HomeMy WebLinkAbout820 Celery AveApplication No:
Pkv
l d - t!O <9' Y'
RECEIVED
JAN 12 2012
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: S C>2 052&- • vy
Job Address: 9�;Zy
Historic District: Yes ❑ No ❑
Parcel ID: -70 —12 0000 — of/y Zoning:
Description of Work: _�iys,^,4-mac- o=o "or �,.ee 4,/,i,31
Plan Review Contact Person: /(/ick %'rte C_
Phone: Cfi'�7� 3.S5 Fax: rXen2
E-mail:
Title:
&"�5c=r
Property Owner Information
Name ��� Pl1onc:C&0'7)
Street: g�qd efc4c ey Resident of property? : ES
City, State Zip: 32-7
Contractor Information
Name �E� Phonego_"107) 3.r7—So5 Z
Street: X67/. Fax: �1.�v7� 366 —Z3a
City, State Zip: 32-637 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Mortgage Lender:
Address: Address:
Building Permit ❑
Square Footage:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to
work or installation has commenced prior to the
meet standards of all laws regulating construction
must be secured for electrical work, plumbing
air conditioners, etc.
do the work and installations as indicated. I certify that no
issuance of a permit and that all work will be perfornied to
in this jurisdiction. I understand that a separate permit
signs, wells, pools, furnaces, boilers, heaters, tanks, and
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 pen -nit, 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 he applied to your permit fees when the
permit is released.
Signature of Owner/Agent nate
Print Owner/Agent's Name
Signature of Notary -State of Florida Datc
Owner/Agent is Personally Known to Me or
Produced Ill Type of ID
APPROVALS: ZONING: M19 1.111. UTILITIES:
Signature of Contractor/Agent 1 to
Print Contractor/AjKn_�4 Nana: _Z„
DAVID P. WHEATON
MY COMMISSION / DD 991240
EXPIRES: May 12, 2014
Bended 11nu Notary Pudic undovAters
Contractor/Agent is personally Known to Me or
Produced Ill Type of lD
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS: gA iwsl,%k St CS—in limy, iov hc'r y0.0 as
Rev 11.08
SCPA Parcel View: 30-19-31-522-0000-0110
Cnmv1d JOhne . CFA Parcel: 30-19-31-522-0000-0110
P OPERTY Owner: SHAW CHARLES E & MARION V
APPRAISER
SeA1111401.CCOUMy FLOA10A Property Address: 820 CELERY AVE SANFORD, FL 32771
< Back < Previous Paroel Next Parcel > Save Layout Reset Layout New Search
Parcel: 30.19.31-522-0000.0110 I Value Summary
Property Address: 820 CELERY AVE
Owner: SHAW CHARLES E & MARION V
Mailing: 820 CELERY AVE
SANFORD, FL 32771 - 2914
Subdivision Name: HOLDEN REAL ESTATE COMPANYS ADD
Tax District: S1-SANFORD
Exemptions: 00 -HOMESTEAD (1994)
DOR Use Code: 01 -SINGLE FAMILY
10
1
2011 Certified
MAe
ap rial Both Footprint + Extents Center
Larger Map I I Dual Map View - External
Page 1 of 2
Tax Amount without SOH: 5745
2011 Tax Bill Amount $612
Tax Estimator
Save Our Homes Savings: $133
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Markel
Method
Number of
Buildings
1
1
Depreciated
160,172
S63,87C
Bldg Value
580,159
580,159
Depreciated
$4,096
S4,09E
EXFT Value
525,000
555,1 S9
Land Value
$18,690
S18,69C
(Market)
530,159
Land Value Ag
580,159
550,000
Just/Market
.10r,958
586,65E
Value '•
550.000
S30,159
Portability Adj
Save Our Homes
52,799
18,832
Adj
Amendment 1
Adj
Deed Date Book Page Amount
Assessed Value
180,159
577,824
Tax Amount without SOH: 5745
2011 Tax Bill Amount $612
Tax Estimator
Save Our Homes Savings: $133
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOTS 1 1 + 12 HOLDEN REAL ESTATE COMPANYS ADD PB 1 PG 89
Tax Details
Taxing Authority Assessment Value
Exempt Values
Taxable Value
County General Fund
580,159
580,159
SO
Schools
580,159
525,000
555,1 S9
City Sanford
580.1 S9
150,000
530,159
SJWM(SaintJohns Water Management)
580,159
550,000
530,159
County Bondsi
580,159
550.000
S30,159
Sales
Deed Date Book Page Amount
Vac/Imp
Qualified
Find Comparable Sales within this Subdivision
Land
http://www.scpafl.org/ParcelDetails.aspx?PID=30-19-31-522-0000-0110 1/10/2012
FENCE'OUTLET Proposal/Contract
www.fenceoutietonline.com
CUSTOMER NAME _I I..,.aeS S�atJ Q,f_1(�I yLA,�
OWN PROPERTY? YES❑ NO❑
OWNERS NAME
C Feet
d Feet
He ht 4' ❑ 5' ❑ 6' ❑
CYp ❑ PT Pine ❑ Pres. Plus
T& rivacy ❑
BOBKD ❑ VSB ❑
Priva With Lattice ❑
DomScalloped ❑
Othe
Other a
Heig8' O
Gate_ ize
Picke" ❑ 1'" x 4" ❑
Gate_ a
RunnO
Gate_ Si
Gate
Flat Cap ❑ Bal Capl ❑
Gatee
Gothic ❑ w Eng. ❑
Gatee
GothTra itional Top ❑
100ermO
Coachman ❑ at Drop ❑
Good Side In D Out D
Fence to Follow Contour of Ground
Fence to be Level ❑
Remove existing Fence &=-- Ft. No ❑
60751
0 "
9671 S. Orange Blossom Trail • Orlando, FL 32837
I Tel (407) 851-6660 • Fax (407) 438.3181
1724 West Broadway St.. Suite 100.Oviedo, FL 32765
Tel (407) 359.9092 • Fax (407) 366.2335
201 S. Falkenberg Road " Tampa, FL 33619
Tel (813) 651.3623 • Fax (813) 651.3655
DATE /-5S/,2
PHONE: HOME#
WORK
MOBILE J9,36—9jf3
FAX
UM
LDED STEEL
Feet
Ste Feet❑
5'❑ 6'O
6' O3❑
HeiVSize
#300❑ #303❑
\Residenti
Styajestic❑e
Moge PlusO❑
Commercial ❑
Blaite
❑ Industrial ❑
Gal
Gat
Gate Size
Gat
Gate_ Size
Gate_ Size
Fence Line to be Cleared by Fence Outlet O 79 f
Fence Line to be Cleared by Owner ()�
Comer Lot Yes No ❑
Permit Needed Yes No ❑
Jurisdiction
Special Instructions:
4,210(2(.0
HOUSE
;RAIN LINK o20�6
Chain Link Feet
Height 4' ❑ 5'(546'0
Other Height
Residential (g�commercial ❑
LT Comm ❑ Industrial ❑
GalvanizedLIJ4_Black Vinyl ❑
Green Vinyl D
Gateg2 Size
Gate_ Size
Gate_ Size
Fence Outlet will assist the customer, upon request, In determining where the fence is to be erected, but under no circumstances does Fence Outlet assume any responsibility concerning property lines or in
any way guarantee their accuracy. N property pins cannot be located, It Is recommended that the customer have the property surveyed.
Fence Outlet will assume the responsibility for locating underground cables and utilities, however, Fence Outlet Is not responsible for arty sorinklers or other unmarked burled lines or obleds.
Payment is due at the time of completion of work, and a finance charge of 1112% per month shall be applied to all accounts not paid In full within 10 days of completion. All material will remain the property of
fence outlet until payment Is received in full. Right of access and removal is granted to Fence Outlet in the event of nonpayment per the terms of this contract. The customer agrees to pay all interest and any
costs incurred In the collection of this debt Including reasonable attorney fees.
If the buyer refuses to allow the seller to begin work or complete work already begun, or to accept materials contracted for, Buyer agrees to pay Seller liquidated damages of a sum equal to 33113% of entire
contract price, plus cost of materials and labor already furnished or In progress. Warranty may be voided if sign is removed.
Customer assumes full reaoonslblWa for obtaining homeowners association approval for the tune and location of fence.
ACCORDIN610 FLORIDA'S CONSTRUCTION LIEN LAW (SEC110RS 713.001.113.31, FLORIDA STATUTES), THOSE WHO WORN ON YOUR PROPERTY OR PROVIDE MATERIALS
AND ARE NOT PAID IN FOR HAVE A RIONT 10 ENFORCE THEIR CLAIM FOR PAYMENT 464I11ST YOUR PROPERTY. THIS CLAIM IS KNOWN IS A CONSTRUCTION LIEN. IF
YOUR CONTRACTOR OR I SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -CONTRACTORS, OR MATERIAL SUPPLIERS OR 1E69CTS TO MORE OTHER 96ALLY
REQUIRED PAYMENTS. THE PEOPLE WHO ARE OWED MONEY MAY LOON TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU NAVE PAID YOUR CONTRACTOR IN FULL IF YOU
FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN DN YOUR PROPERTY. THIS MEANS IF I LIEN IS FILED YOUR PROPERTY COULD BE SOLD
A6AINS1 YOUR WILL 10 PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED 10 PAY. FLORIDA'S
CORSTRUCTION LIEN LAN IS COMPLEN AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CORSULT AN ATTORNEY.
NOTICE TO PURCHASERS OF WOOD FENCES:
Wood fence materials are rough mill cut pieces. Wood fence has a tendency to shrink and warp In hot, humid weather and I gaps will appear between boards. Cracks in the wood are a common and
accepted occurrence. Fence Outlet will only guarantee the workmanship on wood fences four. ()r.
I HAVE READ AND UNDERSTAND THE ABOVE CLAUSE: /
CONTRACT AMOUNT: $ Oo2 APPROVED AND ACCEPTED"R CUSTOMER ll 6 1-10-1Z ✓! .
ILI"
DOWN PAYMENT. : CUSTOMER DATE
l3 $ �
BALANCE DUE CUSTOMER DATE
UPON COMPLETION $
rJU ACCEPTED FOR FENCE OUTLET
I
4z2c rf 0O% X7_- !� ,
DATE STARTED DATE COMPLETED SALESPERSON.T DA
INSTALLER LABOR QUOTE VALID FOR 30 DAYS
LiX T
n Cori: --.ny
L, L I Li i r, c ru e Il,Jaid:
V
t C. C - t. i
z h -..t i L):li'v Of' Lilc- :iC.�:vC
I
i lat, 1:5 Co:, I" c;. r*..:,.Y,k::
,jl
Fi;Ji iJ.:'i'Ivi'J a!JkJ:�Y : ; L1.�y r'�� _ P.) Feb 71
2) Mar 71
')wy of SANFORD - BUILDING KAN REVIEW
DE11LIPMINT SERVICES
PLAN 0 rmtw "n"'
APPRC::G%
DATE
CELERY AVENU
A A
SA4W'.,fAo'$4'q1t ;L!la J' W`
! Lw Cl w t ;L W,9 lk &''"r
OP ID: CD
'`'`.� "'' CERTIFICATE OF LIABILITY INSURANCE
DAT03125O/YYYY)
TYPE OF INSURANCE
03!25!11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER407-869-4200
Elliot Leitenberg 407-862-7656
Bruce Morse Insurance Agency
1000 Wekiva Springs Road
Longwood, FL 32779
NOME. Dede Malley
PHONE FAX
c o E •407.478-6529 AIc No: 407-862-7656
E-MAILADDRESs: dmalle morsea enc .com
Leitenberg Insurance Services
PRODUCE
CUSTOMER ID •FENCE -1
INSURER(S) AFFORDING COVERAGE NAIC
77PR8651613001
INSURED Fence Outlet Inc
INSURER A: Nationwide P&C 37877
Fence Outlet of Oviedo Inc
Fence Outlet of Tampa Inc
9671 S. Orange Blossom Tr.
Orlando, FL 32837
INSURER B: Nationwide Mutual 23787
INSURER C: Nationwide/Allied P&C Ins 42579
INSURER D:Brid efield Employers Ins 10701
INSURER E
GENERAL AGGREGATE f 2,000,000
INSURER F:
PRODUCTS • COMP/OP AGO t 2,000,00
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I R
T
T
TYPE OF INSURANCE
POLICY NUMBER
MMIDYDIYYY
MMIDDIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X
77PR8651613001
12131110
12131/1 1
EACH OCCURRENCE f 1,000,00
PREMISES Ea occurrence f 100,00
MED EXP (Any one person) f 6,000
PERSONAL 6 ADV INJURY f 11000,00
GENERAL AGGREGATE f 2,000,000
FGEI'L AGGREGATE LIM T APPLIES PER:
POLii Y - pR T I LOC
PRODUCTS • COMP/OP AGO t 2,000,00
f
C
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
X
BAPC 5903684403
12/31/10
I
12/31/11
s 500,000
COMBINED SINGLE LIMIT accident)
BODILY INJURY (Per person) i
BODILY
BODILY INJURY (Per accident) s
PROPERTY DAMAGE s
(Per accident)
s
f
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS-MADE12/31110
X
77CUS651613002
12131111
EACH OCCURRENCE f 5,000100
AGGREGATE f 5,000,00
s
DEDUCTIBLE
X RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY OFFICER/MEMBE�XCLUDEDX ECUTIVE YD
(Mandatory In NH)
If yea, describe under,
DESCRIPTION OF OPERATIONS below
3
NIA
830-36090
04/01/11
04101112
WC STATU• ER.
X I
D
TORY
E L. EACH ACCIDENT f 1,000,00
E L. DISEASE . EA EMPLOYEE f 1.000,00
E L. DISEASE . POLICY LIMIT f 1.00 ,
__..,
_ ......
__ ..
r,e„ ,n, Aediti—I Remarks Schedule.
11 more apace Is
required)
DESCRIPTION OF OPERATIONS I LOGAl lVrn5 r venn.uca t..,.o-•• ^-- •
Liability. t–o •G•eeral.'
Liability,AisAdditional
ddiilInured as respects
Auto Liabilitertificate y, Holder ota
"30 day notice of cancellation/10 day notice for nonpayment of premium.
City of Sanford
Purchasing Manager
PO Box 1780
Sanford, FL 3271
ACORD 25 (2009/09)
SANFOCI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
(01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: �i v
I hereby name and appoint: N) P, A V PAT E L
an agent of: i E N C e 0 U i L r T
(Name of Company)
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):
WAll permits and applications submitted by this contractor.
O The specific permit and application for work located at:
(Strect Address)
Expiration Date for This Limited Power of Attorney: 1 2_/'3 / / 2 0 2 0
License Holder Name: R A S U L_ PA -1 EL
State License Number: 0 G L 3
Signature of License Holder:
STATE OF FLOR]DA
COUNTY OF iNvc�
The foregoing instrument was acknowledged before me this /i day of '%A_fwv*ve,
20 //, by A ATu L PATEL who is Isd personally known
to me or o who has produced
identification and who did (did not) take an oath.
(Notary Seal)
••,y DONNA S. DAIF
MY COMMISSION M EE 056170
EXPIRES: Apd129, 2015
•Rf BMW 1Tro Nowy POIC Undowdten
(Rev. 3/27/07)
Signature
1)otJn1A S. DqLE
Print or type name
Notary Public -State of FL o2 t DR
Commission No. EE 05(o 170
My Commission Expires: 0y/29%2ols'
as