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HomeMy WebLinkAbout170 Rose Hill TrlaAlm CITY OF SANFORD ECMVEwa BUILDING & FIRE PREVENTION PERMIT APPLICATION F FEB 18 2016 Application No: BY: 00 Documented Construction Valu . $ Job Address: j 74 eOsc A/j TlQ(, S i-W FZ 32 7)3 Historic District: Yes No Parcel ID: Type of Work: New 9 'Adddition Description of Work: V /? ~% Residential Commercial AIteration Repair Demo Change of Use Move 41 Feld Cam- & Plan Review Contact Person: T49 Z 6? 1761, rS V Title: '214/ Phone0O7 S70 -sy/ Fax: Email: &I/ e coo kle MQO 1, C. m Property Owner Information 1Name /Te_t Cc, S leIJ.O Phone: %%J 370 - ,5-10% Street ©Se /-// Aa Resident of property? City, State Zip: 5 /) Z6,- )G --TZ 77,5 1-1 Name Street: City, State Zip: Name: Street: Contractor Information Phone: Fax: State License No.: Architect/Engineer Information Phone: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictiti is app,licable fo,tfiisrpropetty that may bg found in the public records ofthis 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 4 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. r 7 Signature of Owne /Agent Date 1<40 Print O er/Agents Name Signature of Notary -State of Florida Date Signature of Contractor/Agent Date Print Contractor/Agents Name Signature of Notary -State of Florida Date Owner/Agent is Personally Kn wn to Me Contractor/Agent is Personally Known to Me or Produced ID Type of ID /' o w Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg; Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads COrCN(n APPROVALS: ZONING:': 1-1 'UTILITIES: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Ok to install 6 foot vinyl fence as shown on plan. Fences shall be constructed with finished side facing outward. Revised: June 30, 2015 Permit Application 1 I i P 1 TI• 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 Tthe an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of 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 for the and is not hiring a licensed contractor to assume responsibility. responsible construction 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 T-F perssons 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 TTinjuries and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any 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 Tcomply must work under my direct supervision and must be employed by me, which means that I must with laws requiring the withholding of federal income tag 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 I agree that, as the party legally and financially responsible for this proposed construction activity, I will Iabide 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 TTServices, 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 more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand TTthat 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 TT information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who 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 7 T 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:_ 170 Rage- M fl ] KCV L .Sq_ 2L S2- 77,? I, 'Tei(lana- /S 6eI)kc , do hereby state that I am qualified and capab e of performi the requested construction involved with the permit application filed and agree to the conditions specified above. Signature of Wider Date Form of Identification (/,s Ael'wgnef( Caro( Must be Photo ID) OZIA" f,C i L 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 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 permit issued. Rev. 9.14.2009 SCPA Parcel View: 18-20-31-503-0000-0360 Page 1 of 2 1 Property Record Card cp. Parcel: 18-20-31-503-0000-0360 Owner: TSYBENKO TETYANA IrtoLEcourrTv p IDA Property Address: 170 ROSE HILL TRL SANFORD, FL 32773 Parcel:18-20-31-503-0000-0360 1 Property Address: 170 ROSE HILL TRL Owner: TSYBENKO TETYANA Mailing: 170 ROSE HILL TRL SANFORD, FL 32773 Subdivision Name: ROSE HILL Tax District: SI-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY Method l Frontage l Depth l Units Value Summary 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 89,681 86,443 Depreciated EYFT Value 13,670 14,336 Land Value (Market) 27,000 27,000 Land Value Ag Just/Market Value 130,351 127,779 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 19,635 Assessed Value 130,351 108,144 Tax Amount without SOH: 2015 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Units Price I Land Value 2,354.99 2,354.99 0.00 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=18203150300000360 2/18/2016 SCPA Parcel View: 18-20-31-503-0000-0360 Page 2 of 2 LOT I I 1 1 $27,000.00 1 $27,000 Building Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1999 8 1,253 1,774 1,253 CB/STUCCO 89,681 95,405 FAMILY FINISH Description Area GARAGE 420FINISHED OPEN PORCH 24 FINISHED OPEN PORCH 77 FINISHED Permits Permit # Type Agency Amount CO Date Permit Date 03637 Addition - Residential Sanford 3,920 9/1/1999 02675 Addition - Residential Sanford 15,151 6/1/1999 00230 New - Residential Sanford 59,697 4/13/1999 10/1/1998 Extra Features Description Year Built Units Value New Cost SCREEN ENCL 2 5/1/1999 1 2,170 5,000 POOL 2 5/1/1999 1 11,500 20,000 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=l 8203150300000360 2/18/2016 Legal Description: Lot 36, ROSE HILL, according to the map or plat thereof, recorded in Plat Book 54, Pages 41-42, of the Public Records of Seminole County, Florida. Property Address: 170 Rose Hill Trail Sanford, Florida 32773 SKETCH OF SURVEY TYPE OFSURVEY.' BOUNDARY yAp.pkUVEU VLAIIS IENG: DEPT. GENERAL NOTES: Ok to install 6 foot vinyl fence as shown on 2)UNDERGROUNDFE473.,UCH S,IMPROVEMENTS,ENCROACHMENTS Plan. Fences shall be constructed with OR UTILMES,LFEXISTENT, WERE NOTLOCATEDSAPARTOF THIS SURVEY. finished side facingoutward. 3) BUILDING T7ESARETO THEFACEOF 7HEWALL ANDARENOT TO BE LLSED RECONS7RUCTBOUNDARYLINES. THEDIMENSIONSOFBUILDBOG(S)SSW mncn.-. DO NOTINCLUDEAN EAVE OVERHANG UNLESS NOTED. 4) NOIDENT7RCAT70NFOUND ONPROPERTYCORNERS UNLESS O771&RMSESHOWN. 5) DIMENSIONSSHOWNAREPLATANDMEASURED UNLESSOTHERMSESHOWN. 6) BEARINGSSHOWNHEREONAREREFERENCEO TO THELINENOTEO B.R 7) THESURVEYDEPIC7EDHEREONFOR,ISACLOSED GEOMETRICFIGURE e) THIS SURVEYIS PREPARED FOR 7HEE(CLUSIVEUSEAN0 BENERTOFTHEPARTIES LISTED HEREON. UA61ITYTOTHIRD PARTIESMAYNOTBETRANSFERRED ORSSIGNED. 9) THIS DRA KING MA YNOTSE TO SC4LEDUE TO ELECTRONIC TRANSFER OR COPY. 10) THIS SURVEY DOES NOT REFLECTORDETERMINEPROPERTYOWNERSWROWNERSHIP OFFENCES, IFANY, WERENOTDETERMINEDASAPARTOFTHIS SURVEY. 11) THE SURVEYDEPICTED HEREON IS NOT INTENDED TO SHOW THE LOL 477ONOR EXISTENCEOFANYWETLMDORJURISDICTOM AREAS. THEREMAYBEAR94SWITHIN 7HEBOUNDARIESOF7HISSURVEYTHATMAYBECONSIDEREDJURISDIC770NAL BY VARIOUSAGENCIES. 12) THIS SURVEY IS VALID INACCORDANCE WITH F.S. 627.7842, FORA PERIOD OF90 DAYS FROM THE DATEOFCERTIFICATION. 13) THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ONLY, AND IS EXCLUSIVELYFORTHIS USEBYTHOSE TOWHOM ITISCFRTLFlED. THISSURVEYISNOT TOBEUSED FOR CONSTRUCTTON, PERAIITTING, DESIGNORANYOTHERUSE W7THOUT THE WRITTEN CONSENT OF THEATTES7ING SURVEYOR. 14) THIS IS NOTANALTAIACSMLAND T/7LESURVEY. NO E%AMINAT' ONOFT171EWAS MADE BY THESURVEYOR. 15) THESELANDSMAYBESUBIECTTODEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS, ANLVOR 07HER RECORDED ENCUMBRANCES NOTSHOWN ON THEPLAT. LEGEND & ABBREVIATIONS NC AIRCONDITIONER N. NORTH B.R. BEARING REFERENCE N& D NAIL & DISC C. CALCULATED MR NONRADIAL C.M. CONCRETEMONUMENr OHL OVERHEAOLINES CONC. CONCRETE O.R. B. OFFICIAL RECORDS BOOK CALC. CALCULATED P. PLAT CA TV CABLETELEVISIONRISER P.B. PLATBOOK CS CHORD BEARING P.C. POINTOFCURVATURE CH CHORD P. C.C. POINT OF COMPOUND CUR VATURE COR. CORNER P.C.P. PERMANENTCONTROLPOINT D DESCRIPUONORDEED PG PAGE D.E. DRAINAGEEASEMENT P,l, POINTOFINTERSEC7701V EL. ELEVARON P. K. PARRER40YLONN,41 ELEV. ELEVATM P. O.L. POINTONUNE E. EAST P. P. LRA/ YPOLE E.D.P. EDGEOFPAVEMENr PVC POL n4MYL CHLORIDE E. O.W. EDGE OF WATER P.O.B. POINTOFBEGINNING EP.U.E. ELEC7RICPOWER P.O.C. POINTOFCOMNENCEMENT UTILITYESEMENT P.R.C. POINTOFREVERSECURVE ESA1T. EASEMENT P.R. U. PERMANENTREFERENCEMONUMENT F.F. FINISHEDFLOOR P.T. POINTOFTANGENCY FD. FOUND R. RADIUS LP. IRONPIPE RAD. RADIAL IR IRON ROD RAD.PT. RADIUSPOINT L ARCLENGTH RAN RIGHTOFWAY M. FIELDMEASURED S. SOUTH M. E. AMINTENANCEEASEMENT 30 0 15 30 GRAPHIC SCALE ( In Feet) 1 Inch — 30 it. FD. X CUT PLATTED PC O O ON LOT 39 O O s(3 LOT Do N 37 r' m N895548" E 130. 20'(P) B. R. 130.30'( M) 10 2.21V M. 5/8IR 6.4E 2 3 FD. 518 IR I POOL Z Z 12.5' iDE a PUMP o o A k to OO l a 029.0' 32.0' tS?" OD O a'm--jo LOT # 7.4' `l? v 3.3. CONC S V IS, o I ( n 36 25'Y' ; N I r y V V ONE STORY m RESIDENCE1170 16.6': CIDpOA. CONC O 56. I A/C v 27 tFD 5/ 8- IR S89 5548"W 130. 20'(P) FD. 5/8' IR C) S89 49'32 "W 130. 38(M) LOT 35 NOTE: NAV.D.19W NORTHAMERICANVERTICALDATUM19M 1NCOMPLIWCEWITHFLORIDAADMINISTR4TIVECOOE5J•f7.052( 2)( d) 4, 1FLOCATIONOF N.GVD.1929 NA77ONALGEOOETICVER7ICALDATUM1929 EASEMENTS ORRIGHT-Of= WAY OFRECORD.07HERTWIN THOSEONRECORDPLAT G.P.S. GLOBAL POSITIONING SYSTEM ISREOUIRED,THISINFORMATIONMUSTBEFURNISHEDTO THESURVEYORANDMAPPER. NA.D. 27 NORTHAMERICANHORIZONTALDATUM 1927 FLOOD ZONE NA.D. 83 NORTHAMERIGWHORIZONTAL a4TUM 1983 ( FOWINFORMATIONAL PURPOSES ONLY) SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD ZONE "X", SAY SIDEWALK PER F.I.R.M. COMMUNITY & PANEL NUMBER 120294-0070 F, LAST REVISION DATE 09/28/2007 SEC. SEC77ON TEL. TELEPHONEFAC1177ES THIS SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF T.O.B. TOPOFBANK THE ABOVE INFORMATION. IT IS SUGGESTED THAT A FLOOD ZONE DETERMINATION TX TRANSFORMER BE VERIFIED FROM THE COUNTY IN WHICH THE SUBJECT PROPERTY LIES. TYP. TYPICAL U.E. UnLITYEASEMENT W. WEST Section 18, Township 20 South, Range 31 East W.M. WATERMETER Drawn By. KEN I Survey Number: 15-1611 SYMBOLS CENTERLINE LS CEN7RALANGLE/ DELTA EM-7--1 CONCRETE CONC. BLOCK WALL TYPICAL COVERED AREA 1_ EXIS77M ELEVA TION PVC FENCE PROPERTYCORNER SITEBENCHMARK x- WELL WIREFENCE WOOD DECK WOOD PENCE Prepared By 1399 LEGENDARY BLVD PHONE 407- 385- 3151 CLERMONT, FL 34711 407-385- 3152 CERTIFICATE OF AUTHORIZATION LB7723 FAX 1- 866-941-8789 CER7\F\ED7O'. Tetyana Tsybenko; Hillsborough Title dba Paramount rde, Chicago Title Insurance Company Caliber Home Loans, Inc., its successors andlor assigns. OF THIS SURVEYSKETCH IS COPYRIGHTED MATERIAL.© SHEET 1r 1 SURVEYORS CERTIFICATION 1, THEUNDERSIGNEDREGISTEREDSURVEYOR, HEREBYCER77FYTHAT THIS DOCUMENT WAS PREPARED UNDER MYDIRECTSUPER WSIONAND THA T TO THE BEST OFMY KNOWLEDGE, INFORMA 77ON, AND BEUEFISA 77?UEANDACCURATEPRESENTA770NOF7HEINFORA44TIONSHOWNHEREON. LAST DATE OF FIELD SURVEY: 10-30-2015 SIGNATURE DATE: 11-4- 2015 THE FIRM PA7RICKK. IRELAND, Professional Land Surveydl& fi apperNo. 6637, Slate ofFlodda NOT VALID Wl7HOUT THESIGNATUREAND THEORIGINAL RAISED SEAL OFA nORla4 LICENSED SURVEYORAND MAPPERANDIORANAU7HENTICATED ELEC7RONIC SIGNATUREAND ELEC7RONICSFAL. CITY OF SANFORDECEIVEBUILDING & FIRE PREVENTION D FEB 18 2018 PERMIT APPLICATION By; Application No: "0S Documented Construction Value: $ Job Address: y S e20'* ST Parcel ID• Type of Work: New AdditionEj, Allteration Repair Dem Description of Work: l/ ,j' Plan Review Contact Person: W 11 / Phone: tall Fax: Email: Historic District: Yes No B_ Residential Commercial Change of Use Move Title: r 1, Property Owner Information ,` Name At rtt6'J Wr.St ac Phone: YU% &y9^ z,6,3 Street: 290 $ 14kL'V-reW P? Resident of property? : Ak-1 City, State Zip: filW PIRK, IQ- 3a?31) Name Street: City, S1 Name: Street: City, St, Zip: nation G Phone: Fax: laq State License No.: Architect/ Engineer Information Bonding Company: /11 Address: 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: 51h Edition (2014) Florida Building Code 4 Revised: June 30, 2015 Permit Application %1 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. ure of Owner/Agent Date Name of N PAULA OROBELSKI Notary Public - State of Florida Commission # FF 226552 sty Comm. Expires May 4, 201 f Produced ID up Date to Me or Signature of C tractor/Agent Date Print Cont gent's Name SiQnatur of -Slate-of Florida Date PAULA GROBELSKI Notary Public - State of Florida a Commission # FF 226552 its My Comm. Expires May 4, 2019 Contr w4qkoy ao Me or Produced ID Type of ID ) I` C9 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 31-19-31-512-0000-0200 Page 1 of 2 Dav(d.Jotind'on,CFSA Property Record Card PROPERTY Parcel: 31-19-31-512-0000-0200 APPRAISER Owner: MATTHEW WEST LLC TRUSTEE FBO SENIINOLECOUNTY, FLORIOA Property Address: 845 E 20TH ST SANFORD, FL 32771 Parcel:31-19-31-512-0000-0200 Property Address: 845 E 20TH ST Owner: MATTHEW WEST LLC TRUSTEE FBO Mailing: 2908 LAKEVIEW #112 FERN PARK, FL 32730- Subdivision Name: MAGNOLIA HEIGHTS Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY OR 16 Le Legal Description LOTS 20 + 21 MAGNOLIA HEIGHTS PB5PG76 Taxes 963 Value Summary 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 43,115 36,709 Depreciated EXFT Value 600 600 Land Value (Market) 23,442 23,442 Land Value Ag Just/Market Value 67,157 60,751 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 67,157 60,751 Tax Amount without SOH: $1,236.37 2015 Tax Bill Amount $1,236.37 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 67,157 0 67,157 Schools 67,157 0 67,157 City Sanford 67,157 0 67,157 SJWM(Saint Johns Water Management) 67,157 0 67,157 County Bonds 67,157 67,157 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 10/1/2015 08562 1910 37,100 No Improved WARRANTY DEED 7/1/2015 08525 0240 51,300 No Improved CERTIFICATE OF TITLE 2/1/2014 08206 0183 100 No Improved WARRANTY DEED 6/1/2001 04111 1178 59,800 Yes Improved CORRECTIVE DEED 8/1/1998 03480 0045 100 No Improved WARRANTY DEED 12/1/1997 03348 0526 100 No Improved WARRANTY DEED 9/1/1987 01888 1212 50,000 Yes Improved WARRANTY DEED 8/1/1984 01575 1308 44,100 Yes Improved WARRANTY DEED 12/1/1983 01515 1329 37,600 No Improved WARRANTY DEED 10/1/1980 01301 1312 33,500 No Improved r111U I tA11Vdrd Ule )dle5 WILIIIII U115 JUUUIVISIOn Land hq://www.sepafl.org/ParcelDetailInfo.aspx?PID=31193151200000200 2/23/2016 f RECORD COPY Sys as sf REVIEWED FOR CODE COMPLIANCE P S EXAMINER DATE 3V Cry col clms b Ex is Tu ' r c Lr6, 40 sp &--6 U')k GF-r Exi ids is how, r G SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE 16-560 A u udo d ' CGCISO, s.76 GFcIVa69391 //, y REQUIRED I NSPECTII BUILDING 'PERMIT Min Max Inspection Description Tooter / Setback Stemwall Foundation / Form Ptnnrrl CtirvPv Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof RoofDry In Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final .Solar Final .Roof Final Stucco / Siding Insulation Final Final Utility Building Final'Door Final Window Final Screen Room Final Pool Screen Enclosure Mobile Home Building Final Pre -Demo Final Demo Final Single Family Residence Final Building (Other) REVISED: June 2014 ON SEQUENCE EI.ic-I,,RiGALT ER14 'IT-:. Min Max ns, ection Description Electric Underground Rooter / Slab Steel Bond Electric Rough T.U:G. Pre -Power Final Electric Final Mn Max llns, ecdon IlDescng .tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHAM CUM A?%RWT 1®' 1[in Max Enns, echou IlDeseen Lion Mechanical. Rou h Mechanical Final Minn Max Im , . ectnorn ] Den ' dom Gas Underground Gas Rough Gas. Final THIS INSTRU p PR PARE BY: Name: /77 Address -t g icy 1 rrarrri deist fill9 tBtt9 1111.I !®Ill! IlIl1119 1 MARYANNE MORSE, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLERBNaco00001-3 692 (1F'3s) CLERK'S T 2]16019670NOTICEOFCOMMENCEMENTRECORDED02i24i2016 8:03:08 AM RECORDING FEES $10.00 State of Florida RECORDED BY hda_vore County of Seminole Permit Number: Z/, - r i Parcel ID Number: 7/.- / ,(? -,'Z " S12Q -'Ooe % " /),J 8 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION51' P gPERTY: (Legal descriptig0 of th , propeavind street address if available) GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name: I r l&-rrfA" t0a 5T, L LC Address: 2`0$ LRKcy;r-t,y i? Suwr %3 a Ff/.nJ A2/_, FL 82 -7 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: Address:0 0 c .S,•r / Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 7,13.13(1 (b), Florida Statutes. Name: ! /'LP.GC i'CS In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. of To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different 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 LENDER OR AN ATTORNEY; BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the b wledge and belief. o fif e? 44— W -e Owner's Signature Owners Printed Name Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead " LW cO w C _ j z State of_C5N j C County of JS of t-4 C The foregoing instrument was acknowledged before me this _ day of /' (. -eL^ — 20 Z r Y ` .Who is personally known to me oNameofpersonmakingstateenl n e OR who has produced identificationype of identification produced: y / L PAULA BROBELSKI g E Notary Public - State of Flortdat Commission # FF 226552 My Comm. Expires May A, 2019 o Ignatu it l(/