HomeMy WebLinkAbout107 Wildwood Drv RECEIVED
3 OCT 2 5 2010 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:- Documented Construction Value:
00
Job Address: D ! wwwo ' Historic District: Yes No I
Parcel ID: 0' o?0" 30- 50, -CvT' Oo(b
Description of Work: &,12eoFyLse
Plan Review Contact Person:
Phone:
ame ,
Street-/_
City, State
Fax:
Zoning:
E-mail:
A.IMAM information
Phone: GZ0271 Resident
of property? : of
5
Title:
Contractor
Information Name
A) D Jre4t"-, KK,49 /k Phone: 6107 t(I 6- 6,? yS Street: !
3 o . %a'^/b Fax: City,
State Zip:. _S/r -+' ,. 3'7 ( State Licen a No.: Architect/
Engineer Information Name`.
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
Mortgage
Lender: Address:
PERMIT
INFORMATION Building
Permit "0 M Square
Footage: Construction Type: No.
of Dwelling Units: Flood Zone: No.
of Stories: Electrical
Plumbing New
Service - No. of AMPS: New Construction - No. of Fixtures: Mechanical (
Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
r__-
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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 may be 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.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. - Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Notary- SLt4 of Florida Date
Y'PyA" SELINA M. EVERIDGE
r MY COMMISSION # DD 1186440
EXPIRES: May 19, 2013
Rf fly. Bonded Thru Notary Public Undenniters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
I'
Signature of Contractor/Agent Date
I6 hA,6 2tr'1N 2,11 e--
Print Contractor/Agent's Name
IC)IZjIc
Signature of Notary -State of Florida
PATINA CLAYTON
ti*s N& ; MV COMMISSION # DO Bg4 O
EXPIRES: November 9, 2012
PublicUndsrwAters
a d Bonded Thru Notary
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
i11111Dt II IIII q goo IM010281in
Permit No. I ,
Tax'Folio No.
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
with Chapter713, Florida. Statutes, the following
information is provided in this Notice of Commencement.
1ARYME NORSE, CLERK OF CIRCUIT COURT
SENME COUNTY
BK 07466 Pg 11251 Upg) .
CLERK'S # 2010122879
RECORDED 10/22/2010 08s4200 AN
RECORDING FEES 10.00
RECORDED BY T Saith
iption of property: (le description of the property a street address 'f vailable)
9 16 /e,&o 3 S 7
0 'd-O — 30 -Sod —000_ Ody"0 2.
General description of imp vem t: 11
Owner information: Name. Address:
nk b.
Interest in property: c.
Name and address of fee simple titleholder (if other than Owner): Name: Address:
4.
Contractor Name: d / hL Phone number: c.
Address: 3 0L 0 S, -f'C 3J771 5.
Surety Name t Address:
WIWI—
CERTI
F b.
Amount of bond: $ FtY ANN 6.
Lender: Name:ri AAA
K pF (CIRCUIT DOUR DAddress:
OL b.
Lender's phone number: ' 7.
a. Persons within the State of Florida designated by Owner upon whom notices or other docu e provided
by Section 713.13(1)(a)7., Florida Statutes: Name: Address:
8.
a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor'
s Notice as provided in Section 713.13(1)(b), Florida Statutes. b..
Phone number of person or entity designated by owner: 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different i
date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND
OR AN ATTORNEY B FO COMMENCING WORK OR RECORDING YOUR NOTICE OF C
NCEM Z, ignature
of Owne or O er's A hori ed Officer/Director/Partner/Manager Signatory s Title/Office The
foregoing nstrument was acknowledged before me this day of", , Vyelarj , by (name of person) as (type of authority, ...
e.g. officer, trustee, attorney in fact) for ( rument was executed) . SEUNA
M. E
P
MY
COMMISSION ID886440 o
EXPIRES: May 19, 2013 tya;
Bonded Thru Notary Public UndenVOWS tA &A d_JOZ, Signature
of Notary Public Personally
Known OR Produced Identification Type of Identification Produced Verification
pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the
f stated in ' are true beo y knowledge and belief gnature
of tura erso "ignmg Above Rev.
date 3/2008
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
DAVID JOHNSONCrA, ASA PROPERTY
APPRAISE[
v
w 01`
FI 11E. RST ST SANFORd68 O;,FL
32771.1407-6BS77506 is ,g ;
r K
VALUE SUMMARY VALUES 2011
2010 Working
Certified
Value Method
Cost/Market
Cost/Market GENERAL Number of Buildings
1
1 Parcel Id: 10-20-
30-502-0000-0040 Depreciated Bldg Value 93,
577 94,386 Owner: LASKOWSKI DENNIS J & MOLLIE N Depreciated EXFT Value 0
0 Mailing Address: 107 WILDWOODDRLandValue (Market) 18,
000 18,000 City,State,ZipCode: SANFORDFL32773LandValueAg0
0 Property Address: 107 WILDWOODDRSANFORD32773Just/Market Value 111,
577 112,386 Subdivision Name: RAMBLEWOOD PortablityAdj00
Tax District: S1-SANFORDSaveOurHomesAdj
6,519 10,090 Exemptions: 00-HOMESTEAD (1994) Amendment 1 Adj 0
0 Dor: 01-SINGLE FAMILYAssessedValue (SOH) 1 $
105,0581 102,296 Tax Estimator Po_rtability_
Calcu.lator
2011 TAXABLE VALUE WORKING
ESTIMATE Taxing Authority Assessment Value
Exempt Values Taxable Value County General Fund 105,
058 50,000 55,058 Amendment 1 adjustment is
not applicable to school assessment) Schools 105,058 25,000 80,058 City Sanford 105,058
50,000 55,058 SJWM(Saint Johns Water
Management) 105,0581 50,0001 55,058 County Bonds 105,0581
50,0001 55,058 Potential_ Portability Amount is $
6.519 The taxable values and
taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2010 VALUE SUMMARY
Deed
Date Book Page
Amount Vac/Imp Qualified Tax Amount (without SOH):
48 1,245 WARRANTY DEED11/
1991
02360 1731 $82,000 Improved Yes Amount: Tax BillSavings., 203
WARRANTYDEED03/1984
01534 0234 $64,000 Improved Yes Homes Save Our Homes (
SOH)Savinps: 203 WARRANTY DEED 12/1979
01262 0924 $51,000 Improved Yes 2010 Certified Taxable Value
and Taxes QUIT CLAIM DEED 08/
1979 01239 1496 $100 Vacant No DOES NOT INCLUDE NON -
AD VALOREM ASSESSMENTS Find Corn arp able
Sales within thisSubdivisionLANDLEGALDESCRIPTIONLand
Assess Method Frontage
Depth Land Units Unit Price Land Value PLATS: Pick... o LOT 0 0 1.
000 18,000.00 $18,000 LEG LOT 4 RAMBLEWOOD PB 23 PGS 7 & 8 BUILDING INFORMATION Bid Num
Bid Type
Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building,
1 SINGLE
FAMILY
1980 6 1,452 2,472 Sketch 2,012 EW
CONCRETE
BLOCK $93,577 107,870 Appendage / Sgft GARAGE FINISHED /
440 Appendage / Sgft OPEN PORCH
FINISHED / 20 http://www.scpafl.org/
web/re_web.seminole_county title?parcel=10203050200000040&cpad=wildwoo... 10/20/2010
ifnae :riiF
t
T
yto 07-24-2009
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF,': -FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT,,, -FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 07/24/2009
PERSON: ROLLE
FEIN: 830377328
BUSINESS NAME AND ADDRESS:
A. R. CONSTRUCTION AND REALTY INC
1320 S OLEANDER AVE
SANFORD FL 32771
SCOPES OF BUSINESS OR TRADE:
1- CERTIFIED ROOFING CONTRACTOR
EXPIRATION DATE: 07/24/2011
ANDREW S
2- CERTIFIED GENERAL CONTRACTOR
IMPORTANT: Pursuant to Chapter 440 . 0504), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05021, F.S:, Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter r 440.05(131, F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
QUESTIONS? (850) 413-1609
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES * r
DIVISION OF WORKERS' COMPENSATION _f3
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW „..
EFFECTIVE: 07/24/2009 EXPIRATION DATE: 07/24/2011
PERSON: ANDREW S ROLLE
FEIN: 830377328
BUSINESS NAME AND ADDRESS:
A. R. CONSTRUCTION AND REALTY INC
1320 S OLEANDER AVE
SANFORD, FL 32771
SCOPE OF BUSINESS OR TRADE:
1- CERTIFIED ROOFING CONTRACTOR 2- CERTIFIED GENERAL CONTRACTOR
IMPORTANT
OPursuant to Chapter 440.05(14), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
H Pursuant to Chapter 440.05021, F.S., Certificates of election to be
exempt... apply only within the scope of the business or trade listed on
E the notice of election to be exempt.
R
E Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time, after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
CUT HERE
QUESTIONS? (850) 413-1609
Carry bottom portion on the job, keep upper portion for your records.
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06