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140 Gleason Cv 17-2850 Roof (2)CITY OF SANFORD BUILDING & FIRE PREVENTIONIVPERMITAPPLICATIONSAP 2 9 2017 pplication No: Documented Construction Value: $ lQd Job Address: WD C-7IOS06CiV SSk(If Ji F1 3 _77 Historic District: Yes No [ Parcel ID: 02- —70- J 0 .5Z3-0 0 00- ) 0 O o Residential [) Commercial Type of Work: New Addition (Alteration Repair 5 Demo Change of Use Move[] Description of Work: 166—K) 7t Plan Review Contact Person: Phone: L-16-7- 7q 7 'Zq) 7 Fax: Property Owner Information Name () L) SW I n VCA I l_ Phone: 6 0-1 --Z . ram- jcl 5b Street: l qV 67 ,W ,: 6h GU Resident of property? City, State Zip: J r'' it h / 3 Z-7 Contractor Information / / Name 1/i C KkJUiII'1! coyl&& fAyl Phone: 6_7 — 5K) 1196 -] Street: ,% 7 67T{'i Z JA5 Fax: City, State Zip: D A(Ar)6) T_-1 3ZgZZ State License No.: C.n cc, { 3,30qr3 Architect/ Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 ofpermit is verification that I will notify the owner ofthe 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature ofNotary -State ofFlorida Date Contractor/Agent is 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: Total Sq Ft of Bldg: Occupancy Use: 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 e 71L 5-757 98 Licensed & Insured A First in Quality First in Service First in Satisfaction Roofing & Construction,.. 800-411-0920 LIC # CCC1330939 6767 Hoffner Avenue LIC # CRC1331435 Orlando, Florida 32922 Ins. Co: or,iVer-5J _J S' D-C Adj. Name Tel. #e— Fax # PROPOSAL SUBMITTED TO STREET `© 9 t ^ J JOB # CITY, STATE, ZIP Sri1 C6f P 3 SUBDIVISION HOME PHONE C %) ? 6 _ /' BUSINESS PHONE DATE - s ( 7 SPECIFICATIONS FOR LA13OR AND MATERIAL Te Shingles: ( Layers f ionally Install: Brand ILV Type An J-, '7 j e-Cj 1 Color Now Valleys Ft. 7-If/4s ^ 30 lb. Felt Peel & Stick Synthetic Undedayment N"Reseal d, 1-1/2° 2" 3' sidewalls, counter and wall flashings Re -Use Drip Ed egeD rip Edge ew 4' or Plumbing Vents 2-qw on:, Goose Necks Off Ridge Vents Ridge Vents Color Renail Plywood Sheathing to Code Skk0 ht 2x2 4x4 1a' "ood replaced at $60 - per sheet cif needed) D<Te—a—n-up and haul off all job related trash o 1 yard with magnetic roller .0'Proted yard and shrubs Atlantic Roofing is not responsible for pre-existing structural conditions. Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company, Property owner's out-of-pocket expense is not to wteed the deductible amount. The insurance company will determine and set the price ofthe claim. 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 WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We propose .to hereby furnish materials and labor, complete in aocwdance with above specifications forthe sum ofthe insurance as per the insurance company Ions scope sheet for which is ino rporAed herein and made a part hereof by reference, to include customary profit and overhead when multiple trade incurred $ S m-Sr,a — BY pletian of ch % e. 4 & a Authorized Signature Must be approved by.company owner. No obw work eWessed or implied ve . AU changes to be in writing and accepted before commencement of changes. NOTE: This proposal may be withdrawn by us if not accepted withhi days. ACCEPTANCE OF PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Date l _ t 7PaymentwillbemadeasoutfineaboX 9/ 19/2017 SCPA Parcel View: 02-20-30-523-0000-1080 Proper Record Card f Parcel: 02-20-30-523-0000-1080 E Owner: VALLE JUSWIN p. Property Address: 140 GLEASON CV SANFORD. FL 32773L_.._--.._._...__ _._....._........_ .....__. __ Parcel Information Value Summary Parcel 02 20 30 523 0000-1080 1 2017 Working 2016 Certified v....___------ _ ----- _-___-_---------_------.- Values Values Owner $ VALLE JUSWIN ( :----------. _.._._.....____._._ 1_......... ......___........... --- ......................... _.... ____ _ - Valuation Method Cost/Market Cost/Market Property Address' 140 GLEASON CV SANFORD, FL 32773 - - ---- ---- Number of Buildings 1 ' 1 Mailin255 CLYDESDALE CIR SANFORD, FL 32773 E ------ _____--- ____---------____- ---------- Depreciated Bldg Value $103,118 $87 937 Subdivision Name PLACID WOODS PH 2 Depreciated EXFT Value Tax Distract S1 SANFORD _________ _________ _____________________ Land Value (Market) $25,000 $18 000 DOR Use Code 01 SINGLE FAMILY Land Value Ag Exemptions Just/Market Value " I $128,118 $105,937 Portability Adj A Save Our Homes Adj $0 — $0 Amendment 1 Adj? $26,162 $13,250 P&G Adj _ $0 $0 Assessed Value $101,956 $92,687 V`-._.__..._..__.._..---. s._..._.__......_._............-_...__.... 1 Tax Amount without SOH: $1,958.00 2016 lax Bill Amount $1,958.00 V lax Estimato Save Our Homes Savings: $0.00 TRIM Notice Help r ` Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 108 PLACID WOODS PH 2 PB 58 PGS 4-6 Taxes Taxing Authority Assessment Value j Exempt Values 1 Taxable Value County General Fund 101,956' 0 101,956 Schools 128,118 0 128,118 City Sanford 101,956 0 101,956 SJWM(SaintJohns Water Management) 101,956 0 101,956 County Bonds 101,956 0 101,956 Sales — -- --- - Description Date Book Page Amount T^T-$ 91,300 Qualified Vac/Imp SPECIAL WARRANTY DEED b 5/1/2001 04034 Yes Improved Find Comparable Sales \y( W .... W ................ _........... ....... ,. _.. _.. _....... _. Land Method Frontage Depth Units W ___._......_ Units Price Land Value LOT i.........._..............................._.__......._.._...........__.............. 1 25,000.00 25,000 I Building Information Year BuiltDescriptionActual/Effective Fixtures Bed Bath I Base Area 1 Total SF Living SF I Ext Wall Adj Value Repl Value Appendages 1 SINGLE 2001 6 2 2.0 1,292 1,680 1,292 CB/STUCCO $103,118 $109,120 ` - i FAMILY FINISH Description i Area GARAGE 380.00 hitp://parceldetail.scpafl.org/ParcelDetaiIlnfo.aspx?PlD=02203052300001080 1 /2 Description [ Year Built Units j Valuej New Cost No Extra Features http://parceldetail.scpafl.org/ParcelDetaiIInfo.aspx?PlD=02203052300001080 2/2 THIS INSTRUMLENT f EEP,AAREDrB Name: W Address: -7 o NOTICE OF COMMENCEMENT Permit Number. C P` Parcel ID Number:(D Z - 2-0 ' ,-z)b` Z.3 ,0600 -io ay al-1-;T SEMINOLE Cffl-#T)` OF (:1R;;U1-f COURT 'It C011FTROL;LER CLERK'S y 2017096473 FZECORDED ii9/26l?G1.'; " 1:1.57= , f"ll"I RF(;:UDBG BEES >1.iieiiil 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. D SCRIPTION OF PROPERTY: (Legal description of a propedy and street addre s if available) CV KrAnftV 2. GENERAL DESCRIPTION OF IMPROVEMENT: I t -V/L) 0 3. OWNER INFORMA11ON OR LESSEE r INFORMATION IF THE LESSEE CONTRACTED FOR T"E IMPROVEMENT: Name and address' US W) 0 V Cif, CO lq b r-z UA S(^ (? V S(.(,ifo/cll % 3Z-7 7-3 Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Address: 6-7 5. SURETY (if applicable, a copy of the payment bond is attached): Name: Phone Number: 17U f 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. Address: 8. In addition, Owner designates Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified))-4-119 1-7- 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. l ./ (Signature of Owner or Lessee, or Owner's or lessee's (Print Name and Provide Signatory's Tille/Orfice) Authorized Officer/Director/Partner/Manager) State of Af V' (, Countyof The foregoing instrument was acknowledged before Me this / J day of Name of person making statement who has identification Vtype of identification produced: i;: GRACIELA GAGNE. 1111,•'' e MY COMMISSION # FF985949 EXPIRES Apri125, 2020 40739ti-0183FbrWallom cam Who is personally known to me OR ;'A v` Notary signature'' 7` JOB ADDRESS: PERMIT VI-Z Ss City of Sanford Building Division Residential Re -Roof Scope of Work T WNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM STRUCTURE TYPE: `C ,SINGLE FAMILY RESIDENCE/ 0 RE -ROOF TYPE PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPOIv'ENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Yz K © s6 PLEASENOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED " ROOF VENTILATION: DOFF -RIDGE XDGE QSOFFIT QPOWEREDVENT OTURBR.'E$ SKYLIGHTS: O YES No IF YES, PLEASE PROvIDE FLORIDA PRODUCT APPROVAL' MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 04:12 OR GREATER ROOF EXTENSIONS (PORCHES PATIOS ETC 1 **IFAPPLICABLE** ROOF SLOPE: 0 LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF O SHINGLE METAL MODIFIED BITUMEN TORCH DOWN INSULATED i TILE OTHER: MANUFACTURER FLORIDA PRODUCT APPROVAL FL-"' FL= 1-4 FL-4 FL--' FL=` FL# CITY OF a ` ' SkNFORD Building &Fire Prevention Division RESIDENTML RE -ROOF POLICY & PROCEDURES FIRE DEPART iMENT 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: r City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #:11 4d 15_D ADDRESS: I V0 ro'/G I M CC144 e I .L , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARC CT, 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 #: Cy G 13 3 o 3 9 4iCOMPANY /CONTRACTOR: y lrll 2CONTRACTORSIGNATURE: DATE: Q MUST BE SIGNED BY LICENSE HOLDER OR WNER/BUILDER 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 Q i Sworn to and Subscribed before me this day of 20 L by: e l S/1 ti Who isPI(Personally Known to me or has 0 Produced (type of identification) as identification. Signature of Notary Public State of Florida STEPHEN PATRiCK DOL1 1 Print/Type/Stamp Name # * W COIRUSSION # FF 071532 of NotaryPublic °'q EXPIRES` December 27, 2017 rFOFFtO Bonded ThruBudget Notary Services