HomeMy WebLinkAbout131 Bristol Forest TrlCITY OF SANFORD PERMIT APPLICATION
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Permit #: ll sy { Date:
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Job Address\�rPS� \ Jc����, (�(� Z77
Description of Work:
Historic District: Zoning: Value of Work: $_ f
Permit Type: Building X, 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 Calc. 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 #: /�tt� T (Attach Proof of Ownership & Legal Description)
Owners Name & Address -1 �l-�'e 1�eO.a(l �xx{ S � ;E-> \ ` t '�-eSA VC.
Phone: -10-7 — t3 —1 s— 9 ��3%
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer.
Address:
Contact Person:
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 ma be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of p is v 'ficati t I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Si ature of Owner/ gent Date Signature of Contractor/Agent Date
CfY, e- S
Date
# DD 188491
EX i4a�S: February 25, 2007^
/IS Al
APPLICATION APPROVED BY: B / f Zoe g:
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
(Initial & Date) (Initial & Date)
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39
Utilities: FD:
(Initial & Date) (Initial & Date)
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6
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 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' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, �e 3 0.N1 eS , 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- y law on the permitted structure.
OwnerBuil r Signature Date
�O- if
Print Owner/Builder Name
_ s A/jJ k
Signature of Notary—State of Florida Date
Owner i °""Y� ' grsonall `ly or h s
Produce ) tJ'i CO>>'.:4i:;�ION # DD 188491
1 -800 -3 -NOTARY Discount Assoc. Co.
. ' Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
... /re_web. Seminole_county_title?parcel=22193050200000770&cpad=Bristol%20forest&cpad_15/4/2005
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PROPERTY
APPRAISER
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2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
22-19-30-502- S3-SANFORD-
WATERFRONT
Number of Buildings: 0
Parcel Id: 0000-0770 Tax District:
Depreciated Bldg Value: $0
REDVDST
Depreciated EXFT Value: $0
JAMES KATIE
Owner: L & DEAN A Exemptions:
Land Value (Market): $29,500
Address: 131 BRISTOL FOREST TRL
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32771
Just/Market Value: $29,500
Property Address: 131 BRISTOL FOREST TRL SANFORD 32771
Assessed Value (SOH): $29,500
Subdivision Name: PRESERVE AT LAKE MONROE
Exempt Value: $0
Dor: 00 -VACANT RESIDENTIAL
Taxable Value: $29,500
Tax Estimator
SALES
2004 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
2004 Tax Bill Amount: $533
WARRANTY DEED03/2005 05661 0232 $202,000 Improved
2004 Taxable Value: $26,000,
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 77 PRESERVE AT LAKE MONROE PB 62
LOT 0 0 1.000 29,500.00 $29,500
PGS 12 - 15
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valore
tax purposes.
"' If you recently purchased a homesteaded property our next ear's property tax will be based on Just/Market value.
... /re_web. Seminole_county_title?parcel=22193050200000770&cpad=Bristol%20forest&cpad_15/4/2005
PLAT OF. SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 77, PRESERVE AT LAKE MONROE
AS RECORDED IN PLAT BOOK 62, PAGES 12-15 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
NOTE:
FOR THE BENEFIT AND THE FINISHED FLOOR ELEVATION OF THIS
EXCLUSIVE USE OF: STRUCTURE MEETS OR EXCEEDS THE
COMMERCE TITLE COMPANY THE REQUIREMENTS SET FORTH IN THE
COMMERCE TITLE INSURANCE COMPANY CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
CTX MORTGAGE COMPANY, LLC
CSX RAILROAD R/W
OLD MAIN LINE TRACK
(UNPLATTED PER THIS PLAT)
%
/ 50.00'
(2/NO10.02/205)
N54'23'11"W
----------------------
LOT 77
Ln 6,250 SOFT. 30'
I CRAPHIG SCALE
I
A 53
0 IS 30
D ID
O �O
C N f C
D ID
N r
y 6.7'
5.0' S.0'
40.0• Z
Cn L4
N L/T TWO STORY
Ln
CONCRETE BLOCK L4 N
(71 17 k WOOD FRAME C7 (.71
LOT 7 8 O RESIDENCE LOT 7 6
FLOOR 0
C ELEVATION 13.7.72 (Q C
COVERED fTl
ENTRY
1 20.7*
5.0
`w.7:9..'
5.0. 12.3'5.7,' '
5.0
10 .
I I
')..CONCRETE.' I
I :,•DRIVEWAY '
I.........,.
;10' UTILLITY •"' I
WALK IS IEASEL/ENT ��} I WALK IS
2 OFF I Of -
S54'23'11 "E
50.00'
1475}00}9•EJ
185.85' 424
"� - -
.h6'
S54'23'II'E 610.33'
BRISTOL FOREST TRAIL
50' RIGHT-OF-WAY
NOTE:
1. ALL DIRECTIONS AND DISTANCE+AVE
BEEN FIELD VERIFIED,AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY,
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 02-22-05, UNUESS OTHERWISE
SHOWN. ��
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
5. NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL
NO 1202940035 E DATED 4/17/95 AND FOUND
THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE X
AREA OUTSIDE 100 YEAR FLOOD PENN.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE
ABOVE INFORMATION. PLEASE CONTACT THE LOCAL
F.E.M.A. AGENT FOR VERIFICATION.
ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY
VERTICAL CONTROL AS FURNISHED.
LOT 77
FIELD DATE:) 9-17-04
LEGEND
REVISED:
SCALE: 1 - 30 FEET
'END 1/2• IRON R00 AND CAP
APPROVED BY: SJ
GUILDINC SETBACK LINE
FINAL 2-22-05 CKB
ASM39691
JOB NO.
- CLNTERLINE
FORMBOARD 11-10-04 CKB
-
PLOT PLAN 5/7/04 SDO
DRAWN BY:
LOT FIT 12-13-02 CKB
nPl
CENTERLINE OFA -4A
PI
AMERICAN SURVEYING & MAPPING
CERTIFICATION OF AUTHORIZATION NUMBER LBp6393
1030 N. ORLANDO AVENUE, SUITE B
WINTER PARK, FLORIDA
32789 (407) 426-7979
/ FOR
THE
Z FIRM
GALEN K. BEI I IfSM 442 DATE
LEGEND
'END 1/2• IRON R00 AND CAP
—
GUILDINC SETBACK LINE
- V LB /6393 (02/22/05)
- CLNTERLINE
Q FND NAIL AND DISC
-
- RIGHT OF WAY LINE
LB /68 (02/22/05)
1 1 4 EXISTING ELEVATION
T163931R AAND CAP
® LET //ROO
CONCRETE
CNA CORNER NOT ACCESSIBLE
LB
LICENSED BUSINESS
o DENOTES DELTA ANGLE
LS
LICENSED SURVEYOR
L DENOTES ARC LENGTH
PRM
PERMANENT REFERENCE MONUMENT
C.B. DENOTES CHORD BEARING
PCP
PERMANENT CONTROL POINT
PC DENOTES POINT OF CURVATURE
PI DENOTES POINT OF INTERSECTION
QM)PERPLAT
MEASURED
PRC DENOTES POINT OF REVERSE CURVATURE
FND
FOUND
PT DENOTES POINT OF TANGENCY
C/W
CONCRETE WALK
TYP TYPICAL
S//W
SIDEWALK
A/C AIR CONDITIONER
CP
CONCRETE PAD
CBW CONCRETE BLOCK WALL
CS
CONCRETE SLAB
RP RADIUS POINT
C
CHORD LENGTH
CHU OVERHEAD UTILITY LINE
ELEV
ELEVATION
10 IDENTIFICATION
PK
PARKER KALON
POE POINT ON LINE
R
RADIUS
PCC POINT OF COMPOUND CURVE
POC
POINT OF CURVE
REV REVISED
I HEREBY CERTIFY, THAT THIS BOUNDARY
SURVEY, SUBJECT TO THE SURVEYOR'S NOTE!
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS" SET FORTH
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS IN CHAPTER
61G17-6, FLORIDA ADMINISTRATIVE CODE
PURSUANT TO CHAPTER 472.027, FLORIDA
AMERICAN SURVEYING & MAPPING
CERTIFICATION OF AUTHORIZATION NUMBER LBp6393
1030 N. ORLANDO AVENUE, SUITE B
WINTER PARK, FLORIDA
32789 (407) 426-7979
/ FOR
THE
Z FIRM
GALEN K. BEI I IfSM 442 DATE