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