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111 Lee Ave 102; 17-3259; AC CHANGE OUTCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: J %—' 3 f2,9 I Documented Construction Value: g 41 4fl . -74 Job Address: -IlI Q , -41 D.)- Historic District: Yes No [ Parcel ID: ?0— - (--jp(- IPA0()_0ngf) Residential Commercial Type of Work: New Addition Alteration Repair K Remo Change of Ilse Move Description of Work: flan Review Contact Person: r Title: Phone: Fax: Email: y, 4 Property Owner Information Name 11 tiW ,' o, Phone: Street: _ WO E 1 t_ Sr Resident of property? City, State Zip: S ,r, 11-1-7, Contractor Information Name M__- Phone: " 0" 1- 2 1— io 474 Street: S1( Star Fax: City, State Zip: r tar-, 0 , 6, E not State License No.: Architect/Engineer Information Name: Street. City, St, .lip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Rwi—,i- 1— in on, c Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that ncworkorinstallationhascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permitmustbesecuredforelectricalwork, plumbing, signs, `yells, pools, furnaces, boilers, heaters, tanks, andairconditioners, etc, OWNER'S AFFEDA'VIT; I certify that all of the foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning, WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY, A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITE )BEFORE THEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to thispropertythatmaybefoundinthepublicrecordsofthiscounty, and there may be additional permits requiredfromothergovernmentalentitiessuchaswatermanagementdistricts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of FloridaLienLaw, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in ordertocalculateaplanreviewcharge. 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 thepermitisreleased. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID ENGINEERING: UTILITIES: Signature of Contractor/Agent Date / J,ry I-- o p C l -7 f Name Date LORILOCKHART W COMMISSION # GG 008697 EXPIRES. Julys, 2020 Fn :: q Bonded Thtu Notary Public Undatwriters Contractor/Agent is _' Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 Additional Services Required Drain Line - Reuse Existing Drain Line Clean With Drain Line Cleaner Required Indoor Unit - Reline & New Top Required Permits • Electrical Permit Included Required Outdoor Breaker Brand Existing Outdoor Unit Breaker Brand Cutler Hammer CH Required Outdoor Breaker Existing Size - Existing 60 Amp Outdoor Breaker Required Indoor Breaker Brand - Existing Indoor Unit Breaker Brand Cutler Hammer CH Required Indoor Breaker Size - Existing 60 Amp Indoor Breaker Required Low Voltage Wire - REQ Low Voltage Wire - Reuse Existing Outdoor Unit Wire Required Low Voltage Wire - REQ Low Voltage Wire • Reuse Existing Thermostat Outdoor Unit - New Hurricane Rated Condenser Pad 40 X 40 (H022745) Miscellaneous Additional Services Required Drain Line - Reuse Existing Drain Line Clean With Drain Line Cleaner Required Indoor Unit • Reline & New Top Required Permits - Electrical Permit Included Required Outdoor Breaker Brand - Existmg Outdoor Unit Breaker Brand Cutler Hammer CH Required outdoor Breaker Existing Size - Existing 60 Amp Outdoor Breaker Required Indoor Breaker Brand - Existing Indoor Unit Breaker Brand Cutler Hammer CH Required Indoor Breaker Size - Existing 60 Amp Indoor Breaker Required Low Voltage Wire - REQ Low Voltage Wire - Reuse Existing Outdoor Unit Wire Required Low Voltage Wire - REQ Low Voltage Wire - Reuse Existing Thermostat Outdoor Unit - New Hurricane Rated Condenser Pad 40 X 40 (H022745) Miscellaneous Option 1 Total Investment Option 2 Total tnvestrn Total: $5,664 Total: $5,020 Payment: Cash Payment: Cash Customer Acceptance. Company Approval: Date. - Date: Company Reprgsentative: Rich Schou III, rich.schouCadelair.com, (407) 314-1967 Notes Existing Unit Make: Anrt486016ba Existing Unit Model: Cpkj60 Existing Unit Heat Type: Heat pump Existing A/H, H, W, D:21x21x56 Scuttle Hole / Ladder Opening W, D: 36x20 Type of SIP, Plenum, W, D: Duct board Type of RT, Plenum, W, D: Duct board Refrigerant Lines Location: Attic All applicable sales and local taxes are Included. All necessary materials and supplies to complete installation are included. Operational ductwork, venting, electrical wiring and drains are used as needed. Used (replaced) equipment is removed and recycled as appropriate. Used refrigerant is reclaimed and recycled in accordance with EPA Standards. Work area is cleaned upon completion. Proper operation is explained to you. Condenser Location: Ground Thank you for your business. October 3, 2017 9:38:31 AM Page 2 of 3 SCPA Parcel View: 30-19-31-507-OM00-0090 Page 1 of 2 ppl Property Record Card f i P °Parcel: 30-19-31-507-0M00-0090 12", AA F Owner: NEW TRIBES MISSION INC la" ,r cxx.Rnv,FLOR13!, Property Address: 111 LEE #101-110 AVE SANFORD, FL 32771 Parcel Information Parcel 30-19-31-507-0 M00-0090 Owner NEW TRIBES MISSION INC Property Address 111 LEE #101-110 AVE SANFORD, FL 32771 Mailing 1000 E 1 ST ST SANFORD, FL 32771-1441 Subdivision Name FIRST STREET EXTENSION Tax District S3-SANFORD-WATERFRONT REDVDST DOR Use Code Exemptions 48-WAREHOUSE-DISTR & STORAGE 36-CHURCH/RELIGI0US(2007) Value Summary 2018 Working 2017 Certified Values Values Valuation Method CCoosU—Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 128,360 128,360 Depreciated EXFT Value' Land Value (Market) 34,200 34,200 Land Value Ag Just/Market Value *` 162,560 162,560 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj —, j $0 0 Assessed Value 162,560 162,560 Tax Amount without SOH: $0.00 2017 Tax Bill Amount $0.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOTS 9 10 31 + 32 + S 1 /2 OF VACD ALLEY ON N BILK M 1 ST STREET EXTENSION PB3PG76 Taxes-- m j( i Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 162,560 162,560 $0 Schools _ T $ 162,560 Y 162,560 , $0 City Sanford 162,560.-._ 162,560-___,._._, $0 SJWM(Saint Johns Water Management) 162,560 1 $162,560 I $0 County Bonds 162,560 162,560 — $0 Sales — Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1 7/1/1986 1 01750 i 1512 115,000 No Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value SQUARE FEET i 0.00 0.00 1 11400 I $3.00 1 $34,200 Building Information — —- — — ----- Description Year Built Stories Actual/Effective Total SF Ext Wall Adj Value Repl Value Appendages 1 I MASONRY PILASTER J 1939 1 10,000 1 CONCRETE BLOCK -STUCCO -MASONRY E $ 128,360 320,900 3 Description Area No Appendages http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=3019315070M000090 11/6/2017 S. Y OF NFORD Building & Fire Prevention Division IRE DEPARTMENT Residential Permit Card PERMIT NO. ISSUE DATE:_ CONTRACTOR: 'D dW •emJLJI JOB ADDRESS: ' Lee. Awe se. 102 TYPE OF WORK: I C C 10 Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND I FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH 4INSULATIONROUGHINMECHANICALFINAL DRYWALUSHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTORROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING (OTHER) MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112