1210 W 15 St - BR18-004271 - REROOFCITY OF
S.,kNFORD' OCT 16 2018 PERMIT APPLICATION
BUILDING DIVISION
Application No: i
DocumentedConstructionValue: $ Job
Address: , (, > ` ti- U Historic District: Yes El N08 Parcel
ID: Type
of Work: New C Description
of Work: Residential
Commercial Plan
Revie Contact Person: Title. Phone: / '
6 % Fax: ' Zz0— 3 Email: Lo ` We, Property
Owner Information Name ,
C Phone: _ ,r Street:
l / 9z' S% Resident of property? City,
State Zip: "./( 3 / Contractor
Information -7
Name
r v i'!( %/ Phone: Street:
c
Fax:—%
3 Y City,
State Zip: (/ ( 4i 5 z,'SD 7 State License No.: Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: Bonding
Company: Address:
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 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 ofthe property ofthe 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 ofthe 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.
Signature of er/Agent f M1111/1tipate ature o " Date
K
Print Owner/Agent's Name Q 9 • Zm : r _ Printtorttr4ct,&/Agent's
ZE
oISignatureofNotary- tate o Mri4. '° ° Troy°Fa; . Signat p(Notary [ate of lo1y Date
ARY V
N.
Owner/Agent is ersonall K e or Contractor/Agent is Personally Known' t Me or
Produced ID Type of ID Produced ID Typ
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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes []No
WASTE WATER:
BUILDING:
rant Of The Court & Seminole Count , FLerkcuitInt # 0181Y177186 Book 9230rPage:1003; (
C16PAGES)
rRCD 10/12/2018 3:40:22 PM REC
FEE $10.00 THIS
INSTRUMENT REPA ED BY: Name:
Address
f JL-ram/ NOTICE
OF COMMENCEMENT' Permit
Number. Parcel
ID Number. f-3o ^ • 7 ^i TU 1 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 CommencemenL 1.
DESCRIPTION OF PROPERTY: (L41gal d9periptio ngtf j rop0)y andstreet address if available) 2. GENERAL
DESCRIPTION OF IMPROVEMENT: 3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTEDFOR THE IMPROVEMENT-, Name and
Interest in
Fee Simple
Title Holder (if other than owner listed above) Name: 5. SURETY (
if applicable, a copy of the payment bond is attached): Name', Address: Amount
of Bond: 6. LENDER:
Name: Phone Number. Address: T.
Persons
within the State of Florida Designatedby 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 to receive
a copy of the Lienor's Notice as provided in Section 713.13(1)(b), F, lorida Statutes. Phone number 9. Expiration
Date of Notice of Commencement (The expiration Its 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 COMMENCCMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 7,13, PART1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPEATY. 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.e Vh :LYS
L/Tsigna
of or r Owners or Lessees (Pirrd NO" ww Prom e 5 Tlwo fi* ANhorrzed d
gerl State'of `/
I County of ff The
forego
ng Instrument w s ackin wiedge b G day of&N-1 201 by Who
is personally own to me OR e pers '
g ljment who has
produced Identlflcation o pe of IdsntiflgR*ffi1##* Nd: S pN
EXPI•••° 207y9FS' ••. CERTIFIEDCOPY
GRANT MALOY S A 'dr WTHE CIRCUIT
COURTo
U 'TY,
FLORIDA DEPUTY CLERK
Oate _ _ y
10/10/2018 4
SCPA Parcel View: 35-19-30-503-0000-0140
Parcel Information
Property Record Card
Parcel: 35-19-30-503-0000-0140
Property Address: 1210 W 15TH ST SANFORD, FL 32771
Parcel 35-19-30-503-0000-0140 _-
Owner(s) YOUNGBLOOD; ELIZABETH I
Property Address 1210 W 15TH ST SANFORD, FL 32771 j
Mailing 11210 W 15TH ST SANFORD, FL 32771-3212
Subdivision Name FLA LAND AND COLONIZATION COS ADD TO SOUTH SANFORD
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1995)
1 Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method f Cost/Market j Cost/Market
Number of Buildings i 1 --- 1
Depreciated Bldg Value i $40,840 _ 38,484
Depreciated EXFT Value
Land Value (Market) 24,332- 24,332-
Land Value Ag
Just/Market Value 65,172 1$62,816
Portability Adj i
Save Our Homes Adj 8,783 7,587
Amendment 1 Adj 0 I
P&G Adj 0 0
Assessed Value 56,389 - 1 $55,229
Tax Amount without SOH: $431.26
2017 Tax Bill Amount $381.42 {
Tax Estimator
Save Our Homes Savings: $49.84
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments {
Legal Description q
LOTS 14 & 15
FLAS LAND & COLONIZATION COS
pADD TO SOUTH SANFORDIPB1PG73
Taxes i
Taxing Authority Assessment Value — —'--; Exempt Values Taxable Value
County General Fund 56,389 j 56,389 z 0
Schools
m $
56 389 i 25 500 30 889
P City Sanford 56,389 i 31,889
jSJWM(Saint Johns Water Management) 56,389 31,889 ^- 24 500
i County Bonds 56,389 i 31,889 - 24,500
Sales
i Description Date IBook ((Page Amount ii QualifiedI Vac/Imp
QUIT CLAIM DEED 112/1/2002 04633 i 1888 i
QUIT CLAIM DEED — 7/1/1994 - 02796 1548
20,700 ! No I Improved
No I Improved i
Ind rate Selma
i 100
s
j Land
Method Frontage Depth UnitsUnits Price Land Value FRONT
FOOT & DEPTH 152.001 122.00 0 t 174.00 24,332 Building
Information Is
Bed/Bath count incorrect? Click Here. Description
Year BuiltActual/Effective Fixtures Edl Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages http://
parceldetaii.scpafl.org/Parcel Detail Info.aspx?PID=351.93050300000140 1/2
10/10/2018 SCPA Parcel View: 35-19-30-503-0000-0140 1
1 SINGLE 1 1961 5 i 3 1_5 1 1,025 ` 1,913 ( 1,265 ' CONC $40,840 65,344 Description Area
FAMILY Y ; BLOCK q ENCLOSED
PORCH 528.00 I
UNFINISHED aI
ENCLOSED
i 1 j I I i j
PORCH p
FINISHED {
240.00
UTILITY
UNFINISHED f 72.00
OPEN
I i p i I PORCH z 48.00
FINISHED
Permits
Permit# Description — Agency Amount CO Date Permit Date
02790 IiREROOF SANFORD 5,600 7/221200700075REROOF1
SANFORD j $800 } 10/1/2002 02205 I REPAIRING
ROOF ON GARAGE SANFORD 800 8/1/1994 Permit data does
not originate from the Seminole County Property Appraiser's office. For detailsor questions concerning a permit, please contact the building department of the tax district in which the properly is located. p_ .---____.._—.e Extra
Features 1--.------------------.--.---
1 Description _
Year Built
Units _ !Value New Cost PATIO NO VALUE
F 10/1/1961 11 0 http://pareeldetail.scpafl.
org/ParcelDetaillnfo.aspx?PID=35193050300000140 2/2
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ! C ` j ,,s 1L 32 771
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE —ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE—COVER (NEW ROOF INSTALLE OVER EXISTING ROOF
DECK TYPE LEASE SPECIFY): G
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE XISTING DECK IS
ROOF VENTILATION: O OFF —RIDGE GE O SOFFIT
FIT-1
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>4--'l2OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA APPROVAL SHINGLE
jPRODUCT
FL# `
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:ESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER TYPE
OF ROOF MAN FACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# O
METAL FL# MODIFIED
BITUMEN 7 O
TORCH DOWN FL# OINSULATED
FL# O
TILE FL# O
OTHER: FL#
CITY OF
ORD
DiEPARTIMENT
Building & Fire Prevention Division
RESIDENTIAL REROOF 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 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), CERTIFYjN_G FBC CODE COMPLLANCE BY PERSONAL INSPECTION.
a,Orrw AEVE
m
NOTICE TO PROCEED
Subject: IFB Contract for ROOF and Replacement Services for Residential Properties
PO # 43200 *** Total Order $ 9,450.00
Pat Lynch Construction LLC
909 Dennis Avenue
Orlando, Florida 32807
Contact person: ELIZABETH YOUNGBLOOD
Address:1210 W. 15th Street - Sanford
Parcel ID #: 35-19-30-503-0000-0140
Phone Number: 407-684-1685
The services provided by our office shall begin on 1011112018 and shall reach final completion 60 days
from Notice To -Proceed, as described in the contract documents. The timely and accurate performance
of the work set forth in the contract documents is important to the County. It is also a primary
consideration for the contractor selections on future projects.
Please acknowledge below, retain a copy for your records and return the original to .the Seminole
County Community Development Office.
Do not start the job until the required permits have been obtained and the work scheduled. Please
email a digital copy of ROOF permit to:
isandlev@seminolecountyfl.gov
Upon completion, please notifythe Construction -Project- Manager and submit a -copy of the inspection final.
We are glad to have you as part of the County's project team and we look forward to a successful project.
Sincerely,
oe C3a d4
Construction Project Manager
Community Development
Seminole County Government
Phone: 407-665-2376
Fax: 407-665-2399
www.seminolecountyfk. qo v
ACCEPTANCE OF NOTICE j
is hereby acknowledged, this // day of
Title:
CITY OF
SORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE —ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY —IN, FLASHING, AND ALL FINAL ROOFCOVERINGS PERMIT $: /
O "/ / ADDRESS: /a /(1 54-
Al'laaJI /!'/ G-'
wA'e AOA(N)C,FNFRAI. RtnTnM(r RFcmFTQT1A1 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 #: COMPANY
CONTRACT
MUST
BE
CONTRACTOR: W
6 OR SIGNATURE:
DATE: O' d SIGNED BY
LIC E HOLD LDER 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 wor to
Subscribed before me this < day of [e 20 by: Who is
P onally Know me or has Produced (type of identification) as
identification. Signaure of `
i j .
01 RA apd i°
fYAWState
of
Florida • y'p Ua ass pti Y
2s <<"
A F Print/Type/
Stamp Name :p; OFF17358p s of Notary
Public N Ira%lift
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