HomeMy WebLinkAbout102 Belgian Way (2)CITY OF SANF'ORD PERiVIIT APPLICATION
Permit No.: / 1 + Date: JU M F-
Job Address:16 2 it: rLArlAlU WA\/ <Al1 F0P11U FL. 3271 +
Permit Type: D(— Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: f D- G' AI V Fi0, PLU b-M
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS )
Plumbing/Residential: 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 i
Type of Construction: 11, ew Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: _ (Attach Proof of Ownership & Legal Description)
aOwngr/Address/PvAME-1A .Bl,A(,-k> r1(jzl3r(>IAN wj SAA)Y0A-0 f Laz27-23 4Cad '7687 Contract or/
Address/Ph one: Contact Person:
Title Holder (
If other than Owner): Address: Bonding
Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer
Address: Phone &
Fax
Number: State License
Number: Phone No.:
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 L-n
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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. xr.,J11
41,411111, zgnature of
Own gent Date JAMO. 1-
A Print Owner/
Agent's re Name
ngnatuof
Notary -
State of Florida Da ti,ilpf", Melissa
Cameron
X co-Ission *
DD079918 Fapires Dec 20,
2W5 OP•: Bonded Tbra
ryhOm ,, A11dIItIC BOIIdIII$
Co., bu. Owner/Agent is
Personally Known to Me or Jy-Produced ID
4LA R3 p9 O Signature of Contractor/
Agent Print Contractor/Agent'
s Name Date Signature of
Notary -
State of Florida Date Contractor/Agent is
Personally Known to Me or Produced ID APPLICATION
APPROVED BY:
Date: O 02— Special Conditions:
CITY OF SANFORD BUILDING DIVISION
OWNERMUILDER AFFIDAVIT
CONSTRU4nTION 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 I 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 own
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 tvo-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 1 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 lacy 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. J A M Gas 4 • 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.
wnerBuilder Siple Date i;: Ry1
J AMGS 4 . ptrlr
Print Owner/Builder Name a , y
dw
Signature of Notary -State o Florida Dalb- c Ox%
mer is Personall d,{o' jgf 1 s Produced
IW - ty 10
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
Ar rrtv n urr
i
rvects
101 K. Kist St.
Sanford M7. 3277 t y
40 7.665-7 5"
GENERAL
Parcel Id: 18-20-31-505-0000- Tax District: S1-SANFORD
0170 VALUE SUMMARY
Owner: BLAGG JAMES A & Dor: 00-VACANT Value Method: Market
PAULA K RESIDENTIAL
Number of Buildings: 0
Address: 102 BELGIAN WAY
Depreciated Bldg Value: $0
City,State,ZipCode:
SANFORD FL
Exemptions:
32771
Depreciated EXFT Value: $0
Land Value (Market): $20,800
Property Address:
BAKERS Land Value Ag: $0
Subdivision Name: CROSSING PH 1 Just/Market Value: $20,800
Assessed Value (SOH): $20,800
SALES
Exempt Value: $0
Deed Date Book Page Amount Vac/Imp Taxable Value: $20,800
WARRANTY DEED 04/2002 04402 0068 $125,000 Improved
WARRANTY DEED 02/2002 04327 0084 $375,000 Vacant
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 17 BAKERS CROSSING PH 1 PB 60 PGS 27
LOT 0 0 1.000 20,800.00 $20,800 29
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
http://www.scpafl.org/pis/web/re web.seminole_county title9PARCEL=1820315050000017 6/10/2002
PLAT OF SURVEY
DESCRIPTI6N:- (AS FURNISHED)
LOT 17, BAKERS CROSSING PHASE I,
AS RECORDED IN PLAT BOOK 60, PAGES 27-29, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
NOT PLATTED
FENCE I
1.0' ON
WITNESS MONUMENT '
FND 1/2- IRON ROD AND CAP
LB /6393 (04-22-02)
TRACT C
t
72
AVI'wnl`
1
6=15*19'28"
R=75.00'
L=20.06'
C=20.00'
CB=N50'08'56"E
CERTIFIED TO:
D.R.H. TITLE COMPANY OF FLORIDA INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF PENNSYLVANIA
JAMES A. BLAGG AND PAULA K. BLAGG
CH MORTGAGE COMPANY, I , LTD. LEGEND
NOTE:
THIS BOUNDARY SURVEY MEETS THE
MINIMUM TECHNICAL STANDARDS SET FORTH
IN CHAPTER 61G17-6 OF THE FLORIDA
ADMINISTRATIVE CODE PURSUANT TO CHAPTER
472.027. FLORIDA STATUTES,
I HAVE EXAMINED THE F.I,R.M. COMMUNITY PANEL
NO 120289 0045 E DATED 4/17/95 AND FOUND
THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE X,
AREA OUTSIDE 100 YEAR FLOOD.
ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY DATUM.
BE ZINGS SHOOWN HEEROONARE7BASED ON BEING
N 89'34'30" W PER PLAT. FIELD
DATE:) 04-22-02 REVISED: SCALE:
1" = 30 FEET APPROVED
BY: JKE WITNESS
MONUMENT D
SET 1/2- IRON ROD AND CAP L0
LB /6393 (04-22-02) 00
00
BUILDING
SETBACK LINE CENTERLINE
RIGHT
OF WAY LINE 116-
110 EXISTING ELEVATION CONCRETE
LB
LAND SURVEYING BUSINESS LS
LAND SURVEYOR PRM
PERMANENT REFERENCE MONUMENT PCP
PERMANENT CONTROL POINT P)
PER PLAT M)
MEASURED FND
FOUND C/
W CONCRETE WALK S/
W SIDEWALK C
CONCRETE PAD S
CCHORDSS LENGTH PK
PARKER
KALON _ AMERICAN SURVEYING &
MAPPING CERTIFICATION OF
AUTHORIZATION NUMBER 1-13N6393 320 EAST
RLANDO. FLORIDAUITE 180 32801- (407)
426-7979 32'SJ'
J'i• R.50•,
CBS 7416
34 W G.28.
31 Q FND
NAIL AND DISC LB #4671 (04-22-02) FND 1/
2" IRON ROD AND CAP O LB
06393 (04-22-02) CNA CORNER
NOT ACCESSIBLE 0 DENOTES
DELTA ANGLE L DENOTES
ARC LENGTH C.B.
DENOTES CHORD BEARING PC DENOTES
POINT OF CURVATURE PI DENOTES
POINT OF INTERSECTION PRC DENOTES
POINT OF REVERSE CURVATU PT DENOTES
POINT OF TANGENCY TYP TYPICAL
A/C
AIR CONDITIONER CBW CONCRETE
BLOCK WALL Rp RADIUS
POINT OHU OVERHEAD
UTILITY LINE ID IDENTIFICATION
1. THE
SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN
HEREON FOR EASEMENTS, RIGHT OF WAY,
PESTRICTtONS OF RECORD WHICH MAY AFFECT
THE TITLE OR USE OF THE LAND 2. NO
UNDER_'OROUNO IMPROVEMENTS HAVE BEEN LOCATED -EXCEPT
AS SHOWN. 3. N;)
T VALID Vm HOUT THE SIGNATURE AND THE ORIGINAL RAISED SEA. ?
F A FILWIUA LICENSED SURVEYOR AND 'MAPFL'
1•:. I 1
2FOR
THE FIRM
ASM32931
FINAL
4-
22-02 CC JOB NO.
TRIAL PLOT PLAN 10-10-01 JAL DRAWN BY:
LOT PLAN 08-06-M/UB TAMES K.
EKERN, PSM #5899 DATE