HomeMy WebLinkAbout319 Hidden Lake DrD
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DEC 19P•ECD
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
I (P- 3.356
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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