HomeMy WebLinkAbout120 Crooked Pine Drr
CITY OF SANFORD PERMIT APPLICATION
Permit # : J Date: 1 Z V-4
Job Address: ZD G AQC)Wer, 0 Pr- UL Q P, Sm U FDP J3 F L 3Z—) -13
Description of Work: f'OE ALP LAOL M'kk)t-
Historic District: Zoning: Value of Work: $ "dki
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
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
— Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
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Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
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 there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is venfica i n that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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S __ ature o er/Agent Date Signature of Contractor/Agent
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P A t Owner/Agent's Na Print Contractor/Agent's Name
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re of Notary -State of Florida Date Signature of Notary -State of Florida
F'i ORENCE A. DE GRAVE
VY COMMISSION
# DD 16428
»� - PIKES: November 12, 2006
Date
Date
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Print Owner/Builder Name
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CITY OF SANFORD BUILDING` DIVISION,',,
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OWNER/BUILDER AFFIDAVIT -
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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.
I, JS
Z [ t-1 P%_ 001�i� , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
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Owner is Personally Known to Mer has
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Seminole County Property Appraiser Get Information by Parcel Number Page I of I
PARCEL DETAIL
Back
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2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 11-20-30-506-0000-0580 Tax District: SI-SANFORD
Number of Buildings: 1
F'NOFF GERALD R & 00-
Depreciated Bldg Value: $80,318
Owner: Exemptions:
KELLY F HOMESTEAD
Depreciated EXFT Value: $5,394
Address: 120 CROOKED PINE DR
Land Value (Market): $17,800
City,State,ZipCode: SANFORD FL 32773
Land Value Ag: $0
Property Address: 120 CROOKED PINE DR SANFORD 32773
Just/Market Value: $103,512
Subdivision Name: HIDDEN LAKE PH 3 UNIT 2
Assessed Value (SOH): $79,516
Dor: 01 -SINGLE FAMILY
Exempt Value: $25,000
Taxable Value: $54,516
2004 VALUE SUMMARY
SALES
Tax Value(without SOH): $1,623
Deed Date Book Page Amount Vac/Imp
2004 Tax Bill Amount: $1,087
WARRANTY DEED09/1983 01487 1754 $55,900 Improved
Save Our Homes (SOH) Savings: $536
2004 Taxable Value: $53,033
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENT,c
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG LOT 58 HIDDEN LAKE PH 3 UNIT 2 PB 27 PGS
LOT 0 0 1.000 17,800.00 $17,800
48 & 49
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SIF Gross SF Heated SIF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1983 6 1,270 1,760 1,270 CONC BLOCK $80,318 $87,779
Appendage / Sqft OPEN PORCH FINISHED / 20
Appendage / Sqft GARAGE FINISHED / 470
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
FIREPLACE 1983 1 $675 $1,500
POOL GUNITE 1986 392 $4,116 $7,840
COOL DECK PATIO 1986 328 $603 $1,148
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.
../re—web.seminole—county__title?parcel=I 1203050600000580&cpad=crooked%20pine&cpad10/21/2004
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company:
Owner: k'E LC c.1
name
License #:
Project Information
(Zo etc)( -tb
S�j address r -L
phone
Permit #: 0 S
Subdivision:y : dA Slr l
Lot #: 5(�)
I, ' k9CL" `�' , affiant, hereby affirm that I am the duly licensed
contractor of 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:
signature
FE, Oaba
printed name
STATE OF FLORIDA
COUNTY OF , „& \ Q
This instrument was acknowledged before me this 0 1 day of (:!� Q_V , 20� , by the
above referenced individual, L F__CCw F E O D , who acknowledged that he/she is a
duly licensed contractor with n / N GU'),w - , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced ,• U)- U�- � as valid identification.
WITNESS my hand and seal this \ day of C CA--- , 2014.
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