323 Placid Lake Dr; 17-2489; ROOFAUG 1 2017 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 -7 d `I S 9
Documented Construction Value: $ -7 t! (o 0 cfa •
5
3a3 I L1(11 L a 7 Job Address: I far >L3Historic District: Yes No
Parcel ID: Residential ® Commercial
Type of Work: New Addition Alteration Repair ®' Demo Change of Use Move
Description of Work: C 0 Mj2tt4r . 1 Z Q-0QS-1R 2 3 5 5 G
Plan Review Contact Person: Ri-n-r AR_cQJ,40L3e. Title: ocP64
Phone: 40 •4T7.14 3 Fax: Email: -
r
@ i 4 C Or-ip CC.. CtM
Property Owner Information] p
Name O l G. Phone: ` ] ! o/ I
Street: 3c l ,
City, State Zip: L vZ7 7
Resident of property?
Contractor Information /
Name -)A -456t AO.Al d F' /, CA Z;%,— Phone: ," -t01 • % ( 3 Street: -
j 6S S' _A -AD n-r CA-. Fax: qO I - 17 • City,
State Zip: kk t- VU F% 3Z7 S Z State License No.: C C-G o S 7 .S" 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: 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 Da e Signature of Contractor/Agent Date
rojl)'a 1"k-alt-W (lies CIL 6-te''
er/A ent's N Print Contracto me
Signature of o ary- tate of Florida Date Signature of - a of Florida Date
PETER DAMES ARCOMONE Pte,
n
PETER JAMES ARCOMONE
w *
MY COMMISSION # GG 036010
EXPIRES: October2,2020
sot>
s`r
sty
MY COMMISSION # GG 036010
EXPIRES: October2,2020
QF , Wwde i Th. Budget NotxY Servkes 1Tj 0 Rio Bonded Tft Budget NOWY Services
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID FiLVDA tx Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction T Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SEMINOLE COUNTY MULTI%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: - FS 1 1 1 117
I hereby name and appoint:
an agent of: _)A sop HN er- : ce- Name
of Company) e-
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): All
permits and applications submitted by this contractor. Or
The
specific permit and application for work located at: 323
P 1 W-- l R-- S,94Fo iW Street
Address) Expiration
Date for This Limited Power of Attorney: $ I 1 License
Holder Name State
License Number Signature
of License 1- Gerald
Laschober STATE
OF FL0R1 COUNTY
OF t -rw e The
foregoing instrument was acknowledged before me this It day of Pw iOSt- 20
11 , by _ Teew L,A%cl,.ebe e- who is 0 personally known to me or who
has produced and
w o did (did not) take an oath. gnatu"
of Notary MEREDITH
SMITH r,
MY COMMISSION #FF137903 XP
N1 July 1, 2018 407)„
190.91 40 I'IorldnNotaryservice.corn as
identification Print
or type Notary name Notary
Public - State of Commission
No. My
Commission Expires:
SCPA Parcel View: 02-20-30-520-0000-0120 Page 1 of 2
txxnrrr,
Parcel Information
Property Record Card
Parcel: 02-20-30-520-0000-0120
Owner: LETZO TONIA M
Property Address: 323 PLACID LAKE DR SANFORD, FL 32773-4415
Value Summary
g i... ....._......_. - . _
Parcel 02-20-30-520-0000-0120
v
Owner LETZO TONIA M
Property Address 323 PLACID LAKE DR SANFORD, FL 32773-4415
Mailing 1515 S MAGNOLIA AVE SANFORD, FL 32771-3437
Subdivision Name PLACID WOODS PH 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
2017 Working 2016 Certified
Values Values
Valuation Method i Cost/Market i Cost/Market
Number of Buildings 1
Depreciated Bldg Value 10 482 1 $86 777
Depreciated EXFT Value 1 $600 600
Land Value (Market) 25 000 18 000
Land Value Ag
Just/Market Value 127,082 i $105,377
Portability Adj
T
Save Our Homes Adj 0 33 648
Amendment 1 Adj 0
P&G Adj 0 j $0
Assessed Value 127,082 $71 729 _--
Tax Amount without SOH: $1,299.00
2016- Tax .-Bill .-Amount $665.00
Tax Estimator
Save Our Homes Savings: $634.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 12
PLACID WOODS PH 1
PB 51 PGS 23 THRU 29
Taxes '
Taxing Assessment Value Exempt Values _ Taxable Value
County General Fund $127,082 1 $0 E $127,082
Schools I $127,082 i $0 1 $127,082
City Sanford $127,082 ! $0 $127,082
County Bonds $127 082 $0 $127,082
SJWM(Saint Johns Water Management) — - $127,082 $0 $127,082
Sales
Description Date Book Page Amount Qualified VaGlmp
WARRANTY DEED 11/1/2003 05124 0671 $127 400 Yes Improved
QUIT CLAIM DEED 11/1/2002 04627 1 1096 $100 No Improved
CORRECTIVE DEED 1 6/1/1998 03440 0241 _ E 1 $100 No j Improved
SPECIAL WARRANTY DEED1 1/1/1998 03361 1213 $84 300 = Yes Improved
WARRANTY DEED10/1/1997 03322 — 1137 — $36,300 No ;Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT i $25,000.00 ? $25,000
Building Information..— --
Description Year Built ive Fixtures I Bed I Bath I Base Area Total SF I Living SF 1 Ext Wall Adj Value Rapt Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052000000120 7/28/2017
AG_ EMEN 1 SUBJECT TO INSURANCE COMPANY APPROVAL
Customer:"
Property Location.
City: X" Zip: - 2
Date:
Day:
Evening:
ROOF SPECIFICATIONS Brand: Style:'` Color: _
Ridge Material: ,R pValley: Open / loses Tear-®6?,2 Vents: Box / hingle Over rAluminum Felt: R / R
Ice & Water Shield: Per Code Pitch: Story: 1 / 2 / 3 Walkout: Yes / No
Roof Accessories to be replaced new and/or painte4to match -shingle color.
Drop Instructions:
SIDING SPE;%
FICA7thouse
Brand: _
Style: Straight La % tch Lappos re: 4
Elevation being Ide 6kingg rom street):
Drop Instructi ns: s .,
GUTTER SPE -
1
1IC 3 Color:
Special Instructions;_
4.5" 5" other:
Front Left
Style: Color:
Back Right
Homeowner Initials:
1. By signing this Agreement, you authorize JA Edwards of America Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company.
2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay JA Edwards of America Inc.
all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses.
3. This Agreement is not valid or binding on any party unless and until it is signed by both you and JA Edwards of America Inc. Once signed by you and JA Edwards of America Inc.
JA Edwards of America Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the insurance adjuster's summary.
4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front
and back of this Agreement.
5. Homeowner agrees to assignment of benefits to Contractor (JA Edwards of America) for payments from insurance company to
facilitate timely payments to contractor for all works approved in insurance scope.
ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance
benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to
be rendered by JA Edwards of America and, in the regard, waive my privacy rights.This assignment is given in consideration of JA Edwards of
America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my
insurance carrier(s) to release any and all information requested by 1A Edwards of America, its representative(s) and/or its attorney for the
purpose of obtaining benefits to be paid by my insurance carrier(s) for services rendered or to be rendered and authorize JA Edwards and my
carrier(s) to communicate as needed with each other in this regard.
P
Date
e
l a R l S
Date
First Check: $ '""/
Check # late
Balance Due: $ )
Check # Date
Agreed Price: $c /C
plus additional supplements & permit
fees paid by insurance company
7058 Stanoint Court • Winter Park. Fl 32792 •Office: 407-677-7663 • Fax: 407-677-7664 • License #CCC057521
rj
THIS INSTRUMENT PREPARED BY
Name: .r {tLC KnI(12 fJ c WA)C OP- Af.,IQtt,O,l\ z:r1`
Address: —T O S S s u t G4
U. -5K-2r
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: OZ —7 0 "- 30 — SZZJ -- OCClD -- O f ZO
IliiL0Y, I.--i'lIl'IUL + l]iJl'f!'i
i i._ERK* 01 C-IJ JJIT C0URT & (OfiE'TF:OL. -ER
K V 6 2 P:a t lF-' 1 s ;
CLERK'S r 2017076781
1,111' i!_: • ri;?
f;EC[)RL:`IN6 FEES ],t-lztitit
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Loi f2
i=l
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: \06-cl "ZO \51 S S, i o. Ave -
Interest in property: 0WnCe-
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: JIN U f- Amc r'r c.A -CCnC- Phone Number: 7 • (c l7 • "7 6 rO 3
Address: 10 5$ ST A >y r n r W t ; C r2 P-Ac9_C ES 37-2 9 Z
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
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.
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.
C, 2e7`F01.
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of County of ta. C, o c
The foregoing instrument was acknowledged before me this day of - )0 r' , 20 11
by TAG\tC` Ljz7 Z o . Who is personally known to me OR
Name of person making statement
who has produced identification type of identification
pus,,,
c
PETER JAMES ARCOMONE
2o,
01ky
MY COMMISSION # GG 035010
w,. EXPIRES: October 2, 2020Qe1k ,
0 Bonded Thru Budget Notary Services
Z.5
151
z,
PERMIT
f 07 7A)
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 3 2-3 9c. o LAu, (J 2 , _>1%Q n 3z_ 3
STRUCTURE TYPE: &INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 01EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1/ Q( I to000 0iL j 1 C P(. Air- n
PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACEff-
ROOF VENTILATION: 0OFF-RIDGE (2YVIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (D-156 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (3-4-:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE n C"
Q
FL# i' " 7
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: 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#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
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), :cerrti* F e compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE:
a It
i
i,
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: \i 2 y ADDRESS:
I L :frt" e tz"C L ta>C 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 #:
COMPANY/
MUST BE SI6NED,BY-LICE NSE HOLDER OR QWNER/BUILDEI
A FI1 AL.,Ro(
k
THIS SIGNED ANDNOTARIZED AFFIDAVIT.MUST,BY.Pl20V
ALONG WITH DIGITAL PHOTOGRAPHS`OopE 6,H;PLANEOF
UNDERLAYMENT, FLASHING, DRIPrEDGESATTACIM.ENT,)
FOR EACH INSPECTION. THE PHOOGRAPHS MUS TxINCLU
OVERLAPS, INCLUDING DRIP EDGE AND VALYyLjASHINI
PAPERWORK FOR FURTHER EXPLANAu I ION O ArLL REQUIR
FAILURE TO FOLLOW ALL RE,QUIREMEN S WI]
WELL AS REQUIRING A DESIGN PRO.I+ESSIONAL (A
INSPECTION, THE INSTALLATION O,FALL ROOFIN
STATE OF FLOIRIDA COUNTY OF
C A-
t
DATE:
H)ED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
DE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
G...PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
F,MENTS.
RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
CHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
COMPONENTS.
Sworn to,and Subscribed before me this day.of 20 by:
Who is Personally Known to me or has Produced (type of
as identification.
pr Put PETER jWr:s ARCOMONE
GO 036010
EXPIRES: October 2, 2020
p e
TFdP Bonded Thtu BuW. Notary Spa
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