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HomeMy WebLinkAbout223 W 3rd St monitoring wellbc\ AUG 13 2012CITY OF SANFORD VED, VE 1 BUILDING & FIRE PREVENTION ` BY. PERMIT APPLICATIO G� Application No:^.� f� r] Documented Construction Value: $ �. S f Job Address: 3 lA� 2` d S Historic District: Yes ❑ No ❑ Parcel ID• Zoning: Description of Work: bi e i 1 Plan Review Contact Person: W aj Title: Phone: i �S13�'�`�_7 Fax: E-mail: W H a, I h 11 I co -it - alai—R(00-01 e7 Property Owner Information Name ; Ga T_30Lc(c. -r •Shy r lei Street: City, State Zip: Phone: Resident of property? : Contractor Information Name J' e- J i�tS Street: 3 I as Ci _ k 0 vw.oa. City, State Zip: ��CL tg„(_f 3 3 U Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Phone: S- I �, L/ L-/& , to "� 3 1 Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical' ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ :.. New. Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 00 .I;qq 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 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID c� Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: Oh &S, 13-12- UTILITIES: i� •76 /Z WASTEWATER: BUILDING: ENGINEERING: J'1-" Z FIRE: COMMENTS: Rev 11.08 rir ill ���ii���l■ ■ 0 Permit # Workers Camp. Verified: BUILDING DIV/5/ON COMMERCIAL PERMIT APPLICATION « RITF PLANS RPOUIRE13 FOR ALL COMMERCIAL PERMITS " Job Street Address: I Life Safety Code in effect: Date: Type of Construction per FBC: City & Zip: Name of Bldg I Complex: Proposed Use: Parcel ID: - - - - - Square ft. of Cond. Space: Owner Name: „t Affected Square ft.: AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION. Address: —1 VTll f City: .4sr .Co State: 2.1 Zip: 7 7/ Phone: Fax: ❑ Mechanical ❑ Plumbing ❑ Fee Simple Titleholder's Name (if other than owner's): Address: I City: State: Zip: Contractor Company: Ae, ,eo0 ey.,e License Holder Name: ,p / // License Number. Address: City: ,a State: ZIp: Phone: / -/o Fax: Architect/Engineer's Name: Phone: Address: City State: Zip: CONTACT PERSON: ,t PHONE:/ 'L/ lO-l08 EMAIL: ,Q c FAX: Florida Building Code In effect: I Life Safety Code in effect: PLUMBING Type of Construction per FBC: Occupancy Classification: Automatic Sprinklers: YES ❑ NO Existing Use: Proposed Use: Other: Valuation of Work (Estimate): $ !o GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN. Square ft. of Cond. Space: Total Square ft.: Affected Square ft.: Work Description: MECHANICAL PLUMBING ROOFING LOW VOLTAGE GAS IRRIGATION OTHER NOTICE: THIS APPLICATION BECOMES NULL AND VOID 180 DAYS AFTER THE DATE OF FILING, UNLESS SUCH APPLICATION HAS BEEN PURSUED IN GOOD FAITH OR A PERMIT HAS BEEN ISSUED. EXTENSIONS MAY BE GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION. New Construction ❑ Addition ❑ Alteration ❑ Change of Use ❑ Demolish ❑ Well W Roof ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Sign ❑ 1 Security Alarm ❑ I Fire Alarm ❑ 1 Fire Sprinkler ❑ Other ❑ Utilities: Check all items that apply, if other than Seminole County water & sewer, a Utility Letter is required Septic Tank ❑ Well ❑ Existing Well ❑ Public Water ❑ Public Sewer ❑ Subcontractors License # gusiness Name angor License noruers Name ELECTRICAL MECHANICAL PLUMBING ROOFING LOW VOLTAGE GAS IRRIGATION OTHER NOTICE: THIS APPLICATION BECOMES NULL AND VOID 180 DAYS AFTER THE DATE OF FILING, UNLESS SUCH APPLICATION HAS BEEN PURSUED IN GOOD FAITH OR A PERMIT HAS BEEN ISSUED. EXTENSIONS MAY BE GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION. THE VALUATION FOR THIS PERMIT WILL BE CALCULATED USING THE ICC BUILDING VALUATION DATA USING THE GOOD CATEGORY. BY MY SIGNATURE, I ACKNOWLEDGE THIS FACT AND WAIVE ANY RIGHTS TO APPEAL SAID VALUATION AND OR PERMIT FEES.' Printed Name < <. \ / Signature ofon c r -- Date 1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (4071665-7050 FAX (407) 665-7486 COMMERCIAL WORKSHEET ELECTRIC ELECTRIC COMPANY: (Check box) Florida Power & Light ❑ Progress Energy ❑ SERVICE SIZE: Old Amps: I Volts: Single Ply ❑ Single Phase ❑ Three Phase ❑ New Amps: Volts: Single Phase ❑ 1 Three Phase ❑ Items # of Units Outlets & Switches (each) Lighting Fixtures AIC outlets Cnnnnnn— Par nfanla Sfrin Ppr Outlet Service & Feeders Motors (list individually r,pnpratnr Tvnp tin HP) Air Conditioners (list indi Exhaust Fans up to 1HP Attic and Paddle Fans Motors & Generator HVAC Equipment MISC. Electric Electric Elevator ❑ Electric Range ❑ Water Heater ❑ Pump Service ❑ Change of Service ❑ Dryer ❑ Cook Top ❑ Dish Washer ❑ Welder <50A ❑ Welder >50A ❑ X -Ray [3Dental Units ❑ Oil Burner Units ❑ Transformer ❑ Transfer Switch ❑ Misc. (List Below) ❑ Total Number OTHER TRADES MECHANICAL: Valuation of Work $ PLUMBING: Valuation of Work $ RnnFR. Asphalt / Fiberglass Shingles ❑ Tile ❑ Slate ❑ Wood Shingles / Shakes ❑ Flat/ Built Up ❑ Single Ply ❑ Liquid Applied ❑ Metal ❑ WELLS: Deep Well 131 Shallow Well 10 1 Pump/Plumbing Equipment Installation ❑ 1 Well Abandonment ❑ NOTE: For water systems supplying more than 25 people, a Construction Permit through St. John's River Water Management District must be obtained and have approval through the Department of Environmental Services at the State level. All wells over 4" diameter shall have a construction permit and consumptive use permit through St. John's River Water anagemyE)[sturit prior to a permit bein issued by the Building Division. 4� -.,VIa Sip rxe e d primed name of Contraolor Dale s Enviroprobe Service, Inc. Payments & A/R to: Enviroprobe Service, Inc. 908 N Lenola Road Moorestown, NJ 08057 856-858-8584 Deliveries/Warehouse: Enviroprobe Service, Inc. 3125 Old Tampa Highway Lakeland, FL 33803 863-393-9321 Name /Address I AEI Accounts Payable 2500 Camuno Diablo Walnut Creek, CA 94597 Estimate Date Estimate # 8/7/2012 3122 Project Description Qty Rate Total Mobilization to site 1 200.00 200.00 Geoprobe 661ODT W/Operator & Helper (full day) 1 1,500.00 1,500.00 2" X 15' Flushmount well installation 1 375.00 375.00 Monitorng Well Permit 1 80.00 80.00 55 -Gallon Reconditioned Drum (Place soil and or water into drum) 2 55.00 110.00 Site Location: Jacks Cycle & Salvage - 223 3Rd Street West, Sanford, Seminole County, Florida 32771 Contact: Mike Cross SOW: Install one (1) 2" monitoring well to a depth of 15' bgs. The well will be finished at the surface with a flushmount well protector. The attached General Terms & Conditions have been incorporated into and made part of this propoosal. Subtotal $2,265.00 Sales Tax (0.0%) $0.00 Total $2,265.00 S MINOZE GOLIN7Y FLORIDA'S - NATuRAL CHOICE . Revlred-December T010 Uli :.. : Altamonte Springs Building Department O Casselberry Building Department 40 Lake Mary Building Department Longwood Building Department.- Oviedo Building Department Lake Sanford Building Departmento �sHarney Geneva r� Seminole County Bldg. Dept. O i� `Winter Springs Building Dept. Q Health Department -Septic O Water & Sewer Department. - Recording Office Chuluota .. Public Safety Building 0 t' , r Department Full address listing on the other side 11 ALTAMONTE SPRINGS BUILDING DEPARTMENT 225 Newburyport Ave � Altamonte Springs, FL 32701 407-571-8433 CASSELBERRY BUILDING DEPARTMENT 95 Triplet Lake Dr Casselberry, FL 32707 407-262-7700 ext. 1103. LAKE MARY MARY BUILDING DEPARTMENT 911 Wallace-Ct Lake Mary, FL 32746 407-585-1360 or 1361 or 1362 LONGWOOD BUILDING DEPARTMENT 174 West Church Ave Longwood, FL 32750 407-260-3464 ft.vljea-D.ceaiher'2010. .... . SEA111NOZ C FLORIDA'S NATURAL CHOICE OVIEDO BUILDING DEPARTMENT 420 Alexandria Blvd Oviedo, FL 32765 407-971-5755 SANFORD`BUILDING DEPARTMENT 300 North. Park Ave Sanford,. FL 32771 407-688-5150 SEMINOLE COUNTY BUILDING DEPARTMENT .•.1101 East First Street Sanford, FL 32771 407-665-7050, WINTER SPRINGS -BUILDING DEPARTMENT 1126 East SR 434 Winter Springs, FL 32708 407-327-1800 HEALTH DEPARTMENT ` SEPTIC not 54sT Fir,,4 54n-_ 54ti-P-54., )1. 3277/ 407-665-3605 WATER P SEWER DEPARTMENT 500 West L.ake'Mary Blvd Sanford, FL, 32773 407-665-2143 RECORDING OFFICE. 1750 E. Lake Mary Boulevard ; Sanford, FL 32773 407-665-4340 PUBLIC'SAFETY BUILDING FIRE DMSION 150 Bush Blvd. ` Sanford, FL 3277.3 407-665-1575 or 407-665-5180 SCPA Parcel View: 25-19-30-5AG-0505-0060 0avki Jolvvicn.. CFA Parcel: 25-19-30-5AG-0505-0060 " PROPERTY Owner: RIGGAN JACK F & SHERRY A APPRAISER SEPAWOLECOIROY, FLORIDA Property Address: 223 W 3RD ST SANFORD, FL 32771 < Back Save Layout Reset Layout New Search Parcel: 25-19-30-5AG-0505-0060 I Value Summary Property Address: 223 W 3RD ST Owner: RIGGAN JACK F & SHERRY A Mailing: 145 E 6TH ST APT 1 MOUNT DORA, FL 32757 - 5502 Subdivision Name: SANFORD TOWN OF Tax District: SI-SANFORD Exemptions: DOR Use Code: 11 -STORES GENERAL -ONE STORY rt3 I I ¢ W 3RD ST W Lui dot V) W_ 4TH ST Map Aerial Both Footprint + - Extents ICenter Larger Map I I Dual Map View - External Tax Amount without SOH: 54,280 2011 Tax Bill Amount Tax Estimator Save Our Homes Savings: * Does NOT INCLUDE Non Ad Valorem Assessments 54,280 so Legal Description 2012 Working 2011 Certified Values Values Valuation Method Cost/Market Cost/Market Number of 2 2 Buildings Find Comparable Sales within this Subdivision Land Depreciated $68,403 $75,445 Bldg Value Building Information Depreciated # Description BIr Stories Total SF Ext Wall dj Rep[ Value Value Appendages 1 WOOD 1959 12,005.00 WOOD -HARDBOARD WITH $33,720 576,635 BEAM/COLUMN WOOD OR METAL STUDS EXFT Value Land Value $139,390 $139,390 (Market) Land Value Ag Just/Market $207,793 $214,835 Value ** Portability Adj Save Our Homes s0 SO Adj Amendment 1 s0 SO Adj Assessed Valuel $207,793 $214,835 Tax Amount without SOH: 54,280 2011 Tax Bill Amount Tax Estimator Save Our Homes Savings: * Does NOT INCLUDE Non Ad Valorem Assessments 54,280 so Legal Description LOTS 6 7 & 8 & THAT PART OF MYRTLE STREET N OF 4TH ST & S OF RY BLK 5 TR 5 & E 1/2 OF VACD R/W ADJ ON W TOWN OF SANFORD PB 1 PG 58 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 5207,793 s0 S207,793 Schools 5207,793 so 5207,793 City Sanford 5207,793 $0 5207,793 SJWM(Saint Johns Water Management) 5207,793 $0 $207,793 County Bonds 5207,793 s0 S207,793 Sales Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 03/2001 04022 1566 $160,000 Improved No Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Unit Price Land Value SQUARE FEET 0 0 27,878.000 5.00 5139,390 Building Information # Description BIr Stories Total SF Ext Wall dj Rep[ Value Value Appendages 1 WOOD 1959 12,005.00 WOOD -HARDBOARD WITH $33,720 576,635 BEAM/COLUMN WOOD OR METAL STUDS Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AG-0505-0060 8/10/2012 Vacant Land L ��tJ2�ae 20- C 4 er.mn_:........_.....id5:b3 _......._..._...» :rye. �IW CIWTMLfAC Or N• N.AML 5 214 - 220 Oak Avenue Mulls-Tenent Commerclel EOwned by Jack & Shirley Not Included In Asset QSubject Buildings SFR UR )4--••STf;EE-F—_ SFR SFR SITE MAP N 223 3rd Street West, Sanford, Florida 32771 Lg�gend Approximate Property Boundary - Proposed Monitoring Well FIGURE 2 AE1 Project Number: 306123 Cpt•lSll,1ltants D 111111 • �= �. PERMIT# /A q:;-) ir-I PROPERTY OWNER A 1 Q Q INSPECTION REQUEST LINE - 407.688.5151 ADDRESS aA !� w 3,d s&+ CONTRACTOR -9 rj -,) j r o Q r•O 6 e. E;er UI '-L es DESCRIPTION OF WORK M O /1 i �f 1 n Q 1A)G *MANUFACTURE SPECIFICATIONS OR INSTALL INSTRUCTIONS NEED TO BE ON SITE* BUILDING ELECTRICAL PLUMBING HVAC* * Florida energy code requires verification of matched systems FINAL SIDING TEMP POLE ROUGH -IN / PRESSURE TEST ROUGH IN FINAL SOFFIT/FASCIA ROUGH IN SEWER TEST FINAL RE - ROOF FINAL IRRIGATION SHEATHING/DECKING CHANGE OF SERVICE FINAL DRY -IN INSULATION MITIGATION AFFIDAVIT FINAL INSPECTION CARD SHALL BE DISPLAYED ON STREET SIDE OF LOT DO NOT REMOVE CARD UNTIL FINAL INSPECTION IS APPROVED SANITARY FACILITIES REQUIRED ON SITE "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 OF COMMENCEMENT REQUIRED: YES Pe`� NO BUILDING OFFICIAL rn' • TECH INITIALS ISSUED 0 9' -9 A. / Issued permits must have an approved inspection within 6 months of the date of.issuance or they will expire. An extension must be requested in writing, approved and paid for prior to expiration. 89*58'20V" E 4 52.00' C- 5 214 - 220 Oak Avenue Multi -Tenant Commercial Vacant Land ------ — - — - — - — - — - — - — -- -q—THREI 1—Y `r69'50'ZVW- N8958'2=W- 4'�4 Unpaved Lar i PA%Parking SLOCK 5 PARCEL #1 j" 8337 sowerreer 6 nee PARCEL #8 6 303 W. d Street n. 302 Oak Avenue Com rc lal Residence ------------- Commercial - Vacant I , 4 Area Lor & Bldg Bldg 7 ALDCK 7 PARM J 112 8792 -rIER 6 7 312 Oak Avenue Residence - ----------------- -�i i�— - .............. . ......... Aacir LLOT 2 5 Bldg. Bldg. x 3 MW 2 Trasw 3 318 Oak Avenuo Residence Engine Storage "—led Z;4111 I 0 9 4 Bldg. 318 Oak Avenue 5 M Residence 36 ...... . ..... a m 212 4th Street 4 1 10 r 5 1 320 Oak Avenue r I Residence i ED Owned by Jack & Shirley Rigg n Not Included In Asset ElSubject Buildings q--FGUR' 14--ST-REE-T-- SFR SFR SFR SITE MAP N 223 3rd Street West, Sanford, Florida 32771 A Legend Fpe�e_n pr,oxim Approximate Property Boundary - Proposed roposed Monitoring Well FIGURE 2 A Project Number: 306123 Consultants