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HomeMy WebLinkAbout106 Club RdCITY OF SANFORD PERMIT APPLICATION 4 Permit # : �, � s � �� D t ,O 't Job Address: Description of Work: d e• Historic District: Zoning: Value of Work: S 59 00. Permit Type: Building 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 Calc. 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 Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than N) Parcel M A (Attach Proof of Ownership & Legal Descri*-Z Ow •rs Name & Address: L. Q-- �-- i ✓l► rs Phone:C r for Nam & Address:License Num�her: i L L_ L•- i - - Phone & Fax: ' ' Bonding Company: Address: Mortgage Lender: . Address: Architect/Engincer: Address: Person: Phone: Fax: hone: 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, WIsLLS, 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 COMMENCEMENTMAY RESULT IN YOUR PAYING I 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 ofthis 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 prperty of the requiremeq, 4f Flo ' LienLaw,FS,7110. Signalyle ofOtvner/Agu�C 1 ( 1 ate Signal of ntracto r/:\g�t �Date - Print C ner gent's N' to runt v, nrraci nr�gem s i n,y: � t Si na ire of otary- tat of onda ' Date Signature of Notary -State o orida Date FLORENCE A. DE GRAVE ,s, MY COMMISSION # DD 1542Er ?vs DAF FAYE W ty mar ;. NO a ADCpCK EXPIRcS:Pto/e f 12 s M � 1 T&TB'sp Pe �r Contractor/Agent is_ ersonapy K�no!W1n to M,c or ID xp'r88 DEC, Produced ID APPLICATION APPROVED BY: Bldg: (Initial Special Conditions: (Initial & Date) Utilities: FD: (Initial &Date) (Initial & Date) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I ............ .... .. .. ..... . . ..... ...... . . ..... -X, 0 DA V0 JOHNnOZ4, CT. PROPERTY APPRAISER F- 4 J! 2006 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 35-19-30-522-OF00-0180 Number of Buildings: 1 Owner: HILL RICHARD & CATHERINE G Depreciated Bldg Value: $46,978 Mailing Address: 109 CLUB RD Depreciated EXFT Value: so City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $17,000 Property Address: 109 CLUB RD SANFORD 32771 Land Value Ag: $0 Subdivision Name: COUNTRY CLUB MANOR UNIT 3 Just/Market Value: $63,978 Tax District: S1-SANFORD Assessed Value (SOH): $63,978 Exemptions: Exempt Value: $0 Dor: 01 -SINGLE FAMILY Taxable Value: $63,978 Tax Estimator SALES 2005 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2005 Tax Bill Amount: $1,289 WARRANTY DEED1 1/1993 02682 0972 $37,600 Improved Yes 2005 Taxable Value: $64,613 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENT,< LEGAL DESCRIPTION LAND ....... ...... 'Pick ... PLAT S, Land Assess Method Frontage Depth Land Units Unit Price Land Value ...... LOT 0 0 1.000 17,000.00 $17,000 LEG LOT 18 BLK F COUNTRY CLUB MANOR UNIT 3 PB 12 PG 76 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1960 3 720 1,255 720 CONC BLOCK $46,978 $63,484 Appendage / Sqft UTILITY UNFINISHED / 66 Appendage / Sqft ENCLOSED PORCH UNFINISHED / 143 Appendage / Sqft OPEN PORCH UNFINISHED / 95 Appendage / Sqft CARPORT UNFINISHED / 231 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoren tax purposes. *** If you recently purchased a homesteaded property your next year's property tax will be based on JustlMarket value. ... /re—web.seminole—county_title?parcel=3519305220FO00180&cpad=CLLTB&cpad num=10,10/19/2005 POWER OF ATTORNEY Date: 10 b S I, Androw T (Andy) Adcock do hereby authorize Ruben. Birch To pull the Rer o o f permit for D l.o LL L, pr (type of permit) (address) Signa e d�� u"'N '� DAFNEY FAYE ADCOCK )� NOTARY PUBLIC, STATE OF FLORIDA ! MY Comm: Expires DEC, 2, 2DD8 � COMM, tr,�rs< +N 00378699 Stamp Personally k n to me or driver lic of State of Florida, County of day of I NOTICE OF COMMENCEMENT �0 v�rto. of Florida County of Seminole Pc. Tax Folio No. (PID) (� 'Hie undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 2 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal description of the prop rty and street address) GENERAL DESCRIPTION OF IMPROVEMENTa�"'' i'Fit COPY )WARYANNE MORSE HE? OF CIRCUIT COURT SEI t T FLORIDA OWNER INFORMATION Name and address 13 Z-1-7 c RK Interest in property (Fee Simple, Partnership, etc.) NAME AND ADDRESS OF FEE SIMPLE TITLE I,iOLDER•(IF OTHER'TIIAN OWNER) CONTRACTOR Nam and ad ss SURETY (Bonding Company) Name and address Amount of Bond MARYANNE MORSE, CLERK UrUMIT CMIRT SEMINOLE COUNTY LENDER BK 05958 PIG 1879 Name and address CLERK' S #i 2°005181459 REM,01146 FEES 10.00 'Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(IXa)7., Florida Statutes: Name and address • kk4##4######k#######4#####}#########t##########4##4#44##4###4#####4}##4#####4#k###k###k##k## In addition to himself, Owncr designates of to receive a copy of the Licnor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Date of Notice of Commencement irat���3aic�Ts-i m date of rccordine_ unless a diffemnt date ism ifm.) NES Fqy ADC Ck I 1 NCTggYPU9lIC,8 C MY cc) M EX T6 CR Ft RIDA C M P Ir ®EC, na f i�wuer K 3760p encs Sworn and bscrj c his Day of 1-9•- 'Z go My Commission Ezpi 1 Z b Notary4ub�Iz.oThe foryinstrument was ackno ledged before me this day of L-6t9-c— (name of per. on acknowlcd , who is personally known t me or who has produced (type o identification �idcntifica and who did / did not take an oath> Company: Owner: AFFIDAVIT tRE ARDING ROO -IN AND FLASHING INSPECTIONS a License #: CCG 10-2 ZSO loco zq C, name Lw I 7Z — roject Information Permit #: (:�' Subdivision: Lot M I, Co affiant, hereby affirm that I am the duly licensed contractor o 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: al Cti� signature printed name STATE OF FLO A COUNTY OF -vim o This instrument was acknowledg4LZ_A�.b ma this _ day of b�i� , 200 by the above referenced individual,ms.ho eknowledged that he/she is a duly licensed contractor with -� ,wwho acknowledged that he/she was authorized to execute this document. He he is e nail kn—oft to me or produced as v identi ica ion. WITNESS my hand and seal this ( day of 20a S DAFNEY FAYE ADCOCK Notary Public NOTARY PUBLIC, STATE OF FLORIDA MY Comm. ExPIM LOC, 2, 8008 comm, N DD376606