1214 W 2 St; 18-4143; ROOFOCT 0 3 2018
md' CITY OF
ki4FORD PERMIT APPLICATION
ktaBUILDINGDIVISION
Application No:
Documented Construction Value:
Job Address: a % t l S Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: V Re (R ool 6 1`rl
Plan Review Contact Person:
Phone:
Title
Fax: Email: J 40cfcp VIt 0-
Property Owner Information
Name U. G
Street:. -t -- .-d —C, e -
City, State Zip: —I>- 3
Phone- V a 12 V/& - z9Fq ( L-)
Resident of property?: zzl v
Contractor Information
Name
Street:(d
City, State Zip: ('v?,- C S
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.: Lo C r S-(Sw K
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: 61h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 be
done in compliance with all applicable laws regulating construction and zoning.
f _ /O 13116
Si nature of Owner/Agent Date
Print Owner/Agent's Name
Signature
Owner/Agent
Produced ID
ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
My Comm. Ex ires Jan 16 01ersonallyKnowntoMe
Type of ID
c a. 3- /9
aA A, V4 !, —1 — `p
J
O
S n tore of Contractor/Agent Date
PriiAContractor/Agent's Na e
Signature of Notary -State pf ptloia., AWTTE BLAND
P` Notary Public - State of Florida
Commission # GG 060623NO,FOFFK''Any Comm. Expires Jan 16, 2018
Contractor/Age , :: ;-P--.ersonall}l;
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures.
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
SCPA Parcel View: 25-19-30-503-0000-0370 Page 1 of 2
Pro ert Record Cardaalsan,Ctl1 P Y i
Parcel: 25 19 30 503 0000-0370ASMWE
YAIM Property Address: 1214 W 2ND ST SANFORD, FL 32771
Parcel Information Value Summary
2018 Working 1 2017 CerifieP2519-30-503-0000 0370 W Values
Values
Owner(s) BAKER JOHN C Valuation Method
Cost/Market Cost/Market Property Address1214
W 2ND ST SANFORD, FL 32771 I j) Number
of Buildings [ 1 1 Mailing j
PO BOX 530351 DEBARY, FL 32753-0351 - I 11 Depreciated Bldg Value $13 067 $12 312 Subdivlsion Name
GRACELINE COURT - - ___.. - Depreciated EXFT Value i Tax
District) S1 SANFORD-- W....,,...,.. Land
Value (Market) , $27,214 $27,214 DOR Use
Code 10130-SINGLE FAMILY WATERFRONT 1 Land Value Ag Exemptions 11,
Just Market Value " $40.281 $39,526 36 ( Portability
Ad/ 35 1 '
arm; rR; ; ( Save Our Homes Ad $0 $0 ) t ..--' _ ,•"A'"-
Amendment 1 Ad/ $0 $0 P&G
Ad1 $0 $0 r r
Luca r 1_ ._ Assessed Value $
40,281 $39,526 1 v`
Tax
Amount without SOH: $752.64 39 40
r 2017.Tax .Bill Amount $752.64 A ]$ Tax
Estimator Save Our
Homes Savings: $0.00 37 TRIMNoticeHelpDoesNOT
INCLUDE Non Ad Valorem Assessments Legal Description
LOTS 37
TO 41 + W 1/2 OF LOT 42
GRACELINE COURT
PB3PG99 Taxes
m _ _
Taxing
Authority
Assessment Value Exempt Values Taxable Value N County
General
Fund $40,281 $0 $40,281 i Schools $40,
281 $0 $40,281 1 City Sanford $
40,281 $0 $40,281 SJWM(Saint
Johns Water Management) $40,281 $0, $40,281 County Bonds $
40,281 $0 $40,281 Sales Description
t
Date Book Page Amount Qualified Vac/Imp WARRANTY DEED
1/1/2001 i 03994 0297 $18 000 Yes Vacant Find Comparable
Sales Land Method
Frontage
Depth Umts Units Price Land Value FRONT FOOT &
DEPTH 125.00 132.00 0 $174.00 i $19,836 I FRONT FOOT &
DEPTH 191 00 84.00 ' 0 $174 00 $7 378 1 m ®7.
77 1, 7. Building Information
Year Built
1 DescriptionYearEFixtures
Bed 1 Bath Base Area ;Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 € SINGLE
1950 3 2 m 1.0 1,020 . 1,308 1,020 SIDING $13,067 ; $26,805 Description Area FAMILY GRADE
3 36.00
http://parceldetail.
scpafl.org/ParcelDetailInfo.aspx?PID=25193050300000370 10/3/2018
DATE (MM/DDNYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsements .
PRODUCER I CONTACT
WALLACE INSURANCE SERVICES
555 Beville Rd
South Daytona, FL 32119
INSURED
STATELINE CONTRACTORS, INC
10 SEAFLOWER PATH
PALM COAST, FL 32164 140
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR . TYPE OF INSURANCE €ADOL S BR
POLICY NUMBER MMIDO EFF MM/OD OM LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000 OOO
CLAIMS -MADE LOCCUR ( DAMAGE
O N I
PRC MISES fEa oceurr nee}_— $. 100 000 A
j NPP8484131 7120/2018 } 712012019 4 {__-.__._.__
MED
EXP (Anyone person) $ PERSONAL
s ADV INJURY_ s 5.
000 1.
000.000 IGEN1
AGGREGATE LIMIT APPLIES PER: PRO-
I GENERAL
AGGREGATE i $ 2,000,000 POLICY
k_i JECT LOC PRODUCTS - COMPIOP AGG , S n. ZOOO UOO OTHER:
AUTOMOBILE
LIABILITY j 4
COMBINED
SINGLE LIMIT $ a
accident ANY
AUTO BODILY INJURY (Per person) $ OWNED
SCHEDULED i AUTOSONLYAUTOS ( BODILY INJURY (Per accident) $ HIRED
NON -OWNED PROPERTY DAMAGE $ AUTOS
ONLY AUTOS ONLY Pea i UMBRELLA
LAB I OCCURiEACH OCCURRENCE $ 71
EXCESS LIAR ) CLAIMS MADE AGGREGATE OED
RETENTIONI WORKERSCOMPEOTH- AND
EMPLOYERS' N
SATIONLIABILITY (
STATUTE ER YIN
ANY
PROPRIETORIPARTN£RIEXECUTIVE OFFICER/
MEMSER EXCLUDED? F7 NIA E.L. EACH ACCIDENT $ Mandatory
in NH) E1. DISEASE - EA EMPLOYEE( $ if
yes, describe under I DESCRIPTIONOFOPERATIONSbelowE.L. DISEASE -POLICY LIMIT $ t
DESCRIPTION
OF OPERATIONS t LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is roqulred) ROOFING,
GENERAL CONTRACTOR, PLUMBING CERTIFICATE
HOLDER CANCELLATION SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sanford
ACCORDANCE WITH THE POLICY PROVISIONS, 300
N Park Ave AUTHORIZE EPRES IVE Sanford,
FL 32771 Building@sanfordfl.
gov 1988-
2015 ACORD CORPORATION. All rights reserved. ACORD
25 (2016/03) The ACORD name and logo are registered marks of ACORD
CITY OF
mS,NFORDBuilding & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FME DEPART IM1ENT
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: ATE: / v— 0 3 A 1 00
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: I I ( kj 5-
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ,6REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: L
PLEASE NOTE: ONLY 100 SQUARE FEE OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: D OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES fij NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 04:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE t y ) CC , ( ' 1 Cr" F J FL#2--
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#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
Grant Maioyy Clerk Of The Circuit Court & Comptroller Seminole County,FL 2ER Il li r) (;( ( ;;. { ri'rInst #201A3184 Book:9222 Page:1811; (1 PAGES) RCD: 10/3/2018 3:51:45 PM
REC FEE $10.00 )I t: URT
AN.
SE
THIS INSTRUMENT PREPARED BY: ov lit
Name: W," Ze., T /. r fLf
Address: /o Sr %...e . (—, +-[. Date —
P / b--c ILL. & Z/
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: o— Lf ( LB Parcel ID Number:
4 "A4
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Z 1« W ZAP Z4 r eg T
e--4-c 3'7 4o 41 — W !- o•- Lot Sr 2 Cr.c l> C'.+%nr-i-
GENERAL DESCRIPTION OF IMPROVEMENT:
go
OWNER INFORMATION:
Name: Tat, v C R
Address: t -e PO i2 s 3 v s i -7 RA M I=( Za
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR:
Address: r G1 SPA il .cJD/ 42s -r-vj Fora (- - r o er s r- /- -- 5 G-r e >
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)(b), FloridaStatutes.
Name: ! e_t;ei -e— CG /`fF /^c, cjd/ S '2oGl% C-
Address:/t - , 2t . A
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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 1, 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
Owner's Signature Owner's Printed Name
Fl=idaSw.te 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead."
State of f'O i do, County of
The foregoing Instrument was acknowledged before me this 3T-A day of 0 CtOb P f— , 20
l < by __Jo ,`(, Who is personally known to me
Name of person making statemm2 t- Yam'}
OR who has produced identification L! type of identification produced: r '
pep ANNETTE BLAND
s Notary PuDltc State of FloridaCommlaslona .080823f
My Comm. Exptrea Jan 18, 2018
I1IM