HomeMy WebLinkAbout115 Clear Lake CirPermit # : .5— ' 4L
Job Address:
Description of
Historic District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
Value of Work:
Permit Type: Building \/ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential _4Z 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: / 2—,P -j Z, F{
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address: 'TO /1 SC i Nall _L
Contractor Name & Address:
Phone & Fax: — 3 " ZZ2 2 rCofitact Person: �
Rnndina ('mm�a nv•
A dd rrcc•
Mnrtaaoe i.endPr
Addrrcc•
Architect/Engineer:
Address:
(Attach Proof of Ownership f Legal
Phone: 7 V q—
License Number:
Phone:
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, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and thete-rfgbe additional permits requjred from other governmental entities such as water management districts, state agencies, or federal agencies.
is verification thatlj�TX'tify tfie owner of the property of the requirements of Florida Lien Law, FS 713.
/'X,,
Sign ture of Owner/Agent t. Date
q rinl Owner/Agent's NaRe
to. t 9,
ignature of �4miAPteJOHNNN Date
# * MY COMMISSION # DD 285822
EkPI ES; March 23 2008
r�9TFOF Fl��\OP A0^�`� ru budget Notary Nl 9
O geInt Pe;,onal o to e �� • S�,72•Q
Produced D �i •�D .�
• X0.18 •c��
APPLICATION APPROVED BY: Bldg: nr Zoning:
(Initial &W) (Initial & Date)
Special Conditions:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is.
Produced ID _
Utilities:
Personally Known to Me or
FD:
(Initial & Date) (Initial & Date)
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
residence 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 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 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,
ordinances, building codes, and zoning regulations.
/ Q l , , do hereby state that I am qualified and capable of performing the
requested construction involved with t e permit application filed.
" will assu full responsibility as an Owner/Builder Contractor, and will personally supervise all work
/
allow
;w on the permitted structure.
� U
Signature Date
Print Owner/Builder Name
gnature of Notary— to of Florida Date
Owner is Pe sonally Known to Me or has
Produced IDS.
tt*i tY
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POWER OF AngRM
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I h�1 SGb In S�C. Ido hereby authorize _ agent for R. Russell
AProperties, Inc., to pull roof and/or residential repair permits or ll.S
—Al I L,
Notary
Personally known tome or driver's license # �2 313 Z `� /
State ofd{ ,County of �(Lrl o✓, on _I-a___day of 004
STATE OF D-4(�[ 2>
COUNTY OFLALaa—
SUBSCRIBED AND SWORN, before me
this Id, day of G (— ,20_
ArAel S. Q
Notary Public
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FINAL, /C' -el. e3
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Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I
PARCEL DETAIL
Back
7:
2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 02-20-30-5GJ-0000-0720 Tax District: S1 -SANFORD
Number of Buildings: 1
Owner: GOSCINSKI JOHN S Exemptions:
Depreciated Bldg Value: $62,751
Own/Addy: C/O AMCI COAL SALES INC BB&T
Depreciated EXFT Value: $0
Address: 400 N CHURCH ST UNIT 219
Land Value (Market): $14,000
City,State,ZipCode: CHARLOTTE NC 28202
Land Value Ag: $0
Property Address: 115 CLEAR LAKE CIR
Just/Market Value: $76,751
Subdivision Name: HIDDEN LAKE VILLAS PH 3
Assessed Value (SOH): $76,751
Dor: 01 -SINGLE FAMILY
Exempt Value: $0
Taxable Value: $76,751
SALES
2004 VALUE SUMMARY
Deed Date Book Page Amount Vaclimp
2004 Tax Bill Amount: $1,580
WARRANTY DEED02/1984 01525 0022 $54,000 Improved
2004 Taxable Value: $77,092
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG LOT 72 HIDDEN LAKE VILLAS PH 3 PB 28 PG,(
LOT 0 0 1.000 14,000.00 $14,000
3 TO 6
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SIF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1984 6 1,186 1,558 1,186CB/STUCCO FINISH $62,751 $68,208
Appendage I Sqft OPEN PORCH FINISHED / 12
Appendage / Sqft GARAGE FINISHED / 360
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
*** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value.
.Ire—web.seminole—county_title?parcel=0220305GJ00000720&cpad=clear%201ake&cpad—n,,I 0/18/2004