213 S Hampton Ct - 08-000569 (2008) REROOFi CITY OF SANFORD PERMIT APPLICATION
Application #: O Submittal Date:
Job Address: t S a1'nn Value of Work: C Sq 1kDrutlC Z U
Parcel ID' 0-7 _;'O 3 r 5 o (. ~—CK-_,oO — n7U Zoning: Historic District:
Description of Workl' - oc_3c.> A r ) 6 S r'1 C Square Footage: _:D.9 Uo 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 Calc. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets Occupancy
Type: Residential C Commercial Industrial Construction
Type: I # of Stories: # of DwellingUnits: Plumbing
Repair — Residential Commercial Occupancy
Use Group(s): Flood
Zone: (FEMA form required) Property
Owner: O t =Y 1C k • • • • • • •Contractor:•Senez Roofing Address:
i m Address: 1060 E. Industrial Dr. unit k Orange City, FI 32763_ Is
Phone:
Bonding
Company: Address:
Architect/
Engineer: Address:
E-
mail: Plan
Review Contact Person: Phone:
386-774-4950 Mortgage
Lender: Address:
rA
Phone:
Fax: Phone:
Fax:
E-
mail: State
License Number: CCC1327898
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 issuanceofapennitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. 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. 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 FIRSTINSPECTION. 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 the requirements of Florida Lien Law, FS 713. S
joa vLc. Signature
of/Owner/Agent Date Agent'
s Name of
Notary-Stat LARRY ALLEN SWEET MY
COMMISSION # DD 594114 r
EXPIRES: September 17, 2010 t
a° Bonded Thru Notary Public Underwriters O
er/Agent is Personally wn to Me or Produced
ID APPROVALS:
ZONING: Special
Conditions: UTIL:
FD: Signature
of Contractor/Agent Date 1r1
Z- yi•
int Cogoctor/Agent's Names n of
Contractor/
Agent is Produced
ID — ENG:
otY ^
y LARRY ALLEN SWEET MY COMMISSION #
DD 594114 p0. EXPIRES:
September 17, 2010 fi,; ofi;b,• Bonded Thru Notary Public Underwriters BLDG: O
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
4
DAvin JoHN&ow, GFA, ABA 4S 4r
PROPERTY
APPRAISER
SUAINOLE COUNTY FL. In!
1101 E. nR5T 5T
SANFORD, FL32771-146B 407-665-
7506 w 1
9 11; Rp tr'
s 19 11u
11.E '
i1;° (° ii: 110) I"A
2008 WORKING
VALUE SUMMARY Value Method:
Market GENERAL Number
of
Buildings: 1 Parcel Id:
07-20-31-506-0000 1170 Depreciated Bldg
Value: $134,080 Owner: MC
DANIEL MARGARET A Depreciated EXFT Value: $0 Mailing Address:
213 S HAMPTON CT Land Value (Market): $33,600 City,State,
ZipCode: SANFORD FL 32773 Land Value Ag: $0 Property Address:
213 HAMPTON CT S SANFORD 32773 Just/Market Value: $167,680 Subdivision Name:
BRYNHAVEN 1ST REPLAT Assessed Value (SOH): $80,062 Tax District:
S1-SANFORD Exempt Value: $
25,000 Exemptions: 00-
HOMESTEAD (1996) Taxable Value: $
55,062 Dor: 01-
SINGLE FAMILY Tax Estimator Tax Reform
Calculator 2007 VALUE
SUMMARY SALES Tax
Amount(without SOH): $2,675 Deed Date
Book Page Amount Vac/Imp Qualified 2007 Tax Bill Amount: $991 WARRANTY DEED
08/1995 02961. 0894. $73,000 Improved Yes Save Our Homes (SOH) Savings: $1,684 WARRANTY DEED
10/1990 02235 0253 $77,700 Improved Yes 2007 Taxable Value: $53,109 Find Comparable
Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND
LEGAL
DESCRIPTION Land Assess
Frontage Depth Land Unit Land PLATS: Pick... Method Units
Price Value LEG LOT 117 BRYNHAVEN 1ST REPLAT PB LOT 0
0 1.000 33,600.00 $33,600 39 PGS 20 & 21 BUILDING INFORMATION
Bid Bid
Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Num 1
SINGLE
1990 6 1,191 1,881 1,191 SIDING AVG $134,080 $143,401 FAMILY Appendage
I
Sqft SCREEN PORCH FINISHED / 180 Appendage I
Sgft GARAGE FINISHED / 462 Appendage I
Sgft OPEN PORCH FINISHED / 48 NOTE: Appendage
Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,
Base Semi Finshed Permits 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 our next ear's property tax will be based on Just/Market value. http://www.
scpafl.org/web/re_web.seminole_county_title?parcel=07203150600001170&... 12/21 /2007
a
THIS INS!.R MENT PREPARED BY:
NAME: 'SF Building &. Fire Inspectiont
ADDRESS: C rG krsbrOD r 5EnilNocE Cou>rn 1101 East Stree
Sanford, FL 32771
NOTICE OF COMMENCEMENT
da County of SeminoleStateofF
Permit No. Tax Folio No. (PID) C57 31 _ S& 1 % U
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) (tl 17,I r, hCLL eyJ0- tZe-r lat
0CS
5 •tom L.- C — c r-1C r
iY`MiTz
C C G c:3
c m mGENERALDESCRIPTIONOFIMPROVEMENTd7-'ci
o Ln p g
rt a GCS
e Er
OWNER INFORMATION S
cc ` — My
Y --'
ameand ddr ss
av
Sjmpple, property (ership, etc.)
r 0) C
SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) NAME AND ADDRESS OF FEE
CONTRACTOR
Name and addr
r P2 t
Y7FETY (Bonding Company)
lame and address \ ^
of Bond
Name and address
i
may be served as provided by Section *
I
Persons within the State ofFlorida designated by Owner ypon whom noticeor other documents
713:13(1)(07., Florida Statutes:
Name and address
b owner upon whom notice or other documents may be served asPersonswithintheStateofFloridaDesignatedyP
provided by Section 713.13(1)(a)7.,Florida Statutes:
Name and address:
of
In addition to himself, Owner Designates To receive a copy ofthe Lienor's Notice as
Provided in Section 713.13(1)(b), Florida Statute,.
fe ration Date of Notice of Commencementdifferent
expiration date is 1 year from date ofrecording unless a date isr}specified.)
L
C Day of wog° sic
Sworn to a b cri d before me My Commission Expires:
Notary Public
srrurnent w s ac owledged before me this day of % __ _b
The foregoing up p it ;z (rje of person acknowledged), who is personally known to me or who hasrtizIIIa
a
n. identification), as identification and who did/did not take
produced n L 1
r- -D77co3
EkltF!tU t;UYt
MARYANN1- MORSE
CLERK F CIRCUIT COURT
SEM U Ty., FLORIDA
DEPUTY CL RK
AN
F AM i's'• '
r•4
F,. 7
C)Aef-' G r u r Ir-i Jut,
u
UNIVERSAL ENGINEERING SCIENCE, INC,
911 Beville Rd, Suite 3 -
South Daytona, Fl- 32119
386-756-1.105 — Fax: 386-760-4067
NOTICE TO BUILDING OFFICIAL VSk VI- rruvr r c Frw lvcr..
Project Name: m Y T` CA- = l L Plane Review Inspections Both
Parcel lax LD ao-3l-Sdry,-awo-(j-7 U circle
Note; If the notice applies to either private plan review or private Inapoctlon services the Building Official may.roquiro, at his or her
discrellon, the private provider to be used for both services pursuant to Section 553,791(2) Florida Statute.
rY Ca 6rmi rthetooowner, ave entered Into a conlrect with the Private Provider Indicated below to conduct the services Indicated Above.
Private Provider Firm: lanlversal EnainoorJng ,ctgpcee: Inca FL License RealSlrallen or C,p)ON..1p, "i" P F 00210. SN-3977
Private Provider: L V-9.-„•P-Pnl f' F MikR Navarra ItN ,t1t77
Address: 911 neville Rd Suite 3 South Upyton.. ?114 Phone: 308-758-1105 Fax: 366-760-4061
1 have elected to use one or more private providers to provide building code plane review and/or inspection services on the building that Is thosubjectoftheenclosedpermitapplication, as authorized by e,553,791, Florida Statutes, l understand that the local building official may notroviewtheplanssubmittedorporformtherequiredbuildinginspeLlungtodolermrnocompliancewiththeapplicableCodes, except to theextentspuciflodinsaidlaw. Instead, pions review and/or required bullding inspections will be pedormod by licensed or certified personnelidenliflndinihr. ApplinAtinn. The law requires minimum Insurance requirements for such personnel, but I understand that I may require moreInsurancetoprates/ my Inlorosts. By executing thl5 form, I acknowludgo that I havo made Inquiry regarding the compolonco of the licensed orcertifiedpersonnelandtheleveloftheirinsuranceand.am ootisfiod that my Interests are adequately protected. I agree to Indemnity, defend, and hold harmless the local government, the local building official, and their bullding code onforcomonl personnel from any and all claimsarisingfrommyuseoftheseIlcenaodorconifiod.personnel to perform building. coda inspection services with respect to Iho building that is the
subject of the enclosed permit application,
I understand the Building Official relainit.aulhority to review plans, make required inspections, and enforce the applicable codas withinhis or herchargepursuanttothestandardsestablishedbys.663.791, Florida Stalutos. If I make any changes to Cho Haled private providers or the servicestobeprovidedbythoseprivateproviders, I shall, within 1 business day after any change, update this notice to reflect such changes. Thebuildingplansreviewand/or Inspection services provided by the private provider is Ilmltod to building code compliance and does not Includereviewforfirecode, land use environmental or other codes. A Qualifltatlon statement and Proof of Insurance Is Included as ulred
by fs553.'9' - CORP RA710N PAft7NERSNIP INDIVIDUAL
Print
Individual Name Print Corporation Name Print Partnership Name a
I'
l .- M . By: 13y. 5lgnalure)
signature) signature) rint/
y Name, /r r 1 Name, Address :
ii Print
NName; Its:
Address:-
Print
Name: ._---
Its:
Address;
7-
1 Telephone
No!
Tolephone
No,;
Telephone
No.:
Please
use appropriate not ry block. STATE
OF COUNTY
OF Individual
l%
da or 20
Be
j 1 ._, personally
appeared who executed the foregoing instrument,
and acknowledged before me that some
was exocutod for the purposes therein expressed.
a' produced
ire
of N(NOTA
ry
Public:
STAMP BELOW Y
Py J CARRY ALLEN SWEET MY
COMMISSION # DD 594114 EXPIRES:
September 17, 2010 Bonded
Thru Notary Public Underwriters Corporation
partnership Before
riie, this day of Before me, this day of 20_.'
a Corporation,
on behalf of the state personally appeared Partner/agent on norporalion
who executed the foregoing behalf of, a partnership, instrument,
and acknowledged before Me who executed the foregoing instrument, that
same was executed for the purposes and acknowledged before me that same therein
expressed, was exoculed for the purposes therein express
icntion _
Type of Identification produced ` Print
Name My
commission expires;
Sep 27 07 12:38p UES Daytona 3867604067 p•3 I
i
UX:`%LaS`AL'EN 0,,NEERlN:C; SCIENCE, 1NL•
South Daytona, FL 32119
386-756 1105 -- Fax: 386-760-/1067 I
PRIVATE PROVIDER
INSPECTOR QUALIFICATION STATEMENT
project: _
i'rivale Providor Firm: Unlversol•Engineefing Sciences, liic.
Private Provider Name: Brian C. Pohl, P.E.
Addres,: 911 Bevllle Road, South Daytona, FL 32119
Phone:---..(386) C56-11_05. _. _. fax: ..-13361 760•:4067
Nomes, Llconse/Certificate Numbers, and License description of provider and dvly authorized agents who will bo
providing services for projects:
Name
Brian C. Pohl
Mike: Ncavcarra
Jason Kryrticki
I.oberl Waldrop
Kern Boswo II
hichard Simmons
I -rod Liebold
License # License Type _
Pie 60216 Licensod 13roressional Er)yineor
BN - 3977 Standard Inspoctor (Building)
Rc. jcjentiai Combination Inspector
PX - 1 FJ6!i Standard Plon, Examiner (I:uilding)
c Rc: 0;;7614 Certified Ro.side ntlal Contractor
tiFll 184 Residont1n] Plants Examiner _
Standard Building, Inspector (iwilding)
l3N - 4886 CorTjn)6rclal & Re(,identlal _
Standard Building Impoctor (eulIdInq)
BN •• 4320 Commercial & Rcslde:nlial
Standard Inspector
BN :i12 Builrlin ), Mechunloal, Clectnicul K Plumointll
Residential Combinatlon impector
I'X - 149 Standard Plans Examiner
11,i1d(ng, Me;cnonic:al, Elecliii::,al & r'IUfT1fJUarj)
BU - 132 - Certifiod Buiidinp Code.Administrator
Standard inspector
BN - 1 a42 Building,, M4c:ilcanical,. Eloctrical & Plumbing)
Residentialc';urnbincition Inspector'
PX - 6:31 Standard Plans Cxoi-ninor
puilding, Mcchnnic cil, Elo("trlcnl & Plumbing)
BU - 499 ortified Building• Code Adminiskator
BN - 4127 Strin(ic.-,rd Inspector (Building).
Restdcntiol Comb Inatlor) Inspector
PX-220U Stand aid Plans L-xarnrinor
Builcjiny, Mechcanictal, Elect' & Plumbing)
sw - 126 Residential plans Examiner
Sep r u r lc7 JCSV
0
uco tJom'Vur,o
Lld „-''rh ;;r.rr'r.Iru'rl 101 jL'vil+.iir'rj;l)
r,:,iilrnllr'd G:r,rrrI..,;ruilir:,n hr l"rrr,:'.cyr
t_13c....02514;; (`r.rlifit;r) i,,uoriinJ (:'nnituc:c.)r
Cp.rtitiod F2oofing C or)li6(-:tnr
I:f • ::`l , 'itc r'c:<trc:1•',r:,Crfiru:r In51 C,ctr:lr .._.
As o privain inspection .service piovidor for thl, projecl, I hove road and n9rce lu be bound to fhe Provisions qF
Stole Stotuto 553,/91 , 1 futfhei al-ree and undor,tand Mat only tho c,bovo listctd personnol may P(WOIr'n inspucltonsonthisproloctandtholifforanyrocisonihoinspeClionpersonnel5hnuldchurlQP, or it any parson listed obovo
shwld discon;lnirr to c uc lify os o duly ryuthorir.c c c]ent, I will notify thct MunicihGlity 11gvi juri>iciiCtiorl to writing
immodintnfy.
Sic r alurrr of Privptr. ('rnvidor': " ' t 1 _ _.... "_ Or n (':. ohl, P.C. 60216
Sep E-r U-1 1 e 7 Jup uEb ua!jLona dt%b (bUf'Ub ( P • O
A.CORJD CERTIFICATE OF LIABILITY INSURANCE OP ID P DATC IMMIDD/YYYY)
Al UNXVE140 09/27/07
PRODUCCR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
J Rolfe DaVia Insurance HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 4927 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
NAIC #
Orlando FL 32802-9927
v
Phone: 4 07-691-9600 INSURERS AFFORDING COVERAGE
INSIArRn NtlOoen ov.c'.xro.co. (ra.e. q) 37079
IN':tIHIIIH Interstate Fire 6 Casualty 22829
Universal Engineering sciences ,N'iIIKI Hf: Inc,; etal
3532 Ma9 s Blvd. IN:RrR n
Orlando
i
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INUO&A L
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A X X Ci)MMLRUALGCNMAJ.IWilll'rY FEC613.3754 07/17/07 07/17/08 r1AMAOr TO M, I_arnll;;rr)U nt.lq'Ipnl 150000— _
CAIM;: MAUI }; OCCUR MCLI L" x.l.IAr1Y una jwnnn) S 50 0 0-_ — X
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and FEC6113754
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7000000 DE9CRIP11 N OF OPCRATICINO
I LOCATIONU I VLHICLES I t KCLUDIOND ADDED DY 1ND0WUEM6NT I SPECIAL PRO ICICINO Goncral Liability policy includes
a blanket additional insured endorsement for the certificate ?colder
if required by written contract. Policy Limits are shared for #FEC6113754.
Liability is limited to loss or dsmngc arising out of negligent acts
of the insured. *Except as required by 1rL statute. ucm I Ir)t.
M I G nVLVGR L.ANL.tLL.A I IVN FLACsCOI SHOULD ANY OF
THE ABOVE OCDCRIDCD POLICIES BE CANCEL( En RFFfjRE THE CXPIRATIQN DATE THEREOP, THE 1331JING
INSURER WILL ENDEAVOR TO MAIL 30 * nAY; WRITTEN NQTICC TO THE CCRTIFICAI
E HOLDER NAMED TO THC LOFT, OUT FAILUHL 10 DO 30 SHALL Flag(er County Hoard
Of IMPOSE Nn f1Rl-IGAT10N OR LIADILITY CIP ANY KIND UPONTHP INSURER, ITSAGENT" QK County Commissioners 1200 E. MoodyBlvd. #7
REPRCOCNTATIVC3. Bunnell FL 32110 AV ILL
REFRESENTATIVC 4-7 ACORD 25 (2001/
08) 9
ACORD CORPORATION 19IIU