HomeMy WebLinkAbout500 E 6 St1;10Ar
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No
Documented Construction Value: $
Job Address:
Parcel ID:
Type of Work: New
Descri tion of Work:
1
Plan Review Contact PF
Phone:
ition Alteration
Fax:
A ko
17(of
Historic District- Yes No
Residential [Commercial
Demo Change of Use Move
Email:
Property Owner Information
Name okle5 Phone:
Title:
Street: Resident of property?
City, State Zip: P. (+_0/1 i,
I
L ala
Name
Street:
City, State Zip: __c
ntra for Information
y -7
r Irl C /t,Phone: / ' 2 oU 6
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
707 State License No.: I OT
ngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application
I
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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 end zoni .
I
Signature of Owner/Agent Date to rac 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
Print Contractor/Agent's Name
Contractor/Agent is Persona Known to Me or
Produced ID Type of ID LC
VDI f a
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5 z lU
I hereby name and appoint:
an agent of:
Name of Company)
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):
C3. The specific permit and application for work located at:
SY- 9
Street Address)
Expiration Date for This Limited Power of Attorney: Eta r c3 V o -P I ° lJ
License Holder Name:
State License Number:/_ C / d 5 17S-8-
Signature
7S-8-
Signature of License Holder:
STATE OF FLOR DA
COUNTY OF
The foregoing instrument was acknowledged before me this day of /n Z,a—,
200 , by « who is personally known
to me or who has produced F 1
identification and who did (did not) take an oath.
Notary Seal)
Rev. 08.12)
as
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
SOPA Parcel View: 25-19.30-5AG-070&0120 Page 1 of 2
pa Property Record Card
PY Parcel: 25 -19 -30 -SAG -070B-0120
AP S Owner: JONES CATHERINE A
SutltVOLE00t1NTY, FIORIW Property Address: 500 E 6TH ST SANFORD, FL 32771
Parcel: 25-19-30-5AG-0706-0120
Property Address: 500 E 6TH ST
Owner. JONES CATHERINE A
Mailing: 3218 N TULSA DR
DELTONA, FL 32738 -
Subdivision Name: SANFORD TOWN OF
Tax District: SI-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
42 1 13
26
BAS
26
EPF
26
Value Summary
Taxing Authority
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value
1
60,872
1
64,488
Depreciated EXFT Value
0
Save Our Homes Savings: $0.00
Land Value (Market) 7,161 7,161
Land Value Ag
SJWM(Saint Johns Water Management) 1$68,033
Just/Market Value
I $68033 71,649
Portability Adj
0 68,033
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 68,033 71,649
Taxing Authority Assessment Value Exempt Values
Tax Amount without SOH: $1,458.16
Page
County General Fund
2015 Tax Bill Amount $1,456.16
0
4 4 Tax Estimator
68,033 0
Save Our Homes Savings: $0.00
City Sanford 68,033
Does NOT INCLUDE Non Ad Vakxem Assessments
Legal Description
SJWM(Saint Johns Water Management) 1$68,033
LOT 12 BLK 7 TR B
68,033
County Bonds
TOWN OF SANFORD
0 68,033
PB1PG56
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
Page
County General Fund 68,033 0 68,033
Schools 68,033 0 68,033
City Sanford 68,033 0 68,033
SJWM(Saint Johns Water Management) 1$68,033 0 68,033
County Bonds 68,033 0 68,033
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 7/1/2014 08299 0505 100 No Improved
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 44 1 124 1 0 1 $175.00 i $7,161
Building Information
Description
Year Built
Fixtures Base Area Total SF Living SF Ext Wall
Actual/Effective
1 I SINGLE 1976 5 1,092 2,030 1,430I CONC
FAMILY BLOCK
Adj Value Repl Value Appendages
60,872 $76,090
httpJ/www.scpafl.org1Parce1Detaillnfo.aspx?PID=2519305AGO70BOl20 March 22, 2016
Description Area
OPEN PORCH I 80
FINISHED
httpJ/www.scpafl.org1Parce1Detaillnfo.aspx?PID=2519305AGO70BOl20 March 22, 2016
71
Final Checklist for Independent Contractor Agreement
Company: Catherine A Jones
Service Provider: Steve Bocas Electric Co
March 22, 2016
Make It Legal
The Independent Contractor Agreement should be signed by both parties and becomes
effective as of the date specified in the Agreement. This document can be e -signed.
Using E -sign function will automatically send a signed copy of the Agreement to both
parties and store it for future reference at RocketLawyer.com.
If signing this Agreement by hand, it is advisable to sign two copies of the so that each
party will have a hard copy with original signatures.
Copies ..
Give a signed copy of the document to:
Catherine A Jones
Steve Bocas Electric Co
When to Consult a Lawyer
A lawyer should be consulted regarding any unique issues not addressed by this program.
You can find a lawyer and share your document automatically for review at
RocketLawyer.com.
Other Information
This document may be signed electronically (e -signed). If signing by hand, it is not necessary
that the signatures be witnessed or notarized.
The Independent Contractor Agreement should only be used for a party who is an
independent contractor" with respect to the Company. If the arrangement between the
Company and the Service Provider conforms more closely to the characteristics of an
employee/employer relationship, the Employment Agreement may be more appropriate.
Signed copies should be kept in a fire -proof and safe location or online in secure storage. If
you use the E -sign feature, the signed copy will be stored automatically. Alternately you can
import and store your document online at RocketLawyer.com.
Reasons to Update
Change in the conditions or terms of the Agreement.
2-
SERVICE PROVIDER:
Steve Bocas Electric Co
Administrative Assistant
3-
for any injuries that
and/or
employees) may sustain while performing services under this Agreement and that are a result of
the negligence of
is employees.
7. INDEMNIFICATION.
and hold harmless
or
s
agrees to indemnify
from all claims, losses, expenses,
fees including attorney fees, costs, and judgments that may be asserted against
that result from the acts or omissions of
employees, if any, and is agents.
s
8. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties, and
there are no other promises or conditions in any other agreement whether oral or written.
9. SEVERABILITY. If any provision of this Agreement shall be held to be invalid or
unenforceable for any reason, the remaining provisions shall continue to be valid and
enforceable. If a court finds that any provision of this Agreement is invalid or unenforceable, but
that by limiting such provision it would become valid and enforceable, then such provision shall
be deemed to be written, construed, and enforced as so limited.
10. APPLICABLE LAW. This Agreement shall be governed by the laws of the State of
Florida.
PARTY CONTRACTING SERVICES:
Catherine Jones
C
By:
Electrical Technician/Partner
Spa
INDEPENDENT CONTRACTOR AGREEMENT
This Independent Contractor Agreement (this "Agreement") is made effective as of March 24,
2016, by and between Catherine A Jones, of 500 East 6th Street, Sanford, Florida 32771, and
Steve Bocas Electric Co, of , Casselberry, Florida 32707. In this
Agreement, the party who is contracting to receive the services shall be referred to as
it It and the party who will be providing the services
shall be referred to as
1. DESCRIPTION OF SERVICES. Beginning on March 24, 2016,
will provide the following services (collectively, the
Services"): Relocating meter base.
2. PAYMENT FOR SERVICES. will pay
compensation to for the Services in the amount of
700.00. This compensation shall be payable in a lump sum upon completion of the Services.
3. TERM/TERN INATION. This Agreement may be terminated by either party upon 30 days
written notice to the other party.
4. RELATIONSHIP OF PARTIES. It is understood by the parties that
is an independent contractor with respect to
and not an employee of
not provide fringe benefits, including health insurance benefits, paid vacation, or any other
employee benefit, for the benefit of
5. WORK PRODUCT OWNERSHIP. Any copyrightable works, ideas, discoveries,
inventions, patents, products, or other information (collectively, the "Work Product") developed
in whole or in part by in connection with the
Services shall be the exclusive property of . Upon
request, shall sign all documents necessary to
confirm or perfect the exclusive ownership of
Work Product.
6. INJURIES.
for the benefit of
to the
acknowledges
s obligation to obtain appropriate insurance coverage
and
is employees, if any).
waives any rights to recovery from