HomeMy WebLinkAbout100 Hays DrCITY OF SANFORD
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BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D SEP 2 0 201-5
Application No:
Documented Construction Value: $ / / VO U d
Job Address: _ _ / G) O H&!4y & Dri uf S'- f*rd r ( Historic District: Yes No
Parcel ID: Residential P Commercial
Type of Work: New Addition El Alteration W Repair El Demo Change of Use El Move
Description of Work: A_vw-P
Plan Review Contact Person: I -/' r-Ys-y Title:
Phone:Fax:Email: /r.c i r i /• f
Property Owner Information
NamePhone: -3q7-?6k 6'3 4y Street: c-
e Resident of property? : E' v-- City,
State
Zip: S&_4F1 3 2 7 7 J C Contractor Information
Name
SA rLr
c ( -two, ny-.7 Phone: Street: l02 142c-
sv Fax: e16)76 50 City, State Zip:
d( 3r,?_7Z 1 State License No.: Architect/Engineer Information
Name: Street: City,
St,
Zip:
Bonding Company: Address:
IVIA1 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: 5t6 Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application
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
S* nature of Contractor/ gent Date
Print Contractor/Agent's Name V '
Signature
DEBBIE BLANTON
MY COMMISSION # FF 178648
EXPIRES: February 25, 2019
Rondsd Thor Notary Public Underwriters
Contractor/Agent is Personally Known to Me or
Produced fD 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:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
9/1212016 SCPA Parcel View: 35-19-30-520-01300-0060 Property Record Card
Parcel: 35-19-
30-520-0 B00-0060 t. Owner: REYES
DAMARIS Property Address: 100
HAYS DR SANFORD, FL 32771 Parcel 35-19-
30-520-0 B00-0060 Owner REYES DAMARIS
Property Address 100
HAYS DR SANFORD, FL 32771 Mailing 2347 WALNUT
CANYON DR KISSIMMEE, FL 34758 Subdivision Name COUNTRY
CLUB MANOR UNIT 1 Tax District S1-
SANFORD DOR Use Code
01-SINGLE FAMILY Exemptions 2016 Work' ,
2015
Certified . Values I' Values.
Valuation Method Cost/
Market CosUMarket Number of Buildings
1 JF j 1
Depreciated
Bldg Value
13,334 17,144 Depreciated EXFT Value
i $200 200 Land Value (Market)
10,500$12,000 Land Value Ag
JusUMarket Value ' 24,
034 29,344 PortabilityAdl Save Our
Homes
Adl i $0 Amendment Adj 0
i $0 1$
0__._ P&
G Adj-
t $0 0 Assessed Value 24,
034 29,344 Aft Tax Amount
without
SOH: $597.00 r V 2015
Tax
Bill Amount $597.00 Tax Estimator Save
Our Homes
Savings: $0.00 TRIM Notice Help
Does NOT INCLUDE
Non Ad Valorem Assessments GIS Le al
Descri
t,'on ' LOT 6 BLK
B COUNTRY CLUB MANOR
UNIT 1 PB 11 PG
35 7 t 7
a
a x w axes, r r
f,, i..° a _ 1
xi , - '
Assessment
value, , Exempt Values Taxable Value r : .°,,• County General
Fund
i $24,034 $0 $24,034 Schools $24,034 ; $
0 $24,034 City Sanford $24,
034 $0 $24,034 SJWM(SaintJohns Water
Management) $24,034 $0 $24,034 County Bonds $24,
034 E $0 $24,034 k 7 I%
V9 ,'ry a C'Ti%^" ,; Sales ga : r ,,
r i tta ni": '.,.fi'.,
h, TV . at _.y.a,i4,',''"-w'4,1 ."-', .u ..,..,. r'' DescripUori 'Date 5?
Book ` Pagei Amount Qualified Vadlmp ,, a,? WARRANTY DEED
5/
1/2016 08688 1069 $25 000 Yes Improved SPECIAL WARRANTY DEED
11/1/2012 j 07905 0172 $100 [ No Improved CERTIFICATE OF TITLEw ,
9/1/2012
1
07863 ! 0577- 100 No
Improved WARRANTY DEED E 8/
1/2005 05866 , 1529 $142,000 j Yes Improved WARRANTY DEED _ 5/1/
2005 05737 0522 $80,000Yes Improved am - t Method FrontageDepth
UnitsRUnits
Pnce Larid Value LOT j 0.00
1 0.00 1 g $10,500.00 j $10,500 ry , E Butidin InforrrtaUon" "'
10, ' a
l.^5._...., ,.....E.,.
4° ,r': F..s.... M...r ...,'ia„9t,. http://parceldetai i.scpafl.
org/Parcel Detai I info.aspx?PID=3519305200B000060 1/2
SANFORD ELECTRIC COMPANY II, INC.
Electrical Contractors '
107 Commerce Way
Sanford, FI.32773
jdepoysec@gmail.com
407) 322-1562 — FAX (407) 330-1764
Contractor # EC13001943
COMMERCIAL
RESIDENTAL
SERVICE
Proposal
SPECIFICATIONS NO. 16-171R
AND ESTIMATE
Page No. 1 of 1 Page
Proposal Submitted to Phone Date
Damaris Reyes 347-768-0344 9-14-16
Street Job Name
100 Has Drive Panel Replacement
City, State and Zip Code Job Location
Sanford FI. 32771 Same
ATTENTION Job Phone
Tony tonylorenzo08@hotmaii.com
We hereby propose to furnish materials and labor necessary for the compietion ot:
Provide panel removal and replacements and installation of refrigerator duplex.
1)Disconnect small two circuit Federal Pacific panel in hall. Furnish and install new ITE Siemens two circuit
panel and fuse the same as existing.
2)Disconnect existing exterior panel feeders from meter base, disconnect existing circuitry and remove FPE
panel.
3)Provide new ITE Siemens W2040ML1200 200 amp panel. Provide (1) 150 amp main breaker and ground
bar. Install (3) 2/0 AL XHHW conductors from meter base to main breaker.
4)Provide new ITE breakers, (1) 2 pole 60, (1) 2 pole 50, (2) 2 pole 30's, (1) 2 pole 100 and (2) 1 pole 20's.
Reconnect existing circuitry as per wire sizing.
5)Relocate circuitry and receptacle for refrigerator.
WE PROPOSE hereby to furnish material and labor — complete in accordance with above specifications, for the sum o
One Thousand One Hundred Forty Dollars $ 1140.00
Payment to be made as follows:
Due Upon Completion
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike Authorized
manner according to specifications submitted, per standard practice. Any alteration or deviation from Signature (710t ape
above specifications involving extra costs will be executed only upon written orders and will become an.
extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays Note: This proposal may be withdrawn
beyond our control. Owner to carry fire, tornado, Builders Risk, & other necessary insurance. by us if not accepted with 30' days.
Our workers are covered by Workmen's' Compensation Insurance.
A_ C_CFP_TANCE OF PROPOSAL The above prices. specifications and
conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made
as outlined above. Signature
Date of Acceptance: Signature