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HomeMy WebLinkAbout122 W 19 StFEB 2 11011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ci 419 Documented Construction Value: $ ( 3. 50 CV Job Address: 12-7, W • 19+h S+• Historic District: Yes ❑ No COY Parcel ID: 'UP -19- - 30 -SoG— 0000 O $$O Zoning: cer�t�� Description of Work: Aa-Og; f Lc,rpor•-�- Q h,I;4H L155. -TorcL, Dac,Jrt Plan Review Contact Person: 6a to Shae,+KKef Title: ChJwrr 14"e.1 -h1 -Lr Phone:967 g'30 gSS l Fax: 1ta76gj.gSSL1 E-mail: /)f4afSCo^n Property Owner Information Name m e d e r Phone: Street: _I7_'Z (--). j S +', 54. Resident of property.: e City, State Zip: 4r2l F L 327 71 Contractor Information Name A;2i F inr; ac I��an � : �+ a Phone: !107 8'34 fiS Sy Street: 763 ra P_ fir, Fax: z/o7 f�L S STY City, State Zip: Cor c,,en h7 FL 3 Z771 State License No.: CCC o S7 8'3!j Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ 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 governmental 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 releasedr 10 Owner/Agent Date Print Owner/Agent's Name —19��= ��- 4 e. / 2 Signature of Notary -State of Florida bate �s WILLIAM C.RUH MY COMMISSION # DD 945326 Owner/ g or Produce 398'01 °"iC°'Cp11 APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: WILLIAM C.RUH MY (:• tvlf-:ac. _ •:�� : ;• 'D 945326 09. 2013 "'•i.', errt'i er ona y mown to Me or Produced ID Type of ID WASTE WATER: BUILDING: 212 0// Z $ N = Signature of Contractor/Agent Cb Date O 0 Print Contractor/Agent's Namc v .J G Ui Signature of Notary -State of Florida r, z Date W .= WILLIAM C.RUH MY (:• tvlf-:ac. _ •:�� : ;• 'D 945326 09. 2013 "'•i.', errt'i er ona y mown to Me or Produced ID Type of ID WASTE WATER: BUILDING: SCPA Parcel View: 36-19-30-506-0000-0880 Parcel: 36-19-30-506-0000-0880 4ippam Owner: MEDER KATHLEEN 8 Property Address: 122 W 19TH ST SANFORD, Fl. 32771 t>J7itMY. 2ii� < Back < Previous Parcel Next Parcel > FSave Layout Reset Layout New Search Parcel: 36.19.30.506.0000.0880 1 Value Summary Property Address: 122 W 19TH ST Owner: MEDER KATHLEEN 8 Mailing: 122 W 19TH ST SANFORD, FL 32771 - 3823 Subdivision Name: SANFORD HEIGHTS Tax District: S1-SANFORD Exemptions: 00 -HOMESTEAD (1999) DOR Use Code: 0) -SINGLE FAMILY I 1 1 1 1 1 1 1 11 • W_18TH_ST e 0 0 � • f W 19TH ST _ nS { • !ns na nr na n tb'Ita ' o t® ^Rolm' - t i MaD I I Aerial I I Both Footprint + - Extents Center Larger Map I Dual Map View - External Tax Amount without SOH: S 1,489 201 1 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 51,326 5163 Legal Description 2012 Working 2011 Certified Values Values Valuation Cost/Market Cost/Market Method Tax Details Number of 1 1 Buildings Depreciated 593,146 $98,950 Bldg Value Assessment Value 5109.256 S109.256 1109.256 $109,256 5109.256 Depreciated 5600 5600 EXFT Value Land Value S1S,S10 $15,510 (Market) Land Value Ag Just/Market S)09.256 $1115,060 Value •• Deed Date WARRANTY DEED 11/1998 WARRANTY DEED 01/1998 WARRANTY DEED 05/1988 WARRANTY DEED 08/1981 WARRANTY DEED 06/1980 Book 03534 03362 01956 01354 21?Ll Portability Adj Vac/Imp Improved unproved Improved Improved Improved Qualified Yes No Yes Yes No Save Our Homes SO 58,207 Adj Amendment) Add Assessed Valuel S1109.2561 S 106,853 Tax Amount without SOH: S 1,489 201 1 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 51,326 5163 Legal Description LEG LOT 88 SANFORD HEIGHTS PB 2 PG 63 Tax Details Taxing Authority County General Fund Schools City Sanford SJWM(Saint Johns Water Management) County Bonds Assessment Value 5109.256 S109.256 1109.256 $109,256 5109.256 Exempt Values 550,000 525,000 550.000 550.000 $50,000 Taxable Value 559,256 584,256 $59.256 559.256 559.256 Sales Deed Date WARRANTY DEED 11/1998 WARRANTY DEED 01/1998 WARRANTY DEED 05/1988 WARRANTY DEED 08/1981 WARRANTY DEED 06/1980 Book 03534 03362 01956 01354 21?Ll Page Amount 0274 $89,900 0494 541.000 1640 549.400 0803 539,500 174 S32,000 Vac/Imp Improved unproved Improved Improved Improved Qualified Yes No Yes Yes No Find Comparable Sales within this Subdivision Land Method Frontage FRONT FOOT & DEPTH 60 Depth Units 127 .000 Unit Price 27500 Land Value $15.510 Building Information V- D..- U--4 A.1: D-..1 Page 1 of 2 http://www.scpafl.org/Parce]Details.aspx?PID=36-19-30-506-0000-0880 2/13/2012 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: Z Z1 ( 2 I hereby name and appoint: W iM er+, G, 9-'h an agent of: m;d Flare goaPlo, to be my lawful attorney- in- fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ? All permits and applications submitted by this contractor. The specific permit and application for work located at: 12- 2 U-1. I!) Svkee t R. 3Z-7-7/ (Street Address) Expiration Date for This Limited Power of Attorney: /O 1 110ZL6) Z - License Holder Name: State License Number: CC—C-O S 7 FS 31 Signature of License Holder: STATE OF FLORIDA COUNTY OF ; ,d ti The foregoing instrument was acknowledged before me this N day of A!"rX, 200 a , by Saber+ M.—CJye►mc.xer who is ? personally known to ? who has produced as �denbfication and who did (did not),take an oath. _ (Notary Seal) =;Kr'riy JANAKEELING Commission # EE 064231 Expires February 14, 2015 '�'�, iy, ` t,adbTMuTro7Falnlmoio�l00•JtS7019 (Rev. 3/27/07) Print or type name Notary Public - State of 1 Commission No. 2 My Commission Expires: 1 MID FLORIDA ROOFING REPAIR CONTRACT . 768 Feme Drive STATE LICENSE: CCC057834 Longwood, FL 32779 Tel: (407) 830-8554 Fax: (407) 682-8554 Date of Estimate: Sales Rep Name: )3i I t P c,, k Customer Name: Sales Rep Phone #: Ld b7 -y67- ( 2 Job Address: / zZ U,11+1, s't • Cust. Day Phone #: qo7 - City, State, Zip: 5w.,. > .,rCust. Eve. Phone #: By signing below, Customer and Mid Florida Roofing, Inc. hereby agree to the terms and conditions described in this contract: ❑ Shingle repair Square footage of repair: Manufacturer & Type of shingles: Color: ❑ Flat roof repair Square footage of repair: Type of roofing system: ❑ Tile roof repair Number of broken, loose or missing Field Tiles: Hip & Ridge Tiles: Rake Tiles: ❑ Concrete Tile ❑ Clay Tile ❑ Slate Tile Manufacturer: Style: Color: ❑ Metal roof repair Type of metal: Color: Qty and length of panels: Qty and length of trim pieces: OTHER REPAIR DESCRIPTION: L� R v J6� 00F 4✓ 4sr C. 4 f P0/—r j 13 ' Z 0 r1 n(e j Aua Ve?W �7Ass S `: S3`r (=_a f `� lU�c^1 Al—,.-.✓ iJi . i L. �c%ou.w +..i1��7yrL'1 If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and a finance charge of 8% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the date of acceptance and approval by Mid Florida Roofing, Inc. Mid Florida Roofing, Inc. reserves the right to cancel all or part of this contract at any time. The State of Florida has a construction recovery fund. WARRANTY: Includes manufacturer's material warranties and a workmanship warranty for a period of 2 (two) years from the date of final invoice to customer. PAYMENT TERMS: Full payment is due upon completion of the work described on this contract, unless otherwise agreed upon in writing between customer and Mid Florida Roofing, Inc. Accepted: Date: Customer Signature Approval: Mid Florida Roofing Authorized Signature Date: TOTAL REPAIR COST =$ 1115-0 (Due upon completion) City of Sanford BUILDING DIVISION RE: Permit # lel-C/19 Inspection Affidavit 1 17 b'��1 '1't • S t oemokar ,licensed as a(n)contractor /Engineer/Architect, (please print name and circle Lic. Type) FS 468 Building Inspector* License #; 4CCCy 57 8 31 On or about 2�221r Z 2.00 , I did personally inspect the roo __ _ (Date & time deck nailin nd/or seconda water barrier work at J2 Z (-+�' �9 >,r I tic/ (Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Miti ation Retrofit sed on 553.844 F.S.) Signature STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this-�day of 2002 By Not Public State of Florida ;�r�N+ I WILLIAM CAUH -'; 'i MY COMMISSION # DD 945328 (Print, . , , taMflW*N8)*mb9r 09, 2013 (�p7)9YL0163 FWWONW "CrA 0.0" / Commission No.: Per,. •..111y known V-11, / r i Identifi. ider.' • General, 7. , iitractor or any individual certified under 468 F.S. to make such an inspectin-s. ,. . p: . A• 'the roof with the permit # or address # clearly shown marked on the deckin:_•ec• .,n.