HomeMy WebLinkAbout1201 W 11 St 04-665 Electrical upgradePermit #:
Job Address: i Lkf1/I-
Description of Work:
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Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
s 327'_7I
Zoning: Value of Work: $_ 12Db , M
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration X Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of ter Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel#: CJ{ - I V 3S o ( 20 Attach Proof of Ownership &Legal Description)
Owners Name & Address: Cy-br s-"OLOY> f p C i
4 (Vq_k)()o,l.c)cc I La S O' Phone:_ yV-7 3-3 ' t 0
Contractor Name & Address: -
Phone & Fax:
Bonding Company:
Address:
Mortgage L nder: _
Address: f
Architect/Engineer:
Address:
Contact Person:
State License Number:
2 _1 2
Phone:'401_ / 2-X-`IGG
Fax:
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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. 1
I.,Acceptance of rmit'
d-•••Noy,, a - Tp-
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B fp Print Owne
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ignature of
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will notify the owner f the p perty of the requirements of Florida Lien Law, FS 713.
2 2rj' d?
Date Signature of Contractor/Agent Date
l T
Print Contractor/Agent's Name
O n. :r O her/Agent is etsonally [Chown to Me or
oduced ID -7 7 Z G
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
ProducedlD
APPLICATION APPROVED BY: BldgiJr--jJ -,2 / -0 3
Zoning:
Initial & Date) (Initial & Date)
Special Conditions:
Utilities: FD:
Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical contractors. You have applied
for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to
act as your own electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within 1 year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You max, not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. It is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances.
IriSJI'bf • , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an O-vvner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
2913
Date
TAW)4 "blEiz..
Print Owner/Builder Name
Si o Notarv— fate of Fl rida Dat
Owner is Personally Known to Me or has
Produced ID
Division of Corporations Page I of 2
Florida Profit
CROSSTOWN PROPERTIES, INC
PRINCIPAL ADDRESS
614 IVANHOE WAY
CASSELBERRY FL 32707 US
MAILING ADDRESS
614 IVANHOE WAY
CASSELBERRY FL 32707 US
Document Number FEI Number Date Filed
P03000120284 NONE 10/27/2003
State Status Effective Date
FL ACTIVE 10/27/2003
ReEistered Aent Name &
Address DIETZ,
RHONDA S 614
IVANHOE WAY CASSELBERRY
FL 32707 Officer/
Director Detail Name &
Address Title DIETZ,
RHONDA S 614
IVANHOE WAY CASSELBERRY
FL 32707 US Annual
ReDort
Year Orts
Filed
Date http://
www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl=PO3000120284&n2=NAMFW... 12/29/2003
Division of Corporations Page 2 of 2
No Events
No Name History Information
Document Images
Listed below are the images available for this filing.
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT
arparatzo,n .nquir--yrrzs Carparazons; Help
http ://www. sunbiz.org/scripts/cordet. exe?a 1=DETFIL&n 1=P03000120284&n2=NAMFW... 12/29/2003
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL Back [_:> !
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GENERAL
2004
WORKING VALUE SUMMARY Si-
SANFORD
Value
Method: Market Parcel
Id: 25 19 30-510 3500-0120 Tax District: Number of Buildings: 1 HANDY
RICHARD D JR Depreciated Bldg Value: $12,068 Owner:
Exemptions: TRUSTEE
Depreciated EXFT Value: $160 Own/
Addr: FBO Land Value (Market): $3,915 Address:
PO BOX 1263 Land Value Ag: $0 City,
State,ZipCode: ROCKLIN CA 95677 Just/Market Value: $16,143 Property
Address: 1201 11TH AVE W SANFORD 32771 Assessed Value (SOH): $16,143 Subdivision
Name: CLARKS SUBD W M Exempt Value: $0 Dor:
01-SINGLE FAMILY Taxable Value: $16,143 SALES
2003
VALUE SUMMARY Deed
Date Book Page Amount Vac/Imp WARRANTY
DEED 03/1997 03220 0134 $100 Improved 337
2003TaxBillAmount: $3
CERTIFICATE
OF TITLE 07/1984 01569 1382 $6,000 Improved 2003
Taxable Value: 14 3 QUIT
CLAIM DEED 08/1979 01238 0071 $100 Improved DOES
NOT INCLUDE NON -AD VALOREM ASSESSMENTS
Find
Comparable Sales within this Subdivision LAND
Land
Unit Land LEGAL DESCRIPTION PLAT Land
Assess Method Frontage Depth Units Price Value LEG LOT 12 BLK 35 M W CLARKS SUBD PB 1 PG FRONT
FOOT & 50
110 .000 90.00 $3,915 107
DEPTH
BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1
SINGLE FAMILY 1925 3 1,296 1,032 SIDING AVG $12,068 $30,169 Appendage /
Sgft SCREEN PORCH FINISHED / 264 EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New FIREPLACE
1979 1 $160 $400 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 our next ear's property tax will be based on Just/Market value. http://
www.scpafl.org/pls/web/re web.seminole_county_title?parcel=2519305103500012(... 12/29/2003
Bill of Sale
This Bill of Sale, made on December 19, 2003, between William Young ("Seller"), and Crosstown Properties, Inc., a
Florida corporation ("Buyer").
Witnesseth, that Seller, in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable
consideration paid to Seller by Buyer, receipt and sufficiency of which is hereby acknowledged, delivers, grants, bargains,
sells and transfers forever to Buyer the following goods and chattels, to wit:
No personal property included in sale.
Said property being located at:'
Lot 12, Block 35, M. W. Clark's Subdivision, according to Plat Book 1, Page 107, Public Records of
Seminole County, Florida.
Also known as 1201 West I 1 th Street, Sanford, FL 32771
Seller covenants to -Buyer that Seller is the lawful owner of the said goods and chattels; that they are free from all
encumbrances; that Seller has good right to sell that property, and that Seller will warrant and defend the sale of said property,
goods and chattels unto the Buyer against the lawful claims and demands of all persons whomsoever.;,
Seller" and "Buyer" shall be used for singular or plural, natural or artificial, which terms shall include the heirs, legal
representatives, successors and assigns of Seller and Buyer whenever the context so requires or admits.
17
William Young
State of Florida
County of Seminole
The foregoing instrument was acknowledged before me this 19th day of De ember, 2003 by William Young, who [_] is
personally known or [X] has produced a driver's license as identification.
Notary Seal] Notary P 1ic----------_---
Printed Name: 6QftNQA
vv/jo, Brandy Hill My Commission Expires:,
Commission # DD 055795
EXP= Sep. 10. 2005
vi Qom, Bonded Thru
OF f \: Atlantic Bonding Ca, Inc.
DoubleTimee