HomeMy WebLinkAbout1119 E 25 StPermit # : 0 3
Job Address:
Description of Work;,
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: 0 f —? q"y T
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 Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: pus 1 .S..s c'ftiE3 ^x-ru,
q Shctaocw04I-A06:('.1:0
Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form requiredfor other than X)
Parcel #:
Owners Name & Address: 1. CJI/-i , J t-J o Selc
Contractor Name & Address:
Proof of Ownership & Legal Description)
i 101VA"i Zr7»
0! S^tate License Number: j t C. U
Phone & Fax: t3% - 7 /`ItL - 'f 16X , -%7S— ,-77 Contact Person: G4IeL Phone:
Bonding Company;'
Address:
Mortgage Lender:
Address:
Architect/Engineer: 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. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
y
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
this county, and there may be additional permits required from other governmental entities such as water man
Acceptance of pe it is v
Signa a of 01
Print
Signat e o
Owner
Produced
owner of the property of the
O^
Cb
Date
Name
rroie k State of Florida Date
Edward Ead Flowers
My Comtniaston DD405M
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
d
Zoning:
of Flo i a n
wt it'. aw{rF,>•al j<.16 Ft.q C7j. a C .>
public records of
r federal agencies.
Signature of Cont- gent# " O • Datc
s.4,Jn507298 , • 7tr
Signature of Notary- too llillkDate Contractor/
Agent is 4 Personally Known Me or Produced
ID Utilities:
FD: Initial &
Date) (Initial & Date) (Initial & Date)
State Certified Contractor
CCC041326
LIMITED POWER OF ATTORNEY
Date:
I hereby name and. appoint EARL FLOWERS
of FIRST QUALITY SERVICE . to be my lawful attorney
in fact to act for me and apply to G : Y ' - S' 1/r//—IP+
for RE -ROOF permits for work
to be performed at a location described as:
Q.77
Section: Township: Range:' Lot: Block:
Subdivision:
Address of Job: /// 9 E'. 2 S f( y7' c
Owner of Property: AypP6a/
Address of Owner: FL_ 3& 77-7
to sign my name and do all things necessary to j1is appointment.
Contractor, License
Certified Contractor
Acknowledged:
Sworn to and subscribed before me this
Day ofL A.D. 200 6
7Z -v 7
o blic, State of
Floelw(Dof-
Lynn Wiftnson My Commission Expires
Seal)
MY Cornmmion D0235M
Expires July 20, 2W7
1019 Shadick Drive • Orange City, Florida 32763-6686 ,
Orange, Seminole, West Volusia 774-4155 9 State of Florida (800) 393-4155 9 Fax (386) 775-1877
Nemmole county Property Appraiser Vet Information by Parcel Number Page 1 of 1
154.0 151.0
104.0
DAviD JOHNSON, CFA, ASA
156.0
106.0
PROPERTY
37
E SR 4
APPRAISER
SEMINOLE COUNTY FL.
1101 E. FIRST ST
S, 76 0 77.0
2 t 5JSj t
55 -ti r
r ii
SAN FORD, FL32771-14G8
407-665-7506
1
r- J s: i m
W .:Il <
rn
2006 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 06-20-31-501-0000-0770
Number of Buildings: 1
Owner: POLASEK JOHN C JR Depreciated Bldg Value: $122,481
Mailing Address: 310.E OHIO AVE
Depreciated EXFT Value: $5,637
City,State,ZipCode: SANFORD FL 32773 Land Value (Market): $55,770
Property Address: 1119 25TH ST E SANFORD 32771 Land Value Ag: $0
Facility Name: LIL CHAMP-25TH ST Just/Market Valtw: $183,888
Tax District: S1-SANFORD Assessed Value (SOH): $183,888
Exemptions: Exempt Value: $0
Dor: 2601-GAS ONLY/CONVENIENCE Taxable Value: $183,888
Tax Estimator
2006 Notice of Proposed Property Tax
SALES
Deed Date Book Page Amount Vac/Imp Qualified
2005 VALUE SUMMARY
SPECIAL 2005 "hax Bill Amount: $3,275
WARRANTY DEED 03/2006 061II7 1683 $240,000 Improved Yes 2005 Taxable Value: $164,112
WARRANTY DEED 01/1977 01125 1336 $40,000 Vacant No DOES NOT INCLUDE NON -AD VALOREM
Find Sales within this DOR Code ASSESSMENTS
LEGAL DESCRIPTION
LAND
Land Assess
Frontage Depth Land
Unit Land PLATS: Pick... Method
Units Price Value E 32 FT OF LOTS 76 78 & 80 & ALL LOTS 77 SQUARE
FEET 0 0 27,885 2.00 $55,770 79 & 81 & VACD ALLEY BET (LESS RD) OAK
HILL PB 3 PG 86 BUILDING
INFORMATION Bid
Bid
Class Year
Fixtures
Gross Stories Ext Wall Bid Est. Cost NumBitSFValueNew1
MASONRY 1977 2 2,640 1 CONCRETE BLOCK - PILAS
MASONRY $122,481 $181,453 Subsection
I Sgft OPEN PORCH FINISHED / 360 f
e0ruoits EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New COMMERCIAL
CONCRETE DR 4 IN 1979 1,200 $960 $2,400 COMMERCIAL
ASPHALT DR 2 IN 1979 7,708 $2,559 $6,398 COMMERCIAL
ASPHALT DR 2 IN 1995 3,520 $2,118 $2,922 NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoremtaxpurposes. If
you recently purchased a homesteaded Property your next ear's prope5Z tax will be based on Just/Market value. http://
www.sepafl.org/web/re_web. seminole_county_title?pai-cel=06203150100000770&c... 9/27/2006
09/27/j06 11:48 4073313187
Ser:21- 2006_10:01AM_—FIRST QUALITY SERVICE
FL SITE SEL PAGE 03
N o , 6 8 3 3 P. 2
State Certified Contractor
CCCO41326
September 21, 2006
John Polesek 91,ff
les•Ste-aelee0ars----
1119 E. Vh St met ", 1 ! see1 Samford,
FL .32771 PH: (
407) 492-7111 FX: (
407) 331-3197 KO'
ectt• eimof on eo e_Mblbuildingbrev,d Way ce re We
propose to furnish all labor, workmen's compensation, materials, taxes, fi'eigh tools, equipmept, 'insurance and
permits to install the follow metal roof system- Ss_
o e of Wgrk 1.
Remove exisdttg roofiag materials. 2.
lnspect wood for rot or damage. 3.
Replace bad wood, at an additional ebarge of $5.00 per board foot. 4. lustall new Ppl,XGLA,SS Polystick TU PLUS metal and the roof underlayment, 5.
Install new 24 GA, galvanized Ease Drip motel, 6.
lostgil new 24 GA, Barrel Style Metal Roof panels by Florida MeW hoofing Products, Inc. (FM") 7. Install new 24 GA, color matched, flip I ridge cairn and coping cap metal. 8- Clean up; Haul away trash; Run magnet for fiastenm. 9.
Issue 5-year workmanahl wajmty. 10.
Issue 20-year materW warranty. 11he
total cost for the above work is - Four
27tousaod Rve Horidred Dollars and No Cents .... . ................. . ............. . Due
to the constant increase -In metal prices, this quote fa guaranteed for 14 days only. ,500,
90 a
r-?t.^ 1 % e r,e i<<°w% /mil clef scQ Y, 7L Respectfully
Submitted, f
L!/,) etry .
Geyer Commmial
Estinwor CCE1°
TED: 2D(
a first alityServicpe — 7 s
ate
1019 Shadick
Drive Orange Ormnge, Seminole,
West Volusie774.4155-S a% of FloridaF or da (800) 393 4 55- Fax (396) 775-1877
v.
l
c
o
3
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: %r Z s7 License #: C.CG O Y/3 ZC
0.PA,V6-E a r7r t`L 3z 7 6.7
Project Information
N U T NA f & Owner:
0
Permit #:
name
l 9 • 2 'yS7/PEF r Subdivision: 04K .1yr cL P49.3 fw-e
address
5-4 FR 9) FL • _7Z'7 7 Lot #: 7 6,"I $1><t4 G o 7S 77 7y /mil
phone
I, EARc 154oadOZ5 , 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.
t'8% /tic OF,v ql f
Contractor: .
sing -nature
printed name
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 720
Notary Public
THIS INSTRUMENT PREPARED BY:
NAME:
i.:.
S
ADDRS5: L '. OLE COUNTY j,
unsi.!
Kni 1r irr Building &
Fire Inspection: 1101
East 1 st Stree, Sanford,
FL 32771 NOTICE
OF COMMENCEMENT State
of Florida County of Seminole Permit
No. Tax Folio No. (PID) tZ-t90-,3 / 5;1 /— '`n)— 0 770 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 description of the property and street A
LI__ LDFs 7 7 7 fS f t AGO _4tZ e5V e CERTIFIED
CONY OWNER
INFORMATION At P"w F 2006 Name
and address 5/512J gek, 9S •3105 01b!a 3 772 Interest
in property (Fee Simple, Partnership, etc.) NAME
AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) Name
and address SURETY (
Bonding Company) Name
and address IIIIIIiII11111J111lII11111111110110111111111111Rii1111
Amount
of Bond SEMINOLE COUNTY BK
06426 Pg 0753; apgl LENDER
CLERK'S # 2006156153 Name
and address ,(// RECORDED 09/28/2006 12t37t37 PIO V
RECORDING FEES 10.0o 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 V 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 /Z 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 tvPR
c The
expiration date is I year from date of recording utgos a i1Wrent date is specified.) Signature
of Owner f
Swo
to and ub cri b fore me this 2 S Day of s EioTomRex , 2 0 v Sion
Expires: 3--. / 2,_Z o v 9 NolaryublicStateofFloridaEdward
Ead Flowers Notary
Public ''+b+ My Co mission
09405895Expire1( Theforegoing
instrument was mcKn0w1WgW OEM me this 2- 'F day of ov fo by A faJ
Ir PbL $.S jFjk,- (Name of person acknowledged), who is personally known tome or who has produced (Type
of identification), as identification and who did/did not take and oath.
P q 2--L 6O7253. O