138 Kelly Cir 17-3275 RoofCITY OF SANFORD
4T I
a NOV o 2017 +
BUILDING & FIRE PREVENTION
I PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: Historic District: Yes No)'
Parcel ID: ! L _ Z "' " % y B b ' y Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change ofUse Move
Description of Work: P:,ln V7 ' e %L.._d ek(b p
Plan Review Contact Person: 6 (1:
Phone: `tD7UU r 11. 1 Fax:
Name ra) 14 fi-
Street:
City, State Zip:
Name
Street:
City, S.
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
0 rty Owner Information
C S Phone:
Resident of property?
Contractor Information
Phone: tW ^ `c_ 1D (
Fax:
State License No.:
Arcrinectitnglneer 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: 51h 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 of Vermit is verifilation 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 requited
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 compliaA6 with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
Pv Ci') JA,kl
Print Owner/Agent's Name
o Notarv-State fFlorida Date
Signature of Contractor/Agent Date
Ma 1C (kck'z W
Print Contractor/Agent's Name
Signature of Notary -State o Florida Date
ROBERT J COUCH COUCHMYCOMMISSION #FF984753 JMJN # FF984753
EXPIRES April 21, 2020il 21, 2020OWnerBI [853 e or Conto 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Pennit Application
Property Record Card
PAMER
Parcel: 12-20-30-511-0000-0410
Owner: PASHMAK PROPERTIES LLC
FGMYJCJLG f.Ol.N1Y, 12. FWI1
j Property Address: 138 KELLY CIR SANFORD, FL 32773
Parcel Information Value Summary
12-20-30-011-0000-0410 - - ---
PASHMAK PROPERTIES LLC ----
138 KELLY CIR SANFORD, FL 32773
935 SHRIVER CIR LAKE MARY FL 32746
i
IP
Parcel
Owner
Property Address
Mailing
Subdivision Name MONROE MEADOWS--
Tax District S1-SANFORD
01-SINGLE FAMILY
f
DOR Use Code
Exemptions
r
Seminole County
Legal Description
LOT 41
MONROE MEADOWS
PB 46 PGS 16 & 17
Taxes
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 85,495 80,683
Depreciated EXFT Value
Land Value (Market) 20,000 20,000
Land Value Ag
Just/Market Value'" 105,495 100,683
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 105,495 100,683
I
Tax Amount without SOH: $1,917.16
2017 Tax Bill Amount $1,917.16
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority assessment Value I Exempt Values i Taxable Value
County General Fund 105,495 0 105,4951
Schools 105,495 0 105,495
City Sanford 105,495 0 105,495
SJWM(Saint JohnsWater Management) 105,495 0 105,495
County Bonds 105,495 0 105,495
Sales
Description Date Book j Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 11/1/2016 08816 0686 100 No Improved
QUIT CLAIM DEED 10/1/2016 08788 0417 100 No Improved
CERTIFICATE OF TITLE 4/1/2014 08251 0993 72,800 No Improved
i{ QUIT CLAIM DEED 11/1/2006 06512 1563 100 No Improved
t WARRANTY DEED 10/12005 05947 1430 178,500 Yes Improved
WARRANTY DEED 8/12003 04981 0423 115,000 Yes Improved
WARRANTY DEED 12/1/1999 03770 1630 85,500 Yes Improved
CORRECTIVE DEED 12/1/1999 03770 1629 100 No Improved
QUIT CLAIM DEED 1/1/1997 03193 1814 33,000 No Improved
WARRANTY DEED 8/1/1995 02956— _ 1620 --
A—$
76,300 Yes Improved
Find Comparable Sales
Land
Method ` Frontage Depth
T—
Units Units Price Land Value
Detail by Entity Name Page 2 of 2
Detail by Entity Name
Florida Limited Liability Company
PASHMAK PROPERTIES LLC.
Filing Information
Document Number L16000215732
FEI/EIN Number N/A
Date Filed 11/30/2016
State FL
Status ACTIVE
Principal Address
146 CLEAR LAKE CIR.
SANFORD, FL 32773
Mailing Address
146 CLEAR LAKE CIR.
SANFORD, FL 32773
Registered Agent Name & Address
MAKHZAN, HOSSEIN
146 CLEAR LAKE CIR.
SANFORD, FL 32773
Authorized Person(s) Detail
Name & Address
Title AMBR
MAKHZAN, HOSSEIN
146 CLEAR LAKE CIR.
SANFORD, FL 32773
Title MGR
MAKHZAN, HOSSEIN
146 CLEAR LAKE CIR.
SANFORD, FL 32773
Annual Reports
Report Year Filed Date
2017 01/23/2017
Document Images
01/23/2017 -- ANNUAL REPORT View image in PDF format
11/30/2016 -- Florida Limited Liability View image in PDF format
Flonda Department of State, D-,,an of C-poratlons
http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 11 /7/2017
Archway 1255 Belle Ave Suite 187 Phone: 407-636-8851
International Winter Springs I FL 32708-1900 Fax: 888-340-6538
CONTRACT/BUILD CONFIRMATION
Date of Original Agreement/Contract
Mfg Series
Homeowner(s)
Street
City`+>' in rJ L', s J State G
Shingle
AO 4
Zip Z Phone#
Drip Edge Color
Re -Roof Specifications: Strip roof down to the deck, replace all rotten wood, re -nail deck as code requires (10-01-
2007), install felt as per code or better, replace drip edge, and replace boot jacks and goose necks. Shingles will be
comparable or better grade that is being replaced. Work will be done in a timely manner in coordination with county
enforcement inspections. Workmanship warranty is 6 years. Shingles have manufacturer's warranty. Debris is
removed, premises will be clean and the yard rolled with magnetic roller. Additional warranties are available.
Other:
a Total Charges (Prior Supplements)
50% Payment to Schedule Job
Balance Due Upon Job Completion
Supplement Payments Due after job completion (if applicable)
Supplement Explained)
Archway International, Inc has the right to supplement the insurance company for any and all additional damages or missed
items. If supplements are approved, customer agrees to pay that money to Archway International, Inc. The work listed above
to be performed under the same conditions as specified in original Agreement/Contract unless otherwise specified.
AUTHORIZED BY:
HOMEOWNER/' DATE HOMEOWNER DATE
We hereby agree to furnish labor and materials -complete in accordance with the above specification(s), at the above
stated price.
c
ARCHWAY INTERNATIONAL INC PRINT PHONE DATE
i.
rnanteYtional:l n c
u 4
Date of Original Agreement/Contract
1255 Belle Ave Suite 187 Phone: 407-636-8851
Winter Springs I FL 32708-1900 Fax: 888-340-6538
CONTRACT/BUILD CONFIRMATION
Mfg Series Shingle
i
Homeowner(s) :, t t t 1' 1
t
Street
f
f
City el State 4 Zip °p') Phone#
Drip Edge Color
Re -Roof Specifications`. Strip roof down to the deck, replace all rotten wood, re -nail deck as code requires (10-01-
2007), install felt as per code or better, replace drip edge, and replace boot jacks and goose necks. Shingles will be
comparable or better grade that is being replaced. Work will be done in a timely manner in coordination with county
enforcement inspections. Workmanship warranty is 6 years. Shingles have manufacturer's warranty. Debris is
removed, premises will be clean and the yard rolled with magnetic roller. Additional warranties are available.
Other:
Total Charges (Prior Supplements)
50% Payment to Schedule Job
Balance Due Upon Job Completion
Supplement Payments Due afterjob completion (if applicable)
Supplement Explained)
Archway International, Inc has the right to supplement the insurance company for any and all additional damages or missed
items. If supplements.are approved, customer agrees to pay that money to Archway International, Inc. The work listed above
to be performed under he same conditions as specified in original Agreement/Contract unless otherwise specified.
AUTHORIZED BY: N
M , c.-t.y l ., f. frt`>rL' !S lei k I/ e` ! f fry
HOMEOWNER// DATE HOMEOWNER DATE
We hereby agree to furnish labor and materials -complete in accordance with the above specification(s), at the above
stated price.
DATEARCHWAYINTERNATIONALINCPRINT , PHQNE
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 0 ` U -
I hereby name and appoint: Cn j 10 q b CCN 3 0 ' an
agent of: to
be my lawful attorney -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: Street
Address) Expiration
Date for This Limited Power of Attorney: J / 6 License
Holder Name: W ccV State License
Number: Signature of
License H STATE OF
FLORIDA COUNTY OF
The foregoing
instrument was acknowledged before me this day of t 200—VT,
by vT?,Q z AAa Z (a A who i s ersonally known to me or
who has ced as identification and who
did (did not) take an oath. 01 e Notary
Seal) tOBERT
J aCOUCH
u o IuWN
SSION # FF984T53 . CO I IEXfe,1R `S ApN,7.1., 2020 rFltirWiliJWacY3erJbe:cam I
Rev. 08.12)
Print or type
name Notary Pub] i
c - State of _ Commission No. My
Commission Expires:
D`')
sr , City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEw REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are requiredtobesubmittedaspartofyourpermitapplication.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject.
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 SanfordHistoricPreservationBoard -
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 DesignProfessional (architect or engineer), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: —
CITY OF
S.,kNFORDPERMIT #
Building &Fire Prevention Division
FIRE D E PA R T M [ I` T RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: t SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
lDECKTYPE (PLEASE SPECIFY):
PLEAASE NOTE: ONLY l00 SQCIARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: FF-RIDGE O RIDGE O SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 &e<OR GREATER TYPE
OF F MANUFACTURER FLORIDA PRODUCT APPROVAL INGLE
FL# O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# O
INSULATED FL# O
T ILEFL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, FTC.) **IFAPPLIC.ABLE** 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# O
TORCH DOWN FL# OINSULATED
FL# O
T ILEFL# O
OTHER: FL#