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Home My WebLink About100 Bush Blud/6 1VV3 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: /d Q &w �d7 Historic District: Yes ❑ Nop Parcel ID: /q-20 ;30 _W - D / 26 -- Oooc) Description of Work: Plan Review Contact 1 Phone: 2.S Zoning: Property Owner Information Name U < xi -e -r 'Plwef Phone: 4/0 7 q0 Z - 677 Street: j • / Resident of property? : A/D City, State Zip: do d Contractor Information Name 76k Phone: L7 X12 2 -/o o / Street`. n &Ina Fax: 07 U 2� City, State Zip: State License No.: dOeL 000067.J Name: Architect/Engineer Information Phone: Street: Fax: City, St, Zip: Bonding Company: Address: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: /260 Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical D New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: 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 i compliance with all applicable laws regulating construction and zoning. Sigi to Kof Owncr/Agent Date Sig ture of Contractor/Agent Date / r � oeijhCr Jr. Weft11"K �. of PHYLLIS J NICHOLAS My COMMISSION 0 FF923876 EXPIRES December 14, 2019 •�.4www rvv" com Owner/Agent is Personally Known to Me or Produced ID Type of ID JX11 ' � a Signa irc of Notary -Slate ol Florida Date PHYLLIS J NICHOLAS •i MY COMMISSION 0 FF923876 ,a EXPIRES December 14. 2019 �plt99e,'3 Ammewou"llowracow Contractor/Ager is rally Known to—me t Produced ID Type of 1D BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas F] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: 5-/18AP UTILITIES: ENGINEERING: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: COMMENTS: uai ton5 ; dock d a ime— Ir- e ocPo+, 01( -rte=LOA -k-,, !?fnnp r t , r ce [� rra�n�irec�. Revised: June 30, 2015 Pennit Application 5/16/2016 SCPA Parcel View: 14-20-30-300.0120-0000 Property Record Card APA mua,crn Parcel: 14-20-30-300-0120-0000 &%R Owner: SEMINOLE BC C COUNTY SERVICES BUILDING �ar�auroourrry canna Property Address: 174 BUSH (150) BLVD SANFORD, FL 37.773 Parcel Information -- Parcel 14-20-30-300-0120-0000 - I Owner SEMINOLE B CC COUNTY SERVICES BUILDING Property Address 174 BUSH (150) BLVD SANFORD, FL 32773 I i - I 1 Mailing 1101EIST STSANFORD,FL32771-1468 Subdivision Name - -- - -- -•- - .- -- -- --_-- -- - -- � Tax District S4-SANFORD- 17-92 REDVDST DOR Use Code j 86-COUNTY(EXC:PUBLIC SCHBHOSP) - I Exemptions 85-COUNTY(2007) - - --� 1 Value Summary i 2016 Working I Values Valu- Valu Certified Values fff --- -- — I Valuation Method Cost/Market Cost/Market - Number of Buildings 5 5 i Depreciated Bldg Value $9,796,946 $9,921,094 I Depreciated EXFT Value $227,886 $236,368 Land Value (Market) $2,279,277 $2,279.277 Land Value Ag Just/tytarketValuo" $12,304,109 $12,436,739 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 i ` G, Assessed Value $12,304,109 $12,436,739 f a, / Tax Amount without SOH: $0.00 2015 Tax Bill Amount $0.00 'n Tax Estimator At , �' � ' Save Our Homes Savings: 80.00 1. Does NOT INCLUDE Non Ad Valorem Assessments `Seminole C0 my GIS Legal Description SEC 14 TWP 20S RGE 30E BEG 144.7 FT W OF NE COR OF NW 114 OF SW 1/4 RUN W 1172.7 FT S 300 FT S 59 DEG 39 MIN E 1054.9 FT TO US NO 17 N 41 DEG 18 MIN E 50 FT N 59 DEG 39 MIN W 250 FT N 40 DEG 46 MIN 1 SEC E 200 FT S 59 DEG 39 MIN E 250 FT N 41 DEG 18 MIN E 400 FT N 22 DEG 25 MIN W 379.9 FT TO BEG (LESS RD) Taxes Taxing Authority - I Assessment Value I Exempt Values r- - County General Fund $12,304,109 Schools $12,304,109 Taxable Value $12,304,109 $0 $12,304,109 $0 City Sanford $12,304,109 $12,304,109 $0 SJWM(Saint Johns Water Management) $12,304,109 $12.304,109 $0 County Bonds $12,304,109 $12,304,109 $0 Sales r- - -- - ---- - Description Date Book Page Amount Qualified Vactimp WARRANTY DEED 5/1/1983 0146,J 0503 $475,300 Yes Vacant Land Method Frontage I Depth Is Units Price Land Value SQUARE FEET - 0.00 0.00 651222 $7.00 $2.279,277 Building Information Year Built ; - _I — -- --- - - q i Description Stories Total SF I Ext Wall — Adf Value Rept Value Appendages Actual/Effective I--- —i - ---- - - ,-- - r-11 MASONRY 1990 1 11,361 CONCRETE BLOCK - $570,418 $809.104 PILASTER. MASONRY Description Area OPEN PORCH 128.00 11 http://parceidetail.scpafl.orgIParcelDetai I info.aspx?PID=14203030001200000 1/2 Special Power of Attorney Date �7 I hereby name and Of Kirby Rentals LLC to be my lawful attorney irl, fact to act for me and apply to the Tent Permit for work to be performed at a location described as: to sign my name and do all th Print Address (Owner of Property ssary to this appointment. f ertif d Contractor & icen Signature of Certified Contractor Building Department Number D"', 40 /) ?J-- The J The foregoing instrument was acknowledge before me this9/1// 2W6, j fV by I �l � i� who is personally known to me. State of Florida County of Notary Public Si gp ure Nmary 0 k1l. Florida Notary Printed Napij Michelle A Chandler My Commtaeio (Seal) n EE 209387 orn Expiros08/01/2018 4Wess� �l Witness Letter of Permission DATE: -5.0 To Whom It May Concern: Please be advised GJ'i'-MWO►,�_._. Co".47Y 1•le-CI FFA ..(Owner/Client) — —�- allows KII'Z13Y RIN'1'AI_S LLC permission In erect a tent/s on our properly located at (Address) Please be ativised, ballroom facilities will be provided. Sincerely, -- ` ign turc)-- _I1rL�i�'NL�. Av7 1"IGrUr7F�:.�I/hJf�%�. 'title State of Florida �y►.�oL��_—Cuunty Sworn to and Subscribed before me (Signer's name) This J._$ __day ol'rY)H. f _—' 20.� �� Notary Signature .2- Notary Printccl Vamc NOTARY PUBLIC,Personally Known r 11) Produced E SSUSAN L oOMBs MY COMMISSION t EE &19272 EXPIRES: December 4, 2016 &Cd ThM tVthry PUbtlC Ur4er rKm • • Legend �' r- •• Bush Blvd Write a description PI 41�100 Bush Blvd f AV 4. ! r t Goo te-earth . - �\ N Mi100 ft DIAGRAM North zo x 1,0 (7) �e l�'��• � G' 14A iPs Lk/CI> bu r` 1N i�-UWS '1 iX� T 7�AL� -/ Vt LAY OUT UNDER TENT South No Wu (is _ FC = Fife G�J/buil Cr C:m Trrtt'ft*ratr of Ntamr ;AjeSt*Stanrje ISSUED BY KIRBY RENTAL, LLC Division of Kirby Rental Service & Sales 411 Hames Avenue Orlando, FL 32805 8051 Bayberry Road Jacksonville, FL 32256 MANUFACTURERS OF THE FINISHED TENT PRODUCT DESCRIBED HEREIN DATE: 5 -hr — /q // This is to certify that the materials used in the construction of the IV LZ&A&D *by the 41d / - 2a k- �' 0 , have been flame retardant treated (or are inherently non-flammable) Snyder Manufacturing Company Their registered application concern number F-140-01 is approved and registered by the State Fire Marshal and the application of said chemicals was done in conformance with the laws of the State of California and the rules and regulations of the State Fire Marshal. Flame Retardancy Cannot Be Removed By Washing And Is Good For The Life Of The Material. *THEIR Fabric Meets The Requirements Of Sp F-1407-01 Listed As NEPA-701 (Large S le REGISTERED Signed: APPLICATION CONCERN NO.