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CITY'OF SAN FORDP.ERMIT APPLICATION q•:2'#p.
Permit # : 0 `' Date: f - ' 6 yras .. , •
Job Address: J O d•=`•' , A,, L f w )00, Art %ri r /.rt
Description of Work: ]I.t L a I fC. _( !t " '_ o /J J
Historic District: Zoning: Value 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 r Commercial
Construction Tyne: ,o r. # of Stories:
Parcel #: 1 1 — ,
Owners Name &
Mechanical Plumbing Fire Sprinkler/Alarm PoQl-.
Addition/Alteration Change of Service Temporary Pole r.
Replacement New (Duct Layout & Bnergy CalF. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair— Residential or Commercial
Industrial Total Square Footage: Z f
of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Attach Proof of Ownership & Legal Description)
Contractor Name &Address: _ f ('d Ck a06A IN • Jo G t-1, Uld ay A .PA rGilAf 1"7/ I
C
Z Z,r fZ_' a%/ / - -
7 State
License Number: L Q O Phone &
Fax: 7 7 ' 1 2 Z • prr y f J D Contact Person: Phone: ?__2_.t yBonding
Company: ON a Address:
Mortgage
Lender: Address:
Architect/
Engineer: Mr A 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 prig 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. N
TI E: 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 p it is veri cation that 1 w otify the owner of the pro rty of the t
g4- a_
iurre o wffner/A ent ry
Date
Pnnt
Owner/Agent's Na is
o Signature
of Notary -State of Florida Dat EUA
Fibe-"w 41F
Ml i tiit =n n to Me or AI'
ll UC'ATION APPROVED BY: Bldg: i Luring: Initial 1C
Data) Spccir) Conditions:
of Florida -
Lien Law, Date Sign .
gfr,:
o3ry-State of Florida Date FLORENCE A
DE GRAVE MY COMMISSIONtDD184280UPoveC'omrafRtxtFK`ge-: 141011I-n to Me or Produces .D
8'Ims Initial & Date)
FD: Initial
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Date) (hruaal & Da;;
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Permit No.
State of Florida
County of Seminole
NOTICE OF CONJIL-NCE-MEENT '
Tax Folio No.
The undersigned hereby gives notice that improvement will be made to certain real property, and in -accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement
ropZo r`
1. Doscription ofpr4perty; (1e&zl_44,WriptioNof the prcoerty and strut addresj if vinilab 3dZ 7%3
0
A
4.
G
7.
B.
Owner information
a. Name 4nd add
Interest 41 pr6pert;
Name and address
b. Phone number yo 7 - .T 2 -9 X --
Surety
a. Name and address
IIIIII1111A111111NII111A111A
mauvnuur WInRSE, CLEW OF CIRCUIT COURT
b. Phone number Fax mu iMMINGLE C"TY
c. Amount of bond M
Lender RkUiRDED 01/20/2004 08:4 M AN
a. Name. and addresstv 2 RlO)RDINS mq- M
00
b. Phone'number Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. 'Phone number
In AA ' to 1 'tnself or herself Owner designates
Fax number
of
a tttotn it
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes. .
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified) u
S mature of Owner
Sworn to or affirmand subscribed before me this / day of 20 by Personally
Known OR Produced Identification Type
of ldentifia tion Produced ES -"
rrrp ,A FORB MY
COMMISSION # DD 248329 EXPIRES:
Sept r 102007 ft
d d h,u rtahiy
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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Seminole Count'. C
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2004 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 11-20-30-509-0000-0010 Tax District: S1-SANFORD Number of Buildings: 1
FORESMAN JENNIFER 00- Depreciated Bldg Value: $68,764
Owner: M Exemptions: HOMESTEAD Depreciated EXFT Value: $750
Address: 100 LONG LEAF PINE CIR Land Value (Market): $12,800
City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0
Property Address: 100 LONG LEAF PINE CIR SANFORD 32773 Just/Market Value: $82,314
Subdivision Name: HIDDEN LAKE VILLAS PH 4 Assessed Value (SOH): $65,744
Dor: 01-SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $40,744
SALES
Deed Date Book Page Amount Vac/Imp 2003 VALUE SUMMARY
WARRANTY DEED 11/1998 03546 1871 $60,000 Improved Tax Value(without SOH): $1,204
FINAL JUDGEMENT 05/1997 03238 0992 $100 Improved 2003 Tax Bill Amount: $818
QUIT CLAIM DEED 11/1996 03158 1548 $100 Improved Savings Due To SOH: $386
TAX DEED 09/1996 03127 1179 $31,600 Improved 2003 Taxable Value: $39,203
WARRANTY DEED 08/1993 02641 0107 $66,500 Improved DOES NOT INCLUDE NON -AD VALOREM
WARRANTY DEED 09/1984 01577 1494 $61,400 Improved ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 1 HIDDEN LAKE VILLAS PH 4 PB 28
LOT 0 0 1.000 12,800.00 $12,800 PGS 26 TO 28
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1984 6 2,284 1,128 CB/STUCCO FINISH $68,764 $74,339
Appendage / Sgft ENCLOSED PORCH UNFINISHED / 440
Appendage / Sgft GARAGE FINISHED / 560
Appendage / Sgft OPEN PORCH FINISHED / 52
Appendage / Sgft OPEN PORCH UNFINISHED / 104
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
FIREPLACE 1984 1 $750 $1,500
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 ear's properly tax will be based on Just/Market value.
http://www.scpafl.org/pls/web/re_web.seminole_county_title?PARCEL=l 1203050900000(... 1 /20/2004