HomeMy WebLinkAbout217 W 17 St (2)CITY 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,