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Home My WebLink About194 Lakeside Cir (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: (a' Log Documented Construction Value: $ 62y1 7. 0 Job Address: historic District: Yes ❑ No ❑ Parcel ID: 11-ao-3o —5-s-3--ozW,0 -07 0 Zoning: Description of Work: 4v�).,ief �/•,� �G-zs . Plan Review Contact Person: lwee_ c �.r.ac Title: Phone: fycO� 3,�-'S- 9o1Z- Fax�E-mail: Property Owner Information Name jar„c j Phone: r�tio7)3✓0-7GSG Street: 19_4e Resident of property? City, State Zip: �o�r7 3Z»3 Contractor Information Name i� �ti� Phone: Street: �'/7/��ICsB✓!,-£ � .c�rsorr� •/ c- Fax: Pe' 6— X3'3oo- City, State Zip: '1 '7 -?.P- K-77 State License No.: deL DS J'3 Architect/Engineer Information Name: Phone: Street: City, St, 'Zip: Bonding Company: Address: Fa x: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Construction Type: No. of Stories: Square Footage: No. of Dwelling Units: Flood Zone: 13Plumbing 13Electrical New Service — No. of AMPS: New Construction - No. of Fixtures: Fire Sprinkler/Alarm 13 No. of heads: Mechanical [3 (Duct layout required for new systems) Off/ 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 pen -nit 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. A NOTICE OF COMMENCEMENT NIUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 pen -nit, 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of O%rner/Agent Print Owner/Agent's Name Datc Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced Ill "Type of ID APPROVALS: ZONING: 9 "I)At UTILITIES: COMMENTS: Rev 11.08 Signature of Contractor/Agent h e C Print Contracto I is • )c „tr Sig t rc o otary- tate of Florida Date DAVID P. WHEATON f.; MY COMMISSION N DO 991240 i EXPIRES: May 12.2014 "Q.Ca Bonded Thio NWM Pdk Uetletw k., Contractor/Agent is Personally Known to Me or Produced ID "Type of ID ENGINEERING: FIRE: WASTE WATER: BUILDING:1,2Z/_71/ 2/10/11 SCPA HyperLiteWeb Parcel View: 11-20-30-5KB-0000-0770 Ccneld Johnson. CFA. Parcel: 11-20-30-5KB-0000-0770 PROPERTY Owner: HILL DOUGLAS K ;PPRM5ER Property Address: 194 LAKESIDE CIR SANFORD, FL 32773 SEMINOLE COUNTY, FLORIDA < Back Save La out Reset Layout FNew Search Parcel: 11-20-30-5KB-0000-0770 Property Address: 194 LAKESIDE CIR Owner: HILL DOUGLAS K Mailing: 194 LAKESIDE CIR SANFORD, FL 32773 Subdivision Name: HIDDEN LAKE PH 3 UNIT 7 Tax District: S1-SANFORD Exemptions: DOR Use Code: 01 -SINGLE FAMILY 1 ill I.NE OAK A Map Aerial Both Footprint E+ 0 Extents Center Dual kup View - External Legal Description LEG LOT 77 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS 79 8 80 Tax Details Value Summary Tax Amount without SOH: $1,580 2011 Tax Bill Amount $1,580 Tax Estimator Save Our Homes Savings $0 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Method Cost/Market Cos[/Market Number of 1 1 Building $78,945 $0 Depreciated Bldg $63,292 $63,642 Value $78,945 County Bondq Depreciated $653 $653 EXFT Value $100 Improved Land Value $15,000 $15,000 (Market) 0499 $132,000 Land Value Ag Ye WARRANTY DEED Jus[/Market Value $78,945 $79,295 $85,000 Portability Adj Ye WARRANTY DEED Save Our Home $0 $0 Adj improvedl Yes Amendment 1 Adj $0 $0 Assessed Value $78,945 $79,295 Tax Amount without SOH: $1,580 2011 Tax Bill Amount $1,580 Tax Estimator Save Our Homes Savings $0 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $78,945 $0 $78,945 Schools $78,945 so $78,945 City Sanford $78,945 $0 $78,945 SJWM(Salnt Johns Water Management) $78,945 so $78,945 County Bondq $78,945 $01 $78,945 Sales Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 10/2011 07650 0747 $85,000 Improved Ye SPECIAL WARRANTY DEED 07/2009 07237 om $60,400 Improved No CERTIFICATE OF TITLE 11/2008 07095 0438 $100 Improved No WARRANTY DEED 06/2004 05382 0499 $132,000 Improved Ye WARRANTY DEED 07/2000 03889 0609 $85,000 Improved Ye WARRANTY DEED 12/19881 020411 16881 $70.4001 improvedl Yes WARRANTY DEED 08/19881 QMj im $45,6001 Vacanti No Flnd Comparable Sales within this Subdivision Land Methodl Frontagel Dopthl Unitsi Unit PrIcel Land Value LOT 0 0 1.000 15,000.00 $15,000 rww.scpafl.org/ParcelDetails.aspx?PID=1 1-20-30-5KB-0000-0770 1 / OP ID: CD '9�� " CERTIFICATE OF LIABILITY INSURANCE CAT03/26Dn'YYY) TYPE OF INSURANCE o3rzs/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Elliot Leitenberg 407.869.4200 Bruce Morse Insurance Agency 407-862-7656 1000 Wekiva Springs Road Longwood, FL 32779 Leitenberg Insurance Services CONTACT NAME: De Malley IA19, No, PHONE ,407-478-6529 AF IC No: 407-862-7656 not RiESS: dmalle morsea enc .com FRVULIGILKFENCE-1 C TOMERIDe: INSURERS AFFORDING COVERAGE NAIC tl INSURED Fence Outlet Inc INSURER A: Nationwide P&C 37877 Fence Outlet of Oviedo Inc Fence Outlet of Tampa Inc 9671 S. Orange Blossom Tr. Orlando, FL 32837 INSURERS: Nationwide Mutual 23787 INSURER c: Nationwide/Allied P&C Ins 42579 INSURER D: Brid efield Employers Ins 10701 PERSONAL d ADV INJURY S 1,000,00 INSURER E: INSURER F: PRODUCTS - COMP/OP AGG S 2.000,00C COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DESCRIPTION OF OPERATIONS I LOCATIONS I V tHI%;Ltz, 1--11... v .. • •.--•-•-• -• 1CY LT RI TYPE OF INSURANCE ADO POLICY NUMBER EFF M DDD YYYY MMICY EXP I DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X 77PR8651613001 12/31110 12/31/11 EACH OCCURRENCE S 1,000,00 PREMISES Es occurrence f 100,00 MED EXP (Any one person) $ 5,00 PERSONAL d ADV INJURY S 1,000,00 -GENERAL AGGREGATE f 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POOCi I ^ JFPRT LOC PRODUCTS - COMP/OP AGG S 2.000,00C S C AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS X BAPC 5903684403 12/31/10 I 12/31/11 COMBINED SINGLE LIMIT S 5001000 (Ea acddent) BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE s (Pet et:cltlenl) S S IR X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE X 77CU8651613002 12/31/10 12/31/11 EACH OCCURRENCE S 5,000,00 AGGREGATE f 5,000,00 s DEDUCTIBLE I RETENTION SWC f X I N I A 830-36090 04/01112 STATU• OTH- X ft D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY04101/11 ANY PROPRIETORIPARTNERIEXECUTNE YD OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under,E.L DESCRIPTION OF OPERATIONS bel E.L. EACH ACCIDENT S 1,000,00 E.L. DISEASE . EA EMPLOYEE S 1,000,00 DISEASE •POLICY LIMIT S 110001 Aeduleeal Remarks Schedule. Remarks Schedule. it more space Is required) Certificate Holder r is Aldi io bilnsured as respects to General Liability, -sn day notice of cancellation/10 day notice for nonpayment of premium. City of Sanford Purchasing Manager PO Box 1788 Sanford, FL 3271 ACORD 25 (2009/09) SANFOCI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ®1988-2009 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD All rights reserved. LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: i Z v // I hereby name and appoint: N I FZ A V PAT C L an agent of: f" E tJ C 1= O U I L C T (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): WAll permits and applications submitted by this contractor. D The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 1 �-/31 / 2 0 o License Holder Name: R A S U L PA —,61_ State License Number: Signature of License H STATE OF FLA COUNTY OF ,.✓ar.�_- The foregoing instrument was acknowledged before me this 20 // , by A Asu L PATEL to me or o who has produced identification and who did (did not) take an oath. (Notary Seal) DONNA S. DME MY COMMISSION I EE 056170 EXPIRES: APAI 26 2016 •�Bonded T1w Notary PutIIC �nden�nitea (Rev. 3/27/07) Signature I)on1AjA S. bojL6 Print or type name /.2 day ofA, who is impersonally known Notary Public- State of FL o2 / DA Commission No. EE (95(a 1-70 My Commission Expires: 0 4/Zq / 2 o iS as OFFICE. PERMIT # 1.2- 9,,re Legal Description Lot 77. HIDDEN LA KE PHIISE III- UNIT V11, according to the plot A th creof as recorded in Plot Book 38. Page(s) 79 and 80, o%the Public Records ofSeminol MN "Sol Community number: 120294 Panel: 0070 Suffix: F r. 1. R. Af. Date: 9/28/2007 Flood Zone: Xt 7r i+7 JI Date of'feld Hwi*: 1011012011 Completion Date: /0// 11201• cerlijied /a: Douglas K. Hill: Cciand Florida Title Center: Old Republic National Title Insurance Company: P1111 lionic Loans, LLC d1bla Suithell Lending Services. its'successors and/or assigns, as their interests inav uppear. LO -C4 RON SKEL(- Qt, VILLAS LAKE IV -87 84 dy to ScalePHASE IV .51 �,8, 1300 PAGES r 13 PLA 4S 171M) 18 N 2p 1 9 - N.20. C) 15 FIR 112 CITY OF SANFORD BUILDING PLAN REVIEW PLANNING Al 0 DEVELOPMENT SERVICES Fcm 4' APPRQVT DATE I LOT 77 cov - ??.6, CONC QD Q 4- 10.0, A ig• WE STORY < RE9DENCE ti LOr 76 XXX -.*0I0, AIC /*S D1, 10.r ;n K o FIR 5/8" L6 4475 0 (PRC) Ne CONe CR o D 11,r FIR 518- < > L8 4475 CURVE TABLE nR 5/8 11.79.(P&C) (PC) N.J5107*507C, NO RAMS ort rA An rANGENr cHoRo CHORD BEARING -J2.59- 5.3501 57 '?(PC) I(P) 25.OD' 81-16'52- J5.47 S.75 -45'J7 -W, 2 J05.00: 13 -JO -51: 71.35- J5.84- 71.19- S.70 -36-42-C. i 5.35 07 50 �W.• J7.01 I -P)) 25.00 81*04*04 JS.37' 21.38* 32.49' 5.757855"W, 2.49*5.757855"W,S.35,07'50w 201) J05.00' 137010" 7188' 36 )1* 70. 71 * S, 7076108 X, J(P) J05 00' 1725*45- 92.78- 46.75- 92.42' S.550841T. EOGE OF PAVEMENT z ig g 3(M) J05.00' 1717'26- 92.04- 46,J7' 916.9- S54 -48-55r. : Z 11 LAKESIDE CIRCLE 50' RIW (IMPROVED) ro N&O 24ASPHAL T (PC) Properiv.-Iddress: 194 Lakeside Circle Sanl6rd, FL 32773 RR 112 (PRC) Survev, mimber. SL 11968; GENERAL NmES cits—plo-,-n, ".211 b% Ofl,%'. AUD ARE O.R S. G' ^a'2 :� ThE BEST - -URCES AVA T SC Tw E Su R EYO- T)IIS Sv�:JLD 'IC OFFICE FENCE OUTLET Proposal / Contract www.fenceoutietonfine.com . _ . _ y PERMIT# /Z- 5-7P 56893 CUSTOMER NAME �C--w, ADDRESS OWN PROPERTY? YESIb NO❑ OWNERS NAME ❑ 9671 S. Orange Blossom Trail " Orlando, FL 32637 Tel (407) 851.6660 • Fax (407) 438-3181 1724 Tel Broadway St., Suite 100.Oviedo, FL 32765 Tel (407) 359.9092 - Fax (407) 3662335 ❑ 201 S. Falkenberg Road • Tampa, FL 33619 Tel (813) 651.3623 • Fax (813) 651.3655 DATE PHONE: HOME# ,&r SSG si0( WORK MOBILE FAX PVC WOOD (^ ALUMINUM WELDED STEEL CHAIN LINK PVC Feet Height 4' ❑ 5' ❑ 6' ❑ Wood Feett � 4 7` > Cypress - PT Pine ❑ Pres. Plus Aluminum Feet Steel Feet Chain Link Feel T&G Privacy ❑ BOBD— STKD ❑ VSB ❑ Height 4' ❑ 5 ❑ 6' ❑ Height 4' ❑ 5' ❑ 6' ❑ Height 4' ❑ 5' ❑ 6' ❑ Domed ❑ Scalloped ❑ Style #203 ❑ #3000 #3030 Style Classico Majestic❑ Other Height Privacy With Lattice ❑ Other Style Other Style Montage❑ Montage Plus❑ Residential ❑Commercial ❑ Other Style Height 6'0- 8' ❑ Residential ❑ Commercial ❑ Black ❑ Bronze ❑ LT Comm ❑ Industrial ❑ Gate_ Size Picket 1/2%4",61- 4",61- 1"x4' ❑ Black ❑ White ❑ Industrial ❑ Gate_ Size Galvanized ❑ Black Vinyl ❑ Gate_ Size Gate_ Size Runner 2" x 4" nlr� Gate Size X Post Size Gate_ Size Green Vinyl ❑ Flat Cap ❑ Bal Capl ❑ Gate1 Size 42 fZ9#0 Gate_ Size Gate_ Size Gate_ Size Gate_ Size Gothic ❑ New Eng. ❑ g Gate Size Gothic Top ❑ Traditional Top ❑ Gate_ Size Gate_ Size Gale_ Size Coachman ❑Tear Drop ❑ Other ❑ Good Side In ❑ Out k Fence to Follow Contour of Ground, Al,. - Fence to be Level ❑ Remove existing Fence ren t Ft. No Fence Line to be Cleared by Fence Outlet ❑ Fence Line to be Cleared by Owner Comer Lot Yes b, No ❑ 3? t Permit Needed Yes �' No ❑ Jurisdiction (7rr 4fir,! Cdr Special Instructions: e k. �! Oben �✓Ta�nily<�irs 30 e ell HOUSE Fence Outlet will assist the customer, upon request, In determining where the fence Is to be erected, but under no circumstances does Fence Outlet assume any responsibility concerning property lines or in any way guarantee their accuracy. If property pins cannot be located, it is recommended that the customer have the property surveyed. Fence Outlet will assume the responsibility for locating underground cables and utilities, however, Fence Outlet Is not responsible for any sprinklers or other unmarked buried Imes or 2 Payment Is due at the time of completion of work, and a finance charge of 11112% ren the p 12% per month shall be applied to all accounts not paid in lull within 10 days of completion. All material will main o1 fence outlet until payment Is received In full. Right of access and removal Is granted to Fence Outlet In the event of nonpayment per the terms of this contract. The customer agrees to pay all Interest and any costs Incurred In the collection of this debt Including reasonable attorney fees. If the buyer refuses to allow the seller to begin work or complete work already begun, or to accept materials contracted for, Buyer agrees to pay Seller liquidated damages of a sum equal to 33113% of entlro contract price, plus cost of materials and labor already furnished or In progress. Warrant' may De voided II sign is removed. Customer assumes full responsibility for obtaining homeowners assodation agproval for fhe tune and location of fence. OCCORDIN610 FLORIDA'S CONSTRUCTION UFO LAW (SECTIONS 113.001.113.31, FLORIDA STATUTES), THOSE VINO WORN 01 YOUR PROPERTY OR PROVIDE MATERIALS OND ARE NOT PAID IN FULL HAVE O RIONT TO ENFORCE THEIR CLAIM FOR PAYMENT 1161INST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION UER. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FOILS 10 PAY SUBCONTRACTORS. SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR HEOUCTS 10 MAKE OTHER 96ALLY REQUIRED PAYMENTS. THE PEOPLE VINO ARE OWED MONEY MAY WON 10 YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL IF YOU FAIL 10 PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A UFO ON YOUR PROPERTY. THIS MEANS IF A HER IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL 10 PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED 10 PAY. FLORIDA'S CONSTRUCTION UFO LOW IS COMPLEN AND IT IS RECOMMENDED THA1 WHEREVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY. NOTICE TO PURCHASERS OF WOOD FENCES: Wood fence materials are rough mill cut pieces. Wood fence has a tendency to shrink and warp in hot, humid weather and small gaps will appear between boards. Cracks in the wood are a common and accepted occurrence. Fence Outlet will only guarantee the workmanship on wood fences for one year. I I HAVE READ AND UNDERSTAND THE ABOVE CLAUSE: ) CONTRACT AMOUNT: $ -/ APPROVED AND ACCEPTED FO CUSTOMER j . DOWN PAYMENT: $ CUSTOMER DATE BALANCE DUE UPON COMPLETION $ DATE STARTED INSTALLER CUSTOMER DATE ACCEPTED FOR FENCE OUTLET DATE COMPLETED SALESPERSON DATE LABOR QUOTE VALID FOR DAYS