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t` Ydµ • t , >',;x :, CITY OF SANFORD PERMIT APPLICATION
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Permit # : /: ( ` Date:
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Job Address:
Description of Work:
Historic District: Zoning: Value of Work: $ 2
Permit Type: Building _ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool.
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Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Entergy Ca1F. 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: Residentia Commercial Industrial Total Square Footage:
Construction Tyne: of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Pwnership & Legal D74:0,1&
'tion)
Owners Name & Address: AM i /+ I /> I
Contractor Name
Phone & Fax: 3 r g7 f Contact Person: _T �� Phone: M7 - 2 �,S-J
Bonding Company:
Address: _
Mortgage Lender:
Address:
Architect/Engineer: 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 tLe
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 laves regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT N Y"OUR, l°1+YING
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 permit is verification that I will notify the owner of the property of the req
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
O%vner/Agent is Personally Known to Me or
Produced ID
APPLI(A KION APPROVED BY: Bldg: f- Zoning:
!Initial & [late)
Sxcia• ('onditions:
>f 616fida Lien Law, E 13. _
of ilontractor/Aecnb Date
ILI 3
Date
:r° Commission #DD 163723
„oma Expires: Dee 20, 2005
9 ” • • e: Bo{�ded Th
Co ni: i cr ona(U Kx)wn to Me or
Produce :Planttic- ondtng�"o.,ine.
(Initial & Date) (Initial ti Date)
FD:
(Initial & Dat:
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAILAL
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2003 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 30-19-31-516-0100-0150 Tax District: Si -Number
SANFORD
of Buildings: 1
Depreciated Bldg Value: $35,630
WICKERSHAM ROY D &
Owner: PHYLLIS L Exemptions:
Depreciated EXFT Value: $0
Address: 220 AWRENCE DR
Land Value (Market): $9,135
City,State,ZipCode: SANFORD FL 32773
Land Value Ag: $0
Property Address: 4TH ST E SANFORD 32771
Just/Market Value: $44,765
Subdivision Name: FAIRVIEW
Assessed Value (SOH): $44,765
Dor: 01 -SINGLE FAMILY
Exempt Value: $0
Taxable Value: $44,765
SALES
Deed Date Book Page Amount Vac/Imp
WARRANTY DEED 07/1999 03700 0060 $44,300 Improved
QUIT CLAIM DEED 07/1999 03700 0058 $100 Improved
2002 VALUE SUMMARY
QUIT CLAIM DEED 08/1991 02326 0031 $100 Improved
2002 Tax Bill Amount: $909
WARRANTY DEED 05/1989 02068 0732 $49,400 Improved
2002 Taxable Value: $42,957
WARRANTY DEED 03/1985 01627 1421 $19,500 Vacant
WARRANTY DEED 04/1985 01627 1420 $19,500 Vacant
Find Comparable Sales within this Subdivision
LAND
Land Unit Land
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth
Units Price Value
LEG LOTS 15 + 16 BLK 1 FAIRVIEW PB 4 PG 71
FRONT FOOT & 105 110 .000 100.00 $9,135
DEPTH
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1920 3 1,862 1,098 SIDING AVG $35,630 $66,288
Appendage / Sgft OPEN PORCH UNFINISHED / 16
Appendage / Sgft OPEN PORCH FINISHED / 140
Appendage / Sgft UTILITY UNFINISHED / 32
Appendage I Sqft DETACHED GARAGE UNFINISHED / 576
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=3019315160100015 5/12/2003
May 12 03 11:47a Palombi 407-333-3820 p.2
LIMITED POWER OF ATTORNEY
STATE OF FLORIDA
COUNTY OF SEMINOLE
KNOW ALL MEN BY THESE PRESENTS, that We, ROY D. WICKERSHAM, a married
man, and PHYLLIS L WICKERSHAM, a married woman„ has made, constituted
and appointed and by these premises make, constitute and appoint DENNIS A. LANDIS
our true and lawful attomey-in-fact, for us and in our name, place and stead and on our behalf,
to do and perform for us THE FOLLOWING ACTS.
(1) To contract and sell and borrow against the property listed below at such times and
in such manner and upon such financial terms as to him/her may seem proper, as well as the
specific power to execute all Deeds, Notes, Deeds of Trust, Insurance, Mortgage Payments,
Settlement Statements or such documents in connection therewith as may be required to effect
or assist the transaction and closing of said loans, sale or sales on the following property:
All that tract or parcel of land lying and being in Lots 15 and 16,
Block 1, FAIRVIEW, according to the plat thereof as recorded in
Plat Book 4, page 71, as contained in the Orange County, Florida
Public Records, which plat is incorporated herein by reference.
We hereby ratify and confirm all that the said DENNIS A, LANDIS as our attorney-in-fact,
shall lawfully do or cause to be done by virtue hereof.
This Power of Attorney is a durable Power of Attorney and shall continue even in the event of
incapacity of any principal.
IN WITNESS WHEREOF, We have executed the foregoing Power of Attorney this 21st day
n ame �;na!:Print Narre
Notary"Public
(SEAL)
me of even date.
s. M.. N... M.I.........................a.... v.
LAURIE JEAN TAYLOR;
Comminlon 9 DD0IMM
'�{ =
E)q*99 2/18/2007 a
Bonded thnxvh
=(8oa432.4254)
i............NN.................N.
Florida Notary Assn.. IAC.
May 12 03 11:47a Palombi 407-333-3820 P.1
TO: CITY OF SANFORD BUILDING DEPT
FROM: DENNIS LANDIS
DATE: 5112/03
RE: Permit for roof at 1109 East Fourth Street
Please allow Andy Adcock to pull a permit for the roof job at 1109 East Fourth Street.
I am faxing a copy of my Power of Attorney given By Roy & Phyllis Wickersham for
the property.
Thank you for your assistance in this matter.
page(s): (1), including cover sheet
4 100 vv. Lane Mary biva. Suite 118 Lake Mary, FL 32746 Off. 407-333-0073 Fax 407-540-9549
STATEMENT
State Certification
No. CCCO22501
ROOFING AND SHEET METAL
Since 1963 800 French Ave. • Sanford, Florida 32771
Phone: (407) 322-9558
a _ DATE
S / / 20,0-3