115 Hidden Lake Dr; 17-3083; ROOFF/
CITY OF SANFORD
BUILDING & FIRE PREVENTION
OCT 1 8 2017 PERMIT APPLICATION
7 Q
Application No:
00
Documented Construction Value: $
Job Address: g C I G ((\ L% lJ ( Historic District: Yes No M
Parcel ID: t - Z o-3 E- 0 D p O - p O q D Residential ® Commercial
Type of Work: New 11 Addition Alteration Repair Demo Change of Use Move
Description of Work: C-QS JJ x'Lk vrfiCO3V.
L --Drma Dama Plan
Review Contact Person: Phone:
L(0-7 Z57 B l 6b Fax: Name
e,
SC) Title:
Pf 0 L MQ"(10L Email:
W(Lit AL iq& v1Q1I'CDM Property
Owner Information Phone:
L{ D-1- 3 Z Z^ 0 Z 4 2, Street:
l "1 S E W l S C 0 lsyl Resident of property? K City,
State Zip: Contractor
Information Name
0 V J @, oD 11 n C 1D n SU 1 -C-C- Phone: p
Dp Street: 2 c' 1 C i fgD_r1 d(y _D Fax: City,
State Zip: LQ ry L- 3 Z State License No.: CC G (3 2- 9 , 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.
0 C
Signature of Owner/Agent Date Signature of Contractor' ent Dat
a v
Print Owner/Agent's Name Pnn ontractor/Agent's Name
1:a -R" f.0-, 19.
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Si
ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
My Comm. Expires Jan 16, 2018
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Me or
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I/
CITY, OF
FORD Building &Fire Prevention Division
Fv RD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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: Yy DATE: to 1
F r 3 CITY OF
S FORD
FIRE DEPARTMENT
PERMIT # 1 7r
Building & Fire Prevention 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 INSTALLLED OVER EXISTING ROOF) ,
DECK TYPE (PLEASE SPECIFY): 7Z o
Ii
0 Sy R ATE S " jEA I l+1 t PLEASE NOTE: ONL
Y 100 SQUARE EET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: OOFF-
RIDGE (w RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ®
NO IF 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 C tC
WI TP-C& LQ(\dita _k FL# S q `t O METAL FL#
O MODIFIED BITUMEN
FL# O TORCH DOWN
FL# OINSULATED FL# O
TILE FL#
OTHER: p LL
p
l\teTV,i
0. 7 % n I nb FL# S fZ 6 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# OINSULATED FL# O
TILE FL#
O OTHER: FL#
NOTICE OF COMMENCEMENT
STATE OF• t Lo(Zt DA
COUNTY OPS C M. , N Z LE
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.
I . Description of property: (legal description of property, and street address if available) l <- 2t, -;3 0 -S C; K - 0 0 O t7 0 U(40 Ll
134- P i, ,. Coo - Ur\tt- -A ee (I_V st L(e c4, Odes\ LA. P- privy . 2.
General description of improvement: Ro0r: 10-S 3.
Owner infonmation: a.
Name and address: rdIA 1" (ZaiV50Pj 119 iWel dw L/ke 6k s cw/UAd 3 2 7 7 3 b.
Phone number: lo{ -3Z2 o'f t l0`t5. F. vJiSCotLlrl AqQ- DN,LCL- FL 32-1Zci C.
Name and address of fee simple titleholder (if other than owner): N (A 4.
Contractor: , S : \%
at Sr a. Name and address: ' i _ o O l . Ot15' l 2 t s t lne!'l 1 W Vti.l : , _• VsG.l -n ck _ i c. b.
Phone number: L4\ I - 5,1 tl 5.
Surety: a.
Name and address: Ill i ` `u\ b.
Amount of bond S c. Phone number: 6.
Lender: a.
Name and address: @ to b.
Phone number: illR121110111 11111111 7. Persons with the State of Florida designated by Owner upon whom notices or other documents maybe s Florida
Statutes: GRANT11ALOY,
SEl1IHOLE COUNTYa. Nameandaddress: ('t ERK OE CIRCI11 C01-I T & COMPS RGU ER b.
Phone number: Bt( 9OC19 Ps 1855 UP9s ) ERK'
S ?t] 71,95789 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's g ti)o retett on Florida
Statutes: RECORDING FEES $10 .00 a.
Name and address: RECORDED BY hdevore b.
Phone number: 9.
Expiration date of notice of com encement (the expiration date is one (1) year from the 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. 11
u I.— LLCM a . of
Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory'
s Title/Office The
foregoingrinstrurn t was acknowledged before me this day of Q (d' ,Z D % by G
t% la,j (name of person) as (type of authority, ...e.g. officer,
trustee, attorney in fact) for iame of party on behalf of whom instrument was executed). Signature
of Notary P Aic - State of Florida ot
Y PVe", JEFF L MONTALTO Print, type, or stamp cornmissioned name of Notary Public Commisslon #
GG 102838 APersonally Known OR Produced Identification E'
OF F`0\ac
Bonded
TThru Budget,NotarySeMcee Typeof identification produced }%l Verification oursuant
to Section 92.525, Florida Statutes Under penalties
of perjury, I declare that I have read the foregoing and that the factsystated in it are true to the best of my knowledge and belief. Signature of
naturFperson signing above
SCPA Parcel View: 11-20-30-5CR-OD00-0040 Page 1 of 2
Property Record Card
WWI
P ot ,
CFA
Parcel: 11-20-30-5CR-OD00-0040
R
Property
wner: FRANSON EDNA L
nrrarx.0 Cxx;9vrv, +"c.d'ra?w
ress: 118 HIDDEN LAKE DR SANFORD, FL 32773
Parcel Information Value Summary
Parcel 11-20-30-5CR-OD00-0040
Owner FRANSON EDNA L
Property Address 118 HIDDEN LAKE DR SANFORD, FL 32773
Mailing 1095 E WISCONSIN AVE DELAND, FL 32724
Subdivision Name HIDDEN LAKE UNIT 1-A
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
2018 Working 2017 Certified
Values Values
j Valuation Method Cost/Market = Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value $90,754 $85 581
Depreciated EXFT Value $1 000 $1 000
Land Value (Market) $25,000 25,000
Land Value A
Just/Market Value'* $116,754 $111,581
C Portability Adj _
Save Our Homes Adj $0 $0
Amendment 1 Ad/ $5,653 I 110,580E._. ... . _..._.. ,...
P&G Adj l $0 $0
Assessed Value $111,101 $101,001
Tax Amount without SOH: $1,992.71
2017 Tax Bill Amount $1,992.71
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
W
Legal Description
LOT 4 BILK D
HIDDEN LAKE UNIT 1-A
PB 17 PG 51
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 111,101 0 111,101
Schools 116,754 j 0_$116,754
City Sanford 111 101 1 0 ; 111,101
SJWM(Saint Johns Water Management) 111 101 0 111,101
County Bonds 111,101 , 0 € 111 101
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 10/1/2013 i 08153 0892 109,500 l Yes Improved
WARRANTY DEED 5/1/2010 07388 i 0409 65 000 No Improved
QUIT CLAIM DEED 3/1/2007 06826 1 1678 100 No Improved
QUIT CLAIM DEED 5/1/2005 05732 1772 100 I No Improved
WARRANTY DEED 5/1/2001 04092 i 0735 76 500 Yes Improved
WARRANTY DEED i 5/1/2001 04092 0736 1 91 000 Yes I Improved
WARRANTY DEED 0 1997 03318 1 1156 66 900 Yes Improved 1
PROBATE RECORDS 1/1/1997 03185 1689 100 : No Improved
WARRANTY DEED 1/1/1973 00993 0598 28,700 € Yes I Improved
Find Comparabie Sales
Land
Method i Frontage Depth Units Units Price Land Value
LOT ; 0.00 i 0.00 1 j 25,000.00 j 25,000
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l 120305CROD000040 10/19/2017
CITY OF 4
k T (Building & Fire Prevention Divisionl ®i J RD RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVE(R,,INGS
PERMIT #: ' ADDRESS: ( I U Q Dr (,\jQ- 3
2113 I
D D' V 1 14 ! (_M , 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.(CCH%A PTER 553.844). LICENSE #:
y v Jz2 5 -J 1 l ' COMPANY / CONTRACTOR:
Pow W ox— R0Jk r\Q ( v CONTRACTOR SIGNATURE:
MUST BE
SIGNED BY LICENSE HOL,1AR OR A FINAL
ROOF INSPECTION IS REQUIRED: DATE: d .
2112 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, UNDERLAYMENT, 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 Al12 D' Sworn to and
Subscribed before me this P day of 0,-/—. 20 _a by: 9,6 IJ !
V1 /` . Who is ?-re—rsonally Known to me or has Produced (type of identification) Signature of ,
6tary
Public State of Flo
da ll Print/Type/
Stamp
Name of Notary Public
as identification. pSPRY
PUBZ/ JEFF
L MONTALTO COMMIS8106 # G'0102838
N9r or Expires
May 9, 2021 Fop f oP
BondedThruBudgetNotaryaerA=