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123 Holloway Ct - BR17-003097 - ROOFJob Address: Parcel ID: 3 HoIlowo, 2A _cIc- CITY OF SANFORD V BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: © 7 Documented Construction Value: $ R, ho 00 Type of Work: New Addition Alteration Repair Description of Work: I(e - Plan Review Contact Person: Phone: Fax: Historic District: Yes No 4— Residential Commercial Demo Change of Use Move Title: Email: ad wt,r,Co fel,f necP/6BiISlti?C ion.la-t Property Owner Information Name Mgri- (a-'Lh Street: 113 [Lot owxv C+• City, State Zip: Q!hnl , h(. 31771 r, Phone: Resident of property? : ye3 Contractor Information Name Debl KaP/ sf/u ioh , LLC• Phone: 6107,2 - 67(' 91-A'A Street: 1375 9woeft A. 4/6 Fax: City, State Zip: LNj Wood , Q 32750 State License No.: C60 SO $013 Arch itect/Eng1neer Information Name: /USA Phone: Street: City, St, Zip: Bonding Company: 61M. 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: 5' 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 of the property of the requirements ofFlorida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit 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 nd zo g. Signature of Owner/Agent Date Signaauui of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID obc/d- H4,0e;i ee Print Contractor/A is Name Si to Natery Public Ste of Florida April Dehlinger My Commission GG 138490 Expires 08/28/2321 Contractor/Agent is Y 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING? ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application a I a Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES 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 HAILING 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 F ODE COCE BY PERSONAL INSPECTION. CONTRACTOR ( OR OWNER/BUILDER) SIGNATURE: DATE: PERMIT # Building & Fire Prevention Division RESIDENTIAL REROOF SCOPE OF WORK JOB ADDRESS: 113 Hol nW - HUrr'cgne lr Ot V61#1ah C STRUCTURE TYPE:j INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE:LACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): W oed PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTUR SINES SKYLIGHTS: O YES dNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 Q 4:12 OR GREATER TY E OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE LAMM - Her* FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# Q ILE FL# OTHER:Sf&14F L # 5 a 6 t 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# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# 0 OTHER: FL# THIS INSTRUMENT PREPARED BY: b(oby G/a GF'rlh(1" tlE l.OYr Eh1IhIOl_E L":(]IJpf'r'iName: I {2 C, v Qf CLE.RK OF C:lF:CU1'7 C:OI; ( , (:fAddress: 7 r _ _ _) I - 1?K 7iiiig F's o49s) )t'i "FROLLER CLERK'S r 2017113464ERECORDED1i=1/17/21317 11-47-'?5 NOTICE OF COMMENCEMENT RECOR°('ar FEES1ii.ilrlfiEGORGt_D EY tsti i th Permit Number: ZOct -7`` rr Parcel ID Number: f CA - 30— S I '--- C:00 0 01 >D 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if 2. GENERA DESCRIPTION OF IMPROVEMENT: F, — g (cc) vl-: F r -" SCE -)Z-1i"VL.- 3. OWNER INFORMATION /OAR LESSSEES ,.. EINFORMATIONIFTHE LESSEE CONTRACTED FOR THE IMPROVEMENT: P Name andaddress: - C 6rc , ( ' F `C" L.— I flj Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: U l" F Y'L--I 91 t 1-7 - ( 6V-jLl'it-fit - I I Phone Number: Address: _ _ 3r rn+. r -`fi {)t2.. &) d Tr 115. . L6 00 FL .2a711S 5. SURETY (If applicable, a copy of the payment bond is attached): N 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 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 Z's 0- 0 WARNINGTO 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. State of AZ6 W o A County of S/K /AJ 451.. The foregoing instrument was acknowledged before me this l (o 44 day of Lo 61 leV 20 by R o GrA (J H 41 Who is personally known to me OR Name of person making statement who has produced identification [3'f)1pe of identificationproduced: e""';; MEEHIR VINOD VAKHARIA MY COMMISSION S GG040226 EXPIRES October 23, 2020 s This agreement was made and entered into on September 20, 2016 by and between Dehlinger Construction INC, hereinafter called the Dehlignaer contractor", and Rodger U. Caglin hereinafter owner". called the Construction Witnesseth: The contractor and the owner, for RESIDENTIAL REROOF CONTRACT and in consideration of mutual promises, covenants, and agreement herein contained agree by and between the parties hereto as follows: OWNER: Contract Documents: The specifications and the Owner") drawings, together with this agreement, form the contract, and they are as fully a part of this contract as if hereto attached, and they CONTRACTOR: DEHLINGER CONSTRUCTION, INC. constitute the entire agreement between the CGC-1508013 contractor and the owner. ROOF CONTRACTOR CCC-056852 Contractor") 1335 Bennett Drive Suite 115 Responsibilities: The contractor is responsible for Longwood, Florida, 32750 costs related to materials not designated as Drew Dehlinger 321-322-8016 owner provided, delivery, installation, labor and drew@dehlingerconstruction.com trash removal. The owner's responsibilities include, but are not limited to, maintaining utilities, providing adequate parking for OWNER: Rodger Caglin construction vehicles, and providing necessary Project) 123 Hollowway Ct. accessibility to building. Sanford, Florida, 32771 Email: Rcaelin@att.net II. SCOPE OF WORK, description of work to be performed Parcel ID — 33-19-30-515-0000-0150 by Contractor ("Scope of Work"): Municipality— Seminole County Year Built - Construction of the Project substantially according to the plans and specifications, as listed on the plans and specifications Permits, Drawings, Utilities: a. Building permit fees for orange county (included) b. Permit ready signed and sealed drawings (not needed) c. Inspection cost included d. Utility cost and consumption fees for power and water during renovation are by tenant. e. Energy calculations are not included Schedule and Access: a. Standard work hours 7:30 to 4:30 pm. Overnight and weekends, and seven day work, if required is not included b. Preconstruction is estimated to be 1 week Page 1 of 3 c. Long Lead time items are estimated to be 4 weeks and include cabinets, trusses, and flooring. NONE d. Renovation duration is estimated to be 1 week including demolition, construction and cleaning. e. Dehlinger will be allotted parking and staging as required. Scope of work: Furnish and Install new 30 year CertainTeed Landmark PRO Architectural Shingle roof with all components Demo and site prep: a. Supply Dumpster for debris b. Remove entire roof system- Shingles, underlayment, counter flashing, boots .......... Roof System: a. Nail off decking per code b. Replace all plywood as needed per sheet @ additional $60.00 per sheet c. Furnish and Install 3 off ridge vents d. Furnish and Install metal drip edge e. Furnish and Install 301b synthetic paper water proofing (RINO) f. Furnish and Install CertainTeed Landmark PRO architectural shingles - g. Furnish and Install CertainTeed architectural Landmark PRO cap shingles h. Furnish and Install gooseneck vents, lead boots, and ridge vents L Permit, labor and materials included j. Reattach gutters as needed Exclusions: a. Sky lights b. Wood rot c. Siding replacement d. Gutters Inclusions: a. Demo labor and dumpster b. Materials c. labor d. 3 year workmanship warranty e. Permit TOTAL INVESTMENT COST: $8,298.35 Change Orders resulting in an increase in the Scope of Work shall be: (a) billed as cost plus 20% markup, and (b) PAID WITHIN 5 BUSINESS DAYS of invoice delivery. Plywood replacement will be replaced at $60.00 per sheet documented with pictures. Payment: Deposit 50% and Completion 50% Reimbursements: for materials needed to complete this contract will be due immediately upon contractor providing owner with material receipt Contractor is responsible to inform owner of any such increases prior to execution). The contractor shall not be responsible for any damages occasioned by the owner, or owner's agent, acts of God, earth settlement, or other causes beyond the control of the contractor, unless otherwise herein provided or unless he is obligated by the terms hereof to provide insurance against such hazards or hazards. Page 2 of3 0 Scanned by CamScanner LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 1 Q --V1 - i l I hereby name and appoint: Koby Craig an agent of Dehlinger Construction, LLC. Name of Company) 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): R The specific permit and application for work located at: 123 Holloway Ct. Sanford, FL 32771 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Robert Hippensteel State License Number: Signature of License H STATE OF FLOM A YCOUNTYOF MirtOVL, 12/31/18 The foregoing instrument was acknowledged before me this jjfh ay of Q CbV,o, 20k1- , by C*-,-)L'r+ who is personally known to me or who has produced as identification and wh di did not) take an oath. Signature Notary Seal) v'r'','H•, = aN IAZ Noate of Florida T •I : GG 088505s. y Illlitli. Y My s Mar 29, 2021 bononal Notary Assn. Rev. 08.12) Print or type name Notary Public - State of r L- Commission No. C>Z9SCAS My Commission Expires: o3 -24- 3% . I Property Record Card i Parcel: 33-19-30-515-0000-0150 j I Owner: CAGLIN ROGER U Property Address: 123 HOLLOWAYCT SANFORD, FL 32771 Parcel Information Value Summary v Parcel33 19 30-515 0000 0150 2017 Working 2016 Certified Values Values Owner CAGLIN ROGER U Property Address 123 HOLLOWAY CT SANFORD, FL 32771 Valuation Method ? Cost/Market NumberofBuildings 1 Cost/Market 1 Mailing 123 HOLLOWAYCT SANFORD, FL 32771-6685 Depreciated Bldg Value I $109 694 103 457 I Subdivision Name PAMALAOAKS PH 2 Depreciated EXFT Value Tax District S1-SANFORD Land Value (Market) $23 500 23,500 DOR Use Code 01-SINGLE FAMILY Land Value A9 Just/Market Value $133,194 126 957 jExemptions00-HOMESTEAD(2003) PortabilityAdl Save Our Homes Adi $37,521 33,252 40 Amendment 1 Ad1. ... ...... ..... __ .. _._.. I 14 P&G Ad; $0 0 1 L Assessed Value—$95,673 93 705 — Tax Amount without SOH: $1,731.00 2016 Tax Bill Amount $1,065.00 Tax Estimator Save Our Homes Savings: $666.00 TRIM Notice Help XnV 40 40 37 Seminole County GIS Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 15 PAMALA OAKS PH 2 PB 51 PG 15 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 95 673 $50,000 : 45 673 Schools 95 673 $25 000 70 673 CitySanford 95,673 $50,000 i 45,673 SJWM(Samt Johns Water Management) CountyBonds 95 673 ; $50,000 95 673 $50,000 ; 45 673 45 673 1111 Sales I DescriptionDateBookPageAmountQualifiedVac/Imp WARRANTYDEED 2/1/2002 04343 1375 114,900 Yes Improved i FINAL JUDGEMENT j 1/1/2002 04311 0254 100 No Improved WARRANTYDEED t..... .... ... 12/ 1/ 1996 03172 1622 86,200 Yes Improved PERMIT #: 11 r 3 0 9 ADDRESS: LzHnhu_AlA I Pokvf Hippen 4e 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, 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 #: r_ V c 1 50 0 I COMPANY/CONTRACTOR: L CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICEN E HOLDE OR OWNER/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 Sworn to and Subscribed before me this day of L V/ 20 I by: Yl PUS1 ee . Who is 41`ersonally Known to me or has Produced (type of identification) as identification. r ig t re of No ary Public Stat o Florida Dt h PVrint/Type/Stamp Name of Notary Public L%f2j tary Public State of Florida ril Dehlmmissionger Commission GG t38490 pires 08/28/2021