HomeMy WebLinkAbout125 Sanora BlvdJob Address:
Parcel ID;
Type of Work:
Description of Work:
Plan Revie wy
Contact Person: T*-Ut"T i
Phone o'l '2200 Fax:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $U
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Residential R Commercial
Change of Use Move
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Property Owner Information
Namahnlf I 19AAWS Phone:('%, A I -fl3(A
Street: JZ Resident of property?
City, State Zip:
Contractor Information
Name fb 6M T &I AS Phone: 4 / _CP 4' aaf
Street:TOO ; 5 - Fax: ---cq",-)49 - d-4, S
City, State Zip: dwado a • State License No.: af-(4, 4_ '
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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: 5th 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.
Signatur wner/Agent Date Signature of Contract Agent
p f
Date
1 C IP; T iISTC
Print Owner/Agent's Name t o for/Agent'
6
s
Signature o otary- , pEgglEgtpN7Ye Signature of Notary -State of Florida Date
A1Y COMMISSION # FF 1786481 `* 25. 2019
j
v _
EXPIRES: February
Bonded Thru Notary Public underwriters
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID 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: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015
Permit Application
9/19/2016 SCPA Parcel View: 07-20-31-505-OG00-0080
r ?
Property Record Card
Parcel: 07-20-31-505-0GOO-0080
Owner: SELLERS DANIEL B & ELIZABETH B
sr:rcx rxx rsv, a-
Property Address: 125 SANORA BIND SANFORD, FL 32773-7330
Parcel Information Value Summary
Parcel j 07 20 31 505-- -0080 2016 Working 2015 Certified
Values Values
Owner SELLERS DANIEL B & ELIZABETH B
FORD FL 32773 7330p
Number of Buildings 1 1
RD FL 32773 7330Mailing125SANORABLVDSANFO
3
Depreciated Bldg Value $86 342 i $76,465
7SubdivisionName ; SANORA UNIT 1 AND 2 RFPLAT.................................. ....... . _ __._
Depreciated EXFT Value $4,126 $4,192
Tax District S1 SANFORD -
Land Value (Market) $19 000 $17,500
i DOR Use Code 01 SINGLE FAMILY i t " "-'
1,..
r E Land Value Ag
Exemptions 00-HOMESTEAD(1994)
W W ( Ju tlMarketValue" $109,468 $98,157
I Portability Adj
Save Our Homes Adj 20 824 $10 129
w _..
Amendment 1 Adj
P&G Adj $0 $0
Assessed Value $88 644 $88 028
m
Tax Amount without SOH: $1,176.29i
4 — 1 2015 Tax Bill Amount $970.16
Tax Fstimator
Save Our Homes Savings: $206.13
TRIM Notice H_c
Does NOT INCLUDE Non Ad Valorem Assessments
aunty GIS
Legal Description
E 13.26 FT OF LOT 8 + ALL .._
LOT 9 BLK G
SANORA UNITS 1 + 2 REPLAT
PB17PG11
Taxes
Taxing Authority 3 Assessment Value ExemptValues Taxable Value
County General Fund 88 644 j 50,000 38,644
Schools 88,644 i 25,000 63,644
City Sanford 88 644 50,000 38,644 1
SJWM(Saint Johns Water Management) 88 644 `:, 50,000 38,644 ,
County Bonds
i
88,644 50,000 ` 38,644
Sales
Description Date Book Page Amount I Qualified Vac/Imp
WARRANTY DEED i 4/1/1993 12579
W..
0236 63,500 Yes Improved
WARRANTY DEED 7/1/1992 02450 01.41 100 No Improved
I I ADMINISTRATIVE DEED 4/1/1992 02432 1846 100 No Improved
PROBATE RECORDS 10/1/1991 0235t_ 1624
I
100 No Improved
WARRANTY DEED 1/1/1975 01068 0892 39 000 Yes Improved
Mes
Land
Method ( Frontage Depth F Units Units Price Land Value
E.... ........... ..........
I LOT
i
I ........
1 19,000.00 19,000 i
i Building Information
http://pareeldetail.scpafl.org/ParcelDetaiI lnfo.aspx?PlD=0720315050G000080 1/2
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MIN
DATE: — °
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I hereby name and appoint Y( C fi A of
to be my lawful attorney in fact to act for me and apply to the
building permit for work to be performed at a location described as:
Section:
Parcel Number:
lad C
Township::
ir
I
j ljm
Lot:
Aress of Job) Owner
of Property and Address) And
to sign my name and do all things necessary to this appointment. Michael
J. Reynolds Owner
to Type or Print name) Owner'
s Signature) STATE
OF FLORMA COUNTY OF Orange of
Block:
Department
for a This
instrument was acknowledged before me this act day of l by
the above
referenced individual, and who is personally kn n to me or who produced as
valid identification and who did not take an oath. WITNESS
by my hand and official seal t ' 10— day of, Signature
of Nkii 1 N i.. gr1' - Printed
Name of Notary Commission
Number Commission
Expiration SEAL:
Viv
gip"
9 •' aFs
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991064 oDnded«
1°°.••Q PO Box
574597 * Orlando, Florida 32857-4597 407) 249-
2200 * (407) 249-2285 Fax
7 ®
A o CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
6/15/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Gentry Insurance Agency
175 East Main Street
PO Box 2046
APOPKA FL 32704-2046
CONTNAMEACT Amanda Bonventre
PHONENo_ (4D7) 886-3301 No: (907)886-9530
E-MAIL Amanda@Gentryins.comADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURERA.White Pine Insurance Company 11932
INSURED
Michaels Plumbing of Central Florida, Inc.
P 0 Box 574597
Orlando FL 32857
INSURER B AutO-Owners Ins Co 18988
INSURERC:Conifer Holdings, Inc. 29734
DBrid efield Employers Ins. Co. 10701INSURER
INSURER E :
INSURER F :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRLTR TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD POLICY NUMBER
POLICY EFFMM/DD/YYYY POLICY EXPMMIDDIYYYY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
wPCP004560 6/20/2016 6/20/2017
CH OCCURRENCE 1 , 000 , 000
TO RENTED
EMISES Ea occurrence
100,000DAMAGE
ED EXP (Any one person) 000
RSONAL&ADVINJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
LOCJECT
GENERAL AGGREGATE 2,000,000
PRODUCTS - COMP/OPAGG 1,000,000
Employee Benefits 1,000,000
OTHER:
AUTOMOBILE LIABILITY(EaCOMBINEaccidentSINGLE LIMIT 1,000,000)
BODILY INJURY (Per person)
B OWNED
ANY AUTO
ALL OWSCHEDULED AUTOS
X AUTOS NON -
OWNED HIRED
AUTOS X AUTOS Ix9543024200 6/20/2016 6/20/2017 BODILY INJURY (Per accident PROPERTY
DAMAGE Per
accident X
UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000 AGGREGATE
51000,000 C
EXCESS
LIAB CLAIMS -MADE CIUL000163 6/20/2016 6/20/2017 DIDTX
RETENTION $ 10 000 WORKERS COMPENSATION
X I STATUTE OETRH E.L. EACH
ACCIDENT 1 000 000 D AND EMPLOYERS'
LIABILITY
Y I N ANY PROPRIETOR/PARTNER/
EXECUTIVE OFFICER/MEMBER EXCLUDED?
Mandatory in NH)
N / A 830-
52299 1/
31/2016 1/31/2017 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE -
POLICY LIMIT 1,000,000 If yes, describeunderDESCRIPTIONOFOPERATIONS
below DESCRIPTION OF OPERATIONS
I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GERTIFIGA I t
HULULK City of Sanford
P O Box
1788 Sanford, FL 32772-
1788 SHOULD ANY OF
THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D
Liebknecht/AMANDA
ll 1.7V0'
LV ACORD 25 (2014/
01) INS025 (2014nn The
ACORD name
and logo are registered marks of ACORD
ro I.uCK .?fICHAEESPLUMBIN
P. O. Box 574597 * Orlando, FL 32857-4597 * Telephone (407) 249-2200 * Fax (407) 249-2285
State Certified Master Plumber CFC1426370
PROPOSALSUBMTTEDTO
PHONE DATE
Daniel Sellers (407) 221-0365 September 20, 2016
JOB NAME
BEET
125 Sanora Blvd Daniel Sellers
CITY, STATE, AND ZIP CODE
JOB LOCATION
Sanford, Florda 32773 125 Sanora Blvd, Sanford, Florda 32773
TECHNICIAN DATE OF PLANS JOB PRONE
Michael Hall September 20, 2016
We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
Two Thousand Four Hundred & Fifty Dollars 00/100 $2,450.00
Payment to be made as follows`
Payment Upon Completion of Re -pipe Phase of Project
All material is guaranteed to be as specified. All work to be completed in a
workman manner according to standard practices. Any alteration or deviation Authorized Signature
from the below specifications involving extra costs will be executed only upon
written orders, and will become an extra charge over and above the estimate. Allagreementscontingentuponstrikes, accidents or delays beyond our control. NOTE: This proposal may be withdrawn by us if not accepted within
Owner to carry fire, tomado and other necessary insurance. Our workers are 30 Days.
fully covered by Workmen's Compensation Insurance
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
SCOPE OF Rr;PirF;
1) Re -pipe 2 Bath Home Complete with Cross -Linked Polyethylene (PEX) pipe.
2) Run new Hot/Cold water lines to all fixtures to include:
2)— 4PC Bath, Kitchen Sink, Electric Water Heater, Washer and New Main Shutoff, Ice Maker Line
and run new Supply Line to Dishwasher.
3) Supply and install Moen Tub/Shower Valve.
4) Replace (2) Hose bibbs on exterior of home.
5) Repair all drywall pertaining to re -pipe.
Price includes All Discounts, Permit Fees and Inspections
WARRANTY ON WORKMANSHIP*
25 Year Manufacture Warranty on Piping & 10 Year Warranty on Isolation Valves and Labor
PLEASE MOTE Due to the installation of new water lines in the attic customer may briefly experience hot water coming out of cold lines during warmer weather.
THIS PRICE DOES NOT INCLUDE REPLACEMENT OF THE FOLLOWING, UNLESS SPECIFIED ABOVE: 1) AIR CONDITIONER WATER LINES. 2) SHOWER RISER WATER LINE. 3) FIXTURE PARTS OR FAUCETS. 4) SPRINKLER OR IRRIGATION WATER LINES. 5) NOPATCHINGOFTILE, WALLPAPER REPLACEMENT OR PAINTING OF ANY KIND. 6) GROUNDING OF ANY KIND. 7) REPLACEMENT OF MAIN WATER SERVICE FROM
METER TO HOUSE. 8) SOD OR SHRUBBERY.
CONCEALED CONDITION CLAUSE
Michael's Plumbing, Inc will require a change order in writing should conditions exist in the ground or in an existing structure which are unusual in nature or are differ from conditions ordinarily encountered. rand above this quoted estimate. In the event an agreement canrfol be reached this eontrdet will be considered completed as of that date. There would be an extra charge on a change order which would be ave
All materials up to that date and time will be due and payable. , y..'
l
y •
Acceptance of Proposal THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE SIGNATURE `
WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE.
DATE OF ACCEPTANCE SIGNATURE