HomeMy WebLinkAbout1210 W 1 StCITY OF SANFORD PERMIT APPLICATION
A tlication #
PI Submittal Date:
Job Address LcJt?S-j- �;S S or -
Value
-� —_ of Work: $ 6 qc
Parcel ID:
Zoning: g: Historic District: _
Description of Work:
Square Footage:
...................... ............ :................................. ...............'................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS _ Addition/Alteration ❑ Change of Service ❑ Temporary Pole,[3
Mechanical: Residential ❑ i Non -Residential ❑ Replacement 0 New ❑ (Duct Layout &Energy Calc. Required)
Plumbing/ New Commercial: .# of Fixtures # of Water & Sewer Line:, # of Gas Lines
Plumbing/New Residential: #'of Water Closets Plumbing Repair —Residential ❑ Commercial'; ❑
Occupancy Type: Residential ,❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: _ # of Dwelling Units: — Flood Zone: ' (FEMA form required)
...............................
..E'�/t-S
,,.
Property Owner; LZ tor:
Address: Address 130/ �e,F}/Z ��`"'`., A-,
r
nfo/ lTer, 'all s/A2�Z�ds'
Phone: E-mail: Phone:' tate License Number: o? 01,P
Bonding Company. " Mortgage Lender: r -
Address: Address:
Architect/Engineer: Phone:
Address: Fax:
Plan Review Contact Person: Phone: _ Fax: E-mail:
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, HEA'T'ERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all o1• the foregoing information is ac
construction and zoning. curate and that all work will be done in compliance with all applicable laws regulating
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 OB'I'AIN FINANCING, CONSULT WI'T'H' YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there'may be additionafrestrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other'govcnunenial 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.
<S-&-Iuafd0wner/Agent Date . Sig naturof Contractor/Agent Dat
/,:z el� wn .%Joa of
r L
Print
Print Own r/Agent's Name �- -
,+ ` Co ractor/Agent's Name
Signature ofNotary-State of Florida DateSignature of Notary -State of Florida Date
�,pY'Prj %,, GAIL L. FREDRICK a�''"'w tYr.. GAIL L. FREDRICK
=a 614956 _* .: MY COMMISSION # DD; 614956
*; MY COMMISSION # DD apt EXPIRES: March 15,'2011.
Owner/Agent is _ P 11 erson ` o � Q]RES: March 15, 2011 -:
a 7n Bon
Produced ID i?I F� ` one u Notary Public Unde writers COnlraCtOr/Agent i5 _ P �� Y Public Underwriters
— -- Produced ID
APPROVALS: ZONING. _—.----_--..- U"fII -_ -- FD -- _ENG:_—_—
Special Conditions:
Rev 07.07
Contractor Signature
Expiration Date: 38t3l/gU
0
Card No.: 27903
License No.: RC0029823
Seminole County Building Offlcla�f
` THIS INSTRUMENT PREPARED BY: =
•NAME: MCr e --C , Building & Fire Inspection; e
i
ADDRESS: LA L4 91 M0. 00-L SEttillNOLE CUi1NTY 1101 East 1 st Stree
HORIr,.,'s AIURAI �_E,�,tr.:� Sanford, FL 3277
NOTICE \ OTICE OF COMMENCEMENT i
State of Florida
Permit No
County of Seminole
Tax Folio No. (PID) 35 - I9"30---1).3'COCb -0 i qb I
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
GENERAL DESCRIPTION OF
UNIII ILD COPY
MARYANNE MORSE
OWNER INFORMATION
Name and address r Cz �' e-4 %1 JU°L - 2
t -i eSrr / S Sfi A
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER)
1111,11A, Iii 11119111 oil 11111111 III 11 oil 111111 It ill it Ili 1111111111
CONTRACTOR ' S /Zo ° F 4vSS1�l i Y�il 11 mi .1 t IJF C1IK 11T t BURT
Name and address 9IZl+iiNif3 1., GOWY
� �� ( ��;.�=)-� Iz `'i►�° r;I� ht��ft4`i i�r} l��t`l �t�'4l - -
SURETY (Bonding Company) rzs I�It1��_t} urlt^�I >i17 ?t51 t� PM
10,00
Name and address
t,tl(4i °13 BY H DeVore
Amount of Bond
LENDER
Name and address
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name and address
***********************************************************************************************
Persons within the State of Florida Designated by Owner upon whom notice or; other documents may be served as
provided by Section 713.13(1)(a)7.,Florida Statutes:
Name and address:
In addition to himself, Owner Designates
Provided in Section 713.13(1)(b), Florida Statutes.
To receive a copy of the Lienor's Notice as
Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recording unless a different date is specified.)
Sworn to and subscribed before me this
My
Notary Public
of
--- _ Day of
MY COMMISSION # DD 614956
EXPIRES: March 15, 2011
Bonded Thru Notary Public Underwriters
The foregoing instrument was acknowledged before me this l �7day of ; V :2,sp 7 by
^;
2-9 }, (Name of person acknowledged), who is persona lv known to me or who has
°nd (Type of identification), as identification and who did/did not take
Tax Bill 013911 2006
Parcel/Mailing Name &
35-19-30-503-0000-0140
YOUNGBLOOD ELIZABETH
1210 W 15TH ST
SANFORD FL 32771 3212
Tax Information
SEMINOLE
Real Estate
Address
Ad Valorem
393.64
'Non—Ad Valorem
10.00
Tax Bill
393.64
Interest
0.00
Commission/Fee
0.00
'Advertising
0.00
Tax Paid
377.89
Receipt # R11/03/06P007018
Amount Due If Paid
By
COUNTY TAX COLLECTOR ednesday
Detail — Mailing Name Access
Status Legal Description
PAID OLEG LOTS 14 & 15
OFLAS LAND & COLONIZATION
OADD TO SOUTH SANFORD
uPB 1 PG 73
II
a
Property Values
Market Value 87,185
Assessed Value 45,498
Exemptions 0002
Exempt Value 25,500
Taxable Value 19,998
Sales Into SU QD 1202
Property Addr 1210 W 15TH
Special Information
November
30
377.890
December
31
381.831
January
31
385.771
February
28
389.700
March
31
393.640
May
31
Not Applicable0
Next
Prev
Break Dup E&Is
07/25/2007
COS
Other Information
dTax Dist
S1
OMortgage
�E & I
pBK Case#
MBK Filed
1i BK Lifted
04633 1888
20,700 I
ST
Ex History Legal Mrtg Pay Rekey Quit