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CITY OF SANFORD PERMIT APPLICATION -�
Permit#: (J��� D
f
Dater" &J/ o -7 --�-f�
S/ I
.fob Address: /OIh
Description of Work: IyErLy end,
wJJ,4to-..)
Historic District: r\0 Zoning:$.
o;,
Permit Type: Building_ Electrical_
Mec amir Plumbing_ Fire Sprinkler/Alarm Pont____
Electrical: New Service -# of AMPS
Addition/Alteration Change of Service _ Tempot`dry Pole
Mechanical: Residential _ Non -Residential
_ Replacement _ New ` (Duct Layout & Energy Cali Required)
Plumbing/ New Commercial: # of Fixtures
# of Water & Sewer Lines_ # of Gas Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair- Residential or Commercial_ -----
Occupancy
Occupancy Type; Residential Commercial Industrial Total Square Footage: 1 i JfI `'
Construction Type: Ioc.�L # of Stories: I # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: ZS/ 9/ 3u 5,f (i� O C o
(Attach Proof of Ownership &Legal Description)
t Address: GC � £
C 5_ 4 YG. 4
Man, 9V 7
Contractor Name & Address:
State License Number:
�£4/f
Phone &Fax:
CWep;ticrson: ;o -822-VY51
Bonding Company:
32 r `
Address:
Mortgage Lender:
Address:
Architecr/Engineer.
Phone:
Address:Fax:
Application is hereby made to obtain a pemut to do the work and installations as indicated. I ter fy that no work or installation has commenced prior to the
issuance of a permit and that all work will be perforated to meet standards of all laws regulating onstruction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FIJ tNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all w rk will be done in compliance with all applicable laws regulating
construction and inning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI OF COMMENCEMENT MAY RESULT IN YOt 1R PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FR ANCING, 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 otos 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
that 1)II notify the owner of property of the requirements of Florida Lien law, FS 713.
b/npr/(agent? ! Sienature of Contractor/Agent Date
naf l��S
Pnnt CTntractor Agent's Name
(o[a6BRE1ME*MEJJKAVt Date Sigr.:nure of Nomry-State of Florida Date
r, MY COMMISSION 4 DO 164260
EXPIRES: November 12,2006
Bonded Thru Budge) Notary SONKU
is _ P rsonalk Knoen to Me or ( nnuzcior/Aeec: is Personal{, Known to Me or
ID f 1. 11roducec
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LWS INST&U*NT PREPARED 61*
NAME,JN'J tC 6ok►>> � '`r"TICE OF COINIMEN MENT
Permit No. R a v s �^� Tax Folio No.
State of of
County of SeminoCdf-�
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
1. Description of property
-*y
ho 6 I
2. General descriuffon of i
3. Owner information
a. Name and address
6/ir . /
b. Interest in property
c. Name and address 1
4. Contractor
a. Name and address
b. Phone number
5. Surety
a. Name and address
I
(legal description of the property and street addresf available)
1.11 11 -,--17r �,. I - .,C- C., f s
than
6/�- f-, /off S
Fax number f.. V ANNt
CLERK LE 00014% FLORIDA
Fax number e.cv1l T er �—
c. Amount of bond
6. Lender , ` M Q
a. Name and address T
b. Phone number Fax number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.1�3(1)(a)7., Florida f-.j;;Statutes. / � A � / 'A � C / %
a. Name and address o a ✓ o r u S r e 5 - � [� _ e /!�l [l V'c/7
b. Phone numberD
8. In addition to himsFlf or herself, Dwyer designates
— /Vn ul A-vY%v_ l to receive a
713.13(1)(b), Florida Statutes. /
a. Phone number 40-L-, 3..;t
9. Expiration date of notice of commencement (the e6cpiraition date
date is specified)
to (or
sil
Personally Known
Type
before
OR Produced
PATRICIA DEBOSE
MV COMMISSION 44C 982956
EXPIRES: March 19, 2005
e�rnmftlmpwbftue mdlw
Commission Expires: 2 n� , 4. I Q
number
as
Fax number
I year4froe date of recording unless a different
i of 0 er
day1fVr,,ejnf .2003 by
OF CIRCUIT COURT
04833 PG 1382
LE NUM 2003086469
Em 16/21/2183 12-59255 PM
=INS FEES 6.81
MM BY M Holden
21101MIMPIII Im 1almuNI AINMIINI
11
CITY OF SANFORD FIREEPARTMENT
FEES FOR SERV CES
NE # 407-302-1091 * FA #: 407-330-5677
DATE: PE IT #: r�r
BUSINESS NAME / PROJECT:
ADDRESS: l
PHONE NO. --NO FAX NO.: cJ
CONST.INSP.[ ] C/0INSP.:[ ] REINSPECTI
F. A. [ ] F.S. ( ] HOOD [ ] PAINT
TENT PERMIT k ] TANK PERMIT [ ] OTHEf
TOTAL FEES: $ 1!15�0 6 d
N [ ] PLANS REVIEW ]
1[ O. (; ^ / BURN PL Imo] ( �
It
(PER UNIT BEE B✓ELOW��)`�+j�
I
Address / Bldg. # / Unit # Square Foota� Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6. \/
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Fees must be paid to Sanford Building Department, 300 N. P rk Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Preventiodivision before any further services can take
place. I cert:' that the above is true and correct and that
will cply with all applicable codes and ordinances
of the jyrof Sanford, Florida.
r
Sanford Fi�evention Division—' —11- Applicant's
■
SANFORD FIRE DEPAR MENT
FIRE PREVENTION DI 1 0 SION
300 N. Park Ave., Sanford, FL 32771 IP. Q Box 788, Sanford, FL 32772
(407302-2520 / FAX (407) 02-2526
Pager (407) 91"39s
Plans Review Sheet
Date: May 19, 2003 Business Address: 618 E.10 Streets.
Oce. Ch. Assembly 12
Business Name: New Bethel Church
Ph. �
Contractor: BUI Lewis.
Architect/Engineer: Not Given.
Reviewed [ I Reviewed with comment {xj
Reviewed by: Timothy Robles, Fire Protection
Architect/Engineer: Not Given. ph. ()
Fax.
The Sanford Fire Department has reviewed the blue prints for the
Comment: New 10"00 sq. ft Type VBuildingj The Sanford Fi;
applicable code requirements if ..
alarmsystem}
Application — Reviewed as a Assembly
The Sanford Fire Department will require additional "Blue Print
I. Provide Fire Department Post occupancy load sign readi
Fire Department"
2. Mount one (I) 4A60BC Fire Extinguisher in kitchen
3. Sanford Fire Department will only allow reheating on foo
4. NO COOKING WITH GFREASE L4 TEN VAPORS.
5. CaH Fire 111.v1)ecl0»• T.L. Rohles (a) (407) 302 -?570. fi)r jilti
I
107)323-3594
Ph. (407)321-3228
Ph.
Fax
Rejected [ j
Examiner
1,350 sq.ft New Type IV building.
'for interior renovations.
g "90 Occupants by order of the Sanford
on existing oven
11 Insheetion.
POWER OF ATTORNEY
Date:
/lei 'e- / drJ/I/✓Sd i✓
I, clohereby authorize
���II.�Qv.,
to pull the Ac�`�,cx� permit for �\gyso� �F
type of permit address
LA
.__PATRICIADEBOSE 2005
MY COMMISSION t CC 9S W, eaaeaPm16N Mew tch puna .
Notary
Personalix known to me or drivers
tate o orida, County of S. a,
2003.
on II 9 day of
c7lo,b--U G
CITY OF SANFORD BUIL DIVISION
OWNER/BUILDER AVIT
CONSTRUCTION CO CTING
Owners of property when acting as their own contractor and p viding direct, onsite supervision
themselves of all work not performed by licensed contractors, hen building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. hi an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completionsame creates a presumption that the
construction was undertaken for purposes of sale or lease. Thi subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contracrs. You have applied for a permit under
an exemption to that law. The exemption allows you, as the o er of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may buil or improve a one -family or two-family
residence or a farm outbuilding. You may also build or imprc I ye a commercial building, provided your
costs do not exceed $25,000. The building or residence must a for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you ell or lease a building you have built or
substantially improved yourself within 1 year after the cons tion is complete, the law will presume that
you built or substantially improved it for sale or lease, which i a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. li
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform te work being done. Any person working
on your building who is not licensed must work under your d' ct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withhold g tax and provide workers' compensation
for that employee, all as prescribed by law. Your constructior i must comply with all applicable laws,
ordmwes, building codes, and zoning regulations.
I do hereby state that I qualified and capable of performing the
requested construction involved with the permit application ft d.
I will assume full responsibility as an Owner/Builder Contn
allowed by law on the permitted structure.
v o,3
a
Pr 1 —me '
m S
tgnature of Votary—State oT F�lmda S�D Iter
Owner is P rsonally Known to Me or has
Produced 1D�1_ _
, and will personally supervise all work
Division of Corporations Page 1 of 2
Flr>1irin (7rn;rrt?rr,rrf /�('Slr'rt1, �jiSrrnr ofhnrr7nrafionr 4
0000006 Public Inquiry
Florida Non P ofit
NEW BETHEL MISSIONARY BAPTIST HURCH, INCORPORATED
PRINCIPAL AD SS
618E 10TH ST/P O )X854
SANFORD FL 3277 -7854
Changed 06/11/1190
MAILING ADDRESS
618 E 10TH SUP O BOX 854
SANFORD FL 32772-7854
Changed 06/11/1990
Document Number
FEI Number
Date Filed
742641
592717862
05/03/1978
State
Status
Effective Date
FL
ACTIVE
NONE
Registered
Name & Addre
HARR- ROBERT
1981 HYDE DR
DELTONA FL 32738
Name Changed: 04/29/19
Address Changed: 04/29/1 9
Officer/Director lUetail
Name & Address 11 11 Title l
222 CARDINAL ST
EUTIS FL 32726
�
MCKINZIE, DOROTHY
213 FRIESIAN WAY
SD
SANFORD FL 32771
R, RETHA
140 BETHUNE CIR
http://Www.sunbiz.orglscriptslcordet.exe?a1=DETFIL&n1=742641 &n2=NAMFWD&n3=0C... 5/7/2003
Division of Corporations
M
809 VALENCIA ST. TD
1 11
SANFORD FL 32771
I 1802 HARDING AVE I VD I
SANFORD FL 32771 11
Annual
Report Year Filed Date
Intan ible Tax 11
2001 04/04/2001
2002 03/15/2002
2003 07/05/2003
Previous Filing Return to Dist Next Filing
No Events
No Name History InfIrmation
Document Images
Listed below are the images available for this filing.
THIS IS NOT OFFICIAL RECORD; SEE
Corporations Inquiry
Page 2 of 2
IF QUESTION OR CONFLICT
http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl=I42641 &n2=NAMFWD&n3=0C... 5/7/2003
Seminole County Property Appraiser Get Information by P reel Number
Page 1 of 1
PARCEL DETAIL
< 4
> 1
.t.
E9TH..
,
Seminole County
f, *
i�
t►
♦%oi+rrtvelppmirer
E 70TH
IInl K. klrsl St.
♦y t1,.
3-A '.i,�l,•
tixotarA Il. 32771
Ar
GENERAL
2003 WORKING VALUE SUMMARY
25-19-30-5AG-
Parcel Id: Tax District: S1-SANFORD
Value Method:
Market
11 OC -0020
Number of Buildings:
1
CHURCH NEW 36-
Depreciated Bldg Value:
$260,031
Owner: Exemptions: CHURCH/RELIGIOUS
MISSION
ISSION
Depreciated EXFT Value:
$1,500
Own/Addy: BAPTIST ATTN W YOUNG
Land Value (Market):
$18,414
Address: PO BOX 854
Land Value Ag:
$0
City,State,ZipCode: SANFORD FL 32772
Just/Market Value:
$279,945
Property Address: 618 10TH ST E
Assessed Value (SOH):
$279,945
Facility Name:
Exempt Value:
$279,945
Dor: 71 -CHURCHES
Taxable Value:
$0
SALES
2002 VALUE SUMMARY
Deed Date Book Page Amount Vaelimp
2002 Tax Bill Amount:
$0
Find Comparable Sales within this DOR Code
2002 Taxable Value:
$0
LAND
Land Unit Land
LEGAL DESCRIPTION
PLAT
Land Assess Method Frontage Depth
Units Price Value
LEG LOTS 2 3 & 4 BLK 11 TR C TOWN OF
FRONT FOOT & 198 124 .000 100.00 $18,4
SANFORD PB 1 PG 56
DEPTH
BUILDING INFORMA
ION
Bld Bid Class Year Fixtures Gross Stories
Ext Wall Bid
Est. Cost
Num Bit SF
Value
New
1 MASONRY 1982 12 5,366 1 CONCRE
BLOCK -STUCCO - $260,031
$344,412
PILAS MASONR
EXTRA FEATURE
Description Year Bit Units EXFT Value
Est. Cost New
OVERRIDE 1983 150 $1,5C0 $1,500
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 your next ear's propeYx tax will be based on Just/Market value.
../re web.seminole_county_title?parcel=2519305AG11
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Nae - Signature - Date.
14
/ cc /'" S'// S -/c 1
REVISED
�a 47
DEVELOPMENT FEE W
RKSHEET
CITY OF SANF
RD
"i
UTILITY - AD
IN.
,r•t:
P. 0. BOX 1,88
:-
SANFORD, FL 327
2-1788
Project Name: N4v'l �F %If4 ►�j/' �';; T C/ -lam
cj� Date:
Owner/Contact Person:
Phone:
Address: (a.1 $ /U r S
Type of Development:
RESIDENTIAL
Type of Units (single family
or multi -family):
Total Number of Units:
Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1=', 211, etc. ):
REMARKS:
2) NON-RESIDENTIAL
Type of Units (commercial,
C�Rcry
tv
industrial, etc.) :
Total Number of Buildings.:
Number of Fixture Units
IVO J,6.4r' ; f c•1✓1)L PL��7G''✓G
( each building) :
. Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4"
'
*FW1 .REMARKS:
r
CONNECTION FEE CALCULATION:
G
- _S
/b' 4 44 wEZ /`,`7Ac-7 �~•�E
Nae - Signature - Date.
14
/ cc /'" S'// S -/c 1
REVISED
�a 47