HomeMy WebLinkAbout204 Bristol CirCITY OF SANFORD PERMIT APPLICATION
Date:
Job Address: T
Description of Work:
Historic District:
F tfvyr
Zoning: X Value of Work:
Permit Type: Building _X_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: #. of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential X, Commercial Industrial XTotal Square Footage:_ —, -I(-L (\
Construction Type: _N # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel N: ( •y k • S0 C- - Cty)n (7'\ K (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Contractor Name &
afr7c.^waiv r i. vwvv
Phone & Fax: Contact Person: Phone:
Bonding Company:
Address:
Mortgage Leader:
Address:
Arebitect/Eogineer: Phone:
Address: 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. 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, them may be additional restrictions applicable to this property that may be found in the public records of
this county, and them may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance o it is verification that I wi notify the owner of the property of the requirements of
gnature / ent Date Signature of
int er N Print
ofN
MIS I 29893
Date
EXPIRES: May 16, 2009
ow&d Thru N9larl PUVO UndNwrt"
Produced ID
Lion Law'
MY COMMISSION # DD 429693
EXPIRES: May 16—Z —
Date
Date - '
or
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: PD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
Jan 31 2006 8:59 HP LRSERJET FAX P.
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS:
COMPANY:
LICENSE NO: r' r C
PROJECT INFORMATION
SUBDIVISION: ADDRESS:
PERMIT NO: LOT:
af#iant, hereby affirm that I am the duty licensed
contractor of record for the above reference permit, that all of the foregoing
information is true and accurate, and that the dry -in, flashings at the above
referenced address/lot has be installed in accordance with all applicable codes
and standards.
CONTRACTOR: bitLe LE gj-4,vC -
PRI T NAME)
IGNATURE)
STATE OF FLORIDA
COUNTY OF
This instrument as 4pknowledged before me this q day of
r by the above referenced individual,
who ovule ged that he/she is a duty licensed
contractor with' ' , and who acknowledged that he/she
was authorized to execute th s docu ent. He/Shkjjeitl e ersonally known
me or produced as —valid--
Identification.
WITNESS my hand and offi 'a eal this /day o ,
KAREN BAR RETO PUCA N ry ub
MY COMMISSION 0 DID 429893
EXPIRES: May 16, M j Printed Name:
BWWO Tnnu Ndary Wic uWa Mwj
M y Com rni ssion Expires
POWER OF ATTORNEY
Date: I n lO , CD 4
I hereby name and appoint CLIVE HARRIS
Of BRITE TOP ROOFING
in fact to act for me and apply to the
to be my lawful attorney
Building Department for a ROOFING
permit
for work to be performed at a location described as:
Sectio Township l Range (31 Lot Block U
Subdivision
AMA
Address of Job)
Owof Property and Address)
and to sign my name and do all things necessary to this annointment.
DALE LEBLANC CCC058108
a.7ry va A aaaa& a'qwWc Vl %-Ul U1 MU
The
by
who is
as
Signature of Certified Contractor
License Number
was acknowledged bore me this day of 20QL
own to metwho pro
who did not take oath.
State of Florida KAREN SARRETO PUCAr. P;. MY COMMISSION # DD 429693
County 11 7; EXPIRES: May 16, 2009
k' W&dThru FIMary publlcUnderWrlter
Jv v
Public, Orange Count Flori
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Bill'
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OPERTY
PRAISER jCOUIENTYfrL
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Ol'E. FnisT,s-r
R D, FL 32771.1466
136 7 t3
2007 WORKING VALUE SUMMARY
GENERAL Value Method: Market -
Parcel Id: 07-20-31-506-0000-0770 Number or Buildings: 1
Owner: SURICK JOHN C Depreciated Bldg Value: $99,036
Alailing Address: 204 S BRISTOL CIR Depreciated EXFT Value: $0
Cill,,SIatc,%ipCode: SANFORD FL 32773 Land Value (Market): $25,000
Pruperty Address: 204 BRISTOL CIR SANFORD 32773 Land Value Ag: $0
Subdivision Name: BRYNHAVEN 1ST REPLAT Just/Market Value- $124,036
Tax District: SII-SANFORD Assessed Value (SOH): $77,253
L:xcmptions: 00-HOMESTEAD Exempt Value: $25,500
Dor: 01-SINGLE FAMILY Taxable Value: $51,753
Tnx Estimator
2006 VALUE SUMMARY
SALES Tax Value(without SOH): $1,820
Uccd Date Book Page Amount Vac/Imp Qualiried 2006 Tax Bill Amount: $849
RANTY DEED 07/1991 02314 0719 $75,100 Improved Yes Save Our Homes (SOH) Savines: $971
I Comparable Sales within this Subdivision 2006 Taxable Value: $49,503
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LEGAL DESCRIPTION
LAND Pick...
PLATS:
sscss kthud Frontage Depth Land Units Unit Price Land Value
0 0 1.000 25.000.00 $25,000 LEG LOT 77 BRYNHAVEN 1ST REPLAT FIB 39 PGS 20 & 21
BUILDING INFORMATION
III Bld'i)-pe Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value EsL Cost New
SINGLE FAMILY 1991 6 1,157 1,837 1,157 SIDING AVG $99,036 $104,800
appendage / Sgrt SCREEN PORCH FINISHED / 160
ppendage / Sgrt GARAGE FINISHED 1472
ppcndage / SqR OPEN PORCH FINISHED / 48
Ippoidluvv ('odes included in Living Area: Base, Upper Ston, Base, Upper Stony Finished. Aparinteni, Enclosed Porch Finished. Base Semi Finshed
vsessed values shown are NOT certified values and rher•gfnre are subject to change before being finalized for ad valorem iax proposes.
recently purehused a homesteaded properrvyrorrr• next year's propegv tax will be hosed on JusdAlarket rtdae.
i IIII li III II Itl II iil II 111 it III II 111 II 11111 III 11 lil It III I IIII
Permit Number
Parcel Identification Number(:2 db —nol )j
BK
Prepared by: Brite Top Roofing
9601 Recycle Center Road
Orlando, FL 32824
Return t <; 'DL
NO ICE OF C 'S;ENCEMENT
State of Flori
County of Yl
INNE MORSE, CLERK OF CIRCUIT COURT
IOLE COUNTY
440 Pg 1511; tlpg)
RK'S # 2006162189
IDED 10/10/2006 11 MIS AM
IDIND FEES 16.06
WED BY H Bailey ,
CERTIFIED COPY
MARYANNE - ORSE-
CLERK OF CIRCU C _
SEMMOLE COU T IDA
8Y 33
i-y
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of
Commencement.
1. Description of property (legal description of the property, and street address is available):
S• `i C. SANI*O/Lb 327-73
2. General Description of improvement(s): Reroof
3. Owner information:
Name: v (`'._ Telephone Number:
Address Zpc S ,-'}' ,Fax Number:
S7ONFollb 3a-7-73
4. Fee Simple Title Holder (if other than owner shown above:
Name: N/A
Telephone Number:
Address: Fax Number:
5. Contractor:
Name: Brite Top Roofing Telephone Number: 407-895-1551
Address: 9601 Recycle Center Road Fax: 407-895-1320
Orlando, FL 32824
6. Surety (if any):
Name:
N/A
Address:
7. Lender (if any):
Name:
N/A
Address:
Telephone Number:
Fax Number:
Amount of bond $ _
Telephone Number:
Fax Number:
N/A
B. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by §713.13(1)(a)7., Florida Statutes.
Name:
N/A
Telephone Number:
Address: Fax Number:
9. In addition to himself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name: Telephone Number:
Address: N/A Fax Number:
10. Expiration date of Notice of Commencement (the expiration date is one year from the
date of recording unless a different date is specified):
ToHv SuRiC-c.
Date s(pW Signature tf,6wner
Driver's Licenses
Sworn to and subscribed before me this day of (C `
who is Pei c/owrK AENdi-o , FIN;A P duced
MY COMMISSION N DD 429693
as identification. EXPIRES: May 16, 2009
4i' CondoOirrruNotoryllourer T Signatu a of Notary (notarial seal to appear below)