895 Depreciated EXFT Value 951 1,001 Land Value (Market) 28,000 19,000 Land Value Ag Just/Market Value Portability Adj Save Our Homes Adj Amendment 1 Adj 117,678 42,363 91,8896 18,130 P&G Adj Assessed Value 0 75,315 0 73,766 Tax Amount without SOH: $1,029.00 2016 Tax Bill Amount $681.00 Tax Estimator Save Our Homes Savings: $348.00 Does NOT INCLUDE Non Ad Valorem Assessments http://parceldetail.sepafl.org/ParcelDetaillnfo.aspx?PID=0720315O5ODO0023O 7/17/2017 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection .Affidavit Permit #: t1 — %' hereby acknowledge that I personally inspected Goof deck nailing and/or EVecondary water barrier work at 21 jg (')A%,\c,,y%,_s pr Sc,v\'(A . 32273 and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. 6alt Iign(jobof Contractor Date- TC;^1Me5 y w e\(A- k y) G, CW32.665o Printed Name of Contractor License # License Type: General Building Residential AA(Oofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF I Sworn to (or affirmed) and subscribed before me his day of T"^) y , 20 , by who is ersonally Known to me or has Produced (type of SEAL) Public as identification. G'p LinPrint/Type/St p Name Notary Public Notary Public State of Florida LosfeY G Garza My COMmissionof or FAR GG 009517 Expires 07/07/2020 3