HomeMy WebLinkAbout103 W Woodland DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: A I75�/
n Od
Documented Construction Value: S. vb Sa
Job Address: 1015 Gil "alcyw �>r &npardk Historic District* es [INo ❑
ParcellD: V-34' -OI Yd Residential Commercial❑
Type of Work: New ❑ Addition Ef Alteration ❑ Repair ❑ Demo ❑ Cbange of Use❑ Move ❑
Description of Work: Reiolao„no. I Yd tomat, 6eaiwi t° G.b-fci hezz-t.4•-
Plan Review Contact Person: 15-) A S / Title:
Pbone:'Vb i -Z "- N6-49 x: Email:
Prop�rty Owner Information
Name I -t(, ASikT5, IL -LC- C- Awr*4 ,.,y ATe 0305) 543--c44-+,-..
Street: ?tet S Mtlr-%4*nTA+4 lM eA 13W0 di le,0 Resident of property?:
City, State Zip: AtZ�P'r oo i & rfi 10 CA' 902an
n Contractor Information
Name RI CLS (JIUMIa•' � ti &a 'I Phone: q02. 2Y7' Y39-t-
Street:I0IS jrw ls,d (/h -'l- Fax:
City, State Zip: t3rbf%d o 32-J-17 State License No.: �C' �f2 al / a
ArchitecVEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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. 1 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters. tanks, and air conditioners, etc.
FDC 1053 Shall be inscribed with the date of application nod the code In effect as of that date: S' Edition (2011) Florida Building Code
Revised: June 30, 2015 Pamit App1'uation
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.
OMr'S AFFID T: I certify that all of the foregoing information is accurate and that all work will
be on io compli c with all applicable laws regulating con tion and zoning.
S% /C
Signature of Owrred t Date SillrpafContructorfAgent Dote
A -T m -f A -04.r* .A
Prim Owner/Agem's Name
KUMI IE CARL Tiap
c1/ /
Ora of for" Date
° My Comm. Expires Aug 25, 2018
'•:;�aGmm.
I FF 153997
Owner/Agent is _ Personally Known to Ke or
Produced ID wG Type of ID -,c-C
Name
r10
Wary Public - State of Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
.rVI1Y aYWIIAb41.1 IJ Y)JV..a
Produced ID oo Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[:] 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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: lune 30.2015 Permit Application
6-1111,16
I
'Detail by Entity Name
Detail by Entity Name
Foreign Limited Liability Company
HMC ASSETS, LLC
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
M15000003521
27-1342261
05/06/2015
CA
ACTIVE
Principal Address
2015 MANHATTAN BEACH BLVD., STE 200
REDONDO BEACH, CA 90278
Mailing Address
2015 MANHATTAN BEACH BLVD., STE 200
REDONDO BEACH, CA 90278
Reaistered Aaent Name & Address
NATIONAL CORPORATE RESEARCH, LTD., INC.
115 North Calhoun St.
Suite 4
Tallahassee, FL 32301
Address Changed: 07/07/2015
Authorized Person(s) Detail
Name & Address
Title MBR
MCCARTHY, GARY
2015 MANHATTAN BEACH BLVD., STE 200
REDONDO BEACH, CA 90278
Title MBR
HELFRICH, JAMES A
2015 MANHATTAN BEACH BLVD., STE 200
REDONDO BEACH, CA 90278
Annual Reports
Page 1 of 2
http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetai 1?inquirytype=Entity... 5/17/2016
'Detail- by Entity Name
Report Year Filed Date
2016 03/11/2016
Document Images
Page 2 of 2
03/11/2016 -- ANNUAL REPORT I View image in PDF format
05/06/2015 -- Foreign Limited View image in PDF format
Copyright ® and Privacv Policies
State of Florida, Department of State
http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 5/17/2016
"SCPA' Parcel View: 12-20-30-501-0000-0140
Page 1 of 2
Property Record Card
1rP4A11%i1P10ffA
CFA Parcel: 12-20.30.501-0000-0140
Owner. HMC ASSETS LLC TRUSTEE FBO
OeWDLROO1Jr' `�`� Property Address: 103 W WOODLAND DR SANFORD, FL 32773
Parcel Information Value Summary _�
Parcel
12-20-30-501-0000-0140
Owner HMC ASSETS LLC TRUSTEE FBO
Property Address
103 W WOODLAND DR SANFORD, FL 32773
Mailing
2015 MANHATTAN BEACH BLVD #200 REDONDO BEACH, CA
90278-
027&Subdivision
SubdivisionName
SOUTH PINECREST 2ND ADD
Tax District
S1-SANFORD
DOR Use Code 01 -SINGLE FAMILY
Exemptions
-- -
N
Q"14 Na, N
r �
80 80 90
Tax Amount without SOH: $1,221.00
2015 Tax Bill Amount $1,221.00
Tax Estimator
Save Our Horses Savings, $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
2016 Working
Values
2015 CertDed
Values
Valuation Method
Cost/Market
CosUMarket
Number of Buildings -
1 -
1 - --
Depreciated Bldg Value
$46,321
$45,976
Depreciated EXFT Value
-- -
No
Land Value (Market)
$14,000
$14,000
Land Value Ag - -
- --
- -
JustfMarket Value " -
$60,321
Taxable Value
Portability Adj -- --
- - -
t�%976
-
Save Our Homes Ad -j-
Amendment 1 Ad1
$0
P6GAdj--Assessed
rWO,
s0
Value
1
$59,976 -
Tax Amount without SOH: $1,221.00
2015 Tax Bill Amount $1,221.00
Tax Estimator
Save Our Horses Savings, $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
Date
Book
Page
LOT14 _ —
-._..--.--- - --• --•-----
--
Vadlmp
SOUTH PINECREST 2ND ADD
14/1/2016
{ 08676
0622
PB 10 PG 89
$100
No
j Improved
Taxes----------------
---- ---- ---- - ------•------------
-----�-+-----
08635
—
0270
Taxing Authority
Assessment Value Exempt Values
No
Taxable Value
CERTIFICATE OF TITLE
County Bonds
$60,321
$0
- - - -----
$60,321
Schools
I $60,321
s0
3/1/2002
$60,321
County General Fund
$60,321
SO
$60,321
SJWM(Saint Johns Water Management)
$60,321 1111
s0
-
$60,321
CRySanford -
-- $60,3211 -
$0
$60,321
Sales-------------- •---------
-- -- --------------------------------
Description
Date
Book
Page
Amount
Qualified
Vadlmp
OUIT CLAIM DEED
14/1/2016
{ 08676
0622
$100
No
j Improved
QUIT CLAIM DEED -
- �.. =
2/1/2016
-----�-+-----
08635
—
0270
!~
$100
No
- - -
Improved
CERTIFICATE OF TITLE
-
; 1/1/2016
08621
0348
- - - -----
$100
-
No
- - • -- -ter- ----- - --• - -
Improved
WARRANTY DEED
3/1/2002
04349
0172
$82,500Yes
--
OUIT CLAIM DEED
-- - -
2/1/2002
-
04349 - x0174
-
$100
-
No
- - rImproved - - -
Improved
Find Comparable Sales�Comparable Sales___
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 0.001 1 ' $14,000.00 514,000
Building Information
Is Bed/Bath count incorrect? Click Here. _ --
# Description Year Built Failures Bed Bath
ActuallERective Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=12203050100000140 5/17/2016
t L SCPA Parcel View: 12-20-30-501-0000-0140
Page 2 of 2
1 SINGLE
1957 6 3
2_0
1,264
' 1,914 1,464 CONC
$46,321
I $78,845
Description
Area
FAMILY
BLOCK
+
OPEN PORCH
72.00
FINISHED
ENCLOSED
i
I
t
PORCH
20000
FINISHED
t
CARPORT
1266.00
i
UNFINISHED
1
I
I
UTILITY
L
i
I i
UNFINISHED
(112'00
Ll
Permits-------•
- - — --------
--•— - ------ -- ------------------------
--
Permit p
Description
Agency Amount CO Date Permit Date
00065
ADDITION - RESIDENTIAL
SANFORD I $2,200 i
10/5/2005
Extra Features
- ------------------------
-------- ---------
-
Description
Year Built
Units Value
New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=12203050100000140 5/17/2016
w iAft
AMERITRUS
RESIDENTIAL SERVICES
SUBCONTRACTOR
WORK AUTHORIZATION FORM
Project Name and Address:
103 W Woodland Dr Sanford FL 32773
Project Manager:
Luis Diaz
Project Owner:
HMC Assets LLC
Contractor Name and Address:
Ameritrust Residential Services, LLC
3525 Piedmont Rd, Building 7 Ste 700
Atlanta, GA 30305
Subcontractor Name and Address:
BiasiPlumbing, LLC
This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Alereement")
between Ameritrust Residential Services, LLC ("Contractor") and
BiasiPlumbing, LLC ("Subcontractor"), dated May 18, 2016 with respect to
the Project identified above.
This Work Authorization Form between Contractor and Subcontractor modified and supplements the
provisions contained in the Agreement and all other Contract Documents incorporated therein by reference
with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall
have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity
between the terms and provisions of this Work Authorization Form and any other Contract Documents, this
Work Authorization Form shall control.
ARTICLE I
PAYMENT SCHEDULE
I.I. Contract Payment. In consideration for the performance of the Work (defined below), Contactor
shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by
Change Order, as provided in the Agreement. Total Price for the Work
described in this Work Authorization Form is 5950.00 which shall be paid in accordance
with the provisions of the Agreement.
1.2. Final Payment. A final payment of $950.00 shall be made by Contractor upon
Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the
Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final
Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice
and a full release of all Subcontractor claims from the Subcontractor.
1.3. Invoices. The Subcontractor shall submit an invoice to Contactor referencing the Project and obtain
the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500
Piedmont Rd, Ste 725, Atlanta, GA 30305
ARTICLE II
CONSTRUCTION SCHEDULE
2.1. Schedule. All construction activities will be completed within 3 days starting on
5/15/2016
ARTICLE III
SCOPE OF WORK
3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the
Project: See Exhibit A attached.
3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to,
related to, or necessary to complete the above Work, for the above Work to be functional, or where typically
provided under industry custom and practice, even if the Work described in the above scope is discussed in
other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications
referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all
applicable, codes, regulations, laws and ordinances.
ARTICLE 1V
CONTRACT DOCUMENTS
Ameritrust Master Subcontract Agreement
Exhibit A — Scope of Work
Exhibit B — Waiver and Release Upon Final Payment
Exhibit C — Contractor's Final Payment Affidavit
AA O
PMB
IN WITNESS WFIEREOF, this Agreement has been signed and delivered as of the date first written
above.
Signed, sealed and delivered in the
presence of:
Witness
Signed, sealed and delivered in the
presence of-
Witness
f
Witness
GENERAL CONTRACTOR: Ameritrust
Residential Services, LLC
Luis Diaz , Project Manager
CONTRACTOR:
BiaslPlumbing, LLC
pe'r�< K S;as;
Pow M 003J tMer +B. 2015) , Authorized Signer
All
PMB
A
Exhibit A — Scope of Work
AMERITRUST
RL SIDLNI IAL SLRVIC LS
Property Address:
Subcontractor.
lob Total:
Contract Start Date:
Days in Contract:
Ameritrust PM
County
Owner
103 W Woodland Or Sanford Fl. 32773
B1asiPlumbing„LLC
$950.00
5/15/2016
3
Luis Dla: ,
Seminole
MMC Assets
EXHIBIT "B"
WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT
The undersigned lienor, in consideration of the sum of the final Payment in the amount of
[ I($ ), hereby waives and releases
its lien and right to claim a lien for labor, services, or materials furnished to
a Ameritrust Residential Services, LLC o on the job of HMC Assets LLC
to the following described Property.
INSERT LEGAL DESCRIPTION OF PROPERTY
103 W Woodland Dr Sanford FL 32773
DATED on
BiasiPlumbing, LLC
EXHIBIT "C"
CONTRACTOR'S FINAL PAYMENT AFFIDAVIT
STATE OF FLORIDA
COUNTY OF Seminole
Before me, the undersigned authority duly authorized in the State and County aforesaid to take
acknowledgments, personally appeared BiasiPlumbing, LLC (the "Affiant"), who, after first
being duly swom, deposed and stated the following:
1. He or she is the Owncr/President, of BiasiPlumbing, LLC which docs business in the
State of Florida, hereinafter referred to as the "Contractor."
2. Contractor, pursuant to a contract with ( HMC Assets LLC ) , hereinafter referred to as
the "Owner," has fumished or caused to be furnished labor, materials, and services for the construction of certain
improvements to real property as more particularly set forth in said contract.
3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the
purposes of obtaining final payment from the Owner in the amount of $
4. All work to be performed under the contract has been fully completed, and all lienors under the direct contract
have been paid in full, except the following listed lienors:
NAME OF LIENOR AMOUNT DUE
103 W Woodland Dr Sanford FL 32773
Signed, scaled and delivered this day of 120
SWORN TO and subscribed before me this day of 20_,
by who [ ] is personally known to me, or [ J produced a Florida driver's license as
identification.
Notary Public