HomeMy WebLinkAbout1215 W 9 St (2)D RECEIV_:1L' CITY OF SANFORD
. FEB 14 2012
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
�7 q BY:
Application No: a " �/ 1 Documented Construction Value: S
Job Address: /J /S (�_ i144 S - ege Historic District: Yes ❑ No ❑
Parcel ID• Zoning:
Description of Work: r Ak.12/Qce Qrr hC41,41'el- +- Coho/Pr7Se_r-
Plan Review Contact Person: AJ(CA Parro , Title: D wvi c r-
Phone: Fax: E-mail:
Property Owner Information
Name air► 4 Wc�r-r z.r /tom or
.46Aa Phone: Yo 7- 3,1y—'V9s 7
Street: la /S tom. �' 7"4 S7{rce_� Resident of property? : 4 S-7
City, State Zip: �'4.-+ roP . /tel. -1-17 -71
Contractor Information
Name Q&r"e ZA P" j tic, Phone: 3,S"� " 7gs-' 6 411
Street: to
0 . eo k /3J 6 Fax:
City, State Zip: 01 �- L90 r-4. /q. 317T-6 State License No.: Cog oJ- 7d'o 7
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Square Footage:
No. of Dwelling Units:
Electrical O
New Service — No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
.s R�
'..PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing 13
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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.
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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 govenunental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Rev 11.08
g4x" a .4::2a4A4-& Ik.
Signature of Contractor/ ent Date
N�C,1/7 0 AJ J
Print Contractor/Agent's Name
6a .,y. /;L -
.'t'Nv pV9 DEBBIE BLANiON
Notary Public - Stale of Florida
• : : • i
My Comm. Expires Feb 25. 2015
K.
�•",���F•�,
Commission # EE 60182
Bonded Through Natinnal Notary Assn.
Contractor/Agent is
Personally Known to Me or
Produced ID
Type of ID
WASTE WATER:
BUILDING:
SCPA Parcel View: 25-19-30-508-1115-0070
4O0 -Ad Jorr+aon. C:FA Parcel: 25-19-30-508-1115-0070
�MNOLE OOtJPRK FWAtpA O� Owner: HARRIS EDNA M
"�� Property Address: 1215 W 9TH ST SANFORD, FL 32771
SE
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Parcel: 2S-19-30-508-1115-0070 I Value Summary
Property Address: 121 5 W 9TH ST
Owner: HARRIS EDNA M
Mailing: 1215 W 9TH ST
SANFORD, FL 32771 - 2341
Subdivision Name: CLARKS SUBD W M
Tax District: SI-SANFORD
Exemptions: 00 -HOMESTEAD (1994)
DOR Use Code: O1 -SINGLE FAMILY
U
O O
io i� o D
W
a
W
o io
O
1 I I I 1 I
W 9TH ST
rMur
W 10TH ST T
Map Aerial Both Footprint + Extents Center
Larger Map Dual Map View - Extemal
Page l of 1
Tax Amount without SOH: SS21
2011 Tax Bill Amount 5238
Tax Estimator
Save Our Homes Savings: 5283
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Number of
1
1
Buildings
Taxing Authority
Depreciated
S42,016
S44,433
Bldg Value
$38,570
S25,500
Depreciated
Schools
EXFT Value
S25,500
513,070
Land Value
59,765
59,765
(Market)
513,070
Land Value Ag
S38,5701
S25,5001
lust/Market
YALUL..
551,781
554,198
Portability Adj
S25,5001
S13,070
Save Our Homes
S13,211
516,751
Adj
Sales
Amendment 1
Adj
Assessed Valuel
538,570
S37,447
Tax Amount without SOH: SS21
2011 Tax Bill Amount 5238
Tax Estimator
Save Our Homes Savings: 5283
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT 7 BLK 1 1 TR 15 W M CLARKS SUBD PB 1 PG 108
Tax Details
Taxing Authority
Assessment Value Exempt Values
Taxable Value
County General Fund
$38,570
S25,500
$13,070
Schools
538,570
S25,500
513,070
City Sanford
538,570
525,500
513,070
SJWM(Saint Johns Water Management)l
S38,5701
S25,5001
513,070
County Bondsl
S38,5701
S25,5001
S13,070
Sales
Deed Date
Book Page Amount
Vac/Imp
Qualified
QUIT CLAIM DEED 08/1991
02362 0614 5100
Improved
No
WARRANTY DEED 01/1972
00913 0630 $17,600
Improved
Yes
Find Comparable Sales within this Subdivision
http://www.scpafl.org/Parce]Details.aspx?PID=25-19-30-508-1 l l 5-0070 2/14/2012
/DEALS Oil
Wt.zF[S�a Work Write Up for Weatherization Program
To Contactor.
Items listed on the work write up may not pertain to your core business function. These items should be bid under the umbrella of your company through licensed
contractors such as Plumbing, Electrical, HVAC. Roofing Etc It is your responsibility to pull permits and provide results pertaining to your business function
according to Local Municipality and Code and or provide the same from licensed contractors pertaining to Plumbing, Electrical, HVAC, Roofing Etc. You are
required to provided Certified Payroll for all work performed on residence, for your company and all sub -contractors hired by you Any house or trailer built pre 1978
will require EPA Lead -Safe Work Practice or Lead Testing to be performed by a EPA Lead -Safe Certified Firm Photos of EPA Lead -Safe Work Practice or
Documentation Supporting Negative Test Results are required for agency documentation 8 client file. If additional items are needed in conjunction with a Work
Write Up Item, you must provide an addendum explaining repair. In order for payment to be processed you must provide the Payment Request Form, Signed Invoice
Release of Lien, Passed Permits, LSW Documentation for pre -1978 homes 8 Davis Bacon Compliance.Additional info may be required All Work and Punch List
Items must be 100% complete. Prices 8 items may be subject to change, to meet budget requirements. If so. price and item changes will be agreed upon verbally.
The bid will then be adjusted, signed by MOW as (Addendum to Bid), and sent back to you. You are required to sign as (Acceptance of Addendum to Bid) and send
back to MOW. MOW will then sign as (Acceptance of Bid) and send back to you. Work may begin. All specifications, terms and conditions shall be as described in the
OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS. INSTALLATION and WORKMANSHIP STANDARDS.
1 temt T Description of Materials/Services Required Priority # Material Labor Total
1 Install replacement hvac 2 1/2 14 seer ft### $1,200.00 $ 2,600.00
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Edna Gordon DATE: $ 2,600.00
JOB # e ordon 2-12
ADDRESS: 11215 W 9th Street Sanford, Florida 32771 PHONE: 407-324-4927
Notice to Bid
Please inspect the property and submit the work -write up with your cost to me NO LATER THAN . If your bid meets the criteria, you will
be contacted with the Notice To Proceed With Work, signed, with a time frame for work to be completed in.
Contractor: Rapture Air, Inc. Signature Date
Addendum to Bid: Date:
MOW
Notice To Proceed With Work
Your contract and proposal for homeowner repairs and upgrades at the above mentioned address. Owners have been examined and
accepted by the Weatherization Program staff. Items have meet the approval of the client Items mentioned above are to be completed within the specified
time frame. You may begin work on 02-08-2012. You shall complete all work on or before 02-24-2012.
Acceptance of Bid: Date: Jay Curbow / Weatherization Manger
Meals on Wheels Etc.
Acceptance of 2801 S. Financial Ct. Sanford FL, 32773
Addendum to Bid: Date: Office: 407-333-8877 ext. 114 / Fax 407-829-2468
Cell: 321-388-4829