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HomeMy WebLinkAbout123 Country Club Dr1 CITY OF SANFORD PERMIT APPLICATION� % Permit # : ® Date: '70JV ,e, // ! Job Address: ,� ��/ate / J (�C/ J . _�rr1461' Description of Work: "Q C -Fldi Ao"w ppt Historic District: Zoning: Value of Work: S rJ. 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 Calc. 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 required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: Person: (Attach Proof of Ownership & Legal Phone: Fa:: 'OPO/ SJ2967 C, S'3, S - 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,anthere emay,be additional permmitp. ed om o gov rnmental entities such as water management districts, state agencies, or federal agencies. Accep ,.o is Vee>�atr6n a � rr�`oti wner f the gr operty of the req emendtsl,)LZm/-S 713. �O 42t co er/Agent Date Sign ture of or/Agent Date Zacty K.r r Print caner/Agent's Name " i ontracto ent's Name G a�o� - $ rie S ri ate Sig o otary-State of Flori �q+ p6d CAR BLANC MY CO ISSION d DD 358680T g AOL � �otary Public, State of Florida +'foFt�°t EXPIRES: October 24, 2006 My comm. expires July 20, 2008 _ No. DD 339206 4 or Con for/Agent is _ Personall$et Produced ID Produced ID � t' APPLICATION APPROVED BY: BldgZ.nitfial Zoning: Utilities: FD: & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: e'Z� Q License #: CC.c(:,S Lo2;1 (i" v \ (,L -) p Owner:, Mc name address phone Project Information Permit #: C) _�Z) Subdivision: J Lot #: 14—� / d , affiant, hereby affirm that I am the duly licensed contractor of record for'the abe<e referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. STATE OF FLORIDA COUNTY OF This instrument was acknowledged before me this day of by the above referenced individual, - ,who acknowledged that he/she is a duly licensed contractor witli , and who acknowledged that he/she was authorized to execute this document. He/she is -e' er personally known to me or produced S �0 \ a - y 3Ca C0 1- \�3S-O as valid identification. WITNESS my hand and seal this _ day of , 20C � Notary Public Pua<�el�RA'DEGW4 8C GOMW551' N DD 2006 5•, Novembef i2, � � �o ga deO��Pu Bud9etNotary Services The City of Sanford. Permit Authorization Site Specific Power of Attorney I, 1:-A4, 1"a'�?� hereby authorize 5-f �.f',� �.,� to obtain a permit in my behalf under my license # p sz�,3 7 for the job described below: Type Permit 11 Description Building Owner L rrl i Electrical Site Addre 3 Plumbing HVAC Tax Parcel Roofing_ Pool Other (License holder signature) Date State of Flora . County of !hb Qj�, Affirmed & subscribed before me this __U_ day o , 20� by �S6'✓� , who is personally known to me or who has produced as identifica o,.:' CARYL LEBLANC � Notary Public, StateFlorida My comm. expires July 20, 2008 No. DD 339206 Signature of Notary Public, State of Florida Print, Type or Stamp Name of Notary Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I ...... ..... . ]PROPERTY APPRAISER _X 407 - 6M'. 750e, 2005 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 1 Parcel Id: 35-19-30-520-OE00-0040 Tax District: SI-SANFORD Depreciated Bldg Value: $44,328 Owner: MC CROSSIN LARRY K Exemptions: Depreciated EXFT Value: $0 Address: 706 WINGO ST Land Value (Market): $17,000 City,State,ZipCode: ORLANDO FL 32803 Land Value Ag: $0 Property Address: 123 COUNTRY CLUB DR SANFORD 32771 Just/Market Value: $61,328 Subdivision Name: COUNTRY CLUB MANOR UNIT 1 Assessed Value (SOH): $61,328 Dor: 01 -SINGLE FAMILY Exempt Value: $0 Taxable Value: $61,328 Tax Estimator SALES 2004 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp QUIT CLAIM DEED 06/1999 03698 1124 $19,500 Improved 2004 Tax Bill Amount: $1,025 PROBATE RECORDS07/1999 03684 1271 $100 Improved 2004 Taxable Value: $50,027 PROBATE RECORDS1 1/1998 03559 0563 $100 Improved DOES NOT INCLUDE NON -AD VALOREM ASSESSMENT,< Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 4 BLK E COUNTRY CLUB MANOR LOT 0 0 1.000 17,000.00 $17,000 UNIT 1 PB 11 PG 35 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 1958 3 720 1,148 720 CONC BLOCK $44,328 $60,723 Appendage / Sqft UTILITY UNFINISHED / 55 Appendage / Sqft ENCLOSED PORCH UNFINISHED/ 99 Appendage / Sqft OPEN PORCH UNFINISHED / 65 Appendage / Sqft CARPORT UNFINISHED / 209 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoren tax purposes. *** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value. Ire—web.seminole—county_title?parcel=3519305200EO00040&cpad=COUNTRY%20CLUBc612212005 Tile, Shinlee, Flat, Reroofs, Leak Repairs Licensed and Insured \.11�'� �71.d1C� L.dll•�y4aa1iiJtiJ7 G� � � t aA . •\ \ .Job Address Job pecifications: Remove existing roof & haul away. Furnish & install lb. felt. Furnish & install painted metal eave drip. Color Furnish & install Weatherwatch valley linings. Furnish & install 16" valley metal. Furnish & install ___L,1.5", --/—, 2", and _�, 3" lead flashings. Furnish & install , 4", , 6", , 10" GRV roof vents. Furnish & install year fungus resistant fiberglass shingles. Furnish.& install ft. of ridge vent. - �ieroof any flat areas with modified bitumen roof system. clean up all debris & haul away. Ir yr. labor warranty. ✓Price includes all permits, taxes and dump fees. Other We propose hereby to furnish material and labor- complete in accordance with the above specifications. Price: D Extra charges: Plywood replacement @ per sheet. Fascia or truss end replacement @. per ft. Payment terms: G All material is guaranteed to be as specifipil. All work to be completed in a wor ike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the stimate. All agr ements aA contin ent upon circumstances beyond our control. Authorized Sig nat 1« This proposal may be ith n by Vit not accep ed i0 in 30 days. , Acceptance: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as',outlined above. Authorized Signatur Date of Acceptance THIS INSTRUMENT PREPARED BY: NAME�;;� ADDDR. D NOTICE STATE OF FLORIDA tilil oil MARYANNE MORSE -9 -CLERK OF CIRCUIT COURT 5EMINOLE COUNTY BK 05772 P'G 0705 CLERK'S # 22005101502 RECORDED 06/17/22005 01:30:46 FSI RECORDING FEES 10.00 OF COMMENCEVEff D Thonas TAX FOLIO NO. PERMIT NO. COUNTY OF SEMINOLE The UNDERSIGNED hereby gives notice that improvement will be made to certain and real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal description and street address) 123 Country Club Dr. Sanford FL 32771 LEG LOT 4 BLK E COUNTRY CLUB MANOR UNIT 1 PB 11 PG 35 General Description of Improvement Reroof r �ti1A0YAN"',E IYIURs .,f rtpCl!IT COURT OWNER INFORMATION SULLK`\ FLORIDA EOL C Name and Address MC CROSSIN LARRY K BY DEPUTY 706 WINGO ST ORLANDO FL 32803 AIN i u s —� Interest in Property (Fee Simple, Partnership, etc.) NAME AND ADDRESS OF FEE SIMPLE TITLEHOLDER (if other than owner) CONTRACTOR Timothy J. Hutchinson, 1002 E. Shell Point Rd Ruskin FL 33570 (Name and Address) SURETY (Bonding Company) Name and Address Amount of Bond LENDER Name and Address Persons within the State of Florida designated by owner upon whom notice or other documents may be served as provided by Section 713.13(1), (a) 7., Florida Statutes. (Name and Address) In addition to himself, Owner designates or 713.13(2), (b), Florida Statutes. Expiration Date of Notice of Commencement to receive a copy of Lienors Notice as provided in Section (The expiration date is 1 year from date of recording unles d rent date is secifted.) SigAture of Owner Sworn o and sub 'bed before me this A day of �Q41g.. DD Notary Pu is My Commission Expires The foregoing instrument was acknowledged before me this day of , by IMY XEI%/AI V;Aname of person acknowledged), who is personally known to me or who has produced 0#/1"S .C/ gWgMe (type of identification) as identification and who did (did not) take an oath. a�1�YP CARYNTER HOFFMAN �, MY COMMISSION # DD 358880 ���oc 1o! EXPIRES: October 24, 2008