1901 W 16 St - BR17-000298 - ReRoofJob Address: historic District- Yes El No El
Parcel 11): _Pt i i,, r) Reside ntialt - Commercial
Type of Work: NewEl Addition 11 Alteration El RepairaDemol] Chan
I
ge of Use MoveEl
Description of Work: Veto -e.
L
Plan Review Contact Person. P16i 'Ell Title:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street: JALL_AIAL4L4 Resident of property?
City, State Zip:
Name: Phone. -
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:_",,
I
Mortgage Lender: A -
WARNING TO OWNER: YOUR FAILUREITO 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.
FB(' 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
1 i
Revise& June 30, 015 Permit Application 4,
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 requ irements of Florida Lien Lave, FS 711
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy ofthe 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 cut -rent R1 (7 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.
pimture oPClwnerlA C µ
Date signature C ntractor/Agent Date
J r
Print Owner/Agent's Name Print Contract r/Agent' Name
M
I Date ature of Nrl"iNignM
AT
Owner/Agent is Personally Known to Me or Contractor/Aijutis Persona ly Known to Me or
Produced ID Type of ID Produced 11) Type of 11)
BELOWIS FOR OFFICE USE ONLY
Permits Required: Building El Electrical El Mechanical [] Plumbing[] Gas[:] RoofE]
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of AmpsPlumbing - # of Fixtures Fire
Sprinkler Permit: Yes El No # of lieadsFire Alarm Permit: Yes E] NoE] APPROVALS: ZONING:
ENGINEERING: COMMENTS:
Em
WASTE
WATER:
Revised: June
30, 201 i Permit Application
C;PA Parcel View: 35-1-30-513-?000-0160 Page l of 2
Property, Record Carr
4 ,~ aripPAORMPR
Parcel Information Value Summary
Parcel 35-19-30-513-2000-0160 2017 Working 2016 Certified
Values ValuesOwnerJACKSONJACK
Valuation Method Cost/Market Cost/Market
Property Address 1901 W 16TH ST SANFORD, FL 32771 Number of Buildings 1 1
Mailing 1901 W 16TH ST SANFORD„ FL 32771
Depreciated Bldg Value 69,670 67,306
Subdivision Name 1 `., ` t ;.
Depreciated EXFT Value 200 200
Tax District : S1-SANFORD Land Value (Market) 11,700 11,700
DOR Use Code 01-SINGLE FAMILY
Land Value Ag
Exemptions 00-HOMESTEAD(1994) N x ,.m ti.ii ,:. 81,570 79,206
t Portability Adj
Save Our Homes Adj 4,474 2,646
Amendment 1 Adj
x P&G Adj 0 0
Assessed Value 77,096 76,560
Tax Amount without SOH: 76435
711 32
Save Our Homes Savings: 53,03
E Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOTS 16 + 17 BLK 20
PINE LEVEL
PB6PC37
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
Schools 77,096 25,500 51,596
City Sanford 77,096 50,500 26, r96
SJ (Saint Johns Water Management) 77,096 50,500 26,56
County Bonds 77,096 50,500 26,596
County General Fund 77,096 50,500 26„596
Sales
Description Date Book Page Amount Qualified Vactimp
WARRANTY DEED 1/1/1974 01009 cr .."> 3,200 No Vacant
WARRANTY DEED 1/1t1974 0 1,0: 0r 29,200 Yes Improved
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 82.00 100.00 0 $174.00 $11,700
Building Information
f Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActualtEffective
1 SINGLE 1974 6 Al 2 5 1,666 2,490 1,846 CB/STUCCO $69,670 $90,480 Description AreaFAMILYFINISH
180.00 i
bttp://parceldetail.sepaf .or /Parcel etaillnfo. s x?PI =35I 30513200001 0 MOM
421 Gold Medal Court
Longwood, Florida 32750
Phone: 407.831.6275
Fax: 407.332-5311
www.inarkeonstruction.com
January 16, 2017
Mr. Jack Jackson
19010 W. 16th Street
Sanford, Ff,
INCLUDED IN COOT AM,
Contract includes labor, material, supervision, permit fees, engineering fees, insurance and warranty fees as
described in the scope definition below and required for the defined repairs at the property address referenced
above,
Remove existing roof system down to wood substrate and dispose ofdebris appropriately (Dumpster included).
Re -nail plywood sheathing with 8D ring -shank nails in accordance with BU lding Code requirements.
Provide & Install 30#€ asphalt felt underlayment and mechanically attach in accordance with Building Code
Requirements.
Provide & Install new 30-Year Architectural shingles and apply in accordance with manufacturer's recommended
installation details.
Provide & Install new 26Cra galvanized flashing material for cave drip, valley flashing, headwall & sidewall
flashing
Provide 30 Year Manufacturer's Warranty
Provide 2 Year Contractor Workmanship Warranty
01 All P E: ,421.0
JE
Philip Todd Jorgensen
President
Mark Construction Co.
421 Gold Medal Court
Signature
M
Jack Jackson
UNIMNIERRM
THIS INST u " ENT PR PARED($'i
Name «c
Address: "
G'-..tx' }" i •' 7 ',-.
i !' C I(k Cl_1 k _1... Ell
5:
NOTICE OF COMMENCEMENT iIY2
HG a .f.iJ J'l0
State of Florid
County of Seminole
Permit Number: Parcel ID Number: "1 " C
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,
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Fee Simple Title Holder (if other than owner) Name:
Address:
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)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates of
To receive a copy of the Lienor"s Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
NoticeExpirationDateoffrom « «
different date is specified)
to the best of my knowledge and belief.
r' signs Owner's Printed Name91.nd. Statute 7130w lfa. Thacrwne, must spin the notice of commencement and no one Ose may be permitted to sign in his or her stead."
C Nf
It
s •
State of is County of +
i
The foregoing instrument was acknowledged before me this day of 20
by Who Is personally known to me
Name of person making statement
OR who has produced identification type of identification produced.
y
NOTARY PUBLIC
STATE OF j
FLORIDACommiltxx
N
City of Sanford
Roof Permit 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 submittal. A complete application package shall include the following:
El Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
1:1 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant),
0 A site specific notarized power of attorney shall be required from the licensed contractor if
lie/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
0 Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were coinlVed to assist the alyVicant in I)rej)aring a rot fj)ertnfl aly.dication and may not be
complete, The alyVicant is required to as all City, qI',Saqford, state, andfideral code requirements,
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PFRMITTING RFQuIREMENTS — No PLAN REviFw RSQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted asp 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
77f 'ManMoT ns ecuon is iny
Home, Apartment and/or Condominium) Re -RoofPermits.
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)
Each plane of the roof, showing the underlayment installed
Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
Roof Deck Nails used (including a measuring device or ruler showing size of nails)
Underlayment Pattern & Spacing (including a measuring device or ruler)
Drip Edge & Valley Attachment (including a measuring device or ruler)
Shingles installed, nail pattem and location ofnails
Skylights (if applicable)
Digital photographs showing all installation components, per FL Product Approval
Digital photographs showing all required fla in FL Product Approval
Failure to follow these specific guidelines will result-ift an,"afffifida,
i provided by a Florida Design
aMf code c liance by personal insp tion.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE.
City of Sanford Building Division
Residential Re -Roof Scope of or
JoR ADDRESS:_LL0(_
STRucruRE TYPE: eSINGLE FAMILY RFsiDENcE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENTICONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WIIII NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /
r/ 4 P1I4k./Ljr_ 7 PLEASE
NOTE: oft Y 100 SQUARE FEET OF THE EXISTING DECK IS PERM17TED TO BE REP LACEDROOF
VENTILATION: 0 OFF -RIDGE (D16DGE OSOFFIT POWERED VENT OTURBINES SKYLIGHTS:
0 YES K6 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: 0 LESS THAN 2:12 02:12-4:12 0 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q'
SHINGLE FL# OMETAL
FL# 0MODIFIED
BITUMEN FL# OTORCHDOWN
FL# OINSULATED
FL# OTILE
FL# OOTHER:
FL# ROOFKXIKNM2N§
LPOItCHEs PATIOS ETC. IFA PLI BLEB* ROOF SLOPE:
0 LESS THAN 2:12 02:12-4:12 0 4:12 OR GREATER TYPEOF
ROOF MANUFACTURER - FL ORIDA PrR6ihicTAPPROVAL 0SHINGLELf OMETAL
ff N
FL# 01VIODIFIFD BITUMEN TORCH
DO FL#
INSULATED FL# OTILE
FL# OOTHER:
FL#
D City of Sanford
Building and Fire Prevention
RESIDF,NTIAL Rf -ROOF INSPECTION AFFIDAVIT
NAILING, SHFATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ADDRESS:
AS A(N) GENERAL, BUILDING, REsIDENTIAL, OR
NTRA& ROOFING ARCHITECT, OF F.S. HAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THErR. ENGINEER,
FOREGOING INFORMATION IS TRUE AND ACCURATE ANDTHAT 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
COMPANY /
CONTRA( CONTRACTOR
SIGNA MUST
BE SIGNED BY TOR:
TURF:
LATE; I
LCENS )E,7R, SffJO "0? 0W NERIBuIIER) A FINAL,
ROOF INSPECTION IS REQKIRED. 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 ALI, 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 F-ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR
FURTHER EXPLANATION OF ALL REQUIREMENTS. YW-1
717707MT77777T 17171-77STIEUT Turl-7-RE-7 17synufWri-my-A-S 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 OF —6 Sworn to
and Subscribed before me this 22 day of 20 by: Signature of
Notary Public State of
Florida Print/Type/
Stamp Name of Notary
Public Who is
rsonalfy Known to me or has 0 Produced (type of as identification.
WA, Mer',
Jfth Bom'y)a" NOTARY PU13LIC
ID