HomeMy WebLinkAbout1020 W 6 StPermit # : O W - \ QFk
Job Address: /!'• Us
Description of Work: _
Historic District:
CITY OF SANFORD PERMIT APPLICATION /
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Date:
ZV fig/'n,3f,-tj
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Zoning: =Value of Work: $
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
1
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
t
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 #:
Owners Name & Address:
Contractor Nalhe & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer
Address:
Ownership & Legal Description)
Phone:
State License umber:
Contact Person:Phone: 1 " a.5 —1b
1
Phone:
i
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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.
N TIC : 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, stale agencies, or federal agencies.
Acceptance of of the property of the requirements of Florida Lien Law, FS 713.
1
Date Signature of Contractor/Agent Date
Sigr tu eNols tltitsPFlthr 3'^' Dale
MY COMMISSION # DD 16421
EXPIRES: November12,201
Owner/Agent is P rsonally Kno to Mc
Produced ID tj —1—,
APPLICATION APPROVED BY: Bldg: Zoning:
Initr &Dale)
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
0A8M -JOHN MON, CT -A. ASA
PRO-PERTY
0 5THST
APPRABER
0714 3071
2 0
407 - 05&$ - 750f, 0814
17- TE0814 X .. . .......
r--- __ :
TM_ 2006
WORKING VALUE SUMMARY GENERAL
Value Method: Market Parcel
Id: 25-19-30-5AG-0713-0100 Number of Buildings: 0 Owner:
WRIGHT STEPHEN C Depreciated Bldg Value: $0 Mailing
Address: 127 LANGSTON DR Depreciated EXFT Value: $0 City,
State,ZipCode: SANFORD FL 32771 Land Value (Market): $9,272 Property
Address: Land Value Ag: $0 Subdivision
Name: SANFORD TOWN OF Just./Market Value: $9,272 Tax
District: S1-SANFORD Assessed Value (SOH): $9,272 Exemptions:
Exempt Value: $0 Dor:
00-VACANT RESIDENTIAL Taxable Value: $9,272 Tax
Estimator SALES
2005 VALUE SUMMARY Deed
Date Book Page Amount Vac/Imp Qualified 2005 Tax Bill Amount: $185 QUITCLAIM
DEED01/1 977 01126 0331 $100 Vacant No 2005 Taxable Value: $9,272 DOES
NOT INCLUDE NON -AD VALOREM Find
Comparable Sales within this Subdivision ASSESSMENT,< LEGAL
DESCRIPTION LAND
PLATS:
Pick... w"..' Land
Assess Method Frontage Depth Land Units Unit Price Land Value FRONT
FOOT & LEG S 120 FT OF W 68 FT BLIK 7 TR 13 TOWN DEPTH
68
120 .000 135.00 $9,272 OFSANFORD I
PB 1 PG 112 NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoren tax
purposes. ff
you recently purchased a homesteaded property your next year's property tax will be based on JustlMarket value. re—
web.seminole—county_title?PARCEL=2519305AG07130100&cdor---&cm,1/27/2006
SPECIAL EVENT APPLICATION
PERMIT REQUEST
DATE RECEIVED APPLICATION & $50.00 PROCESSING FEE ' j'C+
CLEAN - UP BOND PAID ($100)
Commission Meeting
Office use only
We thank you in advance for the opportunity to receive and review this application for your proposed Spec
Event here in the Friendly City. Please complete application in its entirety and return at least sixty (60) d<
prior to the event date to the City of Sanford- Leisure Services Department -City Hall 300 North Park Aver)
Sanford FL 32771 or mail to P.O. Box 1788 Sanford FL 32772. In order for the application to be forwarded
the City's Special Event Review Committee (SERC), we must receive the notarized, original copy of tSpecialEventApplicationwiththe $50.00 non-refundable Application Processing Fee. An event layout shotalsobeincluded.
Should you have any questions, please call us at 407-330-5697 or Email bennette(i ci.sanford.fl.us
Thank you for choosing the Beautiful Historic Cry of Sanford as your host site.
Name of Event: % / le rC LJ l-r - /Zo 71, E6
Facility/Location Requested:
Event Date(s):(
1/
Setup Date(s):
I
Breakdown Date(s):
Estimated: Participants 2 D
Type of Organization (Check one):
Federal I.D. #
Spectators -10 U
Not for Profit (
Event Hours: From:
Setup Hours: From:
Breakdown Hours: From:
AM® To:
L AM/6) To -- -- -`-- — AMap
Vehicles Vessels (for Boating events only)
For Profit Individual
Tax Exempt #: Tax #:
Do you anticipate this event being held next year? Yes No If so, Date:
Sponsoring Organization VIC-
Contact PPrrs nn Responsible
foGrr Event/Charges:
1—
Phone: Fie* yi' / y / (O / Home #:
Address: Yce 7 / (a,, VV-L,
Additional Contact Person:
3,
2 City
Work #:
SS #:
Location: % {
Gc'll' Phone: 463-) - %Lt-
r-
c "-I (*-%dress:
r 7 6ax #: Cell/Pager #
State Zip CodrSM"Len)
Email Address:
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: \ a `ODD PERMIT
BUSINESS NAME / PROJECT:
ADDRESS: \ C7'd O i--)
PHONE NO.: L 61-p7s3'\ r)-\0 FAX NO.:
CONST. INSP. [ 1
F.A.[] F
TENT PERMIT
TOTAL FEES: S a
COMMENTS:
C / O INSP.:[ 1 REINSPECTION [ ]
HOOD [ J PAINT BOOTH
TANK PERMIT [ ] OTHER [ ] _
PLANS REVIEW [ ]
BURN PERMIT [ ]
PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Sguare Footage Fees per Bldg / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11. '
12,
13,
14,
15.
16.
17.
18.
19.
20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
San ordFire Prevention Division Applicant's Signature