608 S Palmetto Ave - P18-004721 - REPIPECITY OF
SkNFORD PERMIT APPLICATION
BUILDING DIVISION 19G 4 A IApplicationNo: c
Documented Construction Value: $
Job Address: IS-1 cg L/r) e_ / U Historic District: Yes DNo
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Ej Detmo Change of Use Move
Description of Work: P A'4jb -k.._. t
Plan Review Contact Person:
Phone: Fax:
Property Owner Information
Title:
Name J r-1 (-k i r ct t Phone:
7
Street: v - f ce ivy C Resident of property?:
City, State Zip: ft'` -c,,) 4E4 i .7 / Contractor
Information Name / '
Ile c; c t r' Phone: C `C 2 -7 7 % — f c/ C, Street: - -'
rn V) 7 Fax: City,
State Zip: t' State License No.: t C 0 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: 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. 1 certify that no work or installation has commenced prior to
the issuance of a pennit 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: 6`t' Edition (2017) Florida Building Code
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 ofFlorida 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 ofsubmittal. The actual construction value
will be figured based on the current ICC Valuation `fable 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
done in compliance with all applicable laws regulating construction and zoning.
ZZ'ZZ'D ASignatureofOwner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name tractor/Agent's Name f
Signature of Notary -State of Florida Date Signature of Notary -St e of Fih wnI2ate
Notary PUbfic -State o! FloridaCommission # GG 060623Owner/Agent is Personally Known to Me or Contractor/Ag t is%9;;pe9 cit4111y KPOW11bAq ENW
Produced ID Type of ID Produced ID o 1,71
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtu
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
My Personal Plumber
PROPOSAL
Proposal submitted to:
Linda Murray
608 S Palmetto Ave
Sanford, Fl 32771
CFC048302
November 8, 2018
ftMC60fiffl Rf_Wgrk Ig IM dqn:
We will re -pipe house with CPVC pipe and fittings. Re -pipe will begin at outside water line and will end at
valves to fixtures, Included in pricing is all materials and labor for completion of re -pipe. Price includes 3
outside hose faucets. Not included are faucets, fixtures, installation of or drywall repair and painting
We hereby propose to furnish labor and material -complete in accordance with the above specifications, for
the sum of $3,500.00 to be paid V000.00 in advance and rest as completed. All material is guaranteed to be
as specified. All work will be completed in a workmanship like manner according to standard practices. Any
alteration or deviation from the above specifications involving extra costs, will be executed only upon
written orders, and will become an extra charge over and above this proposal. All agreements are contingent
upon strikes, accidents, illness or delays beyond my control. This proposal is subject to acceptance within
60 days and is void thereafter at the option of the undersigned.
Steve Koscoe, President
ACQUAKE QE EBQEQM
The above Prices, specifications and conditions are hereby accepted. You are authorized to do the work
r
SCPA Parcel View: 25-19-30-5AG-0802-0020 Page I of 2
ijQNMX1.CFA po' R "o - d."
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Parcel Information Value Summary
Parcel 25-19-30-5AG-0802-0020 2019 Working 2018 Certified
Owner(s) MURRAY, LINDA M Values Values
Property Address 608 PALMETTO AVE SANFORD, FL 32771
Valuation Method Cost/Market Cost/Market
Number of Buildings I I
Mailing 608 PALMETTO AVE SANFORD, FL 32771 - Depreciated Bldg Value $87,550 $83,896
Subdivision Name 'SANl
Depreciated EXFT Value $960 $900
Tax District SI-SANFORD
Land Value (Market) $18,000 $18,000
DOR Use Code 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Land Value Ag
Exemptions 00-HOMESTEAD(2015) $106,510 $102,796
Portability Adjrt
Save Our Homes Adj $16,991 $15,118
Amendment I Adj $0 $0
P&G Adj $0 $0
Assessed Value $89,519 $87,678
Tax Amount without SOH: $1,148.78
865.01
s;
IL Save Our Homes Savings: $283,77
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
S36FTOFLOT2+N 14FT
OF LOT 3 BLK 8 TR 2
TOWN OF SANFORD
PB 1 PG59
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $89,519 $50,000 $39,519
Schools $89,519 $25,000 $64,519
City Sanford $89,519 $50,000 $39,519
SJWM(Saint Johns Water Management) $89,519 $50.000 $39,519
County Bonds $89,519 $50,000 $39,519
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 3/1/2014 je') 99,000 No Improved
WARRANTY DEED 3/1/2002 $51.000 No Improved
QUIT CLAIM DEED 12/111999 $100 No Improved
WARRANTY DEED 1/1/1973 $13,500 Yes Improved
Fuld compamble salsas
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 50.00 117.00 0 $360.00 $18,000
Building Information
Description Year BuiltActual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repi Value Appendages
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AGO8020020 12/10/2018
OronoCa5n Rf CITY OF
Sk 4FOR:f
FLORIDA
APPLICATION # I ' 6 1
FOR A CERTIFICATE OF APPOPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If you have questions about application requirements contact the Historic Preservation Officer
at 407.688.5145 to ensure your application is complete.
General Information
Downtown Commercial Historic District Residential Historic District lyls this a retroactive request? Yes[] No
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[]Noo
Proposed improvements will affect the followingelevatic s: North South ,
1
East West (_'1
Property Address: 0 /r ?/1 A"Iv —''C c
Property Owner Information
Print Name:
Mailing Addr
Phone: ''/P
C- —I
ApplicantlAgent Information
Print Name:
Mailing Address:
Phone: Email: Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE
OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF
A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP
WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO
ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO
THE BEST OF YOUR KNOWLEDGE.
I hereby understand and agree to the above statements and will pay all city fees related to this application as
required by the city' adopted Fee /Resolution.
Signature: . Date: Z)C:C,' ` Q
LZ
1h Would you like to receive emails regarding Histori reservation and Community Planning within your community?
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688,5145 • www.sanfordfl.gov/HP
W
p
r r
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Jab Address: / /' - . v - A4 . c . Historic District: Yes No R
Parcel ID: G `1,C _3 t ' S^ -floc, 'a66,c x Residential{ Commercial ]
Type of Work: New Addition Alterationpi Repair Demo Change of Use Move
Description of Work: v z
Plan Review Contact Person: Title: 4'4i., iLtz2'tS
Phone: q&' `, Fax: `C '- q9_2 67g 2 Email: c, LA-c- E 4
Property Owner Information
Name z, `i ?r 1rS T_, Phone:
Street: ' ' f'- F)ex: 2'-f 6
City, State Zip:
Resident of property?: U/)6 <<c: 4
Contractor Information
t Name a -IL f ,, e Phone:
Street: Fax:'
City, State Zip: rt ` c - State License No.: 4(
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
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. 1 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: 6`t' Edition (2017) Florida Building Code
NQT'ICE: 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 such as water management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner ofthe 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 [CC 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
done in compliance with all applicable laws regulating construction and zoning.
Signature ofOwner/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
eIth 6
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
L'r,2 M,k
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Jacob VanGorder
NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG195265
to Expires 3/12/2022
Permits Required: Building Electrical Mechanical Plumbing Gas Roof El
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes []No
WASTE WATER:
BUILDING:
SUBCONTRACTOR
WORK AUTHORIZATION FORM
Project Name and Address:
2519 Poinsetta Ave Sanford FL 32773
Project Manager:
Alexis Sanchez
Project Owner:
LSF9 Master Participation Trust
Contractor Name and Address:
Ameritrust Residential Services, LLC
3525 Piedmont Rd, Building 7 Ste 700
Atlanta, GA 30305
Subcontractor Name and Address:
JTL Electric LLC
This Work Authorization Form supplements and amends the Master Subcontract Agreement ("A rreement")
between Ameritrust Residential Services, LLC ("Contractor") and
JTL Electric LLC ("Subcontractor"), dated June 25, 2018 with respect to
the Project identified above.
This Work Authorization Form between Contractor and Subcontractor modified and supplements the
provisions contained in the Agreement and all other Contract Documents incorporated therein by reference
with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shalt
have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity
between the terms and provisions of this Work Authorization Form and any other Contract Documents, this
Work Authorization Form shall control.
ARTICLE I
PAYMENT SCHEDULE
I.I. Contract Payment. In consideration for the performance of the Work (defined below), Contractor
shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by
Change Order, as provided in the Agreement. Total Price for the Work
described in this Work Authorization Form is $3,520.00 which shall be paid in accordance
with the provisions of the Agreement.
1.2. Final Payment. A final payment of $3,520.00 shall be made by Contractor upon
Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the
Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final
Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice
and a full release of all Subcontractor claims from the Subcontractor.
1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain
the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500
Piedmont Rd, Ste 725, Atlanta, GA 30305
ARTICLE lI
CONSTRUCTION SCHEDULE
2.1. Schedule. All construction activities will be completed within 18 days starting on
6/25/2018
ARTICLE III
SCOPE OF WORK
3.1. Scoi c of Work. Subcontractor shall perform the following work ("Work") in connection with the
Project: See Exhibit A attached.
3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to,
related to, or necessary to complete the above Work, for the above Work to be functional, or where typically
provided under industry custom and practice, even if the Work described in the above scope is discussed in
other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications
referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all
applicable, codes, regulations, laws and ordinances.
ARTICLE IV
CONTRACT DOCUMENTS
Ameritrust Master Subcontract Agreement
Exhibit A — Scope of Work
Exhibit 6 — Waiver and Release Upon Final Payment
Exhibit C —Contractor's Final Payment Affidavit
IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written
above.
GENERAL CONTRACTOR: Ameritrust
Signed, sealed and delivered in the Residential Services, LLC
presence of:
Witness
Signed, sealed and delivered in the
presence of:
Witness
Aleki'Saftei ez
CONTRACTOR:
JTL Electric LLC
Project Manager
Authorized Signer
Ak
AMERICI RUST
R E S E% T _ S E K V I C E S
Property Address:
Subcontractor:
Job Total:
Contract Start Date
Days in Contract:
Ameritrust PM
County
Owner
Exhibit A — Scope of Work
2519 Poinsetta Ave Sanford FL 32773
1TL Electric LLC
3,520.00
6/25/2018
18
Alexis Sanchez
Seminole
Hudson LSF9
Replace Electrical Panel and All Breakers (EA)
Bronze Wall Mount Medium Outdoor Lantern (Front Entry) (EA)
Black Wall Mount Small Outdoor Lantern(Garage/Rear Patio) (EA)
Replace Outdoor GFCI Outlet and Outlet Cover w/ Box (EA)
Family RM
Replace Outlet and Outlet Cover (EA)
Replace Switch and Switch Cover (EA)
Ceiling Fan 52" with light kit (EA)
Pining RM
Replace Outlet Cover Only (EA)Blank plate
Replace Outlet and Outlet Cover (EA)
Replace Switch and Switch Cover (EA)
Brushed Nickel 2-Light Flushmount (EA)
Kitchen
Replace Outlet and Outlet Cover (EA)
Replace GFCI Outlet and Outlet Cover (EA)
Replace Switch and Switch Cover (EA)
4 ft. Wraparound Fluorescent Ceiling Fixture (EA)
Laundry RM
Replace Outlet and Outlet Cover (EA)
Replace Switch and Switch Cover (EA)
Brushed Nickel 2-Light Flushmount (EA)
Hallway
Replace Outlet and Outlet Cover (EA)
Replace Switch and Switch Cover (EA)
Brushed Nickel 2-Light Flushmount (EA)
Bedrooms
Master - Replace Outlet and Outlet Cover (EA)
Master - Replace Switch and Switch Cover (EA)
Master - Brushed Nickel 2-Light Flushmount (EA)
Master - Ceiling Fan 52" with light kit (EA)
Guest Bed 1 - Replace Outlet and Outlet Cover (EA)
Guest Bed 1 - Replace Switch and Switch Cover (EA)
Guest Bed 1 - Ceiling Fan 42" with light kit (EA)
Guest Bed 2 - Replace Outlet and Outlet Cover (EA)
Guest Bed 2 - Replace Switch and Switch Cover (EA)
1
1
2
2
2
2
1
1
2
1
1
1
3
3
1
2
2
2
1
1
1
7
4
1
1
4
2
1
4
2
Bed 2 - Ceiling Fan 42" with light kit (EA)
Bed 3 - Replace Switch and Switch Cover (EA)
Bed 3 - Ceiling Fan 42" with light kit (EA)
Master - Replace GFCI Outlet and Outlet Cover (EA)
Master - Replace Switch and Switch Cover (EA)
Master - 4-Light Flush Mount Brushed Nickel Raceway Bath Bar Light (EA)
Guest Bath 1- Replace GFCI Outlet and Outlet Cover (EA)
Guest Bath 1- Replace Switch and Switch Cover (EA)
Guest Bath 1 - 4-Light Flush Mount Brushed Nickel Raceway Bath Bar Light (EA)
EXHIBIT"B"
WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT
The undersigned lienor, in consideration of the sum of the final payment in the amount of
1 1 ($ ), hereby waives and releases
its lien and right to claim a lien for labor, services, or materials furnished to
Ameritrust Residential Services, H,C >> on the job of LSF9 Master Participation Trust
to the following described property
INSERT LEGAL DESCRIPTION OF PROPERTY
2519 Poinsetta Ave Sanford FL 32773
DATED on
JTL Electric LLC
EXHIBIT "C"
CONTRACTOR'S FINAL PAYMENT AFFIDAVIT
STATE OF FLORIDA
COUNTY OF Seminole
Before me, the undersigned authority duly authorized in the State and County aforesaid to take
acknowledgments, personally appeared JTL Electric LLC (the "Affiant"), who, after first
being duly sworn, deposed and stated the following:
I . He or she is the Owner/President, of JTL Electric LLC which does business in the
State of Florida, hereinafter referred to as the "Contractor."
1 Contractor, pursuant to a contract with ( LSI`9 Master Participation Trust hereinafter referred to as
the "Owner," has furnished or caused to be furnished labor, materials, and services for the construction of certain
improvements to real property as more particularly set forth in said contract.
3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the
purposes of obtaining final payment from the Owner in the amount of $
A. All work to be performed under the contract has been fully completed, and all lienors under the direct contract
have been paid in full, except the following listed lienors:
NAME OF LIENOR AMOUNT DUE
2519 Poinsetta Ave Sanford FL 32773
Signed, scaled and delivered this _ day of 120
SWORN TO and subscribed before me this day of , 20_,
by who is personally known to me, or produced a Florida driver's license as
identification.
Notary Public
MIZA