HomeMy WebLinkAbout116 Hidden Lake Dr 04-131 ShingleHistoric District: Zoning: Value of Work:
Permit Type: Building _L Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool.
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Electrical: New Service — # of.AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Ca1E. Required)
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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: f
Construction Tyne: # of Stories: _ # of Dwelling Units: _ Flood Zone: (FEMA form required for other than X)
Parcel #: _ (Attach Proof of Own rs p & Legal Description)
Owners Name & Address: t -Q%''!<'tt. I o ? i A " CA J i I // 1 OJ Ir 7:144* ze /r"J bl
CC,,/ Z 7 7 t Phone: " 71 rr
Contractor Name &'Address: CGG O 0/ f/.S / 60 i*G( /Af/L( — f/,/
State License Number: ( (C o'Z
Phone & Fax: Contact Person: Phone:
Bonding Company:
Address: om
11MortgageLender:
Address: -(/ A
Architect/Engineer: _ Phone:
Address: 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 YOtPR' J?A MJG
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 record; of
this county, and there may be additional permits required from other governmental entities such as wager management districts, state agencies, or 66deral agencies.
of gKot is veyti,r6ati9r(t1X W1l no§fy the owner of the property of the requiremWof F5l6rida Lien Law/PS 713.
Si --nature o Date
P nt Owner/Agen 's Na e
Signature f Notary -State of a a Date
O kner/Agent is V11-Personalh Knok n to `le or
Produced ID
AITLIC,%I ION APPROVED BY: Bldg: Zoning: Jtial & Dk1,
Saecia! Conditions:
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Noiary-State of Florida
Pate ^'; G o
am C' o
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61,
Date .
Contractor/AQ,r.: is A—Pir onallv Known to Me or
Produce" :D
Initial & Date)
Ut .:lies: FD:
Initial & Date) (Initial & Dat:
0 0 T` t trc ac .c MARYAM KMI c1.E ciIiaJas r lRr
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NOTICE 01. COS NCI MENT'bK 0566 1 r> G t6T'ci-4a f
C Ault 1V r - •,l clOi IMK ]' . i..r 1®JCS f 7
w. I
State o£ Florida RECt W/ 15/ i i s s
County of Seminole RECoMBY g'C Kelloy i
Tlrc undersigned hereby gives notice that improvemcnt will be made to certain real property, andin-accordance with
Chapter 713, Florida Statutes, the follownag iIIformation Is provided in this Notice of Conu iencentent. I
I
1. Description of prope(: (le al description of the property mid str ct address if available)
2. General description of improvement:
Owner information
a. Name and address
b. Interest in property
c. Namc and address of fec simple titiclioldcr (if other than Owner)
4. Contractor
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a. Namc ,and address `1C i 00 ) 6LC g a ! k e At
7 7 / J -
b. Phone number Ve 7 - n _za - t Fax number 0
5. Surety `
a. Name and address
b. Phone number _
c. Amount of bond
Fax number
b. Lender ,
a. Name and address
b. Phone number IFax number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
RAT...,,... —A nAeIrncc
b. Phone number
8. In addition to himself or herself, Owner designates
Fax number
of
to receive a copy of the Licnor's Notice as provided in Section
713.13(l)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year fromth ate o re rdi ess a different
date is specified)
Signatu- f Owner
X Sworn to (or affiriied) and subscribed before me this V3TH day of
CERTIFIED Copy
Personally Known OR Produced ldcati ation
Type of ldcutification Produced
ARY OR SE
OLUW
ZDFPII
O3 , by
a
Y ^y' • MAW S. DAIBEY
MY COMMISSION DD 165972
p; a EXPIRES: Jon, 16, 2007
pfFd4 BondedThruNotary;-'j-:. Undarwriters
OCT 15 , 21a
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL d BackPF-
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o aprv/rtfwrt }v r ty
1101 K Fir -NI 'St. Grp _ r1
snford 1t. i'T 1 Vv dL
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GENERAL 2004 WORKING VALUE SUMMARY
11-20-30-5CR-OD00 Value Method: Market
TDistrict: S1SANFORD ParcelId: 0050 Tax src: - Number
of Buildings: 1 Owner:
PETRACCA CARMINO A Exemptions: 00- Depreciated Bldg Value: $69,293 JR &
HOMESTEAD Depreciated EXFT Value: $0 Own/
Addr: MELISSA C Land Value (Market): $14,000 Address:
116 HIDDEN LAKE DR Land Value Ag: $0 City,
State,ZipCode: SANFORD FL 32773 Just/Market Value: $83,293 Property
Address: 116 HIDDEN LAKE DR SANFORD 32773 Assessed Value (SOH): $64,398 Subdivision
Name: HIDDEN LAKE UNIT 1-A Exempt Value: $25,000 Dor:
01-SINGLE FAMILY Taxable Value: $39,398 SALES
Deed
Date Book Page Amount Vac/Imp 2003 VALUE SUMMARY WARRANTY
DEED 08/1983 01478 1501 $36,200 Improved 2003
Tax Bill Amount: $790 WARRANTY
DEED 05/1979 01224 1729 $39,000 Improved 2003
Taxable Value: $37,889 QUIT
CLAIM DEED 05/1978 01171 1296 $100 Improved Find
Comparable Sales within this Subdivision LAND
LEGAL DESCRIPTION PLAT Land
Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 5 BLK D HIDDEN LAKE UNIT 1-A PB 17 LOT
0 0 1.000 14,000.00 $14,000 PG 51 BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1
SINGLE FAMILY 1973 6 1,734 1,116 CB/STUCCO FINISH $69,293 $79,877 Appendage
I Sqft GARAGE FINISHED / 567 Appendage
I Sqft OPEN PORCH FINISHED / 51 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 properly your next ear's property tax will be based on Just/Market value. http://
www. scpafl.org/pls/web/re_web.seminole_county_title?parcel=1120305 CROD0000.... 10/ 15/2003
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POWER OF .ATTORNEY
Date: I - 7
UrC, , do hereby authorize Oel -e /Y A G
to pull the G tGpermit for / /idor tti leli type
of permit address 1Z77.
7 Signature
4,
FvLinda
A Keeling My
commission CC985428 Expires
December 09 2004 Personally
know me or drivers license # rt
a. County of-P-Ly1 iA, on day of 4N
en _, 2002.
7
FRSA-SIF 'Above the Rest'
FLORIDA ROOFING, SHEET METAL& AIR CONDITIONING CONTRACTORS ASSOCIATION, INC.
P.O. BOX 4907 • WINTER PARK, FL 32793 • (407) 671-FRSA
1-800-767-3772 • FAX (407) 671-2520
CERTIFICATE OF INSURANCE
ISSUED TO:
City of Sanford
Building Department
300 N. Park Ave.
Sanford FL 32771
ATTN:To whom it may concern
COPY PROVIDED TO:
Adcock Roofing & S/M
Adcock & Adcock Const
800 French Avenue
Sanford FL 32771
Date: 10/15/2003
Adcock Roofing & S/M Adcock & Adcock Const. Inc dba
This is to certify that 800 French Avenue
Sanford FL 32771
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: : 870-001423 EFFECTIVE
DATE: 01 /01 /2003 LIMITS
Workers'
Compensation Statutory -State of Florida Inc
dba Employers'
Liability $100,000 - Each Accident EXPIRATION
DATE: 01 /01 /2004 $100,000 - Disease, Each Employee 500,
000 - Disease, Policy Limit REMARKS:
Non -cancelable without 30 days prior written notice. 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. 6,
vZ727- Brett
Steigel, Administrator FRSA-
SIF By.
L _6 +t Debbie
Kemmerer - SIF Accounts Representative FRSASIF