HomeMy WebLinkAbout1507 Northlake DrSEP 202012
OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: E2 P 9 0 It Documented Construction Value: I Do. On
Job Address: Historic District: Yes El No D
Parcel ID: 30 - 51-5 or)()C) J5Q-7 Zoning:
Description of. Work:
Plan Review Contact'Person: Title:
7 " 9qPhone: q Ll gq 7 1 Fax: E-mail: I . I ---
Property Owner Information
Name Dona -a n i
h a -7i',SC) u.,S [) —Fr ')
r 5C)-
h
T-
r. Phone: Lj, 2-914 1 7
Street: ]
50 EJUAI,' ire Jr. 'Resident, of property? e S City,
State Zip: Contractor
Information Name -
Fas4 Quol4t] ALLML'I'V-) Phone: 77%5 Cq Street:
7q tz rj ti/ Ave . - Fa , x: 00LIS City,
State Zip: ornna e- (J--k State License No.: Architect/
Engineer Information Name'
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
Address: PERMIT
INFORMATION Building
Permit El Square
Footage: Construction Type: No..
of Dwelling Units: Flood Zone: Electrical
rl New
Service — No. of AMPS: Mechanical
El (Duct layout required for new systems) No.
of Stories: Plumbing
IF New
Construction - No.. offixtures: Fire
Sprinkler/Alarm 11 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 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 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 Date
Owner/Agent's Name
Signature of Notary -State of Florida Date
is
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE
Signature of Contractor/Agent Date
3 a -`a v\ . Vc r S
Print Contr for/Agent's Name
gAD.
of Notary -State of FI ida Date
DONNA ANZALONE
My Cr)MMISSION # DD 885059
EXPIRES: April 29, 2013
Bonded ?tiro Notary Public Underwriters
Contractor/Agent is J Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
09/18/2012
Date
I hereby authorize STEVE GERMANY
of FIRST QUALITY PLUMBING
j to sign his/her name on my behalf in order to apply for a PLUMBING permit
for the work to be performed at:
Address: 1507 NORTHLAKE DR. SANFORD FL 32773
First uali Plumbing CFC050566
Type or Print Name of Company and License # of Contractor
Signature of Licensed Contractor
If applicable only!
Type or Print Name of Owner
Signature of Owner
k.
STATE OF FLORIDA
VOLUSIA_COUNTY
The foregoing ins ument was acknowledged before me this 1 day of
20 1a- , by QX5 (name of person acknowledging).
er DONNA ANC? ONE
MY Co"'; MISSION # CG'3 rnr,
7co_ 0 8 9
EX. IRE$: Apri! 23, 1013
uonded ihru Nota pryubiir,Uncmnlritars
Signature of Notary Public State of Florida)
3)DCrlr a 10e,,X,
Print, Type or Stamp Commissioned Name)
Personally known * OR produced identification
Type of identification produced:
pg
STORE COPY " •.
BALANCE DUE
M L
M
d
Work is to Comm rice upon reasonable availablity of Contractor which is anticipated to be [fill in date].
Estimated completion date is [fill in date].
w
J
Q
o NOTICE TO CUSTOMER
w
J All items listed h this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing
on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation
z necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom-
er. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT. BY SIGNING
BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON
THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE.
WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS 1-7DAY OF S' ~Ar{ ';oiZ
Q, Lowe's Home Centers Inc.
0
4
o By. (Seal)
M _
P- Print Name x
0
4
Address
City
L
F
State? Province Tip! Postal Code
Q-- (Seal)
Owner
0 --n
Print Name
Co -Owner or Witness
Print Name
Customer acknow ledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancet this transaction
Store 1657 Project No. 363474829 for DANA RUSSO Page 3 of 7
STORE COPY
INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMS - WATER HEATER ONLY
LOW E'S OF SANFORD, FL, STORE # 1657 STORE PHONE: (407) 430 4U60
y' 780 ORLANDO DRIVE SALESPERSON RYAN WELCH
a
ANFORD, FL 32773 SALESPERSON ID: 1523707
Document Print Date : 09117I2012
r
0
Lowwe's Registration or Contractor License Number I Lowe's Contractor Name
Florida Contractor License Number CGC1508417
Customer Name
Horne Phone
S DANA RUSSO 547-489-2941
Customer Address Other Phone
0 1507 NOIRTHLAKE DRIVE
L City State 1 Province Zip! Postal Code
D SANFORD FL 32773
Installation Address
1 507 NORTHLAKE DRIVET Installation Zip/Postal CodeInstallationCityInstallationState/Province
0 SANFORD FL 32773
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
140389 : E2F40RD045V : STK : 4OG 6YR ELEC SHORT WTR HTR : 40-GALLON 6-YEAR REGULAR ELECTRIC WATER HEATER : AMERICAN WATER
HEATER - QTY 1
Materials Price $ 129
Installation Type : Residential
Store 11557 Project No. 363474829 for DANA RUSSO
INSTALLATION DESCRIPTION
Number of Water Heaters to replace : 1
Page 1 of 7
M
N
a
STORE COPY
Water Heater Type: Electric
Emergency Installation : No
Install in Crawl Space : No
Expansion Tank Installation : No
Piping Modification Estimate : No No detail completed
Drain Pan / Line installation Estimate : No I No detail completed
Permit Required . Yes
Permit Fee: Yes
Describe work needed to bring up to code : None I No Detail Completed
Other Work Charge: Yes
Water Heater Size : Less than 75 Gallons
Elevated Installation : No
New Water Heater Stand Installation : No
Earthquake Strap Installation : No I No detail completed
Unusual Site Conditions Estimate: No 1 No detail completed
Customer Understands Scope of the Heater Project : Yes
Who Will Obtain Permit : Installer
Additional Miles Traveled Over 20 : 0
Describe othef work needed : instal valve or expansion tank
Comments : water heater located in closet
Additional Specifications:
Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not install a water Heater in any location where it would be un-
safe or a violation of building code, this also includes any location subject to flooding or installing a gas water heater in living spaces (bedroom, bathroom, etc.).
Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit.
Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Familes,
Child Care Praiiders and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing
Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit.
NOTICE OF ARBITRATION AGREEMENT
This Contract povides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO
TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by
a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND
MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE-
VIEW BY A COURT. FOR MORE DETAILS: ;Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC-
TION ADJUDICATION found in the Terms and Conditions of this Contract.
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES
Store 1657 Project No. 363474829 for DANA RUSSO
e applicable
SUB -TOTAL 641
TALC
DELIVERY 0
ORDER TOTAL 641
Page 2of7
SCPA Parcel View: 14-20-30-515-0000-1507 Page I of 2
r 'k>f'Wtm <- ti Parcel- 14-20-30-515-0000-1507
P., RJOPERW7 Owner. RUSSO DANA N & RUSSO FRANK S TR RUSSO CHRISTI
AM ISER Property Address; 1507 NORTHLAKE DR SANFORD, FL 32773
F-,-Ba-c7k Previous Parcel NextINext Parcel >IFSave Layout I I Reset Layout ] New Search
Parcel: 1.4 20-30--51.5-0000 IS07 Value Summary
Property Address: 1.507 NORTHLAKE DR
Owner: RUSSO DANA N & RUSSO FRANK S TR &
RUSSO CHRISTINA M TR
Mailing: IS07 NORTHLAKE DR
SANFORD, FL 32773
Subdivision Name: NORTHLAKE VILLAGE CONDO 7
Tax District: 51-SANFORD
Exemptions: 00-HOMESTEAD (2012)
DOR Use Code: 04 CONDOMINIUM
WE
I
2jEj Aerial -BothFootprint Extents - Center
Larger Map Dual Map View - External
2012 Working 2011 Certified
Values Values
Valuation
Cost/Market Cost/Markel
Method
Number of
Buildings
Depreciated
528,800
Bldg Value
Depreciated
400 S40f,
EXFT Value
Land Value
Market)
Land Value Ad
JustlMarket
529,200 S29.20C
Value —
Portability Adj
Save Our homes
0 c
Adj
Amendment 1
0 SC:
Adj
I Assessed Value l $29,2001 29,20C
Tax Amount without SOHi S582
2011 Tax Bill Amount $S82
Tax Estimator TRIM Notice
Save Our Flon-les Savings: so
Does NOT INCLUDE Non Ad Valorem
Assessments
http://scpafl.org/ParcelDetails.aspx?PID=14-20-30-515-0000-1507 9/18/2012
SCPA Parcel View: 14-20-30-515-0000-1507
Find Comparable Sales within this Subdivision
Page 2 of 2
I
Method Frontage Depth Units Unit Price Land Value
LOTI 01 01 1..000 .1.0
Building Information
Description
year
Built
Fixtures
Base
Area
Total SF Living
SF
Ext Wall Adj
Value
Repl
Value
Appendagesg
1 CONDOS 1.987 6 91.2.001.,100.00 912.00 CB/STUCCO 28,800 128,800:
FINISHDescription Area
UTILITY
18,.
UNFINISHED
SCREEN PORCH
170
FINISHED
Permits
Permit # Type Agency Amount CO Date
Extra Features
Description Year BIt Units Value
FIREPLACE1 1987 1 $1100
Back < Previous Parcel Next Parcel > Save Layout Reset Layout F New Search
Y
i,
http:Hscpafl.org/ParcelDetails.aspx?PID=14-20-30-515-0000-1507
Permit Date
Cost New
1,000
9/18/2012