HomeMy WebLinkAbout1511 W 14 StCITY OF SANFORD PERMIT APPLICATION yn j 2
Permit # : D i� ` O U IQ�( 1 Zii Date: 151 A 103
Job Address: 15 1 �� � 1 �ClNi�rd
Description of Work: (Aft 4-p GAS Whig (h (1(�P_rjui
`i
Historic District: Zoning: Value of Work:
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Mechanical Plumbing ✓ Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: J:J"
Owners Name &
Contractor Name & Address:
Phone &Fax:_-Bp-kJ:6-4 f.LJ/.�1`�L� ('=/lrM,/.ContactPerson:
Bonding Company:
Address:
(Attach Proof of Ownership & Legal Description)
Phone: 40-32-3—/3919
State License
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 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
constriction 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 permit is verification that I will notify the owner of the property of the requirements of Florida 'en Law, FS 713.
t;-- 9'— <"-)
Signature of Owner/Agent Date Signature of Co tractor/Agent Date
D. C. K+r>e-
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary ta of Florida (tha Jackson Hartman
in
4! e2- 878085
l A � CQm!t�19:�30]l
"„�,� Expires Oct. 10, 2003
Bonded Thru
Owner/Agent is _ Personally Known to Me or Contractor/Agent is � = Personally [{no n`e oAtlantic Bonding Co., Inc.
Produced ID _ Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
PARCEL DETAIL
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W:44TH ST
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2003 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Number of Buildings: 1
Parcel Id: 35-19-30-506-0000-0050 Tax District: Sl-SANFORD
Depreciated Bldg Value: $14,909
Owner: DIXON MABLE Exemptions: 00 -HOMESTEAD
Depreciated EXFT Value: $480
Address: 1511 W 14TH ST
Land Value (Market): $5,940
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $0
Property Address: 1511 14TH ST W SANFORD 32771
Just/Market Value: $21,329
Subdivision Name: BOYKIN PLACE
Assessed Value (SOH): $17,137
Dor: 01 -SINGLE FAMILY
Exempt Value: $17,137
Taxable Value: $0
SALES
2002 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
2002 Tax Bill Amount: $0
WARRANTY DEED 01/1974 01014 1724 $100 Improved
2002 Taxable Value: $0
Find Comparable Sales within this Subdivision
LAND
Land Unit Land
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Units Price Value
LEG LOT 5 + E 1/2 OF LOT 6 BOYKIN PLACE PB 7
FRONT FOOT & 75 113 .000 90.00 $5,940
PG 20
DEPTH I
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1940 3 1,176 900 SIDING AVG $14,909 $27,737
Appendage I Sqft ENCLOSED PORCH FINISHED / 180
Appendage i Sqft OPEN PORCH FINISHED 196
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
WOOD UTILITY BLDG 1980 200 $480 $1,200 1
INOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
http://www.scpafl.org/pls/web/re-,web.seminole. -county title?parcel=351930506000000504... 5/19/2003
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State of Florida
<� Department of Agriculture and Consumer Services
Division of Standards License Number. 17073
Bureau of Liquefied Petroleum Gas Expiration Date: ;Auqust 31, 2003
POST LICENSE (850) 921-8001 Date of Issue:'`September 1, 2002
CONSPICUOUSLY Tallahassee, Florida License Fee: $425.00
Type and Class:.0601 NP,
Liquefied Petroleum Gas License
CATEGORY I LP GAS DEALER.
GOOD FOR ONE LOCATION
This license is issued under authority of Section 527.02, Florida Statutes, to:
FLORIDA PUBLIC UTILITIES
450 S HIGHWAY 1792
DEBARY. FL 32713
CHARLES H. BRONSON
COMMISSIONER OF AGRICULTURE
From: Sandy Weir At: J. Rolfe Davis Insurance FaxID: To: Alicia
Date: 3/25/03 09:36 AM Page: 2 of 2
ACCERTIFICATE OF LIABILITY INSURANCE OP ID SW
DATE(MMIDDNY)
1
FLPUBLU
03/25/03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
POLICY NUMBER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
J Rolfe Davis Insurance
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Maitland FL 32794-5255
Phone: 407-691-9600
INSURED
INSURER& Commerce and Industry Company
INSURER e: (Unisource)
Florida Public Utilities, etal
Flo -Gas Cox poration 6
Nature Coast Gas
INSURER C.
INSURER D:
401 S. Dixie Highway
West Palm Beach FL 33401
NSURER E:
CLAIMS MADE 1:1 OCCUR
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE (MM1QQ1YYI
LIMITS
1101 E. lst St.
GENERAL LIABILITY
AUT PRE NTA
Sanford FL 32771
EACH OCCLRRENCE S
FIRE DAMAGE (Any one 11m) S
COMMERCIAL GENERAL UABIUTY
CLAIMS MADE 1:1 OCCUR
MED EXP (Arty one person) S
PERSONAL 3 ADY INJURY S
GENERAL AGGREGATE S
GENA AGGREGATE LIMIT APPLES PER:
PRODUCTS -COMPIOP AGG S
POLICY PEO LOC
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMB S
(Ea accident)
BODILY INJURY S
(ror peroon)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY S
(Per acclderd)
HIRED AUTOS
NON -OWNED AUTOS
PROPERTYDAMAGE S
(Per accidenq
rl
GARAGE LIABILITY
AUTO ONLY-F-AACC0ENT S
EAACC S
OTHEP. THAN
ANYpUTp
AUTO ONLYAGG g
EXCE66 LIABILITY
EACH OCCLRRENCE S
AGGREGATE S
OCCUR ❑ CLAMS MADE
S
S
DEDUCTIBLE
S
RETENTION S
WORKERS COMPENSATION AND
g WC STATU- OT71-
TORYLIMRS ER
E.L. EACH ACCIDENT S 500000
A
EMPLOYERS' LIABILITY
WC9693468
10/01/02
10/01/03
E.L. DISEASE - EA EMPLOYEE $ 500000
E.L. DISEASE - POLICY UMIT S 500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESEXCLUSIONS ADDED BY ENDORSEWNTISPECIAL PROVISIONS
CERTIFICATE HOLDER IN I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SEMICOU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Seminole County
Building Department
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1101 E. lst St.
REPRESENTATIVES.
AUT PRE NTA
Sanford FL 32771
ACORD 25S (7/97) 'f/ / 0 ACORD CORPORATION 1988