419 Palmetto Ave; 17-2678; ROOFI ! ; CITY OF SANFORD
SEP 0 6 2017 BUILDING $ FIRE PREVENTION
PERMIT APPLICATION
x `
Application No: (
Documented Construction Value: $ t
Job Address: Historic District: Yes No
Parcel ID: a,5 -OG 0 Residentia,R Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
3 4 1411 a
Plan Review Contact Person: 6Ny\_t1X\1L-t Title:
Phone: ?a7-a 3?- Fax: Email: j ;r.. 0Njje,4 ( Pe Te e/t •log+
Property Owner Information
Name Phone:
Street: l \ pc s OR Resident of property?
City, State Zip: •su 2- 1 L 3 ? l
Contractor Information
Name
Street: 4 8 ( lcs. . cn r. ? c Tc_mc o,,
City, State Zip: rL 33ce\ c
Phone: -7 a7-- 3 -7 `[ sy Fax:
State
License No.: 0-0-0-1 3a 1 A `3 Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
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
Print Owner/Agent's Name
IBM
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Namc
r
13417
Signature of Notary -State of Florida Date
CHRISTINEO'MALLEY
MY COMMISSION # FF 087307
l a EXPIRES: January 29, 2018
Bonded Thru Notary Public underwriters
Known to Me orcontracro'77T,-77T is =Personaliv
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
10
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
nCOMMENTS?ems
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: Rine 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
1, Raquel Swanner (Name of Home Depot Qualifier), license # CCC1331 113, CGC1514813 hereinafter referred
to as the "License Holder," the qualifying agent of The Home Depot, hereby appoint the following persons as Attorney -
in -Fact of the License Holder/The Home Depot, who shall act as my agent with respect to only the following matters
a) signing and submitting building permit applications, (b) obtaining building permits, and (c) obtaining the certificate
of occupancy from So,n -Vz (pertinent city/county/state) on behalf of the License Holder/The Home Depot:
Brian Kirby
Aaron Hallich
LICE OLDER:
Si
Print Na Raq el Swanner
Date: 9 1 i
Title: Regional Compliance Manager
Company Name: Home Depot USA
Mailing Address: 9208 Florida Palm Dr
Tampa, Fl 33619
Telephone No.: 813-626-7548
Fax No.:
State of. Florida
County of. Lake
Tim O'Malley
David Weed
Erick DeDios
S,,,, c 3 a -7-7 /
WITNE wo sipnatmres required:
Sign: --
Print Name: i ct4 l (' ) b6 (ZL5
Date: `I I ) 117
Sign:
Print N m".
Date: q t 1 7
T
This Limited Power of Attorney is non -durable, meaning it ceases effectiveness if the principal becomes incapacitated.
If 1 have designated more than one agent, the agents are permitted to act separately.
This power of attorney and authorization shall expire on
X) This power of attorney and authorization shall continue in full force and effect until I deliver to you a letter
revoking the power or a new Limited Power of Attorney form replacing any previous authorization.
The foregoing instrument was acknowledged before me this `
1
day of , ' 20!%by
Raquel Swanner, the Qualifier of The Home Depot , a
corporation.
Notary Public
Commission Expires:
corporation, on behalf of the
ot Pq,•, TIMOTHY R. O'MALLEY
MY COMMISSION # GG 117135
EXPIRES: August 7, 2021
get; 4•• Bonded Thru Notary Public Underwriters
Updated 31912017
SGR/15641978.1
is
T4IS INSTRUMENT PREPARED BY:
o i i 111 ll I{Ill hilllll iiil 1111101Name: I11(+t Dt,0VT
Address: ao / , o.l r GW'fldT 1'1f)1.O't r SENINOLE COUNTY
t%l 33619 f-i...ERE.. OF C:IRC4UIT COURT h COMPTROLLER
cc c + An/ r A p
BK 89 j F-S 71 (.I.i']a) rl
l G ®I- i®iY111i9 8 10E9Y9E9 T
CLERK'S Y 21]i7)120176F'ECORDEE'.r iiO,ii;;ii1l liieyl.' i'lli
E;:C:Ok'J G FEES I-jCi.Ciii
RECORDED BY Vide, orf, i
Permit Number:
Parcel ID Number: 2.5%. IT - 30 « 57A6 " 0 V 1
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)
S -20 G-r A-!1../ 7 C .I-T A. /_7 / t 4. I.. --7 c .J-r ,64 I- %L 1?1k ! -NZ I -r s-^ a-f Sa"rJ
2. GEN AL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IFTHELESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: C ¢ 1•tel I rtr K / 7 50.M,sW 1 F( Interest
in property: D nQl Fee
Simple Title Holder (if other than owner listed above) Address:
21 4.
CONTRACTOR: Name: Jr 40ML poT Phone Number: 3
Address: 9o S s or la &(, 3-36i9 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: - Address: _
Amount of Bond: 6.
LENDER: Name: Phone Number: Address:
N '
7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713A3(
1)(a)7., Florida Statutes. Name:
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. 9
rye /1err,TT' ignature
of OvOner or Lessee, or Owner's or Lessee's -- (Print Name and Provide Signatory's Tille/Office) Authorized
OMcer/Difector/Partner/Manager) State
of _ F I County of Sp^ "de- The
foregoing instrument was acknowledged before me this day of y} 201 T
Who is personally known to me OR <.A by
gCyCG' efCl1 P Y r\`)"''.,% s Name
of person maMng statement ' F. i;: ';' •! C` • 's' who
has produced identification a type of identification produced: WIsl
JOHNL.
aUND / 1 _C,. ',, NOTARY PUBLIC
STATE OF
FLORIDA Comm# GG050373
Expires 12/
3/2020 Notary ti
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Tim O'Malley
For
419 S. Palmetto Avenue
Sanford, FL 32771
DATE ISSUED:
September 21, 2017
DATE EXPIRES:
March 22, 2018
B P# 17-2807
Approved to remove and replace 25sgs architectural shingles will Atlas Architectural
Shingles in Pristine Desert color to match existing roof material.
A I C P
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? WrYES NO
Building Department hepresentative
PERMIT # _T--
I
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: `
STRUCTURE TYPE: JSTNGLE FAMILi' RESIDENCE/TOWNHOUSE O MOBTLE HOME O APARTMENT/CONDOMINIUM
RF-ROOF TYPE: JKREPLAC'EMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE -COVER (NEW ROOF INSTALLED OVER EXISTNG ROOF)
DECK TYPE (PLEASE SPECIFY): I/ Pl w,., j
PLEASE NOTE: ONLY 100 SQUARE .FEET OF THE EAYSTIAIG DECK IS PERAUIITTED TO BE REPLACED'"'
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES -(Y'NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:12 - 4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHTNGLE 0'\A FL# (q3os
O METAL FL#
O.MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TrLE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES PATIOS FTC.) **IFAPPLICABLF, **
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 FLY
O TORCH DOWN FL#
O INSULATED FL#
Q TILE
0 OTHER:
FL#
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 a 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: 22- DATE: %
SCPA Parcel View: 25-19-30-5AG-0601-015A Page 1 of 2
Property Record Card
PoR P ° Parcel: 25-19-30-5AG-0601-015A
AP Owner: MERRITT BRYCE
4CM.HJKx,1 X]l,Pl'f Y, 1'I.OF'#A]!1
Property Address: 419 PALMETTO AVE SANFORD, FL 32771
Parcel Information
Parcel 25-19-30-5AG-0601-015A
Owner MERRITT BRYCE
Property Address 419 PALMETTO AVE SANFORD, FL 32771
Mailing 1052 LAURA ST CASSELBERRY, FL 32707-
Subdivision Name SANFORD TOWN OF
Tax District S1-SANFORD
DOR Use Code 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT
Exemptions
IN
Seminole County GIS
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market CosUMarket
Number of Buildings 1 1
Depreciated Bldg Value 80,185 77,651
Depreciated EXFT Value
Land Value (Market) 17,564 13,948
Land Value Ag
Just/Market Value 97,749 91,599
Portability Adj
Save Our Homes Adj 0 I $0
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 97,749 91,599
Tax Amount without SOH: $1,836.15
2016 Tax Bill Amount $1,836.15
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AG0601015A 10/3/2017