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106 W 30 St - BR08-000681 (REROOF) DOCUMENTSApplication #: Job Address: 106 W. 30th Street CITY OF SANFORD PERMIT APPLICATION 1, Submittal Date: Sanford 32773 Value of Work: 8,925.00 Parcel ID: 01-20-30-518-0000-0230 Zoning: Historic District: Description of work. Re—roof with -hot asphalt and gravel Square Footage: 1,908 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign 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 Commercial Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) Katherine B. Burnworth & Property Owner Contractor: E. H. E n g e l m e i e r Roof i n q A. Surnworth Address: 106 -W -::`30th St. Address: 4800 Wofford Lane Sanford, FL 32773 Orlando, FL 32810 Phone: E-mail:Phone: State License Number: C C C 0 2 2 4 9 2 Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: Phone: Fax: E-mail: 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. 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. 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. 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. Acirptance of permit is verification that I will notify the owner of the property of e q nts f F1.1a Lien Law, FS 713. Signature of Own /Aget[f" {{'' __ Date Signature of Contractor/A nt Date Print owner/Agerff`s Name Print Contractor/Agent's Name 17-DS' Date tt111111/, CommO l)D0325524 Expires 81.312009 7 Bonded ttxu(900)432.4254; r Florida Notary Assn., Inc Ow er/Agent is_ Personally Known to Me or Produced ID F/ OA- 6 LS to - SO 2. s- sus -a APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 07.07 17-01 Signature o otary-State of Florida Date EVELYN M....MILLER 111uqFYPe, CwwW OD0325524 Expkn VN) GG r° BorWed Oft(OW)02M32:4254: OF M Contractor/Agent 1 'Ptta1 yF •e ioe+ wdb or Produced 1D ENG: BLDG: 0 LIMITED POWM OF ATTORNEY Altamonte Springs, Casselberry, bake Mary, Longwood, Sanford, Seminole .County, Winter Springs Date: January 17 , 2008 I hereby name and appoint: Evelyn Miller an agent of: E.H. Enelmeier Roofing &Sheet Metal Co Inc 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. The specific permit and application for work located at: 106 W.'30th.St., Sanford, FL 32773 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Carl Enyelmeier State License Number Signature of License I STATE OF FLORIDA COUNTY OF Orange The foregoing instrument was acknowledged before me this / 7 day of TAA -1 , 200 9 by Cogec a =,V& t4 PlAr/0A.- who is ypersonally known to me or who has produced as identification and who did (did not) take an oath. Notary Seal) g:. D0tl.b5 M 2 ai Bonded tYru (60 Jbn Notary O Signature eT'T A®sqH -z Print or type name Notary Public - State of FL. Commission No. ADD 330 SJ0 My Commission Expires: 2 i N..N....N... Rev. 3/27/07) .... BURT T. IOGAN. JR NNNM. Comm# DD0330550 4 s g oORd IN Bpnded ihru E.. Florida Notary N........... a.cro,:.- c' eminole County Property Appraiser Get Information by Parcel Number DAVID JOHNSON. CFA, ASA 32 ":9 ail PROPERTY APPRAISER SEMINOLE COUNTY FL. 1101 EI FIRST ST 1 SANFORD, FL32774-74E8. 407-665-7506 GENERAL Parcel Id: 01-20-30-518-0000-0230 Owner: BURNWORTH KATHRYN B & Own/Addy: BURNWORTH CRAIG A Mailing Address: 106 W 30TH ST City,State,ZipCode: SANFORD FL 32773 Property Address: 106 30TH ST W SANFORD 3277/3 Subdivision Name: SOUTH PINECREST 1ST ADD Tax District: S1-SANFORD Exemptions: 00 -HOMESTEAD (2005) Dor: 01 -SINGLE FAMILY Page 1 of I 2008 WORKING VALUE SUMMARY Value Method: SALES Number of Buildings: Deed Date Book Page Amount Vac/Imp Qualified FINAL JUDGEMENT 08/2007 06808 1304 $100 Improved No WARRANTY DEED 03/2004 05239 0240 $98,000 Improved Yes WARRANTY DEED 12/2003 05137 1831 $47,500 Improved Yes QUITCLAIM DEED 11/1994 03984 1881 $100 Improved No WARRANTY DEED 12/1983 01510 11..5...0 $41,500 Improved Yes WARRANTY DEED 03/1983 01442 0722 $13,000 Improved No QUIT CLAIM DEED 01/1977 01119 0977 $4,000 Improved No Find Comparable Sales within this Subdivision 1,227 Page 1 of I 2008 WORKING VALUE SUMMARY Value Method: Market Number of Buildings: 1 Depreciated Bldg Value: 101,624 Depreciated EXFT Value: 429 Land Value (Market): 22,932 Land Value Ag: 0 JustiMarketValue- 124,985 Assessed Value (SOH): 93,063 Exempt Value: 25,000 Taxable Value: 68,063 Tax Estimator T...ax Reform Analysis. 2007 VALUE SUMMARY Tax Amount(without SOH): 1,901 2007 Tax .1151.111 -Amount: 1,227 Save O..ur_Homes (SOH) S.A. Yin.gs: 674 2007 Taxable Value: 65,793 DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS: LAND E LEGAL DESCRIPTION jLand Assess Land Unit Land Method Frontage Depth Units Price Value PLATS: Pick... FRONT FOOT & LEG LOT 23 SOUTH PINECREST 1 ST ADD DEPTH 72 120 .000 350.00 $22,932 PB 10 PG 43 BUILDING INFORMATION Bid Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Num 1 SINGLE FAMILY 1956 3 1,094 1,466 1,346 BLOONCK $101,624 $150,554 Appendage / Sgft ENCLOSED PORCH FINISHED 1252 Appendage / Sgft UTILITY UNFINISHED / 56 Appendage / Sgft OPEN PORCH FINISHED 164 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New ALUM PORCH W/GONG FL 1988 165 $429 $1,073 jNOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded property your next year's property tax will be based on JustWarket value http://www.sepafl.org/web/re_web.seminole county_title?parcel=01203051800000230&... 10/17/2007 lk FAIA - - - W_., A- ISSUED TO: CITY OF SANFORD 300 N. PARK AVE PO BOX 1778 SANFORD FL 32771 ATTN: P.O. BOX 4907 o WINTER PARK, FL 32793 m (407) 671-FRSA 1-800-767-3772 0 FAX (407) 1671- 2520 CERTIFICATE OF INSURANCE COPY PROVIDED TO: E.H. Engelmeier Roofing & Sheet Metal Co., Inc. 4800 WoffordLane Orlando FL 32810-4148 Date: 12/03/2007 This is to certify that E . H . Engelmeier Roofing & Sheet Metal Co., Inc. 4800 Wof f ord Lane Orlando FL 32810-4148 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND. COVERAGE NUMBER: 870-000191 LIMITS EFFECTIVE DATE: 01/01/2008 Workers' Compensation Statutory - State of Florida 01/01/2009 Employers' Liability $100,000 - Each Accident EXPIRATION DATE: $100,000 - Disease, Each Employee 500,000 - Disease, Policy Limit REMARKS: Non -cancelable without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. Employer Liability Limits amended effective 08/01/05 to: 1,000,000/1,000,000/1,000,000 This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this _certificate shall be constructed as extending coverage not afforded by the policy(ies) shown above or as affording insurance to any insured not named above. This' provides coverage for Florida policyholders and Florida domicile employees only. By: By: Brett Stiegel, Administra Debbie Kemmerer Underwriting Manager FRSA-SIF FRSA-SIF I l SIMONE MARSTILLER W SECRETARY Earl K. Wood, Tax Collector Local Business Tax Receipt Orange County, Floridz This local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and othe lawful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty is added October 1. ORIGINAL`** 2007 EXPIRES 9/30/2008 1806-0008344 1806 CERT ROOFING CONTRACTOR $70.00 32 EMPLOYEES TOTAL TAX 70.00 PENALTIES 7.00 PREVIOUSLY PAID 0.00 TOTAL DUE 77.00 4800 WOFFORD LN U - ORLANDO, 32810 9A Od 7/ e ENGELMEIM CARL"E ER ROOF & S/M CO I ARL E ORLANDOFL;3810-4148 101312007 08;;07 All 'C;11 pU4`.i Reg 001 T/Ref 0021009455 DBI; 10;3 200 77.60 Ual No: 0021-004160 This receipt is official when validated by the Tax Collector. 9 A IMBER,: .Him m er the provisions':'of Cha, iration date: AUG 31, 20 hS.-_:_IS NOT A_ LICENSE TO . P 80 STATE OF FLOR INDUSTRY LI 39 FS WORK THIS.- HAS"A QUALI TAL 'CO INC_ ' 5EQ#L07071306666 i l Permit Number: Folio/Parcel Identification Number: 01-20-30-5180000-0230 Prepared by: r `: Evelyn Miller Return to: E.H. Engelmeier.Roofing q/ 4800 Wofford Lane Orlando, FL 32810 111111 II1 it oil 11 all 1I 1111 II all fl ail 1111111 all 8111111111111 loll MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY, BK 06911 Ptl 15941 t 111ta ) CLERK" S # 20080 0701 1 RECORDED 01/18/2008 10621114 AM RECdRDIN8 FEES 10.00 RECORDED BY L McKinley NOTICE OF COMMENCEMENT State of Florida, County of Seminole The undersigned hereby gives notice that improvements(s) 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. Description of property (legal description of the. property, and street address if available) LEG LOT 23 SOUTH PINECREST 1S ADD PB 10 PG 43 106 W. 30 St., Sanford; FL 32773 2. General description of improvements(s) re -roof 3. Owner information VLHI [.11f D -1COPY Name Kathryn B. Burnworth & Craig A. Burnworth Telephone Number MARYANNE M`ORSE., Address 106 W. 30 St., Sanford, FL 32773 Interest in property owner CLERK OF CIRCUIT COURT 4. Fee Simple Title Holder if other than owner shown abovep ( ) SEWN `E` U TY; FLORIDA Name Telephone Number Address 5. Contractor . LR -: Name E.H. Engelmeier Roofing & Sheet Metal Co., Inc. Telephone Number 407 291'-8,6 . p '~ Address 4800 Wofford Lane, Orlando, FL 32810 FAX (407) 291-4957 ` ".A. 6. Surety (if any) Name Tephone Number Address Amount of bond $ 7. Lender (if any) Name'Telephone Number Address 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7,Florida Statutes. Name Telephone Number Address 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b),Florida Statues. Name Telephone Number Address 10. Expiration date of notice of commencement (the expiration date is one year from the 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 1,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 ORA ATTORNEY BEFORE COMMENCING WORK OR RAE/CORDING YOUR NOTICE OF COMMENCEMENT. Sig' ture of caner Signatory's Printed NametTi4feA3fficLT-- or Owner's Authorized Officer/Director/Partner/Manager S713.13(1)(d) The foregoing instrument was acknowledged before me this 7 day of u*v.V 200r, by k.47WAI name of person) iA AlWQATH as Ott A159- for Type of authority, e.g., officer, trustee, attorney in fact) (Name of party on behalf of whom instrument was executed) opmangmaec.oaa.ow oup Lie y /t'%/L x. or EVELYN OrL I.f R- 9 1 Si ature of Notary Public -State of (Print, type, or stamp commisslQtli Yme o1: Exom V&2= Personally. Known OR Produced ID ) eorleedawfeoot432425° Type of ID Produced ,6 45 [r ` 5d J6 - Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare°thave.;., read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing on Line 11 -Above