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Home My WebLink About418 S Summerlin Ave—, UCITY OF SANFORD FEB 2 3 2012 BUILDING & FIRE PREVENTION gY PERMIT APPLICATION Application No: �v� C1 &8> Documented Construction Value: Job Address: �eg Or U;AlAel Gel Parcel ID: s6 ^ /7- 3/- ,Q C'd-= - 0(ado Description of Work: Plan Review Contact Person: Phone: Fax: Historic District: Yes ❑ No1� Zoning: Title: E-mail: Property Owner Information NamePSL'i � I6N Street: ts-�M SGA/ City, State Zip: r eye77/ Phone: Resident of property? Contractor Information g Name - C. Phone: �07 7y G i� Street: 19Q 44( - Fax: City, State Zip: %1e4e, %%��7-��7�1� State License No.: 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: Fax: 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 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 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 Date Print Owner/Agent's Name Print CMtractor/Ag is Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Notary -State of Contractor/Agent is Pe Produced ID Type: :o WASTE yip 2--"L Date Date or� INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMS - WATER NEATER ONLY LOWE'S OF SANFORD. FL, STORE 0 1657 STORE PHONE: (407) 430.4060 a 1 7W-PRLANOO DRIVE SALESPERSON: RYAN WELCH SANFORD. FL 32773 SALESPERSON 10: 1523707 Document Print Date: 02!182012 STORE COPY This is only a Gude for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, including th specifically completed pages of this document, the Terns and Conditions Included with ttds document, the applicable portion(s) of Lowe's receipt, and any other addenda orittachmentwhereto, shall be referred to herein as tHs "Contract.* or EASE READ -HIS ENTIRE DOCUMENT, INCLUDING THE 'TERMS AND CONDITIONS." BEFORE SIGNING, Lowe's Registration or Contractor License Number I Lowe's Contractor Name Florida Contra0v License Number CGC1508417 J MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 140448: E2F4<HD045V _$TK : 41013 6Y ELEC TALL WTR HTR: 40 -GALLON 6 -YEAR TALL ELECTRIC WATER HEATER: AMERICAN WATER HEATER - OTY 1 A t Materiels Price $ 317, CustomerName I DESCRIPTION Hoare Phone S DONALDPEDERSON\ 40722-8585 O CustOmerAddress Other Phone 418 S SILMMERLIN AVE L City State / Province Zip / Postal Code Q SAN FORD \ FL 32771 Installaticm Address T 418 S SabMMERLIN AVE \ Installatiot City Installation State/Province Installation Zip/Postal Code O SANFOFD FL 32771 J MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 140448: E2F4<HD045V _$TK : 41013 6Y ELEC TALL WTR HTR: 40 -GALLON 6 -YEAR TALL ELECTRIC WATER HEATER: AMERICAN WATER HEATER - OTY 1 A t Materiels Price $ 317, Store 1657 Project o. 34688 for DONALD PEDERSON Page 1 of 7 coINSTALLATION 11-01 DESCRIPTION Installation Type esideatial Number of Water Heaters to replace : 1 Store 1657 Project o. 34688 for DONALD PEDERSON Page 1 of 7 M N a W W J a N 0 W J J a z ti Ln 1.0 STORE COPY Water Heater Type : Electric Emergency Installation: No Install in Crawl Space : No Expansion Tank Installation: No Piping Modification Estimate : No / No detail completed Drain Pan / Line I nstallation Estimate: No / No detail completed Permit Required : Yes Permit Fee: Yes Describe work needed to bring up to code: None / No Detail Completed Other Work Charce : Yes Heater Size: Less than 75 Elevated Installation: No New Water Heater Stand Installation: No Earthquake Strap Installation: No/ No detail completed Unusual Site Conditions Estimate: No / No detail completed Customer Understands Scope of the Heater Project: Yes Who Will Obtain Permit: Installer Additional Miles Traveled Over 20: 0 Describe other work needed: expansion tank or valve Comments: water heater is located in the garage - Additional Specifications: Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not install a water Heater in any location where it would be un- safe or a violation of building code, this also includes any location subject to flooding or installing a gas water heater In living spaces (bedroom, bathroom, etc.). Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit. Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Familes, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTICE OF AfSITRATION AGREEMENT This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customers rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE W COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE- VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- TION ADJUDICATION found In the Terms and Conditions of this Contract. I TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES I Store 1657 Project No. 346885604 for DONALD PEDERSON SUB -TOTAL $ 1 ORDER TOTAL 1 $ 720.001 Page 2 of 7 rn w J Q 0 W J J Q z t� rn •o o� �o 0 If 0 M 1 • ti 0 s STORE COPY BALANCE DUE Work is to commune upon reasonable availability of Contractor which is anticipated to be (fill In date]. Estimated complction date is (fill in date(. NOTICE TO CUSTOMER All items listed h this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contractlorm. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated bydefective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ. UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS CONTRAOT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESS OURHAND(S) AND SEAL(S) BELOW THIS—LV—DAY OF F4caa.,x , 2-oi2 Lowe's Home Centers, Inc. By: :::�k r�r (Seal) COO Print Name: Xyo-... We) CA, 3'l&e) Address 5e 31,)-73 City State / Province Zip / Postal Code Owner rj ual:z L . S��tr72 Sat/ Print Name C4 -Owner orWitness Print Name acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this Store 1657 Project No. 346885604 for DONALD PEDERSON Page 3 of 7 SCPA Parcel View: 30-19-31-525-0000-0620 David Jotvaon. C#rA Parcel: 30-19-31-525-0000-0620 �t ■ i Owner: PEDERSON DONALD L & LYNDA SBMDCW COUN>r PLORDW Property Address: 416 SUMMERLIN AVE SANFORD, FL 32771 < Back I Save Layout I Reset Layout I New Search Parcel: 30-19.31.5254)000-0820 1 Value Summary Property Address: 418 SUMMERLIN AVE Owner: PEDERSON DONALD L d LYNDA Mailing: 418 S SUMMERLIN AVE SANFORD, FL 32771 - 2256 Subdivision Name: FORT MELLON Tax District: SI-SANFORD Exemptions: 00•HOMESTEAD (1994) DOR Use Code: OISINGLE FAMILY Re I I Z W - 1A tq Map Aerial I Both I Footprint I + Extents I Center Larger Map I Dual Map View - Extemal Legal Description LEG LOT 62 FORT MELLON PS 3 PG 69 Tax Details Tax Amount without SOH: $1,228 2011 Tax Bill Amount $1,176 Tax Estimator Save Our Homes Savings: $52 • Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Method Cost/Markel Cost/Market Number of 1 1 Buildings $97,715 $50,000 Depreciated Bldg $77,855 $82.052 Value $47,715 County Bonds Depreciated EXFT $750 $788 Value SF Land Value $19,110 $19,110 (Market) 1992 7 Land Value Ag 2.264.00 1,555.00 just/Markel Value $97,715 $101,950 Portability Adj FAMILY Save Our Homes i0 $2.596 Adj BLOCK Amendment 1 Adj Description lues Assessed Value $97,715 $99,354 Tax Amount without SOH: $1,228 2011 Tax Bill Amount $1,176 Tax Estimator Save Our Homes Savings: $52 • Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $97,715 $50,000 $47,715 Schools $97,715 $25,000 $72,715 City Sanford $97,715 $50,000 $47,715 SJWM(Saint Johns Water Management) $97,715 550,000 $47,715 County Bonds $97,715 $50,000 $47,715 Sales Deed I Date I Book I Page I Amount I Vacnmp I Qualified QUIT CLAIM DEED 06/19911 023091 /0 0 $1001 Vawntj No ADMINISTRATIVE DEED 0811990 02211 78 $70.500 Improvedl No Find Comparable Sales within this Subdivision Land Method I Frontage I Depth I Units I Unit Price I land Value FRONT FOOT d DEPTHI 601 138 .0001 325001 $19.110 Building Information Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012 Year Base Total Heated Adj Rept 0 Description Fixtures Ext Wall Appendages Built Area SF SF Value Value I SINGLE 1992 7 1,555.00 2.264.00 1,555.00 CONC $77,855 584.168 FAMILY BLOCK Description lues Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012 SCPA Parcel View: 30-19-31-525-0000-0620 r7ovidJot mom CRA Parcel: 30-19-31-525-0000-0620 Owner: PEDERSON DONALD L & LYNDA !>a ffC50U V PLCOVDA Property Address: 418 SUMMERLIN AVE SANFORD, FL 32771 < Back I Save Layout I Reset Layout I New Search Parcel: 3419-31-525-0000-0620 1 Value Summary Property Address: 418 SUMMERLIN AVE Owner: PEDERSON DONALD L 8 LYNDA Mailing: 418 S SUMMERLIN AVE SANFORD, FL 32771 - 2256 Subdivision Name: FORT MELLON Tax District: SI-SANFORD Exemptions: 00 -HOMESTEAD (1994) DOR Use Cods: 01 -SINGLE FAMILY R. I Z W 60 t/I 0 Map I Aerial I Both I Footprint I + Extents I Center Larger Map I Dual Map View - External Legal Description LEG LOT 62 FORT MELLON PB 3 PG 69 Tax Details Tax Amount without SOH: $1.228 2011 Tax Bill Amount $1.176 Tax Estimator Save Our Homes Savings: $52 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Method CosUMerket CostlMarket Number of $25,000 $72,715 Buildings 1 1 Depredated Bldg $77.855 $82,052 Value $47,715 County Bonds Depredated EXFT $750 $788 Value 1,555.00 CONC Land Value $19,110 $19,110 (Market) Land Value All Just/Markel Value $97,715 $101,950 Portability Ad1 Save Our Homes $O $2,598 Adj Amendment 1 Adj Assessed Valuel $97,715 $99.354 Tax Amount without SOH: $1.228 2011 Tax Bill Amount $1.176 Tax Estimator Save Our Homes Savings: $52 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $97,715 $50.000 $47,715 Schools $97,715 $25,000 $72,715 City Sanford $97,715 $50,000 $47,715 SJWM(Saint Johns Water Management) $97,715 $50,000 $47,715 County Bonds $97,715 $50,000 $47,715 Sales Deed I Date I Book I Page I Amount I Vacnmp I Qualified QUIT CLAIM DEEDI OW19911 023091 1010 $1001 Vacentl Nc ADMINISTRATIVE DEEDI 0811990 1 078 $70.5ml Improved Nc 'Ind Comparable Sales within this Subdivision Land Method Frontage I Depth I Units I Unit Price I Land Value FRONT FOOT b DEPTH 601 138 .000 32-5.001 $19.110 Building Information Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012 Year Base Total Heated Adj Rept A Description Built Fixtures Area SF SF Ext Wall Value Value Appendages 1 SINGLE 1992 7 1,555.00 2.264.00 1,555.00 CONC $77,855 $84,168 FAMILY BLOCK Description Area Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012 SCPA Parcel View: 30-19-31-525-0000-0620 < Back I Save Layout I Reset Layout I New Search Page 2 of 2 http://www.scpafl.orgfParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012 Description Area GARAGE 420 FINISHED OPEN PORCH 199 FINISHED SCREEN PORCH 156 FINISHED Permits Permit 0 Type Agency Amount CO Date Permit Date Extra Features Description Year Bit Units Value Cost New FIREPLACE 11MI / $750 51,500 < Back I Save Layout I Reset Layout I New Search Page 2 of 2 http://www.scpafl.orgfParcelDetails.aspx?PID=30-19-31-525-0000-0620 2/22/2012