HomeMy WebLinkAbout119 W 5 St (3)CiTY OF SANFORD PERMIT APPLICATION
Permit #
Job Address: q VV • , Y 1 S
Description of Work: r)fV_QQN tKD \'t
Historic District: Zoning:
Date. ` 1 1 N o
n 0% A
le\& 1 X \C — "1 OVy %I-W W- V\.i`L Value
of Work: $_ \q B50 • an Permit
Type: Building V_ 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 Ca1c. 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 L,,," Industrial Total Square Footage: Construction
Type: C # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
U '-A 0 S* Owners
Name & Address: Contractor
Name & Address:L Phone &
Fax:' - Bonding
Company: Address:
Mortgage
Lender: Address-
Architect/
Engineer. Address:
mr"
ZOS-210 Attach
Proof of Owne'rshi& Legal Description) rlc6' `
1C-7C 3 a Phone:
0-
1 E--- State
License Number, CC.- C Q:>r 3 'd U c
I'V25 Contact Person: \ \ k, y1Mi6 k Phone: --!mw - p- I o:o 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 t s v 'cation will otify the owner of the property of the requirer rots of F rid a Lien w, FS 713. 4rft%
rAM L Signature of Con r/Agent Date Print
Owner/Agent's Name Pri Contractor/Agent's 1
11 P -/7-06 i
of Notary -State of Fl Date Signature of Notary-Stite of Florida Date o.
OY Pp¢ JO ANN JOHNSM MY
COMMISSION I DD 285622 E
PIRES: Jylat t R _ OwnProdua '",
1! c y 8
or
Con Produced
ID Personally
Known to Me or APPLICATION
APPROVED BY: Bldg Zoning: Initial & )
Special
Conditions: Initial &
Date) Utilities:
FD: Initial &
Date) (Initial & Date)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
2006 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 25-19-30-SAG-0704-0060 Number of Buildings: 1
Owner: SANFORD CITY OF Depreciated Bldg Value: $99,126
Mailing Address: PO BOX 1788 Depreciated EXFT Value: $1,150
City,State,ZipCode: SANFORD FL 32772 Land.Value (Market): $23,450
Property Address: 119 5TH ST W Land Value Ag: $0
Facility Name: Just/Market Value: $123,726
Tax District: S1-SANFORD Assessed Value (SOH): $123,726
Exemptions: 80-CITY Exempt Value: $123,726
nor: 89-MUNICIPAL(EXC:PUB SC Taxable Value: $0
Tax Estimator
2005 VALUE SUMMARY
SALES 2005 Tax Bill Amount: $0
Deed Date Book Page Amount Vac/imp Qualified 2005 Taxable Value: $0
Find Sa!es within this DOR Code DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND LEGAL DESCRIPTION
Land Assess Land Unit Land PLATS: Pik'
FrontageMethod
FDepth Units
Price Value LEG N 67 FT OF LOTS 6 8 7 BLK 7 TR 4 FRONT
FOOT & 67 117 .000 350.00 $23,450 TOWN OF SANFORD DEPTHPB
1 PG 59 BUILDING
INFORMATION Bid
Bid
Class Year Fixtures Gross Stories Ext Wail Bid Est. Cost Num
Bit SF Value New 1
WOOD 1910 4 2,250 1 STUCCO WITH WOOD OR $99,126 $151,453 BEAM/COL METAL STUDS Subsection /
Sgft OPEN PORCH FINISHED / 60 http://
www.scpafl.org/pis/web/re web.seminole county title?PARCEL=2519305AGO704... 1 /17/2006
Date)
Limited Power Of Attorney
I hereby authorize 0 '0 e)'C()LZC\
of Absolute Roof Solutions. LC
to sign his/her name on behalf in order to apply for a building permit
for the work to be performed at:
Lot:.SPI T-
1 Block: T-
1 Subdivision:7oW O G Address:
l U_) • S--\ - S . 2 c 33 1 William
Schmidt CC-0058320 Type
or print name of company and License # of Contractor 4"
1' Z/ Sign!
a of Licensed Contractor State
of Florida Volusia
County The
foregoing instrument was acknowledged before me this LI day of _( 2006 by
William Schmidt (name of person acknowledging). Signature
of Notary Public -State of Florida) can.
o1ftn EV
k WAWM 10,100E Print,
Type or Stamp Commissioned Name) Personal
known_
Jan 17.06 10:08a Absolute Roof Solutions 3866681813 p.2
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SEMI
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ii aiti'Ai®giAm®RaG7In8 WYAW MORSE, CLERK OF
CIRCUIT COURT SENINOLE COUNTY HK 06084
PG e4D92
CLEWS # 2OO6007741 REIYIRDFD 81/
17/ 81
W %32 PM RECORDIN6 FEES 18.18
RECORDED BY L McKinley
CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
D Downtown Commercial Historic District O Residential Historic District
D This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY:
Signature: U
Mailing Address:
Phone:
Applicant/Agent
Signature:
Mailing Address:
Phone:
Fax:
Fax:
Print Name:
Print Name:
1 certify that all information containe in this. application is true and accurate to the best of my knowledge.
Applicant/Owner: &'&Z Date:
Please use the attached criteria checklist -as a guide to completing the application. Incomplete applications cannot be
reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at
407-330-5672 to make sure your application is complete.
Description of Proposed Work/Application Category: (Check all that apply)
o Site Improvements/driveway/walkway D Storage shed D Moving structures
D Replacement .windows or doors D Underskirting O Awnings
o IPw construction/additions O Signs O Demolition
6'Roofs/gutters/downspouts O AC/Mechanical O Fences/Gates/Pergolas
D Replacement siding/flooring/porch D Paint O Other
Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building,
where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is
A Certificate of Appropriateness is valid for six months unless otherwise noted
Historic Preservation Board Meetin ate:
Application is Approved
Conditions:
Signed:
OFFICIAL USF ONLY
Approved with Conditions
Date:
Staff Review Date: i( 7 b,
Denied
This Certificate must be prominently displayed on the building when work is in progress***
FASHA_ENG\Historic Preservation Board\C of A Application.doc