HomeMy WebLinkAbout116 Willowray Ridge StCITY OF SANFORD PERMIT APPLICATION
Application # � (r- J— 2A d 1e Submittal Date:
Job Address: 116, eti�e� Cv=R/�� Y /Ir+� S%i'�Ei Value of Work: $
Parcel ID: 1 pZoning: Historic District:
A, Description of Work: ff��--�. ).t3OG , t.t r n:�- Square Footage: _
........................................................................................................................
Permit Type: Building Uo"o' Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
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Property Owner: /' 1 C)A4W26- Contractor:
Address: 116 (riJ/e"XN�i�Y /� i LYrg - Address:
S 6601)--0 F -L, s� j
Phone:'E-mail:�c%��Id '� e.-vY►7 Phone: State License Number:
Bonding Company:
Address:
Arch itect/Engineer.
Address:
Plan Review Contact Person:
Mortgage Lender-
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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. s
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 of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner Dae Signature of Contractor/Agent
Print Own /Agent's Name
Signature of Notary -State of Iflori `• • G+O //
��•�•N SSION E /%
.. v° �a`•y 16.2
Owner/Agent is Person[ Y*down to1° e� 2g$ o • Q
Produced ID L % • o # o ,•�
1J LO L / 9 a fl� �•d�
APPROVALS: ZONING: //i� - FD:
Special Conditions:
Rev 02/2007
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID
Personally Known to Me or
ENG: BLDG:
0 :39,0a
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
.../re_web.seminole_county_title?parcel=22193050200001500&cpad=WILLOV�6/8/2007
DAviD JOHNsoN, CFA. ASA
PROPERTY
APPRAISER
SENIINOLE COUNTY FL.
1101E. FIRST ST
SAKFORD. FL 32771.1466
407-665-7506
2007 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 22-19-30-502-0000-1500
Number of Buildings: 1
Owner: DHARSI ROSEMIN & MURTAZA H
Depreciated Bldg Value: $247,646
Mailing Address: 116 WILLOWBAY RIDGE ST
Depreciated EXFT Value: $15,308
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $48,000
Property Address: 116 WILLOWBAY RIDGE ST SANFORD 32771
Land Value Ag: $0
Subdivision Name: PRESERVE AT LAKE MONROE
Just/Market Value: $310,954
Tax District: S3-SANFORD-WATERFRONT REDVDST
Assessed Value (SOH): $263,419
Exemptions: 00 -HOMESTEAD (2006)
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $238,419
Tax Estimator
2006 VALUE SUMMARY
SALES
Tax Amount(without SOH): $4,567
Deed Date Book Page Amount Vac/Imp Qualified
2006 Tax Bill Amount: $4,567
WARRANTY DEED 03/2005 05658 0643 $275,000 Improved Yes
Save Our Homes (SOH) Savings: $0
2006 Taxable Value: $231,994
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Land Unit Land
PLATS:
Method Frontage Depth Units Price Value
LOT 150 PRESERVE AT LAKE MONROE PB
LOT 0 0 1.000 48,000.00 $48,000
62 PGS 12 - 15
BUILDING INFORMATION
Bid Year Base Gross Living
Bid Type Fixtures
Est. Cost
Ext Wall Bid Value
Num Bit SF SF SF
New
1 SINGLE 2005 13 1,532 4,081 3,479
CB/STUCCO $247,646 $250,147
FAMILY
FINISH
Appendage / Sgft OPEN PORCH FINISHED / 143
Appendage / Sgft GARAGE FINISHED/ 459
Appendage / Sgft UPPER STORY FINISHED / 1947
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed
Porch Finished,Base Semi Finshed
Permits
.../re_web.seminole_county_title?parcel=22193050200001500&cpad=WILLOV�6/8/2007
I
PRESERVE AT LAKE MONROE
HOMEOWNERS' ASSOCIATION, INC.
ALTERATION APPLICATION
OWNER'S NAME. :wu ►- �1)f'��S 1" DATE:'e��J
ADDRESS: C
PHONE:.
DESCRIBE IN DETAIL, TYPE OF ALTERATION AND MATERIALS TO BE USED:
(IF MORE SPACE IS REQUIRED, PLEASE ATTACH TO THIS FORM. THANK YOU)
An application requesting approval for any alteration which occurs outside the exterior walls of
the building and is, therefore, common area, MUST BE ACCOMPAINED BY A SKETCH ON
YOUR LOT SURVEY; INDICATING LOCATION SIZE TYPE OF CONSTRUCTION
AND OTHER PERTINENT INFORMATION AS MAY BE NECESSARY.
If approval is granted, it is not to be construed to cover approval of any County or City Code
Requirements. A building permit from the appropriate building department is needed on most
property alterations and/or improvements. The Architectural Review Board shall have no liability
or obligation to determine whether such improvement, alteration and addition comply with any
applicable law, rule, regulation, code or ordinance.
As a condition precedent to granting approval or any request for a change, alteration or addition to
an existing basic structure, the applicant, their hires and assigns thereto, hereby assume sole
responsibility for the repair, maintenance or replacement of any such change, alteration or
addition. IT IS UNDERSTOOD AND AGREED THAT THE PRESERVE AT LAKE MONROE
HOMEOWNERS' ASSOCIATION, INC. IS NOT REQUIRED TO TAKE ANY ACTION TO
REPAIR, REPLACE OR MAINTAIN ANY SUCH APPROVED CHANGE, ALTERATION OR
ADDITION, OR ANY STRUCTURE OR ANY OTHER PROPERTY. THE HOMEOWNER
AND ITS' ASSIGNS ASSUMES ALL RESPONSIBILITY AND COST FOR ANY ADDITION
OR CHANGE AND ITS FUTURE UPKEEP AND MAINTENANQL.-- c��d
DATE: 3 -A • b-_�- OWNER'S SIGNATURE:
ACTION TAKEN BY THE ASSOCIATION:
DATE: S 3 ,P APPROVED:NOT APPROVED:
AUTHORIZED SIGNATURE FOR THE
Architectural Review B and
I
ease u mit application and attachments to
reserve at Lake Monroe
c/o Peg--RenrdonL,t
Sentry Management, Inc.
2180 W SR 434, Suite 5000
Longwood, FL 32779
Telephone: 407-788-6700 Fax: 407-788-7488
�c'
PRESERVE AT LAKE MONROE HOA
5205 S. ORANGE AVENUE
SUITE 206
ORLANDO FL 32809
407-852-5300
May 09, 2007
ROSEMIN & MURTAZA DHARSI
116 WILLOWBAY RIDGE STREET
SANFORD FL 32771
Acct #171150
Your request to install a fence has been approved. Please follow the enclosed
guidelines.
�h
CO+N I\
* OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners
from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Property Address: IA Y K I L,0f Pt �� 7�9�
1, f_-1 1) 4 DP/IV� i' , do hereby state that I am qualified and capable of
performing the req ested construction involved with the permit application filed.
\A
Signature
\ •s uti tfte' i
Signature •'���\NaJ 1 b. � a°r ' • i
Form of Identification 1�- L ib - 4e -- u s
(Must be Photo ID) = T • ^•
A violation of this exemption is a misdemeanor of the first deg ra rs ' it `hy*�*-rm of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil�ticdt� n, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pugi� I�R�', or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
'
I HAVE ACCESS TO THE ADOPTED CODES.
I AM FAMILIAR WITH THE CODE PROVISIONS.
�y
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
\
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON 1 HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address: IA Y K I L,0f Pt �� 7�9�
1, f_-1 1) 4 DP/IV� i' , do hereby state that I am qualified and capable of
performing the req ested construction involved with the permit application filed.
\A
Signature
\ •s uti tfte' i
Signature •'���\NaJ 1 b. � a°r ' • i
Form of Identification 1�- L ib - 4e -- u s
(Must be Photo ID) = T • ^•
A violation of this exemption is a misdemeanor of the first deg ra rs ' it `hy*�*-rm of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil�ticdt� n, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pugi� I�R�', or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)