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