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HomeMy WebLinkAbout826 E 20 StApplication #: 0e-7 - a LAoD Job Address: fit o .Z t7 * S r Parcel ID: CITY OF SANFORD PERMIT APPLICATION Zoning: Submittal Date: a Value of Work: $ 1, -roe, 'Po Historic District: Description of Work:9-Q k 0'0 F ,f r 6, Square Footage: S S ...................................................................................4..................... .............. Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential O Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential 0 Commercial ❑ Occupancy Type: Residential Ift Commercial ❑ Industrial ❑ , Occupancy Use Group(s): Construction Type: 001- # of Stories: # of Dwelling Units: _� Flood Zone: (FEMA form required) ... Roe* :................................. ......... ........... ................ ............... ............................ Property Owner. (t✓Q f %� l' %� r.� A/ �7� E.ir f` Contractor: We'lok 0 Address: _S'e,y leo rel Al, .l X 71( Address: O 0 . t/ //-9A/C R V -e SC-Af Phone: E-mail: Phoxfe .1l • ur State License Number: _CLO I21 G� Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: 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, 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 MROVEMENTS TO YOUR PROPERTY. 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 govemmental entities such as water management districts, state agencies, or federal agencies. Accep=penmterification that I will notify the owner of the property of the require me 1`117 Lien Law Al WlDuR,1 PO 6-12-07 Signature of Owner/Agent p} . YUAXt Date &-_, 7si We0X0ZW0rAW Date PA An, Ah si aV _ Print is N Print ontraa t s N e S' atureof Notary -State of Florida Date Signature of Notary -State of Florida Date Notary Public State of Fbdda Paui A Olesen My Commission DD516629 o► Expires 02/09/2010 Own /Agent is Personally Known to Me or Contractor/Ag e t t�i&�b�N 1gIIg6 oduced ID� �L Int �� ?j ' O _ Produced of S: Febn,ery 25, 2011 Fl. Notary Discount Assoc Co.. APPROVALS: ZONING:. UT1L: FD: ENG: BLDG: Special Conditions: Rev 02/2007 1101COC - ocr'%Vj foJi%12771 �QorytNAc� ^�t SPS .tate of Florida Permit No. k/ I NOTICE OF COMMENCEMENT County of Seminole Tax Folio No. (PID)/ ���� ✓ —d�� The undersigned hereby gives notice that improvement will be made to certain teal property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal descri tion of the pr pe and street address) �a brs sr GN)G/ .x'7771 GENERAL DE§S'CRIPTION OF IMPROVEMENTQ f^D 0 OWNER INFORMATION Name and address 4A/ r'e Interest in property (Fee Simple, Partnership, etc.) J NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -OF OTHER THAN OWNER) 17, CONTRACTOR �/% f �, , J P� ,G f Name and address 9— � 0 C A d k, k f V e) f, C IV C� Q y-1 `� n � Hf—,60/ I /� J 2 7 1 SURETY (Bonding Company) Name and address of Bond LENDER Name and address 111111111111111111111111111111111111 Ill 11110 0 1111111111111111111111 4 E Mrnnrt 06ERK GF, GIR UIT COURT SEMINOLE COUNTY BK X6726 Pg 06371 (1pg) CLERK'S # 2007087488 hhLUKVtV a L Lad ick pN }Ry�ECORDIN(�G FEES 10.00 V######## Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as pr`6 eid1F1ED COP by Section 713.13(lxa)7., Florida Statutes: Name and address MARYA1E Nt 10 SE CLERK 0 IRI - I' OURT Cr'MtNN F rn" IP , FLORIDA In addition to himself, Owner designates lay—of I)FOU to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), FloridaStatutes, Expiration Date of Notice of Commencement (The expiration date is 1 Year from date of recordin lece a different nate is srn —ifrd Signature of Owner \ Sworn d subscribed c this �� Day oft My Commission Expires: No aryPublic POA �t#Rr hl Notary Public Stat@ of FW t °aul A Olesen My Commission DD51M 2110f t< Expires 02109/2010 The foregoin im nstruent was acknowledged before me this day of VI,Q (by m 'A (name of person acknowledged), who is personally known to me oto who has produced 1. L (type of identification) as identification and who did / did not take an oath> ,i Date: I hereb,; name and appoint �I v Q �/GN/ to be my lawful attorney in fact to act for me and apply for a �� yip � permit for work to be performed at the '. locatioz� described a: i 145/ 2771 (Address of Job) j (Owner of Property) And to sign my naine and do all th;r as necessary to this appointment. Signatuof Certified Contractor) 0 �' ��(� 1 (Printe Name of Contractor and License Number) STATE OF FLORIDA �COUNTY OF The fore oing instrument was acknowle&,A before me this day ofil&Z 20 �, by — —VJ t✓GL-�, who is Kpersonally known to me or has ' ❑ produced (type of identification) as identification. j _ i gnature of Notary Public, State of Florida I (SEAL) • `�`'�� gw Notary Public State of Fl0ft Print/Ty I-,,-/Stamp Name c f Notary Public R Paul A olesen t my Commission DD516629 a a Expires 02/0912010 i o E I DURABLE POWER OF ATTORNEY I, WALTER H. WMWETHER, hereby appoint and empower my daughter, PAMELA WEAVER, as my true and lawful attorney-in-fact, to act for me and in my name and on my behalf to: A. Collect, receive, and receipt for any and all sums of money or payments due or to become due to me. B. Sue in my name and behalf for the recovery of any and all sums of money or payments due or to become due to me and to collect on any judgments recovered by me and execute satisfactions of the same. C. Initiate, defend, continue, or settle suits on my behalf or to enforce the exercise of these powers granted to my attorney-in-fact. D. Hire or discharge (with or without cause) employees including, butnot limited to, physicians, nurses, attorneys, and domestics. E. Deposit to or withdraw from, or draw checks or drafts upon, any and all savings or checking accounts, money market fiords, or any other type of accounrt in my name; open any new such accounts m my name in any bank or financial institution or with any insurance or brokerage firm; and endorse may name to any and all negotiable instruments. F. Pay any and all bills, accounts, claims, and demands now or hereafter payable by me - G. Receive and endorse for deposit in any account any payments that I receive from any branch or department of the United States or other government, including without limitation, Social Security payments, Department of Veterans Affairs payments or grants, Medicare or Medicaid payments, and tax refunds. H. Represent me before any office of the Internal Revenue Service or any state agency; prepare and sign any tax return on my bebalt receive confidential irnformation regarding tax matters (SSN 263-58-0533) for all periods, whether before or after the execution of this instrument; and to make any tax elections on my behalf. T. Receive and open my mail, change my trailing address, and otherwise represent me in any matter concerning the U.S_ Postal Service. J. Borrow money and to otherwise incur or guarantee indebtedness for which I will be liable, and to secure any such indebtedness by mortgage or other security interests encumbering my assets. K. Act for me in any business or enterprise in which I am now or have been engaged or interested or with respect to any trust in which I have a beneficial interest. L. Manage all assets and properties belonging to me or in which I have any Wterest, and to expend whatever fiuids my attorney-in-fact deems proper for the preservation, maintenance, or improvement of those assets or properties_ 4�� nn D(D "Y M. Compromise, arbitrate, or otherwise adjust claims in favor of or against me or any assets or eutityr in wbich I have an interest; and to agree to arry rescission or modification of any contract or agreement. N. Participate in any type of liquidation or reorganization of any enterprise. O. Join with other persons with whom I own property as joint tenants with right of survivorship or as tenants by the entireties in any transaction regarding that property. P. Vote and exercise all nights and options, or empower another to vote and exercise those rights and options, concerning any corporate stock, securities, or other assets; to enter into or approve agreements for merger, reorganization, or equivaldnt transactions with respect to any company or enterprise; to delegate those nights to an agent; and to enter into voting trysts and other agreements or subscriptions. Q. Exercise all rights and options, or empower another to exercise those rights and options, concerning sole proprietorships, general or limited partnerships, joint ventures, business trusts, land trusts, limited liabilitycompanies, and otherdomestic and foreign forms of organizations. R Buy, sell, exchange, lease, convey, and grant options with respect to any real or personal property, and to negotiate for and to enter into contracts and agreements of every nature, concerning real or personal property, including homestead or exempt property. Any such contract, agreement, or lease will be valid and binding for its full term even if it extends beyond my lifetime or the duration of this power of attorney. S. Exercise all powers even though my attorney-in-fact may also be acting individually or on behalf of any other person or entity interested in the same matters. T. Transact all business, make, execute and acknowledge all contracts, orders, deeds, bills of sale, assurances, promissory notes, mortgages, and other instruments of any nature which may be requisite or proper to effectuate any matter or things pertaining to or belonging to me. U. Make gifts in amounts not exceeding the exclusions allowed under Section 2503 of the Internal Revenue Code to my family members (except that gifts to my attorney- in-fact in any calendar year may not exceed five percent (5%) of ray assets for that year); change the beneficiaries of any life insurance policies or other qualified or nonqualified benefit plans; create or fund revocable or in -evocable trusts for the benefit of myself or of other persons; and consent to the creation or extension of trusts established by other persons for my benefit V. Apply for, fund, modify, withdraw from, or terminate a qualified tuition plan authorized under 26 USC §529, or its successor provisions, for any of my descendants, including the right to combine accounts, to transfer an account from one state to another, to redirect the investment of the account (to the exteut permitted by law), or to change the designated beneficiary of the plan W. Continue or discontinue my membership in any club or other organization_ X. Accept or resign on my behalffrom any offices or positions Which l may hold, including any fiduciary positions.. Y. Continue, use, or terminate any charge or credit accounts_ Z. Employ and compensate any investment management service, financial institution, or Sumner oxgam=tconto advwemyanomey-m-factandtohandle all investments and to render all accountings of fiords held on my behalf under custodial, agency, or other agreements. items. AA. tater into any sate deposit box for which I am a lessee and add or remove BB. Disclaim any property Merest that I would otherwise receive. CC. Make an election on my behalf for me to receive an elective share of my wife's estate, if any, as provided by Florida law firom time to time. DD. Demand, obtain, review, and release to others medical records or other documents protected by the patient physician privilege, attorney-client privilege, or any similar privilege, including all records subject to, and protected by, the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA" ). I designate my attorney- m -fact as my personal representative under HWAA_ EE. File or process claims for any medical bills with all ice companies through which I have coverage, including but not limited to Medicare and Medicaid, and to receive from Blue Cross/Blue Shield or any other insurer information obtained in the adjudication of any claim in regard to services furnished to me under Title 18 of the Social Security Act. FF. Create, fund, and maintain an Income Trust pursuant to 42 USC § 1396(d)(4)(B) in order to qualify me for Medicaid or any other public assistance benefits. GG. Nominate on my behalf a person (including my attorney-in-fact) or entity to be appointed by a court of appropriate jurisdiction as guardian of my person or property, or both or as custodian for my property during the pendency of any proceedings to determine my competency. HH. Invest in assets, securities, or interests tau securities of any nature, including (without limit) commodities, options, futures, precious metals, currencies, and in domestic and foreign markets or investment funds, including common trust funds; to trade on credit or margin accounts (whether secured or unsecured); and to pledge assets for that purpose. I further authorize my attorney -in fact to take all other actions as may be necessary or appropriate for my personal well-being and the management of my affairs, as fully and as effectively as if made or dome by me personally. Despite the foregoing powers, my attorney-in-fact may not (i) deal with insurance policies I own on the life of my attorney-in-fact, or (u) except as specifically authorized by this power of attorney, distribute assets so as to discharge a legal obligation ofmy attorney-in-fact. My attorney-in-fact shall keep fall and accurate inventories and accounts of all transactions for me as my agent. Such inventories and accounts will be made available for inspection upon request by me or by my gumdian or personal representative- My attorney-in-fact need not file any inventory or accounts with any court or cledL Any third party to whom this power of attorney is presented may rely upon an affidavit by my attorney -in -Fact stating, to the best ofmy attorney -in -facts knowledge and beliel jthat this power has. not been revolaed, that I am then living, and that no proceedings have been initiated to determine my incapacity. No third party relying on this power and that affidavit will be liable for any losses, damages, or claims caused by compliance with the action requested by my attorney -m -fact unless that third party has actual knowledge of my death or the revocation of this power. This durable power of attorney will not be affected by my subsequent incapacity except as provided in Chapter 709 of the Florida Statutes. It is my specific intent that the power conferred on my attorney-irrfact will be exercisable from the elate of this instrument, n4ftwithstanding my subsequent disability or incapacity, except as otherwise specifically provided by statute. If any part of this power of attorney is declared invalid or unenforceable, that decision will not affect the validity of the remaining parts. My attorney -m -fact: does not have an active duty to act under this power of attorney and will not be liable for any claim or demand arising out of her acts or omissions, except for willful misconduct or gross negligence. In witness whereof, I have executed this durable power of attorney on April 2D _, 2004. Signed in the presence of A). -ju CC% --- W Print Name: P flop l e t 1 la t LL t P waiter a Medwether Priat Name: Car Two witnesses as to Walter 13. Meriwether m r rnCTQLaeAk..af.5 ins . /. (b -j' STATE OF FLORIDA COUNTY OF SENffNOLE The foregoiug ft s went was acknowledged before me on Apriltom► , 2004, by Walter H. Meriwether. PessonalIy Known Produced Identification Type of (dcntif9cation 5 Expk- Ally 26. Zoos N tary Pubhc� tate of Flgn:da rritmwymmc; ''Ityyoo n n e— My Commission Number is: D Q Q W 9 1z1 My commission e*=: S' Parcel Information Parcel:31-19-31-512-0000-0460 Property:826 20TH ST E SANFORD, FL 32771 3510 Owner: MERIWETHER W H & HELEN L Mailing:300 W AIRPORT BLVD APT 124 SANFORD, FL 32773 5477 Legal: LEG LOTS 46 TO 49 MAGNOLIA HEIGHTS PB5PG76 Page 1 of 2 13 June 2007 TRY: 2007 TD: S1 DOR: 01 SANFORD SINGLE FAMILY 00 HOMESTEAD Homestead Year Granted: 1994 SALES Sale IDeed IDescription I Sale Date IORB Book JORB Page Sale Amt /I QC LAND ,CODEJ Amendment -10 Land Area Amendment -10 Prior Year Total Re Appraised % Addtion Total % Land,Value $79,200 $84,150 $84,150 Extra Features $60 $60 $60 Building Value $84,433 $89,119 $89,11 Income Value otal Just Value $164,233 $173,869 5.9 $173,869 5.9 Correct Assd/Admin Value Classified Value OH Adjustment -$80,31 -$87,85 -$87,85 Total Assessed Value $83,919 $86,017 2.5 $86,01 2.5 SALES Sale IDeed IDescription I Sale Date IORB Book JORB Page Sale Amt /I QC LAND ,CODEJ Land Rate lAg Rate Land Area I Frontage D/T Depth Class Value % Adj Ovdj Reason Just Value AF 1 $425.01 $0.00 0.0001 200.Oq 2 1 140 $84,150 $84,15 Total: $84,150 $84,150