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
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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