133 Sterling Pine St - BR17-000209 - ReRoofyam
JAN 19, p
Application No
Documented Construction Value:
Historic District: Yes D No @
ResidenflafED CommercialEl
Type of Work: New-E] AdditionEl Alteration[] RepairODemoEl Change of UseEl MoveEl
Description of Work:
Plan Review Contact Person: 61tr L4-b Sm'&h Title: r t ()n CL(loatr
Property Owner Information
Name 7- Phone:
Street: P, ne- Resident of property?
LCity, State Zip: y - IL
Contractor Information
NameAL&A n c Phone:
Street* Fax: Ai
City, State Zip: r State License No.:
11111:1,1 q i;
Name -
Street:
City, St, Zip:
Bonding Company: t!
Address:
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: 5" Edition (2014) Florida Building Code
Revised: June 30,2015 permit Application
NOTICE: In addition to the requirements of this permit. there maibe additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional penruts required from other governmental entities such as water
mapagenrent districtsstate agencies, or federal agencies.
Adeeptanee'o'fpermit iq verification that I will notify the owner of the 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 ]CC 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 one in compliance wi -'-All applicable laws regulating const do ng.
igna re 0 er/Agent Date Signature of Contractor/Agent Date
N
MEREDITH SMITH
MY COMMISSION #FF 137903
EXPfREE.S July 1, 2018
M
Produced ID , _ Type of ID
mommom
MEREDITH SMITH
My C(-')M%S&0iN #FF13i4:Q3
EXPIRES July 1, 20 18
Horid N001r , 0 1, S,,
IS _3_ ' Tae _ ton
I U 010 Produced ID
signature
evH
BELOW IS FOR OFFICE USE ONLY I
1 111 Ill Ill 1111IM11111
t-lto-ll
Date
Kno'"in to Me
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of. ld: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes El No El of Heads Fire Alarm Permit: Yes [-] No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
C)MMENTS:
am
Revised: June 30, 2015 Perant Application
Property
Parcel: PROPM 10-20-30-5i'l-0000-0,680
Owner
Pakatxa:fa AdcSaz,as. t zr S, „iri..k;;G r'.rvix S i SAL;EC)r1[?, l-.l. +2773
Parcel Information Value Summary
Parcel 10-20-30-511-0000-0580 2017 Working 2016 Certified
Values . Values
Owner CHAVEZ THOMAS W & TRACY L
Valuation Method Cost/Market Cost/Market
Property Address 133 STERLING PINE ST SANFORD, FL 32773 Number of Buildings 1 1
Mailing 133 STERLING PINE ST SANFORD, FL 32773-7428
Depreciated Bldg Value 153,604 $147,364
Subdivision Name [71!Zi EC Depreciated EXFT Value 16,868 $17,581
Tax District S1-SANFORCi
Land Value (Market) 25,000 $25,000
DOR Use Code 01-SINGLE FAMILY Land Value Ag
Exemptions 00-HOMESTEAD(2001) 1r,,:'° 195,472 $189,945 '
j Portability Ad1
Save Our Homes Adj 59,955 $55,370
Amendment 1 Adj
P&G Adj 0 $0
Assessed Value 135,517 $134,575
I
4 Tax Amount without SOH $2,994.21
4 gyp
Tax "finn"Aar
Save Our Homes Sawn s: g $I,109.93
I
Does NOT INCLUDE Non Ad Valorem Assessments
p
Legal Description
3' e"r i ok.) County (3is t
LOT 58
STERLING WOODS
PB 54 PGS 93 THRU 95
faxes
Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford 135,517 50,000 $85,517
SJ {Saint Johns Water Management} 135,517 50,000 $85,517
County Bonds 135,517 50,000 $85,517 :
County General Fund 135,517 50,000 $85,517 ti
Schools 135,517 25,000 $110,517 -
Sates
Description Date Book Page Amount Quaffed Vacbimp
SPECIAL WARRANTY DEED 7/112000 8 ` 4, $121,900 Yes Improved
WARRANTY DEED 1/112000 8Fj 5.y1`11 $315,000 No Vacant
Fhnd Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1.. $25,000 00 $25,000 =.
Building Information
t l "coy .t. Qhcc, Here, re,
Description Year BuiltAGtualtEffeGtive Fixtures Bed Bath Base Area Total SF Living SF Ext Wail Adj Value Rote Value Appendages
1 SINGLE 2000 9 4 r 1,120 2,583 2,142 CB/STUCCO $153,604 163,409 Description Area
FAMILY FINISH
21.00 .
0
AGREEMENT SUBJECTTO INSURANCE COMPANY APPROVAL
Customer: CAi0,\ L-Q_ Date: ao_ /:Z_,L
Property Location: Day:
Ctyp Zip: 3 -7 Evening:
E-Mail:
Style:TROOFSPECIFICATIONSBrand: G 77 Color:'6
Valley: Open Closed Tear -Of C.1) 2 Vents Box Shingle Over /Alurninu< Fell:L:!R/Rq'Q, G
I t
Ridge Material
ode Pitch: Story: 1 3 WalIce & Water Shield: er)C at: Ye s No
Roof Accessories to be replaced new and/or painted to match shingle color.
Drop Instructions:
ammam 11 4.5" 5" other:
FJovati—on being sided (looking at house from stre I
Drop Instructions:
GUTTER
0=
1. By signing this Ag ,reement, you authorize JA Edwards ofArnerica Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company.
2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount, However, You must promptly pay JA Edwards ofAmerica Inc.
all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses,
3. This Agreement is not valid or banding on any party unless and until it is signed by both you and JA Edwards of America Inc. Once signed by you and JA Edwards ofAmerica Inc.
JA Edwards ofAmerica Inc. will be awarded with the job described above and the scope and price ofthe work will be set forth in the insurance adjuster's summary.
4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back offlus Agreement. Please carefully read the entire front
and back ofthis Agreement,
5, Homeowner agrees to assignment of benefits to Contractor (JA Fdwards of America) for payments from insurance company to
facilitate timely payments to contractor for all works approved in insurance scope.
ASSIGNMENT OF INSURANCE BENEFITS: 1, the policyholder, named insured or authorized representative, hereby assign any and all insurance
benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to
be rendered by JA Edwards of America and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of
America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my
insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative (s) and/or its attorney for the
purpose of obtaining benefits to be paid by my insurance carrier(s) for services re
carrier(s) to comm nice as n e with each other in this regard.
a4ered or to be rendered and authorize JA Edwards and my
Belie e th 6 r ria I 'or nce,carrier is:
First Check: S 0Loct2V Check # 1_<2pg A?,ZS Date
igna (Cttstomer Date
Balance Due: $_L4j t`C:,)
JL130 /zok- Cheek # Date
Signature (JA h,'o4vards ofAmerica Inc, Rep) Date Agreed Price:
plus additional supplements & permit
fees paid by insurance company
7058 Stapoint Court - Winter Park, F1 32792 - Office: 407-677-7663 - Fax: 407-677-7664 - License #CCC1330444
1111111111111111111111111111111111111111PREPAREDTHISINSTRUMENT
Name- Meredith Smith
s
Permit Number:
Parcel rNumber: 1 IM • #M C:
I_l:° Ei1 CIF f I KLI1: (' COLA "i' & C:MIF"i ROL.LLF CLERK'
S 10 2017006361 IiIWi_
tlf.l.l_.i.a' iniS.r .I.:s, ,.'.i_i.k.,`' is,'. K'i.?' F°I't1`
0iJ6x[ ING FEES, Il+lei!„G The undersigned
hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 71, Florida Statutes, the following information
is provided in this Notice of Commencement. 1. DESCRIPTION
OF PROPERTY: (Legal descrip ion of the roparty and street ddress if available 2. GENERAL
DESCRIPTION OF IMPROVEMENT: t ,1 Reroof
JA „ 3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IM-, to Name and
SimpleInterest in
property: Fee Holder (
if other than owner listed above) Name: 4, CONTRACTOR:
Name: ,aA Edwards of America, Inc. Phone Number, 407.677,7663 Address: 7053
Stapoint Ct. Winter Park, FL 3 792 HNMEMEIMEMM= . Address:
Amount
of Bond: 7. Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section Florida k.
Address:
In
addition,
Owner designates n to receive
a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. Phone number: 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 TWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 COMMENCIN
WORK R RECORDING YOUR NOTICE OF COMMENCEMENT. l ("amean
t
Ile
Signature of
caner or Lessee, or ner scar C.essee's (Pde ignaofy's TitletOffice) Authorized Officerjoirector/Pa
ertManager) State of County
of 1 t The foregoing instrument
was acknowledged before me this day of 20 Name of personmaking
i iistatement
LIMITED POWER OF ATTORNEY
Altamonte Springs, Cass elberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:_
hereby natne and appoint:Tv ln n c V
I OEM li,A I
h anagentof.,]A 0LADW-dS t Name
of Company) to
be any 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): 0
All permits and applications submitted by this contractor, or
1110
The specific permit and application for work 119,catedat: r
S
MelA ddes,) Expiration
Date for This Limited Power of Attorney: —L1tkLLE— License
Holder Name: State
License Number: Signature
of License H STATE
OF FLORIDA COUNTY
OF f C CVDtt- The
foregoing instrument was acknowledged before me this 4-0 Wdayof 201_
who is)ROpersonally known to
me or o who has produced as identification
and who did (did not) take an ath, Signatur
Notary
Seal) Print
or type name MER
r
yc_ I 'u 'l M XPI
Notary
Public - State of MEREDITH SM IT a
MY COM MIS SiON #FP137903 CommissionNo. EXPIRES July -1, 2018 MyCommissionExpires:_ ires:s 407 394,0 1 A,!,l Rev.
8/06/13)
ITY OF SANFOR6 BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit
hereby acknowledge that I personally inspected
P000f deck nailing and/or _1 Secondary water barrier work
M and have determined that the work
Job Site Address),J
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 that 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
Signature of Contractor Date
Printed Name of Contractor License 4
License Type: [] General ["] Building L1 Residential XRoofing Contractor
F] or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
n this 20 L-1affixandsub _447day of byort 'o fr
rsonally Known to me or has 0 Produced (type of
ifidetn coatio identification.ast
SiL e v P ignatoNotaryyPublic
State of Florida
Print/Type/Stamp Name
of Notary Public
I