HomeMy WebLinkAbout203 Brandshaw Drw
CITY OF SANFORD PERMIT APPLICATION
Permit N: Date:
JCJob
Address: C 3 /3 /' Tit} qW b k- • .SI A FO /Z /)
Description or Work: /Zeeery f Total Square Footage
Historic District: Zoning: Value of Work: S n� ' O
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ Addition/Alteration Change of Service "femporaryPole
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas bines
Plumbing Repair — Residential or Commercial _
Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name Address. Z) Eo G 14 MSS t/ 7
�!� /S/t f1 -d Sil��w D/1-• l �l� 1'y /t-1) r i � • 3- •i- %% � �Pho`nc:�y 7 � °�' T r 7 3
Contractor Name & Address:
Phone & Fax: _
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: 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 f rnut is verification that��Iifythe of the property of the requirements of Florida Lien Law, FS 713.
Inawre of er/Agent Date Signature of Contractor/Agent
Print Ower/Agent's Name Print Contractor/Agent's Name
& - /'L/-- U(,o
Sign — Date
DEBBIE BLANTON
W COMMISSION # DD 199491
EXPIRES: February 25, 2007
Own ersotiw / J
Produced ID
APPROVALS: ZONING: UTIL: FD:
Special Conditions:
Rev 03/2006
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDG:
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
residenge 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 iresponsibility 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,
ordin �nces, building codes,, and zoning regulations.
#1Z 6�C7o419e1� (/� feoS , 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.
Owner/Burder Signa a Date
Print Owner/Builder Name
0(__�/ / \, \ /. DEBBIE BLANTON
Signature of Notary—State of Florida D to MY COMMSSION p DD tai
EXPIRES. Febru9 2007
8003 "107?RY FL Arwary Disc..Anoc. Co.
Owner is Personally Known to Me or has
Produced ID
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: License #:
Project Information
�1
Owner: C0'UiL 6I �'�%� ��/►��1 Permit #: _
name
%IZ
%,,,7-71 Subdivision:
address
Z' ;L 7 3 Lot #:
phone
affiant, hereby affirm that I am the duly licensed
contractor `of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor
P 6pet�
signature
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of 9'_20Q'_20GfLq by the
above referenced individual, , who ack66wiedged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this
day of , 20
Nota
Vp4y
BBIE BATON
MISSION pp X88481
:Februa725•2OD?
!` wy Dixgmlgyoc. Co.
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
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2006 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 35-19-30-522-OE00-0170
Number of Buildings: 1
Owner: RAMOS DEOGRACIA & CARMEN L
Depreciated Bldg Value: $81,197
Mailing Address:203 BRADSHAW DR
Depreciated EXFT Value: $77
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $25,000
Property Address: 203 BRADSHAW DR SANFORD 32771
Land Value Ag: $0
Subdivision Name: COUNTRY CLUB MANOR UNIT 3
Just/Market Value: $106,274
Tax District: S1-SANFORD
Assessed Value (SOH): $48,598
Exemptions: 00 -HOMESTEAD
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $23,598
Tax Estimator
SALES
2005 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
Tax Value(without SOH): $1,000
WARRANTY DEED07/1989 02097 0063 $39,000 Improved Yes
2005 Tax Bill Amount: $443
WARRANTY DEED04/1983 01455 0296 $36,000 Improved Yes
Save Our Homes (SOH) Savings: $557
QUITCLAIM DEED01/1976 01111 1247 $100 Improved No
2005 Taxable Value: $22,183
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENT
LEGAL DESCRIPTION
LAND
PLATS' Pick...
Land Assess MethodFrontage Depth Land Units Unit Price Land Value
....
LOT 0 0 1.000 25,000.00 $25,000
LEG LOT 17 BLK E COUNTRY CLUB MANOR
UNIT 3 PB 12 PG 76
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1960 5 972 1,490 972 CONC BLOCK $81,197 $109,725
Appendage / Sgft UTILITY UNFINISHED / 238
Appendage / Sgft CARPORT UNFINISHED / 280
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch
Finished,Base Semi Finshed
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
ALUM UTILITY BLDG NO FLOOR970 48 $77 $192
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorell
tax purposes.
""" ff you recently purchased a homesteaded property our next ear's property tax will be based on JusUMarket value.
.../re_web. seminole_county_title?parcel=3 5 193 05 220E000170&cpad=bradshaw6/ 14/2006