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HomeMy WebLinkAbout217 W 17 StCITY OF SANFORV PERMIT APPLICATION �f Permit # : V I(/ o� �f Date' / u 6 Job Address: Description of Work: Historic District: Zoning:Value of Work: S Permit Type: Building Electrical Mechanical Plumbing Fire SprinWer/Alaim 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 Cl Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial I" Industrial Total Square Footage: 6 O �) Construction Type: # of Stories: # of Dwelling Units: Flood Zone•. (FEMA form required for other than X) Parcel #- Ow rs Name & Address. Contractor e & Address: Phone & Fax: (Attach Proof of Ownership & Legal Phone: 11P /5 0 State License Number. Contact Person: Phone: Bonding Company: Address: " Mortgage Lender: Address: Architect/Engineer: Address: Phone: 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. I understand that a separate permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELI- , 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OIC 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 ofpermi ' eri tioh that 1 the owner of the property ofthe menu FS 713. 7- lZ-o67-N/a.,� Si f O r/Agent Date Signature of Contractor/Agent Date c 6 ie of Florida Date Owner/Agent is _ Personally Known lo Me or jfroduced ID ! rid/ S-�?S�-�i3 ��9 7 6 APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: Prin�ntraor/ s Nam Signature of No tate o Date DEBBIE BLANTON L�&l iFOMM�h6#yINdIM or (PIRES: February 25,2007 i- W -9 -NOTARY Ft. Notary Discount Assoc. Co. (Initial & Date) Utilities: (Initial & Date) FD: (Initial & Date) PATRICIA A. BASARA 4 MY COMMISSION # DD 404327 EXPIRES: J* 8, 2008 aonW0lary NO" PW* undNrrd" Utilities: (Initial & Date) FD: (Initial & Date) Parcel Information ''Tib `V �/.. • •• 1 Parcel: 36-19-30-506-0000-0340 Property:21717TH ST W SANFORD, FL 32771 Owner:SPALDING JAY P Mailing:217 W 17TH ST SANFORD, FL 32771 3425 Legal: LEG LOT 34 SANFORD HEIGHTS PB 2 PG 63 11 July 2006 Page 1 of 2 TRY: 2006 TD: S1 DOR: 01 SANFORD SINGLE FAMILY Exemption 00 HOMESTEAD Homestead Year Granted: 1999 LAND CODEI Amendment -10 SALES Amendment -10 Prior Year Total Re Appraised % Addtion Total % Land Value $19,740 $23,97 $23,97 Extra Features $98 $98 $98 Building Value $46,742 $54,71 $54,71 Income Value 1817 $56,00 1 03 Total Just Value $67,462 $79,660 18.1 $79,660 18.1 Correct Assd/Admin Value 1732 $42,00 1 03 lassified Value WD NARRANTY DEED 05/01/1991 OH Adjustment -$19,39 -$30,14 -$30,14 otal Assessed Value $48,06M $49,511 3 1 $49,5111 3 LAND CODEI Land Rate SALES Land Area I Frontage IDITI Depth Class Value % Adj jOvd I Reason Just Value ale Deed Description Sale Date ORB Book ORB Page Sale Amt /1 QC Q WD NARRANTY DEED 05/01/1998 03433 1817 $56,00 1 03 Q WD NARRANTY DEED 03/01/1995 02893 1732 $42,00 1 03 Q WD NARRANTY DEED 05/01/1991 02313 1217 $44,00 1 00 Q D IWARRANTY DEED 12/01/1989 02137 1389 $46,00 I 00 Q D WARRANTY DEED i 05/01/1986 01730 1 1,501 1 $51,40q I 1 00 LAND CODEI Land Rate jAg Ratel Land Area I Frontage IDITI Depth Class Value % Adj jOvd I Reason Just Value AF $425.0 $O.Oq 0.00q 60.Oq 2 1 127 $23,970 $23,97 Total: $23,970 $23,97 _ v Page 2 of 2 Parcel Information 11 July 2006 Parcel: 36-19-30-506-0000-0340 Bldg Num: 1 Base Built: 1930 Base Eff: 1940 Tax Roll Yr: 1930 Bldg Type:01 Base Area: SINGLE FAMILY 1,233 BASE Floor Height Room Fixture 1 0 0 3 STRUCTURAL ELEMENTS CODE Description Points OVD 0001PIERS 4 0104 DWSUB 6 0204 ID AVG 31 0300 NONE 0 0402 GABLEIHIP 10 0503 COMP SHNGL 5 0609 HDWD/PKY 4 0709 PLAST FUR 28 0 1HT/CLN PKG 5 0903 VG 5 APPENDAGE Seq Code Actual Adj Ovd TRY 1 UTU 35 1 2 DGU 414 18 EXTRA FEATURES Line I Code Note Area RCN Ovd Blt Eff TRY Depr-RCN Bldg 1 1 0630 WOOD DECK 490 $2,45 79 79 79 $980 1 otal: $2,45 $98 r AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: License #: ��C� ��� o a O Project Information 1JUJ/ 6J-24417,-��- address Permit #: Subdivision: sa� 39 72/ Lot #: phone I, • , 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. jolt( P signature printed name J STATE OF FLORIDA COUNTY - OF This instrument was acknowledged before me this day of. , 20 , by the above referenced individual, , who acknowledged 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 3120 Notary Public , THIS INS !ENT REPAR BY--) I IN 11111111111111111111111111111111. 11111111111111111111111. NAME: �-- i> Building & Fire Inspectiat ADDRE� o )�L �V)Xln";titlrvo o ar 1101 EastOL $.�Stm. r 3?�, ;� ,z�:R�«,�r,��:� Sanford, z327i NOTICE OF COMMENCEMENT "' I= State of Florida County of Semuadie Permit No. Tax Folio No. (PID) The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with C rrllgrpr 713, Florida Statutes, the following information is provided in this Notice of Commencement. - r, DESCRIPTION OF PROPERTY (Legal description of the property and sMt address �. a .•� / _ � � � �`-r:. Ci > l / l Gi . /' • • 1/ • �%i fi r 7 () OF I11VPROVEMENT M OWNER INFORMAT ON m Name and address interest in property (Fee Simple, Pamiership, etc.) NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) w. M rr. la's 170 CONTRACTORS G Name and addres SURETY (Bonding Company) t!� ?`ice-�-� ,,,�►'1,r�rtr,,. Name and address _CERTIFIED..COPMY?���, Amount of Bond CLERK OF CIRCUIT COURT• SEMINOLE TY. FLORIDA `. LENDER 7 Name and address ou t7s Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section o 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 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 recording unless a different date t ss pe�ified.) PATRICIA A. I ASARA ' MY COMMISSION N DD 404327 EXPIRES: July 8, 2009 Sow# Of Pwner •� �,, , , '� ua,aee Tiw (�' Pu01c Undenrtllers L Sworn to and subscribed before me this / Z Day of J very , Ar�-� My Commission Expires: ?C70 CF Votary Public TheJaregoininstrument was acknowledged before me this 7A day of ,2' �, by (Name of person acknowledged), who is personally known to me or who has produced�- /Y`3 - b!L l_3 ('Type of identification), as identification and who did/did not take wd oath,