HomeMy WebLinkAbout206 Fairfield DrCITY OF SANFORD PERMIT APPLICATION
J
n Sscx-
Permit #: ()S C /
1J
Job Address: ZOin cti/%C Q Drupe
I
Gtl fG FL 3 Z%7/
Description of Work: % ) F (1k: n "r U p ri va r y -F?, CC
Historic District: Zoning: Valde-of Work: $
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
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: 8'yc(q S CC!! ZC%6 -Fuir-_lCl(r Qrive .5arI-For FL 3Z 77/
Phone' y0 7-6 2 0 - S of 7
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 ernut is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Si ature of bwner/Ag gf Date Signature of Contractor/Agent
Bryan T siep4e,-d
Print Own t' ame Print Contractor/Agent's Name
l 1 ICES
Signa 4rv8B otz CWJ .1OtP DO 164260
Date Signature of Notary -State of Florida
MY COMMISSIONNovember 12, 2006EXPIRES:
s, jzT Bonde Tu Budget Notary Services
Date
Date
Own is ersonalll Known to e U ` Contractor/Agent is _ Personally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Bldg.
Initial & Date)
Special Conditions:
Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
13T
CITY OF SANFORD BUILDINGDIVISION 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. I,
ry,n - 5 , 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. Owder/
BuAder Signatu e Date T
Sle c Print
Owner/Builder Name 3L1\'
S Signature
of Notary —State of Florida Date Owner
is Personally Known to Me or has Produced
ID I
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
W
ti; . ::::.:
0Aif! a Ju5hie4Ns CZ A, /a' r r,'fr}S%}'{r'r'r' r•. PROPERTY
yy +
p PPAxxxI^ ER C3i
1:. FIRS -.SS f i:: :•:f.:c:MW v.'vr.: S.L RIFO:ri^• pG.:3.3JT -7A rativ:•: . .
t _
2005
WORKING VALUE SUMMARY Value
Method: Market GENERAL
Number of Buildings: 1 Parcel
Id: 32-19-31-515-0000-0910 Tax District: S1-SANFORD Depreciated Bldg Value: $108,672 Owner:
SHEPHERD BRYAN J Exemptions: 00-HOMESTEAD Depreciated EXFT Value: $0 Address:
206 FAIRFIELD DR Land Value (Market): $20,000 City,
State,ZipCode: SANFORD FL 32771 Land Value Ag: $0 Property
Address: 206 FAIRFIELD DR SANFORD 32771 Just/Market Value: $128,672 Subdivision
Name: CELERY LAKES PHASE 1 Assessed Value (SOH): $128,672 Dor:
01-SINGLE FAMILY Exempt Value: $25,000 Taxable
Value: $103,672 Tax
Estimator 2004
VALUE SUMMARY SALES
Tax Amount(without SOH): $410 Deed
Date Book Page Amount Vac/Imp 2004
Tax Bill Amount: $410 SPECIAL
WARRANTY DEED08/2004 05419 0226 $147,900 Improved Save
Our Homes (SOH) Savings: $0 2004
Taxable Value: $20,000 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 91 CELERY LAKES PHASE 1 PB 62 PGS 75 & LOT
0 0 1.000 20,000.00 $20,000 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 2004 9 1,120 2,659 2,215 CB/STUCCO FINISH $108,672 $109,218 Appendage /
Sgft OPEN PORCH FINISHED / 24 Appendage /
Sgft GARAGE FINISHED / 420 Appendage /
Sgft UPPER STORY FINISHED / 1095 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 our next ear's property tax will be based on Just/Market value. re_
web. Seminole_county_title?parcel=321931515 00000910&cpad=fairfield&cpad_num=20 3/ 11 /2005
PLAT OF BOUNDARY SURVEY
for
MARONDA HOMES
Legal Description
LOT 91, CELERY LAKES PHASE 1, according to the Plat thereof as recorded in Plat Book 62, Pages 75 and
76, of the Public Records of Seminole County, Florida.
N
TRACT F
WAI
0
0
N
C
M
J
v
CA
C
1t`
SCALE: 1 "=30'
11
0
w
F-
0
z
Ln
a
w
J
ULn
PLAT OF BOUNDARY SURVEY
for
MARONDA HOMES
Legal Description
LOT 91, CELERY LAKES PHASE 1, according to the Plat thereof as recorded in Plat Book 62, Pages 75 and
76, of the Public Records of Seminole County, Florida.
TRACT F
N 89'50110" E 63.36'
5''DRAINAGE
r---------
ESM'T
W
o
o
F
91 ;N Nw
w
a o
O
O
O
w; j0 !< IV
a 40 d in Cli
92
J p !
n;
FF Bak Sj 9
rcCo
fTl
90
9. 5' 19' 0
O
I
i
o
O)
W
iir
i
9
CC) (0
N
pl
c
IL
a
z
c
w
JCr
U
Ln
SCALE: 1 "-30'
CELERY LAKES HOMEOWNERS ASSOCIATION, INC.
ARCHITECTURAL REVIEW BOARD
DATE : 0 LOT # PHASE # A
PROPERTY OWNER:
PROPERTY ADDRESS: 06.. a `ejc fir; ve 5, o PL
MAILING ADDRESS. (if different): h
TELEPHONEa. -p2f- S O 9 FAX N/A
Architectural Review application for:
Swimming pool Exterior paint colors
Landscaping Fencing
X Other:
ATTACHMENTS FROM PROPERTY OWNER:
written request describing addition, change or installation
X property survey showing where addition or installation is to
be located
specifications (copies of plans indicating dimensions,
materials made.of, color, etc.)
other (i.e., paint chip color samples, pictures, brochure)
NOTE: Please be advised that work cannot be started until the ARB
has provided a written -approval of -the application.
FOR USE BY THE ARCHITECTURAL REVIEW BOARD
request rec'd forwarded to ARB to owner
The ARB's decision on the plans submitted is as follows:
APPROVED with the following comments:,
1) must conform to .-all . local zoning and building
regulations. And you. must obtain any permits that
are required.
2)
DENIED
INFORMATION RECEIVED, IS INCOMPLETE --required information is:
BY "3•) b,o
Architectural Review Board date