105 W Coleman Cr 12-2421 (reroof)T
r
SEP 1
CITY OF SANFORD'
BUILD NG'A FIRE PREVENTION
PERMIT APPLICATION,.'
Application No: Id, - ` Documented Construction Value: $ i 'l 9 Co 0 - U0. '
Job Address: 1 0 5 C: l E? G n C ✓ Historic .District: Yes ❑ No ❑
Parcel ID: 1220 "L,0; 01 0000 0300 Zoning:
Description of Work: III Q �, t2oo r 3 1> 1(a (A e-d S CL i
Plan Review Contact Person:-CC41/\ Title:
Phone: �� i `-( `� 1 'a3b� Fax: 3 i l L{ Lc i E-mail:
Property Owner Information
Name t>W( S WC Ile c �L Phone: 0"1 (0(,o S Co 0 C
Street: 1 0 S I,J ie- MG' n C/ Resident of property? : V e- S
City, State Zip:
Contractor Information
Name Phone: 3i I L(4 I /) S013
Street: Q 0 P2bX 5 ,O p LGA Fax: '3ak l L4 Lf I 13
City, State Zip: �--� n ��uu�., "7"?S'� State License No.: CCC OS gOZ Z
Architect/Engineer Information
Name: N Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: TJ PS Mortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: _ Flood Zone:
Electrical ❑ Plumbing ❑
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads:
ff �_s2.3,5
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: 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
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 the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past pennit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
L�
Sieiiatute`of.' rer/Aget� Date
Signatule'ofNotary tz-&F- �Ba,'. � Date '
I��k1�t-'t DSS�096
COMrS ��MISSION
MY # D
,�. ntaaq' 29,2013
Lacy
�Xp1R
�. FloridaN
(407 )` 398r ���J•
Owner/Agent is ✓ Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Signature f Contra ter/Agent Date
bli C LCnlc/
PrACitor gent's Name n
Signature of Notary- Late of Florida Date
y► E MEL°Y J TF4OMAS
"= MY COMMISSION # OD856096
EXPIRES Anuary 29, 20"13
' Fi ndallotarysemce.:om
(407) 398-0t 53
Contractor/Agent is -"' Personally Known to Me or
Produced ID Type of ID _;
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Rev 11.08
COLLIS ROOFING, INC.
P.O. Box 520668
Longwood, FL 32752-0668
Ph. (321) 441-2300
Fax.(321) 441.2313
Lie. # CCC058022
Date:
August 12, 20 12
Phone
407/668-6070
Attention:
Doris Wallace
Email:
dorisewallace(cr�,cfl.rr.com
Job
Address:
105 W. Coleman Circle Sanford,
FL 32773
Collis Roofing, Inc, proposes to supply the labor and materws necessary to apply your roofing as follows:
A) Collis Roofing, Inc. will provide all applicable permits.
B) Remove all existing shingles and roof top accessories and dispose of properly.
C) Inspect existing decking and fascia for water damage. We will remove damaged decking and replace at a rate. of $5.0:00
per sheet of plywood and $6.00 per foot for fascia. (Note: This -amount is not included in the total below).
D) Re -nail all decking to meet current Florida Building Code.
1, Supply and install a layer of new code approved fiberglass reinforced underlayment to deck using simplex nails.
2. Supply and install new code approved 2 '/:" galvanized and ainte eave drip and secure to the roof deck with nails
around all eaves and rakes (Please specify drip edge color:
3. Supply &install (30') of new code approved GAF Cobra3 shingle over ridge vent to properly ventilate the attic space.
4. Secure the eave metal with mastic & hi CAR P- • les at all eaves with the seal strip at the edge
of the roof. .
5. Supply and install all new lead flash'
6. Supply and install new code approve . _ - th vents as required.
7. Supply and install new code approve h f- e derlayment to all valleys and around all
penetrations per manufacturer specifi
8. Supply install new 26 gauge galvaniz 1 0 1 1 o t v ly installed rubberized �le"ak barrier.
9. Supply and install a new'/4" per tape ' " o the front right portion of the flat roof that
falls in to the parapet wall.
10. Supply and install a new (2) ply mod of the residence. New system will consist of
(1)'ofPoivglass SAV smooth surfa I it,111 I I III 111111JI11111111 VVI UmAjIUVIMUsly installed dry -in and/ior cricket, and (I)ply
of Polyglass SAP granular surfaced modified bitumen as the finished product.
11. Supply and install new Hardy Trim & Siding to the roof to wall intersection at the front of the residence as the main
portion of the flat roof transitions to the upper roof.
p specifications and all applicable
12. Supplyand install new GAF Timberline HD architectural shingles per manufacturer's '
building codes "(Please specify shingle color: _ F,P_
13. Supply and install,new GAF Seal -A -Ridge Cap shingles to all hips and ridges.
14. Collis Roofing Inc. will supply a written workmanship warranty upon completion. Warranty duration is contingent upon
shingle selected.
The above work shall be performed in a substantial workmanlike manner for the sum of:
,517,960.00
nntinn 1 --
COLLIS ROOFING, INC.
P.O. Bog 520668
Longwood, FL 32752-0668
Ph. (321) 441-2300
Fax (321) 441-2313
Lic. # CCCO58022
Cash Option Credit - $1,980.00.00
With payment to be made as follows: 100% upon completion.
Respectfully submitted: Patrick Perkins, Estimator
Date: D I I �-- Approved By:
�
Collis Roofmg, Inc.
1. Collis Roofing, Inc. ("Contractor")
roofing is to be installed. Customer rep
and operations.
2. Customer is solely responsible for prov
utility as may be required by the Contractor
construction, if required. Customer hereby g
of the roof deck or of the building on which the
ible of withstanding normal roofing construction
construction with such water, electricity, or other.
Owner'shall provide a toilet during the course of
nd advertising at the project site.
3. Where colors are to be matched, Contractor shall make every reasonable effort using standard colors and materials, but does not
guarantee a perfect match.
4. This proposal and contract is based upon the work to be performed by Contractor not involving asbestos -containing or toxic materials
and that such materials will not be encountered or disturbed during the course of performing the work. In the event that such m, aterials are
encountered, Contractor shall be entitled to reasonable compensation for all additional expenses incurred as a result of the presence of
asbestos -containing or toxic materials.
5. Customer shall be entitled to order changes and the contract price shall be adjusted accordingly. Upon removal of the existing roofing,
conditions which require additional work, such as rotten or deteriorated wood, are sometimes encountered. If the scope of work outlined on
the face of this proposal does not contemplate such conditions, Contractor will promptly report the condition to the Customer aiid take such
steps as are reasonably necessary and prudent to protect the building. Unless otherwise noted in this agreement, the price quoted does not
include removing or replacing fascia, trim, sheathing, rafters, structural members, siding, masonry, vents, roofing, caulking, metal -edging or
flashing of any type. If, during the course of work, its should become apparent that any such portions of the structure should be repaired or
replaced, Customer may authorize Contractor to do such additional work for an extra charge. Any alteration to or deviation from the
specifications described on the front side of this proposal involving extra costs will be billed as an extra charge on a time and material basis.
6. Contractor shall not be responsible for loss, damage or delay caused by circumstances beyond its reasonable control, including but not
limited to acts of God, weather, accidents, fire, vandalism, regulation, strikes, failure or delay of transportation, shortage of or inability to
POWER OF ATTORNEY
I J. Douglas Lanier, the "principal," of COLLIS ROOFING
INC., P.O. BOX 520668 Longwood, FL 32752, herewith appoints Ray
Henderson as their attorney in fact, to act in place and stead and
described herein; THIS IS A DURABLE POWER OF ATTORNEY
THE RIGHTS HEREIN SHALL CONTINUE DESPITE THE
INCAPACITY OR DISABILITY OF THE PRINCIPAL
To act for me in the regard to the following:
OBTAIN PERMITS AT THE BUILIDING DEPARTMENTS
This power of attorney shall be in effect from 1/1/12 through 12/31/12
ot-A
J. Douglas L nier, As Principal
STATE` OF: FLORIDA
COUNTY OF: Seminole
The foregoing instrument was acknowledged this 10th day of
September 2012, .by J. Douglas Lanier_, who is personally known
to me or has produced (type of identification) as
identifIcation.
Signature of &otary Public, Stat fFlorida
EEC J i'OQAAs
MY GoMMISSION # DD856096
Print, Type;
of Notary Public
THIS INSTRUMENT PREPARED BY:
Name: Sy ��`A f�lG�o�1 Cis IG., /te �Z, -
Address: o Y IS LP A
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
MIARYA" MRSE, CLERK OF CIRCUIT CO W
99MINOLE COUNTY
BK 07852 Pg 1017; (lpg)
CLERK'S # 2012106063
RECORDED 99t1112012 12t52%31 PH
RECORDING FEES 16.00
RECORDED BY J Eckenroth(all)
Permit Number: Parcel ID Number: LO O 300
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 if available)
L.C� 30 5_0L.,f_M i?inr
3LC(eJ`7rc:1 A-CLA'' eA ;I P(5, Ce3
t u5 IiJ wk cryCn (? ✓' S 0-in- -ray f'L
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATIO :
Name: f, 4 � i.J n- i L -Cje— / C
Address: 10 r7 l!J CJ I i;L Yv1C�/\ C! 5
Fee Simple Title Holder (if other than owner) Name: N
Address:
CONTRACTOR: p SEF�
r� Name:
Address: rFRTITED 604
JJJ Persons within the State of Florida Designated by Owner upon whom notice or other docu m y; [Se lrV�cjR�
as provided by Section 713.13(1)(b), Florida Statutes. WR y AM'
Name: CLEM Of CIRCUIT CO
r
Address:
In addition to himself, Owner Designates cR
To receive a copy of the t.ienor s Noti as Provided i
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recorrtrirunless 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 YOtIR 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
kw ELO
Owners Signature FOwners Printed Namet
IYyuS .Sus �"!gp 4a. :,3'
Florida Statute 713.13(1)(g) The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of County ofI/�I
The foregoing instrument was
//acknowledged before me this 10 day of rObel"' 20 1 Z
by O t �'✓ �C% (ri L i : Who is personally known.to m-A
Name of person making statement
OR who ha,,pr..odaeed•identific : type of identification produced:
AY PN EMF-L, 3 'T CcA d
Gil 7N1iJ11 aSION # t f3$5si3Ss
XPcom
ti S 13nuary __.
5 ' FloiiciaiYo��Y
Notary Signature
SCPA Parcel View: 12-20-30-502-0000-0300
Page 1 of 3
Parcel: 12-20-30-502-0000-0300
t POPERT Owner: WALLACE DAVID & DORIS
�;i:���n E,4„r€�,�''11"',r:�"�Carsz3 � APPRAISER Property Address: 105 W COLEMAN CIR SANFORD, FL 32773
.�:
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Parcel: 12-20-30-502-0000-0300
Property Address: 105 W COLEMAN CIR
Owner: WALLACE DAVID & DORIS
Mailing: 105 AI CO LEMAN CIR
S.ANFORD, FL 32773 - 5859
Subdivision Name: SOUTH PINECREST 3RD ADD
Tax District: S1-SANFORD
Exemptions: 00-I IOMESTEAD (2004)
DOR Use Code: 01-SINGLE FAMILY
Z
Map Aerial Both Footprint + - Extents Center
Larger Map 1 Dual Map View - External
Legal Description
LEG LOT 301 SOUTH PINECRESr 3RD ADD PB 11 PG 63
Tax Details
Value Summary
2012 Working
2011 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of
Buildings
i
1
Depreciated Bldrj
S64,778
$fi3:2 8
Value
Depreciated EAFT
$9 0
$95 i)
Value
Land Value
$15;129
$'i5.128
(Markeij
Land Value Ac
Just/Market Value
$80,857
S84,367
Portability Adj
Save Our Homes
so
$i t
Adi
Amendment 1 Adj
Assessed Value
$80,857
$84,36,1
Tax Amount without. SOH: $878
2011 Tax Bill Amount S878
Tax Estimator TRIM Notice
Save Our Homes Savings: $0
Does NO r' INCLUDE. Non Ad Valorem Assessments
http://www.scpafl.org/ParcelDetails.aspx?PID=12-20-30-502-0000-0300
9/10/2012
SCPA Parcel View: 12-20-30-502-0000-0300
Page 2 of 3
http://www.scpafl.org/ParcelDetails.aspx?PID=12-20-30-502-0000-0300 9/10/2012
i
Jun 24 2008 12:58PM HP LASERJET FAX
BURDING DIVISION
Inspection
i ti p t Ill Affidavit
-jV)0o-n L G La,-\i « ,licensed as a(n) Contractor* ngineer/Architect,
(please print name and circle Lic. Type) uilding Inspector's
License #; (G(,05 $o2Z
On or about , I did personally inspect the r o
(Date & lime)
deck nailing and/or secondary water barrier work at / U S t-J Cc / e-t%n-el", C'✓
(crcle one) (lob Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
Signature '
STATE OF FLORIDA
COUNTY OF
Swom to and subscribed before me this day of
ByYJoc�tc�,Lc�,��c
Personally, known/ or
Produced Identification
Type of identification produced.
Nota# Yublic, Scat of flo,64%
(Print; type or stamp name)
Commission EMELY J
:. A
EXPIRES .ianuary A,
53 FiandallotaryService.cor
• General, Building, Residential, or Roofing Contractor or any individual certified under 469 F.S. to make such an s
inspectiom include photographs ofeach.plane oftlie roofwith the permit k or address N clearly shown tiratlted on the
deck for each inspection.