HomeMy WebLinkAbout117 Crooked Pine DrPt CITY OF SANFORD PERMIT APPLICATION s
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Job Address: t1 I LA100 t Y A-k 'I _411 V
Description of Work: t-e -r co F 2 S
Date: 1-O
Historic District: Zoning: Value of Work: $ 53 Q U
V
Permit Type: Building V 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 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: R.0beY L7 CXWY4d
Y 3 _ Phone: 1 -3R 8- Q50 I
Contractor Name & Address:
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K -1 , yw' 1 K IO N_o I EJI'iq- HI l._%V ''1 15-,', m 1 u A 3 y" atpe License Number: 1 I i b
Phone & Fax: 'A+n" ( D 7 J JrQ 6 -C (q Contact Person: *b - 1' G n Phone: yL ' 9 QN ^I y L,
Bonding Company:
Address:
Mortgage Under:
Address:
Architect/Engineer: Phone:
Address: 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
TWI& 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 fed11gies. Acceptance o
nF r.n;* r- "' ---ner of
the property of the requiremen w, FS 713."A SignatureofOwner/Aar+—
Date:% ;; Si of Contractor/Agent Date ""••Z nt wner/
is Name / 1 _ [ ) •• z P#gnamre or/
Agent'
s Name Z fTt D r 0
0 X DSoa -i
t8" o -
I 164260 Dateo ?t; o D otary-State of Flo top fP1 p W rEXPIRES:
November 12, 2006 "v; U3 D Bonded Thru
Budget Notary Services m 'S D n EOFF (J /
Personally 00
0
mO er/AgentisPersonallyKnoo - " Z ( Contractor/Agent is v Known to Me or Q o Ww r' mducedID 3
y Q m
D— Produced ID D CO o Z N
0 pC { o o 0
w „r- m o APPLICATION APPROVED
BY: Bldg•. l Zont : ccoo ram' m Utilities: FD: D Initial (
I
Wt a Date) (Initial & Date) (Initial & Date) co v
D Special
Conditions:
v
111897
l hereby name and appo= `ri Kao
of to be my lawful at#orney
in fact to act for me and apply to . I 1 Jt V' for
a rvv re rfl/L! permit for work to be performod
at a location described as: Section Township Rage .
Lot Block
Address of Job)
and to sign my nme and do all things necessary to this appoiw mem
of Cea dfied Comer miid
of Certified Cam)
Acknowledged:
Sworn to and subscribed before me dw
Day ofd_rC,k— A-D. U
eTAMARA M. CAULEY
NOTARY PUBLIC STATE OF FLORIDA
Notary Publir' Stsu of Fjofidj COMMISSION # DD358509
EXPIRES 9127/2008Seal)
i BONDED THRU 1-888-NOTARY1
My Commission F..xpiT=; 4
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
D"ID JOHNSON, CFA, ASA
3
PROPERTY
APPRAISER if L
SEMINOLE COUNTY FL
1101 E. FIRST sT
SANFORD. FL 32771-14W
407-665-7506
2006 WORKING VALUE SUMMARY
GENERAL Value Method: Market
11-20-30-506-0000-
Number of Buildings: 1
Parcel Id: 0550 Tax District: S1-SANFORD
Depreciated Bldg Value: $86,387
Owner: DAY ROBERT & Exemptions: 00- Depreciated EXFT Value: $5,933
RICHELE HOMESTEAD Land Value (Market): $17,800
Address: 117 CROOKED PINE DR Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32773 Just/Market Value: $110,120
Property Address: 117 CROOKED PINE DR SANFORD 32773 Assessed Value (SOH): $83,508
Subdivision Name: HIDDEN LAKE PH 3 UNIT 2 Exempt Value: $25,000
Dor: 01-SINGLE FAMILY Taxable Value: $58,508
Tax Estimator
SALES 2004 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Tax Amount(without SOH): $1,668
SPECIAL WARRANTY DEED 06/1997 03260 0078 $72,600 Improved 2004 Tax Bill Amount: $1,077
CERTIFICATE OF TITLE 10/1996 03149 0522 $57,800 Improved save Our Homes (SOH) Savings: $591
WARRANTY DEED 05/1988 01957 0140 $70,800 Improved 2004 Taxable Value: $52,529
WARRANTY DEED 10/1983 01496 1408 $54,900 Improved DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 55 HIDDEN LAKE PH 3 UNIT 2 PB 27
LOT 0 0 1.000 17,800.00 $17,800 PGS 48 & 49
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 1983 6 1,277 1,885 1,277 CB/STUCCO FINISH $86,387 $94,412
Appendage / Sgft OPEN PORCH FINISHED / 95
Appendage / Sgft GARAGE FINISHED / 513
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
ALUM SCREEN PORCH W/CONC FL 2004 722 $5,933 $6,137
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.
http://www. scpafl. org/pls/web/re_web. seminole_county_title?parcel=11203 050600000550... 2/23 /2005
ti
Permit.Numbe,
Pwcel.ldentification Number
Prepared by
L
r `
p/}
Relurn to I
l i C l.t (
MARYANNE MOR.SE, CLERK OF CIRCUIT CWRT
SEMINOLE COUNTY
AK 05630 F`G 0738
CLERKS S # 2005033989
REM, RDEA 03/01/ 5 NO2:3 AM
RECORDING FEES 10.0
REDIRDED AY L McKinley
CERTIFIED COPY
M rzYANNE mogse
NOTICE OF COMMENCEMENT Ci R' OF CARCUIT COURTSE -
jryn r9tom g
State of OL Rlv
County of < n 0 ; Y16
1 nU
CLE'R. The
undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with
Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencemerra ® / 1
Description of propertjQ esavailable)
y (
le aldescriptionoftheproperty. and street address if ailable) 2005 eq i-- 55
i 041 VJh Ph'3 M 1-,.- P 9-541 Pis L12W c K-,-
d p't p f e c nfvrd,IJI. 3a-3 2 General WIofimprovement(s) Kc- koo-F
3 Owner information
Name Y y,)
Q
i'
4 , `•
Telephone Number
Address l C.
Q b ' tn'e "ll ^. Fax Number Sckyj: 6,F4,
F . 3a-?`73 Interest in Property. 4 Fee Simple
Title Holder if other than owner shown above) Name Telephone Number
Address Fax Number
S Contractor Carl
f& -e4 , 1-H r PK — --Name- 'g /(reoneNumberI - Address a;vJ.
o fS6YL ;+w - 5
1_CP71
1 , =,j0r .Faxt•J u tier 6 Surety (it
any) T Name Telephone Number
Address Fax Number
Amount of bond
5 7 Lender (if
any) Name 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 §713.13(1)(a)7.. Florida Statutes. Name Telephone Number
Address Fax Number
9 in addition
to himself or herself. Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.
13(i)(b). Florida Statutes. Name Telephone Number
Address Fax Nu
Ci Expiration date
of notice of commencement (the expiratio le is one year from the date of recording unless a different
date is specified) Date Signed Signatur
of Owner Note' per §713.13(1)(g), 'owner must si and
no one else maybe permitted to sign in r his or
her
stead.- Stivp i II
rinds bsc1ibed before me this d. day of _ ,j 19 d who is ______personally
nown to me OR as-identificalion ' — V
Sig f Notar (
notarial seal to appear below TAMARA M. CAULEY
srP` Orr: NOTARY
PUBLIC - STATE OF FLORIDA COMMISSION # DD358509 orn?:
EXPIRES 9/
27/
2008 BONDED THRU 1-
886-NOTARY1
r
Page of
Claim No. Job No.
2Kj
i
a o 7862 W. ido Bronson Hwy #227 - Kissimmee, FL 34747
s Phone 1-877-599-6719
Owner/Buyer d { C, ` Date ! /
Address C,Uf/,1T ! /Lu City J f6>Z/G Stau„LicZiP /
Home l[ephone it `) _Business Telephone ( )
AGREEMENT
SCOPE OF LOSS
Tear Off Shin les
Tear Off Second Layer
Replace Shingles
DESCRIPTION/ INFG/COLOR QVANTITY
l
UNIT COST TOTAL SETTLEMENT
Replace Felt t
Replace Ice Shield
LZ Ty u" Remove & Replace Valley
Two Story Charge
Steep Pitch
Toe Boards
Sz a( 0DripEdge
Low Profile Vents
Heater Vents
Sz
Sz
Plumbin
Step Flashing Lf
Chimney Flashin
Remove & Replace Gutters
Remove & Replace Downs
Comb Air/Conditioner Grid
Ea
Sz
Sz
Sz
Siding Sz
Fascia Sz
wcW46 , tM: PAYMENT
SCHEDULE: Upon Completion of Each Trade Debris Removal Roofing ...... ..... ..... $
Tao
Siding/
Carpcntry.$ 2 O u% Q6 y1 E'T r (1 :t,. Permit Gutters.................... $
J
Overhead/
Profit Total
O
S
W c L
v
roc?
Other ....................
ACCEPTANCE
OF AGREEMENT NOTE —
SEE REVERSE SIDE FOR WARRANTY DETAILS ON FLAT/LOW SLOPES. CONTINGENT —
This proposal is contingent upon the insurance paying for damages. This proposal will be VOID only d claim is disallowed by insurance company. Property owner's out-of-pocket expense is not to exceed the deductible amount. The insurance company will determine and set the price of the claim. Depreciated insurance check due
upon material delivery. Date
X Date X
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION BYSIGNINGABOVE, PROPERTY OWNER AGREES TO PROCEED WITH WORK AS PER PROPERTY -LOSS WORKSHEET WHEN RECEIVED. We
propose to hereby furnish material & labor, complete in accordance with above specifications for the sum of the insurance proceeds as per the insurance company loss scopesheet, for which is incorporated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade incurred, or Payment
for Re -Roofing and/or other items due upon completion of each item. Property
owner and the property owner's Insurance to remain In effect and to indemnity and told hamdess Authorized Signature - American
aesidential tar any Imadental damages incurred prior to, during• and after the work in piss to owner No other work expressed or implied verbally. All changes I, coincide
with American's warranty. it the undersigned tags to pay American any amounts due under this - Must be approved by company contractthe
undersigned agrees to pay all costs of correction plus an attomey's tee /3% of the face be in writing and accepted before commencement of changes- amount of
the contract. should the same be placed m the hands of an attorney dori9 with NOTE: This proposal may be withdrawn by us I not accepted within days. the interest
or the unpaid balance at the rate of 1-1/2% per month compounded ACCEPTANCE OF
PROPOSAL — The above prices, specifi ns are satisfadory and are hereby accepted. You are authorized to do the work as specified. Pnvmont will
he made as outlined above X X Date
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: AwgjeAJ) License #:
Project Information
Owner:
name ---
JL
eww 'E6 &Aeo-
address
32 '- 31
phone
Permit #: 0-5 1 Z),16
Subdivision:
Lot #:
I, , 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 accordanc it applicable codes and standards.
Contractor:
signatures
n /
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of , 206 , by the
above referenced individual, \- . who acknowledged that he/she is a
duly licensed contractor with _ _,,Q, ,cam,. c', ;, , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced (l . +-LI S S •-) \ - V q - O as valid identification.
WITNESS my hand and seal this 1— day
of191
20
Notary Public .
ELORENCEA.DEGRAVEMYCOMMISSION # DD 164260
EXPIRES: November 12, 200Ec ^a Bonded Thru Budge} Notary Services