HomeMy WebLinkAbout1026 W 12 StCITY OF SAMFORD PERMrr APPLICATION
Permit # V 7 - 3 Date: &/a /O /o
lob Address: 0.74, 41 AJ,-W Sr. S.y.r oay FG .3 77
Description of work:
Historic District: Zoniaig: Value of Worts. s %Vey pc:>
Permit Type: Building Electhcal Mechanical Plumbing Fire SprinkkxJAlatm Pool
Electrical: New Service -N of AMPS AdditionfAllemon Change of Service Tanporary Pole
Mechanical: Residential NarRaidenual Replacement NIL- r (Duct Layout & Eneagy Cale. Requited)
Plumbing/ New Commercial: # of Fixtures # of Water & Searor lanes # of Gas Lines
PlumbinglNew ResidentW: # of Water Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential Coxottxercial IndusUial Total Square Footage
Conatroction Type: # of Stoner # of Dwelling Units Flood Zour. (FEMA form required for ether than x)
Parcel #: aAr — / 9 —3V — i AI - CX oo — 03 7 O (aaach Pro" of Owoerssip & Legal Description)
OWtttxsNttawo&Address wr2,W .7 4e soN
b36 ca . ,V rai l3 .S'•yr o.Gb , / G .3 77/ Plrotte: ytJ7 — ,. — 9 SSG
97,R V-04,a re ZzwogtyoeAmi Sate u Nttmbw- C'CC- os7G v 8'
PYoae & Fan:y67 — e. gy- 776o Coaaa Perava raYF r f t.aewwas Paooe:
Boadiog Compaop.
Address:
NlortMe Leader.
Addaxes`
ArCkiI=VZugiaecr: Pbone:
Address: Fax.
Apptiatlon is hereby made to obtain a permit w do the work and installuious as indicated. I certify that no work or installation has commenced prior to the
iss a aace of a permit and dm all work will be performed to met standards of all laws mTdatiag ooastructim in this jurisdiction. I understand that a xpwwc
permit must be second for tiLECTRICAL WORK, PLUMBING. SIGNS, WELLS, POOLS, FURNACES, BOILERS. HEATERS, TANKS, and
AIR CONDITIONERS, etc
OWNER'S AFFIDA V IT: I certify doer all of the foregoing information is accurate and that all work will be done in conow ace with all applicable laws regulating
coosouction and wooing. WARNING TO OWNER: YOUR FAILLKS TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTALN FINANCLNG, CONSULT WrM YOUR LENDER OR AN
AT FORVEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NO TIC : In addition to the requiremeats of ibis parm04 tbwe any be additional restrictions applicable to ibis property thu may be found in the public ro ords of
this county, and that army be additional permits required from other WwwaawmW erdities such as water management disuieu, stare agencies. or federal agencies
Acccptaooe of per pit' v 'oxalic that 1 Will notify the owner of On property of dhc requimneeuts of Florida Lien Low, FFSS 713.
Si / of Own`/Ag t Date Signature of ContnaWriAgeat Date
Prim Agar•: Name _ Print coabaaorJAsmt•: TJmne
Oft
O,
WY p`` t Date igaawre olNota y-State of Florida PaY p 6MatoKarenH. Wilthers o Karen H. Walthers
r :Commission # DD311329 :Commission # DD311329
EV4MA i `2L2060ona11 rrovva to Me or contraaoeMgeur is err Personally Known to c xpires April 20, 2008
OF R eondsO MsddaedMDl = Produced <D — •>a oaoTroy Fain. Inswwm, Inc. t1 365.7019
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditioru:
Zoniog: Utilities FIX.
Initial & Date) (Initial & Date) (initial & Date)
r1- Dz -"'7V-175-o ..-'5r 13 79, _ p
Io3,oU
P 44,F.0
After Recording
Return To:
Quality Roof Systems, Inc.
1978 Corporate Square, Suite 100
Longwood, Florida 32750
Notice
Permit No.
Tax Folio #
State Of
County Of
11111XnIIau{pnlno"Imam1111N11IN11
MARYANNr 11111101:9 I:l.{'RK OF VINWIT LWKf
IMLIE (IMIY
BK 06478 Nil 15w; tipg)
CLERK'S # 2006179328
REU{RAFD I1/1;1/P006 00141142 AN
R t:1;R1)1NU F011; 10.00
Rl:1IRU1:A ))Y I. Mr.Ki»ley
of Commencement
FS 713.13
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 the Notice of Commencement.
1. Legal description of
2. General description of improvement:
3. Owner: Name and Address _Ka-H i
a. Interest in Property:
b. Name and Address of Fee Simple Titleholder (if other than Owner)
D'COPY
4. Contractor: Name and address QUALITY ROOF SYSTEMS, INC. DEPUTY cLERK•
1978 Co orate S uare Suite 100 LonMood, 32750 a.
Phone number (407) 699-7700 b. Fax Number (407) 699-7702 oV 5. Surety: Name and address ' Bond $
a.
Phone number Fax Number 6.
Lender: Name and address a.
Phone number b. Fax Number Persons
within the state of Florida designated by Owner upon notices or other documents may be served as provided
by Section 713.13 (1) (a) 7., Florida Statutes: 7.
Names and Address: a.
Phone number Fax Number 8.
In addition to Himself, Owner designates to receive a copy of the Lienor'
s Notice as provided in Section 713.13(1) (b), Florida Statutes. a.
Phone number Fax Number 9.
Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless
different date is specified) , 20 0J''
Signatur
of Owner State
of Florida Coun -
T The
fore 1ng instrument was acknowledged before me this o% day of 2006, by .
s+TiE /. ',fs,.</ who i has produced Vic. loL
as identification and who did (did not) take an Oath. ,. SEAL)
tY
P Karen
H. Walthers Commission #
DD311329 r
7,r Expires April 20, 2008 CxF4lHoopedbopFain • 1—&nM MC !00 365.7019 Notary
Public Commission
Exp:
i
Authorization Letter/ Limited Power of Attorney
1, Douglas E. McCormack, contractor license #CCC 057608, hereby
authorize the following to act, as my agent, in obtaining permits at
Y,W,,eO Bldg. Dept. for: lcv4 w• >> T" sr.
Agents Name
A) y3 G 775 "s3 -'9>> - O
Drivers License Number
This authorization is to remain in effect from the registration and permitting
application process through the final inspection, unless otherwise canceled by
myself in writing.
Contrames Signature
Sworn to and subscribed to before me this day of
2006, by lam, 'Ar E who is personally known to me ef-
who has pro ced as identification and who did
not take an oath.
My Commission Expires: ao -olzo-
Karen H. Wait hers
Commission # DD311329
Expires April 20, 2008
N' Flo. IntNar" Inc BOa78S7019
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAvio JOHNSON- Cr:A, ASA R. I*k
PROPERTY s
APPRAISER
SE•MINOLECOUNTY FL. 4t 1101
E. FiRsT sT SANFORD,
FL 32771-146 i 407-665-7506
Z , 'a, a 2007 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 25-19-
30-5AH-0000-0370 Number of Buildings: 1 Owner: JACKSON KATIE M
Depreciated Bldg Value: $21,540 Mailing Address: 1026 W
12TH ST Depreciated EXFT Value: $0 City,State,ZipCode: SANFORD
FL 32771 Land Value (Market): $13,244 Property Address: 1026 12TH
ST W SANFORD 32771 Land Value Ag: $0 Subdivision Name: ROBINSONS SURVEY
OF AN ADD TO SANFORD 34,784 Tax District: S1-SANFORD
Assessed Value (SOH): $25,436 Exemptions: 00-HOMESTEAD (2004)
Exempt Value: $25,000 Dor: 01-SINGLE FAMILY
Taxable Value: $436 2006 VALUE SUMMARY SALES
Tax Value(without
SOH): $193 2006 Tax Bill Amouni $
0 Deed Date Book Page
Amount Vac/Imp Qualified QUITCLAIM DEED 06/1996
UbL4i u, ozi $100 Improved No Save Our Homes ; SOH,'
Savinns: $193 Find Comparable Sales within
t, . .. 2006 Taxable Value: $0
DOES NOT INCLUDE NON -
AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION
Land
Assess FrontaDLand Unit
Land ge
epth PLATS:
Pick... Method Units
Price Value
LEGS 125
FT OF LOT 37 ROBINSONS FRONT FOOT & 81 165 150.00 $
13,244
SURVEY OF AN ADD TO SANFORD 000 DEPTH PB 1 PG 93BUILDING
INFORMATION Bid Num Bid Type
Year Bit
Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1925 3 1,144
1,
468
1,144 SIDINGAVG $21,540 $53,849 FAMILY Appendage / Sgft SCREEN PORCH UNFINISHED / 96
Appendage / Sgft CARPORT UNFINISHED / 228 NOTE:
Appendage Codes included in Living
Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed NOTE:
Assessed values shown are NOT
certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently
purchased a homesteaded
property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re_
web.seminole_county_title?PARCEL=2519305AH000003... 11 /11 /2006