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HomeMy WebLinkAbout1210 W 9 StNOV 2 9 2016 BY• '�� CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / (- 3/q5 a6 Documented Construction Value: $ SOS Job Address: a� % d Wl�, ST g rh' S 7R_ f, c7- 544b/Vistoric District: Yes ❑ No ❑ Parcel ID: Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demojr&7JI Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Phone: '6a - '7 9 / 0 Fax: Email: Title: /P•roperty Owner Information Name �' L/ A /3 G's e tQ2 /'lam Phone: 4/0 7 r80 36!?� Street: 3 r ��T ��-,a� Resident of property? City, State Zip: krt.4 d /c4 30 8- 6r-7 Contractor Information Name I/: L", /J."&j Phone: D4 -Q 5-y/ 7 9/6 Street: Zgng R c- c ^-c, ce_' L&e e Fax: City, State Zip: 12',7.i k m /—*--w 3�2 , State License No.: F 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 hereby made to obtain a permit to do the work and installations as indicated. 1 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: 51h 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 1 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. i- 25- ZID(% Signature of O r/Agen Date Signature of Contractor/Agent Date y(\ ) k9Z:, � J Z ern CL 4N Print Owner/Agent's Islame /1-de.i(,, Signature of NorFlel-15-� Y:�� Bonded Th1u Nola'Y�_ Print Contractor/Aeent's Name 01 da Date 4,,* .N't. H. HEPAANDEZ '•: ::- Commission # FF 097216 Expires March 10, 2018 ''•fPF, 11tr"TMu Ny ran I-SWN QM385.7019 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of I D L Produced ID Type of ID. i%L CDG Mar.sl a,., aC l —p , 10(d - BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 25-19-30-5AG-1015-0040 Page 1 of 2 vvv+++ppp.� PIGU Parcel: 25-19-30-SAG-1015-004025-19-30-SAG-1015-0040Property Record Card AAA!!!"'FJi Owner. GUZMAN LOURDES �aoown.��� Properly Address: 1210 W 9TH ST SANFORD, FL 32771 Parcel InTormavon Parcel 25 -19 -30 -SAG -10154M Owner GUZMAN LOURDES Property Address 1210 W 9TH ST SANFORD. FL 32771 Mailing 519 CARR ST ORLANDO, FL 32807 Subdivision Name SANFORD TOWN OF Tax District St-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions Legal Description E 47.5 FT OF SW 1/4 BLK 10 TR 15 TOWN OF SANFORD PB 1 PG 112 Taxes Value Summary Tax Amount without SOH: $434.00 2016 Tax Bill Amount $434.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2017 Working Values 2016 Certified Values Valuation Method Cost/Market Cost/Markel Number of Buildings 2 2 Depreciated Bldg Value $13,821 $13,393 Depreciated EXFT Value $22.065 $0 Land Value (Market) $8,244 $8,244 Land Value Ag $22,065 County Bonds Just/Market Value " $22,065 $21,637 Portability Ad) 6791 Save Our Homes Adj $0 $0 Amendment 1 Adj s0 $0 P&G Adj $0 $0 Assessed Value $22,065 $21,637 Tax Amount without SOH: $434.00 2016 Tax Bill Amount $434.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value Page County General Fund $22,065 $0 $22,065 Schools $22,065 $0 $22.065 City Sanford $22.065 $0 $22.065 SJWM(Saint Johns Water Management) $22,065 $0 $22,065 County Bonds $22,065 s0 $22,065 Sales Description Date Book Page Amount Oualified Vac/Imp WARRANTY DEED 10/1/2016 08799 0859 $15,000 Yes Improved TAX DEED 5/1/2016 08689 1243 $8,000 No Improved WARRANTY DEED 2/1/1992 02395 0745 $100 No Improved Find ComparableSales Land Method Frontage Depth Units Units Price Land Value FROM FOOT b DEPTH I4600 1 125.00 0 $174.00 1 $8,244 Building Information is Beornatn count incorremy UACKmer . # Description Year Buift Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rept Value Appendages 1 SINGLE 1958 3 1 1.0 679 880 6791 1 $4,742 $8,072 Description Area FAMILY http://parceidetaii.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGI0150040 11/27/2016 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: Z I / G I hereby name and appoint: G-" 6" -cam. woa 0 an agent of liar d 67—srr-t-n— Ge -C _ (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): 0 The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: //l_710�/-7 License Holder Name: 5Lt.". Oz- D*" State License Number: GG -G /5-0 `19 gO Signature of License Holder: STATE OF FLOR19A COUNTY OF I&Xf The foregoing instrument was ack wledged before me thisc)dtiay of /tOt'`�OO&" 20Jf/� , by who A personally known to me or o who has produced O as identification and who did (did not) take an oath. ure i (Notary Seal) SQ Print or type r6me JEREMY RICHARDS Notary Public - Statc of Florida Notary Public - State of r111r 'c My Comm. Expires Jan 6. 2017 Commission No. fi % � . P:' Commission EE 862674 M Commission Ex IreS: Bonded Through National Notary Assn. (Rev. 08.12) THIS STRUM©�REp�REDBY/7p�- f f lel ff l� fl�ig illi 1111111 1111111 Jill Jill Name Address: i'-.���i�. _ (��/'iL ^ �� MAf;Yf1NNE NORSE, SEMINOL.E COUNTY SSS CLERK OF CIRCUIT COURT tt COMPTROLLER BK 1.81Y F's 17?0 (11"ss) NOTICE OF COMMENCEMENT CLERK'S Y 22016126791REC'of•:DEU 1?/I)7/21)16 11"57"43 a11h State of Florida RECORDING FEES vA►►.Ijll I'tECORDED BY hde: ova County of Seminole Permit Number: Parcel ID Number: 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 descriRgian of the property and strgaaddress if availa e) 1210 Q 51(C&T !�)Ctn GENERAL DESCRIPTION OF IMPROVEME • OWNER r Address: 5 1 q CLi ( ( . S I 0 1 r --A c1, --N Fee Simple Title Holder (if other than owner) Name: Address: GONTRAGTOR: Name: S.tZ �✓ L r %� c.t=i9/� Address: V 4 f!L .d 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: Address: In addition to himself, Owner Designates of To receive a copy of the Lienors 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 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 CD NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST 0 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY sy BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. do?U S d 3 u21'�1 ci;=► :. M-114 Ownefs Signature Owner's Printed Name p' Florida Statute 713.13(7)(8): ' The owner must sign the police of commencement and no one else may be permitted to sign In his or her stead.- 1�� • •.k�`'�= State of 4z County of�� / The foregoing Instrument was acknowledged before me this day of �L 2t by L old e- ci e gr't— Who is personally known to me ❑ Name or person mekin statement I is of Identification produced:A"g�- LL Y ` J l� v Notary pnature OR who has produced B B ANTON MY COMMISSION t+ FF 178848 EXPIRES:,February 25, 2019 Bonded TRmf Notary Pubdc UedetwMere r City of Sanford Demolition 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: O Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. O Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value O Copy of applicable contractor's license issued by the State of Florida O 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. O 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). O A copy of an onsite sewage disposal system abandonment permit that has been issued by the Seminole County Health Department. ( if applicable) "Please Note: A licensed General, Building or Residential Contractor is requiredfor issuance of a Demolition Permit, as required by and limited under 489.105 Florida Statutes Partial Demolitions (Commercial & Residential) "The partial interior or exterior demolition of existing commercial or residential spaces will not be issued as a Demolition Permit. This type of work will require an Alteration permit including at least an existing and proposedfloor plan indicating the extent and location of the demolition — in addition to required submittal documents for any alterations or renovations. O Existing Floor Plan, indicating area of demolition (must specify structural or non-structural) O Proposed Floor Plan These guidelines were compiled to assist the applicant in preparing a demolition permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised. • June 2016 Blanton, Deborah From: LOTEMPIO, CATHY Sent: Wednesday, December 07, 20161:09 PM To: Blanton, Deborah; Bland, Annette Subject: FW: 1210 W 9th St 16.3195 We are approved for this demo. lust please see below remarks. Thank you Cathy Cathy LoTempio Public Works, Fiscal Tech City of Sanford 300 N. Park Avenue Sanford, Florida 32771 Phone: 407-688-5080 Fax: 407-688-5081 From: Grose, Quentin Sent: Wednesday, December 07, 201611:56 AM To: LOTEMPIO, CATHY; Parker, Paul Subject:.RE: 1210 W 9th St 16.3195 Cathy, We are clear. Please include on the permit that the permitee is to take CLEAR date and time stamped photos of the sidewalk, curb and roadway prior to demolition. Any damage to curb, sidewalk, or roadway (as applicable) will be considered the permitee's responsibility to pay for any damage incurred during demolition. Right of way must also be sodded after demolition if no construction activity is present. 0 From: LOTEMPIO, CATHY Sent: Wednesday, December 07, 2016 8:54 AM To: Grose, Quentin; Parker, Paul Subject: FW: 1210 W 9th St 16.3195 Good Morning Gentlemen, Are we clear on this on? Thank you. Cathy Cathy LoTempio 1