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Permit #
Job Address: 1009
as9Ll
CITY OF SANFORD PERMIT APPLICATION
Ge" t- TJX •
Date: &/4 s
f� I F- 3Z -7-t-7
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Description of Work: — v 19 b i s Q F �o r 060 (dia P�Gh�Do
Historic District: 'Zoning: Value of Work: $
Permit Type: Building --K— Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service —# of AMPS Addition/Alteration Change of Service Temporary Pole —
Mechanical: Residential —_ Non -Residential Replacement _ New — (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential—� Commercial Industrial __ Total Square Footage: to
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #:
— W -10 - Sd"L — 6000 - 0I& W O
Owners Name & Address: 1A4XC- fq m
Lrrwbet'la,w� r M.�
(Attach Proof of Ownership & Legal Description)
ZZO 0W sl~. P...'1 t�>r .
Zf Z Phone: 1
Contractor Name & Address: To lr r 4 C� r'•i�� ` ��"� ��� S • Not— l q �s Q�vel
k .S • FL. 327-01 State License Number:cc-r- ' /f� 7 9 4
Phone & Fax: civ;, — 26o —& C"L ~ Contact Person: S I'e-P t--" h Phone: Ys?—'40-850y
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
Fax:
Application is hereby made to obtain a pcnnit 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 ofthe foregoing information is accurate andthat 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. 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 addi nal permits required from other governmental entities such as water management districts, state agencies, or fe • ..meetib n
mau�,yy
Acceptance of i s v is n e owner of the property of the requirements f F rid Licn Law, FS 7 ^/
Signature o Owner/Agent Date Signature of Contractor/Agent Date
6 IPA:/440
Print O ncr/Agent's Names Prin�tC ;o�ra r/Agent's Na, tc
Signature of Florida `/ Date Si nature "'K -State of Florida a Z EP iR
y�o
�' 2
Owncr/Agent isPersonally Known to Me or Contractor/Agent is Persnally Known oMc or
Produced ID �j _ Produced ID N
APPLICATION APPROVED BY: Blo Zoning: Utilities: FD:
(Initial & Da c) (Initial & Datc) (Initial & Datc) (Initial & Date)
Special Conditions:
LDY=D POWER OF ATT0R-`iE
lit I hereby a�poirt 1 i it"p) ��`l'' 1„
t J _ q v,L%�E OF DI IMUAL
OL 4 �G�t/t;7`f'.. to be my IaYvfirl a; tcmey-in-fact to
NA.NM OF BUS:ZrSS
act for zie to apply for ape= in. my befiaLitor the
P3
improvements to the following pro X .
—14P zILLNs of YxoYERrr OWNER
09 --20 - 30 — Sa 9.. Qaad - 09(a 0
Sui;di�r�cri_ /�-� o(o(.t� L_o�l� ���1 o✓Y �„- , .
�Sy se ase Size Rte_ s ion sue3
is istone,
i
by tI-e Ron-daDeoartment of Professional
�acrrT` r:� �OII 4^Zr ZGII ?i<;1?��V L?CuIIST � E ard-
Swom to and subscribed before me this e
day of
Pe.—,onallykaowntomme 0RprodLced
as Identification.
NOTARY PUBLIC
5.a'_:
X3!5;
c State of Florida
helS
sion DD388447
012009
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAVID JOHNSON, CFA, ASA
PROPERTY
APPRAISER
"r
SEMINOLE COUNTY FL.
1101E. FIRST ST
ANFORD, FL 32771-1 468
SANFORD .
►�
407-665-7506
Wsp P
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2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
02-20-30-509-0000 Si-
Number of Buildings: 1
Parcel Id: 0860 Tax District: SANFORD
Depreciated Bldg Value: $90,337
Owner: WHITE MARTIN E & Exemptions:
Depreciated EXFT Value: $675
CAROL J
Land Value (Market): $18,000
Address: 10220 NE ST PAUL DR
Land Value Ag: $0
City,State,ZipCode: CUMBERLAND MD 21502
Just/Market Value: $109,012
Property Address: 105 RED CEDAR DR SANFORD 32773
Assessed Value (SOH): $109,012
Subdivision Name: HIDDEN LAKE VILLAS PH 1
Exempt Value: $0
Dor: 01 -SINGLE FAMILY
Taxable Value: $109,012
Tax Estimator
SALES
Deed Date Book Page Amount Vac/Imp
QUIT CLAIM DEED 03/2003 04813 0148 $100 Improved
2004 VALUE SUMMARY
SPECIAL WARRANTY DEED 06/1993 02607 1426 $46,500 Improved
2004 Tax Bill Amount: $1,863
SPECIAL WARRANTY DEED 02/1993 02555 0027 $100 Improved
2004 Taxable Value: $90,897
CERTIFICATE OF TITLE 10/1992 02491 1775 $66,200 Improved
DOES NOT INCLUDE NON -AD VALOREM
QUIT CLAIM DEED 01/1988 01924 0709 $100 Improved
ASSESSMENTS
WARRANTY DEED 06/1983 01468 0918 $55,400 Improved
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Frontage Depth Land Unit Land
Method Units Price Value
LEG LOT 86 HIDDEN LAKE VILLAS PH 1 PB
26 PGS 99 TO 101
LOT 0 0 1.000 18,000.00 $18,000
BUILDING INFORMATION
Bid Year Base Gross Heated Bid Est. Cost
Bid Type Fixtures Ext Wall
Num Bit SF SF SF Value New
1 SINGLE 1983 6 1,008 1,867 1,533 CB/STUCCO $90,337 $98,729
FAMILY FINISH
Appendage / Sgft GARAGE FINISHED / 286
Appendage / Sgft OPEN PORCH FINISHED/ 48
Appendage I Sqft UPPER STORY FINISHED / 525
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
FIREPLACE 1983 1 $675 $1,500
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
"' If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/pls/web/re—web.seminole—county title?parcel=02203050900000860... 6/6/2005
(r,pp "of cp: n eCjCyLgK0
3?0 S. V,4kkkc Blvd /Flood
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NOTICE OF COMMENCEMENT
Permit No. Tax Folio No,o=-40 - So
ur State of Florida o Q 4, 0
County of Seminole
M=
C1 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.
W 1. Description of property: (legal description of the property and street address if available) L� L—'{'
i g (o t-{,; dd.e !_.a, k t_ V : a s P H L P3 Z -Co PGS 0i.g. i -z to(
44
2. General description of improvement: K.¢ — P,o a(•� (Q, ' S ce Co i g U o
sa 3. Owner information ' l
a. Name and address 1'& a t k �• w �: ((� S ° C 2 �� cz T-::>,,
rc , 2 Z 7 7
7 b. Interest in property C:::!..... a e-
c. Name and address of fee simple titleholder (if other than Owner)
ca
Ga
c , 4. Contractor
W
a. Name and address Ppli t'2 Co.., S -3 -70 S • IJe.t'1-ti-• 4ti �c� t31v.1 .
C> FG. -52 Z0 f
'42 b. Phone number 4b7 - Z wc7
$ Sic-( Fax number .�,c%�FO
L" 5. Surety �� NNEo R
a. Name and address NPN A 11j
i' io 0
b. Phone number Fax number V,1 ,
'UA c. Amount of bond K
;. 6. Lender
�x a. Name and address
a-,
C3
40
M b. Phone number Fax number
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I' 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
U- provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. Phone number Fax number
8. In addition to himself or herself, Owner designates of
u; to receive a copy of the Lienor's Notice as provided in Section
„' 713.13(1)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year fr to of cording n ss different
date is specified)
7a
' Signature of Owner
0 Sworn to (or affirmed) and subscribed before me this day of �x .� 20 $ , by
U�
C:` Personally Known OR Produced Identification
uj Type of Identification Produced
U
�Ccs �� Notary Public State 0 Florida
c � Signature of otary Public, State of Florida pol` °""�.� Stephen Michels
r Commission Expires: ? My Commission DD3884��
w't N�9� Of moa Expires 01s 011 9
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Pblifz 'Constrnctiorii`Crs:,.:liiic.
3 I P. C"
D ink tpnshvction Since 1963
POLITZ CONSTRUCTION CO., INC. CGCI507949
Office (407). 260-8504 • Toll Free (866) 6.1 t-1477 " Fax (407) 260-8595.
370 South N4rthtake.Boulevard Suite #1004 Altarrronte Springs, Florida 32701
AGREEMENT
THIS AGREEMENT IS SUBJECT -TO INSURANCE COMPANY APPROVAL
Name: 1.0% d Aft Q V.• k e Date: TV
Address .- S'' Oce d < cl r City/Stateop: !;W •. r L
Home Phone: A%OL _ ZZy 4p S'Qy _ Work Phone:
SPECIFICATIONS
o Grade of shingle: 2S yr
❑ Style of Shingle: 3 T®a 10
C3 Color of Shingle: '51 k*.ANo o
p Ridge Material: Tp w .'-L 1:` C'L%
E3 Valley: -T-0 co d 4.
O Vents: lze..iP1a.r�a
❑ Plumbing Stacks: L4 t@
o Metal Edge: 'p'eplace
p Tear Off Yes O No I Layers
❑ Felt is! 16
O Pitch: t�o�/� p 2 -Story. No
Remove trash from roof, gutters & yard
id Protect landscaping where needed
gj Sweep yard for nails with magnetic roller
SPECIAL ATTENTION AREAS
IceMater.Shield r3Yes ,LU No
A Cover Pool 13 Yes j2 No
Existing Gutter Damage O Yes ;# No
j6 Existing Driveway Damage ❑ Yes 4 No
IllSkylights: NO
).
Leaks: yt f
Interior Damage: s/tS
Emergency Repair ❑ Yes ;d No
SPECIAL INSTRUCTION
Z' 1gF
/?•� / 'r
_Z rmay,r s_ eS.
Gof
insurance Company:
Claim Number.
Adjuster.
Phone:
COMPANY'S LIMITED WARANTY
THREE YEARS ON REPLACEMENT & ONE YEAR ON REPAIRS
PAYMENT SCHEDULE
Paid Date: _/ / CK# $
Paid Date: t / CK# $
Balance Due Upon Completion Balance $
Only make checks payable to Company
GENERAL CONTRACTOR: Homeowner acknowledges Politz Construction Inc., as a general contractor and as such will be entitled to
% overhead and % profit, as allowed by insurance Industry standards.
INSURANCEIMORTGAGE COMPANY NOTE:1 hereby authorize the insurance company and/or the mortgage company above to make checks payable jointly.
TERMS: This agreement does not obligate the homeowner or Politz Construction Inc In any way unless it is approved by the insurance company and
accepted by Politz Construction Inc.. By signing this agreement the homeowner authorizes Politz Construction Inc. to pursue the homeowner's best
interests for a roof replacement or repair at a "price agreeable" to the insurance company and Politz Construction Inc. with ngg additional costs to the
homeowner except the insurance -deductible. -When "price agreeable" Is determined it shall -become -the final contract price of $ , 2040 and
homeowner authorizes Politz Construction Ina to obtain, labor & material in accordance with the 'price agreeable"•and the specifications set herein & on
the reverse side hereof to accomplish the replacement or repair. Any and all monies received from the insurance company as general contractor overhead
& profit and/or cost Increases will be paid to Polhz Construction Inc. in addition to the contract price above.
You the buyer(s), may cancel this trartsa n at a time prior to ml n t of the third business dayafterthe data of this transaction, buyers
must give written notice of c�ns� la o e Owiter
Accepted by Property Owner. Date: .4 1.2 f sS
Accepted by Property Owner: Date: / /
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: 'PP J7 f License
Project Information
Owner: / d Permit #:
name
_Lv ,i�- Red Cedc ID'e
address
-),) 6-3
phone
Subdivision: , dV t,J 4 q K a
Lot #: 91
1-10A,11'12 t 11 iL1S , affiant, hereby affirm that I am the duly licensed
contractor o ref d for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
signature
printed name
STATE OF FLOREP
COUNTY OF
This instrument was acknowledged before me this
3 day of , 20US, by the
above referenced individual, ,who ac ledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced
as valid identification.
WITNESS my hand and seal this da of 20
Notary Public
E:_,___'
DEBBIE BLANTONMYCOi/MISSION # DD 188491EXPREs: February 25,2007Y Fl Notary Discount Assoc. co.