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CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT ADDRESS as IDL WE*f, ISTD 54 o7 -0p-%
Total Contract Price of Job
Describe Work
Type of Construction _
Number of Stories
Occupancy: Residential
PERMIT NUMBER
Total Sq. Ft. 7
Flood Prone (YES) ((NO)
Number of Dwellings Zoning S
Commercial v'� Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER _
ADDRESS
CITY
TITLE HOLDER
ADDRESS
CITY
(IF OTHER THAN OWNER)
BONDING COMPANY
ADDRESS
CITY
ARCHITECT J
ADDRESS '�
CITY Gsi�
MORTGAGE LENDER
ADDRESS
CITY
U
PHONE NUMBER '461 3z7 V -
STATE VL. ZIP
STATE
STATE
STATE
STATE
XAf6
ZIP
ZIP
ZIP
CONTRACTOR kc1a5 L,& PHONE NUMBER A0 )15VS-1150
ADDRESS q713&L i 7qc> MDNRA* ST. LICENSE NUMBER
CITY I.AIGF. 0U.DIJf76E STATE 1... ZIP :52—/4-1
**##**++*+#+#*##**#**xxxxx+#**x*x**x**+****xx#****##x*x*xxxxxxxxxx*xx++++#*++++**#*xx++x
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoin information is accurate and that
all work will be done in compliance with all appli,able laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this pe mit, there may be additional
restrictions applicable to this property that may ie found in the public records of
this county, and there may be additional permits r quired 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 REQUI EMENTS OF FLORIDA LIEN LAW, FS713.
tgnalure-of Owner/Agen6 Date >_g
tX.IPrIE
€u. G.O . Ny3i-E s(ap,
Tor Print Owner/Agent Name T
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Signature of Notary 6 ate S
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+F" 'k DIANA C. CANADY
�1' MY COMMISSION # DD 111788
� .OFJ ex_ EXPIRES: Aprll25, 2008
1.900,3, TRAY FL Nolby$eMcaggofid .
OL.0 S��-n 4o" a�
Application Approved BY:
FEES: Building
Open Space
PERMIT VALIDATION: CHECK
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DIANA C. CANADY
y @ MY COMMISSION# DO 111796
of Rea EXPIRES: April 25, 2006
NOTARY FL Service BmQrg. Irc
tel.
Date:
Radon Police Fire
Road Impact Application _
CASH DATE BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
**** THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE
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CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SER ICES
PHONE # 407-302-1091 * FA K #: 407-330-56677
DATE: « -Oa PERMIT #: // V J 3-1 G
BUSINESS NAME / PROJECT: Ct--- to r.A g k4 f=4�4��'
PHONE Nd: 1-16-7) 393-/1,0 FAX NCC /-/0� o 3' /JC
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ]
PLANS REVIEW [ ]
F. A. [ ] F.S. [ ] HOOD (]
PAINT BOOTH
[ ] BUR��jPER��MMyT//[
]
TENT PERMIT ] TANK PERMIT (]
OTHERCYM _\
¢� ®Of
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TOTAL FEES: $ a
I (PER UNIT SEE BELOW)
=
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Fees per Bldg. / Unit
-iF
Fees must be paid to Sanford Building Department, 300 N. PHrk Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Preventio division before any further services can take
place. I certif that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford Fire Pr ention Division Applicant's Signature
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THIS INSTRUMENT PREPARED &Y,
NAMEo6e f F Uo !a r6y / s
AAOR.f v Pon 47) 3T6
/'T
�j NOTICE OF COMMENCEMENT
Onfue F/a.
- TAX FOLIO NO. 2(0' 1q • fo • 5aE� •
STATE OF FLORIDA PERMIT NO. COUNTY OF SEMINOLE
The UNDERSIGNED hereby gives notice that improvement will be made
to certain and real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this
Notice of Commencement.
-- DESCRIPTION OS PROPERTY (Legal Description and Street Address) 31OI IZ7 5-' W
AA' ,�^/� \ F- LIR-4 6 V -Z of SLK 3 3 •t' 6 1% o F N.? -40 Pf o f E lL
�n��/ , r L hVr w1 Z� G•T n F 1SIY. U-1 4-1V r/7 M.IL. 49 UGSS Ar) MM SM T{1 Gld%Ar
PBI V'! 6;5
General Description of Improvement T-3srgt A-V'OV3 Fa R- Psl2(�P>LECI,+1S�RcnrlS
OWNER INFORMATION.
Name and Address L -Et-- raotc f?A pnes-C Cplaco or SA/JFD2D
•?J)D I Iii( �T W� 5�tn1Fro� � Fr✓ ----
Interest in Property (Fee Simple, Partnership, etc) [ 0V-1&fz—
NAME AND ADDRESS OF FEE SIMPLE TITLEHOLDER (if oth*r than awner)
CONTRACTOR MC�CCC)t-A9f QC-6DQ 420 f�bK til
111111111111111
II III II III II III II III II III II III II tl1111111 N1I
SURETY (Bonding Company)
MARYANNE MORSE, CLERK OF CIRCUIT COURT
Name and Address SEMINOLE SG "w
BK 04588 PG 1187
Amount of Bond CLERK'S # 20029725
17
RECORDED 11/12/2002 10(58)04 RM
RECORDING FEES 6.00
LENDER RECORDED BY L McKinley CERTIFIED COPY
Name and Address MARYANNE MORSE
etERK OF
nlorUIT COUTf
Persons within the State of Florida designated by owner upon wh ,,����'��U��ff Fl• ply
notice or other documents may be served as provided by Sect' n/
713.13(1), (a), 7., Florida Statutes.
(name and addreeaI
l)/-'__...-_....._.__��n{y�1L�J 11VY11fL7%.y02l
In addition to himself, Owner designates _ Y"IC I�-EE Caf.1STe.0 Grl �(�� or
to receive a copy of Lienors Notice as
provided in Section 713.13(2), (b), Florida Statutes.
Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recording unless a different date
specified.
n�e�
91 atur• of owns
Sworn to and subscribed before me this Day of 44-j �Z
NotaryPul),1?� �,�A7� Hy Commission Expires: t -. ��-0�
A (\
The foregoing instrument was acknowledged before me this •g day of
2, by L14,rL- f4,,'gs �R (name of person
acknowledged , who is personally knowA to me or who has produced
(type of identif'
identification and who dil did not take an oath. .wY�
4r DIANA C. CANADY
y MY COMMISSION N DD 111796
"t r ve. EXPIRES: AprII 25, 2006
i E063 NOTARY RNO ySarWma6mdnp.Inc.
�� 1
e13:21i2002 0(:5( 7PJ4423tia11 LASUKIury FAInL eZ
SEP -26-2002 11:46 FRC*-KIIGN SPACE INC 01-364-0205 1-052 P 0011002 F-BOi
FLo =A DEPARTWNT OF CQWXUNTrY AFFAIRS
manufactured Buildings Program
3313 Snuniard Oak Boulevard. TUlahtaw, FL 32399-3100
Telwhoea904/427-1324 Fax904/414.2436
BUILDINGS WITHOUT SANITARY FACILITIES
(This form must be completed, signed and returned to the DCpaMit16114 with - initial building Plea
submission for a site; and tobsequent insignia request for the same building at dtffwent sites )
�64N SPaC-E 10C
1. Name of Manufacmrrrr P o • t�oK 7�e�� r o 04 L 3f 533 Mency:2623
2. proposed Buildiog(s) Infomvtion: �q
(s) Plan w Modct Number Mb5 iJ0Igd10 • 8uiiding aiu Z3 x W No.of Bld$t. ? Ocaspsacy E
(b) Tltc Buildlag(s) ( I will have no sanitary Udilty;. kir, () will have partial sanitary fadlity.
(c) Manutketuter's aural number of buildings) if available -
3. Sita laformatim:
(a) Site adrcbess of buildings) installation
(b) Owner of sitaCf� �f A Pr v (o) would >x o9mr of 1>141
If owners an different to (b) and (c) explain
(d) Distance between proposed modular building(s) and existing building(s) haftcoMplem sanitary fi l ilitiM
-
(e) Proposed buildiryt(s) ( 7 will be wnnectad w the existing banding by coveted walk 200' leog w leas;
or p(') will be connected w the exisung building by ua-eovored W4& 150' long or lsss.
"
a. Occupant COMM per Plumbing code: Existing building i Proposal bwldin Total—
Occupancy
otal-Occupancy of es9sting building($)
S. Fixtutve
aao urrea ataouaru
rrunw
�-
F -roues
Existing
Proposed
Total provided
Tetad raquired
Difference
provided -required
Men
Watnen
Men
women
Min
women
Mea
Womcss
water closet
I.avawria
M: w:
Drinking fountain
_
M: w:
Urinate
X
X
X
X
M:
1 hereby oe:tify that (a) the above information is WUCTAd for the Departmetu of Community Altus and a
correct, (b) he cuetia3 sanitary f%cilides are adequate w support the Witional occupant o0.=. (c) the =isdua
sanita') facility will be trade available to W oocupasu6 of the PMPoaed t ut uildius, t o (d) the existing
sanitary facibtics are accessible and usable b; the dmblcd Prunus. ` � /r
Name (prat): � `! JOta117EtZI�I.IS $igen Dau: C ••�Z-4
•profession: C PANE(- 0 w4(ac. 6r— Reg stndwJCeri!)cuioa+s: C C �! _Z
p.o• pox47136
Business Address,.Q-, a N I'ZO� ,�,'1'Nf= 0921 Fe. ph.N.�-
$Zigf
• This form is completed by: I ) A Local Building Code ewployec, I I InsPectiotdPlans Review Agsncy, ur
( J The srchitect or engineer of record registered irFBlor(da may sign this form (Aft raised seal) as An
si'Cdavit pursuant to Section 104.9-2 of the Standard Building Code, 1997.
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Seminole County Property Appraiser Get Information by Parcel Number
PARCEL DETAIL
he m intile Ctw n n
Ffrpertve/pprotxe+
rrtrrittt
1 Ful k. First fir.
dn'.nn� 'riM.
Personal Property I Please Select Account ZJ
GENERAL
Parcel Id:
-1330-5AE
Z
C
33OA-0000
C7
CHURCH
Owner:
CENTRAL
ASPHALT DRIVE 21NCH
BAPTIST OF
Own/Addr:
SANFORD
Address:
3101 FIRST ST
op�
C
6,500
City,State,ZipCode:
SANFORD FL
POLE LIGHT CONCRETE
32771
Property Address:
3101 1 ST ST W
Facility Name:
ALUM CARPORT W/SLAB 2001
Tax District: S1-SANFORD
Dor: 71 -CHURCHES
Exemptions: 36H
CHURCH/RELIGIOUS U RCH/R ELI G I O US.
SALES
Deed Date Book Page Amount Vaclimp
WARRANTY DEED 1111982 01425 0746 $225,000 Vacant
Find Comparable Sales within this DOR Code
Page 1 of I
4 4 O D f
VALUE SUMMARY
Value Method: Market
Number of Buildings: 1
Depreciated Bldg Value: $1,700,244
Depreciated EXFT Value: $89,618
Land Value (Market): $706,544
Land Value Ag: $0
JustlMarket Value: $2,496,406
Assessed Value (SOH): $2,496,406
Exempt Value: $2,496,406
Taxable Value: $0
Tax Bill Amount: $0
LEGAL DESCRIPTION PLAT
LAND LEG E 1/2 OF BLK 33+ E 1/20F N 210 FT OF
Land Assess Method Frontage Depth Land Units Unit Price Land Value BILK 34 + W 1/2 OF N 210 FT OF BLK 47 + W
SQUARE FEET 0 0 353,272 2.00 $706,544 1/2 OF BLK 48 (LESS RD) M M SMITHS SUBD PB
1 PG 55
BUILDING INFORMATION
Bid Num Bid Class Year Bit Fixtures Gross SF Ext Wall Bid Value Est. Cost New
1 MASONRY PILAS 1989 16 36,000 METAL PREFINISHED $1,700,244 $2,060,902
Subsection t SqH OPEN PORCH FINISHED 11359
3
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C7
D
Units EXFT
x
ASPHALT DRIVE 21NCH
1989
?3'
$76,781
ST
DRIVE 4 IN CONC
op�
C
6,500
$8,450
$13,000
VALUE SUMMARY
Value Method: Market
Number of Buildings: 1
Depreciated Bldg Value: $1,700,244
Depreciated EXFT Value: $89,618
Land Value (Market): $706,544
Land Value Ag: $0
JustlMarket Value: $2,496,406
Assessed Value (SOH): $2,496,406
Exempt Value: $2,496,406
Taxable Value: $0
Tax Bill Amount: $0
LEGAL DESCRIPTION PLAT
LAND LEG E 1/2 OF BLK 33+ E 1/20F N 210 FT OF
Land Assess Method Frontage Depth Land Units Unit Price Land Value BILK 34 + W 1/2 OF N 210 FT OF BLK 47 + W
SQUARE FEET 0 0 353,272 2.00 $706,544 1/2 OF BLK 48 (LESS RD) M M SMITHS SUBD PB
1 PG 55
BUILDING INFORMATION
Bid Num Bid Class Year Bit Fixtures Gross SF Ext Wall Bid Value Est. Cost New
1 MASONRY PILAS 1989 16 36,000 METAL PREFINISHED $1,700,244 $2,060,902
Subsection t SqH OPEN PORCH FINISHED 11359
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
http://www. scpafl.orglpl s/weblgis_web.parcel_detail?cparcel=2619305AE330A0000&cd... 10/24/2002
EXTRA FEATURE
Description
Year Blt
Units EXFT
Value Est. Cost New
ASPHALT DRIVE 21NCH
1989
116,335
$76,781
$174,503
DRIVE 4 IN CONC
1989
6,500
$8,450
$13,000
POLE LIGHT CONCRETE
1989
14
$1,960
$1,960
ALUM CARPORT W/SLAB 2001
400
$2,427
$2,600
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
http://www. scpafl.orglpl s/weblgis_web.parcel_detail?cparcel=2619305AE330A0000&cd... 10/24/2002
CITY OF SANFORD)�.ELECTRIGAL�PL.RMIT--APPLICATI®Nr g
Permit Number. ci 3 3 % Date: //-//9— c z
The undersigned hereby applies for a permit to install, the following electrical:
/ /
Owner's Name:
",1 131�1'/ /5 %
C h KKms/
Address of Job:
Electrical Contractor:
Residential:
/ E P
Non -Residential:
v
{
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Trn i° C /15 Wrr
A t eR
Other.
Description of Work:
I�J AM� /'PP.O Pf2 Ci
ec $ K L O'W
Application Fee:
X10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance1with City of Sanford Electrical Code.
Applicant's Signature
State License Number