HomeMy WebLinkAbout119 Club Rd (2)` CITY OF SANFORD PERMIT APPLICATION
Permit #
a �p Date:
Job Address:
Description of Work: otr r3 S' � KA° n
Historic District: Zoning: Value of Work: S D
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 Conuncrcial
Occupancy Type: Residential Commercial
Industrial
Total Square Footage:
Construction Type: # of Stories:
# of Dwelling Units:
Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
—f
Con ctor Name & Address:
Ph.—'
ho& Fax: L o ZZ
Bonding Comp: y:
Address:
Mortgage Lender:
Address:
Architect/Engincer:
Address:
(Attach Proof of Ownership & Lcga1 escri
) It'l CLI -
1'1 tic:
State L cense Nin t•: G a ZZ Sa
0 Contact Person: D 3Z�! S�t�
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 agcticics, or federal agencies.
Acceptance of er it is verification that ]
Signature of Owner/Agent (�
Print (% tier/ 1 cut's Nam
Signalu c of tary-Statgof F
3,
Owner/Agent is _ Pers
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
i
fy he owner of the property of the
�/,t . ,5
/ lla
DAFNEY FAYE ADCOCK
NOTARY PUBLIC, STATE OF FLORIDA
k1K&rn Expires DEC. 2, 2008
0691m; # D031090
Zoning:
& Date
Signature* 1 oC
Contractor/Agent is
Produced ID _
Utilities:
(Initial & Date)
713
fiat . Vit3A. DE GRAVE Date
* OMMISSIDN # DD 164260
EXPIRES: November 12, 2006
e Budget Notar/ ge y;o�::
Personally Known to Me or
FD:
(Initial & Date) (Initiail & Date)
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
..... .. .... .. ........
.........
PROPERTY
Z
X.
APPRAISER
H
XX* _X
X
2006 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 35-19-30-522-OH00-0050
Number of Buildings: 1
Owner: VILLEGAS CLARA C
Depreciated Bldg Value: $45,668
Mailing Address: 119 CLUB RD
Depreciated EXFT Value: $0
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $17,000
Property Address: 119 CLUB RD SANFORD 32771
Land Value Ag: $0
Subdivision Name: COUNTRY CLUB MANOR UNIT 3
Just/Market Value: $62,668
Tax District: S1-SANFORD
Assessed Value (SOH): $42,024
Exemptions: 00 -HOMESTEAD
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $17,024
Tax Estimator
SALES
2005 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
Tax Value(without SOH): $639
WARRANTY DEED09/1998 03500 1598 $43,000 Improved Yes
2005 Tax Bill Amount: $236
WARRANTY DEED09/1984 01582 1334 $39,500 Improved Yes
Save Our Homes (SOH) Savings: $403
WARRANTY DEED10/1982 01418 1030 $28,000 Improved Yes
2005 Taxable Value: $15,800
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LEGAL DESCRIPTION
LAND
PLATS' Pick...
Land Assess MethodFrontage Depth Land Units Unit Price Land Value
LOT 0 0 1.000 17,000.00 $17,000
LEG LOT 5 BLK H 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 1,211 720 CONC BLOCK $45,668 $61,713
Appendage / Sqft UTILITY UNFINISHED / 66
Appendage /Sqft ENCLOSED PORCH UNFINISHED / 99
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 valorer,
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=3 )5193 )05220H000050&cpad=CLUB&cpad—num=I 010/19/2005
POWER OF ATTORNEY
Date: I o �/o n S
'v
I, Andrew JT (Andy) Adcock do hereby authorize Ruben Birch
—a
To pull the Reroof permit for 1! CLI, a f
(type of permit) (address)
M
N
Personally
`�pviy�N DAFNEY FAYE ADCOCK ,
�+ 1 NOTAAV FU9LIC, ®TATE OF FLORIDA
•; MY Comm, expires 0M 2, 2008
# DD376809
Stamp
m e or driver ' nse # , of State of Florida, County of
day of0- 9�.
zoD�
NOTICE OF COMMENCEMENT
4State of Florida County of Seminole
rmit No. Tax Polio No. (PID)
n The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
. 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
n 11 l -D COPY
GENERAL DESCRIPTION OF IMPROVEMENT 2 n NE MORSE
"CUIT COURT
^ e TY. FLORIDA
OWNER INFORMATION RY. Y CLQ
Namc and address PZS C L (
1 t e t_tti 9 r%n5
NO
Interest in property (Fee Simple, Partnership, ctc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDI R -UF OTHER TI1AN OWNER)
SURETY (Bonding Company)
Name and address
Amount of Bond ►naavbNW MORSE,CLERKI F -G �" IT CIRT
SINf1l E Ct}idT`e'
BK 05958 FIC 1878
LENDER CLERK'S 41200foI81458
Name and address Ot:t°i Irat1C'n Wi i we ffi . 4 .. r . 3
i AN
fByRpjptll3®®FEES --,,}&W---
'Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
Natne and address
In addition to, himself, Owner designates of
to receive a copy of the Licnor's Notice as
provided in Section 713.13(I)(b), Florida Statutes. ,
AL tee - Oolew emeat
iratPAF Yi '� �f rccordine unlc different date is m�-rifim 1
NOTARY PURL 0, -
MY rtiamm, 8xp1rae DEC, 2, 2008 �
COMM, 0 DO 76609
Signa~ of Owncr
Sworn t nd s bscribe eforc me h Day of 1.9 ZOO S -
1
My Commission Expires:
Notary A&Vj_
The/rcgoin tram at was ac owlcdgcd bcfo utc this I� day of
1,1 �`�_ _ '\ [�� - i� (name of person acknowledged), who rsonally to
me or who has produced (type of idendfi tion) as t entification .
and who did / did not take an oath>
Company:
AFFIDAVIT
ING ROOF DRY -IN AND FLASHING INSPECTIONS
License #: D ZZS v
Project Information
Owner: L.4-- V I LL C4 Permit #:
name
Cu":!? p2 . Subdivision:
o 'Z Lot #:
phone
I,
&—"$ ./-ant, 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: lae A
s gnature /� /
printed name
STATE OF FLO A
COUNTY OF tn- D
This instrument was acknowledged before me tl is
above referenced individual,
duly licensed contractor with
he/she was authorized to execute this document. He/she ire
produced as valga
WITNESS my hand and seal this b day of
DAFNEY FAYE ADCOCK
(Z(,
NOTARY PUBLIC, STATE OF FLORIDA
MY Comm. Expires DEC. 2, 2008
CAMM, # DD376609
day of �-�v , 206 by the
who acknowledged that he/she is a
and who acknowledged that
er personall kn wn to me or
t-eenti cation.
Notary
0
CY