HomeMy WebLinkAbout806 Willow Avef I
CITY OF SANFORD PERMIT APPLICATION
Permit #: tJ Date: I
Job Address: iLD L_.y i l.J IAU ( n ?0 ,r -7 1
Description of Work:
Historic District: Zoning: Value 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. Requited)
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 #: _ I O 5 rl a I Q 0 F 003 C) (Attach Proof of Ownership & Legal Description)
Owners Name & Address: I 1 P L, 77 r f f_./\ - P, -5a Rfb rd P _
o State eLicense Number: Q i3 _ d d 2 7
Person: SQ/ [:LQQP--T Phone:
Bonding Company: 1V 1_A
Address:
Mortgage Lender: IJ A
Address:
Architect/Eagineer: i J /a 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. 1 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 emit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
A
S' ature of Owner/Agent Date Signature of Contractor/Agent D e
n—
Print Owner/Agent's Name
rytaje of Florida Date WENDY
STMTS hV,
6omm Enp. WIM4 PertlpepU$
RbDGWto Me o APPLICATION
APPROVED BY: Bldg:_Zoning: Initial &
Dat Special
Conditions: b.
LQ tf/ Print
C =t's Name Signature
of Notary -State of Florida Ddle Sandra
Leper My
Commission DD134943 pia,
Expires August 1 S, 2006 Contractor/
Agent is rsonal y Known to Me or Produced
ID Initial &
Date) Utilities:
FD: Initial &
Date) (Initial & Date)
POWER OF ATTORNEY
LANIER, JACK DOUGLAS, the "principal," of P.O. BOX 180546 CASSELBERRY FL. 32718,
herewith appoints Mark Chapman 123 Matanzas Rd Debary Fl. 32713, Wally Martin 2718 Candlewood Ct.
Apopka Fl. 32703, Mark Hurwitz 30748 PGA Dr Mt. Plymouth Fl. 32776,'Donald Henderson 1942 Stanton
Street Deltona Fl. 32738 David Chapman 49 Madera Rd. Debary Fl. 32713, David Canfield 304 Black
Gum Trail Longwood Fl. 32779, Maurice Shelton 4233 Meeting Place Sanford F1.32773 and Joseph
Dunlap 1421 Border Drive Winter Park FI.32789 as their attorney in fact, to act in place and stead and
described herein; THIS 1S A DURABLE POWER OF ATTORNEY THE RIGHTS HEREIN SHALL
CONTINUE DESPITE THE INCAPACITY OR DISABILITY OF THE PRINCIPAL
To act for me in the regard to the following:
OBTAIN PERMITS AT THE BUILDING DEPARTMENTS
This power of attorney shall be in effect from 1/1/04 through 12/31/04
LANIER, WCK DOUGLAS, As Principal
STATE OF FLORIDA
COUNTY OF SEMINOLE
J. DOUGLAS LANIER personally appeared before me and acknowledged the execution of this
cf gvttorney for the purposes set forth therein.
Dated: 1 I p 1 !) Lq
Notary Pub lW Sandra ,Leger
my commission DD134943
D a Fes` Expires August 13, 2006
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL• L l Back C- 1
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2004 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 25-19-30-5AG-100E-0030 Tax District: S1-SANFORD Number of Buildings: 1
WARREN WILLIE J & 00- Depreciated Bldg Value: $54,704
Owner: CATHERINE J Exemptions: HOMESTEAD Depreciated EXFT Value: $0
Address: 806 WILLOW AVE Land Value (Market): $5,696
City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0
Property Address: 806 WILLOW AVE SANFORD 32771 Just/Market Value: $60,400
Subdivision Name: SANFORD TOWN OF Assessed Value (SOH): $52,123
Dor: 01-SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $27,123
2003 VALUE SUMMARY
SALES Tax Value(without SOH): $748
Deed Date Book Page Amount Vac/Imp
2003 Tax Bill Amount: $540
WARRANTY DEED 01/1973 01000 1930 $20,200 Improved
Savings Due To SOH: $208
2003 Taxable Value: $25,901
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 3 BLK 10 TR F TOWN OF SANFORD PB
FRONT FOOT &
64 117 .000 100.00 $5,696
1 PG 56
DEPTH
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1973 6 1,670 1,258 CONC BLOCK $54,704 $63,059
Appendage / Sgft OPEN PORCH FINISHED / 88
Appendage / Sgft GARAGE FINISHED / 324
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=2519305AG 1 OOFO03... 1 /26/2004
11/18/2003 12:01 7275352084 JACK RICE INSURANCE
T
PAGE 02
J
A M, CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDO VYYT
11/19/203
PRODUCER (727) 530-06d4 FAX (727) 536-998S
lack Rice Insurance, Inc.
130d0 S. Belcher Rd .
Largo, FL 33773
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDEDY THE POUCIES BELOW.
INSURERS AFFORDING COVERAGE- NAIC R
INGURED Collis Roofing. Inc.
P O Box 180546
Casselberry, FL SZ719
SUIERA Cruel A Forster Spec Ins Co/Mclea Odds
waVMERD: American Casualty Co. of Reading PA '
INSURER C:
INSURER D.
EdSURF1t E:.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO MMICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS $OBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WWII Tr" or INEYRANCa POLICY NYMBEN POLICY EFMCTWE POLJCII EIPEMTION UW13
CENEAAL LIABILITY GL00000343 06/01/2003 06/01/ZU04 EACII OCcwm1#cE t 1,000,000
MERCIAL l3FNERALUA&IL1TY CONTRACTUAL LIABILITY DARaAGE TO RENTED i S0,0001
CLANG WADE Xp OCCUR I&D w I" of, Pawn) 11 Excluded
A NX$210,.000 Deductible BLANKET ADO'L INSURED WAIVER OF MRSONALLLAINFLOUIY S 11000,0001
EXCLUDING PRODUCTS SUBROGATIOClaim G ME M ACGRE6AT6 S 51000,
COMPLETED OPERATIONS PERGEIiLAGGREGATEL&%TAP LeO;R*Ip PRODUCTS -COM IOFACG E 2 000,
PoutY J We FORM 4FCGZO10 1001) CONTRACT
TORMEKA Lawn.
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EL EACH ACCIDENT 1 000
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EMPLOTER7 VANNAT
ANY EWEAECUTWE
OFFICEIIMEMWREEXCLUDED?
BLANKET WAIVER OF
SUBROGATION APPLIES TO ELDISGASE.GAEMPLOYEE f 1,000.0 Mw
PPOVLs~i M LMIO* WORKERS' COMPENSATION E.L. DIEEAM -OIJCT V-1 T, 1,000.000 oT.
a:A tKscwrTwN
OF I LOCATIONS I VIDUMSI / VICLI.— ADDS. BY sEMEMT r SPECIAL PROVISION& Coverage
aorde by this policy shall also ably to Lennar Corporation, including its subsidiaries. artnerst
partnerships, affiliated companies, successors and assigns, as Additional Insureds with respects
to General Liability only. {Owner) "All Operations" of contractor or Subcontractor perforned behalf
of Contractor shall be covered by such insurance. SEE
ATTACHMENT" ' Except j0 Days for Non -Payment of Premium Lennar
Corporation 151
Wymore Road suite
7000 Altamonte
Springs, Anion
9R ITDDU1Da1 FAX: ( MOULD
ANY of THE ABOVE DUCIMED POLICE& BE CANCELLED BEFORE THE EXPIRATION
DATE THER[OP, Tr. ISHaIIG IN9U1tM WILL n111Pj00jw RAIL 30
oAY& WRITTEN NOTICE TO THE CERTMATE MOLDER NAMED TO THE LEFT tax
xX FL
3Z714 AUTN 1%MI)P!I`1W dNTATVS ?%r
Sandi
Vernacchio/CMM U< 7)
632-4396 VACORD CORPORATION 1988
Permit #
State of
County of
Tax Folio #
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of commencement. _
1. Description of property:
2.
3. Owner information:
a. Name & Address:
4.
a
91
b. Interest In Propert
3,x1
003 6
c. Name & Address of fee simple titleholder (other than owner): tj i Vy
ame
a. rnone numoer:
Surety Information:
a. Name & Address: N
er:
c. Fax number:
IA\1
a. Phone number: c. Fax number: 4."w•,``` •`
7. Person within the State of Florida designated by owner upon whom notices or other! Fy='
documents may be served as prov'de y 713.13 (1) (a) 7, Florida Statues:
Name & Address: 0j
a. Phone number: number:
8. In addition to himself, owner designates J
c. ax ---.
Of
to feceive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b) , Florida Statutes.
a. Phone Number: c. Fax number:
9. Expiration date of Notice of Commencement (the expiration date one (1) year from the date
of recording unless a different date is spec' red):
Signature of owner) zf
b. 'Phone number:_
d. Amount of Bond:
Lender's Name & Addri
Sworn to and subscribed before nw
this—ZLe-day o fir.,,,,20 {
Notary Public
My commission expires:
T S INSTRUMENT PREPARED BY:
NA E 1#14"t2<<4 -S*
ADD . 3 /Yl F f"r PL
04q, Sandra Leper
6( "y Commission D0134943
a nd'P Expires August 13, 200e
I IN 111111 IN 1181 IN 111110Ili 1111111 Il 1IU ID 311 IN
MARYANNE MORSEL CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05178 PG 1855
CLERK'S # 2004012508
RECORDED 01/27/2M 11:50:39 AM
REWRDINO FEES 6.08
REWW'D BY L McKinley