HomeMy WebLinkAbout301 Pine Winds CtsciI
CITY OF SANFORD PERMIT APPLICATION
Permit #: D S
A •
Job Address:
Date:
Description of Work: rere 0 -f !%bf+n 99
v o
Historic District: Zoning: Value of Work: S .39..
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 #: 1 - -TA-)DOD - W e
Owners Name & Address: Jd, A. /z
Contractor Name & Address:
Proof of Ownership & Legal Description)
State License Number:
Phone & Fax: 907 RM- AWW Y07 ZgY l — Contact Person: Phone:
Bonding Company:
Address:
Mortgage Leader:
Address: '
Arcliitect/Engineer:
Address:
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 t is n that I will notify the ownwtf the of the requirements of Florida Li F 13.
lotNMV,o=
co "i S' o to S' tor/ en[ Date u
o c N J Rf'i ` 0 3 A
cPrint Owner/Agent's Name Print Contractor/Agent's Name
cj
r
o Ww mo
O W O
lure of Notary -State of Florida Da Sr lure of Notary -State of Florida
in cc4A tr
2 v ' Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or o22
F Produced ID 5 L. US4an - M LO- 6 s- O Produced ID p cza
x ICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
Initial & Date) Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
t
kc
Tax Parcel M
Prepared by:
Individual's name:
Address:
7 '`
G JQX 1A 1
F4 NOTICE OF COMMENCEMENT
FS 713.13
State of Fjorida
County of
The undersigned hereby gives notice that improvemcnt(s) will be made to cenain real property, and in accordance with Chaptr,`,Fq ida COPYStatutes, the following information is provided in this Notice of Commencement. `c k 1ICLIIJJ v
I Legal description of ro cr8pP ry: 30f PiAt AA,4 t_' - MARYANNE MORSE
and street address, if available)
3,? % 7 CLERK OF CIRCUIT COURT
SEMI COUNTY, FLORIDA
2. General description of improvement(s): r{/'0
8Y
o
RK3. Owner. Name: • ,'p`d //aQ
Address:
Z. Sao rt c Ga 1,e S c /volt/ .i'Z 77 P.
0 W
Phonr(i/Dy> yyp— Fax. _
a. Interest in property:'
b. Name and address of fee simple titleholder (if other then owner) Phone:
4. Contractor: Name: 444 {- soh llHc, Address: 36D 4e Z41044;'4 )V. 48-14"Wo pt- ZZ / 1 V
Phone: 1/07 f7S'-S- —,00f,6 Fax: Oi0 y 8,r'r'—
5. Surety: Name and Address:
Phone:
Fax:
6. Lender: Name and Address:
Phone:
Fax:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Sectionn 713.13(I )(a)7, Florida Statutes: (Name, address, phone number, and fax number).
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Licnor's Notice as provided in Section
713.13(1)(b), Florida Statutes: (Name, address, phone number, and fax number).
9. Ex ' n dat f n c ofcommencement (the expiration date is one (1) year from the date ofrecording unless a different date is
sp i ed
1
y
Sig u e Ow Cr) INote: perSoctton 3.13(1)g, Florida Statutes Prin1 Owner's Name)
Owner must sign and no one else may be permitted to sign in his or her stead.")
ate of F-Lo f2( r Counry of 012 — ,
The forcgoinginstrument was acknowledged bef emethis dayof ¢ _,by hli sX 11as__ Who _
is personally known to me or has produced - ' as identification, and did
take an oath _ did not take an oath. Hao W fi70 `,,5 , 1s (0 y
signature: i
PUBLIC -SLATE OF FLOR:DA r
Ella Mr Wells rmisslon
m#VDM773 plrest
DEC. 05, 2008 Thru
AtI lAtic 111011WAS tort Ines County
Certification 11tt11Nt110Ntipi11NtINN
I i6inNnlain MARYANNE WIRSEt
CLERK OF 1 MINOLE COUNTY
AK 05630
PG 3969 CLERK'S *
2005034 RF-M,
RDRO 03/01/M 11 a51 i REMIN8 FEES
10.00 RCUIT COURT
4 AN
Actual —
Total 33, bo
Valley .SS'
Ridge '
Pitch 511.2
Stories
SAS J Scl l
NM& SOH, INC.
ROOFING DIVISION •
364 E. LANDSTREET ROAD • ORLANDO, FL 32824
P. 407-447-2270 • F. 407-770-0023
LICENSE # CCC1325962
www.nethandson.com
NAME ,Jokm QoIle
ADDRESS ,;ol Piw_ r0/ 4 a
CTTY/ST. ZIP .SQA-irci L. .? 7 7 l
ROOFING SPECIFICATIONS
O LAYOVER EXISTING
Ile t EAR OFF LAYERS OF SHINGLES
044EW S lbs. felt O Split 30lbs. felt
D- EW Yr. 25 Fiberglass Shingles
COLOR SHINGLE h1t0L+Affid,4 4 Owner Initial_
WITYLE AND BRAND OF SHINGLES
REPLACE PLUMBING STACKS AS NEEDED _1 1/2" _Z2" /3" _4"
R<5w r AIR VENTS mta eft
O NEW CLOSED VALLEY O W-Style Valley —Ft.
O INSTALL Ft. of vent a ridge
0-11 x 8 $4 PER FT. PLYWOOD AT $50 PER SHEET C
O INSTALL ICE & WATER SHIELD
91DRIP EDGE Ireltd _I)m COLOR
O INSTALL WIND TURBINS
O0POWER AT71C FAN
CST ROLL YARD WITH MAGNETIC ROLLER (PICK UP NAILS)
ryR. WORKMANSHIP WARRANTY _
L N UP AND HAUL OFF ALL ROOFING DEBRIS
INSPECT UPON COMPLYTION BY//JJYO R REP SENTATIVE-e
R<KY LIGHT /g4z nAe.K
O CHIMNEY FLASHING
O STEP FLASHING
INSURANCE CLAIMS*
ESTIMATE & CONTRACT
This Agreement Subject to Insurance approval
S444-" >G XZ4
HM #. &,07) ?'Y - yA rf CLAIM #
WK # ADJUSTER
W. CONTACT #!
I* TEAR OFF
O INSTALL
O STYLE
O INSULATION
O GRAVEL GUARD
O OTHER
O
I
FLAT WORK
TILE WORK '
O FLAT or BARREL
O RIDGE
0.
O STARTERS
O BATTEN STRIPES
O LEAD FLASHING 30 l
O BIRD STOP
O OTHER
O
SPECIAL INSTRUCTIONS
General Contractor; Homeowner acknowledges NETH & SON, INC as1
a general contractor and as such will be entitled to ]Q% overhead and \
10 % profit, O & P, as allowed by Florida Standards.
Insurance/Mortgage Company note, I hereby authorize insurance and/
or mortgage company below to make any checks jointly.
Terms; This agreement does not obligate the homeowner or NETH &
SON, INC in any way unless it is approved by the insurance Company
and accepted by NETH & SON, INC. When "price agreeable" is
determined it shall become the final contract price. The homeowner
authorizes NETH & SON, INC to obtain labor and materials in accor-
dance with the "price agreement" and the specifications set out herein
to accomplish the above replacement or repair without any additional
cost to you, except for your deductible. You, the buyer, may cancel
this transaction at any time, prior to midnight of the third business day
after the date of this transaction. See the attached notice of cancellation
for an explanation of this right.
PAYMENT METHOD: Pay Upon Completion of Each Trade
PLEASE MAKE CHECKS PAYABLE TO NETH & SON, INC
ROOFING $ TWO*
TILE $
FLAT $
SUBTOTAL $
O/P $
TOTAL $
WHEN ACCE IS DOCUMENT BECOMES A LEGAL
AGREEM N TO THE TERMS HEREIN
Accepted by Dat i5
Accepted by Date_
Salesman taft", Date4 OS
FOR PE MIT USE ONLY) -
Print Name Date IA -A
Authorized Signature
Drivers License#
i
i
utm
MUM POWER OF ATTORNF'Y
Date:
I hereby name and appoint Derek Parr
of - - • Neth b Son. , Inc. to be my lawful attorney
in fact to act for me and apply to Seminole County for
a _. • Re -Roofing permit for work to be performed
at a location described as: Section_ Township a O Range
Lot_ Block Subdivision
a)k tmds Q.k. %rN 3t-8 `
Address of Job)
and to sign my name and do all things necerssety to this appoiattnent
Brad Supples CCC1325962
fij+pe or Print now f Cgrafied C.ouvamr and Lick #)
Connacwr)
Admowledge&
Sworn to and subscribed before me this
Day of IWe44L A.D. A:r,5
Notary Public, Soft of F Wa, NOTARY PLBLIC•5TTE OF FLORIDA
Ella M. Wells
seal) Commission #DD376773
Expires: DEC. 05, 2008
MyExpires: Bonded
Thru Atlandc Bonding Co., Inc. Commissioa -
Seminole County Property Appraiser Get Information by Parcel Number Page I of 1
Si as
SZ:hi{NOLx: Ci1U3vTY rL.rAf
ii0i L.:R57STw. AWraAD,
FLai7Tii-14CZ 7-
6-15-7505 7' 2005
WORKING VALUE SUMMARY Value
Method: Market GENERAL
Number of Buildings: 1 Parcel
Id: 11-20-30-5CR-ODOO-0130 Tax Distr ct: S1-SANFORD Depreciated Bldg Value: $89,349 Owner:
ROLLAS JOHN Exemptio s: Depreciated EXFT Value: $0 Address:
22 STONEGATE S Land Value (Market): $17,800 City,
State,ZipCode: LONGWOOD FL 32779 Land Value Ag: $0 Property
Address: 301 PINE WINDS CT SANFORD 32773 107,149 Subdivision
Name: HIDDEN LAKE UNIT 1-A Assessed Value (SOH): $107,149 Dor:
01-SINGLE FAMILY Exempt Value: $0 Taxable
Value: $107,149 SALES
Deed
Date Book Page Amount Vacllmp WARRANTY
DEED 06/2004 $91,000 Improved 2004 VALUE SUMMARY CORRECTIVE
DEED 10/2001 $100 Improved 1,537 QUIT
CLAIM DEED 11/1999 $100 Improved 2004 Taxable Value: $75,001 QUIT
CLAIM DEED 08/1982 $100 Improved DOES NOT INCLUDE NON -AD VALOREM WARRANTY
DEED 01/1979 $32,000 Improved ASSESSMENTS WARRANTY
DEED 01/1973 $26,900 Improved LAND
LEGAL DESCRIPTION Land
Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 13 BLK D HIDDEN LAKE UNIT 1-A PB LOT
0 0 1.000 17,800.00 $17,800 17 PG 51 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 1973 6 1,195 2,281 1,195 CB/STUCCO FINISH $89,349 $103,894 Appendage /
Sgft OPEN PORCH FINISHED / 170 Appendage /
Sgft ENCLOSED PORCH FINISHED / 221 Appendage /
Sgft OPEN PORCH FINISHED / 191 Appendage /
Sgft GARAGE FINISHED / 504 NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized farad 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=1120305CROD000130&cowner... 2/17/2005
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: MIA 4- &/I .7hC . License #:
Project Information
llo l \-IhQ S l t_
address
phone
Permit #: C6163
Subdivision:
Lot #:
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:0-t.4
si ture
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of MP rc_h , 200, ; by the
above referenced individual,'12re, t' Par r , who acknowledged that he/she is a
duly licensed contractor with Yle.ty-, t S oo-. , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced — i<e*u r,,hr A g S - (o a I a ots valid identification.
WITNESS my hand and seal this day of 200 S .
Notary Public
DEBBIE BLANTONQMYCOMMISSION # DD IaWl
EXPIRES: February 25, 2007,
OD•3•NDTARY FL Notwy Discourd Assoc. Co.