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1000 S Park AveRECEIVED T'__ MAY 2 4.2010 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I 0 ' 1 � � � Documented Construction Value: $ # ,215 P • Job Address: c000 X, FO r PW — �aa f D Historic District: Ye;sK ElNo Parcel ID: 15 — 19 - 3 0 - 5P— 1209 420 (2 Zoning: Descrip�tion of W��,-oo��r��k: `e I �'�� G S` ZJ Plan Review Contact�e son: S �l/ Gl 1 G g Phone: ��b-11"I'C��'i� —V ax: E-mail:V Ir00190(C-PtELM. Property Owner Information Name Qr I1 f-haf W-Miys LLC • _ _ _ Phone: 0 0�_ f513-P bOb Street: .O. 00X DW Resident of property? : n I a -- City, State Zip: OIelCl j-0 32—MI Contractor Information Name a(As EI i, i,m ri h a A-wy cfx , ( n c, • Phone: d6 b-77 Y—b �n' ` "f q Street: IW i b Pusr col Uf t Fax: City, State Zip: DOIDnO- 32ID State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Arch itectlEngineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: ZSignature V(KeO r W 17D Print Contractor/Agent's Name �- 2d 19-01 D -Signature of Notary -State of Flori `j ate UTILITIES: FIRE: MICHELE A. ZAWATSKY Notary Public • State of Florida My Comm. Expires Sep 2. 2012 Commission # 00 819575 to Me or WASTE WATER: BUILDING: o? /0 Rev 11.08 5 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: (Name of to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 512u 12bI I License Holder Name: VI' nc t E Po (Lz'7,/' State Lice Signature STATE dr rL,vI%ALri COUNTY OA&VS19 The oregoing instrument was acknowledged before me this 2.4day of , 200, by V�P(tjl±( who isXpersonal y known to me or ❑ who has produced as identification and who did (did not) take an oath. MICHELE A. EAWATSKY Notary Poll; . State of Rorlda . ; ; • my Comm. Expires Sep 2. 2012 =� , Commission ! DD 819575 list Bonded Through National Notary Assn. (Rev. 3/27/07) m O-0-P 01. 29 Wa sW. Print or type name Notary Public - State of _ Commission No. My Commission Expires: 1 r FLOWDA PUBLIC U T I L I T I E S DATE: I, Don Kitner, do hereby authorize Gas Plumbing Services to pull the gas plumbing permit in their name due to their company being hired as a sub -contractor of Florida Public Utilities for the following job: Lea �arok Si ogei ' Owner's Name lows. f arK Am, Job Address a5.,a•30- sgc-7 -009. 0010 Parcel Number a%so. oo Job Cost Signature lu6x,n g lma;tw�_ Notary Signature &L5an L-. Sandsh'onm Print, Type or Stamp Name of Notary By Don Kitner who is personally known to me, State of Florida, County of Volusia on this X 40- Day of AMA4 2010. NOTARY pUBLIC-STATE OF FLORIDA Susan L. Sandstrom Commission #DD870417 pines: NNE 26, 2013 BONDw TORU ATLANTIC BONDING CO„ INC. OFFICE CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box.1788, Sanford, FL 32772-1788 X—lens—Phone: 407.688.5145 , Fax: 407.688.5141 Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requlremenh contact the Ristorle Preservation Of&er at 407.685.51.45 to ensure your appltc6tion Is complete. A building permit may be required for the activity detailed below. Please eontact the Building Department at 407.688.5150 for more laforrnatiou. Failure to obtain a building permit may result In flues and/or double permit fees. GENERAL INFORMATION Downtown Commercial Historic District >4-Residential Historic District '1 Is this a retroactive request? r-1 Yes n No Is this application filed in responses to a Notice of Violation from the Code Enforcement Department? Yes 7 No Property Address: 1000 r �il� ('R% � ���J���• JJ + Property OwUmnPrint Name: Name: Mailing Address: Phone: Lf 0-? Signature: Print Name: Mailing Ada Phone: Signature: U I certify that all information c Zplieant/Owner Signature: I Would you like to receive Fax: 2' Email: this appliva js..true and accurate to the best of my knowledge. regarding Historic Preservation and Community Planning within your community? Y. APPLICATION CATEGORY (Chuk all that apply) Proposed Improvements will offect the following elevations: n North '1 South -1 East i-I West r l Site ImprovementsiDriveway/Walkway -I Stomps Shed "1 Replacement SldingtFloor/Porch .rl Replacement Windows or Doors 71 Undemkirtino --I Signs/Awnings '1 New Construction/Additions 71 Paint ---I Fence4lGated/Pergoles -1 Roofs/Guttem0ownspouts rl AC/Mec hanicel -1 Other 3. DESCRIPTION OF PROPOWD WORK ComptstNy describe, thv entire scope of work, Including changes In material and color, and methods that wlll be used to accomplish the proposed work. For largo projects an Itemized list is required. Use the reverse side if necessary. Z- + �t„� frj f f fir- 2.5 ���M iaAC d� P n F� c c-/ `h j - E ONLY A Historic Fort Board Moetiny Data: - -. _.. .........._..._...:__ roved ❑ Denied (Conditions Noted illelow) MAY - 7 2010 Signature: Q PLANNING A;J� DEVE.LOPW .VUWMVAL IS VALWF tttt)t•UOWM t)NUSS OTiffMME N07EDa PAGE 1 OF **" THIS CERTIFICATE MIDST BE PROMINENTLY DISPLAYED ON THE WE WHEN WORK 18 IN PROGRESS. "*** r G mc-� tv, w Gas Plumbing Services, Inc. 2476 Rusk Ct., Deltona, FL 32738 Office: (386) 774-8244 Fax: (386) 775-1749 STATE LICENSE # : CF-0057948 LP LICENSE # : LP-17000 PERMIT # : BUILDER: ADDRESS : /000 5 Q/lte— I�kIG SAY,IT MODEL # : UN� 2— GAS TYPE : DELIVERY PRESSURE: PIPE TYPE: CSST / GALVANIZED LONGEST RUN: 30 1 FURNACE: RANGE: WATER HEATER : DRYER: Iwo= FIREPLACE: GRILL: SPA/POOL HEATER: OTHER: TOTAL LOAD : SIZING TABLE USED: CREATED BY: I / gg ' 14 11 Gas Plumbing Services, Inc. 2476 Rusk Ct., Deitona, FL 32738 1j Office: (386) 774-8244 Fax: (386) 775-1749 STATE LICENSE # : CF-CO57948 LP LICENSE # : LP-17000 iJ® 1A.. PERMIT # : ® BUILDER: ADDRESS: /OiZ $ P,4t*1 AV MODEL # : UtjrT7r- -t GASTYPE : tiJAT- DELIVERY PRESSURE : / 'Z" r,.J/t- J PIPE TYPE: CSST / GALVANIZED LONGEST RUN: 30-/ FURNACE: ® RANGE: WATER HEATER: DRYER: FIREPLACE: GRILL: SPA/POOL HEATER: OTHER: TOTAL LOAD : 1510��- SIZING TABLE USED: j�- CREATED BY : Mgt E 6w I 3o* 3/q 5 GEi Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 4 �14 90+8.8 DAvrn JOHNWH:CFA.ASA %B.A a PROPERTY 0 APIPRAlSER a>a11n1otEcotnJrvF1 0 1.08.0 �' j 6.0 1.a 12D4 w m a 3 4 8 sAuFo4oi FL 32771-1468 407 �66575p6 4 9 4 d + 4.0 9.0 a w s a 0 s g W 11TH ST m E 11TH 1000 c`��] S. � VALUE SUMMARY 2010 2009 v , v"" ' "v%`�� VALUES GENERAL Working Certified Value Method Cost/Market Cost/Market Parcel Id: 25-19-30-5AG-1204-0010 Number of Buildings 1 1 Owner: BRITBAR VENTURES LLC Depreciated Bldg Value $170,854 $187,779 Mailing Address: PO BOX 2282 Depreciated FT Value $0 $0 City,State,ZipCode: ORLANDO FL 32802 alue (Market) $19,488 $23,664 Property Address: 1000 PARK AVE S SANFORD 32771 Land Value Ag Just/Market Value $0 $0 Subdivision Name: SANFORD TOWN OF Tax District: S1-SANFORD ' 0 $190,342 $211,443 Portablity Adj $0 $0 Exemptions: Dor: 0805-MULTI F �� I Save Our Homes Adj $0 $0 Assessed Value (SOH) $190,3421 $211,443 Tax Estimator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $190,342 $0 $190.342 Schools $190,342 $0 $190,342 City Sanford $190,342 $0 $190,342 SJWM(SalntJohns Water Management) $190,342 $0 $190,342 CountyBondsl $190,342 $0 $190,342 The taxable values and taxes are calculated using the current years working values and the prior years approved miilage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified 2009 VALUE SUMMARY SPECIAL WARRANTY DEED 10/2005 05941 0362 $112,800 Improved No 20Tax Bill Amount: $4,125 QUIT CLAIM DEED 07/2001 04474 1953 $100 Improved No 2009 Certified Taxable Value and Taxes a WARRANTY DEED 03/2001 04032 0911 $135,000 Improved Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 05/1996 03081 0104 $100 Improved No Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... El FRONT FOOT & DEPTH 58 107 .000 350.00 $19,488 LEG E 112 OF LOTS 1 + 2 + N 1/2 OF ALLEY ADJ ON S BLK 12 TR 4 TOWN OF SANFORD PB 1 PG 59 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wail Bid Value Est Cost New Building 1 MULTI FAMILY 1926 15 1,534 3,588 3,068 WD/STUCCO FINISH $170,854 $213,568 Sketch Appendage / Sqft OPEN PORCH UNFINISHED 160 Appendage I Sqft OPEN PORCH UNFINISHED / 60 Appendage I Sqft OPEN PORCH FINISHED / 70 Appendage I Sqft OPEN PORCH FINISHED / 70 Appendage I Sqft UPPER STORY FINISHED / 1534 Appendage I Sqft OPEN PORCH UNFINISHED / 60 Appendage I Sqft OPEN PORCH UNFINISHED / 60 Appendage I Sqft OPEN PORCH FINISHED 170 Appendage I Sqft OPEN PORCH FINISHED 170 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. I/ ou recently purchased a homesteaded property yournext yeaes property tax will be based on Just/Market value. http://www.sepafl.org/web/re_web.seminole_county_title?parcel=25193 05AG 12040010&... 5/20/2010 v OFFICE PERMIT — Water Temperature Control Remote Controller (optional) Remote Control Cable Safety Devices Clearances •frorn Combustibles (suitable for closet, attic, and crawl space installations) Clearances from Non -combustibles * 24 inches required for serviceability Min. / Max. Gas Supply Pressure Manifold Gas Pressure (inches W.C.) NOx Warranty Simulation feed forward and feedback MC-91-1US Deluxe controller: MC-100V-1 US 98* - 140* F Bathroom controller: BC-100V-1 US Wireless controller: MC-502RC-1 US -MS Non -polarized two -core cable, minimum 22 AWG • Flame failure - Flame Rod • Remaining flame (OHS) • Boiling protection - Thermal fuse • Combustion fan rpm check • Automatic frost protection • Over current - glass fuse (3 amp) • Top of heater - 12 inches • Back of heater - 0 Inches • Front (Panel) - 24 inches • Bottom of heater - 12 inches • Front (Exhaust) - 24 inches • Sides of heater- 6 inches • Top of heater - 2 inches • Back of heater - 0 inches • Front (Panel) - 0 inches * • Bottom of heater - 2 inches. • Front (Exhaust) - 24 inches - Sides of heater - 1/8 inch Natural Gas: min 5" W.C. max 10.5" W.C. Propane Gas: min 8" W.C. max 13.5" W.C. Natural Gas: high fire 2.50" W.C. low fire 0.73" W.C. Propane Gas: high fire 2.40" W.C. low fire 0.75" W.C. Meets California and Texas NOx Emission Rules Heat exchanger: 10 years* for residential; (* 3 years if used as a circulating water heater within a circulation loop, when the water heater is in series with a circulation system and all circulating water flows through the water heater) RYinalrls continually. updating and 07proving products; therefore, specif1ca1ions.are subjechto chat? e,Withqut</Priq 170 ice. -Local, state, provincial and federal codes must•be adhered to prior to.insta/laiton. in (mm) - 13.78 (350) -- i 0 c� ip N 0.33 (8.5) 6.73 0.50 (15) (171) yE_._, WEIGHT: 34.2 LBS (1.5.5 KG) lua-ei \ o ui�Gl ai co N O el• N 0.4 (10) fV ' 4.1(105) 3.3(83) cV f,l N 1-9419 r=AX: 078-304-8G�3 Rinnal Corporation - 103 International Dive - Pi:ac!itie:: City, CA 30260 -'roll-Free: 1-800-62rrwer.rinnai.us Rinnai. Type of Appliance Rinnal Model Number Operation Exhaust System Minimum/Maximum Gas Rate (Input) Electrical Electrical Consumption Ignition System Hot Water Capacity Temperature Range Temperature Settings Approved Gas Types Installation Energy Factor Thermal Efficiency Service Connections Water Flow Control Minimum/Maximum Water Supply Pressure 6.0 _....... FLOWTABLE 5.0 —^ 4.0 ... a. 0 u- 2.0 L 1.0 0.0 0 Temperature controlled, continuous flow, gas hot water system for residential applications. REU-VAM1620W With or without remote controls (controller not included; error codes displayed on front panel LED indicator) Forced combustion 20,200-120,000 BTU/h (Propane); 19,000-120,000 BTU/h (Nat.Gas) Appliance: AC 120 Volts - 60 Hz Remote Control (optional): DC 12 Volts Normal 33 watts Standby 2 watts Anti -frost protection 74 watts Direct electronic ignition 0.6 to 5.3 GPM at a 35' Frise 980 - 1400 (when using optional controller) 1200 F (factory default) or 140° F Natural or Propane (ensure unit matches gas type) Outdoor only; residential only Natural Gas: 0.82 Propane: 0.82 Natural Gas: 82% Propane: 82% Gas supply: 3/4 inch MNPT Cold water inlet: 3/4 inch MNPT Hot water outlet: 3/4 inch MNPT Water flow sensor, electronic water control device and fixed by-pass. 20 - 150 PSI (50 PSI or above is recommended for maxinuim flow) 25 50 75 100 17-b 160 delta T - Temperature Rise ff ) © 2008 Rinnai Corporation V53e SP-1 Kama