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Home My WebLink About167 Lakeside Circ r CITY OF SANFORD JpN 9 201 BUILDING & FIRE PREVENTION if PERMIT APPLICATION F D , Application No: _r7 S Documented Construction Value: $ 4&D, •' Job Address: 10 L 81< Cs! D c C (R Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair M Demo Change of Use Move Description of Work: (,W002, FENCE TU R > 4de-/-' C`XISrWvG W odD FaICt Plan Review Contact Person: Phone: Fax: R Email: ( ' Property Owner Information Name _ M O NA E D N W 1 Phone: 40 7- 4 1 7. 0 (old 1 Street: 10 LAUSIDE Resident of pI•operty? YES h State Zip: 5AN FO IZD Q71K'ff X\:/1N 11'!"n^6M1JCS•N(J'S.4ir-•ti'rtRR'S:--w t efr • • 1••• n, A i?t.i LI , , . r: :: Rr:•,1. LjO, 's t: < Pr R Ci .;a::rf aa.c. 1 y 7h •i•. 1°.' it' r:.:`. iit .,t i<:l:iiiciZ.t1(7:i =w, r 7 .• :.' R ontractor'IriftSrimatioli .r ZI.'l t<t l4V rut'•• .7;CYi•7N'Cb rh3 ` ii,it11`'•cc•,i._o.»..o-•....•.—w+.e•«-.....,.w...0 ...ars,w¢ 7YIV/fl l,•RK.%\':)s4 GP.'S£.N':ii'elY.iiWfil: 1'D. TIL rr:aa.d. Name Phone: Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Date Signature of Contractor/Agent Date Mopm A -r-N VA-B Print Owner/Agent=ref e Print Contractor/Agent's Name 14 Signatur o ota -State oftYlorida Date Signature of Notary -State of Florida Date Pi''!`s r• " ' i .' V CABRAL MARY KATHRYN CABRAL tiss;:..„iFQt4504 3R :K Commission #FF014504ExpiresC% =; ,7 yE e 1 c Iy 1Y co B4%9ri Qi F p11W Jtlne V CV17 BadedirwirgFehY tena8003&Sa019 Owner/Agent is Personally Known /Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application M N OWNER,BUILDER STATEMENT/AFFIDAVIT 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 V_ i in his or her name instead of my own name. I also understand that a contractor is required by law to be JAv 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 J 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. A 1 lI" 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 1 persons working on my building or residence. It is my responsibility to ensure that the persons whom I I 1 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 thaverroneously implies that the property owner is providing his or her own labor and materials. I, 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'eoverage for'those injuries: I am'willfully' acting` as'ari`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 Iv must work under my direct supervision and must be employed by me, which means that I must I " comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must p"rovide workers' compensation for the employee-1Aunderstand`that'my'•fail6re to follow these laws may subject me,to serious financial risk. Rev. 9.14.2009 =: ';: r jr F ti !TakA vs;+, s..: w.......,....,....._..,.-.-sue.:., t,rr :•<,; r rJ , . , ;9= F I agree that, as the party legally and financially responsible for this proposed construction activity, I will I IQ 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. M V1 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 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for 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 r " listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have on this disclosure or in the permit application package. provided Licensed contractors are regulated by laws designed to protect the public. If you contract with a person Nwho does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be 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 Address: 14-7 LA 1(551 Dt C.I 2 _5&Nf4&a FL 39773 I, do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified 9ve. Signature of Owner -Builder Date 5-m-a 4 Form of Identification RAW i 5 t SC CDUA)*/df Must be Photo ID) rHte foa4p1Ni G I1VsmootJ1h'ttlo AcxmvwL j 4v orfw MG ?1tJS DAy o•4 JTkIJv{R/.26JG 6 MoNAMli189 YI B, A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdictiA 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 permit issued. W` Jd bTARY AP Y • rHRYN CABRAL 414504 Rev. 9.14.2009 X s MARY KATHRYN CABRAL , t .." eeoa 19 s Commission # FF 01M irz Expires June 6, 2017 Bonded Thu Troy Fain Mann 6o0.38S701D , J 1 I I i 1 1 PoY nP'.- ,r.•V '/+ VVe ner_ed to take PD-5silate to thank our am.3zing Clients 1 yc for their Support... Tharnk You g r a APPROVED PLANS E f3j. DEFT. OAS 1ani-T c"' tce U s\ V UN 39 m t =ao Jan mAr n a By: Address: 167 LAKESIDE CIRCLE SANFORD, FL 32773 NOTES: NO NOTES REPRESFNTAMONOFAS pRFPARFJ 11• MYDB2ELmOH.THLSCOMPUESVMTHE,AWN M.E. Land Services, Inc. 7EOED.^EALSFAIMARDS• FORFHBYME TEOFFLORIDABOARDOFPROFESSIO.MLAISO SWAVEVORSWO 17.FE`RRIDA nvECODEPURwuTTO477 n.FLOWASTAnRE& 10665 SW 190TH STREET SUITE 3110 SIGNED / FORTHEFIRM MIAMI, FL33157 PHONE: (305) 740-3319 WGUEL WAM r a pSM.No.5f01 SMAM FAX (305) 669 3190 _ Tm; MAPISMnVAUD ElECiftO Arro7REOARKMMRARNMSFuOFAEx-EHSEDO SURVEYOR LB#: 6463 •. Arm UAPPEEL .•• 1 w+ SunreyA51206 Client File #- 41492-25 Page 1 of 2 Not valid without all pages. SCPA Parcel View: 11-20-30-5KB-0000-0150 Pagel of 2 David Johnson,CF Property Record Card PROPERTY Parcel: 11-20-30-5KB-0000-0150 APPRAISER Owner: NAYAB MOHAMMED & NAIRA SFh71NOLEFLd3;it?A Property Address: 167 LAKESIDE CIR SANFORD, FL 32773-4521 Parcel: 11-20-30-5KB-0000-0150 Property Address: 167 LAKESIDE CIR Owner: NAYAB MOHAMMED & NAIRA Mailing: 167 LAKESIDE CIR SANFORD, FL 32773- Subdivision Name: HIDDEN LAKE PH 3 UNIT 7 Tax District: S3-SANFORD Exemptions: 00-HOMESTEAD (2015) DOR Use Code: 01-SINGLE FAMILY tC0 r Value Summary 2016 Working Values 2015 Certii Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 63,150 61,608 Depreciated EXFT Value Land Value (Market) 18,000 18,000 Land Value Ag Just/ Market Value 81, 150 79,608 Portability Adj Save Our Homes Adj 905 0 Amendment 1 Adj Assessed Value 80,245 79,608 Tax Amount without SOH: $ 2015 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 15 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS 79 & 80 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 80,245 50,000 Schools 80,245 25,000 City Sanford 80,245 50,000 SJWM( Saint Johns Water Management) 80,245 50,000 County Bonds 80,245 50,000 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 8/1/2014 08335 0440 107,000 No Improved CERTIFICATE OF TITLE QUIT CLAIM DEED 3/ 1/2014 4/ 1/2005 08222 05722 1182 0943 100 100 No No Improved Improved WARRANTY DEED 10/1/2003 05084 1957 117,700 Yes Improved http:// www.scpafl.org/ParcelDetailInfo.aspx?PID=l 120305KB00000150 1/19/2016 SCPA Parcel View: 11-20-30-5KB-0000-0150 Page 2 of 2 WARRANTY DEED 6/1/1998 03453 0755 72,000 Yes Improved WARRANTY DEED 8/1/1988 01993 0847 64,900 Yes Improved WARRANTY DEED 5/1/1988 01962 1305 207,500 No Vacant Find Comparable Sales within this Subdivision Land Building Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE FAMILY 1988 6 958 1,438 1,118 SIDING GRADE 3 63,150 71,356 Description I ENCLOSED PORCH FINISHED GARAGE FINISHED OPEN PORCH FINISHED Permits Permit # I Type I Agency ( Amount I CO Date I Permit Date No data to display Extra Features http://www.scpafl.org/ParcelDetailInfo.aspx?PID=l 120305KB00000150 1/19/2016