HomeMy WebLinkAbout170 Kelly Cir`` CITY OF SANFORD PERMIT APPLICATION /�
Permit #: vl� 'liJ% Date: �/ / 6 J
Job Address: , s y C1 �-(" I (�
Description of Work: f i C rung
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Watet• & Sewer Lines # of Gas Lines
Plumbing/New Residential: of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: rO'(D[( # of Stories: _J_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: _50/ �,' �� (Attach Proof of/Ownership
j & Legal Description)
Owners Name & Address: 10 Arch C—a v/p o I�i) k7no v
Contractor Name & Address:
Phone & Fax: L -I L
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
Phone:
\ 1no
r. tate License Number: C Cogs
S5 L� Contact Person: �l
, y 1 ���If 0 � Phone:
Phone:
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 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.
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. 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.
Acceptance �of permitt is verification that I will notify the owner of the property of the requireme s of Florida n Law, FS 713. r
Signature of Owner/Agent Date tgnature of Contractor/Agent Date
P,'nt O + er/A ent's Na b* P'mt(nnira tnr/Ao t'c Nama
g
11-6s---
nature of No ry-S lorida Date
Owner/Agent is _ Personally Known to Me or Cor
Produced ID
APPLICATION APPROVED BY: Bldg( ®' Zoning:
(Initial & Date) (Initial & Date)
Special Conditions:
.V* Erik Jason Kantarjian
�P My Commission D0318891
w Expires May 12, 2008
ry-Staie of Florida
DEBBIE BLANTON
MY COMMISSION # DD 188491
EXPIRES: Februar 25, 2007
� iRLei� Y Y BYcVown o co.
Utilities:
FD:
(Initial & Date) (Initial & Date)
MID FLORIDA ROOFING ESTIMATE/SALES ORDER
861 Fame Drive 4575 N. US 1 ' Suite 11-N
Longwood, FL 32779 Vero Beach, FL 32967
Tel: (407) 830-8554 Tel: (772) 713-0317
Fax: (407) 682-8554 Fax: (772) 567-0037
Date of Estimate: 'S — 4 � Sales Rep Name:
Customer Name: /' �' 4 `a Sales Rep Phone #:
Job Address: o KCA-4-civcl el Cust. Day Phone #: 1A - 3 o t -3 9
City, State, Zip: 17 Cust. Eve. Phone #:
By signing below, Customer and Mid Florida Roofing, Inc. hereby agree to the terms and conditions described in this contract:
❑ Remove existing roof from above address.
❑ Two or more layers ori roof to be removed at $45 per square. $45/sq. X squares = $ (included in total price below)
❑ Remove and replace the following items with like or equivalent materials:
A. Valley Metal S total linear feet
B. Plumbing vent pipe boots: 1 '/I inch: 2 inch: 3 inch: ' 4 inch: 5 inch:
C. Kitchen & Bathroom vents: 4" goose: 6" goose: 10" goose: Color:
D. Off -set ridge vents (4ft)`-�_ Color.
E. Ridge Vents (I Oft): Color:
F. Replace eave-drip (except behind gutters) with: pieces. Color:
❑ Replace all rotten sheeti(if any at an additional charge of $60 per sheet including installation. Charge is not included in total contract price below.
All replaced wood (includi he hing, fascia, sidin trusses, tails, etc.) will be documented and billed separately.
❑ Replace roof underlayment with the following 151b Felt r 301b Felt
❑ Install new roof using: Year Architectural or 3 Tab shingles. Total number of squares:�r.
Colo
Manufacturer: C _ Notes: ' � l) oA0
❑ Install additional 4ft off -set ridge vents ($80 each) Total:
(included in price below)
❑ Install additional 1Oft ridge vents ($50 each) Total: $ (included in price below)
❑ Replace 2'x 2'.skylight dome(s): Qty: Total: $ (included in price below)
❑ Replace 2'x 4' skylight dome(s): Qty: Total: $ (included in price below)
XaUpon completion, Mid Florida Roofing will remove all job-related debris, garbage and excess materials from job site and will use magnet for nails,
ples, simplex, etc.
❑ Customer requests that Mid Florida Roofing remove and discard existing solar heating panels prior to commencement of installation. If this option is
not checked, customer is responsible forremoval of solar heating panels prior to commencement of installation. Customer is also responsible for
re -installation of solar heating Panels when roof work has been completed, if this option is not checked.
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance charge of 5% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action
be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the
date of acceptance and approval by Mid Florida Roofing,.lnc. The State of Florida has a construction recovery fund.
WARRANTY: Includes manufacturer's material wart ties and five year workmanship warranty unless otherwise specified in special instructions above.
PAYMENT TER a du pon co' n of the work descri dlon this contract, unless otherwise agreed upon in writing between
customer an n oofing, In %%
Annanta _ ate:
.S' 17 5�
Approval:—� Date:
Mid Florida Roofing Authorized Signature
s-2 `7 5. coo
TOTAL PRICE = $
(Due upon completion)
f14 -
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SPECIAL INSTRUCTI N
Jai
CZ? C.
C�e
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance charge of 5% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action
be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the
date of acceptance and approval by Mid Florida Roofing,.lnc. The State of Florida has a construction recovery fund.
WARRANTY: Includes manufacturer's material wart ties and five year workmanship warranty unless otherwise specified in special instructions above.
PAYMENT TER a du pon co' n of the work descri dlon this contract, unless otherwise agreed upon in writing between
customer an n oofing, In %%
Annanta _ ate:
.S' 17 5�
Approval:—� Date:
Mid Florida Roofing Authorized Signature
s-2 `7 5. coo
TOTAL PRICE = $
(Due upon completion)
f14 -
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Limited Power
(with Durable Provision)
.. .............................. I.......................
tf Attorney
NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW
THESE IMPORTANT FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM
YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE
POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT
ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU MAY SPECIFY THAT THESE POWERS WILL EXIST
EVEN AFTER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT DOES NOT
AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. IF THERE IS
ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN
IT TO YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
TO ALL PERSONS, be it known that I,
of
as Principal, do hereby make and grant a limit6d and specific power of attorney to
of IYlIC1-'V-1m-1CJ'A
and appoint and constitute said individual
my attorney-in-fact.
My named attorney-in-fact{shall`have full power and authority to undertake; commit and perform only the following acts on
my behalf to, the same extent as if; I had done so personally; allwith full power of substitution and revocation in the presence:
(Describe specific authority)7b l � Cat t reyfw� Rt"VM k o-lbed 8s,
Am✓rf U1E'I �l/ �' t ✓ G �P J
The authority granted shall include such incidental acts as are reasonably required or necessary to carry out and perform the
specific authorities and duties stated or contemplated herein.
My attorney-in-fact agrees to accept this appointment subject to its terms, and agrees to act and perform in said fiduciary
capacity consistent with my best interests as my attorney-in-fact deems advisable, and I thereupon ratify all acts so carried out.
I agree to reimburse my attorney-in-fact all reasonable costs and expenses incurred in the fulfillment of the duties and respons -
bilities enumerated herein.
Special durable provisions:
This power of attorney shall not be affected by subsequent incapacity of the Principal. This power of attorney may be revoked by
the Principal giving written notice of revocation to the attorney-in-fact, provided that any party relying in good faith upon this
power of attorney shall be protected unless and until said party has either a) actual or constructive notice of revocation, or b)
upon recording of said revocation in the public records where the Principal resides. Furthermore, upon afinding of incompetence
by a court of appropriate jurisdiction, this Power of Attorney shall be irrevocable until such a time as said court determines that I
am no longer incompetent.
Other terms:
Page 1
www.socrates.com Q 2004, Socrates Media LLC
LF240 • Rev. 04104
Signed under seal th
Signed i
Witness;
Witness;
Principal
I tt
State of Florida
County of 5 F M t o
day of �l.>I\/ ,2065
On oto/13/ �(�`3 before me, Jason Kantarjian
Appeared Robert H. Shoemaker .
Personally Known to me to be the person whose name is subscribed above.
WITNESS my hand andLoffcLai seal.
Signature:
�sr Erik Jason Kama Wn
ap My Commission DD318891
Expires May 12, 2008
I
r
Seminole County Property Appraiser Get Information by Parcel Number
t^t _103 1101 M
-
'17 177 1R2 94
Davin JoHHsoN. CFA. ASA 10629
PROPERTY
k,
APPRAISER
1
3EMINDLE COUNTY FL.
1101E. FIRST sT
SA14FO'RD, FL32771-1468 + _ ,_
*
407.665-7506
2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 12-20-30-511-0000- Tax District: S1-SANFORD
0250
Number of Buildings: 1
Depreciated Bldg Value: $86,751
ACOSTA SILFREDO 00-
Owner: & Exemptions: HOMESTEAD
Depreciated EXFT Value: $0
Own/Addr: GARCIA DIOSANDY A
Land Value (Market): $18,000
Address: 170 KELLY CIR
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32773
Just/Market Value: $104,751
Property Address: 170 KELLY CIR SANFORD 32773
Assessed Value (SOH): $75,073
Subdivision Name: MONROE MEADOWS
Exempt Value: $25,500
Dor: 01 -SINGLE FAMILY
Taxable Value: $49,573
Tax Estimator
SALES
2004 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
Tax Value(without SOH): $1,427
SPECIAL WARRANTY DEED 04/1997 03235 1557 $74,000 Improved
2004 Tax Bill Amount: $971
SPECIAL WARRANTY DEED 10/1996 03197 0205 $100 Improved
Save Our Homes (SOH) Savings: $456
CERTIFICATE OF TITLE 01/1997 03188 0610 $100 Improved
2004 Taxable Value: $47,386
WARRANTY DEED 01/1994 02714 0514 $71,100 Improved
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION PLAT
Land Assess Frontage Depth Land Unit Land
Method Units Price Value
LEG LOT 25 MONROE MEADOWS PB 46
PGS 16 & 17
LOT 0 0 1.000 18,000.00 $18,000
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1993 6 1,114 1,706 1,114 CONC BLOCK $86,751 $90,839
Appendage I Sqft OPEN PORCH FINISHED / 104
Appendage / Sgft GARAGE FINISHED / 488
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 property tax will be based on Just/Market value.
Page 1 of 1
http://www.scpafl.org/pls/web/re_web.seminole_county_title?parcel=12203051100000250&cpad=Kelly... 7/13/2005
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ��� Ida
License #: CCcjc),3-i-, }4 -
Project Information
Owner: ?6h,=—& '_5hcc raj� Permit #:
name I
ISG i D 1 fa
address
LLc)-4— 2- co VSs
phone
Lot #: 25
I, EY) C a } - , affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
signature
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before &thiso _4_day f , 20 Q� y the
above referenced individual, , who acknowl ged that he/she is a
duly licensed contractor with , and who acknow edged that
he/she was authorized to execute this document. He/she is either personally kno o me or
produced
as valid identification.
WITNESS my hand and seal this l �� day of , 207)5
Notary Public
DEBBIE BLANTON
My COMMISSION # DD 188491
EXPIRES: February 25, 2007
1 -800 -3 -NOTARY FL Notary Discount Assoc. Co.
THIS INSTRUMENT PREPARED BY:
NAME: Raber+ 1.►.
ADDRESS: 3 ,1 1�er 1p,-,
Loln�� Fc 3-A779
State of Florida
Permit No.
FLORID -1 S
NOTICE OF
The undersigned hereby gives notice that improvement will
713, Florida Statutes, the following information is provided
DESCRIPTION OF PROPERTY (Legal description of t
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address (�
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE H
CONTRACTOR BID -FLORIDA ROOFING INC,
Name and address 864 FERNE ®R
LONGwOOD, FL 32779
SURETY (Bonding Company)
Name and address _
Amount of Bond
LENDER
Name and address
Persons within the State of Florida designated by Owner upon whom
713.13(1)(a)7., Florida Statutes:
Name and address _N�[J_nL
Persons within the State of Florida Designated by Owner u
provided by Section 713.13(1)(a)7.,Florida Statutes:
Name and address:
In addition to himself, Owner Designates
Provided in Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement f ,3/C
(The expiration date is 1 year from date of recording unl ss
Building & Fire Inspect)
tF Cou>` n 1101 East 1St Sj
:,7,.'"^` 1.,olcc Sanford, FL 314
OMIVMENCEMENT
County of Seminole
Tax Folio No. (PID) LZ - e 7-0 . .
e made to certain real property, and in accordance with Chapter
i this Notice of Commencement.
property and stre addres
rlluY
11> I
e—
'MARYANNRE UMO BURT CLERK OF
rni rMTY. FLORIDA
Bi Iry ,LEP.K
JUL 1 5 2005 '
1� �I
Y=>r
OLDER. (IF OTHER THAN OWNER)
118811101111 IN Ifni It 11111118108 81191019918119 0 891 I IN
MARYANNE MURSE, CLERK UF CIRCUIT COURT
SEMINULE CUUNTY
BK 05811 FSG 1295
CLERK'S # 2005118720
RELOADED OY/15/2005 01:38:06 RM
RELUNDINU FEES 10.00
RE[.UNDED 8Y D Thomas
ce or other documents maybe served as provided by Section
whom notice or other documents may be served as
To receive a copy of the Lienor's Notice as
different date is specified.)
r.y Erik Jason Kan*ion
jj My Commission DD318891 i
?a JExpires May 12, zoos Signature of Owner
5wor o crbefore me this ,'
My Commission Ex
Erik Jason Kan*ian
votary Public Y. My Commission DD310891
Expires May 12, 2008
The o oons!!e was acknowledged before me thii O $R�vc�G�c�il(Name of person ackn
roduc (Type o
andoath�qnd 1J Ga vc_' 1
of TiluT7" _ , 7-00
day of 'J-L))V -by
wledged), who is personally known tome or who has
identification), as identification and who did/did not take
i