HomeMy WebLinkAbout125 Scott DrRECEIVED
JUN q8 2011 CITY OF SANFORD
BY.
BUILDING^ & FIRE PREVENTION
PERMIT APPLICATION
Application No: 0 05 Documented Construction Value: $
Job Address: , S! c f D r-
Parcel ID: o H oo '-( c3'7 o
Description of Work:
Plan Review Contact Person: o
Historic District: Yes No
Zoning:
Title: ::a c BSc ) r C- r'
Phone: L U 9 1- (3 Fax: E-mail:
Property Owner Information
Name ' <,SC i u CC Qk n (ne L
Street:
City, State
Phone:
Resident of property? :
Contractor Information
Name 06» K cCe,:k o n s n» c_ Phone: C'7 '/ a t ' UFO b
Street: i al9 / a a ads% E2 —
City, State Zip: a r- FL ?:2;Z9- )'
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fag:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing
No. of Stories:
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 HVIPROVEMENTS 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.
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.
Signature of Owner/Agent L n Date 5 afore of Contractor/Agent Date
2Z 10)g'V'
Print O r/Agent's Name Print Co ctor/Agent's Name
Signature-orNotary--stalre of Flonda Da Signa f No -State of Florida Da
k'"'"' CAIle E HEMMER--
Wf COMMISSION # DD75U57
E,'PIRES February 12, 2012
Own
398 14MR P rMaPdota*.ro
e or
Produced ID Type of ID
APPROVALS: ZONING• 01JTILITIES:
ENGINEERING: QijAg k4,11 FIRE:
COMMENTS:
Rev 11.08
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
umnDJOHNSON.CFA.ASA
PROPERTY
APPRAISER
SEMINOLEC 1NW-FLL.
1101'E.Rgsrs7
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407-GU77SGS
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VALUE SUMMARY
GENERAL
VALUES
2011
Working
2010
Certified
Value Method Cost/Market Cost/MarketParcelId: 31-19-31-521-0H00-0070
Number of Buildings 1 1Owner: CAMPBELL SUSSIE A &
Depreciated Bldg Value 45,805 52,771Own/Addr: CAMPBELL BOBBY
Depreciated EXFT Value 0 0MailingAddress: 125 SCOTT DR
Land Value (Market) 13,000 15,000CIty,State,ZipCode: SANFORD FL 32771
Land Value Ag 0 0PropertyAddress: 125 SCOTT DR SANFORD 32771
Just/Market Value 58,805 67,771SubdivisionName: WASHINGTON OAKS SEC 1
Tax District: S1-SANFORD Portablity AdJ 0 0
Exemptions: 00-HOMESTEAD (1994) Save Our Homes AdJ 1 0 6,100
Dor: 01-SINGLE FAMILY Amendment t AdJ 0 0
Assessed Value (SOH) 58,805 61,671
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 58,805 29,403 29,402
Amendment 1 adjustment Is not applicable to school assessment) Schools 58,805 25,000 33,805
City Sanford 58,805 29,403 29,402
SJWM(Saint Johns Water Management) 58,805 29,403 29,402
County Bonds 58,8051 29,4031 29,402
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
2010 VALUE SUMMARY
SALES Tax Amount (without SOH): $750
Deed Date Book Page Amount Vac/imp Qualified 2010 Tax Bill Amount: $627
QUITCLAIM DEED 0911987 01892 0422 $100 Improved No Save Our Homes 1SOHI Savings: $123
Find Comparable Sales within this Subdivision 2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... -
LOT 0 0 1.000 13,000.00 $13,000 LEG LOT 7 BLK H WASHINGTON OAKS SEC 1 PB 16 PG 8
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 1971 5 1,050 1,374 1,050 CB/STUCCO FINISH $45,805 $57,256Sketch
Appendage / Sgft GARAGE FINISHED / 312
Appendage / Sgft OPEN PORCH FINISHED / 12
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch FinisftKBase
Semi Finshed
OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
Ifyou recent(y purchased a homesteaded property your next years property tax will be based on Just/Market value. http://
www.scpafl.orglweb/re web.seminole county title?parcel=3119315210H000070&cp... 6/7/2011
POWER OF ATTORNEY
11Date: — /
I hereby name and appoint S
Of K - \ p2.C-6- C vc> S rto be my lawful attorney
In fact to act for me and apply to the S P`n" n 0 ('n c)
Building Department for a of Q ( a e " 0-- ( permit
For work to be performed at a location described as:
Section Township Range Lot Block
Subdivision
5ca j- Dr, fir,-Vnre-1, EL 32721
of Property and Address)
and to sign my name and do all things necessary to this appointment.
04A-s 8 C(2,0 IG ('aC / z'3 z
Type or Print Nongof Register or %rtifced Contractor and Contractor's License Number
Signature of Register or Certified
The foregoing instrument was acknowledged before me this day of J Q n of 20- -
By `tfi0MQ,5 0. l OO K
Who is personally known to me/who produced rPngQ-
As identification and who did not take oath.
State of Florida
County of Semi no
Ajf''1 "&J61 Seal
Notary Public, Orange County, Florida
E Public state of FiaRichards
ommission DD916769
es 10130/2013 r 2/12/2008 `
03-28- 1
4
i
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 03/28/2011
PERSON: DUMONT
FEIN: 200256011
BUSINESS NAME AND ADDRESS:
COOK CREATIONS INC
1924 HOUNDSLAKE DR
WINTER PARK FL 32792'
SCOPES OF BUSINESS OR TRADE:
1- WALL REPAIR
3- WINDOW / DOOR INSTALLATION
EXPIRATION DATE: 03/27/2013
JOHN A
2- INSULATION WORK
4- FLOORING
IMPORTANT: Pursuant to Chapter 440 . 0504), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed an the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation 11, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
QUESTIONS? (850) 413-1609
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA `
WORKERS' COMPENSATION LAW 'wT
EFFECTIVE 03/28/2011 EXPIRATION DATE: 03/27/2013
PERSON: JOHN A DUMONT
FEIN: 20025SOl l
BUSINESS NAME AND ADDRESS:
COOK CREATIONS INC
1924 HOUNDSLAKE DR
WINTER PARK, FL 327SZ
SCOPE OF BUSINESS OR TRADE:
I- WALL REPAIR 2- INSULATION WORK
3- WINDOW / DOOR INSTALLATION 4- FLOORING
IMPORTANT
F Pursuant to Chapter 440.0504), F.S., an officer of a corporation who
0 elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt.. apply only within the scope of the business or trade listed on
E the notice of election to be exempt
R
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
CUT HERE
QUESTIONS? (850) 413-1609
Carry bottom portion on the job, keep upper portion for your records.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
Florida Building Code Online
PERMIT #
BCIS Home Log In User Registration Hot Topics Submit Surcharge
ai Product Approval
Y - r USER: Public User
age 1 of 4
vl io
Stats & Facts Publications t FBC Staff BCIS Site Map Unks Search
ProductApproval Menu > Product or Application Search > Application Ust > Application Detail L
FL #
FL10701-R1 Application
Type Revision kl
Code Version 2007 Application
Status Approved L-
14591X-441Comments Archived
Product
Manufacturer JELD-WEN Address/
Phone/Emall 3737 Lakeport Blvd Klamath
Falls, OR 97601 800)
535-3936 fbc@jeid-
wen.com Authorized
Signature Janet Gerard fbc@jeld-
wen.com Technical
Representative Steve Saffell Address/
Phone/Email 3737 Lakeport Blvd Klamath
Falls, OR 97601 541)
882-3451 Ext2900 stevesa@jeld-
wen.com Quality
Assurance Representative Address/
Phone/Email Category
Exterior Doors Subcategory
Swinging Exterior Door Assemblies Compliance
Method Certification Mark or Listing Certification
Agency National Accreditation & Management Institute, Validated
By National Accreditation & Management Institute, Referenced
Standard and Year (of Standard) Standard Year AAMA/
NW WDA/101/I.S.2-97 1997 ASTM
E330 2002 ASTM
E331 2000 Equivalence
of Product Standards Certified
By Product
Approval Method Method 1 Option A http://
www.floridabuilding.Org/pr/pr app dtl.aspx?param=wGEVXQwtDgvIdAvIteOYO... 4/19/2011
JELDVEN® Steel T
6 -0" & 6'•0' SINOLElNSWIND OPAQUE STEEL EDGE
nIMPACTSTEELDOOR1NWOODFRAME
0)
0
GENERAL NOTES VAX' F2u1e WOM _
1. THIS PRODUCT IS DESIGNED TO COMPLY WITH THE FLORIDA µ 31 OA. WmTtl—
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2004 BUILDING CODES (W/2005, 20GS SUPPLEMEMTS) AND
HIGH VELOCITY HURRICANE ZONES' (HVHZ) REQUIREMENTS. 3'-t a/4' O.ti _
2. WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY WX F1tAYE WIDTH
Z
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C4TOTRANSFERLOADSTOTHESTRUCTURE. Z ' 3. PRODUCT ANCHORS SHALL BE AS LISTED AND SPACED VAX p WWTi W
AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE
MATERIAL SHALL BE BEYOND WALL DRESING OR STUCCO.
4. IMPACT RESISTANT SHUTTERS NOT REQUIRED. coo035. -FOR PRESSURE RATING SHALL BE AS FOLLOWS: ' co
Wo=.
FOR " WOOD FRAMES - SEE TABLE SHEET 1
FOR WOOD FRAMES - SEE TABLE SHEET 1
6. THIS SYSTEM WAS TESTED FOR 2.86 LOS. WATER PRESSURE ??? ¢
AS PER ASTM-E331.
7. THIS PRODUCT EDONOT MEET THE WATER REQUIREMENTS FOR '
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CONSTRUCTION: Face sheets:
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Seminole County Product Approval Form
Permit #
Address 1 Q Sr _S'a
SEMINOIE CO' LINTY
FLORIDA'S NATURAL CHOICE As required by Florida Statute 553.842 apd Florida Administrative Code 9B-72M, please provide the
is- information and approval numbers for the building components listed below if any will be used on the
0 structure.
Product approval information can be obtained at the following sources:
The Florida Department of Community Affairs (DCA) Building Code Information Wepsite is:
http://www.floridabuilding.org
The Miami/Dade County Building Code Compliance UWebsite address is:
http://www.miamidade.gov/buildinqcode '
Directly from the manufacturer.
The following information must be available on the jobsite for inspections:
1. This entire product approval form, stamped! as "Reviewed" by Seminole County Plans Examiner.
2. A copy of the manufacturer's installation details and requirements for each product.
RESERVED FOR FLORIDA APPROVAL #
MIAMI ! DADE
TYPE MANUFACTURER MODEL # / SERIES PLANS EXAMINER INCLUDE DECIMAL
N.Q.A.
USE IF APPLICABLE
DOORS
SWINGING
SLIDING
OVERHEAD
OTHER
SHUTTERSHURRICANE
ROLL UP
PANEL
1 of 2
Seminole County Product Approval Form
FORTYPEFAPPROVAL # MANUFACTURER
MODEL # / SERIES PLANSR XAMINERINCLU INCLUDE DECIMAL) MIAMI / DADE
USE IF
APPLICABLE)N.O.
A. WINDOWS SINGLE
HUNG
DOUBLE HUNG
HORIZONTAL SLIDING
CASEMENT FIXED
SKYLIGHT
MULLION
OTHER
SOFFITS
ALUMINUM
OR
VINYL ROOFING SHINGLES
METAL
TILE
SINGLE
PLY
OTHER STRUCTURAL
COMPONENTS
HURRICANE ANCHORS
ENGINEERED LUMBER
LINTELS INSULATION
FORMS
OTHER It
is
the applicant's responsibility to verify that each specific product has been installed in accordance with their limitations and with the minimum required
design pressures for the structure. Specific compliance will be verified during field inspections. MANUFACTURER SPECIFICATION
AND INSTALLATION SHEETS MUST BE POSTED AT THE JOB SITE FOR INSPECTION. CONTRACTOR or
OWNER/CONTRACTOR SIGNATURE:' A'/ l DATE: (n17, %/ 2 of 2