HomeMy WebLinkAbout219 Holly Ave (2)Permit #: n cz:�-
Job Address: 2_14q
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: � V -Z— I c5q
Value of Work: $ ?)r�.00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel ff: 25- I q - ..JD �rlL,�l I
Owners Name & Address: 1� � A4-) NI
Name &
Phone ALU
Bonding Company:
Address:
Mortgage Lender: .
Address:
Archi(ect/Engineer:
Address:
— V /IUCJ
7
— Contact Person;.
(Attach Proof of Ownership & Legal Description)
State
Phone: `It-) / ._
Phone:
Fax:
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. 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 Flori aww S713.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
T Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(Initi xl& Dat
Special Conditions:
of
4r
Contractor/x'gt
Produced
11-3-04-
Date
'-3-a¢Date
c1z1 n2 l!-3 -ZS �-
r/Agent' ' e t, /�,i u
�I��State JLFCSE A. DE GRAV@me
(c * MY COMMISSION # DD 164280
EXPIRES: November 12, 2006
yEK�T8 WW
Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
ON
_5,pnainole County Property Appraiser Get Information by Parcel Number
Page 1 of
PARCEL DETAIL<
Value Method:
Market
Number of Buildings:
Back >^
.................... ......................
Depreciated Bldg Value:
$30.239
Depreciated EXFT Value:
$0
Land Value (Market):
$10,000
Land Value Ag:
$0
Just/Market Value:
$40,239
Assessed Value (SOH):
$35,756
Exempt Value:
$25,500
Taxable Value:
$10,256
:v.
c-
p..............
u.i
z
_.
V11 3RD ST
�, X
GENERAL
Parcel Id: 25-19-30-5AG-0410-0100 Tax District: S1-SANFORD
Owner: ORNBERG RUTH M Exemptions: 00 -HOMESTEAD
Address: 219 S HOLLY AVE
City,State,ZipCode: SANFORD FL 32771
Property Address: 219 HOLLY AVE SANFORD 32771
Subdivision Name: SANFORD TOWN OF
Dor: 01 -SINGLE FAMILY
2005 WORKING VALUE SUMMARY
Value Method:
Market
Number of Buildings:
2
Depreciated Bldg Value:
$30.239
Depreciated EXFT Value:
$0
Land Value (Market):
$10,000
Land Value Ag:
$0
Just/Market Value:
$40,239
Assessed Value (SOH):
$35,756
Exempt Value:
$25,500
Taxable Value:
$10,256
http-//www.scpafl.org/pls/web/re-web.seminole county_ title?parcel =2519305 AG04100100&cpad=hc... 11/2/20(
ts�.irrryr3s}'ftR�'kSKtf�Y ��,
0
POWER OF ATTORNEY
Date, p2 nil
t
I, ILY) 6 , do hereby authorize
to pull the permit for '2 Hol iq Ave ; Son -Cord
type of permit address
Signature
? , Eulynn Hart Reck
Commission #DD292007
Expires: Mar 26, 2008
Bonded Thru
No Aflantic Bonding Co., Inc.
personally known to men
State of Florida, County of volu1 r a, on day of
AdyP4nbe✓ 200`i