182 Kelly Cir - 08-000059 (2008) REROOFr
Application # :5 l
Job Address:
CITY OF SANFORD PERMIT APPLICATION
Submittal Date: (0
Value of Work: $
Parcel ID: it , - ao 5A oo - ®i 5o Zoning: Historic District: y
Description
of Work:__Re COC Square Footage: / 2 . 3 Permit
Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical:
New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical:
Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets Plumbing Repair— Residential Commercial Occupancy
Type: Residential R_atCommercial
Industrial
Occupancy Use Group(s): Construction Type: #
of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) Property Owner:
Vh _ Gt 1 C I. G Contractor• j he— Home- Oe,9,4 Address: GI
r. Address: fir W -
1 I2 Phone: E-
mail: Phone 96 _ 0,2)-Staticense Number: C—a-059130Bonding Company: /
tl A Mortgage Lender: Address: I
Address:
Architect/Engineer:
Address: Plan
Review
Contact Person: Phone: Fax: Phone: Fax:
E-
mail:
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. OWNER'S
AFFIDAVIT: 1 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. 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. 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 requirements of Florida Lie S 713. 0 6-
4$ Signature of
Owner/AgentDate Signature of Contractor/Agent Date Owner/Agent'
s Name Signature of
Notary -State of Florida Date Owner/Agent
is _ Personally Known to Me or Produced ID
APPROVALS: ZONING
Special Conditions:
Rev 07.
07 UTI L:
FD: r i
Contractor/ gent's 1rr 4410..bSignature of Notary -
State ofFlor da Date 4 1 1111
IN///// esi Contractor/
Agent is _
Pers T all Kn • sVntoIsler ' K Produced I D
r ENG: y..'
Aw'
a.-1,,BL66 1 111111 0,
STATE OF FLORIDA AC# 3 9 1 D Id Q
l DEPARTMENT OF BUSINESS ANDPROFESSIONALREGULATION
CRC1326954 08/15/08 086032664
CERTIFIED RESIDENTIAL CONTRACTOR
KLEIN, STEVEN AKLEINBROTHERS CORPORATION
y,
I$ CERTIFIED under the provisions of ch.489 Fs
yzptz.Clgo data: AUG 31, 2010 U08081507.696
I S
TOM GALLAGHER
CHIEF FINANCIAL OFFICER
11-01-2006
Mt
STATE OF FLORIDA
DEPARTMENT OF -FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 12/08/2006
PERSON: KLEIN
FEIN: 020556976
BUSINESS NAME AND ADDRESS:
KLEIN BROTHERS CORPORATION
235 W MARVIN AVE
LONGWOOD FL 32750
SCOPES OF BUSINESS OR TRADE:
1- CERTIFIED RESIDENTIAL CONTRACT
EXPIRATION DATE: 12/07/2008
STEVEN
IMPORTANT: Pursuant to Chapter 440 . 0504), F.S., in officer of a corporation who elects exemption Irom this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
I scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05031, F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609
i IWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 12/08/2006 EXPIRATION DATE
PERSON: STEVEN KLEIN
FEIN: 020556976
BUSINESS NAME AND ADDRESS:
KLEIN BROTHERS CORPORATION
235 W MARVIN AVE
LONGWOOD, FL 32750
SCOPE OF BUSINESS OR TRADE:
1- CERTIFIED RESIDENTIAL CONTRACT
IMPORTANT
whoOPursuanttoChapter440.0504), F.S., an officer of a corporation
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
12/07/2008 Pursuant to Chapter 440.05021, F.S., Certificates of election to beHexempt... apply only within the scope of the business or trade listed on
E the notice of election to be exempt.
R
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of .election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413-1609
CUT HERE
Carry bottom portion on the job, keep upper portion for your records.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
11,RCEL DE77AR.,
DAviD JoHNsom CFA, ASA
PROPERTY
APPRAISER
SEMINOLE COUNTY FL.
1101 E. FIRST ST
SANrD . FL32771-1468
407-665-7506
VALUE SUMMARY
VALUES 2008
Working
2007
Certified
GENERAL Value Method Cost/Market Cost/Market
Number of Buildings 1 1ParcelId: 12-20-30-511-0000-0190
Depreciated Bldg Value 107,823 113,309Owner: TENEFRANCIA JAMES A
Depreciated EXFT Value 0 0MailingAddress: 182 KELLY CIR
Land Value (Market) 28,000 32,000City,State,ZipCode: SANFORD FL 32773
Land Value Ag 0 0PropertyAddress: 182 KELLY CIR SANFORD 32771
Just/Market-Value 135,823 145.309SubdivisionName: MONROE MEADOWS
Portablity Adj 0 0TaxDistrict: Sl-SANFORD
Save Our Homes Adj 53,904 65,776Exemptions: 00-HOMESTEAD (2003)
Assessed Value (SOH) 81,9191 79,533Dor: 01 -SINGLE FAMILY
Tax Estimator
Portability Calculator
2008 Notice of Proposed PropertyTax 2008
Taxes and Taxable Value Estimate Taxing
Authority Assessment Value Exempt Values Taxable Value Millage Taxes Cnty
County 81,919 50,500 31,419 4.5153 141,87 Schools
81,919 25,500 56,419 7.5430 425.57 City
Sanford 81,919 50,500 31,419 63250 198.73 SJWM(
Saint Johns Water Management), 81,919 50,500 31,419 4158 13,06 Natural
Lands/Trails I/S Debti 81,9191 50,500 i $31,4191 14511 4.56 Totall
I - 1 1 18.94421 783.79 Potential
Portabilit)t Amountis $53,904 The
taxable values and taxes are calculated using the current years working values and the proposed millage rates. SALES
2007 VALUE SUMMARY Deed
Date Book Page Amount Vac/Imp Qualified Tax Amount(without SOH): 2,235 WARRANTY
DEED 05/2002 04415 1457 $82,500 Improved Yes 2007 Tax Bill Amount: 1,008 QUIT
CLAIM DEED 02/1997 03202 0014 $2,200 Improved No Save Our Homes (SOH) Savings: 1,227 WARRANTY
DEED 01/1994 02714 0462 $60,500 Improved Yes 2007 Taxable Value: 54,033 Find
Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND
LEGAL DESCRIPTION Land
Assess Method Frontage Depth Land Units Unit Price Land Value PLATS Pick._ -1 LOT
0 0 1.000 28,000,00 $28,000 LEG LOT 19 MONROE MEADOWS P13 46 PGS 16 & 17 BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New
Building
1 SINGLE FAMILY 1993 6 991 1,334 991 CONC BLOCK $107,823 Sketch
113,
797 Appendage
1 Scift GARAGE FINISHED/ 312 Appendage
1 Scift OPEN PORCH FINISHED / 31 NOTE:
Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi
Finshed NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If
you recently purchased a homesteaded property your next year's properly tax will be based on Just/Marketvalue. http://
www.scpafl.org/web/re-web.seminole-county-title?PARCEL=l 2203051100000190... 10/1/2008
To Whom It May Concern:
This letter will authorize the following person(s) to act as agent(s) on behalf of THD At -Home
Services, INC, D/B/A The Home Depot At -Home Services, 3200 Cobb Galleria Parkway, Suite 200,
Atlanta, GA 30339 to pull for permits and inspections with respect to the installation, maintenance and
repair of roofing under Florida State Roofing Contractor license number CCC058327.
Authorized person(s):
Brian Kirby
Timothy O'Malley
Jason Laupert
Gregory Kidd
Jim Kirby
Eric De Dios
Jason Kirby
Tyler DeLaria
Don Kirby
John Christianson
q
eDios
Quinn RobomeServices, C
The Home Depot At -Home Services
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this 23`d day of August, 2007 by Quinn
Roberts.
elm AW010
Notary Public — State ofFlorida
6" p/pfox_/
Printed Name
b /J,57 /V0)0
My,Comrhission Expires
Personally known —x— or Produced Identification
KIM PIPPIN
eVpv Comm#DDO6i04998
Expires 110/15/260
fi Fonda Notary Assn.,InncMuuuto.uuun.. uun.elm ... uuu.uu.s
THD At -Home Services, Inc.
6422 Harney Road, Suite A • Tampa, FL 33610
813-630-4111 • Fax 813-630-4112 • Toll Free 866-653-8438
i iani is ua a aai aai ai a ai lia ai N is ua ai IN 1111111 fat 11111
This Instrument Prepared By:
THD At -Home Services' MARYANNE MUH4k' CLERK ()h CIRCUIT (YIURT
LE CtklfY6422HarneyRd. Suite A SEMINO_
Tampa, FL 33610 BK 07073 fag 141i?; Alp!])
OF COMMENCEMENT CLERK'S # 2008112818LfI. RECURDED 10/06/2008 Olt 16 t 39 PM
Permit No. Tax Folio No.
i. OO
State of Florida RECtPOLD BY L McKinleyCountyofJt'-d\i•{tic lc
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordancewithChapter713, Florida Statutes, the following information is provided in this Notice of Commencement:
63
1. Description of property: (legal description of property, and street address if available) I t> /;- Le i tt
f:) l 1:
2. General description of improvement:?-
3.Owner information 1: r +
a) Name and address: ',J { VOI E ,
b) Interest in property: C't• ..'r t r
f 1 titleholder (if other than owner): c) Name and address in ee stmp e CERTIFIED COPY4. Contractor
a) Name and address: j'jD At_HOrile,SfyiCeS Tom_ MARYANNE MORSE
b) Phone number-.i3 f3, 6a27 CLERK OF ClIRCUIT COURT
5. Surety Tampa, FL 33610 SEMINOLE FLORID
a) Name and address:
b) Amount of bond
c) Phone number: DEPUTY CLERK
6. Lender
a) Name and address:
I' b onOCTNN
b) Phone number:
7. Persons within the State ofFlorida designated by Owner upon whom notices or othei documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a) Name and. address:
b) Phone number: 8_ In addition to himself Owner designates the following persons) tq receive a copy of the:Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes:
a) Name and address:
b) Phone number: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THENOTICEOFCOMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT,IN YOUR PAYING TWICE FORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTI IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BE O COMMEN ING RK OR RECORDING
YOUR NOTICE OF COMMENCEMENT..
10.
Sign ure ofOwner or Owne s Authorized Officer/Director
p er/Manager
Signatory's Title/Office
j
The foregoing instrument was acknowledged before me this Z 4Zday of sz by
71=enz. -i-.,,N„ 1P, (name of person) as 0t,A, -r (type of authority, e.g. officer, trustee; attorney in
fact) for _ 3 e (name of party on behalf of whom instrume t was exec d).
s Si nature o N Public — State of Fl "
JOHN P LUND p onall nown _ or Produced Identification
UYIf11I, ^__4
D 11ntrloott
eo t800l432.4254=
Flonda Notary Assn nc Verification Pursuant to Section 92.525 Florida Statutes
Under penalties of perjury, I declare that I have read the foregoing and thatthe
f7®re
d in it are we to the best f my.knowledge
and belief.
Siof Natural Person Sig ing (in Line# 10) Above
Revised 7/i/07
RE: Permit # " 6-c1 r
Inspection Affidavit
gvp cf< licensedasa n Contractor* Idingnineer/Architect,
piease print name and circle Lic. Type) g Inspector*
License #; CSC C O S'- -- S-
On or about All Ak /O ' 2 z- d qi, , I did personally inspect the roo
ate & time) /
deck naili z and/or secondary water barrier work at Z
circle one) (Job Site Address)
r/,C {c cQ R 3 Z 77[-.
Based upon that examination I have determined the installation was done according to the
Hurricane Miti atio trofit Manual (Based on 553.844 F.S.)
Sign ture
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this Y ay of (bP . 200_L
BY .ki.sJ---T
Notary Public, State of Florida
Print type or. stam ,,,
bci V
Commission No9.40 "zoo Personally
known or =t-• a o ; o Produced
Identification Type
of identification produced. r L PN ' ' P' ®° •'
General,
Building, Residential, or Roofing Contractor or any individual certified Under 214.119de such an inspection.
Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the deck
for each inspection. E