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HomeMy WebLinkAbout147 Bob Thomas Cir; 17-2180; PLUMBINGOV47&k6. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 7--C;['a Documented Construction Value: $ L U at Job Address: I I I/C)b J t' '(4W &S 5MJFCi0Historic District: Yes Np-P4 Parcel ID:Residentia Commercial Type of Work: New Addition Alteration Repaippv Demo Change of Use Move Description of Work: Plan Review Contact Person: fr LVE L Phone: q 0J-)P J -17 / j Fax: Email: Name Street: City, S Pronertv Owner Information Title: f(Kts Phone: Resident of property? Contractor Information r Name A'l' s Phone: -Z %^ / / Street: S ` Fax: 07 ZZT ) 33 S City, State Zip: ©AT4® 2 State -License No.: c a+ 7 S 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 30B 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 Ui 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 cat ruct>t and zoning. 3_ /7 Signature of Owner/A1gefnt Date Print O edAgent's Name ' 71111#1li/1 \ l Signature of Notary-S eofFloric,*" °°SS10 •'• ate i e Vq Jatiy 25, pri ' •• FF 173590 i' Qonded\b c) a Owner/Agent i e :rmg• aae or Produced ID Type, c— Date lct--R Milk Print Contractor/'i1 191 i of Np t aoi' $a Date FF 173590 ontractot iSP E*t` Perso y Known to Me or1t , P pe 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 35-19-30-515-0000-1010 http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=3519305150... Property Record Card r7aa•.Wrnsmr, Cra Parcel: 35-19-30-515-0000-1010 77M Owner: HOLLOMAN MARIE WI Property Address: 147 BOB THOMAS CIR SANFORD, FL 32771-3096 Parcel Information Value Summary Parcel 1 35-19-30-515-0000-101D 2017 Working 2016 Certified OwnerHOLLOMAN MARIE W z Values Values 1 Valuation Method Cost/Market CosttMarket Property Address ; 147 BOB THOMAS CIR SANFORD, FL 32771-3096 Mailing 1147 BOB THOMAS CIR SANFORD, FL 32771-3096 Number of Buildings 1 1 Depreciated Bldg Value 39,329 38,085 Subdivision Name;: ACADEMY MANOR UNIT 01 Depreciated EXFT Value Tax District S1-SANFORD Land Value (Market) 11,000 8,000 DOR Use Code 01 SINGLE FAMILY"-"- Land ValueAg Exemptions 00-HOMESTEAD(1994) Just/ Market Value " 50 329 46 085 Portability Adj Save Our Homes Adj $3,276 $0 Amendment 1 Adj P& G Adj $0 $0 Assessed Value _ - $47,053 - - $46,0085 -- i Tax Amount without SOH: $320.00 2016 Tax Bill Amount $320.00 Tax Estimator Save Our Homes Savings: $0.00 i i. Does NOT INCLUDE Non Ad Valorem Assessments I Legal Description LOT 101 ACADEMY MANOR UNIT 1 PB 13 PG 93 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value ry- -- -- --- -- - - - -- County -- --- Bonds 47,053 25,000 22,053 SJWM( Saint Johns Water Management) 47.053 25,000 22,053 County General Fund 47,053 47,053 -- 0 City Sanford 47,053 . 25,000 22,053 Schools 47,053 000 22,053 Sales 1 of 2 7/12/17, 11:33 AM 6111i'voL E CoLI/V7-I' AIltiL 77%[flZ 15LI icTIO:\• t L Altamonte Springs, Casseiierry, Lake Mary, Longwood, Sanford, Seminole County, hinter Springs Date: Z9."1 I hereby name and appoint: J"#X/ CX Alf an agent of: / J . W6bo Name of Compar to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. r Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 7// 0/ 7. License Holder Name: State License Number: Zd.1 d 74 -ClL AIW 75-139 Signature of License H( STATE OF FLORIDA COUNTY OF: The foregoing instrument was acknowledged before me this day of 20 LD , by tq S who is rpersonally kno toa or who has produced as identification and who did (did not) take an oath. d o a. 'oo Y 25?0 • no o'-- G"'voFA a1i m OFF 173590 O a7a9 , r Box air,u m Print or type Notary name Notary Public - State of e> Commission No. vi-Is 15qo My Commission Expires: %-svi N. THIS INSTRUMENT PREPARED BY: Name: Address: r. VI)71_ LQ_ NOTICE OF COMMENCEMENT Permit Number. AFJ i1AL IYi' SEMINOLE COUNTY C:I...F'RT OF C1RCUTT C'OLJRT & C:OPIPTROLLER BK 9 i'9 1012 t.1F'gs/ CLERI'.'S Y 21}17 J71124 RECORDED 07/1-121.1.i P11 R"CORC/ING FEES $i.i .00 RECORCtEID BY hdevore Parcel ID Number. 35:— % / -36 —/O/U 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: (Legal description of the prope y and st-met address if available) IW3 2. GENERAL DESCRIPTION OF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE IMP Name and address:- t iU160YI I`17l 1 % l--cb rh K=p 3 9-77 Interest in property: 40LfA1 e4 ' Fee Simple Title Holder (if other than owner listed above) Name: Address: - - -- - - -- - 4. CONTRACTOR: Name: c-rt Phone Number. Address: l'Y1 l Sfl p 5. SURETY (If applicable, a copy of the payment bond is attached):. Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713. 13(1)(a)7., Florida Statutes. Name: Phone Number. Address: 8. In addition, Owner designates of to receive a copy of the Lienot's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signator/s Title/Office) Authorized Officer/Director/Partner/Manager) State of LCounty of Q The foregoing instrument was; cknoyrl1edged before me this \!`7111 yp 1`` II by T- An 1 f yv) V jwj 1, / ZNNNI aishprs@*)y l'nown tome OR Jame of person making IMliffient re° •• Sc,\ONp •.• // who has produced identification type of identification produced: aQ b 2 29 yFF 1 CERT C' •• Rtl' 0 Y -GRANT (9.4LOY ..., • CL V OF ,t: RCIAT COURT APdI 0 P ' U-R ' •i`tr c '' 4IIIIU1111 2017 City of Sanford Plumbing — Grease Trap / Oil Interceptor Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: All permit applications must be complete prior to acceptance. A complete application shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). Two (2) copies of a Drain, Waste and Vent Schematic. Schematic must be submitted on 8.5" x I I" white paper and must be legible. Two (2) copies of the manufacturer's installation instructions and specifications These. guidelines were compiled to assist the applicant in preparing a windows / doors permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised: June 2015 AA SHE,, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Ff CONSTRUCTION INDUSTRY LICENSING BOARD WE 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MILLS, JOHN F PAT LYNCH CONSTRUCTION.LLC 256 ROSEDALE DR MIAMI SPRINGS FL 33166 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! - RICK SCOTT, GOVERNOR 850) 487-1395 A STATE OF FLORIDAt DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CFC 1427539 ISSUED: 06/07/2016 r CERTIFIED PLUMBING CONTRACTOR MILLS, JOHN'F ,. PAT LYNCH CONSTRUCTION LLC- IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2018 L1606070000863 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 3LICEMSE NUNIBERx i ; is i Lv;v`uiltiv VVI14 1 Rhlr I Vit Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 MILLS, JOHN F PAT LYNCH CONSTRUCTION-LLC' 919 N SHINE AVENUE ORLANDO _FL 32803 ISSUED: 06/07t2016 DISPLAY AS REQUIRED BY LAW SEQ # L1606070000863