HomeMy WebLinkAbout112 Boulder CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
r h< PERMIT APPLICATION
SEP 14
Application No: 7BY": I a
Documented Construction Value: $ Pi
Job Address: l l w" 3 77 I Historic District: Yes No
Parcel ID: Residential ® Commercial
Type of Work: New Addition Alteration 9 Repair Demo Change of Use Move
Description of Work:
ell
pi-e SPlanReviewContactPerson: r'I (J -6i r Title:,
Phone: Fax: 0 % a' — %/ / Email: /P q S d lea
Property Owner Information
Name -5szq L( vi l Phone: Z741 7 — 57— - —I- I ,
Street: -_L f Resident of property?
City, State Zip: J T )- % 7 /
Contractor Information
Name Phone:0 9 —79 % — % S
Street: r Fax:o% b 7
City, State Zip: F ( 32-1- 2- 2 State License No.:C
Arch itect/Eng 1 neer 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. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5tn Edition (2014) Florida Building Code
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.
Sign ure o Qw4;lrtgt•rrt- ate Signature of Contractor/Agent
Print Owner/Agent's Name
q ^1 4 ,
of Notary-Statebf/lorida _ Date
JOANN M. JOHNSON
MY COMMISSION I FF g56284
EXPIRES: March 23, 2020
Bonded Tflru Notary Public Underwriters
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is rsonally Known to e or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID `L` Produced fD Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: 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:
1 THIS
Nan
Add
NOTICE OF COMMENCEMENT
Permit Number:
f1rt1:'ti;htl'ih: I'IEV.,;r::r ?3ia.'1:1:('It7l..E (10U11T
il' t_ 1:1 (;i_1T i ff)illi:i' ,? is+{'!F` i t +:)l...I..f:a
r 1:
CLERK'S v 201E+.+ fjvi•1u
ItF::Gt:IRI:)F.:T ii°;; 1 i i:'C:+:1 ; !::i:}- ;; t+;.
ICEC0RDI C!" LBY
Parcel ID Number: 33 19 " 76 {290
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2. GENERAL DESCRnIPTIOfI OF IMPROVEMENT:
3. OWNER INFORMATIO `OR LESSEE 1 FORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Phone Numbers
Address: ' % 1%i. y L f7 F Z'Z z
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number: Lu
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may served as provided by ('ettion
713.13(1)(a)7., Florida Statutes. 0
Cr J
Name: Phone Number: r w
T
1
Address:
8. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(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)
WARNING TO 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.
y ror Lesseeor Cvner's or Lessee's N ''-(Pfl' t" ame and Pr ide Signatory's TWe/Office)"
JfficerlDi rect d NP arine r/Manager)
State of G' County of4'
The foregoing instrument was acknowledged before me this l day of I' I'2 20 i
byWho Is personally known to me i] OR -- Name
of person making statement who
has produced Identification a type of ideritification produced: - v 3MW--
0i53S
ONELA QAQNE98t594 April
28, 202QNotary Sign te re ta .
o0m
Property Record Card
01^d CFA011— l Parcel: 33-19-30-518-0000-1780
Owner: KING HAJAR RER
Property Address: 112 BOULDER CT SANFORD, FL 32771
Parcel Information
Parcel 33-19-30-518-0000-1780
Owner I KING HAJAR R
Property Addresl 112 BOULDER CT SANFORD, FL 32771
Mailing 112 BOULDER CT SANFORD, FL 32771
Subdivision Name COUNTRY CLUB PARK PH 3
Tax District S1 -SANFORD
DOR Use Code '01 SINGLE FAMILY
Exemptions OMESTEAD(2008) 06-H
93.45
8
07 9
N
1 ctiC6 Sem inole COUnty GIS
Legal Description
LOT 178
COUNTRY CLUB PARK PH 3
PB 58 PGS 12-13
co
7421
550 0
In 50
Tax Amount without SOH: $1,807.16
2015 Tax Bill Amount $1,293.43
Tax Estimator
Save Our Homes Savings: $513.73
TRIM Notice Heir)
Does NOT INCLUDE Non Ad Valorem Assessments
I
Value Summary
F
2016 Work0Working
Values
01ified2 ' I Certified
Values Vallues
Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value 114,610 101,156
Depreciated EXFT Value
Land Value (Market) 32,000 28,000
Land Value Ag
JUst/Market Value 146,610 I $129,156
Portability Adj
Save Our Homes Adj 1 $41,970 25,243
F Amendment_''1_Ad_j
P&G Adj 0 o
Assessed Value 104,640 103,913
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
I County Bonds 104,640 = 50,000 54, 4C
SJWM(Saint Johns Water Management) 104,640 50,000 i 54,640
County General Fund 104,640 50,000 54,640
City Sanford 104,640 50,000 54,640 i
Schools 104,640 25,000 79,640
Sales
Description ate FBook Page Amount Vac/ImpQualified
it
WARRANTY DEED 6/1/2007 i 06734 1108 215,000 Yes Improved I
SPECIAL WARRANTY DEED 5/1/2001 04080 i 0906 118,300 Yes Improved
WARRANTY DEED 1/1/2001 04033 0640 24,000 Yes Vacant
C 'SAtzl.-
Land
Method Frontage FDepth i Units Units Price Land Value
LOT 1 32,000.00 32 000 1
Building Information
Is Bed/Bath count incorrect? Click Here.
Yp..qr Rinit 7—
Description i Actual/Effective I mxtures 1 bea batn base Area I otal w- Living z5F
j
I txt vvall I ACIJ value ; Kepi value Appenclages
17_,N`GLE
L -
2001 6 3 2,0 1,306 1,910 1,306 CB/STUCCO $114,610 $120,960 Description Area
FAMILY FINISH 1
GARAGE
FINISHED
0
OPEN
PORCH i 36.00
FINISHED
SCREEN
PORCH 136.00
SHED
Permits
Permit # D - escription . . . ...... .. . Agency Amount CO Date Permit Date
00960 NEW -RESIDENTIAL iSANFORD 120,694 5/4/2001 1/1/2001
Extra Features
Description i Year Built I Units I Value I New Cost
No Extra Features
LIC # CCC1330939
LIC # CRC1331435
PROPOSAL SUBMITTED TO
STREET
Ins. Co, i SeCQs', Licensed &
Insured First
in Quality Tel.# First
in Service First
in Satisfaction Claim # 800-
411-0920 Adj. Name 6767
Hoffner Avenue Tel. # Orlando, Florida 32822 Fax #
CITY,
STATE, ZIP T6 rU t--L- S L/ / HOME
PHONE ( L(07) IJ DATE '
T l C `IC SUBDIVISION
BUSINESS
PHONE C((07) 731 SPECIFICATIONS
FOR LA13OR AND MATERIAL 43
T Off Shingles: s `ayejs essionally
Install: Brand i`` 3 Type - I/ Color Cal
New -Valleys Ft 0Ze'
al, 11:
13 30 lb. -Felt Peel & Stick Synthetic Undedayment sidewails,
counter and waft flashings O Re -Use Drip Edge Drip Edge 1-
112" 2" X 4' or Plumbing Vents tfation:
Goose Necks Off Ridge Vents Ridge Vents Color ena!
I Plywood Sheathing to Code SS
igh# 2x2 4x4 0'
P vood replaced at $60 - per sheet (if needed aand
haul off offall job related trash oil yard w vitfi+ ma neticfolle-rp Protect yard aitd shrubs L.
J C rCl G 6
Atlantic
Roofing is not responsible for pre-existing structural conditions. Buyers
agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT
This
proposal Is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by Insurance company. Property
owner's out-of-pocket expense is not to exceed the deductible amount The Insurance company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHEN RECEIVED. We
propose to hereby furnish materials and labor, complete In accordance with above sped *tions for the sum of the insurance as per the insurance company
loss scoA Ich igJocprporated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
incurred S `% Payment uponcompWlion of each trade. Authorized
Signature' Must
be approved by company owner. No other work eikpres changes.
NOTE: This proposal may be withdrawn by us if not ACCEPTANCE
OF PROPOSAL- The above prices, work
as specified Payment
will be made as outline above C- verba
ly. All changes to be In writing and accepted before commencement n
30 jdays. and
are hereby accepted. You are cauthorizedto doo theDate
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit
I, hereby acknowledge that I personally inspected
Roof deck nailing and/or 4econdary water barrier work
at vIrip v and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Signat re of Contractor
Printed Name of Contractor
a- ;LD--L Co
Date
License #
License Type: 0 General Building Residential Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF JPr- *-jo I Q
Swo n toor affirmed) and sub cribed before me this o1 i-,day of M , 20 + , by7+ C(e [ C5a , who is Personally Known to me or has Produced (type of
i entification) as identification. Ly, ZC--t (SEAL)
Signature of Notary Public
State of Florid
ti O e L- - a%Cc3L7-TUSCOTT Print/
Type/Stamp Name t1$® of
Notary Public M Assn.
3