HomeMy WebLinkAbout1001 S Maple AveJob Address:
NOV ®Z 016
f v 6 c S- 1h V'1 C_
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I le 9 a3
Documented Construction Value: $ .:,?L 1 r
Historic District: Yes o
Parcel ID: jy- 3 Q - d U 40 Residential Commercial
Type of Work: New Additi7':,)'P-
Alteration Repair Demo Change of Use Move
Description of Work: 2 ,
Plan Review Contact Person: Title:
Phone: '%7 l'i S- S Fax: 3S(?..65 Email:
Property Owner Information
j
Na"me In tys L/0(/S Phone: 017- V30 SSW
Street: LM / lid6:4,W cJj Resident of property? ''100 .
City, State Zip: t SG; c3'7`7
Conttactor' Information
Name A J A Phone: r'/7 6 /b -- 9/S7
Street: two' -Y s-fr . &iTe_ Cy- Fax: ,u e'Ct---i r ^C. , Co M City,
State Zip: Afyp 4-- 115_- sa_ /-2 State License No.: 6CC' 167 7 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: 5'" 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 propertythat 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. S
natu I
of
Owner/Agent Date SVnatu,.oftract /Agent K te PrintAeymuj —)
Pykl/J A/ Owner/
Agent's Name Print Contractor/A s Name WWWK
5chw Date "'Date NOTARY
PUBLIC R BERT J COUCH ST611
E OF FLORIDA MY COMMISSION # FF984753' Corr+
ri-4 FF911625 Ft, EXPIRES April 21, 2020 Expires
911112019 !0 46-0164 FlorWallotaryService.com Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID )t:7L Dam 4f C 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Heads UTILITIES:
FIRE:
Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
SEMINOLE COUNTY MULTI%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
I hereby nan
an agent of:
to be my lawful attorney -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:
Address)
Expiration Date for This Limited Power of Attorney: / /— / c
License Holder Name: `Dk.-2 AAQ CbQ..'H-
State License Number:
Signature of License He
STATE OF FLOR% /
COUNTY OF Q5 (0-e i` rn ® (
The foregoing instrument was acknowledged before me this day of A) 0 LJ ,
20 1 D , by ° " V a` K J AQCi'_ R 6-40- L4 who is ersonally known to me or
who has produced
d who did (did t} take a oath
Signature of Notary
ROBERT J COUCH
AL MCOM MISSION # FF984753 EXPIRES
April 21, 2020 j.
407)39"153 FWWNecsryServica.cam as
identification Print
or type Notary name Notary
Public - State of Commission
No. My
Commission Expires:
THIS INST E T REPAf t
1 11111113 HE 1111111111111111101111111 loll
Address:' 1`Ir1i'Yfal'NE L IOF'SEr Jt-.hlINOLE COUNTY
F CLE''RK OF C):RCU)'T CODU t, C:0171 'TROLLER
NOTICE OF COMMENCEMENT LL;ERK'SY1 i161 j?1[l.0?vrri rlti
i?ECOR'DI G FEE; $i.i .00
State of Florida ; f : ); :
County of Seminole ,
r
Permit Number: Parcel ID Number: OCt- 19 34'2, )p "W6d
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.
DESCRIPTION OF PROPERTY: (Legal descr' tion of the property and street address if available)
A r wr #9z-1dJ ADD
GENERAL DE IPTIO F IMP • VEME T:
OWNER IN
t/ /
Name:ame:
Address:
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name:
Address: F } G•1,2 bYl lY ut? 3 Z)
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713•f3, • ctr°vs
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER.'
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THEI
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT0 2'°'"=;:'t::
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. yd .iAp v
Under per a ties of perjury, I d clar that I have read the foregoing and that the facts stated in it are tr6e,,, a
to the best f my knowledge d e fef. o
V ,'' ; eyr r s J k or o
Owner's Sign ure - Owner s Printed Name
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead " cr
CC
Q- uo O
c
D
I a
State of 04n ^ raj cx_ Countyof The
foregoing instrument was acknowledged before me this _ day of (9 P r 20 1c
4by
1 V1 G S gA ailf Who is personally known to me c Name
of person making statement v OR
who has produced identification ® type of identification produced: _ L p i-i V ey- L r c s Jerorre
A. Schorr s NOTARY
PUBLIC 8TA'tE
OF FLORIDA v Cfi :._ W Con-
mW FFa11625 otary Signature Spires. 9/
11/2019
CONTRACT AGREEMENT
This agreement is made on this 3 k day of Q C't-6 6i, . 20 tk> between
G-
NXne Address City
Z-jeakLP,-t r- 3 (Contractor)
State Zip Phone
and RI 0" of 3.313 H f Si
Name Address City
kO-7- `T3D-ffl Client)
State Zip Phone
The above contractor will perform the following work as described in this agreement for $
in compensation from the client. /
Job Description: I`-- --- Q0 i L-r.
Work to commence onAPOV 56tb and is estimated to be completed on
Date
W
Date
Xf A'Z 3 (OCT, 2tJ I.6 • Contractor: Date: If
gnature
Client:
6JS Signature
Date: >)
o G ( ?.e 16 Print
Property Record Card
Da 0JOKMM,CFA
Parcel: 25-19-30-512-1209-0060P6R6Owner: JENKINS PRYMUS L
st ee o ccxx vrv.rtu0RIDw
Property Address: 1001 MAPLE AVE SANFORD, FL 32771-2427
Parcel Information Value Summary
Parcel 25-19-30-512-1209-0060
Owner JENKINS PRYMUS L
1
Property Address 1001 MAPLE AVE SANFORD, FL 32771-2427
Mailing 1001 S MAPLE AVE SANFORD, FL 32771-2427 1
Subdivision Name i MARTINS ADD A C
Tax District S4-SANFORD- 17-92 REDVDST
DOR Use Code 01-SINGLE FAMILY
i Exemptions
awr
Seminole County GIs (®
Legal Description
LOT 6BLK12TR9
A C MARTINS ADD
PB 1 PG 98
Taxes
2017 Working 2016 Certified
Values Values
Valuation Method CostlMarket CostlMarket
Number of Buildings 1 1
Depreciated Bldg Value 57.968 55,834
Depreciated EXFTValue
Land Value (Market) 10,962 10,962
Land Value Ag
Just/Market Value „ 68,9311
0
661. ,796
Portability
Adj
Save Our
Homes Adj 0 0 Amendment 1
Adj 0 0 P&G
Adj 0 0 Assessed Value
68,930 66,796 Tax Amount
without SOH: $1,338.97 i 2016
Tax Bill Amount $1,338.97 Tax Estimator
Save Our
Homes Savings: $0.00 Does NOT
INCLUDE Non Ad Valorem Assessments Taxing Authority
Assessment Value Exempt Values Taxable Value Schools $68,
930 $0 $68,930 City Sanford $
68,930 $0 $68,930 SJWM(SaintJohns
Water Management) $68,930 $0 $68,930 County Bonds $
68,930 $0 $68,930 County General
Fund — --i $68,
930 $
0 $68,930 Description t
Date V Book Sage Amount Qualified Vac/Imp ADMINISTRATIVE DEED
1/1/1988 01927 1616 40,000 No Improved WARRANTY DEED
6/1/1978 01175 1289 27,300 Yes Improved WARRANTY DEED
3/1/1978 01158 0837 3,000 No Vacant Land Method `^ '
Frontage
Depth - Units Units Price Land Value FRONT FOOT&
DEPTH 63.00 117.00 0 174.00 10,962 Building Information
Is Bed/
Bath count incorrect? Click Here. 1-Yea
r Built __.___.—_._# I DescriptionActual/
Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Ad1 Value Repl Value Appendages
a
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
I, f 1 r hereby acknowledge that I personally inspected
Goof deck nailing and/or Secondary water barrier work
at (7b M Prfl C,/r/ 9t•/ {-7 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
Ana.on
6 F.S.
uso
tractor Date
M 4.+ Y \ A-U-0A Ccc 13
Printed Name of Contractor License #
License Type: General Building Residential L- oofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF .
r 1 C20 /,Q
3Swornto (or affirmed) and subscribed before me this _ /j day of _ ( , 20 r'1, by
who is ElPersona y Known to me or has Produced (type of
identification) as identification.
SEAL)
Sig re of No ary P lic
ate to '
t/Type/Stamp ame
of Notary Public
ROBERT J COUCH
M" OMMISSION # FF984753
gF EXPIRES April 21, 2020
407) 39s_0153
N... Flprkfallofnry3ervice.opm