HomeMy WebLinkAbout143 Hazel Blvd (2)CITY 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)
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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
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STREET WORK PHONE CEL. PHONE
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CI IY, STATE, ZIP FAX ESTIMATOR
JOB SPECIFICATIONS JOB DETAILS
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* 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
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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
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H
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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.