146 Crown Colony Way 17-134 RoofECE1VEh
Job Address:
Parcel ID:
JAN 10 2017 CITY OF SANFORD
BUILDING & FIRE PREVENTION
BY, Aj PERMIT APPLICATION
Application No: 19 -- :3
Documented Construction
Cl/l
Type of Work: New Addition A
Description of Work: I VA4i ,
CF;IJ, rz z - s t
Plan Review Contact Person: h
PhoneFax: ation
Repair yo
Value: $
191 % Historic
District: Yes NoM Residential(
Commercial Demo
Chancre of Use Move i
L
Title: Email: (
lJ C° <too. Corn Property
Owner Information p
Name
I , ( Phone: 0 3 6 Street: (
o Cr 6 Resident of property? City,
State Zip: P ( %% -7 n /
Contractor
Information Name
i2 G >° Phone:li' % Street:
Fax: City,
State Zip: P-( State License No.: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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. 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
j,7g.7.tYrqof Contractor/Agent Dat
Printlnla,,Io,IA,, , nl', Name
I /10)"l
upature of Notary -State of Florida Date
ANNETTE SCOTT
Notary Public • State of Florida
My Comm. Expires Jan 18, 2018
9CommisWon Ito ,n to Me or
9'a t ary Assn.
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
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: 33-19-30-5QS-0000-0280 Page 1 of 2
I
Property Record Card
CFA Parcel: 33-19-30 5QS-0000-0280
Owner: BLAIR ROBERT & SARAH V
O`coo"`TY'F°MA 1 Property Address: 146 CROWN COLONY WAY SANFORD. FL 32771
Parcel Information
Parcel ! 33-19-30-5QS-0000-0280
i Owner i BLAIR ROBERT & SARAH V
Property Address 146 CROWN COLONY WAY SANFORD, FL 32771
Mailing i 146 CROWN COLONY WAY SANFORD, FL 32771
Subdivision Name € CROWN COLONY SUBDIVISION
Tax District I S1-SANFORD
DOR Use Code i 01-SINGLE FAMILY
I Exemptions ,
NN tiOl('7 NYW \Y--
a off,.... .
50
1
03
12703 INO L
1 28
2
0 co ao
CD I rn \
Uri 2a x
105 109.75'..'.
7.04
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method j Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 138,235 132,234
Depreciated EXFT Value 1,200 1,250
i.......................................................
ValueLand (Market) 33,...000 33 ,000....................................
Land Value Ag j
Just/Market Value " t............. 172,435 166,484
Portability Adj
Save Our Homes Adj i $0 57,069
Amendment 1 Adj 0
P&G Adj 0 0
t.................................
Assessed Value 172,435 109,415
Tax Amount without SOH: $2,523.92
2016 Tax Bill Amount $1,379.92
Tax Estimator
Save Our Homes Savings: $1,144.00
Does NOT INCLUDE Non Ad Valorem Assessments
i Legal Description
LOT 28
CROWN COLONY SUBDIVISION
PB 61 PGS 76 - 78
i Taxes
Toxin Authority9YI Assessment Value Exempt Values Taxable Value
Schools......................................................................_.-. 172,435... 35..
City Sanford 172,435
0...;......................................................_
0 172,435
I SJWM(Saint Johns Water Management) 172,435 0 1
0.1...______.
172,435
County Bonds 172,435 172,435
County General Fund 172,435 0 172,435
Sales
f Description Date Book Page m n -- -- - Amount Qualed VaGlmp
WARRANTY DEED 1/1/2016 i 08616 0386 225.000 Yes Improved
WARRANTY DEED 6/1/2008 07010 0345 238,500 Yes Improved
SPECIAL WARRANTY DEED --
WARRANTY DEEDf
12/1/2003
7/1/2003
05156
04955
1336
1160
154,300
680,000
Yes
No
Improved
Vacant
Find Comparable Sates
t
Land
Method Frontage Depth Units Units Price Land Value
i € LOT 1 $33,000.00 = $33,000
i'
Building Information
Is Bed/Bath count incorrect? Click Here.
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/
Eff12003742.0 1,865 2,290 1,865 138,235 145,511
Description Are
http://parceldetall.scpafl.org/ParcelDetaillnfo.aspx?PID=3319305QS00000280 1/5/2017
LIC # CCC1330939
LIC # CRC1331435
Licensed &Insured
Ins. Co, MT-
First in quality Tel.#
First in Service
First in Satisfaction Claim
800411-0920
6767 Hoffner Avenue
Orlando, Florida 32822
I Z 10 _ --1 2
Adj. Name
Tel. #
Fax #
PROPOSAL SUBMITTED TOt' C+ t C- DATE o STREET
r Y% 0I1(\JOB # CITY,
STATE, ZIP (,anf-o rd F6J2X3h ` SUBDIVISION HOME
PHONE 23 9 -T - BUSINESS PHONE SPECIFICATIONS
FOR LA13OR AND MATERIAL Var
Off
Shingles: _1— Layers Prafesslonally
Install: Brand Type A=.k I C'C (.t f ` Color New
Valleys. Ft. ig,,
K§tall: 30 lb. Felt Peel & Stick tY Synthetic Underlayment NWeal,
sidewalls, counter and wall flashings O Re -Use Drip Edge Drip Edge ew
1-1/2' 2" 3' 4' or Plumbing Vents 2
entilation-.GooseNecks
i Off Ridge Vents Ridge Vents 3Q 1E Color ail Plywood
Sheathing to Code Sl yfight
2 x 2 4 x 4 I ood
replaced at $60 - per sheet {if needed``) lean -up
and haul off all job related trash U1 011 yard with magnetic roller tf'Protect yard and shrubs Atlantic Roofing
is not responsible for }ire -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 5 YR LABOR WARRANTY CONTINGENT This
proposal
Is contingent upon $te Insurance company paying for damages. This proposal will be VOID only if Bairn is disallowed by insurance company. Property owner'
s out-of-podret evense 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 ANYTIME 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
sheet fo, ich is incirpowted herein and made apart hereof by reference, to include customary profit and overhead when multiple trade incurred
Payment upon completion of each trade. IAuthorized Signature'
Dle' ,190 , Must be
approved by company owner. No other work ekpressed or implied verbally. Ali changes to be in writing and accepted before commencement of changes. NOTE:
This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above p specifications qqd conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified Payment will
be made as outline above x Date_ Z '/ 3—
ZO/,
THIS INSTRUMENT PREPARED By.
Name: G
Add?ess:
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:
GRANT NALOYr SENINOLE COUNTY
CLERIC OF CIRCUIT COURT & COMPTROLLER
BK 87841 Po 427 (1F'gs )
CLERK'S Y 2017003091
RECORDE:I) P11
S:ECi71;i::.; . =EF'S •1ii.i i
RECORDED BY hdevore
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 prope and street ad/dross if available)
7
vPA 6.4 26
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION R LESSEE IN ORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: ! > 0 _ (/ OWYId f r31i1 b P"4,,
Interest in property: ff1 dNA&-
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: !1 Gv Phone Number:
Address: -bwZ-
5. SURETY (If applicable, a copillf the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER:
Address:
Phone Number:
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)
0
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 bfLessee, or Owner's or Lessee's (Print Name and Provide Signatory's Tige/Office)
Authorized Officer/Olrector/Partner/Manager)
State of PlthcViJ0\ County of The
foregoing Instrument wasaac nowledged before me this ? r
day
of by
I O IL s' I r ' Who is personally known to me O OR Name
of person making statement EL 9f who hasproducedidentification6-type of identification produced: i'1 Q ( % `S `30 1 — y L GRACIELA
GAGNE e MYE
P^IRESSApr025, 20 1348 dA
N
10 2017
City of Sanfordlttr
1
Product Approval Specification Form
Permit #
Project Location Address G-aka Co /L,
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide theinformationandproductapprovalnumber(s) on the building components listed below if they are to beutilizedontheconstructionprojectforwhichyouareapplyingforabuildingpermit. We recommend thatyoucontactyourlocalproductsuppliershouldyounotknowtheproductapprovalnumberforanyofthe
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
lnccl-rintinn (include (decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other ,
June 2014
Category / Subcategory ManufacturerT Product Florida Approval #
r ocorintinn (includina decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underlayments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
l y--
Mft17'-- 1 'r-1 5335 June
2014 2
Category / Subcategory
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
Manufacturer Product Florida Approval #
include decimal)
a
June 2014
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit
hereby acknowledge that I personally inspected
woof deck nailing and/orCKSecondary water barrier work
at I Y6 crfrxm i'L {'i and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and jhat I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Z L-14 , z /9 /"7
Si u e of Contractor Date
Printed Name of Contractor License #
License Type: General Building Residentiamoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 0 ^-W
Sworn tpp (or ffirmed) and subscribed before me this day of nvA `, 20, by
MC CC' ('ar, ,j ,who igrsonally Known to me or has 0 Produced (type of
identification) as identification.
l .SEAL)
gignature'of Notary Public o : •••. STEPHEN PATRICK DOU1N
StgjU pf Florid * * MY COMMISSION 9 FF 071532
i' P,4P CLj)p 1r/-t--+ EXPIRES: December 27, 2017 Print/
Type/Stamp Name r'
rFov5,,
60' Bonded Thru Budget Notary services of
Notary Public