147 Hidden Lakes Dr; 17-2518; ROOFAUG j7 20i7 ,.,
1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
p)
js/
00
a 800 —
Job Address: 141 H 1 d &I Lakes U r• Historic District: Yes No [9--
Parcel ID: jr T — o Woo— 011 o Residential Commercial
Type of Work: New Addition Alteration [G*Repair Demo Change of Use Move
Description of Work: t- C rou-j
Plan Review Contact Person: - rolA 1Ac,d52ie s Title:
Phone: 40-7- Fax: Email: H 0 O bGES 3 (a c Fc. RR. co ),-N
Property Owner Information
Name on u Ea v, n1rN
Street: 1 N1 t-1, Age a k- S
City, State Zip:
1 50_n CrJ PL. 3 a-1 -73
Phone: t{o?-Ao --1160o
Resident of property? :
Contractor Information
Name 15rdAe-ft Co r s t Phone:
Street: 11H W. o s c e o l a C+ . Fax:
3SX- 35tf-36W
City, State Zip: felt n n e_o [a FL- 341 I5- State License No.: CCL 13a 71 -7
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: 51' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application 4.
Aug 1517 04:30p 407-862-5480 p.2
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, stare 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 pernut 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 construct'y6n qnd zoning. n
brgnzture of UWnerrngcnt ` " r Date, //
7
nt's Name
Signature of Notary- 'talc of Florida Date
AUDREY RAYE ROTH
Commission # GG 106789
c Expires May 31, 2021
Tc_ ` F P,ftided Thru sudget t+otay serer
Owner/Agent is V Personally Known to Me or
Produced ID Type of ID
7-i7
Date
144 'VIPlel //
Print Contractor/Agent's Name
bia i
D17 Signature
of T'otary-State of Florida Date a
DEBBIE
BLANTON MY
COMMISSION n 'r'F 178648 re
EXPIRES: February 25, 2019 Bonded
Thru Notwy Public Underwriters Contractor/
Agent is Personally Knot' to Me or Produced
ID Type 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: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire
Alarm Permit: Yes No WASTE
WATER: 1:
301 1 1"ti7l Revised:
June 30, 2015 Permit Application
8/15/2017 My Florida Regional MLS - MLS Listing Info - 147 HIDDEN LAKES DR, SANFORD, FL 32773
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MLS Listing Info 147 HIDDEN LAKES DR, SANORD, FL 32 3 01
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yiWRENN LlstingOverviewlow- ram, MW Listing #:
05436257 Type: Rental Status: LEASED Grid: SANFORD Address:
147 HIDDEN LAKES DR List Price: $1,150 List Date: 04/26/2016 SANFORD,
FL 32773 Parcel ID: 10-20-30-5CT-OH00-0210 County: SEMINOLE Style:
Single Family Home Lot Size: 8,688 sf Dimensions: Zoning:
Future Land Use: Subdivision: Legal
Desc: Condo Complex: Waterfront:
Waterfront Type: Water Name: Aft
N-10, Property Details NO 01" Year
Built: 1979 Heated SF: 1072 Beds: 3 Baths:
2 Half Baths: 0 Air Conditioning: Central Heat:
Garage: Attached,Door Opener,Drive Space, Washer/Dryer Hookup Security
Deposit: 1125 Application Fee: 40 Pet
Fee: 0 Max Pet Weight: 0 Pet Deposit: 0 ii
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Directions/
Remarks: y r
Remarks:
Virtual
Tour Driving
Directions: E on 434, L on 17/92, L on Lake Mary, R on Hidden Lake Agent
Name: JEFF ANDERSON Agent Phone: 407-260-8800 Agent
Email: jeffanderson@hdrealty.com Office Name: HD REALTY LLC Selling
Agent Name: Selling Office Name: Sale
Date: 2016-06-03 Sale Price: 1150 @
PropertyKey, Inc., 2017 1 Information is believed accurate but not guaranteed and should be independently verified. Based on information
from the My Florida Regional MLS, Inc. for the period 1/1/2000 through 8/15/2017. This information may or may not include all
listed expired, withdrawn, pending or sold properties of one or more members of the My Florida Regional MLS. hftp://
mfr.propertykey.com/imapp/property?upin=LN 00004005436257&report=m Is 1 /1
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Aug 1517 04:30p
THIS INS RUMENT PREPA E BY:) / ( / /
CA
Address:
Q CJ %'( /J /
Address:
NOTICL OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
407-$ggIffill IfIll I1111 "Ill 1111111111111
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Parcel ID Number: ID .- ZD -3 0 ^J C T 0/100 -
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)
GENERAL DESCRIPTIOfj DF IMPVVEME :
0
X-
Add
CONTRACTOR: rbrae Kc C ongi . y-gba-C(o3a
Name: J
Address: 11y w. Oseto IQ C+ • -n,rnneo (a ( Lortda 3411 5
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 Lienor's 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 1, 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 perjury, I declare that I have read the foregoing and that the facts stated in it are true
the best of my k [edg and 6eli
Owners Signature
J
Owner's Pinled Name
Florida Statute 713.13(1)(g): 'The owner s e n Ket o" 7 c mement and no one else may be permitted to sign in his or, steed:
State of 1" t 0'r k ` County of 5 L- • , U 4Ae— (
The foregoing instrument
1/
was acknowledged before me this _ day of L4 " .20 17
by \ \ QI.V G.- s 1l1 dn. Q 1L Who is personally known to me
Name of person making statement
OR who has produced identification type of identification produced:
2G1tav
P;?
AUDREY RAYE ROTH
Commission lf GG lDS789
Expires May 31, 2021
Notary signature
EDi F. Bonded Piru Budges Nota7 %*u
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
Name
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):
lea/ All permits and applications submitted b this contractor. P PP Y
or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:__
License Holder Name:>r Cr
State License Number: '2i >V-
Signature of License Holder:y
STATE OF FLORIDA
COUNTY OF
The foregoing ins rume t was cknowledged before me this day of
201, by who is rsonall known
to me or who has produced
identification and who did (did not) take an oath.
Signature
Notary Seal) 45 V e
Print or type me
as
ASHLEY MOORE Notary Public -State of
MY COMMISSION # FF212582 Commission No.
a EXPIRES March 31. 2019 My Commission Expires: 3/f ;2Zd cjidC7ri9JC"33 nwd*4o"swv 1CW
Rev. 8/06/13)
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 wi ult in an of avit p ided by a Florida Design
Professional (architect or engineer), certifyi g C code mp 'an a personal inspection.
CONTRACTOR (OR OWNERIBUTLDER) SIGNATURE: Wes' DATE:
PERMIT # / - a S / V,
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 1 `i 1 H I d 4Pn L 4 ke s b r.
STRUCTURE TYPE: ()rSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: &kEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): P 1!j V. 004
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (iOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES (DI1G0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (SK4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE
AS FL# (6305-Ry 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# O
OTHER: FL#