103 Orion Way; 18-4137; RE-ROOFCITY OF OCT 0 3 2018 Building & Fire Prevention Division
PERMIT APPLICATION
FIRE DEPARTMENT Application No: Jg— kA
Documented Construction Value: $ 12, t'33 5 95
Job Address: 103 ORION WAY SANFORD, FL 32771 Historic District; Yes NoFv
Parcel ID• 02-20-30-520-0000-0620 Residential Commercial
Type of Work: New —]Addition Alteration Repair®TDemo Change of Use[-1 Move
Description of Work: REMOVE EXISTING ROOF DOWN TO DECK. INSTALL NEW
UNDERLAYMENT AND SHINGLES TO LOCAL CODE.
Plan Review Contact Person:
Phone:407-284-1738 Fax:
Title:
Email:ocorpermifting@roofally.com
Property Owner Information
Name DELACY, PATTI JO
Street: 103 ORION WAY
City, State Zip: SANFORD, FL 32771
Phone: 407-416-7364
Resident of property? YES
Contractor Information
Name OAK CREST CONTRACTING
Street:115 TIMBERLACHEN CIR, STE 1013
City, State Zip LAKE MARY, FL 32746
Name:_
Street:
City, St, Zip::
Bonding Company
Address:
Phone:_407-284-1738
Fax:
State License No.: CCC1330407
Arch itectlEngineer 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 NOTICEOF 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; 611 Edition (2017) Florida Building Code 20`
Ck3
Revised: January 1, 2018 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 requiredfrom 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 incompliance with all applicable laws regulating construction and zoning. k
T W li3i I Si re
of Contra: /Agent Date Print Contractor/
Agent's Name U 6,
31 I Signature ofN
te ofrj{aq—,-I 4c -COMMISSION
0 OG229759,9 EXPIRES: June
19, 2022 hill Contractor/
Agent
is Personally Known to Me or Produced ID
Type of ID Permits Required:
Building Electrical Mechanical Plumbing[] Gas Roof Construction Type:
Occupancy Use: Flood Zone: Total Sq
Ft of Bldg: Min. Occupancy Load # of Stories: New Construction:
Electric - # of Amps_ Fire Sprinkler'
Permit: Yes No APPROVALS: ZONING:
ENGINEERING: COMMENTS:
of
Heads
UTILITIES: FIRE:
Plumbing - #
of
Fixtures Fire Alarm
Permit: Yes No WASTE WATER:
BUILDING: Revised:
January
1, 2018 Permit Application
OAK CREST CONTRACTING, INC. No Risk' Guarantee! /
115 Timberlachen Cir #1013
Lake Mary, FL 32746 oakcrest.com REP:r+_.`+t!
Contractor Registration: CCC1330407 SOLICITOR'S LIC. _____
y------------------}--------- DQfi PHONE: 407-284-1738 FAX: 866-648-8193 PHONE:itL_ = 1 ''1./--------
OWNER DATE EMAIL ADDRESS
Q—il a La 0 1 g id211eVAHoo-com STREET
CELL PHONE WORK PHONE in
O 1-} i to . 3 6 67 ' 5 5 52 CITY
STATE ZIP HOME PHONE FL
3277-73 We hereby
submit scope of work for: FLORIDA CONSTRUCTION LIEN. ACCORDING TO FLORIDA'S CONSTRUCTION U"Tear
off ALL- 'LA-1 _ `10 2. A STATUTES),
THOSE WHO WORK LIEN LAW (SECTIONS IPROVIDE ON YOURPROPERTYORMA1-713.37, TERIALSALSAND
ARENOT PAID -IN -FULL V# of squares
off t"EyT-- .A HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR YRecover roof with _
1 7 T^ 7.c i,rI.-Gf4:r/ dat. PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR Y# of squares
on . V ' il j CONTRACFOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - drthingle/color IOT
A- LA i i SUBCONTRACTORS OTHER THLECTS
TO FEMONEY3'Protect as
needed daily LEGLLREQ REQUIRED PAYMENTS.
THEPEOPLE WHOGAPE OWED MAYLOOK TO
YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID property V'ekingC1
OSB CDX Elother YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR U'nderlayment 15
lb. Ur30 lb. Other g yNZ)t CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A d'I'Metal
edge colr M krG H LIEN IS FILED, YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY LABOR, MATERIALS OR
OTHER SERVICE8114AT YOUR CONTRACTOR OR A IJFOR alley Ltdf closed open SUBCONTRACTOR MAY HAVE FAILED TO PAY, TO PROTECT YOURSELF, YOU Hip"and Ridge
standard enhanced SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS CIS' ails 11 `'
J open a MADE, YOUR CONTRACTOR 1S REQUIRED TO PROVIDE YOU WITH A WRITTEN LEASE OF LIEN
FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO r - e flashing
4t/ 3 1 ead 1 g Nf p YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS box ridge other
C, COMPLEX, ANDIT IS RECOMMENDED THAT YOU CONSULT ANATTORNY. tVentilation L7 Sealaround
all vents, pipes and fleshings FLORIDA HONTEOWNERS' CONSTRUCTION RECOVERY FUND. PAYMENT MAY Ice and water
shield to local code BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION F rurnish all
materials, labor and necessary permjts RECOVERY FUND IF
YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, HERE THE
LOSS RESULTS FROM SPECIFIED VIOLATIONS OF W Delivery instructions left
right other FLORIDA LAW BY A LICENSED CONTRACTOR FOR INFORMATION ABOUT" IHE C Haul off
construction debris RECOVERY FUND AND FILFNG A CLAIM, CONTACT THE FLORIDA Wi 2 limited
warranty CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING year magnet through
yard
TELEPHONE NUMBER AND
ADDRESS: CILB, 1940 North Monroe St., #42, Tallahassee, FL32399. leholl 9
Lienwaivers
provide upon final payment ANY CLAIMS FOR CONSTRUCIION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF
CHAPTER 558, FLORIDA STATUES. BUYER'S RIGHT
TO CANCEL: This is a home solicitation sale, and if you do not want the goods or services, you may cancel this Agreement by providing written notice to the seller in person, by telegram,
or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight on the third business day after you sign this
Agreement. If you cancel this Agreement, the seller may not keep all or part of any cash down payment. By signing this Agreement, you agree that you have also been provided notice of
this right to cancel orally in addition to the writing contained herein. Customef s signature
below signifies acceptance of all terms and conditions of this Agreement, including all terms on the revere side hereof. Terms; This Agreement
is contingent upon insurance company price and approval. This Agreement does not obligate the Customer or Company in any way unless it is approved by Customer'
s insurance company and accepted by Company. Company proposes to furnish alI permits, labor and materials to complete the above replacement or repair
for the estimated sum of total cost below or the price otherwise agreed upon with Customer's insurance company (the "Agreed Price"). Customer authorizes Company to
obtain labor and materials in accordance with the Agreed Price and the specifications set forth herein to accomplish the above replacement or repair. Customer understands
that Company does not work for Customer's insurance company and/or the insurer for the property, and that Customer alone has the authority to authorize
Company to perform the above replacement or repair. Customer's signature on this Agreement also signifies acceptance of all terms and conditions of this
Agreement, including all terms on the reverse side hereof. In situations where supplements for additional work are necessary outside of the original scope of work (
ex. additional layers or measurements), Company will seek approval from insurance company. Customer's out of pocket expense not to exceed deductible plus upgrades
for non4nsurance related claim items. Payment Method: Payment
Upon Completion of Each Trade. Check or money order made payable to Oak Crest Cash will not be an acceptable form of payment. Emergency Tarps Insurance
Proceeds Cash/
Financing Total
cost (tax
included Acceptance by Owner
of property By: Representative Signature By:
Estimated Project Start
Date: fi 1 5,
rhP,/Ss l ated
Date of Completion: Date: - i ,- ( Date: ''-
ho — __ FL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 9/27/2018
I hereby name and appoint: Ashley Geis
an agent of: Oak Crest Contracting
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):
X The specific permit and application for work located at:
103 Orion Way Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Dustin Doll
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Q&-minoI
The foregoing instrument was acknowledged before me this.
20VLl , by PghlC,j Ogj&
to me or who has produced
identification and who did (did not) take a .
Notary Seal)
CHERY(j,,,
Rev. 08.12)
Signatur
C 1. • 7os t11fl-
Print or type name
y day of J' ,
who isXpersonally known
Notary Public - State of 17t,
Commission No. CoCv a a 17 t,e D
My Commission Expires: CO- I q- 4
as
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst#2018100028 Book:9202 Page:841; (1 PAGES) RCD: 8/29/2018 1:33:41 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Ashley Geis
Address: 115 Timberi_achen Cir, Ste 10 33
Lake Mary, FL 32746
NOTICE OF COMM E&PAIC BRIENT
Permit Number.
Parcel ID Number. 02-20-30-520-0000-0620
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. OESCRIPTION OF PROPERTY_ (Legal description of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
REMOVE EXISTING ROOF TO DECK INSTALL NEW UNDERLAYMENT AND ROOF TO CODE.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: DELACY. PATTI JO 103 ORION WAY SANFORD FL 32771
Interest in property: OWNER
Fee Simple ride Holder {if other than owner listed above) Name:
4.` CONTRACTOR: Name: OAK CREST CONTRACTING Phone Number. 407-284-1738
Address: 115 TIMBERLACHEN CIR, .S.TE 1013 LAKE MARY, FL 32746
S. SURETY (if applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
S. 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 Section713.13(1)(a)7., Florida Statutes.
Name: Phone Number.
Address:
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)
WARMG 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.
SignoW Owner or Losses, orOwnaesorLe s
In UdcL n'tJ rL2t("
AUU10AZed OrtIoermfm rrParMermw"er) (
Print Name and Provide Signato s'n )
State of County of 5e-M 71-4 fi t--
The foregoing instrument was acknowledged before me this day of (al/6t1—
by W o naliy known to me OR
Name of person marang ement
who has produced identification type of identification produced: 1 a—p t "/
I
4
SCPA Parcel View: 02-20-30-520-0000-0620 Page 1 of 2
onpc ray
Property Record Card1rPj1&
241F11
p
Parcel: 02-20-30-520-0000-0620
seccoiavrvA'jnRn Property Address: 103 ORION WAY SANFORD, FL 32771
Parcel Information i Value Summ ary
Parcel 02-20-30-520-0000-0620
Owner(s) DELACY, PATTI JO
Property Address
Mailing
Subdivision Name
103 ORION WAY SANFORD, FL 32771
103 ORION WAY SANFORD, FL 32773 4417
PLACID WOODS PH 1
I Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
W
Legal Description
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 1 $104am620 $92,811 j_ .
Depreciated
EXFT Value -) — Land
Value (Market) i $28,000 $25,000 Land
Value Ag Just/
Market Value " $132,620 T 117,811 Portability
Adj Save
Our Homes Adj $0 Amendment
1 Adj $28,785 $23,416 r _—
P&
G Adj t $0 Assessed
Value ( $103,835 $94,395 Tax
Amount without SOH: $1,951.00 2017
Tax Bill Amount $1,951.00 Tax
Estimator Save
Our Homes Savings: $0.00 TRIM
Notice Help Does
NOT INCLUDE Non Ad Valorem Assessments LOT
62 PLACID
WOODS PH 1 PB
51 PGS 23 THRU 29 Taxes
Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 103,835 ' 0 103,835 Schools
132,620 0 132,620 City
Sanford 103,835 0 103,835 SJWM(
Saint Johns Water Management) 103,835 i 0 103,835 County
Bonds 103,835 ' 0, 103,835 Sales
Description
Date Book Page Amount Qualified Vac/Imp WARRANTY
DEED 6/1/2005 05799 0021 j 188 000 Yes i Improved WARRANTY
DEED 5/1/2005 19/
1/1997 05740
1219 138 000 : Yes Improved SPECIAL
WARRANTY DEED 03304 1834 76 500 ; Yes Improved WARRANTY
DEED 3/1/1997 03212 0130 103 500 No Vacant Ifind
comparabte Sales Land
Method
Frontage Depth Units Units Price Land Value LOT
1 $28,000.00 i $28,000 I Building
Information 1 Is
Bed/Bath count incorrect? Click Here. Description
Year BuiltFixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj ValueFRep-1V7.lu.Appendages Actual/
Effective — 1
1997 6 ! 2 2,0 ; 1,158 = 1,554 j 1,1581 $104,620 $113,103 Description
Area http://
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=02203052000000620 10/3/2018
7
CITY OF j
3 Building & Fire Prevention DivisionORDRESIDENTL9LREROOFPOLICY& 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: - I DATE: 8/31 /2018
ITY t
IORD
w
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 103 Orion Way Sanford, FL 32771
STRUCTURE TYPE: (D SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: O OFF -RIDGE (S) RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: OYES (ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:1.2 0 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
DSHINGLE TKO FL# FL7006.1
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#
OINSULATED FL#
O TILE FL#
O OTHER: FL#