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102 Mayfield Dr; 17-3037; RE-ROOFI w Job Address: Type of Work: Description of Work: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 7- 3 a —as / Documented Construction Value: $ -Inc) Residential [A Commercial Change of Use Move Plan Review Contact Person: Phone: qO 7 7q 7- LIQ6 (-y Fax: Email: W t K4 Property Owner Information / ( I Name \` U ,/ Phone: "l U -7 —?1 `"l — `J 6 Street: VZ lC! Q-V Resident of property? : S City, State Zip: (An I FL 73 z-7 Contractor Information Name ' of Phone: Fax: t J V . Street: ]] A City, State Zip: d Vl 1 f Ja0a (.Z State License No.: ,(_ 12691 Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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 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. 4!2i / 7 Signature of Owner/Agent Date Signature f Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID i e_ J/0)Z-/n Signa e of Notgry,16tate of Florida Date t'pV PL ••.,, JUDY L. MERCER NotaryPublic-StateofFlorida Commission # GG 096251 r< Comm, Expires May 26, 2021 OcF`, Contract Bonded rough Nation of sn. 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: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 32-19-31-516-0000-0820 Page 1 of 2 Property Record Card_ Parcel: 32-19-31-516-0000-0320 Owner: BELL YVETTE A Property Address: 102 MAYFIELD DR SANFORD, FL 32771 Parcel Information Parcel 32-19-31.. -- 000-0820 j Owner : BELL YVETTE A Property Address 102 MAYFIELD DR SANFORD, FL 32771 Mailing 102 MAYFIELD DR SANFORD, FL 32771 Subdivision Name '; CELERY LAKES PHASE 2 Tax District ; S1-SANFORD DOR Use Code ` 01 SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) I Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market I Number of Buildings 1 1 Depreciated Bldg Value $135 745 117 229 Depreciated EXFT Value € $350 363 Land Value (Market) $30 000 23,000 j Land Value Ag just!Market Value "" ) $166,095 140,592 j Portability Adj f Save Our Homes Adj $58,435 35,146 Amendment 1 Adj P&G Adj $0 0 Assessed Value i $107,660 105446 Tax Amount without SOH: $2,004.00 2016 Tax Bill Amount $1,300.00 Tax Estimator Save Our Homes Savings: $704.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 82 CELERY LAKES PHASE 2 PB65PGS29&30 Taxes Taxing Authority ssessment Value Exempt Values Taxable Value L _ County General Fund 107,660 I 50 000 I 57 660 Schools 107,660 25,000 82,660 City Sanford 107,660 50,000 57 660 , Sa _. _.. SJWM ( int Johns Water Management) 107,660 50,000 i 57,660 County Bonds 107,660 € 50,000 , 57 660 Sales Description 11 Date Book Page Amount Qualified 9 Vac/Imp QUIT CLAIM DEED 7/1/2012 07806 0041 $100 No Improved SPECIAL WARRANTY DEED 7/1/2005 05845 1.1J3 $189,100 ;Yes mproved find Comparable Saiss Land Method Frontage Depth Units 1 Units Price Land Value LOT 1 3 $30,000 00 30 000 Building Information Is Bed Bath count mco€rect? Click Hera Year Built E Description Bed Bath Base Area # Total SF Living SF Ext Wall Adj Value Repl Value {AppendagesActual/EffectiveFixtures 1 SINGLE 2005 11 4 25 1,234 3,216 2,810 CB/STUCCO $135,745 142,141 € Description Area FAMILY FINISH 12.00 € http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=32193151600000820 10/12/2017 0- /110 3 LIC # CCC1330939 6767 Hoffner Avenue LIC # CRC1331435 Orlando, Florida 32822 PROPOSAL SUBMITTED TO Vg STREET CITY, STATE, ZIP !OLVS! dQC l n 1-3 I7 , HOME PHONE "i 1 0l— ) W— al Ins. Co. S'0 it -cJA)$43cody+y Tel.# Adj. Name Tel. # Fax # C DATE XI5 i1 . JOB # SUBDIVISION C-e I-ty-y Leak QS BUSINESS PHONE SPECIFICATIONS FOR 1LA13OR AND MATERIAL Ca'T/ear Off Shingles: _ Layers / i C3'Pr fessionally Install: Brand wl O Type A rr -e— V a. ( Color = v T i C- i G d i Ow Valleys Ft PR, stall: 30 lb. Felt Peel & Stick 0 Synthetic Undedayment eal, sidewails, counter and wall flashings Re -Use Drip Edge e'Drip Edge l New 1-1/2' 2" 3' 4' or Plumbing Vents 34entilation:. Goose Necks Off Ridge Vents Ridge Vents Color rd u1 2-'kenail Plywood Sheathing to Code li Skyght 2 x 2 4 x 4 2 'Plywood replaced at $60 - per sheet (if needed) Itlean-up and haul off all job relate trash EI-46II yard with magnetic roller 9'frotect yard and shrubs Atlantic Roofing is not responsible for pre-existing structural conditions. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS HAVE A f YR LABOR WARRANTY CON71NGF-NT 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-of-pocket expense is not to exceed the deductible amount The insurance company will determine and set the price of the daim. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME 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 incp orated herein and made a part hereof by reference, to include customary profit and overhead when muttiple trade incurred $ -1 h S 0 G Payment Upeompletian of each trade. Authorized Signature's`--C Must be approved by company owner. changes. NOTE: This proposal may be ACCEPTANCE OF PROPOSAL- The above work as specdied Payment will be made as outrrne a6 be in by us if not accepted within 30 days. and conditions are satisfactory and are hereby accepted. You are authorized to do the WS MWARIPA AMR NOTICE OF COMMENCEMENT Permit Number: J 2 " [ Parcel ID Number: ' 3 ' J) (O-t/Q 0aU C.-i l ll lll IIll1 lll11 lull lull lull llll llll GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COPIPTROLLER L-' K 901?7 Po 5611 (Pss) CLERK' S r 2017103954 RECORDED 10'/16/2017 11.59:31 rill RECORDING FEES $1iiClii , RECORDED BY aedrmt-o 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 strggt addres_if avoilable) , Zy . C4 c , jPL -37 -7-7 2. GENERAL DESCRIPTION OF IMPROVEMENT: j 3. OWNER INFORM? Name and address Interest in property: I OR LESSEE INFORMATION IF THE LESSEf CONTRACTED FOR THE V e-. 4+ - R_(( I I I h 2 MNji`(LI A Dv C(Ay- Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: j fl J7_ Phone Number: %— % Ll%— 14 _7 Address: (p % Lo H( M Cam( , rq , 3 7i b ZJ_ J 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. Name: Phone Number: Address: 8. In addition, Owner designates 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) 2 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. Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/ Director/Partner/Manager) Y rY Ficwdu State ofCountof The foregoing instrument was acknowledged before me this day of LbD )21/ ' y V f Tf I personally t v b — yi i ` . Who is ersonall known to me O OR r- p Name of perso making statement i z who has produced identification type of identification produced: V r Ur/ I t`S ` C c' GRACIELA GAGNE MY COMMISSION # FF98&99 Al EXPIRES A ) dl 25, 2020 407) 398- 0153 Florld Nota ,oqh V[j C u r. w o 00 ra T C\ W t l U C) SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3-3-2017 I hereby name and appoint: David Mercer an agent of: Atlantic Roofing & Constuction 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 thisappointmentfor (check only one option): 0 All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 12-31-2017 License Holder Name: Michael Gagne State License Number: CGC1330939 Signature of License Holder: STATE OF FLORIDCOUNTYOFO -4 15- j The foregoing instrument was acknowledged before me this 3 day of 144-Cep 20 17 , by 111 CUI 4 C t"i;tl ii who is (rsonally known to me or who has produced nd who did (did not) take an oath. Agri&ture of Notary SjSIYf4 ii 410Yt MERCERAtiAo1sNcstataof Florida OR t, Comfi irtiasE Abg 26, 2017 882187 as identification Print or type Notary name Notary Public - State of Commission No. My Commission Expires: City of Sanford Building DivisionA Residential Re -Roof Inspection Policy & Proceduresar PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are requiredtobesubmittedaspartofyourpermitapplication. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject. 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 SanfordHistoricPreservationBoard INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 esult in an affidavit provided by a Florida DesignProfessional (architect or engineer), certify g BC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 1 'DV16) i3 PER)i UT City of Sanford Building Division 4 Residential Re -Roof Scope of Work JOB ADDRESS: I V L ! MOBILE H0?= Q APART i vr/Coti o?L Tu /I MUCTL`RE TYPE: DINGLE FA:vT LY ?DE?vCFiTOWNIIOiiSE O = RE -ROOF TYPE:jREPI ACEMENT (TEAR OFF EXISTING ROOF AND REPLACt W7Td NEW CO??0'` ) TeT LED OVER EXISTING ROOF) QRE-COVER (NEW ROOF INS .... DECK TYPE (PLEASE SPECIFY): OS. PLEASE NOTE: ONLY I ©O SQUARE FEET OF THE EXISTING DECK IS P- -WITTED TO BE REPLACED " SOFFIT OW; POERED VENT QTT73AV S ROOF VENTILATION: MOFF-RIDGEP_R_TDGH O SI.'YLIGF : S' Q YES Lip TO IF YES, p, EASE ?ROV1DE-FLORIDA PRODUCT APPROVAL — -----_ — -_ A, ROOF AREA ROOF SLOPE: O LESS TITAN 2:12 O 2:12 - 4:12 ,4:12 OR GREATER ROOF EXTENSIOnS (PORCHES- PATIOS. ETC-1 **jFAPPLIC4BLE** ROOF SLOPE: O LESS TFIA*i 2:I2 O " 12 — ^ :12 O 4:12 OR GREATER TYPE OF ROOF SI nGLE VLTAL MODIFIHD BITU?IN TORCH DOWN 1 INSULATEDED TILE OT:JER, M.42NTFACTLRER FLORIDA PRODUCTAPPROVAL r City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 303 ? ADDRESS: Q 4-e( IAS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOINGINFORMATIONISTRUEANDACCURATEANDTHATALLROOFINGCOMPONENTSLISTEDONTHESCOPEOFWORKATTHEABOVEREFERENCEDADDRESSHAVEBEENINSTALLEDINACCORDANCEWITHTHEIRPRODUCTAPPROVALSANDALLAPPLICABLECODEREQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOFTHEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: vt/C COMPANY / CONTRACTOR:- (1 DATE: CONTRACTOR SIGNATURE: — 3 l MUST BE SIGNED BY LICENSE HOL R OWNER/BUILDE ) A FINAL ROOF INSPECTION IS REQUIRED: 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 FOREACHINSPECTION. 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 eveD Sworn to and Subscribed before me this _ day of A140 20 17 by: ftL t ( e- Who i Eersonally Known to me or has Produced (type of identific ion) as identification. r Signatu of Notary Public o'"a:.'!8, STEPHEN PATRICK DOLAN State of Florida * * MY COMMISSION I FF 071532 EXPIRES: December 27, 2017 N' grForF oe`O! Bonded Thru Budget Notary Services Print/ Type/Stamp Name of Notary Public