121 Mayfield Cr; 18-4120; RE-ROOFJob Addre
Parcel ID:
CITY OF SANFORD
OCT 0 2 201 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value
Historic District: Yes No (
Residential [Commercial El
A.ariit;nn n A ltPrntinn Renair I Demo L { Chancre of Use U Move LJ.
Plan Review Contact Person: /_I I(
Phone:HOT-7 9 7- '/! `"/J--] Fax:
Property Owner Information
321_ Y LqName0V
AA '
Y` Iy I Phone-_ -7 19 Street:
CA I Resident of property? City,
State Zip: CA nT0Y C14 A I Contractor
Information / / -7
G Name
C i S Gu 1 Phone:'lU - G ! - /S Street: /
ve Fax: /l
City,
State Zip: V ( (/ f L 2 L State License No.: v 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 FINANCLnG,
CONSULT WITH YOUR LENDER OR AIN 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 applicationand the code in effect as of that date: 5lb 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 ofthe property ofthe 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 Owmer/Agent Date
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
0
PAY P`',-, JUDY L.MERCER
Notary Public - State of Florida
Commission 9 GG 096251
My Comm. Expires May 26, 2021KQBondedthroughNationalNotaryAssn.
Contractor/Agent isPeisonaTiy`T Yior td 1
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:
CONIMI ENTS:
UTILITIES:
Fire Alarm Permit: Yes NO
WASTE WATER:
BUILDD G:
Revised: June 30, 2015 Permit Application
9/28/2018
scxn+tac.:.ctauaervcx.cxa+.
SCPA Parcel View: 32-19-31-516-0000-0690
PrQPPY Record Gard
Parcel: 32-19-31- 516-0000-0690
Property Address: 121 MAYFIELD DR SANFORD. FL 32771
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings
w----------------------- __
1 1
Depreciated Bldg Value 148,111 145,676
Depreciated EXFT Value 338 350
Land Value (Market) 34,000 30,000
Land Value Ag
Justit•Aarket Value '* 182,449 176,026
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 1,940 11,927
P&G Adj 0 0
Assessed Value— 180,509 164,099
Tax Amount without SOH: $3,203.04
2017 Tax Bill Amount $3,203.04
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 69
CELERY LAKES PHASE 2
PB 65 PGS 29 & 30
Taxes
Taxing Authority Assessment Value Exempt Values
u
Taxable Value
County General Fund 180,509 0 180,509
Schools 182 449
rt.. O 9..
City Sanford_ 180,509"---—_$0 180,509
SJWM(Saint Johns Water Management) 180,509 0 180,509
County Bonds 180,509 0 ' 180,509
Sales
l.
Description 1 Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 4/1/2014 08246 149 900 = Yes Improved
WARRANTY DEED 12/1/2013 2 M45 100 No Improvedp
CERTIFICATE OF TITLE 7/1/2013 08093 r v 116 000 I No Improved
SPECIAL WARRANTY DEED 8/1/2005 05884 0. 5: 200 400 I Yes Improved
Land
http://parceldetaii.scpafl.org/Parcel Detailinfo.aspx? PI D=32193151600000690 1 /2
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst#2018112373 Book:9221 Page:1868; (1 PAGES) RCD: 10/2/2018 12:52:04 PM
REC FEE $10.00 CERTIFIED COPY GRANT MALOY
TH
Na
Ad I.TL>•il J. ma's:
NOTICE OF COMMENCEMENT
Permit Number: /
Parcel ID Number — —0 D
AND CGR^PTROLLER JISEMINGLECUidT)(FL0RIDAIiI
8Y-. TY CLERK
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. D SCRIPTIO OF RO ERTY: (Le al descriptio the pro erty d s a rep if a lable
U+(a 1 ,°e Ices r A r,
L -1 nl
2. GENERAL DESCRIP(
T
ON OF IMPROVEMENT: 'fin /YD
hI3. OWNNameand ddests:t nri
N OR SVUN,
w'li .
INFORMATION
f Il/-#V W- DK
SSEE CONNTRACTED FOR E OV
1
Interest in property:
V v
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
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 maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates
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 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.
rf—ui a l e. I I Amer
or or Owner'sor Lessee's tvnnt Name and Pmide Signa s Tiae/Orfice) Ofrieer/
Director/Parnner/Manager) State
of Y 1 County of CYCA ` 'lam r, The
for oing innstrumenntt was ackknno wlled a before me this day of by `
Y I Yy V y l , I Who is personally known to me O OR Name o!
per son/makingstatement I who has
produced Identification t ,tytSe of identification produced: ; li IL I % E225 t Se tAC GRACIELA GAGNE MY
COMMISSION # FF985949
EXPIRES April 25,
2020 No y gn r ag7)99ti-0153FkakfallottService.com
I®a ®® mod
T L A N T I C
Roofing & CUI1strLJCtlO11
LIC # CCC1330939
LIC
t
CRC1331435
Syr y, lS 'r 2
First in Quality Tel_#
First in Sen4ce
First in Satisfaction Claim #
800-411-0920 Adj. Name ' k6n T
6767 Hoffner Avenue Tel. # Orlando, Florida 32822 a3l) q
Fax # =
l I
PROPOSAL SUBMITTED/ TO Cali I P0id)211a4- grain V YoWell DATE 19-11
STREET % I N1_. ` I C I d Y_ JOB #
CITY, STATE, ZIP SUBDIVISION
HOME PHONE " '7 BUSINESS PHONE
SPECIFICATIONS FOR LABOR AND MATERIAL.
J;
Ipp`rlo'elessionally
r Off Shingles: — Layers J,
Install: Brand :r&,, An , c Type KV to t cColor _F_ u *, „ Z Jej,w
Valleys Ft. lnstall:
30 lb. Felt Peel & Stick 0 Synthetic Underlayment n
NN Bseat,
sidewalls, counter and wail flashings 0 Re -Use Drip Edge GDrip Edge 1 ' C t + i/1 1-
1/2 2' 3' 4' or Plumbing Vents 7tilatiom
Goose Necks Off Ridge Vents Ridge Vents Color ail
Plywood Sheathing to Code 0Z
fight2 x 2 4x4 ood
replaced at $60 -per sheet (if needed) i Cle
and haul off all job related trash oll yard with magnetic roller Protect yard and shrubs n \
I i % 1. . i i. i W.
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 1 YR LABOR WARRANTY CONTINGENT
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 claim. 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 WORKSHEEr
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 she t for which is i c crated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
incurred $ i Payment r rnmplelion of each trade. Authorized
Signatur 1 rait' _7F Must be
approved by company owner. No other vg4 e1pressed or implied verbally. All changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be wMdrawKby us if not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above work as
specified. Payment will
be made as outline above and conl
bins are and are hereby accepted. You are authorized to do the Date -5-
1 t- ) ]_
CITY OF
Building & Fire Prevention DivisionDsakNFORDRESIDENTL4LRE -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), CERTIFYI G FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: Lo {' V
City o .SGL--Ord '3-L!IC?itb =vis?on
Reszeentlia Re-ROof Scope of Work
JOB DDRESS: L
O O C0\m0?L Ti?
Y?.YR SIDENCE/TOWNHOiiSE 03_r? OBE
MUCTI U RE TYPE:
TDREP
L?iGiE F.
Rom? RE -ROOF i v?.s : =.0
t , -AILED OV ZR ESORS-COVE2 (?N R00.5
DECK iPE (PrsE SPciF1'):
x *PLEASE g _NO?'E O?vr _F iDO SpUA F. REE pF ZH --r-STLhC DECK TS PH-P-M1? FED i0 3 RE? r CFD "
R00FVEN- MT _-,T-Olt O O -_ i' G= ` GE O SOFF- OPOWER:-M VENTO -ru 3 =S
Ov. '' r5. S pRTJOVE FLOC P30D C"?RCV
SsC T— _ — ----- C--rs: 0CS . - y --
h3Ai'\ ROOF
7•i2 0V2.12- .17 ^:'-2ORC-FaAT ROOF
SLOPE. O ? ztsS TF''N _ EiF?.
CTLRFR i FLORIDA PRODUCT ApPROV?,-:, Tt
F OF ROOF -I
m 0 Mry) To, p3J:
v t t Slut
AT---'
Di I FT I
O`-=:
ROOF
EXTF
S'sO SiPORCE?P f AMOS. ETGi ""_+FAp,-PLICABL"" G17•i•
2-1:1, "•i703CRiw'-R ROOF SLO?
E: O LFSS'- -N 2' 2 T'YFE
OF ROOF VtJ L=?
ST TORGr? DOWN
I15li —ED
T? -N-
LF kC-LMERKLOR D PRODUCT-kF?ROV =L F ME
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: v —L—t `"(D"'D ADDRESS: 1
1 icy C-1a AS A(N) GENERAL, BUILDING R
NTR R, ENGINEER, ARCHITE , 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 O, N F.S.. CHAPTER 553.844),
LICENSE #: rLc I
COMPANY/
CONTRACTC
MUST BE S1
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: I l q
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 V 164
Sworn to and Subscribed before me this 0day of ZO by:
m Who isrsonally Known to me or has L Produced (type of ide
f lion) as identification. Signature
of Notary Public State
of Florida j)
jtx A n 1,.. + Notary MPublic State of Florida MwChloeMCooperMy
Commission GG 162169 Print/
Type/Stamp Name a ' Expires
11/2112021 of NotaryPublic