HomeMy WebLinkAbout153 Bristol Forest Trl4
CITY OF SANFORD PERMIT APPLICATION
Permit #: /Date:
Job Address: / J 3 ri--6'((tfl I I—U t t1d 47 I
f oan lord Jc % ZJ
Description of Work: wood
Historic District: Zoning: Value of Work: S , i r/ O
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 Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name &Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone:
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 pe3mit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Date Signature of Notary -State of Florida
z ' I *
MY COMMISSION # DD 164260
EXPIRES: November 12, 2006
i ` Bonded Thru Budget Notary ServicesOwner%$F hi is _ Personally Known to M r 1
Produced ID M'aS
APPLICATION APPROVED BY: Bldg. Zoning:
Qal & Date)
Contractor/Agent is .
ProducedlD _
Utilities:
Initial & Date)
Date
Personally Known to Me or
FD:
Initial & Date) (Initial & Date)
Special Conditions:
J
i
y
I CITY OF SANF'ORD BUILDING DIVISION
OWNERBUILDER AFFIDAVIT
I 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, A -cl e /l v M- 0"' e- ?. , 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.
Rl e 3
Owner/Builder Signature Date
Print Owner/Builder Name,,
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M a
Aig AofNottary—State
Z
87 2 rn
of Florida Date Z
a siD
IV ,
TE
Owner is Personally Known to Me or has H 9 o m
Produced 1D^
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
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APPRAISES
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2005 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 22-19-30-502- S3-SANFORD- Tax District:
Number of Buildings: 0
0000-0660 WATERFRONT REDVDST Depreciated Bldg Value: $0
Owner: CENTEX Exemptions:
Depreciated EXFT Value: $0
HOMES Land Value (Market): $26,000
Address: 385 DOUGLAS AVE STE 2000 Land Value Ag: $0
City,State,ZipCode: ALTAMONTE SPRINGS FL 32714 Just/Market Value: $26,000
Property Address: 153 BRISTOL FOREST TRL SANFORD 32771 Assessed Value (SOH): $26,000
Subdivision Name: PRESERVE AT LAKE MONROE Exempt Value: $0
Dor: 00-VACANT RESIDENTIAL Taxable Value: $26,000
Tax Estimator
2004 VALUE SUMMARY
SALES 2004 Tax Bill Amount: $533
Deed Date Book Page Amount Vacllmp 2004 Taxable Value: $26,000
Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENT
LAND LEGAL DESCRIPTION PLAT
Land Assess MethodFrontage Depth Land Units Unit Price Land Value LOT 66 PRESERVE AT LAKE MONROE PB 62 P
LOT 0 0 1.000 26,000.00 $26,000 12 - 15
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
urposes.
If you recently purchased a homesteaded property your next yeaes property tax will be based on JustlMarket value.
re web.seminole_county_title?parcel=22193050200000660&cpad=bristol%20forest&cpad_3/28/2005
SPECS POWER OF ,ATTORNEY FOR
REAL ESTATE TRANSACTIONS
DAT,uaq /y avOs
PRINCIPAL: a Q, d . f ; UerL: ,
PRINCIPAL MAILING
ADDRESS: 9 2e4j C` j-,
Pao`,r G 31,t 9
EFFECTIVE DATE: 1 r2,v r1Jr
PROPERTY (LEGAL DESCRIPTION):
Lo o(p ser e /rlonroer CLDrdini De piCiC G c25 'ra e Pn
fi r. P Y-5 ta- o Uq I, S , oe " oubl',ci-p-c' d5 c7 p s 7 /e COu/'z/, POWERS
GIVEN WITniRZSPECT TO TBE PROPERTY: AGENT:
e N- AGENT
MAILING / ADDRESS:
TE
A1 TON DATE: OICV4
aez ct
1.
EXECUTE AND DELIVER ANY LEGAL INSTRUMENTS RELATING TO THE PURCHASE
OF THE ABOVE DESCRIBED PROPERTY. 2,
EXECUTE AND DELIVER A MORTGAGE, IN THE AMOUNT OF $ TO
CTX MORTGAGE COMPANY, LLC, TO EMCVMBER THE ABOVE DESCRIBED
PROPERTY. 3.
EXECUTE AND DELIVER CLOSING STATE,MT NTS, AFFIDAVITS AND OTHER LEGAL
DOCUMENTS AS NEEDED FOR THE PURCHASE OF THE ABOVE DESCRIBED
PROPERTY. I'
Lk,4 Aa— , PRINCIPAL, APPOINTS AGENT,
TO ACT FOR PRINCIPAL IN ACCORDANCE WITH THE POWERS GIVEN WITH RESPECT
TO THE PROPERTY, AND PRINCIPAL CONFIRMS ALL ACTS DONE PURSUANT TO
THIS APPOINTMENT. PRINCIPAL INDEMNIFIES AND BOLDS. HARMLESS ANY TRIRD PARTY
WHO ACTS UNDER THIS POWER ON ATTORNEY AGAINST ANY AND ALL CLAIMS,
DEMANDS; LOSSES OR CAUSES OF ACTION, INCLUDING EXPENSES, COSTS AND
REASONABLE ATTORNEY'S FEES WHICH SUCH TB RD PARTY MAY INCUR IN RELIANCE
ON THISPOWER OF ATTORNEY, PRINCIPAL FURTHER AUTHORIZES' AGENT TO
GRANT INDEMNITIES AND HOLD HARMLESS AGREEMENTS TO ANY THIRD, PARTY WHO
ACCEPTS AND ACTS UNDERfiHIS POWER OF ATTORNEY, AGENT'S AUTHORITY SHALL
BEGIN ON THE EFFECTIVE. DATE AND END ON THE TERMINATION DATE UNLESS
REVOKED SOONER BY PRINCIPAL'S WRITTEN STATEMENT RECORDED IN THE
OFFICE OF THE COUNTY CLERK WHERE THE PROPERTY IS SITUATED. THIS POWER
OF ATTORNEY SHALL NOT TERMINATE ON DISABILITY OF PRINCIPAL. IN TESTIIV
QNY WHEREOF, I HAVE HEREUNTO SET MY HAND THIS __ DAY OF . ,
IN TEEE PRESENCE OF THE UNDERSIGNED WITNESSES
WHO ARE HERE AT MY REQUEST. FURTHER, ALL OF US
ARE EIGHTEEN YEARS OF AGE OR OLD PRINC3kAl, WITNESS
WITNtO /
PRINT NAME:
IX' % °+J I`1 C17 PRINT NAME: STATE OF:
COUNTY OF:
IYfr Pt THIS INI-
1=,N' AS ACKNO GED BEFO DAY OF ,
I BY AS P
CIPAL, WHO J7FASONALLY KNOWN 13Y ME OR WHO HAS PRODUCED k-e4j
AS IDENTIFICATION. NOTARY PUBLIC
MY COMMISSION
EXP S: EDWIN PEREZ
j MY
COMMISSION # DD 27667s k .... rn. "
mjary 27, 2008 4v 60!)
1e-, tee "-P°
B<. EDWIN PEREZ MY COMMISSION #
DD 276679 EXPIRES: February
27, 2008 0"orBondedThruBudget -Notes Services `
100626514
Borrower Name(s): Lender:
JUAN B. RIVERA CTX MORTGAGE COMPANY, LLC
385 DOUGLAS AVENUE, STE. 2150
ALTAMONTE SPRINGS, FL 32714
Date:
02/22/2005
NOTICE TO THE HOME LOAN APPLICANT
In connection with your application for a home loan, the Lender must disclose to you the score that a
consumer reporting agency distributed to users and the lender used in connection with your home loan,
and the key factors affecting your credit scores.
The credit score is a computer generated summary calculated. at the time of the request and based on
information that a consumer reporting agency or lender has on file. The scores are based on data about
your credit history and payment patterns. Credit scores,are important because they are used to assist the
lender in determining whether you will obtain a loan. They may also be used to determine what interest rate
you may be offered on the mortgage. Credit 'scores can changeover time, depending on your conduct, how
your credit history and payment patterns change, and how credit scoring technologies change.
Because the score is based on information in your credit history, it is very important that you review
the credit -related information that is being furnished to make sure it is accurate. Credit records may vary
from one company to another.
If you have questions about your credit score or the credit information that is furnished to you, contact
the consumer reporting agency at the address and telephone number provided with this notice, or contact
the lender, if the lender developed or generated the credit score. The consumer reporting agency plays no
part in the decision to take any action on the loan application and is unable to provide you with specific
reasons for the decision on a loan application.
If you have questions concerning the terms of the loan, contact the lender.
One or more of the following consumer reporting agencies will provide the credit score:
Experian Equifax Credit Information Services Trans Union
P.O. Box 2002 P.O. Box 740241 P.O. Box 4000
Allen, TX 75013 Atlanta, GA 30374 Chester, PA 19016
1-888-397-3742 1-800-685-111 1 1-866-887-2673
Your acknowledgment below signifies that this written notice was provided to you.
Your acknowledgment below also signifies that you previously received
the Disclosure of Credit Score Information.
Borrower JUAN B . RIVERA Date Borrower
Borrower Date Borrower
Borrower
Borrower
Date Borrower
Date Borrower
Date
Date
Date
Date
140 (0410) VMP Mortgage Solutions, Inc. (800)521-7291 - 10/04
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P+ 1 0 0 6 2 6 5 1 4+ 0 0 0 0 1 8+ 0 1+ 0 1+ 0 2. 2 2 0. 5 8 0 3 I I I II III II III III I I II III
PLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 66, PRESERVE AT LAKE MONROE
AS RECORDED IN PLAT BOOK 62, PAGES 12-15 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
FOR THE BENEFIT AND
EXCLUSIVE USE OF:
COMMERCE TITLE COMPANY
COMMERCE TITLE INSURANCE COMPANY
CTX MORTGAGE COMPANY, LLC
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS
STRUCTURE MEETS OR EXCEEDS THE CSX RAILROAD R/W
THE REQUIREMENTS SET FORTH IN THE OLD MAIN LINE TRACK
UNPLATTEO PER THIS PLAT)
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
as.
50.00' N54'23'11 "W---------------
56
LOT 67
LOT 66
6,250 SO.FT. 3
Z
TWO STORY C j
CONCRETE BLOCK (n
b do WOOD FRAME
RESIDENCE b (r1
n FINISH FLOOR „'1 Cr)
ELEVATION- 14.33'
4-1
LO
COVERED
207• ;,1 ENTRY
5.0'
1"
GRAPHICIC SCALE
0 15 30
LOT 65
i .:'CONCRETE'•;
N I DRIVEWAY .
N
o
O
J' I '"•'"
10' UTILITY
EASEMENT
WALK IS 5%W.'.:.l;r,•_,";•.• WALK IS----
0.5' oN=
S54'23'11 "E 50.00
0.3' oN
NluIU:
pOUOI II+ I
Pi
V
305_55'4---'25.52'_
S 54'23'i1" l" E CENTERLINE OF.) 431.07'
RICHT-OF-WAY
VOTE:
ALL DIRECTIONS AND DISTANCES HAVE
3EEN FIELD VERIFIED AND ANY
NCONSISTENCIES HAVE BEEN NOTED ON THE
URVEY, IF ANY.
PROPERTY CORNERS SHOWN HEREON WERE
ET/FOUND ON 02-11-05 UNLESS OTHERWISE
HOWN.
THE SURVEYOR HAS NOT ABSTRACTED THE
AND SHOWN HEREON FOR EASEMENTS, RIGHT OF
IAY, RESTRICTIONS OF RECORD WHICH MAY
FFECT THE TITLE OR USE OF THE LAND.
NO UNDERGROUND IMPROVEMENTS HAVE BEEN
OCATED EXCEPT AS SHOWN.
5. NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL
NO 12.0294 0035 E DATED 4/17/95 AND FOUND
THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE X,
AREA OUTSIDE 100 YEAR FLOOD PLAIN.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE
ABOVE INFORMATION. PLEASE CONTACT THE LOCAL
F.E.M.A. AGENT FOR VERIFICATION.
ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY
BEARINGS SHOWN HEREON ARE BASED ON
THE NORTHWESTERLY LINE OF LOT 66
BEING N35'36'49"E PER PLAT.
FIELD DATE:) 09/29/04 REVISED:
SCALE: 1" = 30 FEET
APPROVED BY: SJ
FINAL 02-11-05 VH
JOB N0. ASM39680 FORMSOARO 10/17/04 DLC
PLOT PLAN 7/8/04 S60
DRAWN BY: LOT FIT 12-12-02 CKB
BRISTOL FOREST TRAIL
50' RIGHT-OF-WAY
LEGEND
CENTERLINE
RIGHT OF WAY LINE
11L5.1 EXISTING ELEVATION
CONCRETE
LS LICENSED BUSINESS
LS LICENSED SURVEYOR
PSM PROFESSIONAL SURVEYOR ANO MAPPER
PRM PERMANENT REFERENCE MONUMENT.
PCP PERMANENT CONTROL POINT
P) PER PLAT
M) MEASURED
FND FOUND
C/W CONCRETE WALK
SW SIDEWALK
CP CONCRETE PAD
CS CONCRETE SLAB
C CHORD LENGTH
PK PARKER KALON
R RADIUS
POC POINT OF CURVE
AMERICAN SURVEYING & MAPPING
CERTIFICATION OF AUTHORIZATION NUMBER LBM6393
1030 N. ORLANDO AVENUE, SUITE B
WINTER PARK, FLORIDA
32789 (407) 426-7979
O T
LB#631AND
CAP 93(02
111 05) QFND NAIL
AND DISC LB #68 (
02-11-05) 0 FND
1/2" IRON ROD AND CAP LB #6393 (
02-11-05) CNA CORNER
NOT ACCESSIBLE 6 DENOTES
DELTA ANGLE L DENOTES
ARC LENGTH L.B.
DENOTES CHORD BEARING PC DENOTES
POINT OF CURVATURE PI DENOTES
POINT OF INTERSECTION PRC DENOTES
POINT OF REVERSE CURVATURE PT DENOTES
POINT OF TANGENCY TYP TYPICAL
A/C
AIR CONDITIONER CBW CONCRETE
BLOCK WALL RP RADIUS
POINT CHU OVERHEAD
UTILITY LINE ID IDENTIFICATION
POL POINT
ON LINE PCC POINT
OF COMPOUND CURVE I HEHEBY
ULH III• Y, IHA I IF11J bUUNUAK T, SUBJECT TO
THE SURVEYOR'S NOTES CONTAINED HEREON
MEETS THE APPLICABLE MINIMUM TECHNICAL
STANDARDS" SET FORTH BY THE
FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND
MAPPERS IN CHAPTER 51G17-6,
FLORiI^ ADMINISTRATIVE CODE PURSUANT TO
CHAPTER 472.027, FLORIDA STA TU
TES. FOR THE
FIRM
JAMES
JAY
JILES PSM #4997 DATE