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HomeMy WebLinkAbout213 Tuskegee Dr1qikPermit # - ` " Job Address: a 1-3 Description of Work: 12 r- CITY OF SANFORD PERMIT APPLICATION Historic District: ------ V— Zoning: Value of Date: 5a"? GrnSrrr s inn 10 dm Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary PoleMechanical: Residential Non -Residential Replacement New (Duct Layout & Energyergy Cali Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential or CommercialOccupancyType: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: FF.MA form sYgalred for other than X) Parcel 0: _ 3.S- I - ) 0 - 6 - S - eloaa 3 0 Owners Name & Address: J;,n t/1 / t4 rt, t Uf Attacb Proof of Ownership & Legal Description) Phone: _ 0A I ^ 3 7 - S" 2ContractorName &Address: _.lnry Tnrt r DSt- R /ESSnATa I f 33 3 7? State License Number: _ CC C Q t-If -RI ' - Phone&Fax: O 3 -j j o21(o CoatactPersea: /ylOLM: nyl-l--t-/I. Phone Bonding Company: Address: Mortgage Lender. Address: Architect/ Engineer: Address: Phone: Fax• Application is hereby made to obtain a permit to do the worts and installations as indicated. 1 certify that no work or installtuion has commenced prior to the issuance ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit mustbe. secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNAC AIR CONDITIONERS, etc. ES, BOILERS, HEATERS, TANKS, and 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 andzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. TICE. In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe found in the public records of this county, and there may be additional Permits required from other governmental entities such as water manageme/nt d' s a 'es, or federal agetxor Acceptance of permit is verification that I will notify the owner of the property of the requi nts of rids Li:: t 6`t // Si turcofOwner/ A ens Date Print Owner/ Agent's Name Signature of Notary -State of Florida Date Owner/Agent' s _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Special Conditions: 0 Date Z-, Zmt ary- AdDEV pate j'* MY COMMISSION i DD 164280 EXPIRES: November 12, 2006 10 rBadsdThruBudgoN*q Swims nC tracIftis it is Persona lly Kno(rh tp -Me or Produced ID o LA -`7o-i 1 ^ rp41 (L A4 -b Initial & Date) Utilities: FD: Initial & Date) ( Initial & Date) CSEMINOLE COUNTY TURAL CHOICE SEMINOLE COUNTY RESIDENTIAL PERMIT APPLICATION Job Address Street: 2 1 3 T USm', GA >G r! Date: %Z4 •oy City: SAo ent Zip Code: 32 77/ Directions To Jobsite: 1 S k S k L-v l 01 Ad'gff, Owner Name: fi.m /''SA- /Vl I- k t t-J Contractor: d Address: /:4g Address: 1093/ City/St/Zip: so"A"Z /' c 39 71 City/St/Zip: L/infi0 f=c 337,,77 Phone#: - S?o2 Fax#: Phone#: ta,-13i-GG-75' Fax#: Contact Person: License Holder's Name: 6,C, 4 h Sir !/' Daytime Phone: Ste Reg./Cert#: CC A !y/'3 Attach proof of ownership: Tax Record from Seminole Co. Property Appraiser's Office, Tax Receipt, or Deed, etc. Parcel#: - Oa 3d Plat Book: / l Page(s): • f ,3 Subdivision Name: A e,4 DPI,-4 /''1.4w.17 Valuation of Work: (Estimate) $ a0 Total Square Footage: Total HVAC/Living Space Square Footage: ; 8S Single Family Detached. lEr Duplex............................... WORK DESCRIPTION Addition/Alteration .... Electric ....................... Roof.......................... Mobil Home ...................... Well ........................... Garage/Carport .................. Demoli h........... Describe exact nature of work: r pr L- -.........S'. vl < 14 4Identify,.type of structure or location within structure where work will be t Plumbing .................... Mechanical ................ Gas............................ Low Voltage .............. Other ......................... i.e. Kitchen, Shed, Gazebo, etc. Will trees be removed: Yes N9,-0 If Yes, please.complete Arbor Permit T - UTILITIES Septc Tank ............... Well.................... Public Water .............. Public Sewer .............. Existing Well ............ Utility Letter (Include utility letter from appropriate agency) ................. SUBCONTRACTORS Seminole County State of Florida Card Holder's Name Occupational Lic # License # Reg/Cert Elect. Mech. Plumb. Roof Gas Low Voltage Other NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIRCONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS COMMENCED. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the permanence or construction. Signature of Contractor Date Signature of Owner Date RESIDENTIAL WORKSHEET COMPLETE ITEMS ON WORKSHEET BELOW IF PERMIT TO BE ISSUED FOR OTHER THAN SINGLE FAMILY RESIDENTIAL NEW CONSTRUCTION. ELECTRIC Electric Company Florida Power Corp. Florida Power & Light Service Size Old Amps. Volts Phase I ph Phase 3 ph New Amps. Volts Phase I ph Phase 3 ph ITEMS UNITS OTHER APPLIANCES UNITS Outlets & Switches (each) Water Heater Lighting Fixtures Dryer Outlets (Window A/C) Dishwasher Continuous Receptacle Strip Per Outlet Electric Range Cook Top SERVICE Built-in Oven Number of Amperes Exhaust Fans Under'/, HP Each Sub Feed Panel Temporary Pole ELECTRIC WELDER Transformer Type HVAC EQUIPMENT Up To and Including 50 Amps Number of Kilowatts Over 50 Amps OTHER ELECTRIC POWER TRANSFORMERS Electric Elevator List No. of Kilowatts (KVA) Pool Wiring Change of Service MOTORS & GENERATORS Pump Service Horsepower (List HP) List other and describe: GENERATOR TYPE Time Switch MECHANICAL: Valuation of Work: $ PLUMBING: Number of Traps: WELLS CONTRUCTION: Shallow Well Deep Well Abandonment of Well Pump/Pumping Equipment Installation NOTE: Water system supplying more than 25 people, a Construction Permit through St. John's River Water Management District must have approval through the Department of Environmental Services at State level. All wells over 4" in diameter shall have a construction permit and consumptive use permit prior to a permit being issued by the Building Division. Flat/Build Up .................... Tile.................................... ROOF Wood Shingles/Shakes ............ Slate .......................... Asphalt/Fiberglass ................... Other 6w[ k Al r s I hereby certify that at the time of the application and issuance of the above permit, all necessary Workmen's Compensation Insurance required by the state of Florida has been obtained to effect the proper protection of those workers under my employ. SIGNATURE OF CONTkACTOR DATE TO BE COMPLETED IF CONSTRUCTION VALUE EXCEEDS $2,500.00 Permit # Tax Folio # OFFICIAL NOTICE OF COMMENCEMENT State of Florida County of S, ,, t ( 'p- 33 i1111II11IIIA111II111M11110WuIII1N1II11111 MARYANNE MOM, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 05190 PG 0421 CLERK'S 0 2004018905 RECORDED 02/0612M 01:4304 PM RECORDING FEES 6.00 RECORDED BY L McKinley THE UNDERSIGNED,hereby gives notice that improvement will be made to certain real property, and inaccordancewithChapter'713i Florida Statutes, the following information is provided in the Notice ofCommencement. 1. Description of property: a 1 3 r ;IL P 4 ,a y / see, yn 3A 3 Z oo 3D G,. s 2 7- Ad Aney_., r . 2. General description of improvement: L- J e L, I., e [ v r 3. Owner Information: A. Name and address:rL^Z ti f Us , 13 U ,. S/ C .2 B. Interest in property: p w ti' gR C. Name and address of fee simple titleholder (if other than owner): 4. Contractor name and address: 5. Surety (if required) A. Name and address B. Amount of bond $ 6. Lender name and address: IZV L YAY C.-L AS5 &CZA-r s C KTIfEED COpT 7 •• pNAIE-4Ni0ii6,E 1 D 13 i t'1 l 4' L c 77 p pl( OF CIRCUITI COM LE oN F1L,g1 0 6 20047. Persons within the State of Florida designated by Owner upon notices or other'documents may beserved- as provided by section 713.13 (1) (a) Florida Sta e Name and address: /v 8. In addition to himself, Owner designates to receive a copy of theLienor's Notice as provided in Section 713.13 (1) (b) Flo da Statutes. 9. Expiration -date of Notice of Commencement (the expiration date is one (1) year from the date ofrecordingunlessadifferentdateisspecified) 20 Signature of Owner or Authorized Agent: Sworn and subscribed before me this 0 day of %40L 6 20 0 , by i I -A Who is personally known to me. Who as roduced 1 ! p as identification. ary Public commission expires: Drivers License # mil 320-Z q—Z( _9410_0 MotuENo" PubkMyCW=. ExCarAftW Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL r. •.i+e. 6 `} < Back w 7 Q Uj w CARVER AVE GENERAL Parcel Id: 35-19-30-515-0000- Tax (istrictt: 0230 Owner: MATHEWS EMMA Exemptions: 00- LEE HOMESTEAD Address: 213 TUSKEGEE DR City,State,ZipCode: SANFORD FL 32771 Property Address: 213 TUSKEGEE ST SANFORD 32771 Subdivision Name: ACADEMY MANOR UNIT 01 Dor: 01-SINGLE FAMILY OWN rlr , y k. 2004 WORKING VALUE SUMMARY Value Method: Market J Number of Buildings: 1 Depreciated Bldg Value: $38,084 Depreciated EXFT Value: $290 Land Value (Market): $10,700 Land Value Ag: $0 Just/Market Value: $49,074 Assessed Value (SOH): $39,806 Exempt Value: $25,000 Taxable Value: $14,806 2003 VALUE SUMMARY SALES Tax Value(without SOH): $513 Deed Date Book Page Amount Vac/imp 2003 Tax Bill Amount: $289 QUIT CLAIM DEED 02/1993 02555 0954 $100 Improved Savings Due To SOH: $224 Find Comparable Sales within this Subdivision 2003 Taxable Value: $13,873 DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION PLAT Land Assess Frontage Depth Land Unit Land LEG LOT 23 ACADEMY MANOR UNIT 1 PB 13 PG Method Units Price Value 93 LOT 0 0 1.000 10,700.00 $10,700 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1961 5 1,356 1,054 CONC BLOCK $38,084 $49,460 Appendage / Sgft CARPORT UNFINISHED / 250 Appendage I Sqft OPEN PORCH UNFINISHED / 52 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New WOOD UTILITY BLDG 1990 110 $290 $660 Assessed values shown are NOT certified values and therefore are subiect to change before beinq tinalized for ad valorem purposes. If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value. i http://www.scpafl.org/pls/web/re_web.seminole_county_title?PARCEL=351930515000002... 2/4/2004 Making Florida a better place to live since 1987... one home at a time. Contractor's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: Owner: At this location: a 13 Tv5/13/ This person(s) is also empowered to obtain, complete, and sign all forms, applications, registrations, and documentation's, with this limited power of attorney, on behalf of me that may be required to accomplish this issuance of any and all permits that may be required in any jurisdiction, throughout the State of Florida until farther notice. Authorized Dan Bularca Donna Struckmeyer Oscar Egervary George Vaczi Cheryl Welch Wendy Hatter Bill Mitchell William Hagenow Rick Keill Authorized Person's Signature: Qualifier' s Signature: FL Driver's License B- 462-160-73-409-0 _ S- 362-170-44-831-0 _ E- 261-659-55-247-0 V- 200-303-60-054-0 _ W- 420-113-72-786-0 H- 360-881-68-764-0 _ M- 324-921-64-444-0 _ H- 250-933-71-449-0 _ K- 400-739-54-098e0 o, OVA Brian Stover — Contractor / President State License # CCC049367 Notary ( as to Contractor) Sworn to and subscribed before me this - day of - , 20_Ql, Personally known to me(Print Name), or has produced As identification and who did (did not) take an oath. My Commission Expires: - Rr••, MONA L. BUTLER Notary Signature: Notary Public -state or Florida kz My Comm. Expires Aug 16, 2004 1Q;,,; p•' . Commission # CC961647 Invincible Associates, Inc. 10931 75`t' Street, Largo, FL 33777 * 727-545-1800 * 800-937-6635 State Certified License # CCC049367 * CRC015276