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HomeMy WebLinkAbout157 Country Club DrCITY OF SANFORD BUILDING & FIDE PR,..,, Ey !171ON PERMIT APP0401QN Application No: '1 �-- '56 1 Documented Construction Value: Job Address: Historic District: Yes ❑ No Parcel i[D: Zoning: Description of Work: *- e r f Plan Review Contact Person: A), cit 100-n o & Title: Phone: Fax: E-mail: Proaerty Owner Information Phone: At'o7Af j Resident of property? Name -3-�_a h . (A -)A �� , o Street: lS"7 �'n ?�� ti �c� !'ri cie. City, State Zip: Ervi,) c r ( 1 ,117 `t l Contractor Information game g, 1 X,r- Phone: itreet: #4--C), F 0 X l 3116 _ Fax: :ity, State Zip: Fz , .31 756 State License No.:� +�--- Architect/Engineer Information name: treet: ity, St, Zip: onding Company: ddress: gilding Permit O juare Footage: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: ►. of Dwelling Units: Flood Zone: ectrical O w Service — No. of AMPS: :chanical LJ (Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm Cl No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that work or' instaila6n has commenced prior to the issuance of a permit and that all work will be performed to 1 meet standards of all law's regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, 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 $ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM]MENCEMENT. 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 pern-dt 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 Dau Print Owner/Agent's Name 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: Zev 11.08 /�a'i L tgn tune of Con /Agent Date PMrintmctPrin tractor/Agent's Name / Signature of Notary -State of orida Mat, Contractor/A Produced ID 1��tllllll 1i11!/!/! M. sco or /REALS ON Mire,SrR WL I 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. II 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 b Davis Bacon Compliance Additional info may be required. All Work and Punch List Items must be 100% complete. Prices d 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 shell be as described in the OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS. INSTALLATION and WORKMANSHIP STANDARDS. em - Description oVMaterials/Services Required Priority fl Material Labor Total 1 2 ton 14 seer ftat"" $ 950.00 $ 2,250.00 Jean Williams DATE: $ 2,250.00 i••s�- JOB !t jwilliams 1-12 ADDRESS: 1157 Country Club Drive Sanford PHONE: 407-328-5241 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 Addendum to Bid: Date: MOW T 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 CL 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 SCPA Parcel View: 35-19-30-521-OG00-0010 l 'L — ' Page 1 of 2 • 0inswrt,r,k0vsF:.wv.Cr-A Parcel: 35-19-30-521-0600-0010 PROPERTY Owner: WILLIAMS JEAN E APPRAISER Property Address: 157 COUNTRY CLUB DR SANFORD, FL 32771 5[rnrN04.1! CCX)Nry. rLOnIOA < BackI < Previous Parcel Next Parcel > j I Save Layout I Reset Layout j New Search Parcel: 35-19-30-521.OG00-0010 Value Summary Property Address: 15 7 COUNTRY CLUB DR Owner: WILLIAMS JEAN C Mailing: 157 COUNTRY CLUB DR SANFORD, Ft. 32771 Subdivision Name: COUNTRY CLUB MANOR UNIT 2 Tax District: SI-SANFORD Exemptions: 00 -HOMESTEAD (2007) DOR Use Code: 01 -SINGLE FAMILY Wo rp COUNTRY CLUB RD 0 0 0 0 e6 19' rzfqrx¢ MAYFAIR CIR Map Aerial Both Footprint + D Extents 1Center Larger Map I I Dual Map View - External Legal Description LEG LOT 1 BLK G COUNTRY CLUB MANOR UNIT 2 PB 1 1 PG 100 I Tax Details Tax Amount without SOH. $176 2011 Tax Bill Amount $176 Tax Estimator Save Our Homes Savings- SO Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Cost/Market Cost/Market Method 525.500 $9,965 Number of 1 1 Buildings SJWM(Saint Johns Water Management) 535.465 Depreciated S2S,465 527,193 Bldg Value S25.5001 $9,965 Depreciated 525.000 Improved FXF'r ValUe WARRANTY DEED 09/1979 Land Value 510,000 $IO,000 (Market) No I -and Value Ag just/Market 535.465 537,193 Value '" Portability Adj Save Our Homes SO SC Adj Amendment 1 Add Assessed ValUel S35,46SI 537,193 Tax Amount without SOH. $176 2011 Tax Bill Amount $176 Tax Estimator Save Our Homes Savings- SO Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 535.465 535.465 $O Schools S3S,465 525.500 $9,965 City Sanford 535.465 S25,500 59,965 SJWM(Saint Johns Water Management) 535.465 S25.500 $9,965 County Bondsi S35,4651 S25.5001 $9,965 L Sales Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 09/2006 06428 0065 $146.900 Improved Yes WARRANTY DF -ED 04/2003 04788 1469 540.000 Improved Yes WARRANTY DEED 01/1980 01262 1089 525.000 Improved Yes WARRANTY DEED 09/1979 01244 1602 5100 Improved No http://www.scpafl.org/ParceiDetails.aspx?PID=35-19-30-521-OG00-0010 12/28/2011