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�
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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.