1911 W 16 St - BR18-004609 - REROOFJob Address: ! 1 %
Parcel ID:. l —5•
Type of Work: New Addition
Description of Work:
Plan Review Contact Person:. t ,
Phone: 4 / ,97/9 0 7 1• I
Name Ohl T 74r A
Street: /•' L/
City, State Zip:
Name i — -
Street: /J7
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
NOV 2 6 SO PERMIT APPLICATION
Application No:
Documented Construction Value: $ 0-0 D 0
toric District: Yes No
Residentialr3lCommercial Alteration
Repair Demo Change of Use Move i-
Title: _ ,
r es-J* Email:
Q" / Q`W . CM4 Property
Owner Information ID
veo
Phone:
Resident
of property?: A16 Contractor
9Information
7/ 14 i AJ Phone: 'W,/17Wdry7 9 f Fax:
State
License No.: &"&Z. 31033 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 Th E 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 bl!eeperformed 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: 61' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this ermit, 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 no ify 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 conside ed the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuatio I Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed tte actual construction value, credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify
done in compliance with all applii
of Owner/Agent
Print Owner/Agent's Name
Signature of Not -State of Florida
Owner/Agent is Personally Kn(
Produced ID Type of ID _
KELLY L PISCIOTTA
NOTARY PUBLIC
STATE OF FLORIDA
Ca nnn# FF163557 B1
Expires 1/15/2019
Permits Required: Building
Construction Type:
Total Sq Ft of
New Construction: Electric - # of
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
all of the foregoing information is accurate and that all work will be
laws regulating construction and zoning.
to Me or
Signature of Contractor/Agent Date
A)//n
int Contractor/Agent's Name
ignature of Notary -State of Florida Date
Contractor/Agent is Y rsonally Knownto Me or Produced
ID. -Type of'ID ra
a
t'-'Y,rykt;iJUDITH A MCGIUINMY
COMMISSION # FF 183914 FILE
USE ONLY Mo; ;;p'- BondedThruNotaryPublicUnderwiters EXPIRES:
January 9, 2019 Mechanical
Plumbing < Gas Roof Occupancy
Use: Min.
Occupancy Load: of
Heads UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: I I lak I 18
I hereby name and appoint: 5 al—no
an agent of:
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: v Zbl
License Holder Name: S&# Allelij
State License Number:
Signature of License Holder'._
STATE OF FLORIDA
COUNTY OF r;t k
1,963
The foregoing instrument was acknowledged before me this day of omb{'r 2001
e , by SCo-+ Ie 'j who is b'personally known to
me or o who has produced as identification
and who did (did not) take an oath. igJ—,,
nature
Notary
Seal) d I44, t,' 111hJ Print
or type name Notary
Public -State of "F` bleldt, Py •.
JUDITH A MCGIWN MY
COMMISSION # FF 183914 Commission No. 1` 1 q 3 ' 1 4 EXPIRES:
January 9, 2019 M Commission Expires: BondedThniNotaryPubfieUndergh* Y p Rev.
08.12)
SRA RoofiWj, LLC
IC'i 1101" COPPI * I AkU Ntiiv<. 1-1 3274A
oo RAA C411 1137-212-8199
AGREEINILN't'
f mall: RA r LI , r('j':%44t AAD MUM[ kupm
001 Ac-c(OY".110O.COM
Jill it 1= 4 oilJ-Ij fNILIrf,,S3 JIL,f QASAIA. Is- 4 j
AQ,
C. ( (14EwesHupWme
sawn Rep Phone. can
Cum Phent-, H:
ILY AWX X
Fr it for the F05yong.
Rioinv%w mriming Shiriqc Ruuf.- Flat
Siff A 1"JoNsIg OH(ws
ii-ii ren.c:, u,.e
No-v aG pl} fe',t or Sy-thatic i.'m-.qf'avmxnI
New kiv2hm
Pen r SWk w vally
LNf+* 2E qzi-qe Laves Arip
Nf- ni7.g , a-dIC-7.IG ; uff ridge -AIMS
51 Re,nummi d=kv)
X- -Rep(-.Icc urly unfummue- romm W'.->nd plywcod bCl 0-1 PUF yhrcd Ncla - docking tward $6 00 i34r tnol-
NOTE: of ro-t-j-n oof,-r- r3t mnsKI at ary gtorea or djodamd Aoud IMI. MUM
2x2 moghm i 04 ShAgNs
7-3 tiv.*I-i (Jurime CrickIdILA .y 13 Cricket he (-it,'-t-y -',-,'ap
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kfnoifiwi ?immen
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Wyve-i: thuro. P*F.r.-"-),, -I 114 !ix pe.-6--)f to meef code mi MY fly lhi 4 he boym "P M critic: )C: OVEIV-rq^IkVI'di t;
RA: A SMA mpumenTeAu WS tQO&Y(f Y;.: cc; ruc.sno`.' Life Speckil
InstrLM.100S PWMUM
m rM made vw&.rt`ie, tn+•m,., and f;uLriJJi(uiti,-.i'Ih-5; r!nr.liarl. R-IRAthe ngM to pi: ee a !torht t?7F+-mr,,verne.-,tvlLiij aot Smoca
ejoige A Y% Aw nmnth ma m o0ond to de uNMM annunn 30 lays from 11- CaIL tf t.tic agruce, oT.VrnEmt cf',hin r0u.---tirill ,
uO thm. ,-crson cw- As con out al A any QI CM11 costs mumney Nos sm amppari! feeany-j. I hn:& L:r'j'-,"L4(:; vaiso frog-r
unp mcnim from th(.- dH!an upposeea by SRA ThP -Aitte OF F1'uri(ha has :] rUltl- VvIpproposee zu Iti'
mish the above mmovic, in. vdh the aoov;- iFum; lor Wc-.!mv 01: tv G L—i-
PERMIT # ANFORD
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: I I " C 5-1 56r -r 1 -5 a -
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): plywood
PLEASE NOTE: ONLY IOO SQUARE FEET 01 THE EXISTING DECK IS PERMITTED TO BEREPLACED
ROOF VENTILATION: D OFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 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
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCTAPPROVAL
SHINGLE am k'0 FL# /-
6METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
0INSULATED 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#
O OTHER: FL#
S''N-FORD
0
ABuilding &Fire Prevention Division RESIDENTIAL
RE ROOFPOLICY & 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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (
OR OwNER/BUILDER) SIGNATURE: cl 0 DATE: i
SCPA Parcel View: 35-19-30-513-2000-0010 Page 1 of 2
CFAfwftolp
aE COUNWx
Parcel Information
Property Record Card
Parcel: 35-19-30-513-2000-0010
Property Address: 1911 W 16TH ST SANFORD, FL 32771-3110
Parcel 35-19-30-513-2000-0010
Owner(s) ITAT FOR HUMANITY OF SEMINOLE CO & GREATERMPKAFLINC
Property Address 1911 W 16TH ST SANFORD, FL 32771-3110
Mailing PO BOX 181010 CASSELBERRY, FL 32718-1010
Subdivision Name PINE LEVEL
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 34-CHARITABLE/CIVIC(2019)
100 100
d T
T
a
t.n 100
T K)
Q
t,r7
Legal Description
LOTS 1 + 2 + N 1/2 OF LOT
3 BLK 20
PINE LEVEL
PB6PG37
Taxes
Value Summary
2019 Working
Values
2018 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value
1
12,318
1
11,709
Depreciated EXFT Value 200 200
Land Value (Market) 14,553 14,553
Land Value Ag
Just/Market Value " 27,071 26,462
Portability Adj
Save Our Homes Adj
Amendment 1 Adj
0
0
0
0
P&G Adj 0 0
Assessed Value 27,071 26,462
Tax Amount without SOH: $496.00
2018 Tax Bill Amount $496.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 27,071 27,071 0
Schools
City Sanford
T
27,071
27,071
27,071
27.071
0
0
SJWM(Saint Johns Water Management)
T
27,071 27,071 0
County Bonds 27,071 27,071 0
Sales
Description Date Book Page Amount Qualified Vac/Imp
CERTIFICATE OF TITLE 6/1/2018 09149 1792 $100 No Improved
QUIT CLAIM DEED 6/1/1994 02783 1557 $100 No Improved
WARRANTY DEED 1/1/1973 009871571 $8,000 No Vacant 1=
nd Oomparable Sales Land
Method
Frontage Depth Units Units Price Land Value FRONT
FOOT & DEPTH 102.001 100.00 1 0 1 $174.00 1$14,553 Building
Information Description
Year Built Fixtures Bed Bath Base Area Total SF I Living SF Et Wall Adj Value Repl Value Appendages Actual/Effective 1995
3 [ 2 1 1_0 1,036 1 1,100 1,036 $12,318 1 $13,536 http://
parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=3 5193051320000010I 1 /26/2018
FV Grant IVlaloy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst42018132733Book:9253 Page:777;•(1 PAGES) RCD: 11/26/2018 10:35:16 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Scott Allen
Address:
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 35-19-30-513-2000-0010
The undersigned hereby gives notice that improvement will be made to certain real property, and•in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DLESCRiP1TIOi( OF PR pERTY:IL$ I,descri cp,%P pm6te"d6stre(tj fress If available)
t
19 1 1 [
Z iV 1 L,
Sa fbr ts32771 t' IVC LCVCLY P l
2. GENEW DESCRIPTION OF IMPROVEMENT:
oo-t-
3. OWNER INFORMATION OR LESSEE INFORMATION iF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: HABITAT FOR HUMANITY OF SEMINOLE CO & GREATER APOPKA FL INC
Interest in property: OnWer
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: SRA Roofing, LLC Phone Number. 4072128799
Address: 105 Tralee Ct, Lake Mary, FI 32746
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
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 maybe served as provided by Section
713A3(1)(a)7., Florida Statutes.
Phone Number.
8. In addition, Owner desigriates
to receive a copy ofthe Llenot'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.
Vt (Signature of owner or Lessee, or Owner's orLessee'sAuthodzadOflkerfDirectodPartnedManager)
State of P16f I'lr. County of _
eE:
Print Name and Provide Signs p/sTjffolO 8 e)
The foregoing instrument was acknowledged before me this -t day of ()OV QMf3W 20 Id
by I-Q1r+' /I l -? Who is personally known to me
Name of person making statoment
who has produced identification type of identification produced:
KELLYL. PISCIOTTA
Orr, NOTARY PUBLICSTATEOFFLORIDA
Comm# FF16=7 Notary Signature
Expires 1/15J2019
NFORD Building & Fire Prevention DivisionSA" RESIDENTIAL REROOF AFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: [ 9— Uc D 1 ADDRESS: [q it W I L-e +h •fit .
I jWAA- W t e O , 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
i(
B2A,SSE,D ONF.F.S. CHAPTER 553.844).
LICENSE #: NO, l 1()J 3
COMPANY / CONTRACTOR: P 4-P 4 ) rd
CONTRACTOR SIGNATURE: DATE: 1 I V
MUST BE SIGNED BY LICENSE HOLDER OR WNER/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 ` Y n 106 IC
Sworn to and Subscribed before me this 01 CP day of 0 QV'eM 6,e r- 20 by:
0-0 - P- I Who is)( Personally Known to me or has Produced (type of
tification)
n
as identification.
gnature of Notary Public
State of Florida
WN
MY COMMISSION 1183814 }..
EXPIRES: Janus 9, 2019Print/Type/Stamp Name ;¢f; :'` UndedThruWLTYPubllcUnderKbrs
of Notary Public