HomeMy WebLinkAbout105 Lacosta Ctv' CITY OF SANFORD PERMIT APPLICATION
Permit #:
0 5. I U 4 1
Job Address: ! O'
Description of Work:
Historic District: N10 Zoning: E—S
Date: 3-1 —0,7s—
iKA-T rn-5 --'/, Wo
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 Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Typef # of Stories: _ # of Dwelling Units: / Flood 'Lone: NO (FEMA form required for other than X)
3cw 2 S t'AT (7 Z
Parcel #: f 100 0-n L^ j4.1Z; r/ 0 N ON P&S & 5— (Attach Proof of Ownership & Legal Description)
Owners Name & Address: J/ IZ%J
05 CAGtTj?P CT .
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone: 4407 —
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 Drat 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 maybe additional restrictions applicable to this property that maybe 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 owner f the property of the requirements of Florida Lien Law, FS 713.
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
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it Owe/Agent'
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Date
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r EXPIRES: March 23 2008
Offer/Agent n°Fs n oP gnmlyd lh@YWduvliha rrs
r Produced ID
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bid.: \M Zoning: Utilities: FD:
Initial & (Initial & Dale) (Initial & Date) (Initial & Date)
Special Conditions:
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 I 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.
16I, C!-, leg , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
Z
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
C00
Owner/Builder Signature Date
Print Owner/Builder Name
gnature of Notary- to of Florida Date JO ANN M. JOHNSON
my COMMISSION A DD 28W2
EXFI tcB: ^larch 23, 2008
r'rRor o\Or Bonded Thru Budget Notary ServicesOwnerisPersonallyKnowntoMeorhas
Produced ID (_ D I-
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
ref
0.carm
PROPERTY
APPRAISER
4137 - 6&5 X.
2005 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 11-20-30-5FU-0000-1720 Tax District: Sl-SANFORD
Depreciated Bldg Value: $74,233
Owner: RUBY STEVEN C & Exemptions: 00-HOMESTEAD
Depreciated EXFT Value: $0
Own/Addy: RUBY DANIEL C
Land Value (Market): $17,800
Address: 105 LA COSTA CT
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32773 Just/Market Value: $92,033
Property Address: 105 LA COSTA CT SANFORD 32773 Assessed Value (SOH): $65,054
Subdivision Name: HIDDEN LAKE PH 2 UNIT 5
Exempt Value: $25,000
Dor: 01-SINGLE FAMILY
Taxable Value: $40,054
Tax Estimator
SALES
Deed Date Book Page Amount Vac/Imp
WARRANTY DEED 05/1999 03667 0536 $100 Improved
2004 VALUE SUMMARY
WARRANTY DEED 09/1998 03496 0099 $70,000 Improved
QUIT CLAIM DEED 01/1993 03496 0097 $100 Improved
Tax Amount(without SOH): $1,221
WARRANTY DEED 11/1988 02018 1870 $61,900 Improved
2004 Tax Bill Amount: $782
SPECIAL WARRANTY DEED01 /1988 01928 0044 $46,100 Improved
Save Our Homes (SOH) Savings: $439
SPECIAL WARRANTY DEED1 0/1987 01897 1765 $57,300 Improved
2004 Taxable Value: $38,159
CERTIFICATE OF TITLE 09/1987 01882 1939 $1,000 Improved
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTE
WARRANTY DEED 04/1985 01635 0681 $60,000 Improved
WARRANTY DEED 07/1982 01400 1730 $42,900 Improved
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess MethodFrontage Depth Land Units Unit Price Land Value LEG LOT 172 HIDDEN LAKE PH 2 UNIT 5 PB 25
LOT 0 0 1.000 17,800.00 $17,800 PGS 68 & 69
BUILDING INFORMATION
Bid Nurn Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1982 6 1,066 1,442 1,066 CONC BLOCK $74,233 $81,575
Appendage / Scift OPEN PORCH FINISHED/ 64
Appendage / Sqft GARAGE FINISHED / 312
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value.
re—web.seminole—county_tltle?PARCEL=1 120305FU00001720&cowner--RUBY%20STEV3/15/2005
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
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caner: rJ 9 1
name
License #:
Project Information
Ldks- (ACoS-r(J- .
address
Permit #:
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Subdivision: U ev cT- %J PA-c-,c 5 - 6$-(.5
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phone
I, <-, i"V 3 , affiant, hereby affirm that I am the duly licensed
contractor of record for the abo a 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.
signature
rv T? C (&.
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this 5 day of A , 200 S by the
above referenced individual, s '!Lt}-tom , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced P-I> C- as valid identification.
WITNESS my hand and seal this ('5 day of 20C)S
N Public
JO ANN M. JOHNSON
MY COMMISSION A DD 285622
EXPIRES: March 23, 2008
O Ronded Thru Budget Notary Services