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HomeMy WebLinkAbout151 Hazel Blvd4 Permit #: Descript on;of_Work: 1Z o e Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION J Date: AG - 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 Calc. 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 #: Attach Proof of Ownership & Legal Description) Z/ v-7 Contraet_o_r_Name.&-Addr,ess: /71"A yW rCA- P.hone:&;F.az —4&7 •.S72 / SJj/X Cod` ntaet=Reran Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: Fag: Application is hereby made to obtain a pemut 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 Signature of Owner/Agent Print Owner/ Signature of Notary -State of Owner/Agent is _ Personally Known to Me or Produced ID e property of the requirements Flo ' Lien , FS 713. Date Signature-of-Contractor/Agent bate m4r& C- Print Contractor/.Agent's Name 3- Date re of Notary -State of rida Date 3 - APPLICATION APPROVED BY: Bldg. 'e Zoning: Initial & D Condor/Agent is P sonall Known to Me or ProducedID \.1. # wcw • L465; Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) Special Conditions: Ar CITY OF SANFORD PERMIT APPLICATION OPermitNo.: -- Date: Job Address: VD I ` W c5A k) 0 b 32-7 7 3 Parcel No.: I - `T - (Attach Proof of Ownership & Legal Description) Description of Works - Type of Construction: Flood Zone: Valuation of Work: $ -)(S® Occupancy Type: Residential Commercial Industrial Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage: Owner: I L1L J, Address: _ 151 b Alf L Wit,) Lb Y / City: O RL,k w State: /-1 _ Zip: g1 g Phone No.: 0 7 - W (P' Fax No.: Contractor: Address: *5LJO N ffIAi CJA5 5 6(f City: od"Aj! State: Phone No.: Contact Per Title Holde Address: Bonding Company: Address: Mortgage Lender:_ Address: Architect: Address: Zip:C1>02rjS State License No.: Fax No.: Phone No.:% Phone No.: Fax No.: 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. l 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 W-41"J 3 Signature of Owner/Agent Da Print Owner/Agent's Name Signature of N tate of f lorida PENNY J. SLECHTA MY COMMISSION # DD 170034 N EXPIRES: December 8, 2006 9rFOF F— eonded Thru , t Notary Services Owner/Agent is Personally own to Me or Produced ID _ Lien Law.,FS 713. Con"tractor/Agent Print ontractor/A ent's ame Q 1 Msas Siggah"g". Mary--Staattee of Florida Date THERM A. TOSH 1M UAYP QWMW DOOMI93 i Ex hw Imam Of (SW)432.4254 i.......... ........ N.. uuu•nuu ryAasn., Inc ' Contractor/Agent is ersonally Known to a or Produced ID APPLICATION APPROVED BY: Date: Special Conditions: LIMITED POWER OF ATTORNEY Date: s I hereby name and appoint John Louree of Master Roofing to be my lawful attorney in fact to act for me and to apply to the . 0-jw-f i Building Department for a Re -roof permit for e work to be performed at a location described as: Parcel ID:r . I ,. S tnoo_f Subdivision: " LO+ oU 1 Address of Job: . fft f A E C.- Owner of Property Addr(g and to sign my name and do all things necessary to this appointment. LOYAL R. SLECHTA State License #: CCC 021396 Certified Contractor) Acknowledged: Sworn to and subscribed before me t i (2r'!) da__6" 4 y f4, 2005. Notary Public, State of Florida: , -IML Seal: , ............................................ THERESA X. TOSH vy COMM* DD0265193 Oto' Pr Expires 11/6/2G07 F. Bonded thru (800)432-4.254• y..........,.. o Florida tary Assn. in, ' .........................I.... i 08102 NOTICE OF COMMENCEMENT State of Florida ` County of Permit No If"'l__0& i- 2%, Tax Parcel Number 1_ _ cacc) The UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the followinginformationisprovidedinthisNoticeofCommencement 1 2. 3. a. r, Description of Property: (Legal description of the property, and street address If available.) j I. L 3--2 723 General description of improvement: ( c s Owner information: a. Name and addres's b. Interest in property 1' V c. Name and address of fi simpl ehol r (othertter aown r) Contractor: Name a ddress / M4'5;+e 10 % > a. Pnumberone 5. Surety: Name and address a. Phone number( ) Fax number ( ) b. Amount of bond $ 00 6. Lender: Name and address a. Phone number ( ) Fax number ( ) T.. Persons within the State of.Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address b. Phone number( Fax number ( rrJ Jrl Sri 1:7 + gym. zt: MM fn"x+ r- rra to dt 39 un r ,M --f r rf; r= n-' A0 o wS M] S1 Lr, E4 0 6 Q 1 FOR CLERK'S OFFICE USE ONLY mx 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes a. Phone number ( ) b. Fax number ( ) 9. Expiration date of Notico of Commencement (the expiration date is 1 year from the date of recordingunlessadifferentdateisspecified CERTIFIED CUPY MARYANNE MORSE CLER OF CIRCUIT COURT SEM E COUNTY, FLORIDA IAR302O State of Florida County of — 1 Affirmed a hscribed before me this ay oelegg 20 byC 21L who - persona nown to me or who has produced i 7 —(type of ID) as Identiftlon. Signature of Notary Publ State of Florida Prin Notarial Seal' PENNY J. A MY COUMISSKW # DD 17= zx,- ih -3: Dewm6er 8,2006 9jkoFsty° Baled Thru Budget NWary Services Seminole County Property Appraiser Get Information by Parcel Number Page I of I DA VID JCHNSON, CrA. ASh w 7f , PROPERTY LVB r. t APPRAISER W r SCMlNOLECOUNTYR. 2 1101 F_ FIRST 5T UJ pti s.AEt FLilil, F'1_92'7t-14168 a "-: A8i - Ct$5 75C3B 2005 WORKING VALUE SUMMARY GENERAL Value Method: Market 10-20-30-509-0000- Number of Buildings: 1 Parcel Id: 0300 Tax District: S1-SANFORD Depreciated Bldg Value: $117,826 Owner: WARD ROBERT M Exemptions: 00- Depreciated EXFT Value: $0 HOMESTEAD Land Value (Market): $20,000 Address: 151 HAZEL BLVD Land Value Ag: $0 City,State,ZipCode: SANFORD FL 32773 JustlMarket Value: $137,826 Property Address: 151 HAZEL BLVD SANFORD 32773 Assessed Value (SOH): $94,469 Subdivision Name: HAZEL GLEN Exempt Value: $25,000 Dor: 01-SINGLE FAMILY Taxable Value: $69,469 Tax Estimator 2004 VALUE SUMMARY SALES Tax Amount(without SOH): $2,069 Deed Date Book Page Amount Vac/Imp 2004 Tax Bill Amount: $1,367 PROBATE RECORDS 05/2000 03852 1343 $100 Improved Save Our Homes (SOH) Savings: $702 WARRANTY DEED 04/1988 01950 1624 $83,600 Improved 2004 Taxable Value: $66,717 Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 30 HAZEL GLEN PB 33 PG 63 LOT 0 0 1.000 20,000.00 $20,000 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1988 6 1,696 2,278 1,696 CB/STUCCO FINISH $117,826 $125,347 Appendage I Sgft ENCLOSED PORCH FINISHED / 24 Appendage I Sgft OPEN PORCH FINISHED / 96 Appendage I Sgft GARAGE FINISHED / 462 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. Ifyou recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http:// www.scpafl.org/pls/web/re web. semi nole_county title?PARCEL=10203050900000... 3/2.5/2005 AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company:%%rr&e_ G k4A^— PL 3 240- License #: Cc c 4'Oz/.3 FAC Project Information Owner:`FnhP_A_9`-- Permit #: d cS' Z o SS — name Z el - address phone Subdivision: Lot #: W I, —/0& A - o&&&, , affiant, hereby affirm that I am the duly licensed contractor of record for'the above referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: signature printed name STATE OF FLORIDA COUNTY OF 1ot,U'L This instrument was acknowledged before me this _ day of , 20 05, by the above referenced individual, 2 , who acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/she was authoriz d to execute this document. e/s is either personally known to me or produced lCt>L JL 1cM- Lf(r,5. 3-2 •olio as valid identification. WITNESS my hand and seal this day of' 50 r otary Public