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Home My WebLink About143 Hazel BlvdCITY OF SANFORD PERMIT APPLICATION Permit # : Job Address: 14 i/ 6V - Description of Work: Historic District: Zoning: _ Date: Value of Work: S Z,<17 O► O D Permit Type: Building 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 losetps Plumbing Repair — Residential or Commercial I9G GpSF r "Ind 3��NGrP /may 9 q Occupancy Type: Residential —�[� mme al Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: t V C;� 3V Owners Name & Address: N Contractor Name & Address: Phone & Fax:get4- Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: 1_1C00LiOL) (Attach Proof of Ownership & Legal Description) Phone: 402-3 - ds�:2 State License Number: Contact Person: Phone: Phone: Address: Fax: 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. 1 understand that a separate permii must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 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 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 ofpermit verification notify the owner of the property of the requirements a Lien Law, FS 713. _ bG —z - `—o Signature of Owner/Agent Date Signature of Contractor/Agent Date ',h�-�- gZk- ' FV c Print Owner/Agent's Na a Print tractor/Agent's Name rgnature of Notary -State of Florida Date Si at tary-(iAJgg'0a, „—,_ ate „rr+Pti.. MMiichha�el Paul Thomas Owner/Agent is ✓Personal) a�9iyr��t0"1o1�3r mtsslon 235789 _ Produced I D Is,a wd` ExWres July 29.2007 APPLICATION APPROVED BY Special Conditions: Bldg. "Zoning: ( nrtia &Date) (Initial & Date) MY COMMISSION # DD 188491 EXPIRES: February 25, 2oo7 -OO+T4 T, is or Produced ID _ Utilities: FD: (Initial & Date) (Initial & Date) �'�"a""`r.`q"'°�y"rt,•�,.R. Y,,....,-.,. <-.....-r . - . ,.v•...y,.-,..u.,.`ti°`_.,ur+.:.f,•.rt.'v' ''7-.%::,_,ca;�r,5wli+:r rsfl:�wl'Jq•� ��13<r,•;-R<Wr,•-,y_.u!sw�a.,,�:�cA�r, •<•,•••ef o ROOFING - SHEET METAL - WATERPROOFING PAGE _� OF _ / PAGES THOMAS BROS. IND., INC. `. SKYLIGHTS - VENTILATION License No. CCC 041326 ` INSURED - CERTIFIED - BONDED WORKERS COMPENSATION Business Office: 1019 Shadick Drive a, Orange City, FL 32763 - Fax (386) 775-1877 Orange & Seminole Co. West Volusia Co. State of Florida 407-774-4155 386-774-4155 1-800-393-4155 CUSTOMER HOME PHONE DATE c % f "-? - 3 ZZ -oig, STREET WORK PHONE CEL. PHONE %.)7 - z/— 5,1Z CI IY, STATE, ZIP FAX ESTIMATOR JOB SPECIFICATIONS JOB DETAILS A.�Y �,��,�� Ai�r►r�c�- is .�. l�.,,O.Ph arT, i �7,�.�.�y�t� 7 8a- SlALFn .Fs sf✓..�rf�s- i Ae V * ALL WORK PERFORMED AND SUPERVISED BY OUR EMPLOYEES WE PROPOSE TO FURNISH LABOR AND/OR MATERIAL IN ACCORDANCE WI.TH.THE ABOVE SPECIFICATIONS. i PAYMENT TO &' MADE AS FOLLOWS: ZQ0 G,��iti'` �r•, i, i ��'� �, THIS PROPOSAL MAY BE WITHDRAWN BY US IF IN THE EVENT IT BECOMES NECESSARY TO PLACE THE ACCOUNT P NOT ACC Tf iD, WITHIN ,e DAYS. WITH AN ATTORNEY OR AGENCY FOR COLLECTION WE AGREE TO TOTAL: ��i_ "ASO I% PAY ALL COST OF COLLECTION INCLUDING REASONABLE ATTORNEY'S FEES. DEPOSIT. 1.5% Int -rest per month will be charged on Past Due Accounts. CUSTOMER'S SIGNATURE AND WORK AUTHORIZATION DATE CUSTOMER AGREES TO ALL TERMS AND CONDITIONS LISTED ON THE FRONT AND REAR OF THIS FORM. BALANCE: CHAMBER OF COMMERCE MEMBER - I have read, understand and agree to the Terms and Initials Date Con 'tions listed on the backside of this contract. �mI BETTER BUSINESS BUREAU �-J% OF CENTRAL FLORIDA a�, ISA . • 11 407-621-3300 COMPANY' AUTHORIZED SIGNATURE I �Z9 S 1 � zd 0 S�rp� Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 EXTRA FEATURE littp: //www. sc pafl . org/pl s/web/re_web. sem ino 1 e_county_ti tl a?parcel=10203 050900000260 6/20/2006 ♦,, DAVID JOHNSON, CFA, ASA �. t7 H } �,�„� '"��'_ L M��F, PROPERTY HAZEL BLVD } _ APPRAISER S ` SEMINOLE COUNTY FL. 1101E. FIRST ST SANFORD, FL32771-1468 407-665-7506 DONNA CIR As 2006 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 10-20-30-509-0000-0260 Number of Buildings: 1 Owner: BLACK ROBERT & KATHRYN Depreciated Bldg Value: $118,409 Mailing Address: 143 HAZEL BLVD Depreciated EXFT Value: $3,289 City,State,ZipCode: SANFORD FL 32773 Land Value (Market): $26,600 Property Address: 143 HAZEL BLVD SANFORD 32773 Land Value Ag: $0 Subdivision Name: HAZEL GLEN Just/Market Value: $148,298 Tax District: S1-SANFORD Assessed Value (SOH): $105,114 Exemptions: 00 -HOMESTEAD Exempt Value: $25,000 Dor: 01 -SINGLE FAMILY Taxable Value: $80,114 Tax Estimator SALES Deed Date Book Page Amount Vaclimp Qualified QUIT CLAIM DEED 08/2003 05002 1591 $42,900 Improved No SPECIAL 03/2001 04088 1100 $106,000 Improved No WARRANTY DEED SPECIAL 2005 VALUE SUMMARY WARRANTY DEED 10/2000 04003 1269 $100 Improved No Tax Value(without SOH): $2,121 CERTTITLE 10/2000 OF 10/2000 03939 0387 $100 Improved No 2005 lax Bill Amount: $1,538 WARRANTY DEED 10/1997 03316 0265 $86,000 Improved Yes Save Our Homes (SOH) Savings: $583 WARRANTY DEED 05/1995 02922 0010 $17,000 Improved No 2005 Taxable Value: $77,052 DOES NOT INCLUDE NON -AD VALOREM WARRANTY DEED 09/1994 02831 0716 $83,400 Improved Yes ASSESSMENTS WARRANTY DEED 03/1991 02274 1940 $88,500 Improved Yes WARRANTY DEED 05/1989 02065 1479 $95,000 Improved Yes WARRANTY DEED 04/1988 01955 1062 $83,900 Improved Yes Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Frontage Depth Land Unit Land Method Units Price Value PLATS: Pick... LOT 0 0 1.000 26,600.00 $26,600 LEG LOT 26 HAZEL GLEN PB 33 PG 63 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1988 8 750 1,908 1456 CONC , FAMILY BLOCK $118,409 $126,641 Appendage / Sgft OPEN PORCH FINISHED / 32 Appendage / Sgft GARAGE FINISHED/ 420 Appendage / Sgft UPPER STORY FINISHED / 706 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed EXTRA FEATURE littp: //www. sc pafl . org/pl s/web/re_web. sem ino 1 e_county_ti tl a?parcel=10203 050900000260 6/20/2006 THIS INSTR M NT PREPARED BY: NAME: 1 . i1nQ0 ADDRESS: State of Florida Permit No SEht1NOLE COUIv7y tLOVIE •S 74nTUNAt Cl-t(ji(.F NOTICE OF COMMENCEMENT Building & Fire Inspection; 1101 East 151 Stree! Sanford, FL 32771 County of Seminole Tax Folio No. (PID) - j O -,*rj - dip -,510 _ n wo _ a-& 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 descriptio �f the property and street address) p �� 3 F6 43 GENERAL DESCRIPTION OF IMPROVEMENT `'b C�PM� j ►MORSL OWNER INFORMATION Name and address Rolaeo y - Interest in property (Fee Simple, Partnership, etc.) 10% NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) CCE S ; 2 6' OC CONTRACTOR\,�� Name and address SURETY (Bonding Company) 111111111igt�llili1111111g1�I11dMtlq�lliltilfi� Name and address Amount of Bond SENIN11LE clog ry LENDER ! /BK * 16a�; ti{g) CLERKS 0 26006103139 Name and address W -0041M) 06/:'_ti/tAMS 02ta'F,:bb PH ItECilEti M MIS 10.00 Persons within the State of Florida designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes: Name and 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)(a)7.,Florida S tutes: Name and addiess: j 11 In addition to himself, Owner Designates /�%/, of Provided in Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienor's Notice as Expiration Date of Notice of Conunencement ;The expiration date is 1 year from date of recording unless a different date is'specified.) Signature of Owner s QF4 -r Sworn to and -' subscribed before me thus z U Day of T" , ZC�U6 AW 21V& Michael P'W Thomas My Commission Expires: My Commiswon Notary Public'-"/ r►es >anysa.2oor The regoing instrument was acknowledged before me this Z day of Ou4, . e-vG,6 by �'odF.er �3LAc.E (Name of person acknowledged), who_____is gersonallxjtns� rhe or who has produced (Type of identification), as identification and who did/did not take and oath. AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: E, /?S dct.q e- "Ty 101M 5AII(p Gk- DRI'ME _0oeik1c,E (-,'7 Y F1 _3 i 763 License#: (f CC- b !/!3 z 4 Project Information Owner: UA C,4L Permit #: name Subdivision: address Lot #: phone I, __gfRLr��ow _FRS , affiant, 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 applicable codes and standards. Contractor: a'c signature iffier: F(- 0 41 e o S- printed name STATE OF F A COUNTY O This instrument was acknowlNged before me this _ day of , 20?;Ay the above referenced individual, , who ackn 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 day of , 20 DE. 3grE BLANTON IllyCOA,tiNSSION # DD 188491 EXPIRES: February, 25, 2007 '?W4 -NOTARY F�� axO�►'4esoc. Co.