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212 Pinefield Dr - BR17-002849 - ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION 4_P 2017 PERMIT APPLICATION BY• A Appli tion No: 0 Documented Construction Value: $ 1)000 Job Address: IZ Iy.t,k.W. SG N%y6l 7( 3271-11 Historic District: Yes No X Parcel ID: 3-- l 9 3 ( s o000 49 447 0 Residential Commercial Type of Work: New ' j Addition Alteration Repair N Demo Change of Use Move Description of Work: (- Zoo - v r 1n 1arn KaH C v i-,• 30y S h I n442& M o IBC 15 - 12l5 I o Plan Review Contact Person: " I) IIJV Phone.g0_7—- 7— —[%Jr% Fax: Email: Title: I Property Owner Information ( 1 Name ` Cillril/ V Phone:" fJ U _ 3Sy Z L4" o Street: Z 1 Resident of property?AF City, State Zip: a4bM F 2`7 Name /r- I A. 1-h( LQ Street: (AV-7 tZo City, State Zip:.0 YluhW 1 Y Name: Street: City, St, Zip: Bonding Company: Address: Information l t, & ` Phone: ' ! iU % ` 79 ' / Fax: g2 2 State License No.:X C I336 9 S99 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: 5t° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application leg M 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. e r Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature ofNotary -State of Florida Date Signature ofNotary -State of Florida Date Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY 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 Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application I * First in Satisfaction Claim # 7 Roofing & Construction 800-411-0920 Ad'. Name LIC # CCC1330939 LIC # CRC1331435 rniher PROPOSAL SUBMITTED TO STREET 21 a ''"r rl P-_ t CITY, STATE, ZIP r-t 6767 Hoffner Avenue ,q `` J Orlando, Florida 32822 Tel. # " flu j Fax `# C f dI P_r r, JOB # L- 3 Z7,7/ SUBDIVISION DATE 2 l HOME PHONE 067 j $O -- S-'I off BUSINESS PHONE (_/0 L SPECIFICATIONS FOR LABOR AND MATERIAL. M T r Off Shingles: / Layers la"P fssionally Install: Brand - /r% <220 Type AY C..h-, (f-CLJ Color New -Valleys t. F l/nsII: 30 lb. Felt Peel & Stick Synthetic Underlayment R eal, sidewalls, counter and watt flashings Re -Use Drip Edge eDrip Edge 1-1/2" 2" 3" Renaiation:Goose Necks Off Ridge Vents Ridge VentslPlywoodSheathingtoCode Sk ght 2x2 4x4 Zean-up od replaced at $60 - per sheet (if neeM11*'yardandhauloffalljobrelatedtrash with magnetic roller 4" or AD Plu Bing Vents Color_ (1-0 t1i k1 D Protect yard and shrubs Atlantic Roofing is not responsible for pre-existing structural conditiohs. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS HAVE A 1 YR LABOR WARRANTY CONTINGENT This proposal Is contingent upon the Insurance company paying for damages. This proposal will be VOID only if Bairn is disallowed by insurance company. Property owner's out-of-pocketexpense is not to exbeed the deductible amount. The insurance companywill determine and set the price ofthe daim. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION. BY SIGNING ABOVE. PROPERTY OWNER AGREES TO PROCEED wTr" THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose to hereby famish materials and tabor, complete in accordance with above specifications for the sum of the insurance as per the insurancecompanylossscopesheetforwhichisinhereinandmadeaparthereofbyreference, to include customary profit and overhead when multiple trade incurred S ` aymerit on completion each trade. Authorized Signature N , Must be approved by cofnpAny owner.. o rwork eicpressed or implied verbally. All changes to be in writing and accepted before commencement of changes. NOTE: This proposal may be with yawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL- The work as specified. Payment wig be made as outline aboii are satisfactory and are hereby accepted. You are authorized to do the Date THIS INST UM NL P EP RdName: M Address: onan&,ftZ Permit Number. Parcel IDNumber:32." -31-515-D c-bWib ril%ll I1r11_)J'r'; :;FNIHOL_E (_1JUN'L-1' OF' (:)-RCIJI-E ';OLIRI. r=. C:Ol`IP T R:OLL-EE:F: CLERK'S Y 7017096474 BY 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. DESCRIPTI N OF PROPERTY: (Legal description of the property and street address if available) L,04- 1y C C.1e& La Kg& t hQ w- I PIIK 62 F`Qg 3 -7 5 -tla 1.11- l t , 2,1 2. GENERAL DESCRIPTION OF IMPROVEMENT: 1c / .0o 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: / -I I Vi Ce V4 SUV1 CVU,-?_ 212 F IVLLk(,( d (DV , rS QW1-Fz>8 i P1 3 Z1 --7 ( Interest in property: Fee Simple Title Holder (if other than owner listed above) N 4. CONTRACTOR: Name:rlT(fl11C I -T YUCTPQf1 Phone Number: 411U 1 Address:(0_71,07 H&AC04-e-"Orta ,do,ta Tz Z7— 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 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 713.13(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: 11 9. 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 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. vie ry S gnature of Own r or Lessee, Ovmer's or Lessee's (Print Name and Provide Signatory's Title/Office) j,[( Auth nomd cer/Director/rtnedManager) State of 1 • O ` ( d \ County of,`14 _ V The foregoing instrument was acknowledged before Me this by / 1 I V 1 Name ofperson making statement who has produced identification type of identification produced: GRACIELA GAGNE MY COMMISSION # FF985949 EXPIRES °'„ `• April 25, 2020 407) 39M153 FIOrIpsNef@ day of JY , 20 F [ Whn ie norennally Irnnwn to me r'1 1`10 9/2512017 SCPA Parcel View: 32-19-31-515-0000-0440 Property Record Card Parcel: 32-19-31-515-0000-0440 Owner: TOLENTINO CASTULO M. R & SANCHEZ MINERVA sc.xr:'rxx..=i t. Ri.C C2A Property Address: 212 PINEFIELD DR SANFORD, FL 32771 Parcel Information I Parcel 32 19 31 515 0000 0440 Owner j TOLENTINO CASTULO M R & SANCHEZ MINERVA i E Property Address 212 PINEFIELD DR SANFORD, FL 32771 Mailing 212 PINEFIELD DR SANFORD, FL 32771 { T .-......................................_. s_._............................._....._..._................ ._._........... _........................................ Subdivision Name ' CtEI_cRY LAKES PHASE 1 f Tax District --_- S1-SANFORD j F DOR Use Code : 01-SINGLE FAMILY Exemptions ; 00-HOMESTEAD(2007) Legal Description LOT 44 CELERY LAKES PHASE 1 PB62PGS75&76 Taxes Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 135,389 116,923 Depreciated EXFT Value 901 951 Land Value (Market) 30,000 23,000 Land Value Ag JusYt,),arket Value " 166,290 140,874 Portability Adj Save Our Homes Adj 56,773 33,610 Amendment 1 Adj m_.., P&G Adj 0 0 Assessed Value 109,517 107,264 Tax Amount without SOH: $2,010.00 201$ Tax Bill Amount $1,336.00 Tax Estimator Save Our Homes Savings: $674.00 TRIM Notice Helc Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority I Assessment Value t Exempt Values j Taxable Value County General Fund 109,517 50,000 59,517 Schools 109,517 25,000 517 City Sanford 109,517 50 000 59,517 SJWM(Saint Johns Water Management) 109,517 50,000 = 59,517 County Bonds 109,517 50,000 59,517 Sales Description j Date Book ; Page Amount t Qualified Vac/Imp WARRANTY DEED 7/1/2006 06323 1120 300,000 Yes Improved SPECIAL WARRANTY DEED 10/1/2004 05491 1137 164,600 Yes Improved s..,r''nor" arabl6e sa o, V Land Method Frontage I Depth Units Units Price Land Value LOT 1 i $30,000.00 ! 30,000 Building Information Year BuiltDescription Fixtures Bed 1 Bath Base Area 1 Total SF I Living SF Ext Wall Adj Value Rep[ Value Appendages Actual/Effective i — — i- - -------- -- ?- - - -- - - - i 1 SINGLE 2004 11 4 25 1,234 3,216, 2810 CB/STUCCO $135,389 $142,141 j IIpp Description Area FAMILY FINISH ` http://parceldetail.scpafl.org/ParcelDetaiIlnfo.aspx?PlD=32193151500000440 1 /2 9/25/2017 SCPA Parcel View: 32-19-31-515-0000-0440 UPPER 1576.00 r STORY FINISHED GARAGE 394 00FINISHED OPEN G PORCH 12.00 FINISHED Permits 1........._._ _ _ ._._ Permit # Description Agency Amount CO Date Permit Date 00648 SCREEN ROOM SANFORD 5,000 11/9/2005 00383 WOOD FENCE SANFORD i $2,000 9/1/2005 01840 NEW -RESIDENTIAL SANFORD 120 770 9/21/2004 2/27/2004 Extra Features Description Year Built Units i Value New Cost SCREEN PATIO 1 1/1I2005 W 1 z..............................................._.._.__......_.......:_.......__ 901 1,500 http://parceldetai1.scpafl.org/ParcelDetaiIInfo.aspx?PID=32193151500000440 2/2 PERMIT City of Sanford Building Division Residential Re -Roof Scope of Work IIIJOBADDRESS: We — STRUCTURE TYPE: IV SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 19REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLEjD OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): L K O r"LE PLEASENOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK ISPERMITTED TO BE REPLACED " ROOF VENTILATION: OFF -RIDGE OCRIDGE ()SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: Q YES O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER ROOF EXTENSIONS (PORCHES PATIOS ETC.) **1FAPPLIC4BLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF SHINGLE METAL MODIFIED BITUMEN TORCH DOWN INSULATED I TILE OTHER: _ MANUFACTURER FLORIDA PRODUCT APPROVAL FL' FL= FLT FL= FL4 FL= FL;" CITY OF SkNFORD. Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY &PROCEDURES FIRE DEPART b{ENT 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), CERTIFYINGFBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: __. ,ter i DATE: M.Tyib,ar a,. til\VL'r,l } City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 10 __—q q ADDRESS: _/ I/VC& / rL I / t C(A4 e.., 1 " s-"-e , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHrfkT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT 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 #: ez © 11 o' 11n rCOMPANY /CONTRACTOR: 2 CONTRACTOR SIGNATURE: DATE: o l MUST BE SIGNED BY LICENSE HOLDER M 0fVNEPMUILDER) A FINAL ROOF INSPECTION IS REQUIRED: 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 ALL 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 RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS 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 01-A61 S Sworn to and Subscribed before me this 10( day of 20 V by: 1 Who iso(ersonally Known to me or has Produced (type of ident/ification) as identification. Signature of Notary Public State of Florida r /, o`,av FOBi STEPHEN PATRICK DOU I MY COMMISSION # FF 071532 Print/Type/Stamp Name EXPIRES: December 27, 2017 of Notary Public f TFOFF P\oe BondedThruBudgetNotaiySeNius