HomeMy WebLinkAbout116 County Club CirPermit #
Job Address:
Description of Work: _
Historic District:
Permit Type: Building
CITY OF SANFORD PERMIT APPLICATION
Zoning: Value of Work:
Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets.
Date: �� ~
0c)
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
_ Addition/Alteration Change of Service Temporary Pole _
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Occupancy Type: Residential Commercial Industrial
Construction Tvne: # of Stories: # of Dwelling Units:
Parcel #: c�J rh-)�,
Owners Name & Address:
Plumbing Repair - Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
(Attach Proof of Ownership & Legal Description)
Phone:
C ntractor Name & Address: t t C I IS -&J t2 r v - v- - �-
uv/l/ State License Number: �-7�i,�F1(1 ,
Phone Fax: Contact Person: I r ��L Phone: 5Z�II 1
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
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 ofthe 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 Flonda Lien Law,FS 713.
Si re of Ow r/Agent Date Si n re of Contra for/Agent Date
��A - Abd 3 1 1i
Print Owner/Agent's Name\\\\\ QIR (f //Print Contractor/Agen ' e
M......NO �i� �' PtiItOR//1/O
Si na r o ry-State of Florida \�� to �\oi dd No/o y •, 3igt%ture o ry-State of Floridaitaa Nojo
_ : n �a O��tpb25 • -10
pbp� 2bt
Owner/Agent is Personally Known to Me or :C 0� o;:Cttrictor/Agent is _Personally Known to Ms or :m ss _
Produced 1131 T cxO\t p0:
'Produced ID -/ C t`ejQ�br Qom\
//� SrgTF OF c�,\\�.� /i��i s`'9Tr ... •r �'���\� .
APPLICATION APPROVED 1bt+)Itlgl �� Utilities: FD: i
A+ ([nitia Date) ll(tn't it & Date) (Initial & Date) (Initial'8f/q�tC)j;;:,I
Special Conditions:
A�
tqSEs
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
COMPANY:r (--rn (1 C
AFFIDAVIT
LICENSE NO: L5„y J SS=_
PROJECT INFORMATION
SUBDIVISION. CI 113 y V ADDRESS: I I U CA54MY1 C b-0 r
PERMIT NO:
LOT: I
I, puQl�� �'nl ✓, affiant, here�y affirm that I am the duly licensed contractor of record for the above reference
permit, that all of a foregoing information is trite and accurate, and that the dry -in, flashings at the above referenced.address/lot has
been installed in accordance with all applicable codes and standards,
t�
CONTRACTOR:
(Print name)
4 A 030 -4'
(Sign ture)
STATE OF FLORIDA
COUNTY
This i trument was acknowledged before me this .)_.1_ day of X01 K', by the above referenced
i div d al,C t who acknowledged that he/she is a duly licensed contractor with
j2Z7 , and who acknowledged that he/she was authorized to execute this document. He/she is
either personally known to me ..-_ -or produced �a-s7 valid identification.
WITNESS my hand and official seal this j day of
ota Public
Printed Name:
My Commission Expires:
6111
do
a\
0
\Jb r. QQ
Exp �O • �
03
11111144 -Tr
,, 44-rc
'��urr
POWER OF A'T'TORNEY
I JACK DOUGLAS LANIER, the "principal," of COLLIS
ROOFING INC., P.O. BOX 180546 CASSELBERRY FL. 327189
herewith appoints Andrew McCloud of 435 Green Springs Cr Winter
Springs F132708 as their attorney in fact, to act in place and stead and
described herein; TRIS IS A DURABLE POWER OF ATTORNEY
THE RIGHTS HEREIN SHALL CONTINUE DESPITE THE
INCAPACITY OR DISABILITY OF THE PRINCIPAL
To act for me in the regard to the following:
BTAIN PERMITS AT THE BUILDING DEPARTMENTS
I U Lq�b-\� C,IWO U t
tckn �iyG( j 17. 5a-r� )
This power of attorney shall be in effect from 1/1/05 through 12/31/05
LANIER, JA, DOUGIi,AS, As Principal
STATE OF FLORIDA
COUNTY OF: Seminole
Sworn to and subscribed before me this day oby
J.Douglas Lanier as President of Collis Roofing, Inc. a corporation,
on behalf of the corporation. He/she is personally known to me X or has
produced driver license(s) as identification
My commission expires:
ed Name:
PrZary
No Public
Serial Number:o
' 'o Vc
�.� • tL =
/111lll11\00,\
vSeminole (county Property Appraiser Get Information by Parcel Number
ART
DIIVr,.7aH�1!'Y7Ht cA. ASA.
APPRAISER
sib INOLE
UNTY:FL '
i�Q;1'�Fli�s
;sz
SANFCXWq fL32 -1468
403`- 8�i575@B
2006 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 35-19-30-520-OA00-0130
Number of Buildings: 1
Owner: JOHNSON RICKY & RITA
Depreciated Bldg Value: $40,523
Mailing Address: 116 COUNTRY CLUB CIR
Depreciated EXFT Value: $115
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $17,000
Property Address: 116 COUNTRY CLUB CIR SANFORD 32771
Land Value Ag: $0
Subdivision Name: COUNTRY CLUB MANOR UNIT 1
JustlMarket Value: $57,638
Tax District: S1-SANFORD
Assessed Value (SOH): $42,198
Exemptions: 00 -HOMESTEAD
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $17,198
Tax Estimator
SALES
Deed Date Book Page Amount Vac/Imp Qualified
QUIT CLAIM DEED 07/2001 04134 1044 $7,800 Improved No
WARRANTY DEED 10/1988 02011 0116 $18,000 Improved No
2005 VALUE SUMMARY
QUIT CLAIM DEED 10/1988 02011 0115 $15,000 Improved No
Tax Value(without SOH): $663
CERTIFICATE OF
2005 Tax Bill Amount: $319
TITLE 02/1988 01930 1160 $100 Improved No
Save Our Homes (SOH) Savings: $344
WARRANTY DEED 08/1984 01575 1886 $37,000 Improved Yes
2005 Taxable Value: $15,969
WARRANTY DEED 08/1982 01407 0876 $25,000 Improved Yes
DOES NOT INCLUDE NON -AD VALOREM
WARRANTY DEED 08/1981 01355 0551 $32,000 Improved Yes
ASSESSMENTS
WARRANTY DEED 01/1977 01144 1341 $18,000 Improved Yes
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION
Land Assess Land Unit Land
Frontage Depth
PLATS: Pick..'
Method Units Price Value
LEG LOT 13 BLK A COUNTRY CLUB MANOR
LOT 0 0 1.000 17,000.00 $17,000
UNIT 1 PB 11 PG 35
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 1958 3 720 1,029 720 CONC BLOCK $40,523 $56,282
Appendage / Sgft OPEN PORCH UNFINISHED/ 100
Appendage / Sgft UTILITY UNFINISHED/ 143
Appendage / Sgft UTILITY UNFINISHED / 66
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
WOOD UTILITY BLDG 1987 48 $115 $288
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 ear's property tax will be based on Just/Market value.
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http: //www. scpafl. org/pls/web/re_web. seminole_county_title?parcel=3 5193 0520OA000l 3 0&cpad=country... 10/17/2005
r—
Permit Number
Parcel Identification Number3r 1. 9 695 -Lc (o A00 013-0
This Instrument Prepared By: Courtney Russell
Address Collis Roofing,
PO Box 180546
Casselberry, FL, 32718-0546
NOTICE OF COMMENCEMENT
STATE OF Florida
COUNTY OF hC�()a Q
MARYANNE ifIRSE, CLERK OF CIRCUIT COURT
SEMINOLE C—N"
BK 05956 POG 1079
CLERK'S 4 210051, 222
RECORDED i i 19/ 1t :.?6:17 AN
REt ORDIN% FFP.S 16.k1
RRt�RDFD 6Y U McKinley
CERTIFIED COPY
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SERIN CO 1TY, FLORIDq
dy
Y CL RK `
-THE UNDERSIGNED herby gives notice that improvement will be made to certain real property ds acco dance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commence rrti 2005
1. Description �ofpro�erty: (legal de�sc�ripfti��j
on ofp� perry, incltudin�address if available�). j ou-n- CA/i
2. GeneSipn o imp overnAntt
REROOF
3. Owner information:
a. Nameelephone Number_
Address Aj-f C..i ir . Fax Number _
,fir s - F , b. Interest in property;
ee m e rtle older I other than owner shown above
Name N/A Telephone Number
Address of fee simple titleholder (if other than owner) Fax Number
5. ontractor
Name Collis Roofing, Inc. Telephone Number 407.327.3655
Address PO Box 180546 Casselberry, FL 32718-0546 Fax Number 407.327.3656
6. Surety (If Any)
Name N/A Telephone Number
Address Fax Number
a. Amount of bond $
7. Lender: (If Any)
Name N/A Telephone Number
Address Fax Number
8. Persons within the state of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13 (1) (a) 7., Florida Statutes:
Name N/A Telephone Number
Address Fax Number
9. In addition to himself, owner designates the following person (s) to receive a copy of
the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes:
Name N/A Telephone Number
Address Fax Number
10. Expiration date of notice of commencement (the expiration date is (1) year from the date
of recording unless a different date is specified)
SWORN to and subscribed before me this day of .0(4�) 042-1k- , 2005 by
Who is personally known to me or produced �.�t�-' ((/ ��=n as identification\�� 'PNi OR//''�i,���
L
Date Signed Signature of Ow Note: per713.13(1)(g),"owner 9
nlo'raN }'ubllc _
must sign ...and no one else may be permitted to sign _ :b , n$010062':
in his or her stead".
P . o �Z
S'. 0`3: ,�. �"�. �Q ��•
Signature of NotaT4',rr• OOF
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