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HomeMy WebLinkAbout191 Lakeside CirApplication No: I 5 3 Documented Construction Value: S 15yy OJob Address: .1 c . ;L j i' 6 c I R • ; Historic District: Yes No Parcel ID• Zoning: 0 Description of Work: f- V L U&, GI Q1 V1r- t T (.6C 4106e 2 J-Pt FC Plan Review Contact Person: Title: Phone: Fax: E-mail: W` Property Owner Information 1 . Phone: LA D 0 7Name ' \- iN lam- c i M-t 7 t AAJ Street: 6 1'© CCR ('T't, - 12. Resident of property? U City, State Zip: M AI "CL . r) L 3 2- IS 1 Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage:, Construction Type: No. of Stories: No. of Dwelling'Units: Flood Zone: Electrical Plumbing New Service' No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm , No. of heads: 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 YO-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. SigAture o O er/Agen Date 1 9Signature of Contractor/Agent Date Print Owner/Agent's Name 1`- ignature of Notary -State of Florida Date r 2otPPv vU c LEBBIE B1.1 lt:N. MY COMMISSION ull6z)UeiB EX?iR.ES: FeLruary 5, 2011a To.F°P - FL Notary D scoant .4ssx. Co. F1.R AAA,u. Iry Owner/Agent is Personally Known to Me or Produced ID Type of ID Fb L-eb"p- APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: FIRE: BUILDING: i Rev 11.08 9 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also ' understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I .understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue. Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department ,of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for t more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the, address listed below. I agree to notify the building department immediately'of any additions, deletions, or changes to any'of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are" regulated bylaws designed to protect the public. If you 'contract with a person wlio does not have a license, the Construction Industry Licensing Board; the Department of Business and; Professional Regulation andAhe building department may be unable toassist you with any, financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor maybe in civil court; It" is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held -'liable - for ,damages. -If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying., whether the contractor is property licensed and the status of the .contractor's workers' compensation coverage., property AddFe' T,s— L A k & S I n l2 C 1 I%L S' I w FvYZ Y ,: do hereby, state that I am qualified and cap ableofperforming the *requested construction involved with the. permit application filed and agree to the Form of Identification Must be Photo ID) Id z'2 k u ate A violation of this exemption is a-, misdemeanor of the first degree punishable by a term of imprisonment not' exceeding.l, year, and a $1,000.00. fine in addition to any civil penalties. in addition, the local permitting jurisdiction 'shall withhold final approval, revoke the -permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the pern ,issued. Rev. 9.14.2009 OWNER BUILDER STATEMENT/ FF1 DAVIT + :_ Altamonte Springs; Casselberry, Lake Mary, Longwood, Oviedo,, Sanford, Seminole County, Winter Springs. Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as 'my` own, contractor with certain restrictions_ even though I do not have a license. I understand that building permits are not required, to be signed by a property -owner unless he or she is responsible for. the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on,a permit. I understand that I may protect myself from potential financial risk by hiring,a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her.license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is.complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. t I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons : to have the property' owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees; while working on my property. My homeowner's "insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I 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 my building who Is not licensed direct and must be employed by me,'which means that I mustmustworkundermysupervision . comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my.failure to follow these laws may subject me to serious financial risk. Rev.9.14.2009 o es C A P I T A L H O L D I N. G S A 1810 Chippewa Trail Maitland, FL 32751 407-602-8257 www.MeridianCapitalHoldings.com Statement of Work 191 Lakeside Cir 1. Repair/replace siding in areas where wood siding is in noticeable disrepair. a. Estimated SgFt 200 b. Estimated cost $600 including Labor and Materials After repairing/replacing siding we will paint the whole house. 3. Replace all flashing on roof on sides where siding is being repaired. a. Estimated Cost $300 4. Remove all existing kitchen cabinets and put in new cabinets. Install new sink and faucet i. Estimated Cost $150 Reuse existing garbage disposal r Install new appliances including refrigerator, dishwasher, and stove. Replace carpet in 3 bedrooms c Paint interior of home iemmole County Property Appraiser Ciet lntormatlon by Parcel Number nttp://www.scpan.org/web, re_weo.seminote_county_title-iparcel=i i2u3u_*)"000UUu3.. Oavm JotuiHoiti,CFA, ASA I , PROPERTY APPRAISER APPRAISERSEMINOLE GOU NTY FL 1101 E. F143'TSST ewe[ poanv 3277t -1468 407- 665'=7508 GENERAL Parcel Id: 11-20-30-5KB-0000-0030 Owner: MERIDIAN CAPITAL HOLDINGS LLC Mailing Address: 1810 CHIPPEWA TRL City, State,ZlpCode: MAITLAND FL 32751 Property Address: 191 LAKESIDE CIR SANFORD 32773 Subdivision Name: HIDDEN LAKE PH 3 UNIT 7 Tax District: S1-SANFORD Exemptions: Dor: 01-SINGLE FAMILY VALUE SUMMARY VALUES 2011 Working 20101 Certified Value Method Cost/Market Cost/Market! Number of Buildings 1 1 Depreciated Bldg Value 66,604 70,488 Depreciated EXFT Value 0 so Land Value (Market) 18,000 18,000 j Land Value Ag 0 0 Just/ Market Value 84,604 88,488 Portability Adj 0 0 Save Our Homes Adj 1 0 0 Amendment 1 Adj 0 0! Assessed Value (SOH) 1 84,6041 88,488 21111111 TAYARI F 1/AI I IF WnOWIn1r_ COTIUATO Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 84,604 0 84,604 Amendment 1 adjustment is not applicable to school assessment) Schools 84,604 0 84,604 City Sanford 84,604 0 84,604 SJWM( Saint Johns Water Management) 84,604 0 84,604 County Bonds i p 84,604 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. JHLCJ Deed Date Book Page Amount Vac/Imp Qualified QUITCLAIM DEED 10/2010 07466 1783 100 Improved No CERTIFICATE OF TITLE 03/2010 07346 0667 35,286 Improved No WARRANTY DEED 07/2005 06832 1000 165,000 Improved Yes CORRECTIVE DEED 06/2004 05367 0231 100 Improved No QUIT CLAIM DEED 1212003 06119 1443 200 Improved No WARRANTY DEED 0212000 03807 1940 84,500 Improved Yes WARRANTY DEED 10/1999 03744 1527 62,000 Improved Yes SPECIAL WARRANTY DEED 10/1999 03744 1626 61,600 Improved Yes SPECIAL WARRANTY DEED 08/1999 03706 1430 100 Improved No CERTIFICATE OF TITLE 07/1999 03694 0017 100 Improved No SPECIAL WARRANTY DEED 06/1994 02796 0422 65,100 Improved No SPECIAL WARRANTY DEED 10/1993 02756 0936 100 Improved No CERTIFICATE OF TITLE 10/1993 02662 0492 100 Improved No WARRANTY DEED 11/1989 02128 0336 71,200 Improved Yes WARRANTY DEED 10/1988 02011 1637 $252,800 Vacant No LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 0 0 1.000 18,000.00 $18,000 BUILDING INFORMATION 2010 VALUE SUMMARY 2010 Tax Bill Amount: $968 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LEGAL DESCRIPTION PLATS:, k Plck LEG LOT3 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS 79 & 80 Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 SINGLE FAMILY 1989 6 1,272 1,551 Sketc1,272 SIDING AVG $66,604 $72,791 h Appendage / Sgft GARAGE FINISHED / 264 of 2 12/21/ 10 6:10 Plv 2010 LIMITED LIABILITY COMPANY ANNUAL REPORT FILED DOCUMENT# L09000063937 Secretary 'ofState Entity Name: MERIDIAN CAPITAL HOLDINGS LLC Current Principal Place of Business: New Principal Place of Business: 1810 CHIPPEWA TRAIL MAITLAND, FL 32751 Current Mailing Address: 1810 CHIPPEWA TRAIL MAITLAND, FL 32751 FEI Number: 27-0469698 FEI Number Applied For ( ) Name and Address of Current Registered Agent: AXNER, HOWARD 1810 CHIPPEWA TRAIL MAITLAND, FL 32751 US New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired ( ) Name and Address of New Registered Agent: The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent MANAGING MEMBERSIMANAGERS: Title: MGRM Name: AXNER, HOWARD Address: 1810 CHIPPEWA TRAIL City -St -Zip: MAITLAND, FL 32751 Title: MGRM Name: COURECH,RYAN Address: 2272 GRENWICH AVE City -St -Zip: ORLANDO, FL 32817 Title: MGRM Name: LEE, VICTOR Address: 4862 SHORELINE CIR City -St -Zip: SANFORD, FL 32771 I hereby certify that the information indicated on this report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 608, Florida Statues. SIGNATURE: RYAN COURECH MGRM 02/01/2010 Electronic Signature of Signing Managing Member, Manager, or Authorized Representative / Date