166 Mayfair Ct; 18-3950; RE-ROOFq,le,. IF3
r Ei)R!j rCITY OF j i
SXI 4FORD
c
BUILDING DIVISION
U y
Fsr: rs
PERMIT APPLICATION
Application No: I Fr3q 5 o
n
Documented Construction Value: $ lA CD
Job Address: ((P I` l Lll Lr JDIIq: Historic District: Yes [I NoV]
Parcel ID: 1 q - -W - 5m - oo oo - (3-6 4C) Residential [a Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: q15n LE' LVlnTitle&=a MKO D-
I
Phone: 4M-CIGQ-`j9 13 Fax: Email:M1. 51f A KRCI_1-, Com
Property Owner Information
Nameau(
1_ (
lf:Cr Phone:'
Street: I (.a (0 Flo,, ,i' Nat Resident of property?: 7P
City, State Zip: S(Iri-rm Roy Ida z)1g7
Contractor Information
Name X RC . --—C
Street: L40 VA qW I
3) City, State Zip: t,23q()r 1(I(3t
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.: CcC I J .Iq I (0
Architect/Engineer Information
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.
I,]C-(;,
FBC 105.3 Shall be inscribed with the date of application and ,the code in effect as of that date: 6°i Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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.
Signatu e of Owner/Agent Date
g1 81ao 8
Signature of Contractor/Agent Date
muhne,
Prin Ore[ r/Agent's Name Print Contractor/Agent's Name
pRI is 60
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is - Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
S41 -
N RUBIN
ygRUTH-ANN RUBIN NOTARY PUBLIC oSTATE
OF FLORIDA NOTARYPUBLICSTATEOFFLORIDABELOWISFOROFFICEUSEONLY Comm#GG159793 Comm#
GG159793Expires 11/13/2021 iN
E19 0 Expires 11/13/2021 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: QXn Q_r_ IR BIA
I hereby name and appoint:
an agent o£ XRC , L.L.C_
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 this appointment for (check only one option):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: CC i q o1C0
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
Q`
The foregoing instrqment as acknowledged before me this day of ,
204_8__, by _l who isApersonally known
to me or o who has produced
identification and who did (did not) take an oath.
V&z , u 7 41Lj
Signature
Notary Seal) on4U6_ RUTH-
ANN RUBIN Print
or type name S
Y o
NOTARY PUBLIC STATE
OF FLORIDA Comm*
GG159793 N
19 0 Expires 11/13/2021 Rev.
08.12) Notary
Public - State of rhlAa Commission
No. hC' Nw My
Commission Expires: I 1 as
IftiCki Y..j IIVIS Claim Services, Inc. and IMS Catastrophe Services, Inc.
Multi -Line Insurance Adjusters
2221 59th Street West
Bradenton, FL 34209
941.746.3328 T 941.746.5495 F
S FI 1800133
Roof
Main Level
Dwelling Roof
2352.20 Surface Area 23.52 Number of Squares
226.93 Total Perimeter Length 97.68 Total Ridge Length
21.79 Total Hip Length
1
DESCRIPTION QTY UNIT PRICE TAX RCV DEPREC. ACV
DWELLING
1. Remove Tear off, haul and dispose of comp: 2352 SQ 46.99 0.00 1,105.20 0.00) 1,105.20
shingles - 3 tab
2. 3 tab - 25 yr. - comp. shingle roofing - w/out felt 26.67 SQ 183.18 148.18 5>033.59 1,058.40) 3,975.19
3. Re -nailing of roof sheathing - complete re -nail 2352.20 SF 0.23 3.29 5.44.30 4.08) 540.22
4. Roofing felt - 30 lb. 23.52 SQ 35.31 21.50 851.99 153.59) 698.40
5. R&R Ridge cap - composition shingles 97.68 LF 7.33 6.77 722.76 48.35) 674.41
6. Drip edge 226.93 LF 2.07 10.64 480.39 56.47) 423.92
7. Valley metal 69.25 LF 4.72 7.76 334.62 41,15) 293.47
8. Flashing - pipe jack - lead 4.00 EA 59.98 8.96 248.88 47.54) 201.34
9. R&R Flat roof exhaust vent / cap - gooseneck 8" 2.00 FA 79.88 3.78 163.54 20.06) 143.48
10.. R&R Continuous ridge vent - aluminum 60.00 LF 8.37 12.35 514.55 65.52) 449.03
11. R&R Flashing; 20" wide 20.00 LF 4.16 1.95 85.15 10.33) 74.82
1.2. R&R Tarp - all-purpose poly - per sq ft (labor and 288.00 SF 1.07 4.23 312.39 0.00) 312.39
material)
13. R&R Flashing, 14" wide 18.00 LF 4.43 1.35 81.09 7.15) 73.94
14. Step flashing 23.00 LF 10.34 2.17 239.99 11.53) 228.46
Dwelling Totals:
232.93 10,718.44 1,524.17) 9,194.27
Totals: Dwelling Roof 232.93 10,718.44 1,524.17 91194.27
Area Dwelling Total: 232.93 10,718.44 1,524.17) 9494.27
Totals: Main Level 232.93 10,718.44 1,524.17 9,194.27
Area Dwelling Total: 232'93 10,718.44 (1,524.17) 9,194.27
Totals: hoof 232.93 10,718.44 1,524.17 9,194.27
Interior
SF1180OL33 7/12/2018 Pnge:2
9/11/2,018
cra
EAaOI.E COUH'ry K+.GXmn
Legal Description
LOT 34
MAYFAIR VILLAS
PB 22 PGS 9 & 10
Taxes
SCPA Parcel View: 33-19-30-505-0000-0340
Property Record Card
Parcel: 33-19-30-505-0000-0340
Property Address: 166 MAYFAIR CT SANFORD, FL 32771-3677
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method I Cost/Market Cost/Market
Number of Buildings 1
Depreciated Bldg Value 126,808 108,075
Depreciated EXFT Value 1,000 1,000
Land Value (Market)
Land Value Ag
Just/Market Value ** 127,808 109,075
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 7,825 0
P&G Adj -- 1 $0 _ 0
Assessed Value Value 1 $119,983 109,075
Tax Amount without SOH: $2,076.00
2017 Tax Bill Amount $2,076.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 119,983 0 119,983
Schools
j
127,808 ( 0 i 127,808
City Sanford --_. — -----_._.—___-----. 119,983 0 119,983
SJWM(Saint Johns Water Management) 1 $119,983 0 j
County Bonds 119,983 i 0 119,983
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 9/1/2007 06898 0684 165,000 j Yes Improved
QUIT CLAIM DEED 8/1/2007 06813 1571 000 $135, No1__.________ Improved
WARRANTY DEED i 11/1/1983 01500 1466 53,500 Yes Improved
Find Cornpamble Sates
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 0.00 i $0.10
Building Information
1 Q—IfQ+h ,.,+ i, o,+? rrA4 uo 0
Description
Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
http://parceldetaii.scpafl.org/ParceiDetail lnfo.aspx?PI D=33193050500000340 1 /2
CITY OF
S,k'40RD Building &Fire Prevention Division
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 tic 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:g' DATE:
CITY OF
SWORD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINNM
RE -ROOF TYPE:
I8 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY:
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: l OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES
i
0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:12 - 4:12 O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLELaaj^ FL# 5L 44' R 14
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#
0INSULATED FL#
O TILE FL#
0 OTHER: FL#
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County FLInst #2018107138 Book:9213 Page:1873; (1 PAGES) RCD: 9/18/2018 12:25:37 PMRECFEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: MIGDALIA WALKER
Address:
NOTICE OF COMMENCEMENT
Permit Number.
CERTIFIED COPY (3RAW MALOY `
CLERK OF THE CIRCUIT COURT'
AND COt•41P-1ROLLER
SEIVW%1 NTY, FLORIDA
LTisSO4WAS Ilil:
Parcel ID Number. 33-19-30-505-0000-0340
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. DLES (P,TIR VPPA'1WPVK Y:Legal c crjpflo of tbepyperty and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MIGDALIA WALKER, 166 MAYFAIR COURT, SANFORD, FLORIDA 32771
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: XRC, LLC Phone Number. 407-960-5933
Address: 4019 W 1st STREET, SANFORD, FLORIDA 32771
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 maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number.
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)
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.
MIGDALIA WALKER
Print Name and Provide Signatorys Title/Office)
State of County of
2
The foregoing Instrument was acknowledged before me this % d day cf ,i lll?Q.1.J .20 18d
AA, B . I` _ . T
by
f Name of person maidng statement
who has produced Identificationg4we of identification produced:
RUTH-ANN RUBIN
t g, NOTARY PUBLIC
c STATE OF FLORIDA
Comm# GG159793
Who is personally known to me OR
j"V
Notary Signature
NC 1Es1.0 Expires 11/13/2021
JIS
CITY OF
ORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 B 3q SO ADDRESS: I b l m"& lDll
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, E144NEER, 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. CHAPTER 553.844).
LICENSE#: Cli 1'Q1 ow
COMPANY / CONTRACTOR: A KU - LLC.
CONTRACTOR SIGNATURE: DATE: gk2AQ01B
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
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
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 OFp1e
Sworn to and Subscribed before me this day of 20 ]r by:
Who isxPersonally Known to me or has Produced (type of
id tification) _ as identification.
Signature of Notary Public RUTH-ANN RUBIN
State of Florida
j/Q1C1b
o NOTARY PUBLIC
n
02 CATE OF FLORIDA
11 2 omm# GG159793
Print/Type/Stamp Name Expires 11113/2021
of Notary Public