2016 William Clark Ave; 18-3799; ROOFSEP 6 tOt CITY OF SANFORD
BUILDING & FIRE PREVENTION
m• C PERMIT APPLICATION
Application No:
Documented Construction Value: $ -, 00 0
Job Address: 6201(a ffiric A y1e, Sad * flyd Historic District: Yes No V'
Parcel ID: 3clo —/ 9 — 3D 5Zo — oz)p 0 _ 08 9 CD Residential E Commercial
Type of Work: New Addition rAlteration Repair Demo Change of Use Move
Description of Work: T C(%/ 6 `_ltd—
pe pQJ-f 1 'AS'Q h4 /1 sk_nQ 1 (0S Plan Revifiv
Contact Person: Oh , ci- Phone: Le"
D? `y2 D O Fax: llb la Title: 0-
4cr m r- Email: S
oyl Ci IA ")Ji tl Property Owner
Information Name n
I E ( Phone: Street: Zp (
p <r/GtlVj I;`e Resident of property? City, State
Zip: ZfOr fUr-Ci Contractor Information
Name 7
Gin era.( (Poo I-rrC &.. Phone Street: Dran
1 Jr 1 . Fax: _ City, State
Zip: 1 " ICc- rtGtU U a ` StateLicense No.: CCG 132e 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 TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITHYOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. Applicationis
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced priortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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`h 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 befoundinthepublicrecordsofthiscounty, 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 ofthe property ofthe requirements ofFlorida Lien Law, FS 713
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy ofthe 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 ir.
be done in compliance with all applicable laws regulating con
Signature of Owner/Agent
Print Owner/Agent's Name
Signature of Notary -State
Owner/Agent is
Produced ID
Date
Print
Date
nation is accurate and that all work will
ction a d zoning.
6
Vtr,,
ct,or1Agent Date:
K) r
ractor/Age is Name
4 (8 M R0BER$S
rc MY COMMISSION # FF970513
EXPIRES March 10, 2020OFW,a
Personally Known to Me or Contractor/Agent is cl Personally Known to Me orTypeofIDProducedIDTypeofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type.
Total Sq Ft of Bldg:
Electrical Mechanical Plumbing Gas Roof
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps_
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTEWATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Property Record Card
Parcel: 36-19-30-520-0000-0890
Property Address: 2016 WILLIAM CLARK AVE SANFORD, FL 32771
Value Summary
2018 Working
Values E017Cert red
alues
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 i 1
Depreciated Bldg Value 71,344 63,668
Depreciated EXFT Value I $1,104 1,104 {
Land Value (Market) j $18,095 i $16,450
Land Value Ag
Just/Market Value *" i $90,543 i $81,222
Portability Adj m^-
Save Our Homes Adj-- 19,651) 11,788
Amendment 1 Adj I $0
P&G Adj 1 $0 0
F-
Assessed Value i $70,892 69,434
Tax Amount without SOH: $758.73
2017 Tax Bill Amount $603.71
Tax Estimator
Save Our Homes Savings: $155.02
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 89 + LOT 90 (LESS S
34.07 FT*
PINEHURST
PB3PG71
j Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund ; $70,892 ; $45,892 1 $25,000
4- - ._-.________._ ._--_------;_ ___ _._.-__-_._.-_._.._.._.
Schools $70,892 1 $25,000 , $45,892
City Sanford $70,892 ; $45,892 (- _.- - $25,000
SJWM(Saint Johns Water Management) $70,892 $45,8921. $25,000 County
Bonds --1
T-$70,
892 - $45,892 $25,000 Sales
Description - -
Date — Book Page Amount Qualified Vac/Imp WARRANTY
DEED 1 10/1/2015 ( 08572 0511 $100 i No i Improved QUIT
CLAIM DEED f 7l1/2001 04129 { 0539 $100 (No Improved iFINAL
JUDGEMENT
1/1/2001 T03996 0803 ! $100 No Improved WARRANTY DEED
6/111986 01747 E 0471T -- $57,800 Yes - Improved WARRANTY DEED !
12/1/1978 01199 1740 - $34,000 Yes Improved WARRANTY DEED
11/1/1973 00983 0424 $19,300 Yes i Improved fin Comd
rabte Sates1Land
Method Frontage
Depth Units Units Price Land Value FRONT FOOT &
DEPTH 70.001 129.00 01 $275.00 ! $18,095 Building Information --
r10
General Contractors Inc.
TAG General Contractors Inc.
1517 N Orange Blossom Trail
Orlando, Fl. 32804
Orlando 407-420-7900 Fax: 407-601-7997
FL License CGC-061644 Roofing CCC-1328779
www.tagroof.com
AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT ES NO INITIAL 0 4-'
CUSTOMER 4.2 ei,V re / Wy
STREET O/ I 'M C l C. l /five -
CITY S po "d ST ZIP Z 99 i
CELL 3 9- 9,5-6 - c) 33HOME qb?- z1%5 " % , Z6
EMAIL ADDRESS CJe \ IX IC,,vC)&. o /1-vq1'%At
Project Manager 0C.y( -6 /a V )
SPECIFICATIONS /
1 / MANUFACTURER OF SHINGLE / " L4_5
SPECIAL INSTRUCTIONS
1/,---tom& L
ICJ 0. -1
2U-2
y
STYLE OF SHINGLE
X COLOR OF SHINGLE W
X-VALLEYSG{'-
VENTS IV le- 1"i STYLE
w
Lo l
TEAR OFF YES LAYER (2)
INk
w., T PAYMENT t Aw
PITCH ®Z !jZ- 2 STORY 0:SECOND PAYMEI /o "
PERMIT FURNISHED NREPLACE ALL BOOT JACKS FINAL PAYMENT DUE AFTER ROOF COMPLETED
SYNTHETIC UNDERLAYMENT XJCE & WATER SHIELD XROLL YARD H MAGNET ROLLER
i PROTECT LANDSCAPE WHERE NEEDED ;DRIP EDGE KEEP / PLACE - OLOR '"/
Tag General Contractors Inc. is consid red to e a ee tified rooftng contractor CCC 1 Zd$779 iii G ieral;3Gontracto G C i?61644 THIS G0VTRAQ1f D®ESN,, BLIGATE
THE PROPERTY OWN R'OI2 age enerdI b.A-ct, rs IN Y WADY UNLESS I P OVpED BYLq' kh PROPERTYiO NER S.INSUR CE O WNY and or
HOMEOWNER AND AC CEF TE1 B =Tag Ge}eral C ntr cto BY SICNN AORj N T)dE ER PERT O"-ikIk THR0 ZES1 TAG'- Fqt U iSUE THEPROPERTYOWNERSBESTINTERESTFORPROPERTY` REPLACEMENT OR PAIR AT A "PRICt AGREEABLE"`TO THE P OPERTY OWNERS MSU&ANCE
COMPANY AND "TAG" WITH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE. WHEN "PRICE AGREEABLE"
HAS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE PROPERTY OWNER AUTHORIZES "TAG" TO OBTAIN LABOR AND
MATERIAL IN ACCORDANCE WITH THE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT HERIN AND ON THE REVERSE SIDE HEREOF TO
ACCOMPLISH THE REPLACEMENT OR REPAIR. THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN
ACCORDANCE WITH THIS AGREEMENT. ALL PRICES ARE SUBJECT TO CHANGE. YOU, THE BUYER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR
TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GENERAL CONTRACTORS INC.DISCLAIMS ALL WARRANTIES,
EXPRESSED OR IMPLIED WARRANTY OF MERCHANT,4BILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON
THE REVERSE SIDE OF THIS AGREEMENT. IF FOR ANY REASON THIS ROOF IS NOT COVERED BY INSURANCE AND THE HOMEOWNER WOULD LIKE US
TO PROCEED WITH THE WORK IT WOULD BE THE RESPONSIBILITY OF THE HOMEOWNER TO PAY IN FULL FOR THE ROOF.
SIGN BELOWIF YOU WOULD STILL LIKE US TO PROCEED WITH THE WORKAND YOU WILL PAYFOR 100% OF THE WORK QUOTED. By
I ALSO HEREBYAUTHORIZE AND UNEQUIVOCALLYINSTRUCT DIRECT PAYMENT OFANYBENEFITS OR PROCEEDS TO TAG GENERAL CONTRACTORS, INC.
CUSTOMER HAS READ AND AGREES TO ALL TERMS AND
ACCEPTED BY HOMEOWNER(S) ON: DATE
4?' / 2 / l 9 BY X
CO-OWNER: DATE /:- / /+ BY X
TAG REPRESENTATIVE: DATE d l l 1 BY X
ON FRONT & BACK O THIS AGREEMENT.
A ; / V
c C GSM - C7 _ 1ci $' j7- 00-ram ~ 73
Insurance Company
jj}}
Policy # E J Claim # pproved / enie / Pending
Insurance Phone ®
4/- /3 9-1/30yEmail Fax
Adjuster Phone
00
Deductible 3 3,5 . Mortgage
Email on Date Time
Local Y/N Loan # A111ct Phone
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018101779 Book:9204 Page:1925; (1 PAGES) RCD: 9/6/2018 1:20:32 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: TAG General Contractors, Inc.
Address: 1517 N Orange Blossom Tr
Orlando, FL 32804
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number, l --3.0— 0 ^ 0,1390
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.
GENERAL D
R e-rnnf
3. OWNER INFORMATION OR LESSEE INFO AT,I,ON%F THE LESSEE CQN RACTED F
d
THE
Name and address: _Dan! e i W ale/ r!/1 r & lV /Om v ur
Interest in property: 0/A..i1) It K'
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: TAG General Contractors, Inc. Phone Number. 407-420-7900
Address: 1517 N Orange Blossom Tr Orlando FL 32804
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 maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
8. In addition, Owner designates 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)
a
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.
P,:Z,ev lianl e.1 Al, laycj- whEt-
Signature Owner or Lessee, or0mees orLessee's Print Name and Pro de natory's Title/OfGce)
Authorized Officer/Director/P&MerlManageo
State of Or I da County of r<X ^ r—
The foregoing instrument was acknowledged before me this day of-£ Zp,lx'zra
by 9 !) G C f %L,jtq-4Who is personally known to me O OR Name
of KjmakMg statement who
has produced identification type of identification produced: fG Dz4. S
yiYv'•, NANCY MORALES UNotaryPublic • State of Florida 07
Commission 0 GG 214723 ar °
My Comm. Expires May 6, 2022 Bonded
through National Notary Assn.
CITY OF
l Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE OEPARTI ENT
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 GUIDELI WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), C R IFYING FBC C DE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE: l
CITY OF
f SkNFORD
FIRE
r
DEPARTMENT
JOB ADDRESS: o2o l G PERMIT #
Building &
Fire Prevention Division RESIDENTIAL
RE -ROOF SCOPE OF WORK aric
4r e- , r ra STRUCTURE
TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 1 / 2 i p l a e oL7v PLEASE
NOTE: ONLY 100 SQUARE FEET OF THE EXISTI G ECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: e OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS:
O YES (0 0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 412 OR GREATER OTURBINES
TYPE
OF ROOF MANUFACTURER FLORIDA APPROVAL J
HINGLE
I C(S r(S t"7^ PRODUCT
FL#
O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# O
INSULATED FL# O
TiLV FL# R:
V FL# 6 Z Z G L / ROOF
EXTENSIONS (PORCHES. PATIOS. ETC.) "IFAPPLICABLE" ROOF
SLOPE: O LESS THAN 2:12 O 2:1.2 - 4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE F. L# O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE FL# 0
OTHER: FL#
yCITY OF
Sjk 4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: wilt1Ak6 hfit I. +/)
I/ o nq / 1110 r r 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR,
ENGINEER, ARCITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT .ALL OF THE FOREGOING INFORMATION 1S
TRUE ANIICCURATE 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 555`-3-.844). LICENSE #: `-- c_ f
3 z-W COMPANY / CONTRACTOR: !TC
J Q& CONTRACTOR SIGNATURE: MUST
BE SIGNED
BY LICEP A FINAL ROOF
INSPECTION IS REQUIRED: DATE:q 6
D 16 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 PLAN&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 V Sworn to and
Subscribed before me this j V day of e/ 20 by: A^9 CLN ,
Who is D4ersonally Known to me or has Produced (type of iden i cation)
as identification. i Signs a
of
Notary Public State of Florida ;°,;
SONJA M7a2 r =• MY COMMISSEXPIRESMPrint/T /
Stamp NameIdC71 1Qi6? PluriElaM+rerve of Notary Public