HomeMy WebLinkAbout110 Crooked Pine Dr 05-420 Roofr = % CITY OF SANFORD PERMIT APPLICATION
I
i Permit # : 00 Date:
Job Address: //10
Description of Work: J
Historic District: Zoning: Value of Work: S 0 ayt 00
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Cale. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
06 C,2ooKa fjl 19
Contractor Name & Address: &.
Pfroi e & Fax: —
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
3 Phone: 407 3C L/-
State License Number: / '
J_ `
Contact Person: d 3'7Phone: —1366
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 maybe 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.
Signature er Agent gate Signature of Contractor/Agent
Print O er/A genA's Name
CC
Print Contractor/Agent's Name
Sitrn—ature of Notary -State of Florida I D to Signature of Notary -State of Florida
or $
yd;
1 Anh Thu T Nguyen
My Commission DD304015
Exp{rrlp ggt mpg_ P onally Known to Me or
Produced ID ej -
ga&o/83 3_V 1790
APPLICATION APPROVED BY: Bldg: -rn'i Zoning:
Initial & e)
Special Conditions:
Contractor/Agent is.
Produced ID _
Utilities:
Initial & Date)
Date
Date
Personally Known to Me or
FD:
Initial & Date) (Initial & Date)
s
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, 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 thce
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 hermit 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 ba.ve 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' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, C • AdAPA , 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.
wner/Builder Signature Date
Print Owner/Builder Name
6C/
Signature o Notary —State of Florida
e, Anh Thu T Nguyen
Owner is rsonally-Kno t0 Me or as + My Commission DD304015
Produced ID (;or Expires March 25, 2008
6v A3_?y179 6
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Seminole County Property Appraiser Get Information by Parcel Number Page I of I
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PARCEL DETAIL Back
2005 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 11 -20-30-506-0000-0630 Tax District: Sl-SANFORD Number of Buildings: 1
Owner: BAKER DONALD C SR & Exemptions: 00- Depreciated Bldg Value: $90,471
MILDRED M HOMESTEAD Depreciated EXFT Value: $734
Address: 110 CROOKED PINE DR Land Value (Market): $17,800
City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $o
Property Address: 110 CROOKED PINE DR SANFORD 32773 JusVMarket Value: $109,005
Subdivision Name: HIDDEN LAKE PH 3 UNIT 2 Assessed Value (SOH): $80,372
Dor: 01 -SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $55,372
2004 VALUE SUMMARY
SALES Tax Value(without SOH): $1,607
Deed Date Book Page Amount Vac/Imp
2004 Tax Bill Amount: $979
WARRANTY DEED09/1983 01488 0506 $61,700 Improved Save Our Homes (SOH) Savings: $628
2004 Taxable Value: $53,873
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTEE
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 63 HIDDEN LAKE PH 3 UNIT 2 PB 27 PGS
LOT 0 0 1.000 17,800.00 $17,800 48&49
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 1983 6 1,476 1,962 1,476 CONC BLOCK $90,471 $98,875
Appendage / Sqft GARAGE FINISHED / 476
Appendage / Scift OPEN PORCH FINISHED / 10
EXTRA FEATURE
Description Year Bit Units EXIFT Value Est. Cost New
ALUM SCREEN PORCH W/CONC FIJ983 216 $734 $1,836
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
1purposes.
J**' If you recently purchased a homesteaded property your next year's property tax will be based on JustlMarket value.
re—web.seminole_county_title?parcel=1 1203050600000630&cpad=crooked&cpad—num=l 11/12/2005