600 Persimmon Ave (2)PERMIT ADDRESS
CONTRACTOR
ADDRESS � O
C=\ '-, Da
PHONE NUMBER
PROPERTY OWNER
ADDRESS
o
PHONE NUMBER O�
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
FEE
PERMIT NUMBER FEE
PERMIT # O8. - Aos O DATE --7 - a l ` O 1,
PERMIT DESCRIPTION MjS��C�,D L C\
PERMIT VALUATION d o00
SQUARE FOOTAGE �oOC>O
I
' f CI Y:OF SANFORD PERMfr APPLICATION ; c s•
Permit # V� Date~Z` �T
Job Address: rD �� �ERSI�/IMoN rTt%��.Sr4/UD F'f 7 /
Deseriotion of Warp: M6 TP'f. ' f3 u(tdiw % o 't,l me X i 20 (LOAv
Historic District: Zoning_ valve of Work; . I C) , O.Od � U
Permit Types Building Electrical 'Mechanical plumbing — Fire SpriWder/Ala m Pool
Electrical: New Service —# of AMPS Additiom/Alteration V Cbwge of Service Temporary Pole"._
Mechanical: Residential Non -Residential Rcplaccraebt New (Duct Layout Bc Fttergy Cale. Required)
Plumbing/ New Commercial: # of Fixates # of Water & Sewer Litres`_ # of Gag Lines
Plumbing/New Residential: # of Water Qosets Plumbing Repair —Residential or Commercial
Occupancy Type: Residential Commercial -X_ 'Industrial Total Square Footage::7c%�;d
Construction Type: �'T%� # of Stories: - r At of Dwelling Units: �_ Flood Zone (FEMA form required for other than X). .
Pared A76' % %-3D Soo o i so OD DU (Attach Proof of Ownership At Legal Description)
Ownery Name & Address: ICS )i /p/aaRTA• AI /V LEWC—
'Too utp4r�e _St. tT2c__ksoA/✓,n� . lcL 321 a 2 .. � 4,07 3 30 �00'7_5_
Contractor Namo & Addrtss: � � G.: i 4!, ._,
Po_ �5'S rzD L 327 Its Z� Ltcer tINomber: _...
Phone &Fax: -3 Z i 31,0 3 F on pit Pe o � Um 4 r,Phonc: ,.j• A! •1 Q3 •
Bondlnz Company: �� 1 '� ._ ..
Mortgage lender:
Address: ' .ry d / _�r_`L__
Arehitett/Engineer:CNG/uC-" Iry 9 fqq .' "1% ROr� - l'hont: � r/ G%!O 2 t T
Addrrss: 110 N/% 10 d. Fax- f O / 8 �l 6. 2:/ 2 14
Application is hereby made ro obtain a permit ro do the woik'aitd ttt/itafat 1 certify that no work or installation has commenced prior to the
issuance of a permit and chat all work will be performed Co.' oA gndw* 0 1 ws regulating construction In tbla jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELL$, POOLS, FURNACES, BOILERS. HEATERS, TANKS, and
AIR CONDITIONERS. etc. t1 r
OWtvgJt;S n•(?CII)�vKE: ( certify that all of the foregoing information is accurate and that all work will be done in compliance with all appliethlo Inws rcputating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Yul lit PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN
ATTORNeY DEFORE RECORDING YOUR NOTtCF OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit. them 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 pemie is �ecification that I will verify the ownerfof property of the requ;.I.
nf on en L • FS 713.
Signatu�ASrn�__, Date n Agent D e
r c X. INpmc Pri tractor/Agcnt•sName
-z- a-�4
Signature of ,Snature of Notary-Snte,o, a Date
PATRICIA A MANN P TRICIA A. MANN
=PAY COMMISSION # DO 099327OMMISSION # DD 699327
` . a EXPIRES: Ap615,2006 '' , :>.;
Uwner/Agen s " t 0411 I(Ruw ttq M�oWwrs Contraecgr/Agi:nrls.'« _ , Po r
_ Produce Produced ID J NYRdlcuraa .ra
APPLICATION APPKOVEf) RY: AId¢ lI� �1w f Zoning: tlities: D: I
(Initial & Date) (Initial & Date (Initial i (Initial & Dare -
Special Conditions:
c,J1v �yS
May 13 04 09:02a Seminole County Csvr 407GG57573 p.l
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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Semiri4dc county
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Firtpertv��mirrr ��
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2004 WORKING VALUE SUMMARY
GENERAL
si-SANFORD
Value Method: Market
Parcel Id: 26-19-30�00 0180-0000 Tax District:
Number of Buildings: 0
Owner. C'XTRANSPORTATION Exemptions:
Depreciated Bldg Value: $0
INGDepreciated
EXFT Value: $O
OwnlAddr: TX DEPT (J910)
Land Value (Market): $10
Address: 500 WATER ST
Land Value Ag: $0
City,State,ZpCode: JACKSONVILLE FL 32202
Just/Market Value: $10
Property Address:
Assessed Value (SOH): $10
Facility Name: AUTO TRAIN
Exempt Value: $0
Dor. 98-CENTRALLY ASSESSED
Taxable Value: $10
2003 VALUE SUMMARY
SALES
2003 Tax Bill Amount: $0
Deed Date Book Page Amount Vacllmp
2003 Taxable Value: $10
Find Comparable Sales within this DOR Code
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LEGAL DESCRIPTION
LAND
LEG SEC 26 TWP 19S RGE 30E THAT PT OF SE
Land Assess Method Frontage Depth Land Units Unit Price Land Value
114 LYING S OF SCL RR TO JACKSONVILLE N OF
LOT 0 0 1.000 10.00 $10
LEESBURG BRANCH OF SCL RR & W OF
PERSIMMON AVE
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
" If you recent!y purchased a homesteaded property your next years property tax M11 be based on Just/Market value.
-AT-o_� - 3 z z - )_�
bttp://www. scpafl. org/pls/web/re_web. seminole_county_title?PARCEL=26193030001800... 5/13/2004
All i i r cam►-, '' Uyl VYI MAW
CITY OF SANFORD PERMIT APPLICATION
Permit # Da
: O I
te:
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Job Address: QQ eAS 1 *M mo )
Description of Work: 0- i ` �1��" T"tCRni� f T� �' 1
Historic District: Zoning: Value of Work: s �1� DO
Permit Type: Building Electrical Mechanical _ _ Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential ✓ Replacement New ✓ (Duct Layout & Energy Calc. Required)
• Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
VVV Occupancy Type: Residential Commercial Industrial Total Square Footage:
-� Construcdon Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel P: (Attach Proof of Ownership & Legal Description)
Owners -.N;8nte & Address: AQTD 'C(ZA.I fj
' �t� Phone:
Contractor Name &Address: _ ROD FAeeJ�'it,c�1 t�fje �j�6S<Zgt, 56h/is •"`�1
S-A�o2i� - hS�'1 1 State License Number: C.A W 50C4 b
Phone & Fax: ��" 3��."%y� '3i2� pact Person: Roo PA (+Q^•x C Phone: YOi—�1Z-"7VS�
Bonding Company:
Address: ,.,
Mortgage Lender: ! I t_, r ;
Address: V1 I
Architect/Engineer: Phone:
Address: Fax: r
Application is hereby made to obtain a permit to do the work.and•installations as indicated. I certify that no work or►installlation has commenced prior, to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction inahii1juriscifction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, S URNA BOILERS,,H. ATERS, TANKS, and
I' E,
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing;iQformation is c I o e done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAtbzeitTRE69RD_A_NOTTICE OF COMMEIJC.EWA8 T MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA INL3t�0VITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public records of
this county, and there may be additional permits required from other governmental entities s 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 require tt of I ' ien Law, F
Signature ofOwner/Anent Date Signature Contra or/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial & Date)
Spacial Conditions:
(Initial & Date)
Utilities:
F D:
(Initial & Date) (Initial & Date)
�1lNTY OF S;EMrIII[4111F JUL 2 1 2004
IMPAr.T FEE STATEMENT
[BY: -STATEMENT NUMBER: 04100008 DATE:. Jul21, 2004
QUILDING APPLICATION #: 04-1000.0896
BUILDING PERMIT NUMBER:.04-10000896
UNIT ADDRESS: PERSIMMIN AVE 600 26-19-30-300-0180-0000
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP:' RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT*BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: CSX 'TRANSPORTATION INC
ADDRESS: 500 WATER ST JACKSONVILLE FL 32202
LOND ,USE: WAREHOUSE
T PE USE:
WORK DESCRIPTION: CITY-SANFORD
--------------------------------------------------------------------------------
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
---------------------------------------------------------------------------------
ROADS-ARTERIALS
CO -WIDE ORD
Warehousing*
358.00
ROADS -COLLECTORS
NORTH ORD
Warehousing*
72.00
FIRE RESCUE
N/A'
LIBRARY
N/A
SCHOOLS
N/A
PARKS
N/A
LAW ENFORCE
N/A
DRAINAGE
N/A
6.000 10000sf t 2,148.00
6.060 1000gsft 432.00
.06
.00
.00
.00
.00
AMOUNT DUE 2,580.00
STATEMENT
I / C
�%
f-rd
1
RECEIVED BY;�(��
J 'i�V
h L� S I GNATURE :
(PLEASE PRINT
NAME)
2I— 4�'
DATE: —/
O .
NOTE TO RECEIVING SIGNATORY/APPLICANT•
FAILURE TO
NOTIFY OWNER AND
ENSURE TIMELY
PAYMENT MAY
RESULT IN YOUR LIABILITY
FOR THE FEE. ***
DISTRIBUTION:
1-BLDG DEPT
3-APPLICANT
2-FINANCE
4-LAND MANAGEMENT
**NOTE**
PERSONS ARE ADVISED THAT THIS IS A'STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT OR OWN
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IAPACT A
MUST BE•EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN
CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THt REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY'LAND'DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUIESTED#
FROM THE PLAN IMPLEMENTATION'OFFICE: 1101 EAST FIROT STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
e 1101 EAST FIRST STREET
SANFORD, FL 32771
I'HEMCOUNTYOBUILDINGYPERMIT NUMBEREATOTHERtOPNLLEFTOOFDTHISESTATEMENT.
***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
~ DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
o�
�`c)ICop
r
� C'� -� I a L I C,y
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-156(77a+�` c
DATE:
BUSINESS NAME / PROJECT:
ADDRESS: (--.�;C/C-J I�"e S �S 4,\-N t-k0e_
PHONE NO FAX NO.:� 67 l
CONST. INSP. [ 1 C / O INSP.:[ ] REINSPECTION [ ) PLANS REVIEW
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH ( ] BURN PERMIT [ ]
TENT PERMIT TANK PERMIT [ ] OTHER Z— I t r-1 nCj ,
TOTAL FEES: $ J�0000
COMMENTS:
(PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5. r
6.
7.
8.
9.
\r
10.
11.12.
I
13. ' U1 C11 ,
14.
15.
16. s O
17.
18. �C ,-
19.
20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # :407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford Fire r�. tion Division Applicant's Signature
SEMINOLE COUNTY
FL0RIDA5 NATURAL GNO�CE
NOTICE OF COMMENCEMENT
State of Florida County of Seminole
Permit No. Tax Folio No. (PID)_ 26 "/9-,30 -J&O '?J/YQ D0a6
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the foiling information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
(EC 2 7&1/0 /'7J1q C 36 C -141- A/- Q F
3C LV-, .5 yF SCL
rz -d TACKWAIILLA A/ o,r kOZsaA)Cli
Eboo Peinn MSI-VC
59mc ap rL 3 2 7 7 /
GENERAL DESCRIPTION OF IMPROVEMENT
X-
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r�vr�� f9 z
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OWNER INFORMATION
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Name and address C S �fQ�}/y�,DDi�7-�i"�"/O� �,t�G
r zr, m
moo c2J14f st ��cftsoAMZZC �L 3�Za
Z � 9 �'�` �' � =
r
Interest in property (Fee Simple, Partnership, etc.)
m
r rCMoo
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER) a
E
SAM21
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CONTRACTOR
CEAFIED" COPY,
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Name and• address-I<�2 CzAj5-rretie T-IL)IJ
1A/C--RIARYANUE Mo(tSE.
r Q. DX l i'195 .SAA/ �L ��
OF CIItCt:IT GUl1R1
SURETY (Bonding Company)
Name and address
� LA '� D `-'
d �cn
,��
''''II
Jill-— c� z
Amount of Bond
LENDER
yM
Name and address
D °D :gym
oC Z
(� (n
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided w m
by Section 713.13(1)(a)7., Florida Statutes:
D
�
r-3Nameandaddress
F joNc 41'a7 330 667-5
In addition to himself, Owner designates IL1 8 L1 M Z t;;7
of
�kDEtin r4���i2 pu Sfi7�t� Ot�paJ CZ)'
to receive a copy of the Lienor's Notice as
provided in Section 713(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recording unless a different date is specifi .
Signature of Qw=r%'}4�N
S rn o and subscri ed before me this o2 Da o ' �'�V." ° `'' PATRIC=MANN
y f 20 :'ia
r_ MY COMMISDO
ctci.C> My Com Sion Expires: EXPIRES
,(,,,, d ThN Not
Notary Public ��
The oing rostrum m acknowledged before me this. �� day of cL
20 0 by
w o
(name of person acknowled ed), is nersonallv knownsa
me or who has produced (type of identification) as identification
and who did/did not take an oath
CSX Transportation, Inc.
500' Water Street
Jacksonville, FL 32202
POWER OF ATTORNEY
July 19, 2004
I hereby authorize William S. Brumley, Jr., Vice -President, of Shoemaker
Construction to pull and pick up any and all permits related to the work at
600 Persimmon Avenue, Sanford, Florida 32771.
State of Florida
County of Seminole
.M...NN N. N.......... .N.N...N.. N..N.N.=
rA:, TERRY RUTH pOUGtASII
Commtssbn 0 D00117350
E*M 5/14/2006 s
as
Bonded through
•pp 2.4254)
Florida Notary Assn., Ina •
................... ............... ...............i
Before me this 19"' day of July 2004 appeared William S. Brumley, Jr. who
�ersonaUyknown to me.