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Building & Fire Prevention Division
k ' FEB �018 PERMIT APPLICATION
BY: __._--___Application No: a-3-75
Documented Construction Value: $ $ 1422.00
Job Address: 184 Lakeside Circle Sanford, FL 32773 Historic District: Yes❑No❑
Parcel ID: 11-20-30-5KB-0000-0720 Residential Commercial❑
Type of Work: New❑✓ Addition[] Alteration❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑
Description of Work: Replacement of waterline from meter to hiuse approx 50ft
Plan Review Contact Person: Edgardo Camareno Title: General Contractor
Phone: (407)538-5012 Fax: (407)423-0087 Email: rr.reliance@rrsc.com
Property Owner Information
Name George Coates Phone: (407)323-4810
Street: 184 Lakeside Circle
City, State Zip: Sanford, FL 32773-4516
Resident of property? :
Yes
Contractor Information
Name Going Green Services Inc., d.ba Reliance Plumbing Phone: (407)538-5012
Street: 1026 28th Street
City, State Zip: Orlando, FL 32805
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax: (407)423-0087
State License No.: CFC-1426811
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: 61 Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
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 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.
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Signature of er/Agent Date
Signature of Co actor/Agent Dat
Print Contractor/Aeent's Name
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NANCY TAVERA ; o�"aY c�a�°• NANCY TAVERA
2» «n:
Notary Public - State of Florida • Notary Public -State of Florida
Commission # FF 967052 Commission # FF 967052
My Comm. Expires Mar 28 22020 .rFOFF My Comm. Expires Mar 28, 2020
Own 51 k i ftimildi ii Meor UaffUffEMr7A—gTn-TTs--'—'-P—er"ro—oJJwn to Me or
Produced ID Type of ID ���( j,` Produced ID Type of ID - �DY Y ; C.
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
SCPA Parcel View: 11-20-30-5KB-0000-0720
Page 1 of 2
uatiiabtvoson Can Property Record Card
Parcel: 11-20-30-5KB-0000-0720
sPAarxx.ccxxs�iv ri.ptxx�n Property Address: 184 LAKESIDE CIR SANFORD, FL 32773-4516
Parcel Information
Parcel 11 20-30 5KB 0000-0720
Owner COATES, GEORGE P
Property Address 184 LAKESIDE CIR SANFORD, FL 32773-4516
Mailing 184 LAKESIDE CIR SANFORD, FL 32773-4516
Subdivision Name HIDDEN LAKE PH 3 UNIT 7 v
F:7DTax District S1-SANFORD
-o-R Use Code 01-SINGLE FAMILY _
Exemptions 00-HOMESTEAD(1994)
Value Summary
2018 Working 2017 Certifie- d
Values Values
Valuation Method Cost/Market
Cost/Market.®
Number of Buildings 1
1
Depreciated Bldg Value $100,803
$95,076
Depreciated EXFT Value $200��
Fs.200
Land Value (Market) $25 000
$25,000
Land Value Ag
F
Just/Market Value $126,003
_.._.__... �... _
.
$120,276
d ._-_.__.._...
Portability Ad/ i
Save Our Homes Ad/ $47,655
$43,539
_.
__.
Amendment 1 Ad/ $0
P&G Ad1 $0
l
$0
Assessed Value $78,348�
j $76,737
Tax Amount without SOH: $1,492.86
2017 Tax Bill Amount $663.83
Tax Estimator
Save Our Homes Savings: $829.03
" Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 72
HIDDEN LAKE PH 3 UNIT 7
PB 38 PGS 79 & 80
Taxes
_.- .�
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $78,348 i $50,500 3 $27,848
Schools $78,348 $25,500 ; $52,848
City Sanford $78,348 , $50,500 € $27,848
..
.... _. _ _ _ _
SJWM(Saint Johns Water Management) $78,348 ( $50,500 $27,848
I County Bonds $78,348 $50,500 $27,848
E
Sales
i
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 8/1/1988 01992 [ 0958 i $70,300 Yes imp proved
. __ - - .._ __- __.. _� I
WARRANTY DEED 7/1/1988 i 01979 1557 $74,000 3 No Vacant
� �irtd C7�ll�daYable �J�IB5 ( ..
Land
LM�thodE
Building Information 3
Year Built
k Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
� Actual/Effective � �� _
1 ( SINGLE ) 1988 6 I 3 1 2.0 1,272 1 1,710 = 1,272 = SIDING $100,803 $114,549 ` Description Area
FAMILY i [ GRADE 3
GARAGE 264.00
FINISHED
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l 12O3O5KB000OO720 2/14/2018