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110 Oak View Pl - BR17-002874 - REROOF48SEp V CITY OF SANFORD BUILDING & FIRE PREVENTION 2097PERMIT APPLICATION Application No: 2 U Documented Construction Value: $ 5 , J`1 DP) Job Address: } y e'I Historic District: Yes No Parcel ID: Residentialz Commercial Type of Work: New Addition Alteration Repair M Demo Change of Use Move Description of Work: 0—r --x,,CJPA Q'- `3 kl —G\F Plan Review Contact Person:? Phone: --U(D3 Fax: 4M -WT7Email: a_ye \DeC I a . ca--1 Property Owner Information NamePhone: Street: Resident of property? City, State Zip: sanq:)(-6 ' 71 . Contractor Information n Name LEA CIn WC (D CPhone: 4M -9 9 —9Lob Street: ._ C -§ Fax: 14Qri _ &-] q - 9 oLo 4 City, State Zip: V L i fL CK State License No.: CC Q59 F_)a1 Name: Street: City, St, Zip: Bonding Company: Address: 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 V Revised: June 30, 2015 Permit Application 44 -k 0 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 T be done in compliance with all applicable laws regulating construction and zoning. 1"1 Sgnatu ofOwner/Agent Date 0,0 SJQF) O Signature of Contractor/Agent Date Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date StRY PUa PETER JAMES ARCOMONEAyPUBPETERJAMESARCOMONE ' a° ...... 'o MY COMMISSION # GG 035010 MY COMMISSION # GG 035010 EXPIRES: October 2, 2020 N r EXPIRES: October2, 2020 ' . y Vo yrF °Q Bonded Thru Budget Notary Services I OF Fv° Bonded Thru Budget Notary Services OFF Owner/Agent is Personally Known to Me or Contractor/Agent is , Personally Known to Me or Produced ID Type of ID e(— 0L Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required Construction Type: Total Sq Ft of Bldg: Building Electrical Mechanical Plumbing[] Gas[] Roof 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 SEMINOLE COUNTY MULT/%URISD/CTIONAL e';LGIVITI • A • Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 1 3) --1 I hereby name and appoint: an agent of: vrt' 0- 1 Ca U` )C' 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): All permits and applications submitted by this contractor. Or fV_J The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: lo`"'- I License Holder Name: Gerald Laschober State License Number: Signature of License H( STATE OF FLO IDA COUNTY OF C i>— The foregoing instrument fwas acknowledged before me this ay of , 20, bye%\d \Y J who is ,personally known to me or who has produced and o did (did not) take an oath. ignature of Notary MEREDITH SMITH MY COMMISSION #FF137903 EXPIRES idly 1, 2018 407) 398-0153 Flori i3NAtary rvice,com as identification Print or type Notary name Notary Public - State of F'L1 Commission No. ratF J 9c,)3 My Commission Expires: - 8 M Y( I 111111 H111 ii11i Viii ME ME iiii HE ial:f,Ndl IMfl OY .`"Er'(11,10LE f_:0IJNI1 THIS INSTRUMENT PREPARED BY: ;_I_.ERT", OF, C:IF'C:1.)I T C:Of)F,:7 & C:ON!"TROLLER Name: Peter Arcomone / JA Edwards of America, Inc tilt ;99 Pq 1054. Address: 7058 Stapoint Ct. CLERK'S x 2017096355 Winter Park FI. 32792 HCORDED 09/26/2017 Cl 1 . ` ij14 f')I'4 ti:::c_OF<'C)3:I•)C, FEES $10.00 NOTICE OF COMMENCEMENT Permit Number: 2 i r,ty Parcel ID Number: —MI-)3 5 t k — 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. DESCRIPTIONiOF PROPERTY: (Legal description of the Drooertv and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof 3. OWNER INFORMA Name and address: Interest in property: Fee Simple Title Holder (if other than owner listed above) Address: 4. CONTRACTOR: Name: JA Edwards of America, Inc. Phone Number: 407.677.7663 Address: 7058 Stapoint Ct. Winter Park FI. 32792 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Address: Phone Number: Amount of Bond: 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. 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) 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. Sign,ri, ofOwner or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager) Print Name and Provide Signatory's Title/Office) State of rla Countyof The foregoing instrument was acknowledged before me this day of _-C .20 I by 1 1(\ i 1 Who is personally known to me OR ? Name 6f persoWfnaking statement (( who has produced identificationXtype of identification produced: __. DL aoSPRY PUg c PETER JAMES ARCOMONEMY CpMMISSION # GG 035010 Q EXPIRES: October 2, 2020 N 9rFOFF Q Bonded ThruBudget Notary SefviCCS Notary Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FjRt, F?A"AT,'MENT 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: CI " a-5 "-i fii C. B'9paur Abonng Zpeclatll—mcl AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL Customer: 11<67-mA- C,a Date: Property Location: Ll eaz Day: City: Zip: Evening:- E-Mai : A ol-n e,& Gtz) " (sm ROOF SPECIFICATIONS Brand: F C 6m Style: A Color: Ridge Material R / R Valley: Open / lose 'fear-® . 1 Vent Box Shingle Over / Aluminum Felt. R / R Ice dz Water Shiel Code ?itch: Story: 1 2 3 Wa: Yes / No owRoofAccessoriestobereplacednewand/or painted to match s ingle color. Drop Xnstructions• SEDI[NG SPECIFICATIONS Brand: Style: Straight Lap /Dutch Lap Exposure: 4" 4.5" 5" other: _ Elevation being sided (looking at house from street): Front Left Drop Instructiions: GU'Ii"If'IER SIPE Special Instructions: TERMS Style: Back Right Color: 1. By signing this Agreement, you authorize JA Edwards of America Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company. 2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay JA Edwards of America Inc. all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses. 3. This Agreement is notvalid orbinding on any party unless and until it is signed by both you and JA Edwards ofAmerica Inc. Once signed by you and JA Edwards ofAmerica Inc. JA Edwards ofAmerica Inc. will be awarded with the job described above and the scope and price ofthe work will be set forth in the insurance adjuster's summary. 4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front and back of this Agreement. 5. Homeowner agrees to assignment ofbenefits to Contractor (JA Edwards ofAmerica) for payments from insurance company to facilitate timely payments to contractor for all works approved in insurance scope. ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards ofAmerica for services rendered or to be rendered by JA Edwards ofAmerica and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative(s) and/or its attorney for the purpose of obtaining benefits to be paid by my insurance carrier(s) for services rend d or to be rendered and authorize JA Edwards and my carrier(s) to communicate as needed with each other in this regard. f r ,, Believ the appropriate insurance carrier is: ( — First Check: $ fi / Check # Date Sign e uP r Date, Balance Due: $ Check # Date Signature JA Edwards ofAmerica Inc. RenI Date Agreed price: $ 9 'E9 plus additional supplements & permit fees paid by insurance company SCPA Parcel View: 10-20-30-511-0000-0060 Page 1 of 2 Property Record Card CM Parcel: 10-20-30-511-0000-0060 Owner: KAMPIYIL JERRY T 8EvMORECOLOM4 FLOWI . Property Address: 111 OAK VIEW PL SANFORD, FL 32773 Parcel Information Parcel 10-20-30-511-0000-0060 Owner KAMPIYIL JERRY T Property Address 111 OAK VIEW PL SANFORD, FL 32773 Mailing 111 OAK VIEW PL SANFORD, FL 32773 Subdivision Name STERLING WOODS Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2005) Legal Description LOT 6 STERLING WOODS PB 54 PGS 93 THRU 95 Taxes Value Summary 2017 Working Values 2016 Certified Values Valuation Method i Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 153,604 147,364 Depreciated EXFT Value Land Value (Market) Land Value Ag 25,000 25,000 Just/Market Value " 178,604 172,364 Portability Adj Save Our Homes Adj Amendment 1 Adj 53,103 49,444 P&G Adj 0 0 Assessed Value 125,501 122,920 Tax Amount without SOH: $2,641.00 2016 Tax Bill Amount $1,650.00 Tax Estimator Save Our Homes Savings: $991.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 125,501 50,000 75,501 Schools 125,501 25,000 100,501 City Sanford SJWM(Saint Johns Water Management) 125,501 125,501 50,000 50,000. 75,501 75,501 County Bonds _ 125,501 50,000 75,501 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 3/1/2004 05254 0249 184,000 Yes Improved SPECIAL WARRANTY DEED 11/1/2000 03955 1433 131,300 Yes Improved WARRANTY DEED 8/1/2000 03902 ? 0639 299,800 No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT I I i 1 1 $25,000.00 i$25,000 Building Information Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective 1 ; SINGLE 2000 j 9 i 4 2_5 1,120 2,583 2,142 CB/STUCCO $153,604 $163,409 Description Area FAMILY FINISH 21.00 http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=10203051100000060 9/25/2017 6r 4 pRREIDEfWRTMENT PERMIT # Building & Fire Prevention Division RESIDENTL4L RE -ROOF SCOPE OF WORK Jos ADDRESS: C7C CV L q C S(A Q f`o b . 32 7 3 STRUCTURE TYPE: GLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: QitgPLACEMENT (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: OFF -RIDGE O RIDGE 0SOFFIT OPOWERED VENT SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4 -. 12 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL D-SHINGLE Ar FL# \ O 12 4 Z\ "I O METAL FL# 0MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED 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# O TORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL#