HomeMy WebLinkAbout1111 S Magnolia AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:/1,17 - / q 'l%
Documented Construction Value: $ 3 0 g e
Job Address: 114 G/IJOaA A t/ Historic District: Yes � No ❑
Parcel ID: —% 9- 10- 646 " 13'9a - o 080 Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑
Description of Work: R _f- ®'' A= b✓ 4041 Nd V S F Irf &9L f `/Q it 44 P aS
a
✓J .sinew 0 (/
Plan Review Contact Person: -%4e /y/ 0I?RA Title: S U )0FRvt S0/C
Phone: Y67-5����- 16 09 Fax: `/G% `/ate g 93i Email: S lr�(/1Gf �% �ir/FSi&1f4#1 XZ .
c o�
Q Property Owner Information
Name MA R� l�A /"A/P%�'F� Phone: 491v- 59.2-7:L1�
Street: J/// S - M,4 &V 0 4SA Al/F Resident of property? : y s'
City, State Zip: S4-4) -Co Pb SZ_
3X77/
Contractor Information
Name ; G>, 9ZL9'/� �S /-oO4 Phone: A-107 3!4
Street: 151// S- 464JSso iRL Fax: yob has 993/
City, State Zip: 0 C44AJ 70 O f L 3 State License No.: of c <0 36 61; 3
Arch itecVEngineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 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, 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: 5" Edition (2014) Florida Building Code 0-1
O
Revised- lune 30, 2015 Permit Application 4V`\\
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 and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes❑ No ❑ # of Heads
APPROVALS: ZONING: 64 TW K UTILITIES:
ENGINEERING:
FIRE:
Plumbing - # of Fixtures
COMMENTS: z5ck-, AITk*SD GbF-U WP. : -
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I
D CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ 3,080
Job Address: 1111 S. Magnolia Ave. Historic District: Yes® No❑
Parcel ID: 25-19-30-5AG-1302-0080 Zoning:
Description of Work: Re -pipe & Replace 40 Gal. Gas W/H with new W/H.
Plan Review Contact Person: Jack Murphy Title: Plumbing Supervisor
Phone: (407) 841-3310 Fax: (407) 425-9934 E-mail: serviced' westbrookfl.com
Name
Street:
City, State Zip:
Property Owner Information
Marietta Parker Phone: 816-392-7208
1111 S. Magnolia Ave Resident of property? :
Sanford FI 32771
Yes
Contractor Information
Name Rick Polland Phone: (407) 841-3310
Street: 1411 S. Orange Blossom Trail Fax: (407) 425-9934
City, State Zip: Orlando, FI. 32805 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
CFC056645
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 No. of heads:
From: 818163332958 Page: 2/2 Date: 6/21/201610:08:12 AM
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 PROPER'T'Y. 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 NO'T'ICE 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 w en the
permit is released.
r-Jfrl n��
�' of 0—vueb 17mg62 Date N Si! totor/A mt Da� tr
Marietta parker
Print Agent's Name
sipam m ofNotary-State ofmosida- N'*I oouA' Datfi
ROBERT L. THATCH
Notary Publlc - Notary Seal
STATE OF MISSOURI
Jackson County
My Commission Expires:
247759 /2020
Owner/Agent is Personally Known ft97"
Produced ID Type of ID
ams
%isClair
/�(p
CHRISTINA L GLOVER
MY COMMISSION Y FF 06058D
EXPIRES: October 7, 2017
Bonded Thru Notary PuWr Underwnters
Contractor/Agent is _ 2_ Personalty Known to ft or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES: WASTEWATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
6/20/2016
Parcel Information
SCPA Parcel View: 25 -19 -30 -SAG -1302-0080
Property Record Card
Parcel: 25-19-30-5AG-1302-0080
Owner: WHITNEY JOAN H
Property Address: 1111 S MAGNOLIA AVE SANFORD. FL 32771
I : Value Summary
Parcel
25 -19 -30 -SAG -1302-0080
Owner
WHITNEY JOAN H
Property Address
1111 S MAGNOLIA AVE SANFORD, FL 32771
Mailing
427 BUTTONWOOD LN LARGO, FL 33770
Subdivision Name
SANFORD TOWN OF
Tax District
S1-SANFORD
DOR Use Code
0102 -SINGLE FAMILY - SANFORD HISTORICAL DISTRICT
Exemptions
Land Value (Market)
Land Value Ag
Jusl/Market Value " —
^ Seminole CountZ GIS
Legal Description
ALL LOT 8 & N 1/2 OF LOT 9
BLK 13 TR 2
TOWN OF SANFORD
PB 1 PG 60
Taxes
Tax Amount without SOH: $2,233.44
2015 Tax Bill Amount $2,233.44
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
2016 Working
Values
2015 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$89,761
I $85,114
Depreciated EXFT Value
$600
$600
Land Value (Market)
Land Value Ag
Jusl/Market Value " —
$24,030
$114,391
$24,030
t
$109,744—
Portability Adj
$114,391 1
$114,391
$114,391 '
$114,391t
$0
$0
$0
$0
Save Our Homes Adj
Amendment 1 Adj
P&G Adj
$0
$0
$0
$0
$0
$0
Assessed Value
$114,391
$109,744
Tax Amount without SOH: $2,233.44
2015 Tax Bill Amount $2,233.44
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http!/parceldetail.scpafl.orglParcelDetaillydo.aspx?PID=2519305AG13020080 12
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
$114,391 1
$114,391
$114,391 '
$114,391t
$0
$0
$0
$0
$114,391
$114,391
$114,391
$114,391
County Bonds
$114,391 I
$0
$114,391
Sales
Description
Date
Book
Page
Amount Qualified
Vac/Imp
WARRANTY DEED
QUIT CLAIM DEED
WARRANTY DEED
WARRANTY DEED
15/1/2007
14/1/2007
4/112001
06725
; 06725
04056
0099
1 0098
1736
$185,000 1 Yes
$100 No
$228,000 ; Yes
$98,000 I Yes
I Improved
Improved
Improved
Improved
Find Comparable Sales
Land
1
Method
Frontage
Depth
Units Units Price
Land Value
FRONT FOOT & DEPTH
89.00
117.00
$270.00
$24,030
Building Information
is Bed/Bath count incorrect? Click Here.
http!/parceldetail.scpafl.orglParcelDetaillydo.aspx?PID=2519305AG13020080 12
This form Is a statement of final loan terms and closing costs. Compare this
Closing Disclosure document with your Loan Estimate.
Closing Information Transaction Inf � Loan Information
Date Issued 6/15/2016 8wr Marietta Parker 1" Loan Term 30 years
Closing Date 6/15/2016 Purpose Purchase
Disbursement Date 6/15/2016 Kansas City, MO 64112 Product Fixed Rate
Settlement Agent Brokers Title of Longwood I, LLC
File 0 15-321 sella J. H. W. R. B. H. L. F. LLC Loan Type ID Conventional O FHA
Property 1111 S Magnolia Ave 1111 S Magnolia Ave OVAO_
Sanford, FL 32771-2830 Sanford, FL 32771 Loan ID a 6000105036
Sale Price $120,000 Lender Oakstar Bank NCO
•
Cant n •r s. . e clo ny
Loan Amount
$90,000
NO
Interest Rate
4.250%
NO
Monthly Principal & Interest
See Projected Payments below for your
Estimated Total Monthly Payment
$4.42.75
NO
Prepayment Penalty
Ib e n SR
NO
Balloon Payment
NO
Principal & Interest
$442.75
Mortgage Insurance
+ 0
Estimated Escrow
+ 284.74
Amount can Increase over time
Estimated Total
$727.49
Monthly Payment
This estimate includes In escrow?
Estimated Taxes, Insurance
$284.74
® Property Taxes YES
& Assessments
® Homeowner's Insurance YES
Amount can increase over time
a month
O Other:
See page 4 for details
See Escrow Account on page 4 for details. You must pay for other property
costs separately.
Closing Costs
S8,311.25
'
Includes $2,815.35 in Loan Costs + $5,711.70 in Other Costs -$215.80
In Lender Credits. See page 2 for details.
Cash to Close
635,623.27
Includes Closing Costs. See Calculating Cash to Close on page 3 for details.
Page I
Cddu.ms
Docafspic iftrwim
www.docmagk.com
.WWJD16
Closina Cost Details
alma and Other•Gtivarroncnt
d
I P a by
na on Gtarg�oa
01 %of Loan Amount (Points)
i
02 Processing Fee
5450.00
01 Homeowner's Insurance Premium (12 mo.) to Universal Property & Casualty
03 Underwriting Fee
S195.00,
07 Mortgage Insurance Premium( months)
fA/
I
03 Prepaid Interest ($10.4795 per day from 06/15/16 to 07/01/16)
05
I
06
;
05
07
4'
08
I
1
B. Bornowru Did Mot Shop
260.35
02 Mortgage Insurance per month for mo.
014506 Transcript Verification to Oakstar Bank
$26.00
1) t Property Taxes $176.16 per month for 5 mo.
02 Appraisal • Final Inspection to Holmes Appwhals/ R.IrVdunlon
I $175.00
04
03 Appraisal Fee to Holmes Appraisals / Reis Valuation
$425.00:
05
04 Credit Report to CBC Innovis
$28.05
r),
05 Flood Certification to Corelogic
$17.00,
i
06 Tax Service Fee to Oakstar Bank
$75.00
I
07 Verification Fee to Oakstar Bank / the Wk No
$14.30
;
08
01 Attorney Fees to Hildebrandt Law Firm Inc
$1,950.00 !
09
$251.50
03 Secured Records Management to Cash
10
r74 Title - Owner's Title Insurance (Optional) to Brokers Title d Longwood 1, LLC
'
I 5407.50 ! t
Bon Shap
1�N
06
i
01 Title • Closing/Escrow Fee to Brokers Title of Longwood I, LLC
$.00
08
02 Title - Endorsement Fee to Brokers Title d Longwood 1, LLC03
70; i
Title • lender's Title Insurance to Brokers Title d Longwood 1, LLC.50.
04 Title . Survey Fee to Swerdlotf and perry Surveying Inc.00
'
05
i
L-6
I
07
,
08
I
r
I
Loan-CostsSuhlotals_(A_t8 +
7.RIS 1%
alma and Other•Gtivarroncnt
01 Recording Fees Deed Mortgage. $177.50
$177.50
I
02 Fl State Tax.0035+.002 to County Recorder
$495.00 I
tit
1
1
01 Homeowner's Insurance Premium (12 mo.) to Universal Property & Casualty
$1,303.00 .
07 Mortgage Insurance Premium( months)
I
03 Prepaid Interest ($10.4795 per day from 06/15/16 to 07/01/16)
$167.67
04 Property Taxes ( months)
1
;
05
Paymr►t st
01 Homeowner's Insurance $108.58 per month for 2 mo.
$217.16 '
I
02 Mortgage Insurance per month for mo.
1) t Property Taxes $176.16 per month for 5 mo.
$880.80:
04
05
r),
f
07
08Athr ate Ad ustment
•5528.43 1
OerM
ww7,
01 Attorney Fees to Hildebrandt Law Firm Inc
$1,950.00 !
07 Municipal Lien Certificate Fee to Real now Re ieucN6anor Lien
$251.50
03 Secured Records Management to Cash
Ij
$40.00
r74 Title - Owner's Title Insurance (Optional) to Brokers Title d Longwood 1, LLC
'
I 5407.50 ! t
05 Transaction Fee to Re/Max Town Centre
i S350.00 '
06
i
07
I I
08
other mate G,htntala IF a F a G a HI
70; i
ffl—irfflmaar. r.
Ir odea Cn& ( a n CA %77 AS I I
Lender Credits (Includes S215.80credlt for Increase In Closina Costs above legal Iirlilt) -$215.80
Page 2
Cd dlc.md
DwIllsg/e dubrim
www.docmagk.com
.oravrora
Date: 6120-16 Project: re -pipe
Buyer: Murietta parker Location:
Address: I1 1 I N9agnolia Avenue Reference:
Sanford FL. 32771 Phone: 816-392.7208
Fax:
Ismail:
Westbrook Service Corporation, herein atter referred to as "Westbrook", proposes to lumish the products and scrvicc
described below subject to all the Terms and Conditions listed on the auached REV 42893A pages I. 2 & 3. For your
convenience, the primary esscntlals are shown here on. Any changes to the terms and conditions must be initialed and
dated by both signatories to this agreement.
Proposal
Re -pipe entire 1 Yz bath house thru crawl space and walls with Pex pipe, Install 40 Fallon natural gas w/h.
Price includes permit fee,plaster wall repairs, and comes with a 10 year warranty on re -pipe, Rheetn water
heater 6 year manufacture warranty, and 1 year water heater• warranty from Westbrook.
1. Re -pipe $2930.00
2. Water heater $500.00
Subtotal S3450.00
Rebate -MO -00
PRICE: 53080.00
Price: Bonds are not included but can be furnished tit extra cost. On-site labor provided by us will he non-union.
Payment: Our month-end invoices will be payable by the 10th ul' the subsequent month. No retainage or discounts.
Acceptance: Price quoted is good for 30 days unless extended in writing by Westbrook. If acceptable, sign and return
within 30 days. Contract is binding only when accepted and signed by an officer of Westbibok. 1f you issue your own
purchase order or contract, it must include the sonic prier, terms and conditions
from this proposal. if your contract has additional terms, they will be subject to Wcstbrouk's approval. This contract is
non translcrablc.
WESTBROOK PROPOSAL, HUYER ACCEPTANCE
BY: Jack Murray BY:�/�j�����/�
Residential Plumbing Manager
DATE:_ _ _ 'AML"": f%1� %%/7
DATE: Q(P --,A9 -.fid/TITLE: 0U) %1 eke
WE STBROOK ACCEPTANCE
BY:
DATE: I'I'rI.F
From: 818163332958 Page: 1/2 Date: 6/21/201610:11.11IN111111111 VIII 1116111111 HE Iifi
THIS INSTFOARRO Ry.
Name: t® hen WI lams
Address: 141'1 S Orange RloQaorrl Trail Orlando FI 32805 _
(407) 84j;3AjQ
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number. 25-19.5AG-1302.008
MARYAN14E MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT 1, COMPTROLLER
BI; -'9 528 2016066182)
CLERK'S
RECORDED 06/27/201L 08:12:14 AN
RECIm.,DING FEES $10.0►j
REGQ��;�"tl+#evore �ctr�ect4
. �wh
A NNE MANDORSE( : s
CLEERKRO HECI Ty
r
COMP T OILER :'o=
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordaW with ChiipJ4j/713 flb da Statuq*p(JW CLERK
following Information is provided in this Notice of Commencement 70 J§
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) L �J
Nes dentia' 1111 s Magnolia Ave Sanford Fl 32721 - All Lot 8 & N 1/2 of Lot 9 01k 13 TR 2 -Town of Sginford PB 1
c 2 Rn
2 GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Pine - Gas W/H
3. OWNER INFORMATION OR LESSEE; INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Marietta Parker - 1111 S. Magnolia Ave. Sanford FI 32771 - _
Interest in property: Owner
Fee simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: RIER Vol Ian07VV0StbrOOKervl S = Phone Number. (407) 841-3310 _
Address: 1411 S. Orange Blossom Trail -Orlando, FI 32805
5. SURETY (If applicable, a copy of the payment bond Is attached); Name:
Address: Amount of Bond:
S. LENDER: Name: Phone Number.
Address:
7, Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713A3(1)(a)7., Florida Statute&
Name: Phone Number.
Address:
ti. In addition, Owner designates
Of
to receive a copy of the Lienors Notice as provided In Section 713.130)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date Is specified)
WAR RNIN W OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that ve read the foregoing and that the facts stated In It are true to the beet of my knowledge and
belief
12 Marietta Parker
(SVMbA't Lessee, Oenor a or l6aaea': INN Nem and PwAft aignatWe Tae/OMao)
Atuarhad OlrgerlplrepprlparmnenManay�r)
State ofICounty of
The foregoing Instrument was acknowledged before me this Z% day of 206
by Marietta Parker Who Is personally Known to meS3OR
Nemo of parsan maWrq stabment
who has produced Identificationotwe of Identification produced: 4 L��
ROBERT l» THATCH
arySe
Notary Public •Notary Seal f/
STATE OF MISSOURI
Jackson County Nay sronaU" 103903
My Commisslon Expires: 1 /3112020
Commtsslon # 12477597
LIMITED POWER OF ATTORNEY
Date: 06/20/16
1 hereby name and appoint: Stephen Williams
an agent of: Westbrook Service Corp.
Imarne ow r
to be my lawful attomey-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):
All permits and applications submitted by this contractor.
Or
® The specific permit and application for work located at:
1111 S. Magnolia Ave
(Street Address)
25-19-30-5AG-1302-0080
(Scope of Work)
License Holder Name: Rick P011and
State License Number:
Signature of License Ht
STATE OF FLORIDA
COUNTY OF Orange
The foregoing Instrument was acknowledged before me this day of
2016 , by Rick Polland who is ® personally known to me or
GwY h has produced as identification
did (did not) lake an oath.
NEWSOME
Pv;4+%(IsNolary Public - Slate of Florida
• ; •= Commission re FF 214512
,y • BMonde hroughNatioxpiFeS Jul taryAs7. n
h National Notary Assn.
Cf S A)• A)MUOM
Print or type Notary name
Notary Public - State of
Commission No.
My Commission Expires:
BP006U01 CITY OF SANFORD 7/06/16
Edit Narrative 14:26:23
Application number, type .
Property address . . . . . . .
Type information, press Enter.
16 00001776 PLUMBING PERMIT
1111 MAGNOLIA AVE
Scope of work limited to interior and no visible work on
exterior of building/site.
T S: 07/0-6-720-16 02:26 PM DALTONC-----------------------
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