HomeMy WebLinkAbout406 Springview DrCITY OF SANFORD
OCT 17 2016 BUILDING & FIRE PREVENTION
Q% j PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: lar, nK ;, r.,.% Historic District: Yes No
Parcel ID: '50:7- 00441-23'lly Residential `Commercial
Type of Work: New Addition Alteration u Repair ElDemo Change of Use Move
zr
Description of Work: I' rou n h,nc9e5
Plan Review Contact Person: 1-4ci rr-, Act Title:
Phone: alt>'7-tG "L 4> 3 Fax: Email:
Property Owner Information
Name W c 't -C boasso n Nakets Phone:
Street: q C1tP 5 10;- i A.A y' 4 ter,.) Resident of property?
City, State Zip: Seq% ;',° i (: L-
Contractor Information
Name CVIN'j f
Street: i 14 *-%-) , Q `. x'_eo ici Cf -
City, State Zip: A i r y` e -c i4 C - L -
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: , s' , - S'"2
Fax:
State License No.: Cwt. i ? `x"71 -76
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 1 j q V/
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 piermits 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 71.3.
ne 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 ealculate 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 in"r anon JiNand that all work will
be done , in. compliance with all applicable laws regulating con 4ruktion afid zk)rin7
L 13 -
Si' ol-urc of 0 &18mt Uate
Print 0%Nner/Aizcm's Name
Si-matum ol'Notarv-State t)fflorida Date
Owner/Agent is , Personally Known to Me or ItMTIC977:
Produced ID Type of]D Produced ID
Name
Date
10, 17.
ry-htateANW9TfE SCOTT Dn'te
Notary Public - State of Florida
My Comm, Expires Jan 16, 2018
Commission # FF 071760
gent is Personally Known to Me or
Type of ID ...I
Permits Required: Building Electrical Mechanical Plumbingn Gas F 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 F] No F] # of Heads Fire Alarm Permit: Yes n No n
APPROVALS: ZONING- UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised. June 30, 2015 Permit Application
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of 'XQp QS )
On to - 13. c-6 before me, I MC -g
insert name and title of the officer)
personally appeared L -,t -G L-A I.c-05
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
MONA ARABSHAHI - NOTARY PUBLIC
COMM. #2094020
WITNESS my hand and official seal. LOS ANGELES COUNTY -CALIFORNIA
My Commission Expires 01/15/2019
u.......- ...................-......
Signature f
a (
Seal)
THIS INSTRUMENT PREPARED BY:
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK O785 Ps--- 1516-1517 (21:'ys)
CLERK'S t 2016107157
RECORDED 10/17/2016 02:50:03 PM
1k'ECOK0l11G FEES $18.50
nFxnenFD BY hdevore
R COMMENCEMENT ''------ - — — U' Ux^^ V=K— w
Permit Number,
The undersigned
I
herehy,giws noticeAhatimprovement. will be made to certain real property, and in accordance with Chapter 713, Florida Statutes; thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2.
3. OWNERINFORMATION OR LESSEE IN FORMATION:IF THE LESSEE CONTRACTED F
I
OR THE IMPROVEMENT:
Nkg 11,4.s Li
Fee Simple Title Holder(if other than owner listed: ^uo,v
4 mzmTRnCTon
5. SURETY (if applicable, n'vvm/ofthe payment bond isouaxne¥Name:
WV Amount of
6. LENDER:Name: Phone Number:
Address: A
7. Persons within the State of Fl.ri, sign edlqy.Qwnee u0on whom notice or other documents may be served as, provided by Section
Name: w Phone Number:
8. In addition, Owner designat s Of-
mnm*ive a copy of the providedmSection n3.1n(l)(b),Florida Statutes. Phone number:
u Expiration Date of Notice of Commencement (The expiration iv1.year from dale mrecording unless 'ndifferent date is xnomoed)
WARNING. TO OWNER:, ANY PAYMENTS MADE BY THE.OWNER AFTER THE EXPIRATION OF THE NOTICE OF, COMMENCEMENT ARE
CONSIDERED. IMPROPER PAYMENTS UNDER CHAPTER1713, PART 1, SECTION 713.13; FLORIDA STATUTES, AND: CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPE . CTION. IF YOU.INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BE
I
FOR
I
EC .. OM
I
M
I
ENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Print Name and Provide Slgnatbq's Titla/Otfic
The foregoing: instrument was acknowledged u*mem day of 120
by
Name of pemon mawng statement .
Who is personally known mmeoon
hohasproduced identification 0 type ofidentification produced:
w-
Notary Signalure
Com 'I
COUR
ROLL
LE LO
gy
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of put-, rf
On t 6 --( before me, nit 5 ` i 'Lj6'6) V-
insert name and title of the officer)
personally appeared kuc`f N-CkC'L
who proved to me on the basis cif satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
MONAggqBSHAHI- NOTARY pUSUCWITNESSmyhandandofficialseal. ,a COMM. #2094020
LOS ANGELES COUNTY -CAUFORNIA
u iii i silSSIO iiiiriso /15/20.9 C
Signature (Seal)
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood,, Sanford,
Seminole County, Winter Springs
Date: y 2 f - %0
1 hereby name and appoint:,c 5
an agent of:
Name of Company)
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:%-
State License Number: iY,;k7/29-
Signature of License Holder:_]%%i''/
STATE OF FLORIDA
COUNTY OF , ie
The foregoing instrument was acknowledged before me thisaday ofk v
200(Q_, by Iyl rQ/'- who Isrsonally known
to me or who has produced as
identification and who did (did not) take an oath.
Signatu
kv j
re `
l
Notary Seal) Vw'e—
Print or typ me
Notary Public - State of
0,LIV. : ASHLEY MOORE Commission No. /—tVM
MY COMMISSION # FF21M My Commission Expires: M Y
EXPIRES March 31. 2019
107 J93-0'S3 noridowa car•
Rev. 08.12)
9/28/2016 SCPA Parcel View: 10-20-30-507-0000.0390
Property Record Card
Parcel: 10-20-30-507-0000-0390
Owner: NAHAS LUCY & BASSAM
scxcaxry roanw
Property Address: 406 SPRINGVIEW DR SANFORI7, FL 32773
Parcel Information
r
Parcel i 10-20-30-507-0000-0390
Assessment Value I
Owner NAHAS LUCY & BASSAM
Values
I
Property Address6 SPRINGVIEW DR SANFORD, FL 32773
i Valuation Method j Cost/Market
Mailing 406 SPRINGVIEW DR SANFORD, FL 32273
Number of Buildings 1
Depreciated Bldg Value $94,613
Subdivision Name GROVEVIEW VILLAGE 3RD ADD REPLAT
Depreciated EXFT Value $ 00
I Tax District S1-SANFORD
Land Value (Market) $25,000
DOR Use Code 01 -SINGLE FAMILY
Land Value Ag
Exemptions
Legal Description
I LOT 39
k GROVEVIEW VILLAGE 3RD ADD REPLAT
PB 26PGS 9&10
Taxes
P Value Summary
Assessment Value I
j2016 Working 2015 Certified
Values Values
i Valuation Method j Cost/Market j Cost/Market
Number of Buildings 1
Depreciated Bldg Value $94,613
1
82,157
Depreciated EXFT Value $ 00 600
Land Value (Market) $25,000 20,000
Land Value Ag
0 ;
Just/MarketValue*" $120,213 102,757
i PortabiliAdj
0 { 105,501
CountyBonds
Sae Our Homes Adj 0 0
w
6,847
P&G Adj 1 $0
L
I Assessed Value $105,501 95,910
Tax Amount without SOH: $2,005.64
Improved
2015 Tax Bill Amount $2,005.64
10/1/1984
j Tax Estimator
1836r
I! Save Our Homes Savings: $0.00
j Improved
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
L— Cn
A r%Seminole County GIS
Legal Description
I LOT 39
k GROVEVIEW VILLAGE 3RD ADD REPLAT
PB 26PGS 9&10
Taxes
P Value Summary
Assessment Value I
j2016 Working 2015 Certified
Values Values
i Valuation Method j Cost/Market j Cost/Market
Number of Buildings 1
Depreciated Bldg Value $94,613
1
82,157
Depreciated EXFT Value $ 00 600
Land Value (Market) $25,000 20,000
Land Value Ag
0 ;
Just/MarketValue*" $120,213 102,757
i PortabiliAdj
0 { 105,501
CountyBonds
Sae Our Homes Adj 0 0
Amendment 1 Adj $14,712 6,847
P&G Adj 1 $0 0
I Assessed Value $105,501 95,910
Tax Amount without SOH: $2,005.64
Improved
2015 Tax Bill Amount $2,005.64
10/1/1984
j Tax Estimator
1836r
I! Save Our Homes Savings: $0.00
j Improved
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
L—
Taxing Authority Assessment Value I Exempt Values Taxable Value
Book
County General Fund 105,501 0 ! 105,501
Schools 120,213 0 120,213
City Sanford 105,501. 0 ; 105,501
SJWM(Saint Johns Water Management) 105,501 0 { 105,501
CountyBonds 105,501 i 0 j 105,501
Sales
Description Date Book Page 1 Amount Qualified Vac/Imp
WARRANTY DEED 3/1/2005 05663 i 0830 157,000 Yes Improved
WARRANTY DEED 2/1/2003 05150 1215 95,500 Yes I Improved
WARRANTY DEED 3/1/1991 02285 0541 72,900 Yes Improved
WARRANTY DEED 12/1/1986 01797 0073 68,000 ' Yes Improved
WARRANTY DEED 10/1/1984 015 88 1836r 66,400 ' Yes j Improved
Ucense#CCC1327178
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City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
E1,----C'opy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
q Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
p
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were compiled to assist the applicant in preparing a roofpermit application and may not be
complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 1,1— -77'71
hereby acknowledge that I personally inspected
xoof deck nailing and/or -_P'S{econdary water barrier work
at !fid -) Ate, 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.
ignature of Contractor
Pri ted Naine of Contractor
lep
Date
e -c< <3a 7/7e
License #
License Type: E General _ Building E. Residential ARoofing Contractor
L or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF Seminole
Sworn to (or affirmed) and subscribed before me his day of De46er , 20 16 , by
V6 C ` rc c e,rY , who is 1i'Personally Known to me or has Produced (type of
ide fication as identification.
SEAL)
nature o ary Vublic
State of Florida
Print/Type/Stamp Name
of Notary Public
i';; HAROLD H HODGES JR
c MY COMMISSION # FF222706
EXPIRES April 21. 2019
ci sve-o•e f d.no; s.om