HomeMy WebLinkAbout4301 S Mellonville Ave., CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
APR 10
2018
Application No:
Documented Construction Value: $/�
Job Address: I S"��°" �� �� Historic. District: Yes ❑ NoP-4111
Parcel ID: —MOO Residential ❑ Commercial ❑
Type of Work: New Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: 2Q, 5�t�i E Q��e 06, car 6/ ".9kC.�,
N
Plan Review Contact Person: _f�. „�.._ / Q Title: 4�1�i!
Phone: 4/d) 331 D'7% !�- Fax: `/a'i 331 o ? ?.,;� Email:
Property Owner Information
Name Rt:)1)ef-k 0'g S Phone: 3;? - 370 5-9b j
Street: �� bt//"4, t I'o; � Y r�'_ t' Resident of property? : n
City, State Zip: l_Q
Contractor Information
Name CeAta� Floes. cn Fe- Ice-. ot� Phone: 440') 35 f d /2GS—
Street: 33cb ciao /mael' k Fax: 331 d7 7.7
City, State Zip: Eloz • —9 %M State License No.: /9 4P3'Y9
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent Da f Signature of�Contractor/Agent Date
Print Owner/Agent's Name
Sign re of Nota -State of Floridgy
°, ryJASON ROSAS
MY COMMISSION / FF 907609
EXPIRES: August 6, 2019
SWed Tian Notary Ntdic thdvwAt"
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
— 9�1�_ �, /.)- / .
Si ature o Nota -State of Florida Date
� JASON ROSAS
+ * MY COMMISSION l FF 907609
EXPIRES: August 5, 2p19
-- � 9oadedTArofibtsryp
Contractor/Agent is ersona y no n to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
JCA
APPROVALS: ZONING: — b— SOU ILITIES:
ENGINEERING:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Ok to install 4' high wood picket gate in front yard and 20 linear feet of 6 foot high chain link fence as
shown on plan.
51
Revised: June 30, 2015 Permit Application
4/4/2018
SCPA Parcel View: 18-20-31-300-0100-0000
Parcel Information
Fr-QKP+jy Record Card
Parcel: 18-20-31-300-0': ?0-0000
Property Address: S Mf. iw..I.,0NV1I LE AVE SANFORD, FL 32773
Tax Amount without SOH: $2,285.59
2017 Tax Bill An?ount $2,285.59
Tax EstIi7lFitOr
Save Our Homes Savings: $0.00
i
" Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
..._........ ....
_._....
...
SEC 18 TWP 20S RGE 31E
W 2/3 OF NW 1/4 OF SE 1/4 (LESS
N 675 FT & S 300 FT & RD)
Taxes
_ ._..
_...._.__._ _. _...... _. ........__ __._.._ __
Taxing Authority
_..........
................ __._
Assessment Value
__...._ . _._._
Exempt Values
... _....._.
;Taxable Value
......
County General Fund
._....
$120,032
..._......._- __......
$0 .
_ ...... .....
$120 032
_.. .......
Schools
_
$120,032
$0
�... ._.
$120,032
City Sanford
.....— —
$120 032
$0
....... _
$120,032
_.
SJWM(Saint Johns Water Management)
_._...
$120,032
$0
$120,032
County Bonds
$120,032 ,
-
$� ,__W..__________________$120
032
Sales
_ _... _ _...
-
. .
_ ........... ....... _ ......_
Description
F .._ _
I Date
.. _ .. .......
Book I Page
1 Amount
Qualified
Vac/Imp
_..
WARRANTY DEED
4/1/1984
01543 0435
$18,500
Yes
Vacant
WARRANTY DEED
9/1/1979
01245 1357 .
$994,500
No
Vacant
Land
_...
Method Frontage
_
Depth Units
I Units Price
. .
Land Value
ACREAGE
_..._
0.00 0.00
._._. ...................
6.82 !
$22,000.00
$120,032 I
Building Information
....... ..... ...._. _............ .... _ ............ . .....
....... .........
.
Permits
-
Permit # Description
-
' " - - _ -- ----
Agency Amount
___._--__ - -.
CO Date
;Permit Date
http://parceldetai I.scpafl.org/Parcel Detail I nfo.aspx? PI D=18203130001000000 1 /2
!PS,ikNF0RD
CITY OF
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
(6 FEET OR LESS IN HEIGHT) ` ✓ `j
PERMIT #: Z ADDRESS: 1/ J
HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITE
PLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE
OUT. IT IS THE HOMEOWNER'S RESPONSIBILITY TO VERIFY THE FENCE IS PLACED WITHIN THE PROPERTY LINES AND ANY DISPUTES
BETWEEN ADJACENT HOMEOWNERS WILL BE A CIVIL MATTER. I UNDERSTAND THAT FAILURE TO PROPERLY FOLLOW THESE GUIDELINES
AND ADHERE TO ALL CITY CODES (SANFORD LAND DEVELOPMENT REGULATIONS, SCHEDULE F) COULD RESULT IN THE FENCE HAVING
TO BE REPLACED, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE.
FENCE CONTRACTOR
BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT
STIPULATIONS AS STATED ON THIS DOCUMENT.
COMPANY /CONTRACTOR:
CONTRACTOR SIGNATURE: c�—DATE: C.—( c'
ElHOMEOWNER (OWNER/BUILDER)
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
"PLEASE NOTE"
DATE:
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON RESIDENTIAL FENCES. THIS
AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL
SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE FENCE.
STATE OF FLORIDA COUNTY OF
S orn to and Subscribed before me this/ 0 nay of c,C 20 /uby:
W ho is ❑ Personalllyy Known to me or has rod (type of
idwr0fication) If VP� isi`dentification.
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
DEBBIE BLANTO N
my CONANmSS10N 'rF 172646
?0'9
EXPIRES: FebrP bry �SEw,ilers
c:
Bonded 7hru Nolary
Effective: August 1, 2017
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