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Home My WebLink About120 Crooked Pine Dr (2)r 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: - r2a CRPO"a pre-7�o t -k , `g41[JRVIO,r-�- 37:1 Phone: 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. 10 Z(VL1 S __ ature o er/Agent Date Signature of Contractor/Agent LL IC90I ��I'� P A t Owner/Agent's Na Print Contractor/Agent's Name _ _ all 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 .�O/}AqJ1er/� t; "al tr h} i'VN hjF4`f,„'i�' Y a S `t4 f'✓� !E.} ^1 f > L 2 t i .k MW` e B ild r Signature Date .V 9 R Print Owner/Builder Name a: o �aD o M 2 � Z r� 1 ko CITY OF SANFORD BUILDING` DIVISION,',, C) � zn o o m s ature of Notary -State of Florida Date OWNER/BUILDER AFFIDAVIT - n Produced ID S NL- 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. tD-Z� •V,_( %P e B ild r Signature Date .V 9 R Print Owner/Builder Name a: o �aD o M 2 � Z r� 1 ko M o � m C) � zn o o m s ature of Notary -State of Florida Date Owner is Personally Known to Mer has ��`o- � 0—gjF�' O Produced ID S NL- Seminole County Property Appraiser Get Information by Parcel Number Page I of I PARCEL DETAIL Back ................ ........ ............. .............. ............... ;4 . . . . . . . . . . W 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. ublic