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1420 Roosevelt Ave - 18-004438 (water heater)CITY OF Sk 4FORDl a PERMIT APPLICATION 39 BUILDING DIVISION - Application No. Documented Construction Value: $ i Job Address: 4a `S "` IL— Historic District: Yes No Parcel ID: - - S I V - 00cx) - 013 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work-^n c C"za ""', k , .Lc S\cX_ p_,.A_0 Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Name ,. \ cyZ Phone: Street: 1 30q _j 2a s1``S City, State Zip: Lo ' 3U'l r u3Sk Title: Resident of property?: Contractor Information Name 5 vt- Phone: Street: SS CJ ) ` Sk City, State Zip: U0 _(l 3 7 FC) Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: CJ-C I l a.i\ 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 orinstallation 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: 61 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 ofpermit 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. ignature ofOwnerv. gent Date C) m-- --\ &O-i- Print Owner/Agent's Name Signature of Notary -State of Florida Date DEBORAH A. DOWNES { f f MY COMMISSION # GG 206950 EXP ES: P 2 i ^ i Owne r'W>11 Me or root - V ype o 4 - Signature of Contractor/Agent Date Print Contractor/Agent's Name atre f 1`rora cr.o i - mate E;r,r;c;-,, DEBORAH A. DOWNES i MY COMMISSION # GG 206990 EXPIRES: April 12, 2Q22 Contr otarynderwrite now Me or Produced ID Type of ID 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: Flood Zone: 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: Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #20181Y26199 Book:9243 Page:1310; (1 PAGES) RCD: 11/5/2018 2:22:26 PMRECFEE $10.00 21 THIS INSTRUMENT PREPARED BY: C Name: 1420 Rooevelt Ave Address: V ' NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 35-1930--514-0000-0330 oar The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DEoSCR(QIeN 9F PROPEFjTY: (Legal description of the property and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Install 50 gal W/h, Tub, LKitchen sink, 2 toilets - like for like 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Builder of Dreams LLC, 1304 Daniels Cove Dr, Winter Garden FL 34787-4358 Interest in property: Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: Thomas Skladanowski Phone Number: 407-774-9850 Address: 555 Dog Track Rd, Longwood, FL 32750 5. SURETY (If applicable, a copy of the payment bond is attached): Address: Amount of Bond: 0. LENDER: Address: Phone Number: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(a)7., Florida Statutes. Phone Number. 8. In addition, Owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owffer or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) State of Countyof John R Scoff Print Nameand Provide Signatorys Ti 00(fice) The foregoing instrument was acknowledged before me this day of `J 20 by V t\ Z S Lcs Who Is personally known to me O OR Nameof person m/ai statement who has produced Identification; ype of identification produced: -ty` L j_i :;:y«:"•'°!%4 ;:. DE60RAH A. DOWNES l c l— MY COMMISSION # GG 206930 I? Nr EXPIRES: April 12, 2022 =' Notary signaturePY Bonded Thru Notary Public Underwriters j eaae6 U.S. Heating and Air Conditioning 555 Dog Track Road 5912 - D Breckenridge PKWY Longwood, FL 32750 Tampa, FL 33610 Remit payments to this address) E-mail: accounting@callushac.com callushac.com 0 (407) 774-9850 Service Address: BUILDER OF DREAMS LLC C/O JOHN SCOTT 1420 ROOSEVELT AVE SANFORD, FL 32771 Invoice #: INV-WO-0030740 Incident Type: PLUM Commerical Fixture Invoice Date: 8/20/2018 External WO#: Work Completion Date: 8/17/2018 Work Order Summary: ran 1 "water service and tied into house with 3/4" ballvalve. also installed 50gal electric water heater. has electric issues. could not turn on water heater to check. Materials Description Quantity Total Amount Line Status I nhnr Description I Quantity Total Amount Line Status As Agreed Pricing - Plumbing - USHAC 1 60 3,415.00 Used SUBTOTAL AMOUNT 3,415.00 TOTAL SALES TAX 0.00 TOTAL AMOUNT 3,415.00 TOTAL AMOUNT PAID 2,037.50 OUTSTANDINGBALANCE 1,377.50 Work Order Accepted by: S w+ Date: t 1-s"- vs C stomer Sign ture. 11/ 5/2018 @ 2018, Southern HVACTM Corp. A Southern HVACTA/ Dealer. Certified service for all brands. Residential, Commercial, Multifamily. 11/5/2018 SCPA Parcel View: 35-19-30-514-0000-0330 AaoJsfa=, CIA Pps Parcel Information Property Record Card Parcel: 35-19-30-514-0000-0330 Property Address: 1420 ROOSEVELT AVE SANFORD, FL 32771-3154 Value Summary 2019 Working i 2018 Certified Values i Values Valuation Method Cost/Market Cost/Market I Number of Buildings 2 2 Depreciated Bldg Value $103,256 98,448 Depreciated EXFT Value Land Value (Market) $20,358 20,358 Land Value Ag Just/Market Value $123,614 118,806 Portability Adj Save Our Homes Adj $0 0 Amendment 1 Adj $0 0 P&G Adj $0 0 Assessed Value $123,614 118,806 Tax Amount without SOH: $2,229.00 2018 Tax Bill Amount $2,229.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 33 DIXIE PB 2 PG 103 Taxes Taxing Authority Assessment Value LExempt Values Taxable Value County General Fund 123,614 0 123,614 Schools 123,614 0 123,614 City Sanford 123,614 0 123,614 SJWM(Saint Johns Water Management) 123,614 0 123,614 li County Bonds 123,614 0 123,614 Sales Description Date 1 BookI Page Amount Qualified Vac/ImpI SPECIAL WARRANTY DEED 3/1/2018 09107 1793 142,000 Yes Improved SPECIAL WARRANTY DEED 8/1/2017 08981 1981 101,000 No Improved CERTIFICATE OF TITLE 9/1/2016 08770 0684 100 Na Improved QUIT CLAIM DEED 7/1/2005 05798 0759 50,000 No Improved SPECIAL WARRANTY DEED 7/1/1994 02801 1211 55,000 No Improved CERTIFICATE OF TITLE 3/1/1994 02748 0576 100 No Improved WARRANTY DEED 10/1/1984 01584 0634 100 No Vacant WARRANTY DEED 9/1/1984 01584 0633 100 No Vacant TAX DEED 2/1/1982 01378 1003 600 No Vacant i 11 /5/2018 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company BUILDER OF DREAMS LLC Filing Information Document Number L17000165336 FEI/EIN Number 83-1083004 Date Filed 08/03/2017 State FL Status ACTIVE Principal Address 10868 WILLOW RIDGE LOOP ORLANDO, FL 32825 Changed: 08/30/2018 Mailing Address 10868 WILLOW RIDGE LOOP ORLANDO, FL 32825 Changed: 08/30/2018 Registered Agent Name & Address LEGALCORP SOLUTIONS, LLC 3440 W HOLLYWOOD BLVD. SUITE 415 HOLLYWOOD, FL 33021 Authorized Person(s) Detail Name & Address Title AMBR SCOTT, JON ROBERT 10868 WILLOW RIDGE LOOP ORLANDO, FL 32825 Annual Reports Report Year Filed Date 2018 02/05/2018 Document Images 02/05/2018 -- ANNUAL REPORT View image in PDF format 08/03/2017 -- Florida Limited Liability View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inqui rytype=EntityName&directionType=Initial&searchNameOrder=BU ILDE RD... 2/2 Aw moo.... SEMINOLE COUNTY MULTI -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 11 /05/2018 I hereby name and appoint: Mark MUZZone an agent of: Fast of Florida (dba) US Heating & Air Conditioning LLC Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 12/31 /2020 License Holder Name: Thomas Skladanowski State License Number: CFC1428691 Signature of License Holder: '-/ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this . 20 i R- , by who has produced and who did (did not) take an oath. Signature of Notary DEBORAHA.DOWNES MY COMMISSION # Gu 206''SG EXPIRES: Apri112,7u2.- Bonded Thru Notary Public UndeP,,2;-:: •:. S day of who is ersonally known to me or as identification Print or type Notary name Notary Public - State of A Commission No. 915 90(-4 My Commission Expires: