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HomeMy WebLinkAbout806 W 11 StCITY OF SANFORD TT2 BUILDING & FIRE PREVENTION PERMIT APPLICATION BW :-- Application No: I ` Documented Construction Value: $ -2) Sofa - 5fi -- Job Address: , i(% 1 Historic District: Yes 0-' No. Parcel ID: S Residential B Commercial Type of Work: New A itionnn Alteration Repair ElDemo Change of Use Move lion of Work: Description e_ k'"f h ('." d . p Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name n e- VT Phone: Street: ' 0 ` a Co O i i Resident of property? City, State ZAP r I^-"Co"0-1 AI Contractor Contractor Information Name, M A % z A' Phone: Street: eG'i` Fax: 9'X" vSO City, State Zip: State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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_hereb_y..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: 5t1, 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. j2 - - -) hW,,t o C n ___ ature of Owner/AgeT ' D e Signature of Contractor/Agent Date Date TROSERT J COUCH MY COMMISSION 0 PF964753 EXPIRES April 21. 2W Date ROSERT J COUCM MY COMMISSION 0 FF"4763 Own ' ' y own to Me or Contractor/Agent is 1t'°"--Tv Nm 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: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: . UTILITIES: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: _ ---------- -- ----- — --_ ---- Revised: June 30, 2015 Pemtit Application CONTRACT AGREEMENT This agreement is made on this 5 day of ()o &A 20Ab_ between A_i 021' P}Jk of S 2-L - ea+/\ er &4e Cr ame Address Ci o(Contractor) tate Zip ,y hone n and % AI C- / I of % t{ Name Address City P'(--- (Client) State Zip Phone 391 The above contractor will perform the following work as described in this agreement for $.a/ S-60 in compensation from the cl Job Description: Work to commence on 9QCf I20)/ and is estimated to be completed on 12 0 C I 2-6 Date Date Contractor: Signature ty ,Z Print Client: Signature rtCA YAtpr . Print 1,2Date, 6 Date: J 0 c\v P- CL ' LIMITED POWER OF ATTORNEY Date: October 6, 2016 I, herby name and appoint: Virgil Jenkins To be my lawful attorney -in -fact to act for me for, permit arrangement and apply for new Roofing permit and related issues for property located at: 806 W. 11th St. Sanford, Florida 32771 Expiration date for this limited power of attorney: October 16, 2016 q Contractor's SF ature Print Name The foregoing instrument was acknowledged before me this 6 day of October, 2016 ByAx /mil wZQ,'/who is personally known tom and wh did not ke n oath. otary Public Notary Seal) ROBERT J COUCH MY COMMISSION N FF"4765 EXPIRES April 21, 2020 107)39MI53 FlorldtNObryStrvk*-Wm Print or type name Notary public- state of Commission No. My Commission Expires: SCPA Parcel View: 25-19-30-5AG-1211-005A Page 1 of 2 Property Record Card 2PN—P' ParceI: 25-19-30-5AG-1211-OOSAOwner: MURPHY SERVICE LLC aonv.rc.7cixan Property Address: 806 W 11TH ST SANFORD, FL 32771 Parcel Information Value Summary Parcel 25-19-30-5AG-1211-005A Owner MURPHY SERVICE LLC Property Address 806 W 11TH ST SANFORD, FL 32771 Mailing Subdivision Name PO BOX 608174 ORLANDO, FL 32860- SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code Exemptions 01-SINGLE FAMILY Legal Description W40 FT OF LOT 5 BLK 12 TR 11 TOWN OF SANFORD PB 1 PG 57 Taxes 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings i 1 1 Depreciated Bldg Value 3,966 3,950 Depreciated EXFT Value Land Value (Market) 5,220 5,220 Land Value Ag j E Just/Market Value" 9,186 9 170 Portability Adj Save Our Homes Adj 0 0 ._ 0 Amendment.,...,.. t 1 Adj O.. P&G Adj 0 0 Assessed Value T 9,186 9,170 Tax Amount without SOH: $187.00 2015 Tax Bill Amount $187.00 Tax Estimator Save Our Homes Savings: $0,00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value 1 Exempt Values Taxable Value CountyGeneral Fund 9,186 0 i 9,186 Schoofs.- 9,186 0 9,186 City Sanford 9,186 0 9,186 SJWM(Saint Johns Water Management) 9.186 0 '• 9,186 County Bonds 9,186 Sales Description — Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 7/1/2016 08736 1755 $100 No Improved ADMINISTRATIVE DEED 10/15/2008 07084 0005 $100 No Improved 1 --......_—._......_.._ Find ComApa- rable Sales i Land Method —~— Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 40.00 46.00 1 $174.00 $5,220 Building Information Is Bed/Bath count incorrect? Click Here. Description Year Built Fixtures Bed Actual/ Effective j Bath Base Area I Tot=SFL,SF Ext Wall Adj Value J pie Appendages 1 SINGLE 1930 3 1 0 1.0 750 950 i 750 SIDING $3,966 $9,915 Description Area FAMILY C GRADE 3 OPEN PORCH 200.00 UNFINISHED http:// parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGI211005A 10/4/2016 THIS INSTRUJyIEN&PREPAIRR,E},D`BY: Name:. rr ` r Address UP -1 39- 1 1— NOTICE OF COMMENCEMENT State of Florida County of Seminole] Permit Number 1 1 ' 9 Parcel ID Number: / MARYANNE NORSEP SEMINOLE COUNTY CLERi". OFCIRCUIT COURT t. CONKROLLER BK 8781. 1"09 584 (1F'gs ) CLERK' S T 2016104499 RECORDED 10/10/2016 03-12:07 rl11 RECORDING FEES $10.00 RECORDED BY ,ieckenro 30-- S4&--/Z11-00.5'4- The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) GENERAL,, B8{ESCRIPT)ION OF IMPROVEMENT: r O S 9Ce — /moo c -r-- -i-io OWNS FORMATION: Name- N vU P V Address Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Address: 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 -' To receive a copy of the Lienot'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 OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDASTATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OU CIN END TIBEFORESTED ON THEJOBSITEOOBTAIN FINANCING, CONSULT WITH YOUR LENDER INSPECTION. IFORAN ATTORNEY BEFORE'COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury,) declare that I have read the foregoing and that the facts stated in it are true to the best of my kno ledge nd belief. V c v e Sig u e Owners Printed Nome lodda Statute 713.1 (1)(g): ' e owner must sign the notice of commencement and no one else may be permitted to sign I is or h r s ead : State ofV l (l A. County of OC Q The foregoing instrument was acknowledged before me this day of 20 r' 4N"' A O1Q' ts & p P'I W : V I O o. W 6 o oZ QW 2 0 U o Z w R J 0 ce J Paz zVOLU n 14I.Xf)\ Al d . Who is personally known to me Elby Name of person making sl tem t / OR who has produced identification type of identification produced:V-L C 0 ' -2 V L% Mireya Contreras NOTARY PUBLIC STATE OF FLORIDA Notary Signatu Cornet#GG001W4 10 l t Expires6/30/2020 1 City of Sanford 2016oCj1p Roof Permit Application Checklist ca- 13 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. 3----- Copy 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. 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 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 roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Permit # CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit 16 M-- 1, MAX j PrZ f hereby acknowledge that I personally inspected of deck nailing and/or X Secondary water barrier work at O 6 W t l T4 T 5,P FOR—Oo r L 3 2-T 1 Ind 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. f 0-1 o--I Si ure of Contractor Dat6 Printed Name of Contractor License # License Type: General Building Residential oofing Contractor or any, individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to or affirmed s bscribel AA o r lV of 'V/ gig -nature of Ntbi ary Public State of Flori a Print/Type/Stamp Name of Notary Public l before me this IK day of ©L , 20 , by who is Personally Known to me or has Produced (type of as identification. SEAL) E OBERT J COUCH COMMISSION#FFg84753 EXPIRES April 21, 2020 FbridaNObryServ--M 3