109 Ventura Dr - BR17-000200 - WindowsIV E
1'Fi,
AA17JANIPj201 CITY OF SANFORD
BUILDING & FIRE PREVENTION
N PERMIT APPLICATION
Application No: I "C; cx)
Documented Construction Value: S 3,s--7q `-
Job Address: (Qt `\jl s C flistoric District: Yes F-1 No [I
Parcel ID: 10 ,No - oE-- 0 Residential F] Commercial E]
Type of Work: New 1:1 Addition 11 Alteration El Repair El Derno 1:1 Change of Use El Move El
Description of Work:
Plan Review Contact Person: Title:
Phone: -7>-7— & -,>7 -kj 0`1 Fax: Entail: C
Property Owner Information
Narne Phone:
Street, 'A' (N. Resident of property?
City, State Zip:
Name The Home DOW p 110 Ite
Street: Fiorido P01M Dn`4e Fax:
Tampa,
City, State Zip:,, State 1,icense No.: t 6 y SS
Arch itect/E ng ineer Information
N a me Phone:
Street: Fax: _
City, S(, Zip: E-mail:
Bonding Company- Mortgage Leader:
Address: Address:
NNARN I N(;'I'O 0XVNER- YOUR VNILURE'lt) RECORD A N0410E OF CONMNIENCEMENT NIAN'RESUIA' IN YOUR
PAVING TWICE FOR 1,N]PCOVE MENT'I'S 1'0 YOUR PROPER11'. A NOTICE OF COMMENCEMENT NIUS'I' BE RECORDED ,
XNI) POSTED ON J'IlEJ0B SITE BEFORE"I'llE FIRST INSPECUION. IF YOU INTEND'FO 013"I'AIN FINANCING',
CONSUL-T VVI-M YOUR LENDER OR AN ATTORNEY BEFORE RECORDING' YOUR NO'FKE OF COMMENCEMEIN'
L Application
is hereby made to obtain a perinit to (to the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance ol'a permit and that all work will be pert'Onned to meet standards of all lavvs 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 thae ol'applicatioa and the code in effect as of that date. 5" Edition (2014) Florida Building Code Rc\
1'ed: J111W 30, 015Permit Application
NOTICE': In addition to the requirements of this Permit, there may be additional rcstrictions applicable to this property that may be
lound ill the public; records of this COLUItV, and there may be additional pcnriits required from other go,,ernriiental entities such as "',iter
niaria genient districts, ,rate agencies. or 1ederal auncws.
Acceptance officrinit is verification that I will notify the Owner of the propeary of the recjl,lireinerrs of lorida Lien Law, FS 713.
PIC OtV OfS,111foRt N(jLliles paynient ot'a plan review 1ec at the tints Of PCrolit SllbloittZll, A copy of the executed contract is reqUil-Cd
in order to C,11CULIte a plan rcview chargQ and will be considered the estimated construction value, ofthe job at the tune of'submitial.
The aCIILKII C011So-LICU011 value' will be figured based on the current WC Valuation Table in ctTe.ct at the time the permit is issuccl, in
accor(hurce with local ordinanCC, ShoUld C;AICUIItCkl char ,,ICS fillUrcd off' the exectited contract exceed the actual construction v,,ljue.
credit will be applied it) ,our Ivnint fees wlicii the ficrinit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
he done in compliance with all applicable laws regulating construction and zoning.
SquniaturQ Agent 111ze
PrInt Omm Aaellt" Name
Skunzawe of'Notarv-Stale of HontLi Dale
Owner/Agent is Personally Known to Me or
N-odixed ID Type MID
47
signamic of( t ol`A""nit Date
1111 Contractor Aggent" Name A C1
to
ilfirk 7
C, W
Siggnawre apt tsotai y-State of Fkm& Date U,
Uj U'
CH TINEOVAUZY
cep My c(,WM ION Ji FF087307
Wj
i ry 29,2018 EEXPIRE&,
Puts C Un&fWriteusMI — 0BondedrhruNo
Con ractor/Agent! is ,_,X Personally iinouta to N1 Or
Fv e of1DProducedIDP
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingEl F,Iecti-ical Mechanical Plurilbing[] (;asE:] Root'E] Zn
Construction Type: Occupancy Use:
Total Set Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes D No 8 of Heads Fire Alarm Permit: Yes [] NoE]
APPROVALS: ZONING: WASTEWATER: L
ENGINEERING, I'lRE: BUILDING-- -
Rel ise& June 30, 20 1'> Permit Applicatiou
x.
M
APPRARIR
Parcel Information Value Summary
Parcel 10-20-:30-50:3-0400-0830 2017 Working 2016 Certified
Values Values
Owner PETERSEN BRUC:E & LOUANN
Valuation Method Cost/Maarket Cost/Market
Property Address 109 VENTURA DR SANFORD, FL 32773 Number aFBuildings 1 1
Mailing 109 VENTURA DR SANFORD, FL.:3277;3-5546 Depreciated Bldg Value, 71,504 69,917
Subdivision NainCd Depreciated EXFTVaIue
lax District S1-SANFORD Land Vali..e (Market) 21.000 21000
DOR Use Cade 01-SINGLE FAMILY Land Value Ag
Exemptions 00-HOMESI`EAD(200:3) 92,504 89,917
i Q I 'I ZU Portability Adj
D
Save Our Homes And 27,005 24,873
Amendment 1 Adj
w, 84 P&G Val 0 0
IN,
1, Assessed Vaalue 65,4G9 65,044
Tax Amaunt SOH:
s
without 989.09
614L$3
Save Car Homes Savings: 379,26
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
L.ar 83 BLK 4
HIDDEN LAKE PHASE II UNIT I
PB 24 PGS 15 TO 17
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford 65,499 40,499 25,000
SJVL M(Saint Johns Water Management) 65,499 40,499 25,000
County Bonds 65,499 40,499 25,000
Caeinty General Eland 65,499 40,499 25,000
Schools 65,499 25,000 40,499
Sales
Descriptiwi Date Soak Page Arnount Qualified Vac imp
WARRANTY DEED 2/1a'2002 95,500 Yes Improved
WARRANTY DEED 31l /1993 65,000 Yes Improved
WARRANTY DEED 111/1981 45 200 Yes Improved
Lance
Muthod Frontage. Depth Units Units Price Land Value
LOT 0.00 0,00 1 21,00C).00 21,000
Building Information
Des,cAption Year Built Fixtures Bed Bath Base Area Tatai SF Living SF Ext Wall Adj Value Repl Value Appendages
Actu asl/E:ffe Calve
SalespersonRegistration
Home Improvement ree e t
THD AT- HOME SERVICES, INC ("Herne Depot") or Service Provider named below will furnish, install
and/or service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information
LC IANN pFTERSPN [Tampa 9790703
nFirstNme --- a _.._ ___.._. Last PJ mt _ — ._ Brarat.hName iaa d it
109 Vent—ura give S,ANFORD 1=1s 3 7 3
C.a t nrc,r Aeirlr¢ , Gity___... State Zip
407) 314 0395 [(407) 314-0395
w
1 Itri c: !-'hutir,# .-__. .,._ V1 iir'k^-'it r c # Cell F'tior r# __,.
petersen-louann@a cfl.rr.com
FL 33619
1M Y MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME
CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YII
OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT
HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
A
AckrrawfedCpr by:
01/13/017
Customer's Signature. Date
1
Distribution: White - Home Depot Yellow - Customer Copy
License number(s) held by or on behalf of the Home Depot:
FL Lic # CCC058327, CGC1 507093, CRC046858
License numbers are subject to change in accordance with local or state government processes. For the most
current listing of license numbers held by or on behalf of the Home Depot, please visit www, homed e pot', on
11'(.t,-,senun,ibers,
Job #: (internal Reference) Products: Spec Sheet(s) M Project Amount
hoofing Siding - Windows j InSUIatron
9790703 Gutters 1 Covers 9790703 $ 387430EntryDoors
0 9 1 ing []-w on- R ofin- in ows nsulation $
Gutters Covers E Entry Doors L]
ng dinc [_ indows $ i ing Insulation
Gutters Covers 1-_-] Entry Doors
Roofing Insulation _
Gutters1 Covers Entry Doors I SubTotal $
3874.
30 ji-
esTax 0-
00 Total
Contract A.
mountj. ... . .. ... ... Warrarity:
The
warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in the
following documents: Warran
y lVantagefsointe
6500-6100-6060 Warranty t
Narne(
s): 3
Distribution:
White - Horne Depot Yellow - Customer Copy
THIS INSTRUMENT PREPARED BY: The Home ()GPot
at
Address: 9208 e •
NOTICE OF COMMENCEMENT
t,R(i f f iIALtl Y y SF I11i1i1L_L COMITY
f:L.L RK OF Ir IRi:I.li. i C,:001 & C01711"TI'iOLL ER
CLEWS a ;i{ i.L'i t_ 0/6186
fZE:r.CIII FEES ~I 1tmt.00
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 PROPS : (Legal description of the property and street address i available)
t"a ." ''• °e.Y1 .-t,. C,, i ° .i h. a}-' L 'ib -t i :T 1
2. GENERAL DESCRIPTION OF IMPROVEMENT:
t 14
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address. l..6U "vt S vl d V v -\Jr A 4— 7
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
CONTRACTOR: Name: ref Home Services Phone Number:
Address: 208 Florida Palm Drive
5. SURE (if applicable, a copy of the pyment bored is attached): Name.
015
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.1311 Florida Statutes.
Name: Phone Number:
In addition,Owner designatesof
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
tME tN 1` WN ; 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.
Smnature or Lessee, or Owner's or Le see's (Print Name and Pro e Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
11-
State of l County of y"` " `i`
The foregoing instrument was acknowledged before me this day of
by C1 v1 Who is personally known to me 0 OR
Name or person making statement
who has produced Identification type of identification produced:
tit
3 n r..w. u ...... ..... ga. .,..< -. ..
To Whorn It May Concern:
This letter will authorize the following person(s) to act as agent(s) on behalf ofTFIF) At-Florne
Services, INC, D/B/A'Fhe Flonic Depot At-Florne Services, 2455 Paces Ferry Rd 4C- 11, Atlanta, GA
303' )9 to sign and pull for permits, inspections, and licensing with respect to the installation, maintenance
and repair of windows, doors, siding, and storm protection under Florida State Residential Contractor
license number CRC046858.
Authorized person(s):
Brian Kirby
Dun Kirby
Katrina Jararnillo
Frank Jaramillo
fin, OWalley
Christine O'Malley
Elizabeth Hutchinson
John Hutchinson
Erick DeDios
Aaron flallich
Larry flail
Jon Thomas
Qualifier _- yI---- THD
At -Horne Services, INC The
11ome Depot At-l-lome Services Address:
109 Ventura Drive Sanford,
FL 32773 STATE
OF FLORIDA COUNTY
OF 1411,LSBOROUG14 1-
7 The
foregoing instrument was acknowledged before me this day of _._ 20-- - by Boys ieRamdial.
No
a .411 .Public -- State of Florida Printed
AdN*amej—
My
Commission Expires Personally
known _lx-,, or Produced Identification CIE
THD
At -Home Services, Inc. 9208
Florida Palm Drive - Tampa, FL 33619 Phone:
Q 13-626 - 7548
fly of Sanford
Doors - Windows Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this subnottal. A complete application package shall include the following:
All permit applications must be complete prior to acceptance. A complete application shall include the
following t-1
I/ Building Permit Application completed, signed and notarized. Application Must include: correct addressZn
and complete parcel I.D. number.
Copy of as contract, signed I -,ay the contractor and the property owner, indicating the documentedZn
construction value
n1VA Copy ofapplicable contractor's license issued by the State of Florida (if the contractor is the applicant).
1,
1'z
A
site specific notarized power of attorney shall be required front the licensed contractor if he/
she appoints an employee of his/her company to sign the permit application as the contractor. 11,
11,11A, Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford
as certificate holder, or a copy of worker's compensation exemption issued by the State of Florida (
must be submitted with each application if contractor is the applicant.). 1--
i /V/w('ompleted and signed Owner Builder Staterrient / Affidavit (if the owner is the applicant), Two (
2) copies of the floor plan indicatinil., size, type and location of windows/doors. Completed
and signed Statc,,vide Product Approval Specification Fortri. I-
f/ Two (2) copies of the manut'aCtUrer's installation instructions. These '
guidelitIeS ItICIT COInpiled to assist the applicant in prep uring (I ii,111dovt,'y // doors Permit application and mal,
not be conlplett% 77le Upplicant is required to meet 4111 Citly of Sanfi)rd. stale, and jederal code requireniews.
Revised:
F'Cbruao' 2015
Building and Fire Prevention
City of Sanford
Product Approvat'sRecification Form
71
I z",
Permit # # 1 7 2 0 0
Project Location Address
As required by Florida Statute 553,842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit, We recommend that
you contact your local product supplier should you not know the product approval number for any of the
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,floudabuilding.org,
The following information must be available on the jobsite for inspections:
1. This entire product • form
2. A copy of the manufacturer's • details and requirements for each product.
Category / Subcate gcap yManufacturer Product Florida Approval # cludin
decima tio Jrl n,
e-- I W—a—lisidl
I Soffits
Storefronts
Curtain
Walls Wall
Louver Glass
block Membrane
Greenhouse
E,
P.S Composite Panels
Other
4.
R Products Asphalt_
SNn9Y?§.--.-. — Underl,
eyj:ents Roofing"
Fasteners Nonstructural
Metal
W-
6od-shakesand Sh.,
ip_q1es Roofing
tiles Roofing
Insulation
Water
rt afin Built
up roofing y
sternMcsdafled
Bitumen ri6le
ly Roof dinglete
MSRo
slate 9-f . ..... ijements/
Adhesives
oatan
Liquid
Applied terns
Roqfisy, —1- Tig Roof
Tile adhesive
Spray
Applied Polyurethane
E,
P,S, Roof Panels
Roof
Vents
CategQry r Subcateg6r Manufacturer Product Rorida Approval #
Desqrip_(Jqn _Vqe/ude decima
5. Shutters
Accordion
Bahama
oil U ----------
Fp IR nt
Other—
6. Slkyl i.gots
1_.ylic hts
Other
Structural
nents
Wood Connectors
Atoicmhors
Truss Plates
Fnc ineered Lumber
I
to a lers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Will
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Sigm
Applicant's Nam
Please Print)
JVIPdC}C)'l,' SPECIF{;,;ATION S,iEET Sue< , Sheef 9790703 heeV , Of 1
i_,., s,Daler: I_Oi. ANN F= FRSEsv ob x: 9790703 CM.SUItal-t. JOHN M DOOLEY Date ;vt i S.L0t s i
td n ' t-
Er f. g rN t,d,,,i. GnIs taro ,Ao< SE a:' de 7
Says
L--cauo. { i Chic• c-+g` G,,, nma ! rt of b xis r_. 3 ( ren ;1 PnI..
se L R o: S
Cass
si I .
Sr,eens R r at s ,
a.;t y _t4 atYle C` ,tifs 4..,> f,J CJ.,
L $5Sl >- U CS 1 CL_ " ( inr
I
i I •
4JDn EU i".'.-}H
i s I (
j
uc !i 3tr r r ,.. .. i j r =.n{. 4
cr#i
i.,,
ih_L.
j ;
A.,
tlj— j I
d4 d £,-or Jjjj
nterio, Casing Type i I
Bay cr, Bo, w,ndow
Birch o3 Oak)
Say a £, .ect single M c>r 45,
y Flwiklo Type i6H. SH or G n.n r 1
1, ped p) s',=`f4 c-sy() cf soffit material ^ I "isle o1,,m'sr3 and ag -, -h"ehall Ife #ob sGtecJlca.-.rf`s abJ. ve and '
ccn_ act Rc r , es or ._ynt ` i e„ c.:i Tea. _ and the f ovong crag.
Garden Mnuo. IIts
Customer.. halve
tf J+'?1i Sh Mi fYos Gr ."i.r},
There is n , .asantee that new sfr gles snnii match ex -stint cc inr.
REQUIRED INSPECTION SEQUENCE
P
BUILDING PEFUMIT
Min Max Ins ectin Deseri tion
Footer / Setback
Ste all
Foundation / Fonn hoard Survey
Slab / Mono Slab Pre our
Lintel / Tie Be / Fill Down Cell
Sheathin — Walls
Sheathing -- Roof
Roof Dry In
Frame
Insulation Rough In
Frewall Screw Pattern
I3r all / Sheetrocl
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen. Foci
Final Poch Screen Enclosure
Final Single Farnil Residence
Final Building (Other)
SEISE: June 2014
Address:
ELECTRICAL PERMIT
A nsctln scn
Pre-PowerElectric
Under ound
Mechanical Final