HomeMy WebLinkAbout2854 Empire PlRECEIVED
d' rR APR 0 7 2011
CITY OF SANFORD
BY_; BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ` I '' Documented Construction Value: $
Job Address:2 g {_ Q y- p Historic District: Yes No L7
Parcel ID:
Descriptioi
Plan Revie
Phone: Fax: E-mail:
Property Owner Information
Name (Jn rp-(,o -P4,a_ YYJ alp, Upl Phone: 40 7 - 3 30 -0 q,9
Street: Resident of property?
City, State Zip: e,, 3 2 2 7 3 5 2 9 1
Contractor Information
Name A cvZ Phone: 3 ,96 - 7 714 - Z q y
Street: 3 13 Snn n
Fax: 3 86 - 77 S- / 7 ev 19
1 City, State Zip: 'diz lla , 171. 3 2 7 3F State License No.: Gr—C- 05 79 Lf <
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage: _
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: . No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
q, Plumbing 0""
P
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 No. of heads:
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 EMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TBE
FIRST INSPECTION. 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 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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
I
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
lsrnr4',.
Signature f Contra r gent Date..o,'
yf771aePrintConctor/Agent's Name rrou`..
7 o94w&/ oSignatureofNotary -State of Flo a Dateg S__ E10401z; r"
ai9
coco,
n%
2 caNOContractor/Agent is P sonally Know
Produced ID Type of ID
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
Date: '-i - ? -1 I
I hereby name and appoint: G
an agent of.
Name
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):
O All permits and applications submitted by this contractor.
The specific permit and application for wor located at:
street A ress)
Expiration Date for This Limited Power of Attorney:
License Holder Name: V(1G e -
State License Number: G Pif
Signature of License Holder ---
Z-77 3
W
STATE OF FL
yy
COUNTY OF IV
The regoing ins ent as acknowl d before me this4eally20 , by G ( G who iknown `
o me r o who has produced as
ification and who did (did not) take an oath.
Notary Seal)
MICHELE A. ZAWATSKY
Notary Public • State of Florida
My Comm. Expires Sep 2, 2012
d,,= Commission # DD 819575
Bonded Through National Notary Assn.
Rev. 3/27/07)
WZW
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
S
DAvia.torlrasoHr CFA. ASA
PROPERTY
APPRAISER
J- '1, r
SEMINOLECOUNTYFL
it01'E.F1Rsr.§T
BANFOR0, FL32771-1468
407-6W7506 41
W 27
15 10
M
03 26
32 2914 "
1 r'
E 29TH ST
3 '^"M,
1 : a•a
r..
4
VALUE SUMMARY
VALUES
2011
Working
2010
Certified
GENERAL Value Method Cost/Market Cost/Market
Number of Buildings 1 1ParcelId: 06-20-31-505-OD00-0120
Depreciated Bldg Value $54,931 60,488Owner: LOPEZ BLANCA G
Depreciated EXFT Value $725 725MailingAddress: 2854 EMPIRE PL
Land Value (Market) $13,440 13,440City,State,ZipCode: SANFORD FL 32773
Land Value Ag $0 0PropertyAddress: 2854 EMPIRE PL SANFORD 32773
Just/Market Value $69,096 74,653SubdivisionName: WOODMERE PARK 2ND REPLAT
Portabllty Adj $0 0TaxDistrict: S1-SANFORD
Exemptions: 00 -HOMESTEAD (1995) Save Our Homes Adj $3,513 10,039
Dor: 01 -SINGLE FAMILY Amendment 1 Adj $0 0
Assessed Value (SOH) $65,583 64,614
Tax Estimator
Portability Calculator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 65,583 $40,563 25,000
Amendment 1 adjustment Is not applicable to school assessment) Schools 65,583 $25,000 40,583
City Sanford 65,583 $40,583 25,000
SJWM(Saint Johns Water Management) 65,583 $40,583 25,000
County Bonds 65.5831 $40,5831 25,000
Potential Portability Amount is $3.513
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
SALES
Deed Date Book Page Amount Vac/Imp Qualified 2010 VALUE SUMMARY
SPECIAL WARRANTY DEED 08/1994 02811 1503 $48,100 Improved No
WARRANTY DEED 01/1994 02745 1653 $100 Improved No
CERTIFICATE OF TITLE 12/1993 02696 1951 $1,000 Improved No
WARRANTY DEED 02/1990 02153 1436 $53,500 Improved Yes
WARRANTY DEED 01/1977 01126 0282 $21,900 Improved Yes
WARRANTY DEED 01/1976 01090 1549 $17,500 Improved No
Tax Amount (without SOH): $695
2010 Tax Bill Amount: $616
Save Our Homes
2010 Certified Taxable Valuealoe
Savings: $79
and Taxesand
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEGAL DESCRIPTION
PLATS: Pick...
FRONT FOOT & DEPTH 80 105 .000 200.00 $13,440 LEG LOT 12 BLK D WOODMERE PARK 2ND REPLAT PB 13
PG 73
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value
Est. Cost
New
Building 1 SINGLE FAMILY 1972 5 986 1,469 1,217 CONC BLOCK $54,931
Sketch
68,026
Appendage / Sgft OPEN PORCH FINISHED 184
Appendage / Sgft ENCLOSED PORCH FINISHED/ 231
Appendage / Sgft OPEN PORCH FINISHED / 36
Appendage / Sgft UTILITY FINISHED / 132
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base
Semi Finshed
http://www.sepafl.org/web/re_web.seminole_county_title?parcel=0620315050D00012O&cp... 4/6/2011
r
SALES CONTRACT FLORIDA PUBLIC UTILITIES CO'. 37908
Central Natural Gas 6lmaftandiza Da::vsry and lnsta!I Only _ -
RIAL '.'• •}'' Fa2ST NA!1E-LiIDDLE L\t ia: !'•S NOTICE TO THE CUSTOMER: (A) Do nor sign this contract before you
LABTNA!AE
t . ' ' -
i' f,''-:
a •.i .::4 . lead R or if it contains any blank "spaces. '(8) You are entitled to an exact.
LOPEZ- OROPEZA BLANCA &MANUAL copy of the contract you sign: (C) Yau have the right to pay to advance the
x s ;' unpaid balance of this contract epd to obtain a partial iefonU of the FinanceDlsuvERTAooRiss ; : e ,
Charg"o based on the "actuarial method": The undersigned FLORIDA2854EMPIREPLACE• PUBLIC UTILITIES COMPANY, lieiern called the "Company", hereby sells,
cm sr; ;r• < ZIPCODE , ,, • ^• •• ': SOCW 9ECURttt:T'?; ts'•: tSc`.:': I,=f` :!s. is and the unddrstgned customer, herein celfed the "Customer" hereby
32773 407.330-0495 CELL # purchases, subject to the terms and eonrlilbns heretnattey set lorth on this
SAN FORD, FL page and the reverse side hereof, the personal pr'operty,descritied bbtow.
CIO NAfdE _
TELEPHONE t:UMUER; ,
S :.. . (:i.;(.;•"i{^'•r(',''; The properly shall remain personal property'and security interest therein sh
407-330-0495 HOME remain vested in Company until all obligaltons of Customer, note existing of
hereinafter arising, are paid: (D) All installation prices aro subject to chang
MAau:o Aoaaess '
ATE
based on upgrades to meet code, change orders or unique circumstances
April 4f 2011 and modifications determined by Company to be necessary for proper
CITY-. sT SPCODE' ' } uru AGcr•t o. ... Installation.
72346
FEDERAL TRUTH IN LENDING DISCLOSURE
tv1ERCHAN0ISE,DESCRIPTI0N
UNIT i ^ Itemization of Amount Fitianced' _
31
a MODELNUh10ER„t: - flax” r ,'- .,. - '"
i " TAG rOTY .SiiLL IyGPRICE ?•;...:-.•,............ - •,•• 665.00 3>ti ='"• <c`` ,r" s. •, •.
555:00 A. 0 SMITH-GCV 40"GAL NG WATER& "HEATER W/ PAN EXP. TANK No
vf
350 1 $ . NET CASH, PRICE;;: ; - GASGASTO
Yes
Yes
FEE.: PF. ,-:(;,'
NOTE THERE MAYBE ADDITIONAL CHARGES TO BRING THE
PROCESSING
UP TO CODE & IF WE HAVE TO MOVE ANY.ITEMS' .)es AMOUNT;, NA CEDL y _ ,.,-' •'.' N •• bINSTALLATION _ Ihi#'amounl'ol craddp(ovided ld," _ ou6to
TO DO THE PROPER INSTALLATION)', Yes you'iiifedlvoroniroUrbehalf;:'... `3
Yes
b55.00 ofMOtiTHCY;PAYMENTpA
n
e.--•
MERCHANDISE SALE '- - 4MDSE' % ": MJ FtCHANDISESALEF149.4160.' 1!i _ -
t ::. •{:.?
cal, .'.:=,
Le -
ois'co`vvr :f.. „i.: r tg,AerchendseDiscotinl
555.00 ANNUA PER.CENTAGERATE _ 0%
V TOTAL h1ERCHANDISESALE T.
325.00325.00 Thdco"stof,yourgadirasayeadyrale '• 1011- MERCHANDISE IlfSiALLAA01f: 143.4160.29' r. :INSTAe%,; a :: -. •" -
0
t: ".#RiAPIPJ.YG6 VENn tiG: - N/A: -1`#NIA .fjNlAl;: `•. ::sl ";:C•r•:,:7:.
126.00• gAYMENTAMOUNT.
PERMIT: .. . 3:; 1:f:::-'?='•PER611T: x•143,4180.29 ' 0.-t -^ 'INSTA: ':; - -
NNIA
No'
FIN4NCE,CHARGE , r.-.;•;y; n
1rAHKINSTALL.trfON: - `T.••: ;'sem ?'?':y " r NNIR,` #NfA :,•, •:::-11N1A°;c, ! _ .., :i. - -
350.0D ) The QD:Iar;amouM.,thatiedlvnllCOaty0llAPPtajirLa, Rgteniton
123:4010.908' ' `'
a'
REBATE; '70859= .CO7o6 t -;.3i^ `'F--
MtSC. - a i - •.6 • Yom,: s 4::A ?:; ._• - s• TOTACOFPAYMENTS:
Thq'emliUnlyoEittitihevaPaid
NON•MERCHAHDISE SALE -
r:
ry: - i.: f , i 8fl8f,yOl1`haV8 tflaQe all payinenls'
as scheduled ,
sr' 655.00= SALEPRIQE` t ' SUB-TOTAL
r, '.:•.,::
Taxable Amount: -
t• '.S'ALESTAX 6.SR0:_00
SCHEDULE:
CASHPRICE
Lt' r:.: i;i'r`"pP=>:"=it `LESScCASHDOW NPAYfiENT j„ ';
CONTRACTAMOUNP: y " •t "r• LESS: CREDIT CARD PAYMENT
4-" . •.
z •.
655.00
r :.,•:.. r: ' +cdi:. <>:' ' _ _' -'
Fr :.
t;- • TOTAL'
BALANCE REMAINING
l'
DATE DELIVEREDi Cuslomerhas made a dotim paymenlof ' S 655
DATE PROfdISED: Y
I TAKE wrrH 0 DELIVER & INSTALL and agrees to pay Compan _ ' In
O SERVICE IN
D METER IN D DELIVER WILY D OTHER monthly installments of each
r -^.,-
SPECIAL IN,STRUCTIONS:' ° .'; '' • ; ` : • .. -- < . , ,• _ . % : = • . ^
anda0nalpaymenlof S0 beg,nn,Pg,
Natural Gas to Gas Water Heater Program with the month of April 2011 until
Please deliver & Install A.O. Smith GCV40 NG water heater and remove old water heater. the whole of said price shall have been paid.
Current water heater Is leaking water located in utility room. OTHER TERMS:
Permit Required: City of Sanford/Parcel 06-20-317505-0000.0120. her receipt or this agieement, including conditions ouUir
Contact: Manuel Oropeza to schedule the Install @4071314.3183.
fo customer error are the customer's respohsibi6y_ to satisfy with the
Customer ebyactviokledges
on the bock of the contract, and authorizes Florida Pti6i:c UtGdes (4Q ahta'n credit
information from select credit agencies at the Company' disueURe-Inspoctiori'fees:due
to safet' code or. ilii>wrlacvt l> rlUt uarU1llg UpUrrL ulllp. euy'wmr w>wtnm auv r
municipality.` All installation prices are subJecf to change based on upgrades meet y Is approved b com an ezawled M quadrip!fcaloY_ P y' modifications and materials necessary for proper Installation. An additional costs will be billedy appl:cauon PP ,
separately I.e., add combustion air S45, and trip charge of $50, If rescheduling Is needed. "Red Tag" pebary, Florida 'on Apf104.20il. .
safety Issues must be brought Into compliance within 30 days, and will tie quoted on_an individual .. APPLIES TO ALL MERCHANDISE:
j% , • i -
Customers Signature: basis. RESTOCKING FEE 261V0 OF SALE
SALES
4505oulh
Salesperson:' - - Highway 17.92, Oehary', FL 32713 •, FLORIDAPUBLIC UTILITIES CO
TEL-(386)668-2500
REVON LM
FORµ84SMS SSS1aELUSTaERVRE"
A=0 U&TYEIIO.V•IOULO"Fri K-;X.W0FiXORDER OFFICE'6R18ur YELLd.Y•Cti5T041ER . s FLMDANUM
UT'
IL-ITIES