142 Pine Isle Dr - BR17-003164 - ROOFCITY OF SANFORD
BUILDIN PERMRE PREVENTION
T APPLICATION
OCT 3 0 2017 1ApplicationNo:
BY
Documented Construction Value: $ 9 , •2 as ' 1
Job Address: lW a P1I4E ISLE Dr_ 5-a,JT-ogA Ft Historic District: Yes No
Parcel ID: 10• o-O -36.5 I (• avo0 • aBoo Residential Commercial
Type of Work: New ® Addition Alteration Repair Demo Change of Use Move
Description of Work: S h'i aS
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name v d VV1. C t`oc C N Phone:
Street: 1 ), Ai NC ISLE b1r, Resident of property? : LI
City, State Zip: S8NT-oRd -\ 773
Contractor Information
Name
Street: 14o 14(er1 1Z1.
City, State Zip: Vrl W J o r Lo3 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
y°7. q30. 9,;Z6b Fax:
State
License No.: C• cc 13;o y L4 6 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 b
Revised:
June 30, 2015 Permit Application 4, t' o
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 ofthis 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 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 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.
d 3D -7
ig i.=e of Owner/Agent Date
1,(I /70v,
KIM E NE'LSONfStateofFlorida -Notary Public
Commission # GG 98238
My Commission ExpiresoF`oPc April 26, 2021
Owner/Agent is Personally Known to Me or
Produced ID Type of ID AlAe ! li?4,P-4e
VA111"d FG D/`ibler t iL.C.a u
f1 a (/a-79i-to 3-9/0-0
Z - 1/ 7
ignature Contractor/Agent r Date
Jo%
Print
M 130% 7
KIM E NELSON
rW State of Florida -Notary Publ
Commission # GG 98238
oo,` My Commissioqq Expires
Aoril26XO21
Contractor/Agent is ' V Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: f 6r4e Z
an agent of: A mlimy )00C ,,n-,
Name of Company)
to be my lawful attomey-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):
The specific permit and application for work located at:
Z-S L c hP, . 5Rt— O;k- d fit . 3 773
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: <o"t
State License Number: C e C 1"0 `i y O
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
TeeTheforegoinginstrumentwasacknowledgedbeforemethis, off,
200Z, by 7OtJ- J j who is 2,0ersonally known
to me or o who has produced as
identification and who did (did not) take an oath.
Signature
Notary Seal)
I KIM E NELSON Print or type name
Fare of Florida -Notary PublicL
Commission # GG 98238 L
My Commission Expires Notary Public -State of
EOF FL"P :p
F, Aril 26, 2021 Commission No.626-clsolz.3 IV
My Commission Expires: D a4 - Dom/
Rev. 08.12)
10/18/2017 , SCPA Parcel View: 10-20-30-511-0000-0800
r Property Record Card
t3III*,* ,CIA Parcel: 10-20-34-511-0000-0800
Owner: MC CUl LOUGH SHE.RI K & DAVID B
nxxetxrrcxaxx_ '
Property Address: 142 PINE ISLE DR SANFORD, FL 32773
Parcel Information
Parcel 10-20-30-511 0000-0800
Owner ; MC C U LL0UG H S H ERI K & DAVID B
Property Address 142 PINE ISLE DR SANFORD FL 32773
t......
Mailing 142 PINE ISLE DR SANFORD, FL 32773
Subdivision Name : STERLING WOODS
Tax District S1-SANFORD
DOR Use Code 0130 SINGLE FAMILY WATERFRONT
Exemptions 00-HOMESTEAD(2002) {
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 163,833 154,422
Depreciated EXFT Value
Land Value (Market) 30,000 30 000
Land Value Ag
Just/Market Value "" 193 833 184,422
Portability Adj
Save Our Homes Ad' 45 735 39 370
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 148,098 145,052
Tax Amount without SOH: $2,723.82
2017 Tax Bill Amount $1,974.16
Tax Estimator
Save Our Homes Savings: $749.66
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 80
STERLING WOODS
PB 54 PGS 93 THRU 95
Taxes
Taxing Authority Assessment Value Exempt Values I Taxable Value
County General Fund 148,098 50,000 $98,098
Schools 148,098 25 000 $123,098
City Sanford 148,098 50,000 ' $98,098
SJWM(Saint Johns Water Management) 148,098 50,000 $98,098
County Bonds 148,098 50,000 ` $98,098
Sales
t Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 5/1/2001 04088 0175 $132,000 Yes Improved
I WARRANTY DEED
L_..
11/1/2000 03956 1690 $327,000 No i Vacant
Building Information
Year BuiltDescription Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective i
1 ; SINGLE 2001 9 4 225 1,120 2,583 2,142 CB/STUCCO $163,833 $173,368 i Description Area
FAMILY FINISH
http://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=l 0203051100000800 1 /2
http://parceldetail.scpafl.org/Parcel Detail Info.aspx?PID=10203051100000800 2/2
CITY OF -
Building & Fire Prevention DivisionSikNFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIDE DEPARTMENT
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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
i '
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
FORDAS
DEPARTMENTFIRE
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: /#-' )0/d / 5 r,
r; a VlA-!A F+ 3ai 73
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENVCONDOMINIUM
RE -ROOF TYPE: feREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY:
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (WOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (KNo 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
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
9 SHINGLE ce c+I) n (fe. FL# 'F S Y -12 1
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
0INSULATED FL#
O TILE FL#
O OTHER: FL#
N
Pefmit Number:
Folio/Parcel identification Number.
Prepared by: "E Q r41 N C a t Ez
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NOTICE OF COMMENCEMENT
State of Florida, County of orangentice that improvement Will be made to certain real property, and in accordanceTheundersignedherebygivesrwithChapter713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Desc pon of property (legal description of the properly, and street address if available)
Lot S50 S-tec\ ,.oodS Pg 5`-1 Pe,S q3-
2. General d scr-9 On of imprdorernent
3. Owner information or Lost information if the Lessee contracted for the improvement 5 i
Name bot V I D n-1 c . LarL ou
1 3a 3Address1` 2 (tt,`~E T L= c. as.1FbR
interest in Prope
address of fee simple t'itlOhOla er (if different from Groner listed above) , Name and
Name
Address
4. Contractor p 7_ pTelephoneNumber5 9 3 q 2- 6 6
5. Surety (if applicable, a copy of the payment bond is'attached)
Telephone NumberName
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner capon whom notices as other adoc a nts may
be served as provided by §713.13(1)(a)7, Florida Statutes. Telephone NumberName
Address
8. In addition to himself or herself, owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes. Telephone NumberName
Address
9. Expiration date of notice of commencement (the expiration date may not be before the completion of
nstructian and final payment to the contractor, but Will be 1 year from the date of recording unless a
different date is specified)
WARNINT
ARE CONG TO OWNER. ANY PAYMENTS M-ADE BY THE
NSIDERED IMPROPER PAYMENTS UNDER CI;AP rEOWNER
3
P, ARTSECTION 7 3.13, FLORID STATUTAFTER THEEXPIRATIONOFTHENOT10-hOF ED Clad E
RESULT
III YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMI:NCE AENT [BUST BE RECORDED
ElYOURLENDEAND R
POSTED
ATTORNEY
BEFORE
COMMENCINON THE JOB
SrrE BEFORE THE GT INSPECTION. IF YOU WORK OR RECORDINGI
YOUR NOTICE FDTO OBTAIN COMMENC, CEMENT. LTUnder penalty of
perjury, i declare that I have read the foregoing notice of commencement and that the factsataW_in itV% true to the best of my knowledge and belief. N Signature of;
Owner
or Lessee, or owner's or lessee s Authorized Officer/Directcr,Partner/Manager /1 LSignatory wns
FtWof iceThe
foregoing instrument was
acknowledged before me this c day of by monthlyearname of person
as for T of
rity, e.-
ttrustee, attorney in fact Name of party on behalf of whom instrument was executed l r saw Signature
of Notary Public —
State of Florida Print, ry blic uY,, K I M
E State of Florida -NotaryPublPersonallyKnown OR Produced
ID / ' Commission # GG 98238 Type of I Produced
l oc i d of Pr7ly t'S / Cllf 4 wc My Commission Expires n101 1;z -791- 63-
9/0 - 0 >_,
PERMIT: I'3t
JOB ADDRESS:
LOT/SUBD
COMPANY:
DATE: l
c
BUILDING DIVISION
r
n i4:, , licensed as a Contractor, license
Please print name
number did erso ally inspect the roof deck nailing and/or
License number
secondary water barrier on or about, ased upon that
Date & Time
examination I have determined the installation was done in accordance with the current
Florida Building Code — Existing Building Volume.
Isle
Contractor Signature & Date
STATE OF F IDA
COUNTY O Ili
worn to and subscribed before me this
Identification. Type of identification:
day of 20L7 by:
Who is gpersonally known or Produced
lic, Sta of F o 'W&P, Notary Public State of Florida
Stephanie M BateyaMyCommissionFF096576Signatureofnory)or ryo Expire.0o212712018
Commission No.: D to
ST FIRST STREET SANFORD F? 32771-I468 PHONE (407) 665-7050 FAX (407) 665-7486