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HomeMy WebLinkAbout500 S. Holly Ave4- -Z— RECEIVE MAY 0 91011 J CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /1-13-56 - Documented Construction Value: $ 0 P 0-0 Job Address: SG S, 6 112. 4 Historic District: Yes No.r Parcel ID: t 1" tQ Zoning:j,j r l Description of Work: X725'7l'Gt. Plan Review Contact Person: A /I Title: lFel L1 Phone: Fax:. 5,5 , c`% E-mail: c f`c9 6% Property Owner Information Name L.L.C._ , Phone: 1{ 2 2 Street: L .S; J-/" 1ice 4v{ Resident of property? City, State Zip: rir` c /'L. -9,1 Contractor Information Name "E?_;c'_- (_..f LX j- Phone: / g Street: !r % . rGj ;^ cxt , %S vu fy',;L'" Fax: (, fC ?) City, State Zip: i^< { , '3.,_ State License No.: Architect/Engineer Information Name:,/C/zkft'd'c t Cc cc C %?c t?Yt lc . Phone: 3 Street; Fax: fa- -allsZJ City, St, Zip: F c -C ' L...1 C 1a' E-mail: Bonding Company: Address: Building ' or Square Footage: No. of Dwelling Units: Electrical New Service - No. of AMPS: Mortgage Lender: t -A Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) 1 So gga11 No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 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. 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. 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. 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 l will notify the owner of the property of the requirements of Florida Lien Law, FS 71.3. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. pit Sigdaturr/ e""or0 /Agent Date ' Ve;IGrr.r eName Signature of Notary -S Florida Date dy tbY ei o r"li yc 'L y W y O•(ni n .o v SIG . Owner/Agen{, : a 15rgbnally U-0-41 Produced ID ;' -kpkof —: o4` oti ' 54Z. APPROVAM 3111II;1, ENG I ER : COMMENTS: Rev 11.08 to Me or S• 7-AJTILITIES: 2 ' 1r FIRE: Signature of Contractor/Agent Date Print MY COMMISSION # DD 991240 EXPIRES: May 12, 2014 Bonded Thru Notary Public Underwriters . Contractor/Agent isPersonally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: /( Seminole County Property Appraiser Get Information by Parcel Number Personal Property Please Select Account Page 1 of 1 htt-P://www.scpafl.org/web/re web.seminole county title?parcel=2519305AG07110010&... 4/25/2011 o1vlo Joleasoe. CFA, ASA 0613. MA 0612 0611; 0610 0649 PROPERTY APPRAISER Tt1n SFMINOIE S } 0 10 7Q471`3 4712 = k,,-Lsl ilCOUNTYFL. 11011E FIR sf ST I( I 3 0 a i ,n F) `f' x•080927 N" •r y - Sat u« s ri F%a . s„HQo 4813 0812._ r,`sz'77 t•146a 27R 1 ll\ L.Z f1AIfA. $.O:i G V)'` Z .:• r ';,gs'tm.1 iY VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 25-19-30-5AG-0711-0010 Number of Buildings 2 2 Owner: SANGROUP LLC Depreciated Bldg Value $615,262 $623,291 Mailing Address: 299 1ST AVE N Depreciated EXFT Value $3,2761 $3,440 City,State,ZipCoder ST PETERSBURG FL 33701 Land Value(Market) $35,521 $35,521 Property Address:- 500 HOLLY AVE SANFORD 32771 Land Value Ag $0 $0 Facility Name: - Just/Market Value $654,059 $662,252 Tax District: Sl-SANFORD Portablity Adj $0 $0Exemptions:. Save Our Homes Adj $0 $0Dor: 7502-REHAB.LIVING FACILIT Amendment 1 Adj $0 $0 Assessed Value (SOH) $654,059 $662,252 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing.Authority•. ; -:;:r . Assessment Value Exempt Values Taxable Value CountyGeneral Fund $654,059 $0 $654,059 Amendment 1 adjustment is not applicable to school assessment) Schools $654,059 $0 $654,059 City Sanford $654,059 $0 ' $654,059 SJWM(Saint Johns Water Management) $654,059 $0 $654,059 County Bonds $654,059 $0 $654,059 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/imp Qualified WARRANTY DEED 10/2008 07085 A169 $2,000,000 Improved No 2010 VALUE SUMMARY WARRANTY DEED 01/1994 02722, 1936 $20,000 Vacant No 2010 Tax Bill Amount: $13,303 QUIT CLAIM DEED 01/1987 01810 0857 $100 Vacant No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSQUITCLAIMDEED01/1965 00548 0319 $100 Vacant No WARRANTY DEED 01/1965 00547 0352 $60,000 Vacant Yes Find Sales within this DOR Code LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS Pick... j . SQUARE FEET 0 0 30,888 2.30 $35,521 LOTS 1 THRU 5 BLK 7 TR 11 TOWN OF SANFORD PB 1 PG 62 BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est. Cost New Building 1 MASONRY PILAS 1991 15 10,888 2 CONCRETE BLOCK- MASONRY $586,929 $767,228Sketch Subsection I Sqft OPEN PORCH FINISHED / 692 Subsection / Sgft OPEN PORCH FINISHED 1692 Building 2 MASONRY PILAS 1994 2 480 1 CONCRETE BLOCK- MASONRY $28,333 $35,639Sketch Subsection / Sgft OPEN PORCH FINISHED / 480 Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL ASPHALT DR 2 IN 1991 7,200 $3,276 $6,552 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. 1/ you recently purchased a homesteaded property your next eats property tax will be based on JusHMarket value. htt-P://www.scpafl.org/web/re web.seminole county title?parcel=2519305AG07110010&... 4/25/2011 LIMITED -POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name' and appoint: Nik &_V P4 TF an agent of =E, t l TL "' 'T 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 necess to this' a ointment for..cl (check only one o tionppP )• All permits and applications submitted by this contractor: The specific permit and application for worklocated at: Street Address) Expiration Date for This Limited Power of Attorney; j /202 License Holder Name State License Number: f) C L 1,1? 2 Signature of License Holder: STATE OF FLORIDA COUNTY OF - "S1 Ai4DLc The foregoing instrument was acknowledged before me this qday of, kA, , 2t1 /J , by R Amu L -PATEL who is personally known to or o "who has produced: as identification and who, did (did not) take an oath. VALf Sign ure ot ahwow S ER l' E/2A E RIVERA Print or type name.ON # t?D 909213JUly15 ?Oi3 ry Public Underxr tars Notary Public - State of F,o,4, p Commission No. q o 8213 My Commission Expires: 0"/ /1_57/z>/3 Rev. 3/27/07) . OP ID: CD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/25/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTENb OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVEORPRODUCER; AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, thepolicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothetermsandconditionsofthepolicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificateholderinlieuofsuchendorsement(s). PRODUCER 407-869-4200 CONTACT Elliot Leitenberg NAME: Dede Malley Bruce Morse Insurance Agency 407-862-7656 AIC NN ext 407-478-6529 n/c 2-76561000WekivaSpringsRoadE-MAIL No:407-86 Longwood, FL 32779 ADDRESS: dmalle morseagenc .com Leitenberg Insurance Services PRODUCER cusTOMERini,-FENCE-1 INSURED Fence Outlet Inc Fence Outlet of Oviedo Inc Fence Outlet of Tampa Inc 9671 S. Orange Blossom Tr. Oriando, FL 32837, COVFRAr:FC INSURERS) AFFORDING COVERAGE NA INSURER A: Nationwide P&C 37877 INSURERS: Nationwide Mutual 23787 INSURER C: Nationwide/Allied P&C Ins 42579 INSURER D: Bridgefield Emplo ers Ins 10701 INSURER E : INSURER F: - HLVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED'NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN; 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. INSR - ADDL SUERLTRTYPEOFINSURANCE POLICY NUMBER MOLIC YYYY MM Y EFF IC YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 77PR8651613001 12/31/10 12/31/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES. PER: POLICY I PRO. LOC PRODUCTS - COMP!r_r_ no q - 2,000,00 0 C_ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BAPC 5903684403 12/31/10 12/31/11 COMBINED SINGLE LIMIT Ea accident) $ 500,000X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ Per accident) X B D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X NIA 77CU8651613002 830-36090 12/31/10 04/01/1.1 12/31/11 04/01/12 i EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE X RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED?. Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X TNRYSTULIMIT CER E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is Additional Insured as respects to General Liability, Auto Liability, & Umbrella. Liability. 30 day notice of cancellation/1 O day notice for nonpayment of premium. t+ANI.tLLA I IUN SANFOCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Sanford THE EXPIRATION DATE .THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Manager ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1788 Sanford, FL 3271 AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD PEINAKENT GYUM LINK FENCE PONDS) X - 3 8 " - - wuNa cxs ElECnUC STORM SONER SANITAW SEWER is X WATER d 3 cannnaawRsAlii i fQ r, PRNATE SANnW SDVER j'' 3 PRUATE WAm+ uff 1 PONTv /oarrnal 3.` _-- E:." ! _ a -- gs wN COMMUNMTIONS MANHOLE s 11M, T 1I! SNaRAR( MANHOLE IISIE INT' EXISTING 1 I I REMOVE: 1?,I EXISTINGti r 41FT. WIDE h x EXISTING i E FENCE ra GATE k , FENCE CITY C KPIL C PLAN REVI W3 PMENT SERVICE i i I ''e ( ( EXISTING . c1 `s 2 6 FT. L g , a 2) 4 s , WIDE APPRGIVFTWIDE- I x $$ rx: GATES fn GATES,DATi 3 3. a ! I _ S I F ?F - , SOURCE M(ffM - E E 3 [ ! 3 )TIE INTO END -",1. r,.R> oRWAS DEVELOM a KMKria i ! p r 3 _ _ TCPOOPAM SAFM aAvrwTroH PwR s¢ SATE a sumfv m—te-o=. BENSON uAm aur I - TALL » . L S SWE 7Oa TMM FL =06-=& i Y t 2 SBL ROME PMMM 9""'Wr BENSON we . EXISTING 5 FT. < TALC. NAIN a& aaW Noaxaaa. i I LINK FENCE BS SSUMT F= °" i I: _ 7! BASID IM NM tISF. SE RINECONTROL94DF1Alld1FA4LLONE, NN) " C PROPOSED BUILDING FENCE LAYOUT PROJECT No I ' 1890/9.3 PERMIT APPLICATIONO"RESOURCE DRAWING NO. 0 30 60NATURALFORMERSANFORD- GASIFICATION .PLANT SITElaso-93-Ao1c SANFORD GASIFICATION PLANT SITE GROUP " SCALE IN FEEr TECHNOLOGY SANFORD, FLORIDA FIGURE N0. DRAWN BY: RLH 02/25/11 APP'D BY: KRM DATE: 02/28/1 1 1 I fi Permit Number: Folio/Parcel Identification Number: Prepared by: Shirley Murphy Return to: Fence Outlet, 9671 S. Orange Blossom Trail, Orlando, FL 32837 I loll If 11111111 M ARYANNE MORSE, 1:1_EFA OF CIRCUIT COURT SEMINOLE CGLNW BK 07569 Pg 0%,4; (1pg) CLERK" S t# '2011049337 RECORDED tw111mi11 16-.50:41 PA RECORDING FEES 10.Q* RECORDED BY J Eckenroth(aII) NOTICE OF COMMENCEMENT. State of Florida, County of+a The undersigned hereby gives notice that improvement(s) 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. 1. Description of property (legal description of the pr9perty, and street address If vailable) S"h6-1,-70 ( L G 0ull4-,',ne , 5 00 StJliSf YL H R, I I S0: n.1 G 377-1 2. General description of improvement(s) Fence Installation 3. Owner information Name Sc. n lr c, a , 4Z --C . - Telephone Number Address $ Olay Interest in Property _ . e %a 1, 4. Fee Simple Title Holderf other than owner shown above) Name Telephone Number Address 5. Contractor Name Fence Outlet Telephone Number 407-851-6660 Address 9671 S. Oranqe Blossom Trail, Orlando, FL 32837 6:. Surety (if any) Name is/i` . Telephone Number Address Amount of bond $ 7 Lender (if any) Name - // - Telephone Number Address 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. I Name Telephone Number g Address / 004s 9 In additi to himself or h el , Owner designates the folio ing to receive a copy of a t_ienor's oo ice i provided in §713.13(1)(b), Fljorida Statutes. Name C 14 Lt' Telephone umber - Address V 10. Expiration date of notice of commencement (the expir I n date is one year from the date .o irecording unless a different date is specified) G 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 CA14 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 COITMENCINGWORK OR RECORDI1 iG YOUR NOTICE OF COMMENCEMENT. . Signature of Owner' Signatory's Printed Name/Title/Oiffice or Owner's Authorized Officer/Director/Partner/Manager §713.1311][d]) The foregoing instrument was acknowledged before me thls,4 0 day of % , i Zell by for i. L% y% ( year) (name of person) as ` p , (l 11 jType of authority, trustee, attorney in fact) (Name of party on behalf of whom instrument was executed) `0 r/ ERII Signa3u e of Notary Public — State of Florida (Print, type, or stamp commissioned name of Notary Public) ?JABC0CK Personally Known OR Produced ID tff = Type of ID ProducedSM. 1'.Verification pursuant to Section 42.525, Florida Statutes; under penalties of perjury, I declare that 1 have read the foregoing and WISE ! l1ti ,eAtl1 in it are true to the best of my knowledge anti belief. ,. tKt#rlttl i:uN1e Signature of Natural Person Signing on Line MORSEe11 -Above CLERK'OF CIRCUIT COURT BEMINULE COUNTY, FLORI©AFormRevised: 11/20/07 a Q 1 a 2011