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HomeMy WebLinkAbout3505 S Park Avei Permit #: v Job Address: 3e5c Description of Work: Historic District: _ - ,� -1 vf� Zoning: CITY OF SANFORD PERMIT APPLICATION g �L I�`eS Permit Type: Building Electrical Mechanical Plumbing _ Fire Sprinkler/Alarm Pool Electrical: New Service — It of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixlures 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: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (Pt,,EMA form required for other than X) Parcel #: 0•rs Name & Address: _ I— , -v`Z• "1 "1 Contractor Name & Address: I 3,---'1`-7 Phone & Fax: N o 1 Bonding Company: Address: Mortgage Lender: . Address: Architect/Engincer: Address: (Attach Proof of Ownership & Lett', I De wr so 5 Phone: L -z State Lic is Numb rs Contact Peon: Phone: d 3 Phone: Fax: 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 donstruction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, "I'ANKS, 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RL'•CORDING 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. Acceptan of pe that ?%�Vjl otify the owner of the property of the require Fl a Lien Law, P 13. gnahtre of Owner/Ag(e^yn't - / r/ Date S gitaturc o Con ra r t\gent Dale �.6 -A n IA _ U s. L. 0 Prin ner/ ent's me Pri ontractor/A out's Nam Signatt a of tary-St t o d Date S gnature of N tar-y-5tate hl r Date °%��°°{• DEBBIE BLANTON ""001jn MY COMMISSION # DD 188491 .."..;qwA DAFNEY FAYE ADCOCK �' Owner/Agent is _ Perko wAo Y PUBLIC, STATE OF FLORIDA Contractor/A ent to z� '- Perko'ti'ahy`Khowtflcy�t2007 Produced ID A` IMM. Expires DEC. 2, 2008 113300-3-NOTARYFLNotsjy Discount Assoc. Co. ',�; Produe ` L.....�.•...-_,,......-.._,..,..,,...,..,_ COMM, # DD378809 APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: Parcel Information 19 August 2005 i"", Parcel: 12-20-30-504-0000-0380 Property:3505 PARK AVE S SANFORD, FL 32771 Owner:HENSLEY TERRENCE L & DONA L Mailing:3505 S PARK AVE SANFORD, FL 32771 Legal: LEG LOT 38 SOUTH PINECREST 4TH ADD PB 12 PG 43 TRY: 2005 TD: S1 SANFORD DOR: 01 SINGLE FAMILY Exemption 00 HOMESTEAD Page 1 of 2 Homestead Year Granted: 2003 LAND CODEJ Amendment -10 SALES Amendment -10 Prior Year Total Re Appraised % Addtion Total % Land Value $14,178 $18,655 $18,65 Extra Features Sale Amt $ Q Building Value $68,345 $82,230 $82,23 Income Value $100,000 1 03 U Total Just Value $82,523 $100,885 22.3 $100,885 22.3 Correct Assd/Admin Value $62,000 1 17 U Classified Value CERTIFICATE OF TITLE 01/01/2001 03998 OH Adjustment -$2,74 -$18,70 -$18,70 otal Assessed Value $79,783 $82,176 3 $82,176 3 LAND CODEJ Land Rate SALES Land Area I Frontage DIT Depth Class Value % Adj Ovdj Sale Deed Description Sale Date ORB Book ORB Page Sale Amt /1 QC Q WD WARRANTY DEED 06/01/2002 04467 0349 $100,000 1 03 U SW SPECIAL WARRANTY DEED 05/01/2001 04084 0894 $62,000 1 17 U CT CERTIFICATE OF TITLE 01/01/2001 03998 1847 $100 1 10 U PW PPECIAL WARRANTY DEED 12/01/2000 04021 1217 $100 1 13 U PW PPECIAL WARRANTY DEED 08/01/1993 02631 1315 $58,000 1 17 LAND CODEJ Land Rate lAg Ratel Land Area I Frontage DIT Depth Class Value % Adj Ovdj Reason Just Value AF I $250.Oq $O.Oq 0.00q 82.Oq 2 1 120 $18,65 100% $18,65 Total: $18,655 $18,65 E tc of Florida NOTICE OF COMMENCEMENT Tax Folio No. (PID) County of Seminole /1 The undersigned hereby.gives notice that improvement will be made to certain real property, and in accordanIc %vith Chaptcr r^,`C�1//-J 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 DESCRIPTION OF PROPERTY (Legal description of the property and street address)„ -; fflwJlm!M, �- CENTRAL DESCRIPTION. OF IMPROVEMENT elei 20V fes ut TI; I Q COPY 9AWYANNE MORSE OWNER INFORMATION CLERK UCIRCUIT COURT Name and address iZ,/ ✓a. -v.., C -C.— S ND ... �EjN 10RIDR Interest in property (Fee Simple, Partnership, etc.) Zip .41TV �LgR1S NAME AND ADDRESS OF FEE SIMPLE TITLE IiOLDER•(IF OTHER TI -IAN OWNER) _ � �� 9 2005 SURETY (Bonding Company) 1 IN If 11111 I 10110 in IIIII R a IN 1f 1110 N M I M 1161 Name and address MARYANNE 1 SK. CLERK OF CItICUIT CWRT Amount of Bond SE MINOLE t;tltE M AK 05665 Phi 1146 LENDER CLERK 5 9 ## E005141984 Name and address RFPMDFI> M/12/ to %PQli i e AN RgrnADTNA FEES 18-10 +*#**#*#+++++**+++++++++***+++*++++***++++****r##++++++*++###RECORDED +#B+Y+� M7KIpi#e #*++++ ersops within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(lxa)7., Florida Statutes: Name and address In addition to, himself, Owner designates of to receive a copy of the Lienor'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 rccordinv un tr it c if,�t��.-lam ignaturc o O),vncr Sw and s scribe before me this Day of ►• +9 -zoos My Commission Expires: Not Public bAFNEY FAYE ADCOCK �P.:.........4�a 20dS �� NOTARY PUSLIC STATE OF FL RDA I The foregoing ins c11ii ?�,`A day of ► 1 e ,• r ' R,,,l h(� lie of rson acknowledged), Personally known t me or who has produ (type of idcntit ion) 8-Wc_' n and who did / did not take an oath> Company: AFFIDAVIT AND FLASHING INSPECTIONS License #: Project Information Owner: >1.;. L Permit #: name 35� S • ' P ` Subdivision: addr }t 3z-7`7 / 3 -2 — L Lot #: phone LI, e ffiant, hereby affirm that I am the duly licensed contractor of record 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 applic4ble codes and s_tandards. Contractor: signature name STATE OF FLORIDA COUNTY OF 1 This instrument was acknowledged before me this day of , 206, by the above referenced individual, who acknow ged that he/she is a duly licensed contractor with L kn cknowledged that he/she was authorized to execute this document. er4ers'Za11ve/she is eithto me or produced as valid iden WITNESS my hand and seal this day of DAFNEY FAYE ADCOCK d4� F • NOTARY PUBLIC, STATE OF FLORIDA Notary P MY Comm. Expires DEC. 2, 2008 COMM, # DD376699 206 POWER OF ATTORNEY Date: dS I, Andrew J(Andy) Adcock do hereby authorize (Ruben Birch To pull theReroo permit for 3SD S , (type of permit) (address) •N^ DAFNEY FAYE ADCOCK NOTARY MLIC, STATE OF FLORIDA MY COMM. Expires DEC. 2, 2008 Stamp Personally known to or driver license , of State of Florida, County of I day of � m cs