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Home My WebLink About108 Crooked Pine Dr04 R !• Y 1 CITY OF SANFORD PERMIT APPLICATION %-� Permit # : v( , 0\"-� 0 Date: Job Address: /Q9 Cli o o k. w d;�-.� t- �✓ . � � o —J F C� �� L % 7 -3 Description of Work: a O O � Total Square Footage �5� s�z Historic District: Zoning: Value of Work: S 4,000 Permit Type: Building Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures _ Plumbing(New Residential: # of Water Closets Mechanical Plumbing Fire Sprinkler/Alarm Pool _ _ Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Construction Type: QC li of Stories: _L_ # of Dwelling Units: Flood Zone: (FEMA form required ) Owners Name & Address: fi tl - L4 r,-)- _ _ L) 09 Contractor Name & Address: _�.� ...�. (r- State License Number: Phone & Fax: Bonding Company: Address: Mortgage Leader. Address: Architect/Engineer: Address: Contact Person: Phone: Phone: Fax: 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. OWNER'S AFFIDAVIT: 1 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 6ron other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of v 'fication that 1 will ify the owner of the property of the requirements of Florida Lien Law, FS 713. gnature of Owner Agent Date Signature of Contractor/Agent P ' t Owner/Agent's Name 4/v//o Signature of Notary -State of Florida Date Owner/Agent is Produced ID DEBBIE BIANTON APPROVALS: ZONING: MY DpgtON # DD_(r6 � t Special Conditions: t�003.NpTARY Rev 03/2006 FL Notary o0cou^t ASSOC- Co. Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID ENG: BLDG: Parcel Information Parcel: 11-20-30-506-0000-0640 Property:108 CROOKED PINE DR SANFORD, FL 32773 5627 Owner:JACKSON PHILIP R & ANGELA S Mailing:108 CROOKED PINE DR SANFORD, FL 32773 5627 Legal: LEG LOT 64 HIDDEN LAKE PH 3 UNIT 2 PB 27 PGS 48&49 01 June 2006 Page 1 of 2 TRY: 2006 TD: S1 SANFORD DOR: 01 SINGLE FAMILY Exemption 00 HOMESTEAD Homestead Year Granted: 1998 SALES ale eed Description Sale Date PRB Book RB Page Sale Amt /1 QC Q WARRANTY DEED 06/01/1997 03264 0510 $77,000 I 1 03 - SQ D WARRANTY DEED 09/01/1983 01491 0700 $45,60 1 00 LAND CODE Amendment -10 jAg Ratel Land Area Amendment -10 Prior Year Total Re Appraised % Addtion Total % Land Value $20,000 $26,600 $26,60 Extra Features $6,434 $6,172 $6,17 Building Value $74,209 $95,163 $95,15 Income Value otal Just Value $100,643 $127,925 27.1 $127,925 27.1 orrect Assd/Admin Value Classified Value OH Adjustment -$28,64 -$53,76 -$53,76 Total Assessed Value $72,00 $74,16 3 $74,16 3 SALES ale eed Description Sale Date PRB Book RB Page Sale Amt /1 QC Q WARRANTY DEED 06/01/1997 03264 0510 $77,000 I 1 03 - SQ D WARRANTY DEED 09/01/1983 01491 0700 $45,60 1 00 LAND CODE Land Rate jAg Ratel Land Area I Frontage IDITI Depth Class Value % Adj jOvd I Reason Just Value AL I $26,600.Oq $O.Oq 1.00q 0.0 0 $26,60 100°/ $26,60 Total: $26,600 $26,60 Parcel Information Parcel: 11-20-30-506-0000-0640 Bldg Num: 1 Base Built: 1983 Base Eff: 1983 Tax Roll Yr: 1983 Bldg Type:01 Base Area: SINGLE FAMILY 1,064 BASE Floor Height Room Fixture 1 0 0 6 Page 2 of 2 01 June 2006 APPENDAGE Seq Code Actual Adj Ovd TRY 1 GRF 308 163 1994 2 OPF so 15 11994 STRUCTURAL ELEMENTS CODEDescription Points OVD 0002 ONT FTG A 6 0101 LB AVG 6 0207 ONC BLK 27 0300 ONE 0 0402 ABLE/HIP 10 0503 COMP SHNGL 5 0612 CARPET 4 0707 DRYWALL 28 0808 VTICLN PKG 5 0903 VG 5 Page 2 of 2 01 June 2006 APPENDAGE Seq Code Actual Adj Ovd TRY 1 GRF 308 163 1994 2 OPF so 15 11994 EXTRA FEATURES Line Code Note Area RCN Ovd Bit Eff TRY Depr-RCN Bldg 1 0400 POOL GNITE 450 $9,000 85 85 85 $4,275 1 2 0930 SCRN PATIO 288 $2,448 85 85 85 $979 1 3 0600 COOL DECK 414 $1,"q 85 85 85 $688 1 4 1 1040 IWOOD UTILI 96 $57q 85 86,85 $23 1 otal: $13,47 $6,17 CITY OF SANFORD BUILDING DIVISION OWNER(BUILDER 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 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 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 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. ,/�A' ," ( �- /-o ff Owner uilde ignature Date Print Owner/Builder Name DEBBIE BLANTON Signature of Notary—State of Flo' a Y COMMISSION # DO 188401 EXPIRES: February 25, 2007 1 4003NOTARY FL Notary gacouro AIC. Co. Owner is Personally Known to Me or has Produced ID