149 Hazel BlvdL 17-2929; AC CHANGE OUTParcel ID:
Type of Work: New
Description of Work:
nfy qi
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ion No: 1 q— )q '; I
C) cD
7alue: $ cam-,-_ Jy
3
Historic District: Yes No LJ
Residential
1"
Commercial
Alteration Repair Demo Change of Use Move
Plan Review Contact Person: — Co f VPt.t m S S/ Title:
Phone:— '(Di 87 9 /rya.. Fax: Email: — Co r, V V. C /"7Arr
Property Owner Information
Name ( f e4CC L ee a/n Phone: qoi
Street: -3 O - E: Pu r -5-fi _ Resident of property? :
City, State Zip: O r la n d o, El 3 a g a y
Contractor Information
Name f o r, V. (' a NC Phone: g0
Street: 3 } f a Fax:
City, State Zip: W IA 1 l cGf e n- , ('7 $ ^1 State License No.: C A
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTYCE: 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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be do a om fiance with all applicable laws regulating construction and zoning.
S afore o wner/ gent Date 4Signatlureoactor/ gent Date
r\
Print Owner/Age_nt's Name
Signature
Owner/Agent is
Produced ID
61N 111-1
icy "1e %
y
PHILIP SHAW
MW-00
Notar Public - State of. Florida
My Comm. Expires.Sep 15, 2018
Gommission,tfr FF 16001E
Wndgtlthrough National Notary Assn.
Type of ID
Pri ntractor/Agent's Name
ysJ
ignature of Notary -State of Florida mate_
ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
My Comm. Expires Jan 16, 2018
Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
BUILDING:
or
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 10-20-30-509-0000-0290 Page I of 2
7APPp
Parcel Information
Property Record Card
Parcel: 10-20-30-509-0000-0290
Owner: LEERDAM PETER & LEERDAM LEE
Property Address: 149 HAZEL BLVD SANFORD, FL 32773
Parcel 10-20-30-509-0000-0290
Owner LEERDAM PETER & LEERDAM LEE
Property Address 149 HAZEL BLVD SANFORD, FL 32773
Mailing 303 E PAR ST ORLANDO, FL 32804-
Subdivision Name HAZEL GLEN
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
Value Summary
20" Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1
Depreciated Bldg Value 94,790 99,567
Depreciated EXFT Value
Land Value (Market) 25,000 20,000
Land Value Ag
Just/Market Value " 119,790 119,567
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 11,206 20,854
P&G Adj 0 0
Assessed Value 108,584 98,713
Tax Amount without SOH: $2,136.36
2016 Tax Bill Amount $2,136.36
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 29.__-.
HAZEL GLEN
PS 33 PG 63
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 108,584 0 108,584
Schools 119,790 0 119__..._ 790
City Sanford 108,584 0 108,584
SJWM(Saint Johns Water Management) 108,584 0 108,584
County Bonds 108,584 00 108,584
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 5/1/2017 08910 1396 100 No Improved
WARRANTY DEED 5/1/2013 08062 0400 100 No Improved
WARRANTY DEED 10/1/2012 07884 1918 50,0001 No Improved
QUIT CLAIM DEED 10/1/2005 06046 0471 100 1 No I Improved
WARRANTY DEED 5/1/2004 05327 1218 128,000 Yes Improved
WARRANTY DEED 10/1/1994 02843 0611 76,500 Yes improved
WARRANTY DEED Ill 1/1/1991 02360 1596 77,500 Yes Improved
WARRANTY DEED 0/1/1986 01782 0983 73,600 Yes Improved
Find Comparabje Sales
Land
i
Method Frontage Depth Units Units Price I Land Value
LOT 0.00 I 0.00E 1 $25,000.00 25,000
Building Information
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=10203050900000290 10/4/2017