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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 ......... . ­ ...... . .. < A w1amp W:44TH ST C: .. ..................... All ... :*4ST m 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 ----------------------------- ------------------------------------------------- -- 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