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810 Celery Ave - BR08-001149 (REROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION Application Submittal Date: "Z — Job Address: .w0/ p Value of Work: 6 Parcel ID• oZB 3 ( ?? "' Zo g:.' r ` IL Historic District: XA) Description of Work: Square Footage: Permit Type:• g ElBuildinectrical°` Mechanical Plum 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: Residents ! Commercial < Industrial Occupancy Use Group(s): Construction Type: # of Stories:,-. # of Dwelling Units: _ Flood Zone: (FEMA form required ) Property Owner................. .....4,6_C_ ......Contractor: • • ,>r 1' ./G .. .'a o .. `V "' a Address: Zf Address: ' c i P ' /Q 77 t Phone:/-/O7- E-mail: Phone: 3o7).Wr"52jtate License Number: CCC 1902 011& Bonding Company: Address Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: 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. u f OWNER'S AFFIDAVIT: I certify that all of the AwegoingTinformation 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 dis •,trip a e a encies, or federal agencies. Ace cc of permit is veritication at I will notify the owner of ihe_.ptcipeR7•"b"f requirem a ien Law, F 713. Signa e o wner/Agent Date s+g , ure o ontractor/Agent Date l Print MY COMMISSION # DD 645524 EXPIRES: March 7, 2011 1f"r't m gcaavOP Bonded Thru Budget Notary Services Owner/Agent is Personally Known t Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: _ FD: Contractor/Agent's Signature of Notate'o.p. I/j Dary-State s• v° i 16F,• i C, Jo- '.. ' S' •• Contractor/Agent is Pars, nall,_Kt Oua toMe irk Produced IDcc ENG: S`46minole County Property Appraiser Get Information by Parcel Number Page 1 of I DAviD JOHNSON. CFA, A. A PROPERTY m 0GENEVATER APPRAISER 1 YDSEMINOLECOUNTYFL. G1X 1101 E.FiR575-r k, m SANFORD, FL 32771-1466 407-665-7506 4a ' 4 D m 47 a 2008 WORKING VALUE SUMMARY Amendment 1 impact not reflected. GENERAL Value Method: Market Parcel Id: 02-20-30-501-0000-0250 Number of Buildings: 0 Owner: CASSELBERRY LEONARD Depreciated Bldg Value: $0 Mailing Address: PO BOX 180355 Depreciated EXFT Value: $0 City,State,ZipCode: CASSELBERRY FL 32718 Land Value (Market): $100 Property Address: HIGHLAWN AVE Land Value Ag: $0 Subdivision Name: GENEVA TERRACE Just/Market Value: $100 Tax District: S1-SANFORD Assessed Value (SOH): $100 Exemptions: Exempt Value: $0 Dor: 00-VACANT RESIDENTIAL Taxable Value: $100 Tax Estimator Po_rta_ bility__C_.aa.c.. ulator, SALES 2007 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2007 Tax Bill Amount: $2 TAX DEED 04/1984 01541 0785 $500 Vacant No 2007 Taxable Value: $100 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTS LEGAL DESCRIPTION LAND PLATS: Pick... Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 25 (LESS PT PLATTED GENEVA LOT 0 0 1.000 1,000.00 100 GARDENS) GENEVA TERRACE PB 11 PG 36 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. Ifyou recently purchased a homesteaded property our next ear's property tax will be based on Just/Market value. http:// www.scpafl.org/web/re web.seminole county title?PARCEL=33193130007400000... 3/14/2008 I111111"00111NIIII 11111oil N1011111011111IN011111111 MARYANNE MORSE, CLERK OF CIRCUIT COURT Permit Number: SEMINOLE COUNTY Folio/Parcel Identification Numb iBl4 06350 Pg 1480; tlpg) Prepared b CLERK'S # 2'008030399 I x RECORDED 03/ 14/2008 03:00:48 pM Return to: nVI- P / RECORDING PEES 10,00 7's_:) RECORDED BY T Smith NOTICE OF COMMENCEMENT MORSE - State of Florida, County ofM+v p gRYANNE + 3 CL RK<<Of CIRCUIIT COURT The undersignedherebygives,notice that improvement(s) will be made to certain real ; pro erty, r Tiff: LORID® p 2ICiwithChapter713, Florida Statutes, the following information is provided in this Notice of Comm eli eme 1. Descriptio of groperty ( gal descr do of tie property, and street address if availa'lo C_ CERK 2. Geheral descriptioV of improvement(s) y , 3. Owner inform ti° Name Telephone Number Address Interest in Property 4. Fee Simple Title Holder (if otherihan owner shown above) Name Telephone Number Address i 5. Contractor 1 Name /=%7 r,4_ 'tV/1),a40TelephoneNumber -,/--?J 7 Address, Q A o tz 6. Surety (if any) Name Telephone 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 Statutes. 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) 3 `— .2f0 (3 g WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAY Al SUN . E,R-CHA°P-- . 713, PART. I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVE TS T YO I PROPERTY. A OTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST I N. I O AT ND TO OBTAIN FI ANCING SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING O SP NO IC O COMM NCrMFNt_---- ---- ..-----_-- Signature of Owner Signatory' s PrInted Name/rTiitle/Office or Owner's Authorized Officer/Director/Partner/Manager §713.13[l][d]) The foregoing instrument was acknowledged before me this !' day of by year) (name of person) as for Type a thori , e. g., officer, trustee, attorney in fact) (Name of party on behalf of whom instrument was executed) SC p gyp IY PVB/, J. SCOTT Bf' NTA c MISSION 8 DD645524 re -of Notary ublic -State of Florida (Print, type, or stamp commissioned names 'f' IRES: March 1, 2011 JPersonally OR Produced ID , oaf o °P Bonded Thru Budget Notary Saftes Type"af l' Produced sua inp_ tio-n- 9. 2. 525 Florida Statutes: Under penalties of perjury, I declare that I have the fa pWstated in it are true to the best of my knowledge and belief. Form Revised: 11/5/ 07 ignature of Natural Person Signing on Line 11-Above L Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: -_ T f 6 Y/ I hereby name and appoint: R40 6f-4 R) vc "_ an agent of: Name of to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessaryyto this appointment for (check only one option): C9' All permits and applications submitted by this contractor. The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 3 — -q v A CO a 9 License Holder Name: 1Qj c.M bsF_ State License Number: CCC L 3ae.g ) 2- Signature of License Holder: - L STATE OF FLORIDA COUNTY OF The foregoing instrument.was acknowledged before me this \2 day of "'VL11vL'-f 200, by _1 1 ' who is personally known to me or NMho has produced identification and who did (did not) take an oath. Notary Seal) tRTAMMY M. MIDDENDORF Notary Public Minnesota canmission Expires January 31, 2010 Rev. 3/27/07) Notary Public -State of Commission No. My Commission Expires: = 2 DO Q as 1 RE: Permit # 08 —11 R Inspection Affidavit 0-licensed as a(n) Contractor* /Engineer/Architect, please print name and circle Lic. Type) FS 468 Building Inspector* License #; (` (e- % ,3,,2 1 V) -7— On or about Date & time) deck nailing and/or secondary water barrier c cle one) STATE OF FLORIDA I did personally inspect the roo work at 0 p Cn I -P k e Si 4I. Job Site Address) I have determined the installation was done according to the Manual (Based on 553.844 F.S.) COUNTY OF Sworn to and subscribed before me this Lllay of U /1g C .200_g By 2)rA-a* ,I10 r A Notary Public, State of Florida A ""IF-T 1 E "ZI 0-TT Print, type or stamp name) Car i, p}}j o.: . -- Personally known or \ i\ F, Sad;' Produced Identification N" iO 6A-A,la y s, Type of identification produced. L v L .,a mac_ '. fir • nU5072'J >'a General, Building, Residential, or Roofing Contractor r- gn ii8ual certifgeadkr 468 F.S. to make such an inspection. Include photographs of each plane of the roo`ddiF clearly shown marked on the deck for each inspection. ; z lll1 RE: Permit # 08-114. ell Inspection Affidavit I ?7 (/ licensed as a(n) Contractor* /Engineer/Architect; please print name and circle Lic. Type) FS 468 Building Inspector* License #;z— On or about c fW, , I did personally inspect the roo Date & time) deck nailing and/or secondary water barrier work at o e TO le one) (Job Site Address) n I have determined the installation was done according to the e rt Manual (Based on 553.844 F.S.) Signature STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this _[ItWay of A AgC rh .200 By !-a+_c `wo t- A Notary Public, State of Florida IIUtiI-ET/ 07T Print, type or stamp name) Personally known or I 1, S,` Produced Identification 1/_'51'6 Type of identification produced. 7F-L -" .,any General, Building, Residential, or Roofing Contractor of, 7i{sij Rual csgtii dr@ r 468 F.S. to make such an inspection. Include photographs of each plane of the roo ye oij'd clearly shown marked on the deck for each inspection. lllllEif I 1111'