HomeMy WebLinkAbout102 Split Log PlCITY OF SANFORD PERMIT APPLICATION
ioPermitNo '
v - l
Date:
Job Address: /O a S I"A /T A G S- P
s°- •
Permit`Type:° Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Descriptiop•of Work: F Ezye-E
Additional Information for Electrical & Plumbing Permits
Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: Value of Work: S /o 06
Type of Construction: Flood Zone: Number of Stories: / Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: /Q a S Pi / T Ao s P L S'v a2I-r- i
lc o I A,xrlFC o 3a3 3a /
Contractor/Address/Phone:
State License Number: 4 -o7s'G 747.2%3c=yo
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Phone & Fax Number:
Architec tlEngineer Phone No.:
Address: Fax No.: '
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.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
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.
Signattife of Owner/Agent Date Signature of Contractor/Agent Date
9/C- h &f 0 G' 4if/V c2
Print Owner/Agent's Nam
I
i ature of Notary -State of Wida Date
Ir
Owner/Agent is Person lly Known for ,
Produced ID•Pt D (. L-A.G -- .1975 i lic)
APPLICATION APPROVED BY:
VU
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
Date:
Special Conditions:
CITY OF SANFORD BUIT -DING DIVISION
OWNER/BUILDEkt AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your o,%%m
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within I year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You 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 your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
y//
Owne Builder Signature Date
Print Owner/Builder Name ---
R j NN M. JOHNStNI
MY COIAMISSION # CC 921808
EXPIRES: March 23, i
sr A` c;:ded 7 ru Budget Notary SeWrvicesS1natureofNotary —State of Wida Date Owner
is Personallv owgto Me has Produced
ID P 'C L _S
LOT
TOOF MASONRY LOT ! 65 FOUNOATION
WAIL \ \ 6'
O SET 11NKLEPAUGH t" ELEVATION - 57.64 IRON
PIPE & CAP #3778 OO 1 /// N
89'54'23" E 73.91' 3'
x1 WC• 4 ,364 y OA/C PA LO
55.0' ONE
STORY s
O O MASONRY ENTER m 3'
CONCRETE MODEL
RESIDENCE 9.0' WALK + LOT
27.2 61
LO MASONRY 7.0 1 64
4' COLUMNS -'
MASONRY
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COLUMN COVEPATIO
E 46.0. O
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1
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N
89-54'23" E 113.
91' 01NJ
UTRECOVERED
1" TINKLEPAUGH IRON
PIPE & CAP #3778 O (
TYPICAL) IO
O 10'
WIDE UTILITY LOT
6OT EASEMENT 62
e`
n
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89'54'233"" W --__ -- __ 93.
91S 86'05'34" V N L1
c N
WORINALL DRIVE
11s survey,
or survey service is the tsult ofabusinesstransactionitweenTinklepaugh
Surveying Services, c., andthepartyorpartiesnOMedtIfiCQUnis
specifically ri+ari
fn snid parties. I hereby
affirm that this survey represented hereon is true and correct to the best of n knowledge andbelief. It has been prepared in accord with the Standards set forth in , Chapter 6113117, F.A.C., pursuant to Chapters 177 and 472, Florida Statutes. Unless it bit, the signatureandtheoriginalraisedsealofaFloridalicensedsurveyorandmapperthisdrawing, sketchormapisforinformationalpurposesonlyandisnotvalid. 4381 P.
S.
M. No.
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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GENERAL
Parcel Id: 64130-514-0000Tax District:
S1-SANFORD VALUE SUMMARY Owner: LAXNER
RICHARD G Dor: 01-SINGLE 8 MARIE
A FAMILY Value Method:
Market Number of
Buildings: 1 Address: 102
SPLITLOG PL Depreciated Bldg
Value: $86,714 City.State,
ZipCode: SANFORD FL 32771 Exemptions: 00- Depreciated EXFT Value: $0 102 SPLITLOG
PL HOMESTEAD Property
Address:
Land Value (Market): $20,000 SANFORD 32771
Land Value
Ag: $0 Subdivision Name:
COUNTRY CLUBPARK ustii.... ... . . ....... $106,714 Assessed Value (
SOH): $103,670 SALES Exempt
Value: $
25,000 Deed Date
Book Page Amount VacHmp I Taxable Value: $78,670 SPECIAL WARRANTY
DEED 0511999 03644 1234 $122,400 Improved jI Tax Bill Amount: $1.654 WARRANTY DEED
07/1996 03107 0113 $44.000 Vacant Find Comp2r - .. .
LAND LEGAL
DESCRIPTION
Land Assess
a Depth
Land Units Unit Price Land Value Method Frontage
p
LOT 64 COUNTRY CLUB PARK PB 50 PGS 63 THRU 66
LOT 0
0 1 000 20.000.00 $20.000 BUILDING INFORMATION
Bid Num
Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE
FAMILY 1996 7 2,178 1,627 CB/STUCCO FINISH $86,714 $89,396 Appendage / Sgft
OPEN PORCH FINISHED / 98 Appendage I
Sqft OPEN PORCH FINISHED / 53 Appendage / Sgft
GARAGE FINISHED / 400 NOTE: Assessed
values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
re_web.
seminole_county_title?parcel=33193051400000640&cpad=splitiog&cpad_num=10 04/ 18/2002