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HomeMy WebLinkAbout319 Hidden Lake DrD r DEC 19P•ECD _A CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I (P- 3.356 w Documented Construction Value: $ q 1000 ► Job Address: 3)Cf D06A k+& O_ Historic District: Yes ❑ No LJ r Parcel ID: )O- 2-0-30-5'03-- OI CSD- D`1 Z -o Residential [Commercial ❑ Type of Work: New ❑ Adrrd��ition ❑ Alteration ❑ Repair ❑ Demo ❑ Ch Description of Work: ILe - ��' S� • -� i ^�L Plan Review Contact Person: Title: Phone: WS -5134 Fax: Email: L�- Property Owner Information of Use ❑ Move ❑ Name R01-0.1 P�z�7�► //ry-���n-i�-I Phone: yo7 2%3 "Street: s� /11014, • 1 -e 0r, Resident of property? City, State Zip:-SQr,-� Contractor Information Name MAI Phone: LIy 7- 604-8/5'7 Street: 5-12- f-lea,+<E-IL 8-rrk 6/ Fax: o64kL?- -:?SO" 4kS - :+AAV ASUAM 14 Atalf+r3FR = : !a,' .1'r V4id'•ti'�t City, State Zip: State License No.: C6&,;�- Lbs "Y.' Architect/Engineer Information : ,r•. :. • +:.� Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Add ress: 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. 1 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 1 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 in be done in compliance with all applicable laws regulating con, / Si nature of Owner/Agent ate Print Owner/Agent's Name r4Q., Q n..1&— a 116 I (I ignatuie b tao ry-Sof Florida Date gTPee� ;3F <=LOQ,i Qk Cot; NTS GF H i 1)0% is accurate and that all work will ction and zoning. Signature of Contra Signature of 1��016 Date lcq- I q— c � i3O !.tv pv! '-. on ; e : Notary public -State of Florida . •F My Comm. Expires Jan 16. 2018 r Commission # FF 071760 �`' Bonded T NLO Wtlonal Notary Issn. '''••,4001; •`', Owner/Agent is Personally Known to Me or Contractor/A e o 1� Kh wn to Me or Produced ID t Type of ID KLOI.4 Produced ID Type of 1D 07L MAURA VAROA8 8r.50- S 2-a- G 1 - Z60 -0 -NOTARY PUBLIC, STATE OF FLORIDA COMMISSION S FF M195 t Biwio Y'WIT BELOW IS FOR OFFICE USE ONLY BONDED TNRU Notary Public UnderwrIms 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 APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application H THIS INSTRUMENT PR PARE! Bim: Name: /Q A `it 1 A+Z /'�i4-� Address: ei 5 t Z— NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Ni'IRYANHE NORSE, SENIHOLE COUNTY OF' CIRCUIT COURT & COMPTROLLER BK 8826 F'3 1161 (ZF'3s) CLERK'S v 2016130606 RECORDED 12/16/21--116 11=42"!.7 (ill RECORDING FEES sE 10.00 RECORDED BY hdevore Parcel ID Number: /a- 2z,30--5-63— of UV -- V -1 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. OF PROPERTY: (Legal description of the propertynd street addre f available) ' C4 2 A/ /L I LI—: ID 10 E /r, (_ /-1-&_C'_ ���G�Sr'' / I Un r GENERAL DES RIPTI$)N OF IMPROyyEMENT: Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: /�A�t l i C� Name: �C1ej,ZAddress: 2,4 zCr , v�►K `! r� 37i�Z Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: ` Address: In addition to himself, Owner Designates of To receive a copy of the Lienors Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a ca r different date is specified) O N 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 moo. 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. o �J Under penalties of perj�ur r, I declare that I have read the foregoing and that the facts stated in it are true • SEr�• toZ.y_est-Qf m Fns and belief. W 0 k s 4.���-� o Owners Signature Owners Printed Name i a 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' z it Q V O State of .�:,Countyof Q " = J V The foregoing Instrument G trwas acknowledged before me this �` day of C -e �"� � . 20 K LL ii by 1 o U S 4, OV% Who is personally known to me ❑ W g Z Name of person making statement O OR who has produced identification ® type of identification produced: F L D L.4 G 5� Ste- 61 z4 MAURtA VARGAS V Tq NOTARY PUBLIC - STATE*OF FLORIDA 'i' :t .00•1111IiA13SION #'FF 021196 V w\ e EXPIRES June 29, 2017 Notary Signature us "' L� 3 BONDED THRU Notary Public Underwriters SCPA Parcel View: 10-20-30-503-0100-0420 Page 1 of 2 �rpp77--vv�Property Record Card Parcel: 10-20-30.503-0100-0420 Owner: DWYER MARY E Property Address: 319 HIDDEN LAKE DR SANFORD, FL 32773 Parcel Information - — - -- - - ---` Value Summary - - - -- -- v Parcel 10.20.30.503-0100.0420 Owner DWYER MARY E Property Address 319 HIDDEN LAKE DR SANFORD, FL 32773 Mailing 319 HIDDEN LAKE DR SANFORD, FL 32773 Subdivision Name HIDDEN LAKE PH 2 UNIT 1 Tax District St-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions $5,600 FXrjTj � % 1 Coh O 66.28 8 110 9�. 11 3 09 Amaw Legal Description LOT 42 BLK 1 HIDDEN LAKE PHASE II UNIT I PB 24 PGS 15 TO 17 Taxes- - --- ---- Tax Amount without SOH: $2,099.45 2016 Tax Bill Amount $2,099.45 Tax Est mator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2017 Working Values 2016 Certified Values Valuation Method Cosl/Market Cosl/Market Number of Buildings 1 1 Depreciated Bldg Value $83,656 $80,577 Depreciated EXFT Value $5,600 1$5.600 Land Value (Market) $21,000 $21,000 Land Value Ag $110,256 County Bonds JU Market Value " $110,256 $107,177 Portability Adj County General Fund i I $11110.2561 Save Our Homes Adj s0 $0 Amendment 1 Adj s0 $3,922 P&G Adj $0 Iso Assessed Value $110,256 1$103,255 Tax Amount without SOH: $2,099.45 2016 Tax Bill Amount $2,099.45 Tax Est mator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Book Taxable Value Amount Schools $110,256 $0 8/1/2006 $110,256 City Sanford -- - 4- - - - - — -- - -- ---- -- -- -$110,256 - ----•- --- $O - _-- - ---$110,256 05502 SJWM(Saint Johns Water Management)--- - -- -- --- j - - - - - $110,256 -- -- ---- $0 - - $110,256 County Bonds $110,256 $0 �— $72,000 $110,256 County General Fund i I $11110.2561 $0 02390 $1107256 Sales Description Date Book Page Amount Qualified Vactimp CORRECTIVE DEED 8/1/2006 06374 0692 $100 No Improved QUIT CLAIM DEED 10/1/2004 05502 11139 $100 No Improved WARRANTYDEED 8/1/1996 03126--F 0822 �— $72,000 Yes Improved QUIT CLAIM DEED 1/1/1992 02390 0615$ $100 No Improved WARRANTY DEED 2/1/1990 02149 0849 $75,000 Yes Improved WARRANTY DEED WARRANTY DEED 8I1H981 101604 01354 1041 0075 $74,900 1 I $49,300 Yes TYes Improved Improved Find Compamble Salas _ Land- --- -- - --- - - ---- -- - - - - -- - - ---- --- - - -- - -- --- ------- - - ---- - - - -- - � ---1 Method Frontage Depth Units Units Price Land Value LOT 0.001 0.001 1 $21,000.001 $21,000 Building Information http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=10203050301000420 12/13/2016 CONTRACT AGREEMENT This agreement is made on this day of0IC-e^ %•r 20/6 between 4,( of SZ e Address City �%Cr "1I�-- L� (0—S�IS7 (Contractor) State Zip Phone and Sny4,►.,,! of /_?07r- -cr„ lc✓ rs ��n U� �' J Name Add re City L 3 2Aj— x/07) W7— ff o (Client) State Zip Phone The above contractor will perform the following work as described in this agreement for $ � p00• in compensation frocm� the client. Job Description: Ike — IC.o 0 f--- 0 &-,% It - .&u bu (Y��"��i GJCS Work to commence on 19 bec.' X16 Date Contractor: o C oj- k,0 Pe'r po - o16 . G4.4f-clx— and is estimated to be completed onDei,"Zo l,b Date Date:�/ 4 -&, 1 ,> 61L Date: /G 4-rc 2-0,11, Signature Print Client: ZvU Signature dycl- Print Date:�/ 4 -&, 1 ,> 61L Date: /G 4-rc 2-0,11, LIMITED POWER OF ATTORNEY Date: 1 2 -1 & - 16, I, herby name and appoint: VI iZ-6-1 L cTEN V-1 tk To be my lawful attorney-in-fact to act for me for, permit arrangement and apply for new Roofing/ Construction permit and related issues for property located at: 319 I+1006W L-frKE Qx, 5,qNFaJ, % 32-773 Expiration date for this limited power of attorney: 1 - 15 - 1 -7 Contractor's Si aur Print Name The foregoing instrument was acknowledged before me this$ b day of Z 0/0 Bwho is personally known to me and who did not take an oath. otary Pub' NO APA I,&- (Notary Seal) TA �g UV comm. lB*ra m Oalobor 17.200 �•�� tVo. Q09®482 �S � OF F� Avaort 'RpiIV fteicrt Print or type name Notary public- state of Commission No. G U 3 4 '� 2 My Commission Expires: i'0-1 Z- Z o ZID 4 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /b — a � 1, Wn—A �� hereby acknowledge that I personally inspected 91:Coof deck nailing and/or 0 Secondary water barrier work at 2,15 DO £n LA' �e �'�' and have determined that the work (Job Site Address) 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 fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Secti n 837.06 F.S.01 ,�'� .o UeGenbU_1201.6 i a re of Contractor Date H=, a.7.RL�e,(4 C1 CC . /63,g2 Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential tl�oofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF s q2 f",'j!2n Sworn to (or (firmed) and subscribed before me this i day of i��OrY-► - C', 20 Q , by �g , who is 0 Personally Known to me or has 0 Produced (type of Signature of fft ry PuWlic State of Florid of Notary Public Name as identification. (SEAL) ROBERT J COUCH W COMMISSIONS FF984753 EXPIRES AWN 21, 2020 380.0153 Fl°'1tYN°u^ 3