110 Placid Woods Ct; 17-2085; ROOF1=CITY OF SANFORDJUL11207
L
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
P
Documented Construction Value: $
Zl73
Job Address: ` I Ld p ICAGI a "0 06G Cl- , S61jl IF -I.- 3 Historic District: Yes NoZ
Parcel ID: 0 Z-` ZQ ._30 —5 2 Z —00 6L) - DO 53 0 Residential Commercial
Type of Work: New Additiio n, Alteration El Repair 1A Demo El Change of Use Move
Description of Work: -roof) Vf
Plan Review -Contact Person: I C4 1 C-7 Title: nI/ i
I,,
Phone: 61- C4 3 -14S Fax: Email: Y, ' 11(t'g5 . c/0/(//i'/ 841 t ,
j,,, I f ,, Property
Owner Information Name36rn\
I R6S(ALe, Phone:146 -7 -3 Z b "I? L Street: ((
V PI6t Clid V O D A C+ . Resident of property? : V6 City,
State Zip: Ya r)7 6 (A 3277 Contractor
Information Name
I d C nS UC %! Phone: "l,] d7-7q -7 Street:
W ! e 7 HU nf_ ! 1 W C - Fax: City,
State Zip: b Y u V)C16 , 1- ,l • J ?z"grz2- State License No.: CCC 133 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: 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 goverrunental 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 -a zoning..
Signature of Owner/Agent Date "Signature of Contractor/Agent
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Date
7
Date
AWTTE 01A14n
Nalwy Public - Sr: „r FloridaiCOIpR1lSsin,i u , , 060623ofv a wy'Comrr „.. s Jan 16, , 20 8
Owner/Agent is Personally Known to Me or Contractor e is Kr
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
to
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS
of Heads
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA arcel View: 02-20-30-522-0000-0030 Page 1 of 2
Property Record Card
CFA
Parcel: 02-20-30-522-0000-0030
Owner: ROSALES JOHNNY & MONTENEGRO VILMA E
ryaavax
Property Address: 110 PLACID WOODS CT SANFORD, FL 32773
Parcel Information
Parcel 02-20-30-522-0000-0030
Owner ROSALES JOHNNY & MONTENEGRO VILMA E
Property Address 110 PLACID WOODS CT SANFORD, FL 32773
Mailing 110 PLACID WOODS CT SANFORD FL 32773
Subdivision Name PLACID WOODS PH 3
Tax District S1 SANFORD
DOR Use Code 01 SINGLE FAMILY
Exemptions 00-HOMESTEAD(2001)
IN
Seminole County GIS
Value Summary
2017 Working 2016 Certified E
Values Values
Valuation Method Cost/Market Cost/Market j
Number of Buildings 1 1
l______ ____....
i Depreciated Bldg Value 94 316 80 677
i Depreciated EXFT Value
Land Value (Market) 25,000 18,000
Land Value Ag
lust/Market Value "` 119,316 98,677
Portability Adj
Save Our Homes Adj 51 307 32,067
Amendment 1 Adj i
P&G Adj 0 . 0
Assessed Value 68,009 66,610
i
Tax Amount without SOH: $1,165.00
2016 Tax Bill A OUnt $627.00
Tax Estimator
Save Our Homes Savings: $538.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
ILOT3
PLACID WOODS PH 3 1
PB56PGS65&66
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 68,009 43,009 $25,000
z City Sanford 68,009 1 43,009 $25 000 1 I
I County Bonds 68,009 43,009 ; $25,000 I
Schools 68,009 25,000 i $43,009 1 1
SJWM(Saint Johns Water Management) 68,009 43,009 ; $ 0052$ 0
Sales 1
E. .. ... ... _.. .. ...
Description Date Book Page Amount Qualified VaGlmp
SPECIAL WARRANTY DEED 12/1/2000 = 03985 0119 87,500 Yes Imp roved
I
Find Comparable Sale
Land
Method Frontage Depth Units Units Price Land Value
LOT j 1 t 25,000 00 € - $25,000
Building Information
k I Description Year Built Fixtures Bed Bath Base Area Total SF I Living SF Ext Wall Adj Value Repl Value Appendages
1
Actual/Effective
n
I
1 't SINGLE 2000 6 2 € 2,0 1,1588 1,554 1,158 FIN STUCCO $94,316 $100,336 DescnpUon i Area E
FAMILY 3GARAGE
380.00 I
FINISHED
16.00
I
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052200000030 6/28/2017
SCPAVarcel View: 02-20-30-522-0000-0030 Page 2 of 2
s € PORN1ICH
FINISHED
I ......... _ .. .. .. ..
Permits
Permd # Desch lion Agency Amount CO Date Permit Date
01545 ADDITION - RESIDENTIAL SANFORD $400 4l1/2001
02698 NEW - RESIDENTIAL SANFORD $54,000 9/19/2000 6/6/2000
Extra Features
Description Year Built Units Value New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052200000030 6/28/2017
J THIS INSTRUMENT PREPAR D Bar-.
Name
Address:
so,.. 315;'L
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: Oc dO 1:10 5QLa, UJW CO20
Fir')i'II' I'MLI: 'i' %I: I.'llH tl.__ :10tll..l '`,:
CLERVS T 2i11,7i171i1ib9
1-C:ffi?(.'.t,''1t, 1 LEA;
tRr C•:i0 R: D L_ L:' '" til Iili.:. i r " itsThe
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) 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address:aQ)t 1 Interest
in property: _„yY^C" Fee
Simple Title Holder (if other than owner listed above) N Address:
4.
CONTRACTOR: Name: I _
Phone
Number: Address:
kZkci-k Zmil` O \, ?ja 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. 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. Q/,,,
Signature
qrbwner or Lessee, or Owner's or Lessee's Authon
ed Officer/Director/Partner/Manager) State
of TVA[ lQ County of C
1 6L' Tint
N me and Provide Signatory's Titleioffice) The
foregoing instrument was acknowledged before nie this0 day of 2 x\SL , 20 \, by - _inhH
ybO,S Who is personally known to me O OR Name of
person making statement who has
produced identification' type of identification produced: V 0''"` GRACIELA
GAGNE
MY COMMISSION #
FF985949 ie; EXPIRES
April 25, 2020 ew 407) 3l8-
0153 t`IorMallota .cam V X",
t\
Vt"
LIC # CCC1330939
LIC # CRC1331435
PROPOSAL SUBMITTED TO
STREET C C
CITY, STATE, ZIP
r
Ins. CO:
Licensed do Insured
First in Quality Tel.#
First in Service —7
First in Satisfaction Claim
800-411-0920
6767 Hoffner Avcnua Tel. # U / ( —73 Orlando, Florida 32822 9X Fax #
JOB #
27
L3 SUBDIVISION DATE .
9— _ 1 HOME
PHONE BUSINESS PHONE _ SPECIFICATIONS
FOR LA13OR AND MATERIAL Zp
wlrOffShingles: Layers/n_ Ii,
ssionally Install:
Brand `Tcv., k- a Type f't A -a c4ua.' Color utathei' f1J;Valleys Ft.
Q'1
II: O 30 lb. Felt O Peel & Stick a4ynthetic Underlayment LaR49eal, sidewails,
counter and wall flashings O Re -Use Drip Edge U'6rip Edge n t ' tilatiom. 1-
1/
2" 2" 3' 4" or Plumbing Vents v Goose
Necks Off Ridge Vents Ridge Vents Color v' 7Renail Plywood
Sheathing to Code rO yfight
2 x 2 4 x 4 Lplywood replaced
at $60 - per sheet {if needed) 9V-6ean-
up and haul off all job related trash Ca'Roll yard with magn is roller 7vyq:t" nd shrubs
1 4--
o Av-r k4--cc-va 1 ski vt.GTf S+ 6; e Atlantic
Roofing is not responsible for pre-existing structural Conditions. e Buyers
agree they have seen, read & understand all terms & conditions of this contract& agree to be bound by same. e ALL
ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT This
proposal
is contingent upon the Insurance company paying for damages. This proposal will be VOID only.if claim is disallowed by insurance company. Property owner'
s out-of1mcket expense is not to =6--ed the deductible amount. The insurance company will determine and set the price of the claim. YOU, THE
BUYER, MAY CANCEL THIS TRANSACTION AT ANYTIME 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 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 in pr„ rated herein and Made a part hereof by reference, to include customary profit and overhead when multiple trade Incurred $ %
f%1reG.e Payment upon completwn of a trade[./ Authorized Signature
O Must
be
approved by company owner. No other wo ressed or implied verbally. All changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be withdraw us if not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above work as
specified Payment will
be made as outfine above are satisfactory
and are hereby accepted. You are authorized to do the
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), certifyin od compliance by rsonal inspection.
CONTRACTOR (OR OwNER/BUILDER) SIGNATURE: DATE: "'! `
JOB ADDRESS: l V 21 ab U v "
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
2 / -7
STRUCTURE TYPE: 190NGLF FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME Q APARTMENT/CONDOMINIUM
RE -ROOF TYPE: GEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 056
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: DOFF -RIDGE O BIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS' O YES 1r0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL':
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
TYPE OF ROOF
SHINGLE
O METAL
O MODIFIED BITUMEN
O TORCH DOWN
n INSULATED
O 2:12 - 4:12 X_4:12 OR GREATER
MANUFACTURER
TOM l(>
U TILE
O OTHER:
ROOF EXTENSIONS (PORCHES PATIOS ETC.) "YAPPLICABLE":
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 A4-12 OR GREATER
TYPE OF ROOF MANUFACTURER
O SHINGLE
O METAL
O MODIFIED BITUMEN
O TORCH DOWN
Q INSULATED
O TILE
0 OTHER:
FLORIDA PRODUCT APPROVAL
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FLORIDA PRODUCT APPROVAL
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