HomeMy WebLinkAbout123 Alder CtCITY OF SANFORD PERMIT APPLICATION
Permit No.: OZ- I Ja0"D Date: Z
Job Address: I.7,3 41d4EY- rt*- San r /
C"%3,Z 773
Permit Type: PC Building Electrical Mecbanical Plumbing Fire Alarm/Sprinkler
Description of Work:
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service Temporary Pole _New AMP Service (fit 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: ow Value of Work: S a
Type of Construction: N^J>r" Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: _ (Attach Proof of Ownership & Legal Description)
Own er/A d dreas/Ph on e:
Address/Phone:
Contact Person: t- Phone & Fax Number:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
State License Number:
4& 7- 336. 31,// 7
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
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
nll 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.
of Qerit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
t"I .P.,, Melissa Cameron
Commission # DD07991g
7= ftpires Dec. 20 2005
in Mantic
nded
7Boading o., Inc.
Owner/Agent is Personally Known to Me or
Produced ID
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: Q- YY7J.:' . Date: ! _
Special Conditions: W +1 ^
h a
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCT %N 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 anIy 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 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 ou 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. ArIy person working
on your building who is not licensed must work under your direct supervision and must be employed by
a,r -which nioans that F .ntly}2 dine qv a ., -1
U. Ch _ at `,"Jt_ :'.?::st deduct ..I.C.P.. and i Ol ..s r ...:, NiJ•Iue ::%vrne,:a Cor::pe,w,ucn
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes; and zoning regulations.
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.
00L
Print Owner/Builder Name
Eot-
Signature of Notary —State of Florida Date
Owner is Personally Known to Me or has
Produced ID s-M 700 w2124SO
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Parcel Information
Page 1'of 2 '
21 June 2002
ParcelA 1-20-30-512-0000-1470
Property:123 ALDER CT
Owner:JONES ALBERT & ROSETTA A
Mailing:123 ALDER CT
SANFORD, FL 32773 5649
Legal: LEG LOT 147
HIDDEN LAKE PH 3 UNIT 5
PB29PGS40&41
TRY: 2002
TD: S1 SANFORD
DOR: 01 SINGLE FAMILY
Exemption
00 HOMESTEAD
10 SENIOR
Homestead Year Granted: 1994
Amendment-10
Amendment-10 Prior Year Total Re Appraised Addtion Total
Land Value 14,000 14,000 14,00
Extra Features 1,573 1,642 1,64
Building Value 60,892 66,211 65,211
Income Value
Total Just Value 76,465 80,853 15.4 80,853 15.4
Correct Assd/Admin Value
Classified Value
Amend 10 Adjustment 6,40 9,67 9,67
Total Assessed Value 70,061 71,1811 1.6 71,181 1.6
SALES
ale Deed Description Sale Date ORB Book ORB Page Sale Amt V/I QC
Q WD WARRANTYDEED 07/01/1990 02203 0846 $68,100 1 00
Q WD WARRANTYDEED 03/01/1985 01621 1420 $65,40 1 00
LAND
CODEJ Land Rate jAg Ratel Land Area I Frontage D/TJ Depth Class Value Adj lOvd I Reason Just Value
AL I $14,000.Oq O.Oq 1.00q 0.0 0 14,00 1001% 14,00
Total: 14,000 14,00