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HomeMy WebLinkAbout109 Lake Ada Cir 05-320 RoofPermit #: . Job Address: Description of Work: CITY OF SANFORD PERMIT APPLICATION Date: Historic District: V Zoning: V Value of Work: $ 2 i DO .- L _ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form regiiired for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: _ Address: Architect/Engineer: Address: Contact Person: Attach Proof of Ownership & Legal Description) State License Number: Phone: Fax: 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. 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. Acceptance of ppF4yit is verification thatA will notify the owner of the property of the requirements of Florida Lien Law, FS 713 yJ/J1&&J- li S-- Signature of Owner/Agent Date Signature of Contractor/Agent Print Owner/Agent's Name Print Contractor/Agent's Name i o i /d'N t Florida Date DEBBIE BLANTON MY COMMISSION # DD 188491 O er/ ExSsta1,1G>ltpde or y VA APPLICATION APPROVED BY Idg: Zoning: Date Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID Initia Date -IOV (Initial & Date) Special Conditions: Utilities: FD: Initial & Date) (Initial & Date) f , a jW A 7i CITY OF SANFORD BUIL DING>>DMSION , OWNER/BUELDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervisionthemselvesofallworknotperformedbylicensedcontractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensatici for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I, _;Obbi /L % Sf6 )P.d re g , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. Owner/Builder Signature Date Sf INIree I Print Owner/Builder Name 4,4 )&4 v y Date DEBBIE BLANTON MY COMMISSION # DD t88491 Owner erg g: Wa%xo ? or ProduC d 1100 3-NOTARY FL Notary Discount Assoc. Co_ Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL i E1 Back i x' r, Semin(geCtmn y r I b Mf1Y fClf[f fYX[f 1101 K. Fir" Sc Santard 11,11..4277-1 407 5Uh 2005 WORKING VALUE SUMMARY GENERAL Value Method: Market Number of Buildings: 1 Parcel Id: 11-20-30-512-0000-1020 Tax District: S1-SANFORD Depreciated Bldg Value: $71,346 Owner: PARKER JEFFREY Exemptions: 00-HOMESTEAD Depreciated EXFT Value: $0 Address: 7304 BRANT POINTE CIR Land Value (Market): $17,800 City,State,ZipCode: INDIANAPOLIS IN 46217 Land Value Ag: $0 Property Address: 109 LAKE ADA CIR SANFORD 32773 Just/Market Value: $89,146 Subdivision Name: HIDDEN LAKE PH 3 UNIT 5 Assessed Value (SOH): $72,415 Dor: 01-SINGLE FAMILY Exempt Value: $25,000 Taxable Value: $47,415 SALES 2004 VALUE SUMMARYDeedDateBookPageAmountVac/Imp WARRANTY DEED 09/2000 03928 0237 $64,100 Improved Tax Value(without SOH): $1,323 QUITCLAIM DEED 01/1999 03590 0170 $100 Improved 2004 Tax Bill Amount: $944 WARRANTY DEED 06/1998 03460 0630 $65,900 Improved Save Our Homes (SOH) Savings: $379 WARRANTY DEED 07/1990 02201 0147 $61,500 Improved 2004 Taxable Value: $46,065 WARRANTY DEED 12/1984 01603 0647 $100 Vacant DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 102 HIDDEN LAKE PH 3 UNIT 5 PB 29 LOT 0 0 1.000 17,800.00 $17,800 PGS 40 & 41 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1984 6 1,108 1,572 1,108 CONC BLOCK $71,346 $77,550 Appendage / Sqft SCREEN PORCH FINISHED / 150 Appendage I Sqft GARAGE FINISHED / 264 Appendage I Sqft OPEN PORCH FINISHED / 50 NOTE: 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 our next ear's property tax will be based on JusUMarket value. http://www.scpafl. org/pls/web/re_web. seminole_county_title?parcel=11203051200001020,... 11 /5/2004 A. Settlement Statement R Tvna of I nan U.S. Department of Housing and Urban Development OMB No. 2502-0265 REV. HUD-1 (3/86) 1. OFHA 2. FmHA 3. XConv. Unins. 4. OVA 5. Conv.Ins. 6. File Number 04M-08033 7. Loan Number 86037924 8. Mortgage Insurance Case Number is orm is urnis e o give you a s a emen o ac ua se amen cos s. moun s Pai o an y e se amen agen are s own. C. Note: Items marked "(p.o.cere paid outside the closing; they are shown here for information purposes and are not included in the totals. WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar forth. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U. S. Code Section 1001 and Section 1010. TltleExpress Settlement System Printed 10/25/2004 at 17:44 ROC D, NAME OF BORROWER: ROBBIN STONESTREET ADDRESS: 525 SUNRISE AVENUE WINTER SPRINGS FL 32708 E. NAME OF SELLER: JEFFREY PARKER ADDRESS: 7304 BRANTPOINTE CIRCLE INDIANAPOLIS IN 46217 F. NAME OF LENDER: COUNTRYWIDE HOME LOANS, INC- ADDRESS: 1425 TUSKAWILLA ROAD SUITE 181 WINTER PSRINGS FL 32708 G. PROPERTY ADDRESS: 109 LAKE ADA CIRCLE, Sanford, FL 32773 LOT 102 HIDDEN LAKE PHASE III UNIT V PB 29 PIGS. 40 AND 41 SEMINOLE COUNTY H. SETTLEMENT AGENT: -TITLE OFFICES, LLC, PH 407.786-1987 FAX 407-786.1330 PLACE OF SETTLEMENT: .2632 WEST S.R. 434 SUITE 108 LONGWOOD FL 32779.4447 I. SETTLEMENT DATE: 10/26/2004 J, SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales p6ce 78 000.00 401. Contract sales price 78 000.00 102. Personal Property 402, Personal Property 103. Settlement Charges to borrower line 1400 2,502.68 403. 104, CANCELLATION 195.00 404, 105. FILE FEE 500.00 405, Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 81 197.68 420. GROSS AMOUNT DUE TO SELLER 78 000.00 200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. Deposit or earnest money 501. Excess Deposit see instructions 202. Principal amount of new loans 74100.00 502. Settlement charges to seller line 1400 2,789.25 203. Existing loans taken subject to 503. Existin loans taken subject to 204. 504. Payoff: 1787770-5 74 437.37 COUNTRYWIDE HOME LOANS INC 205, 505, 206. 506. 207. 507, 208. 508. 209. 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 211, County taxes 01 /01 /04 to 10/26/04 773.38 511. County taxes 01 /01104 to 10/26104 773.38 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 74 873.38 520. TOTAL REDUCTION AMOUNT DUE SELLER 78 000.00 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301, Gross amount due from borrower line 120 81 197.68 601. Gross amount due to seller line 420 78 000.00 302. Less amounts paid by/for borrower line 220 74 873.38 602. Less reduction amount due seller line 520 78 000.00 303. CASH FROM BORROWER 6 324.30 603. CASH TO SELLER 0.00 SUBSTITUTE FORM 1099 SELLER STATEMENT: The information contained herein is important tax information and is being furnished to the Internal Revenue Service If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. The Contract Sales Price described on line 401 above constitutes the Gross Proceeds of this transaction. SELLER INSTRUCTIONS: If this real estate was your principal residence, file Forth 2119, Sale or Exchange of Principal Residence, for any gain, with your Income tax return: for other transactions, complete the applicable parts of Form 4797, Form 6252 and/or Schedule D (Form 1040). You are required by law to provide TITLE OFFICES, LLC PH 407-786.1987 FAX 407.786-1330 with your correct taxpayer identification number. If you do not provide your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law, and Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number.