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HomeMy WebLinkAbout149 Clear Lake CirCITY OF SANFORD MAR 0 7 2016 BUILDING & FIRE PREVENTIONZDBY. PERMIT APPLICATION Application No: lAr -7 13 Documented Construction Value: $ ?oo 0 - w Job Address: I'i _N r} L A-1 e C i R Historic District: Yes No 9-- Parcel ID: 0 , = U , 3Cj — S' r J— 000— 02 1 ! Residential 9—commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: F-- s* 7 ti Lt Plan Review Contact Phone: Name Street: City, State Zip: fio d IF Fax: C `t S Property Owner Informatlon Phone: Resident of p Contractor Information Title: Name Go- e( i C Phone: L107 - (o Q 2 - 0 Z to C- Street: io -ASq JD '1+'y GCS C V4 Ham-( Fax: _ %-} OZ " 4y'1, — UZ C City, State Zip: 3 2_$ T State License No.: C CAQ_ - 13'-'i Name: Street: City, S1 Bondin Addres Architect/Engineer Information Phone Fax: E-mail: Mortgage Lem kddress: / WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT. 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 constructioninthisjurisdiction. 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: 5' Edition (2014) Florida Building Code Revised June 30, 2015 Permit Application THIS INST1UMENT REPARED BY: Name: 'tt rLO C Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole 4''rr';NNL i"Gf{'_iC'r ';r"PfI(`f(?[_C- C171_IhfllL.L.I; !1f . j t-LL.Ili1i Y-2A1 ru0'i'fi'7 tl`.. I_Is 1-!' • ' ryil . - (t I.', _-: v'I iiliIr.i L",•.ii'if .rt.(. i.I,V•Ill Permit Number: Parcel ID Number: o 2 - ZO — 3G ^ S (, U -- 00m - o-7 -9d 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 N OF PROPERTY: (Legal description of the property and street GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name RflCLQtr- ``no oen,'1y;% V Address. l'jGU .&A Fee Simple Title Holder (if other than owner) Name: Address CONTRACTOR: Name11 Address (a 4 0 PON Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as providedbySection713.13(1)(b), Florida Statutes. Name Address - In addition to himself, Owner Designates Section 713 13(1)(b), F of To receive a copy of the I ienor's Notice as Provided in Expiration Date of l iEe of Commencement (The expiration date is 1 year from date of recording unless a different dateisspecified) 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 IFYOUINTENDTOOBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY C.0 BEFORE COMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. ~"" r•— Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true to thgAestt"y-knowledge and belief. Signature Owner' sSiLl// S 0j1 6 •'... ao g Owner' s Printed Name rh,c;`„~ Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one also may be permitted to sign in his or her stead." w M Q Z Q UJStateof County of I I n I Z d O The foregoing instrument was acknowledged before me this _ day of /f fe? r-e C1 20 / by_ L 6 u 1 t, 1 l Ct 1- O Name of person making statement Who is personally known to me j }t W LL OR who has produced Identification type of Identification produced: O `r Y a E1Jra7 Mi -- o ss_ ..._. S, State ofFlorida "'02 es Jul17. 2016'# EE 217260Notary SignatureStional Notary Assn. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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 willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. Signature of Owner/Ag Date 0"' 1 ,S oe", tIh Print Owner/Agents Name ignat3 2oi ure oar° 9•,,, CESARMUNOZ Notary Public - State of Florida My Comm. Expires Jul 17. 2016 FOFF oP' Commission # EE 217260 Bonded Through National Notary Assn. Owner/ Agent is Person Produced ID Type of ID —L D L or q I Signature of Contractor/Agent Date n L Cam, Ib etjpk t Contractor/Agent's Name 4- Signature of Notary -State of Florida Date OEBRA A NOBLES MY COMMISSION # FF920610 EXPIRES September 22, 20t9 Contractor wnr a01 "'"" "" Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Construction Type: Total Sq Ft of Bldg: Electrical Mechanical Plumbing Occupancy Use: Gas Roof Flood Zone: of Stories: New Construction: Electric - # of Amps pPlumbing - # of Fixtures Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: Min. Occupancy Load: of Heads Fire Alarm Permit: Yes No UTILITIES: FIRE: WASTE WATER: BUILDING: Revised. June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3141 [ IV I hereby name and appoint: v fta ,y j S an agent of. C Qq—c j fa (1© I C Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and applicatiCZVfwork located at: q9 C' 1 Rn- -.- nvc Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: o y L C J State License Number: C C Q Le Signature of License Holder: STATE OFF RIDA COUNTY 04"J_L The foregoing 'nstrumen w a 1piow edged before me this day of20 lam, by iQ, ' who is personally knowntomeorowhohasprOduced identification and who did (did take an oa t —W. ctu Notary Seal) DEBRA A NOBLES MY COMMISSION X FF920610 40 EXPIRES September 22.2019 Rev. 08.12) or type name Notary Public - State ofJI-01do--1 Commission No. My Commission Expires - as SCPA Parcel View: 02-20-30-5GJ-0000-0790 O ""' C Property Record Card DER Parcel: 02-20-30-5G]-0000-0790PRM501Owner: BARON PROPERTY INV INC9CM04Ot.00OUNTY,r+LOrWA Property Address: 149 CLEAR LAKE CIR SANFORD, FL 32773 Parcel: 02-20-30-SG3-0000-0790 Property Address: 149 CLEAR LAKE CIR Owner. BARON PROPERTY INV INC Mailing: 1305 FERN FOREST RUN OVIEDO, FL 32765- Subdivision Name: HIDDEN LAKE VILLAS PH 3 Tax District: Si-SANFORD Exemptions: DOR Use Code: 0103-TOWNHOME Legal Description LOT 79 HIDDENIDDEN LAKE VILLAS PH 3 28 PGS 3 TO 6 Taxes ng Authority fFCOuntyGeneral Fund olsSanford_.—......_._____._,_....._..___._._ SJWM(Saint Johns Water Management) County Bonds Sales Description Date CERTIFICATE OF TITLE 10/1/2015 QUIT CLAIM DEED 11/1/2004 w WARRANTY DEED ~--' 6/1/1988 WARRANTY DEED 2/1/1984 Find Comparable Sales within this Subdivison Land Method Frontage Depth LOT C 0 1 Value Summary Tax Amount without SOH: $1,216.11 2015 Tax Bill Amount $1,216.11 Tax Esbmabor Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values i Taxable Value 74,375 0 j 74,375 375 0 _ 74,375 74,375 74,375 0$74,375 74,375 0 1—'$74,375 0-— 74,375 Book Page I Amount I Qualified Vac/Imp 08570 rt 112434 62,000 No Improved 05573 10931j_ 0931 i ~— $10o No R+ Improved 01972_ i Improved 1643 55,300 Yes 01524 t0137 47,50o i Yes ---- 1 Improved Units Units Price Land Value 0 1 16 000.00 1 $16 000 Page 1 of 2 rJ http://www.sc afl.or ---1 4 p g/ParcelDetailInfo.aspx?PID=0220305GJ00000790 3/6/2016 CONTRACT AGREEMENT Th's agreement is made on this day of 20 / between dr f a Y (J- ,- vim, Name 79111 j4''` F-- 3 2-St r Address City Contractor) State Zip Phone and GU S R of 1 lNamf& 3.?-765 Address City Client) State Zip Phone The above contractor will perform the following work as described in this agreement for $ Savo w in compensation from the clien . Job Description: o it_ Work to commence one/""-d- ?0/6nd is estimated to be completed on 161)141,/'U/6 Date Date Contractor: ll ° l.s, %1 /(S Date: 49 ,, -7 T'rint v Clien . Date: ell Signature Print CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: ' V -7 G hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at 1 A Q C )-t` nC L vot-V<-- C \ rL__. and have determined that the workJobSiteAddress) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 F.S. 1'Zo I Signature of Contractor Date rnn• Cy 1bc cr-- ' 1''21 c Ln4 PrintedNameofContractorLicense # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworto( t1r fir i dJ) a subscribed before this X day of Ct i , 20 Jam_, by II - ,who is ersonally Known to a or has Produced (type of b9aInlpftion) \ as identification. t! a/ (SEAL) ature of Notary ublic of Floridal . I . I 1 Name of Notary Public DEBRA A NOBLES e MY COMMISSION 8 FF920610 EXPIRES September 22, 2019 3