HomeMy WebLinkAbout2834 Empmire Pla —
CITY OF SANFORD PERMrr APPLICATION
Permit # :
I
Y / Date: 3,
Job Address: 2 8 3 /lit. Z -e-L
Description of Work: AC
Historic District: Zoning: / Palue of Work:
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:
j,
Construction Ty' pe: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Attach Proof of Ownership & Legal
Contractor Name & Address: C 1 sa„ Az C G ° C/
State License Number:
Phone & Fax: Y % T — 1 ci /-C/1 7 Z Contact Person: 16! R n, Phone: it, 73
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Eagineer: Phone:
Address: 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 reamentsf Florida Lien
VwF713. 3 t-cs--
Signature of Owner/Agent Date Si ature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is — Personally Known to Me or
Produced ID
t Contractor/Agent's me
ature of Notary -State f orida Date
JOHNSON
N # DD 28922
Con taac enPsPe!Qn 2Wii"to Me Jar t Ioduta514.
3-4 pS
APPLICATION APPROVED BY: Bldg: Zoning: Utilities:
Initial & D ) (Initial & Date)
FD:
Initial & Date) (Initial & Date)
Special Conditions:
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: 42,11, , "o-or License #:
Project Information
l
Owner: Permit #:
name
addv6ss
ram'
phone
Subdivision:
Lot #:
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 accord e with the applicable codes and standards.
Contractor:
signature
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this _ day of , 200J, by the
above referenced individual, 1 Y) i U n k - M5 , who acknowledged that he/she is a
duly licensed contractor with i L l • 'lu-S , and who acknowledged that
he/she was authori ed to execute this document. He/she is either personally known to me or
produced Pt7t-1 520 • 9 —'Xo- S 5 -q Sq as valid identification.
WITNESS my hand and seal this _ day of A3-,(.-Ck'1 200.
MYFMIvtihSSIONDDT
FX?IRES: h7arch 23
2
F =i Rn000 Thn; Booet Notary Services
WILLIAM R. SIMS 'ROOFING., INC.
h
1604 Bear Crossing Circle
Apopka, FL 32703 407-291-4272
s '''a e e a a// a a a a a a a a/ a a a a a
Y: '—REQUESTEDBDATE: ,CUSTOMER: WORK
PHONE: "' --- ADDRESS: ZIP:
S JOB LOCATION: HM
PHONE: (1G' I 3 GS INSPECTED BY: a FX
PHONE: APPROVED BY: DATE: s .... . ®
e ® c a a a a a a a a a a PRICE
YES NO FLAT:
REMOVE & REPLACE OLD TAR & GRAVEL / SINGLE -PLY Tar &
Gravel Single -Ply Other: Color:
Brown River Rock White Grey Slag PITCH:
REMOVE & REPLACE OLD SHINGLES 3
Tab (20YR / 25YR) Dimensional (30YR / 40YR) Other: Color:
J
REPLACE
WOOD: S21.00 Hr. (Plus cost of wood) per man if needed REPLACE
LEAD BOOTS: IV:" 2" 3" 4" REPLACE
RIDGE VENT FT., OFF -RIDGE VENT Z.. COLOR: S REPLACE
KITCHEN & DRYER VENTS 4" 10" REPLACE
SKYLIGHT 2x2 2x4 FLUSH CURB GLASS G.-- REPLACE
DRIP EDGE: FT., COLOR: Y REMOVE &
REPLACE CHIMNEY (Wood, Metal or Brick) VALLEYS
26 ga. GALVANIZED METAL, 16" WIDE, OPEN CLOSED ALL:
COIL NAIL SHINGLES REMOVE
ALL ROOFING DEBRIS FROM AREA MANUFACTURER
WARRANTY: 20YR 30YR 40YR I LEAK
WARRANTY: 5YR TOTALS
ALL
WARRANTIES COINCIDE WITH MANUFACTURER WARRANTIES. . ADD
ONS: BALANCE
DUE: 1
AGREE TO ALL TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT: X .! t'zy- ; DATE:- PAY
FROM THIS STATEMENT "FULL PAYMENT REQUIRED UPON COM ETION OR AGREED CLOS G De TE _FAILURE TO SUPPLY
PAYMENT WILL RESULT IN A FORMAL LIEN PLACEMENT, j
NOTE:
WILLIAM R. SIMS ROOFING INC., IS NOT RESPONSIBLE FOR CRACKS THAT MAY OCCUR N DRIVEWAYS AND SIDEWALKS. A
LICENSED *
BONDED *INSURED *
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
tRLLL li)EYA1L
DAVID JOHNSON, CFA, ASA
PROPERTY EMPIRE PL
APPRAISER
SEMINOLE COUNTY FL. mZ
1101 E. FI6tST ST
SANFORD ,FL32771-1468 r
vz407-665-756 2005
WORKING VALUE SUMMARY GENERAL
Value Method: Market 06-
20-31-505-OD00- Number of Buildings: 1 Parcel
Id: 0020 Tax District: S1-SANFORD Depreciated
Bldg Value: $63,990 Owner:
HIBLER THERESA M Exemptions: 00- HOMESTEADDepreciated
EXFT Value: $544 Land
Value (Market): $13,350 Address:
2834 EMPIRE PL Land Value Ag: $0 City,
State,ZipCode: SANFORD FL 32773 Just/Market Value: $77,884 Property
Address: 2834 EMPIRE PL SANFORD 32773 Assessed Value (SOH): $56,379 Subdivision
Name: WOODMERE PARK 2ND REPLAT Exempt Value: $25,500 Dor:
01-SINGLE FAMILY Taxable Value: $30,879 Tax
Estimator 2004
VALUE SUMMARY SALES
Tax Amount(without SOH): $946 Deed
Date Book Page Amount Vac/Imp 2004 Tax Bill Amount: $599 WARRANTY
DEED 01/1974 01018 1764 $22,500 Improved Save Our Homes (SOH) Savings: $347 WARRANTY
DEED 01/1973 00965 0574 $18,600 Improved 2004 Taxable Value: $29,237 Find
Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND
Land
Unit Land LEGAL DESCRIPTION PLAT Land
Assess Method Frontage Depth Units Price Value LEG LOT 2 BLK D WOODMERE PARK 2ND FRONT
FOOT & 75
117 .000 200.00 $13,350 REPLAT
PB 13 PG 73 DEPTH
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 1972 5 986 1,433 986 CONC BLOCK $63,990 $75,061 Appendage /
Sgft UTILITY FINISHED / 132 Appendage /
Sgft ENCLOSED PORCH FINISHED / 231 Appendage /
Sgft OPEN PORCH FINISHED / 84 EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New ALUM
SCREEN PORCH W/CONC FL 1982 160 $544 $1,360 NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes. If
you 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. seminole_county_title?parcel=0620315050D0000206... 3/4/2005