1004 Scott Ave - M17-003155 - HEATPUMPel
CITY OF SANFORD
BUILDING & FIRE PREVENTION
k:b PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: 10ai nrD4 p Historic District: Yes No
Parcel ID: X —1 q - j' - Z7 - 0000 -0 Z(an Residential D--Commercial
Type of Work: New Addition AlterationRepair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:
Phone: ,e). N. ( Fax: 22.2 17 Email:
Name
Street:
City, State Zip:
Name I
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Property Owner Information
2Phone: _ 27. % -7WI •
Resident of property?
rmation
Phone: 311b -. /,3K 7 o 3 /
Fax: - a, 382 State
License No.: 'IR1 62-(vC 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. 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: 5th Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
NOTICE: In addition to the Iequirements 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 done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of TD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
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 Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
10/25/2017 SCPA Parcel View: 30-19-31-527-0000-0260
V
Property Record Card
Jobum CFA Parcel: 30-19-31-527-0000-0260Pw% Owner: CAMPBELL OZELIA O
Property Address: 1004 SCOTT AVE SANFORD, FL 32771-2250
Parcel Information Value Summary
Parcel 30-19-31-527 0000 0260 2018 Working j 2017 Certified
Values Values
i Owner CAM PBELL OZELIA O
Valuation Method Cost/Market Cost/Market
Property Address 1004 SCOTT AVE SANFORD, FL 32771-2250
Number of Buildings 1 1
Mailing 1004 SCOTT AVE SANFORD, FL 32771-2250 iDepreciatedBldgValue $51,898 $48,975
i Subdivision Name MAYFAIR SEC 1ST ADD
Depreciated EXFT Value $600 $600
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILYF _ - -- --_...._..._._._ 1 i Land Value (Market) $15,000 $15,000
Exemptions 00-HOMESTEAD(1998)
139.2
r;
4
1,
u i Ln
i g0 on Seminole County GIS
Land Value Ag
Just/Market Value'*$67,498 64,575
Portability Adj
Save Our Homes Adj $8 733 7,019
Amendment 1 Adj $0
P&G Adj $0 0
Assessed Value $58,765 57,556
Tax Amount without SOH: $571.79
2017 Tax Bill Amount $525.68
Tax Estimator
Save Our Homes Savings: $46.11
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
I LOT 26 `
MAYFAIR SEC 1 ST ADD i
PB 13 PG 69
Taxes
Taxing Authority ll Assessment Value Exempt Values { Taxable Value
County General Fund $58,765 $33,765 $25,000
Schools $58,765 $25,000 $33,765
City Sanford $58,765 $33,765 $25,000
SJWM(Saint Johns Water Management) $58,765 ' $33,765 $25,000
County Bonds $58,765 $33,765 ; $25,000
Sales
Description — -_-_ f Date _-- _ Book_ I Page _— Amount Qualified Vac/Imp
WARRANTY DEED 4/1/1997 03231 0320 $50,000 . Yes Improved
QUIT CLAIM DEED 4/1/1997 03231 0319 $34,500 No Improved
SPECIAL WARRANTY DEED 4/1/1997 03231 0317 $34,500 No Improved
SPECKi .. _ AL WARRANTY DEED 11/1/1996 301881558 $100 No Improved
CERTIFICATE OF TITLE 11/1/1996 03160 0451 $59,400 No Improved
WARRANTY DEED 12/1/1994 02867 1868 $54,900 ' Yes Improved
i ADMINISTRATIVE DEED 11/1/1992 02504 0799 $100 No . Improved
WARRANTY DEED 12/1/1983 01513 0279 $34,000 ' No Improved
WARRANTY DEED 1/1/1974 01015 1101 $22800 Yes Improved
WARRANTY DEED 1/1/1971 _ - -- -00896 _ 0443$17600 Yes Improved
Find Comparable Gales
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riLip://piarceiu8iaii.scpa ri.org/ParcelDWLailii iio.aspx?PI D=30193152700000260 1 /2
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Date: 8/29/2017 Meals on Wheels, Etc. m06 dr[: 110Di t
1ohR:
SWX17004 _ ClirnLO.whaCampb;0 - - _- } Phone: 407.607.8573/4U7.732-456fi Inspector:
lance Cast _ Addntss: 1004 Scott Ave. _ - - ri'
i-ri52-.}026 Oily: `anfnrd r State: FL Zip Cade: 327711 r---- _
Site Built YI. Bulil: _ i971 ront[
aRar. Contractors - ISWNOT REQUIRED WORT( ORDERRID _ _ t QLv.
jUnit PrloritVf+tcasure I rAateriaf Labor 7olal _ II&S
H[AL11I/END 5Ate I T -- -_-_ 50A) a
1EachInstallSmokeDetector (Sims 2.0301.1) 25.00 25.00 Note_replace.
b 1
Each -Install Pro: tech CO Detector (SVIS 2.0201.2c 8[ 2.0301 ?) eye level, by bedrooms L.- It
50.
00 25.00 75.00 c 1 ':
ach install new bath fan Fi smooth IciPC Will, insvlatirn, v:irc, to outside ($LVS 6.60) 180.00 180.00 360.00 i to:
e: i1:Jl b:tthtoonl o10y_30 cfnt or better. it 1
Each Instali new Kitchen celline exhaust, hard pipe, vd[e separate svAtch, to outside ISWS6.60) S 250.00 175.00 425.00 Note: RO
cfm or better. hater Heater
Pressure drain to Buckrt/Es:tenor (SN57.8?02.2F, 7 R103.1e) S 45 I0 7p•pp i 115.
00_
e iEachPipeNote: i
f 1
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leUi
L•wCCC[ilnS•iGCa t:14:::-tI Sole iilj116'73I} llt:SSui•-Total 550.00 475.00 $ 1,025.00 1 PRE-APPROVEGREQUjRE01NEA5URE5ptmn:'
eebwaa6anor+lHoctV.'umccccpttlaMin;.tiHWeannutozcacuS2saaerCt.:F:. If-Sl _ a 1ach t+
JaiePlpeIrsut}ttanR -3GhotodE' 0.00 $ 50.00 Nol-'• t b
1
f:arh Hater Haatcr lasulatton {sV[57.510.:-1c) nod Rao Dlan.`.et 50.00 30.00 $ 80.00 c 0 Eech
Faucet aerator 2.2 GPN orLess (SWS 7.8101.1) AlreadvIias. d i
Fsch-
ReplatC HVAC Fllter and supply extra (clot Pliatcd) 8.00 E19.0o 10A0 i iNote: e -
iO
Each
5,nOn ; Reifnllls (S+V5 7.BC03.1) CFL or LED 40.00 40.00 $ 80.00 late: OCadt Law-
flawShoweatends2.
SGP1Wcrless {SV1S7.SIOi:1) 1 date: Already Has .
INFILTRATION REOUCiIOPf 51JS SECf101V 31 n iEach Duct
Seating (BENS 3.iGUZ.1- 3.160L.7) Whofe System LOpa i CFIASO 150.00 $ 250.00 400.00 j h:otc:- b 2
E;[ch
Ciour:ltt athcrsirip {SWS 3:120t.3t) 25.00 $ 25.00 50.00 i Front dour and door
from kitrliento LIT. 20.00 41.5.001 Note: c2Each Door: new
sV:Cep/tubharSLalboltOmofdoor (SeS3.1201.3) 25.00 $ Hate: Front door and floor
from kitchen, to UT. -_-- A 5 5q, FL-Vlall:
N3nnr wa0 repair leak}ag to attic JSWS 3.10*1.3j 30.00 $ 40.00 70.00 NotE: Niasterbathroomn ali. I J
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3 Al l it IN1t/1J.11V „1 JI.C'U "IJi+..-1.v..-•,
a 1008 Sq. Ft. -Add R-30 afown fiberglass In att1cwJdeptii marVars & Flags Nate-
302,
00 806,00 1,108,00 b
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VARtEMEASURES - NEAT MHEA R6 are
14 Seer Heat PUrltp - to LGC sq ft. scr
0011d4nF permit, if tequlred, ft)
T.ritTF.EASfiitEti _ nOilat:
With HOLD butt0nlS;VSS.3l419 Disclaimers:
SWS
h's --re for Reference and rat• Includ: MBRy Other sections. Contractor
to warrant work to pass bldg. codes A Vh: Program. Co
ntr1 venJxleadtt as need d. Una '
tractorsSlgnaure Date W.
o60-5.91utwt 2017 1
errrTcir
SdFr17/MHEA) _ 1,
400.00 $ 3,900.00 SS,
00 $ 35.00 $ 120.00 100.
00 $ Gsma $ 165.00 t t—
iwn.i.0ibo, Ener -v measure)- Enrrf;y
tJ easttres 5uh•Total ! $ 3,475.00 1 $ 2,891.00 1 S bs66,Ua 1 Version 5,
9 TOTAEr__4o25.
00 1 $ 3.3%600 $ 7,391.00I . Meats on
Wheels, Etc. Date page two
for: Otelia Campbell