HomeMy WebLinkAbout1308 W 12 StJAN Y1011
ITY OF SANFORD
Y IRE PREVENTION
PERMIT APPLICATION
Application No: f a- C A 1 Documented Construction Value: $ 3,50 -o d
Job Address: 13 o5 Wl - 5AP_-' FC40 Historic District: Ves ❑ No 211'
Parcel ID:
Description of Work:
Zoning: _
5 i06 ov 4A
Plan Review Contact Person: P'yr n G++'S S tic1� Sam Title: lam/ --'LA
Phone:�5Y!5.7 Fax: -951-b fo ( E-mail:
Property Owner Information
Name VA(-kYLi. f N CK--lf ice. -C,
Street: I Sas LL.-. a " S7 - S
City, State Zip: sign� a-.
Phone:
Resident of property?: �S•
Contractor Information
Name tA%C' Phone: 3Z 1 Z y% rj y f
Street: f A �, &m 67 S5VM 1'7A .60 Fax:
City, State Zip:l�12 Y•I�(_ -7 Z � I Z State License No.: 655 1754`
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:
Mortgage Lender;
Address:
PERMIT.INFORMATION
Construction Type:
Flood Zone:
Plumbing O
No. of Stories:
New Construction - No. of Fixtures:
Mechanical 0 (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 released.
11111 iZ
Signature of Owner/Agent Date \rSatue of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced I D Type of I D
Signature
's Name
Date
honally Known to Me or
of ID
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
SCPA Parcel View: 25-19-30-5AH-0000-034K
• OaMdJorrreorr,C.FA Parcel: 25-19-30-5AH-0000-034K
�P Owner: MITCHELL VALARIE 6 MITCHELL MILDRED S 8 WILLIAM
Property Address: 1308 W 12TH ST SANFORD, FL 32771
SEW0,IOW OOVNrY. F LOFtW^
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Parcel: 25.19.30.5AH-0000.034K Value Summary
J
J
Property Address: 1308 W 12TH ST
Owner. MITCHELL VALARIE b MITCHELL MILDRED S b
WILLIAM
Mailing: 1308 W 12TH ST
SANFORD. FL 32771 - 2750
Subdivision ROBINSONS SURVEY OF AN ADD TO SANFORD
Name:
Tax District: Sl-SANFORD
Exemptions: 00 -HOMESTEAD (1996)
DOR Use Code: 01 -SINGLE FAMILY
riil MOH]
W 11TH ST
b, 1I ;
R. w. Amlex
I
Lkill
JAN 112012
? $y: CITY OF SANFORD
(e'—=BUIL-DING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 Documented Construction Value: $ '550.00
Job Address: ly �2SAW';�4-0 Historic District: Yes ❑ 14042"
Parcel ID: Zoning:
Description of Work: P"(, (, A -G C A Lf7+ LAA/ 4A C: &LCG74tC f fmE
Plan Review Contact Person: d <CG%7 6 C77&-7 Title:
Phone:3VO-V 1'�C 1 Fax: E-mail:
Property Owner Information
Name UktGilc I�"G1z2t r✓�.
Street: i ?o 9 L/ ( V-1
City, State Zip: ��tNt=n 1'-'t
Phone:
Resident of property?: b6 S
Contractor Information
Name i' CM i Cil A,&✓ k5 in-, C0i 1—%4AC7--(.. Phone: 3 9 —fiao %
Street: ISO 9 (gin JYI-� 00, Fax:
City, State Zip: 6-7, AY -0 i State License No.: CGC 65�1-1G
Architect/Engineer Information
Phone:
Fax:
E-mail:
Name: 110,
Street:
City, St, Zip: 01 z
Bonding Company:
Address:
Building Permit O
Square Footage:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical D
New Service — No. of AMPS:
Mechanical 13 (Duct layout required for new systems)
Plumbing D
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O 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 calc lated chargeR exceed the documented
construction value when the executed contract is submitted, credit will be applied to our permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced I D Type of I D
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
Prin tractor/Agent's me
Signature of Notary -State of Florida Date
Contractor/Agent is _
Produced ID���yl
��pTT
UTILITIES:
��•V;��o�62014
FIRE:
NOTARY
'":tutor
Personally Known to Me or
teofID
.TER:
�,r
/BEMIS ON
WNEELS�a Work Write Up for Weatherization Program
��•7
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 pug permits and provide results pertaining to your business function
according to Local Municipality and Code and or provide the some 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 b client rile. 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 shag be as described in the
OWNERICONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS. INSTALLATION and WORKMANSHIP STANDARDS.
Item Al Description of Materials/Services Required Priority # Material Labor Total
1 replace existing electric 40 gal water treater with new $ 300.00 $ 250.00 $ 550.00
Valerie Herrin DATE: Is 550.00
JOB a
ADDRESS: 11308 w 12th Street Sanford, Florida 32771 PHONE:
Notice to Bid
Please inspect the property and submit the work -write up with your cos( to me NO LATER TH N . If your bid is the criteria, you will
be contacted with the Notice To Proceed With Work, signed, with a time frame for work to be c4mpleted in.
Contractor. _Premier Plumbing Signature: LDate: I I
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 XX -XX -2011. You shall complete all worst on or before XX -XX -2011.
Acceptance of Bid: Date: Jay Curbow / Weatherization Manger
MOW (may proceed) Meals on Wheels Etc.
Acceptance of 2801 S. Financial CL Sanford FL, 32773
Addendum to Bid: Date: Office: 407-333-8877 ext.114 I Fax 407-829-2468
CONTRACTOR (sign & send back Cell: 321-M4829
Application No: I a::(
,�CEIV D CITY OF SANFORD
JJAN i 2
01Z BUILDING & FIRE PREVENTION
I PERMIT APPLICATION
Documented Construction Value: $ -2,.30 °. d a
Job Address: /�j O W. !d .5 Historic District: Yes 0 No 0
Parcel ID: �S'- /2 -.:?Q S/Q/:• ovao-O3-41k Zoning.
Description of Work: PC 12/4 cle 0$ 0- /Icwid /cr .r. Co "der, Se_r-
Plan Review Contact Person: /Wt Ck Title:
Phone: 35d -d. G 7- /t 3 o Fax:
E-mail:
Property Owner Information
Name ✓Q,/a r i e W,' IcAe'll Phone: 1 Yo 7- 7.S6 - YS/O.S"
Street: l3 a P W • 14 V-4 j�, Resident of property?
City, State Zip: _9 ,4 Jvnnr oQ 3a 77/
Contractor Information
NamefT f Gare A0. xh c.
Street: e 0, R 01c /e.> 6
City, State Zip: MrL Oars, �9. 3.I 75,E
If
Name:
Phone: .?S. - 735- G 6 1(/
Fax:
State License No.: Q14C 0S 7eP0 7
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Square Footage:
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS:
E-mail: _
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing O
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 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:
COMMENTS:
Rev 11.08
Signature of Contractor gent Date
A,/l CJ's, /4.P
Print Contractor/Agent's Nana
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
SCPA Parcel View: 25-19-30-5AH-0000-034K
Page 1 of 2
/Itto: svKI .N it w vuot., cit A Parcel: 25 -19 -30 -SAH -0000-034K
PROPERTY Owner: MITCHELL VALARIE & MITCHELL MILDRED 5 & WILLIAM
APPRAISER
Mclt r r;:pUntty, rt.ortrun Property Pro ert Address: 1308 W 12TH ST SANFORD FL 32771
;1 rar
< Back < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
I Parcel: 25-19-30-5AH-0000.034K Value Summary
Property Address: 1308 W 12TI.1 ST
Owner: MITCHELL VALARIE & MITCHELL MILDRED S &
WILLIAM
Mailing: 1308 W 12TH ST
SANFORD, FL32771•2750
Subdivision Name: ROBINSONS SURVEY OF AN ADD TO
SANFORD
Tax District: Sl-SANFORD
Exemptions: 00•HOMESTFAD (1996)
DOR Use Code: 01 -SINGLE FAMILY
cf I F5 d G
W 11TH ST
® 4fes''' F E
4„fj LU F
- x
j
p� W 12TH ST O
C -L a1
r.
14V
Map Aerial Both Footprint + D Extents center
Larger Map Dual Map View - External
Tax Amount wrlhout SOH. 5299
2011 Tax Bill Amount $175
Tax Estimator
Save Our Homes Savings: $125
' Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
W 4815 FT Of E 98.4 Fr OF SW 1/4 OF LOT 34 ROBINSONS SURVEY OF AN ADD TO SANFORD PB I PG 92
Tax Details
Taxing Authority
2012 Working
2011 Certified
Taxable Value
Values
Values
Valuation
Cost/Market
Cost/MRrker
Method
525,000
$9,774
Number of
534,774
51.5.000
Buildings
1
1
Depreciated
529,484
$31,043
Bldg Value
S2S,0001
59,774
Depreciated
EXFT Value
Land Value
58,971
58,971
(Market)
I -and Value Ag
Just/Market
538.455
540,014
Value ""
Portability AdJ
Save Out Homes
$3,681
56.253
Ad j
Amendment 1
AdJ
Assessed Valuel
534,774
533,761
Tax Amount wrlhout SOH. 5299
2011 Tax Bill Amount $175
Tax Estimator
Save Our Homes Savings: $125
' Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
W 4815 FT Of E 98.4 Fr OF SW 1/4 OF LOT 34 ROBINSONS SURVEY OF AN ADD TO SANFORD PB I PG 92
Tax Details
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$34,774
525.000
$9,774
Schools
534,774
525,000
$9,774
City Sanford
534,774
51.5.000
59,774
SJWM(Satni Johns Water Management)
534,774
525,000
$9,774
County Bondsi
S34.7741
S2S,0001
59,774
I_ Sales
Deed I Date I Book I Page I Amount I Vac/Imp
Find Comparable Sales within this Subdivision
Land
1
http://www.scpafl.org/Parcel Detai ls.aspx?PI D=25- 19-30-5AH-0000-034K
Qualified
1/11/2012
mirivis ON
W11'F L �� 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 6 Davis Bacon Compliance.Additional info may be required. All Work and Punch List
Items must be 100% complete. Prices b items maybe 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. FJI specifications. terms and conditions shall be as described in the
OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS. INSTALLATION and WORKMANSHIP STANDARDS.
11 to # € :Description of Materials/Services Required Priority # Material Labor Total
1 replace existing 2 ton with 2ton 14 seer ##### $ 500.00 $ 2,300.00
Valerie Herrin DATE: $ 2,300.00
JOB#
ADDRESS: 11308 w 12th Street Sanford, Florida 32771 PHONE:
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 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 XX -XX -2011. You shall complete all work on or before XX -XX -2011.
Acceptance of Bid: Date: Jay Curbow / Weatherization Manger
MOW (may proceed) 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
CONTRACTOR (sign & send back) Cell: 321-388-4829