HomeMy WebLinkAbout1119 W 9 St 12-2053 Shinglesn
REC:]EI�i
JUL 2 4 2012
By: CITY OF SANFORD
M.a - BUILDING & FIRE PREVENTION
PERMIT APPLICATION
r Gi
p
Application No: _ / U Documented Construction Value: $ 1 0,00
Job Address: t l t U) 9 � 4�
Parcel ID: 7Z5-1 � - �30-FSO$- ('1 1 4 - 002
Description of Work: 2r- •-206F
Plan Review Contact Person:
Phone:
Fax:
Historic District: Yes ❑ No 9
Zoning:
Title:
Ge."
�
E-mail:
�.
Property Owner Information A �f
Name ZEK 1 i� 4 L�CGA Ilol, 1 C,OS.S Phone: `ro7 , 469— 220.�
Street: IMS s AULAE&AzAVE, Resident of property?
City, State Zip: SACCI r0 % Z7
Contractor Information
Name �S V Phone: - 5$q ) Cl 00
Street: i400 9�, o TLA-A16W- Ao r— Fax: 1-16 87
City, State Zip: FLt Ft Z, State License No.: GCCCLSI
Architect/Engineer Information
Name:
Street..
City, St, Zip:
Bonding Company: Al
Address:
Building Permit
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
9- u, d
Square Footage: D Construction Type: eAAIUI No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
and co'; J m c7- w I N.
I( NOT F-�Pe4
G'9
0-
-;�- . +Z:;
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 EIPROVEMENTS 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 permit 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.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
Print Contractor/Aeent's Name
Signature
,,•<nayNo°e�
e�:
DEBBIE BLANTON
Notary Public - State of Florida
• * •
My Comm. Expires Feb 25, 2015
,,,OFFIO�O�,
'#��1%
Commission # EE 60182
Bonded Through National Notary
Assn.
Contractor/Agent is Personally Knownntt ' Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
WAMIOM-1kneg —a
A
0,-xvTd Johnson, CrA s Parcel: 25-19-30-508-1114-0070
PROPERTY Owner: ROSS HEZEKIAH &LELIA M
APPRAISER
SEMINO,ECOUNTI FLOR10A Property Address: 1119 W 9TH ST SANFORD, FL 32771
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Parcel: 25-19-30-508-1114-0070
Property Address: 1119 W 9TH ST
Owner. ROSS HEZEKIAH & LELIA M
Mailing: 1003 S MULBERRY AVE
SANFORD, FL 32771 - 2363
Subdivision Name: CLARKS SUED W M
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
> W 9TH ST- _
jr p
A UJ
W 10TH ST
Map Aerial Eiath Footprilt ❑+ Q Ektents Center
Lar er Ma Dual Ma View - External
Legal Description
LEG LOT 7 BLK 11 TR 14 W M CLARKS SURD PB 1 PG 108
Tax Details
Value Summary
Tax Amount without SOH:
201 1 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
* Does NOT INCLUDE Non Ad Valorem
Assessments
5576
S576
50
Taxing Atithorityl
2012 Working
2011 Certified
Taxable Value
Values
Values
Valuation
Cost/Market
Cost/Market
Method
SO
S28,232
Number of
3
3
—Buildings
SJWM(SaintJohns Water Management)
528,232
Depreciated Bldg
S19,397
S19,137
Value
50
528,232
Depreciated
0911987
MR96, 1616,
EXFT Value
Improved
No
Land Value
S8,835
S9,765
(Market)
Improved
No
Land Value A
)uc_tJMarkat
Value **
528,232
S28,902
Portability Ad'
Save Our Homes
$0
SO
Ad'
Amendment 1
SO
SO
Ad'
Assessed Valuel
$28,232
$28,902
Tax Amount without SOH:
201 1 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
* Does NOT INCLUDE Non Ad Valorem
Assessments
5576
S576
50
Taxing Atithorityl
Assessment Value
Exempt Values
Taxable Value
County_General F ndl
$28232
SO
$28,232
Schools
$28,232
SO
S28,232
City Sanfordi
$28,232
SO
528,232
SJWM(SaintJohns Water Management)
528,232
SO
S28,232
County Bonds
S28,232
50
528,232
Sales
Deed
Date
Book Page
Amount
Vac/Imp
Qualified
FINALJUDGEMENT
05/2004
05322 0523
S100
Im roved
No
PROBATE RECORDS
11/2003
05108 132E
5100
Im roved
No
QUIT CLAIM DEED
09/1996
03125 1412
S15,000
Improved
No
CERTIFICATE OFTITLE
0911987
MR96, 1616,
518,500
Improved
No
ADMINISTRATIVE DEED
04/1982
01400 1542
$100
Improved
No
Land
I Method Frontage Depth) Units Unit Price Land Value
Building Information
m
# Description
i ption
Year
R,air•Fixtures
Base
A—.*
Total
crl
Heated
Cri
Adj
Ext Wall, ltoI a
Repl
11�1 —
Appendages
Extra Features
Description Year Bit Units Value Cost Newt
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7/23/12 SCPA Parcel View: 25193050811140070 Footprint Building # 1 Page: 1
5 -1g -3J -51,5-1114-3O73 Budd.rg " i Fa— s 3
ketch by Apex Sketch
www.scpafl.org/footprint.aspx?PID=25193050811140070 1 /1
race ��■� � r••rrre.eaere�aaaarwr.��
` City of Sanford
BUILDING DIVISION
RE: Permit #Z62 -a 63
Inspection Affidavit
I Ct44XF-6 'Map -My ,licensed as a(n) Contractor* /Engineer/Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; Cc G C0 Sl„_��'
On or about 0005-0 l— 12_ 2•tg1011 v , I did personally inspect the roo
(Date & time)
deck nailin-z d/or secondary water barrier work at 9
(circle one) — r�—. (job Site Address)
Jr -L '.:; � z7
Based upo that examination I have determined the installation was done according to the
Hu
��itiga,*n Ret;,fit Manual (Based'pn 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 201 �-
By (Z�,,tzvv
Notary Public, State of Florida
P 114
(Print, type or stamp name)
Commission No.: CC a 13 Y50
Personally known or
Produced Identification_( ,
Type of identification produced. _flan cl�,��► v�,rs L. , l�ihcQ
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.
DEBORAH P. HUMENAI
Notary PW& - State at Hodda
• Aly Comm. We$ Sep 10, 2016
Bonded Tough NNatlanal Notary Assn.