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CITY OF SANFORD PERMIT APPLICATION
7-q —1Permit # —L . _ \
Date:
Job•Address: 1221 P 1)t11A/ .Pe -I lit
Description of Work: C
Historic District: Zoning: Value of Work: S n
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 Cale. Requited)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of ater closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: o d # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
C;Ownen Name & Address:
Attach Proof of Ownership & Legal Description)
Contractor Name & Address: 1
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
State License Number.
Contact Person: Phone:
Address:
Architect/Eagineer:
Phone:
Address:
Fas:
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 regulatingconstructionandzoning. 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 it, there may be additional restrictions applicable to this property that may be found in the public records ofthiscoty, and may be additional permits from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance t is verification t I fy the owner o the p perty of the requirements of Florida Lien Law, FS 713. j1,7 0
fst8na. :r_?f o`" 11 g t ,. Date Signature of Contractor/AgentDate
tgnature t vHgr Ste, DE GRAVE Date
MY COMMISSION # DO 164260
P'
EXPIRES: November 12,2006
PdlaOedAgeflH19Lersonaly wn Me or
ID
APPLICATION APPROVED BY: Bldg a Zoning:
Iniewi ate)
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
t'
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER 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 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, P E t. C *'I-h , 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 pertnitted structure.
J 6 * Nam'
ZDate •;
a
Print Owner/Builder Name n <
Ty oil
Si re of Notary —State of Florida Date $ +
Owner is rscmkalLy Known to Me or has
Produced ID L4
12
LOT 11BLOCK "C" IDYLLWILDE
OF LOCH ARBOR SUCTION 4 AS
RECORDED IN PLAT BOOK 16, PACES 99-100, PUBLIC
RECORDS OF SEMINOLE COUNTY, FLORIDA ALDEAN
DRIVE 50'
R/W) W,
ell N
00'11'46" IV 100.00' IV
UU'l1 46 " TV Per
Plat) Ni]
IES 1.
ACCORDING TO THE NATIONAL FLOOD INSURANCE RATE MAPS, IT
IS HY OPINION THAT THE BUILDING SHOWN HEREON DOES
NOT LIE WITHIN THE 100 YEAR FLOOD PRONE AREA AND
LIES WITHIN FLOOD ZONE 'C'. PURSUANT TO FIRM PANEL N1202940005D , EFFECTIVE 9117/90 2.
SUBSURFACE AND/OR AERIAL IMPROVEMENTS OR ENCROACH- MENTS,
IF ANY WERE NOT LOCATED. 3.
NO SEARCH OF PUBLIC RECORDS WAS MADE BY THIS OFFICE. 4.
LEGAL DESCRIPTION IS AS FURNISHED BY THE CLIENT, I.
THIS SURVEY IS PREPARED FOR THE SOLE AND EXCLUSIVE BENEFITOFTHOSEPARTIESNAHEDBELOVANDISNOTTOBE
RELIED UPON DY ANY OTHER ENTITY OR INDIVIDUAL. CE"
TIFIED E%CLUSTVEL7 TO BILLY
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THE AIUVE CESCRIIED PROPERTY IS TRLE AND CORRECT
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RECENTLY SURVEYED L14DU MY DIRECTION AMU IW7T IT
MEETS THE XDCXU( TECHNICAL SIANDMDS SET FORTH
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TO SCCTIIN 472D27 OF TIE RDRIM SIATVIESS, L.
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ARE T V 0 UNLESS SIGNED AND EUBOSSED WITH
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Seminole County Property Appraiser Get Information by Parcel Number Page 1 ot' 1
PARCEL DETAIL Back C>
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2004 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 34-19-30-518-0000-0110 Tax District: S1-SANFORD Number of Buildings: 1
Owner: GOLDSMITH VALERIE L & Exemptions: 00-HOMESTEAD Depreciated Bldg Value: $110,447
Own/Addr: GILROY MARGARET Depreciated EXFT Value: $600
Address: 121 ALDEAN DR Land Value (Market): $21,300
City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0
Property Address: 121 ALDEAN DR SANFORD 32773 Just/Market Value: $132,347
Subdivision Name: IDYLLWILDE OF LOCH ARBOR SEC 4 Assessed Value (SOH): $132,347
Dor: 01-SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $107,347
SALES
Deed Date Book Page Amount Vac/Imp
2003 VALUE SUMMARY
QUIT CLAIM DEED 1112002 04649 1155 $40,200 Improved Tax Value(without SOH): $2,260
WARRANTY DEED 06/1997 03260 1374 $115,000 Improved 2003 Tax Bill Amount: $2,260
WARRANTY DEED 01/1976 01088 1247 $54.900 Improved Savings Due To SOH: $0
WARRANTY DEED 01/1973 01004 1833 $48,600 Improved 2003 Taxable Value: $108,302
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 11 BLK C IDYLLWILDE OF LOCH ARBOR SEC 4
LOT 0 0 1.000 21,300.00 $21,300 PB 16 PG 100
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1973 8 3,327 2,203 CB+WOOD COMBO $110,447 $127,317
Appendage / Sgft UPPER STORY FINISHED / 986
Appendage / Sgft SCREEN PORCH FINISHED / 368
Appendage / Sgft OPEN PORCH FINISHED / 186
Appendage / Sgft GARAGE FINISHED / 570
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
FIREPLACE 1979 1 $600 $1,500
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 JusUMarket value.
http://www. scpafl.org/pls/web/re_web.seniinole_county_title?parcel=3419305180C000110&cpad=aldean... 2/6/2004