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}C r ' ; CITY OF SANFORD PERMIT APPLICATIONixi''il�¢::N:.i�i't''s
ILE
Permit ate: 0 t
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Job Address: � t�-
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Description of Work:
Historic District: Zoning: Value of Work: $ rr
Permit Type: Building Electrical Mechanical Plumbing Fin Sprinkler/Alarm PoQI .
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Tempotjiy Pole !
Mechanical: Residential Non -Residential Replacement New (Duct Layout & irtergy Cali 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 -7y— Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
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Parcel #:-41 ( cb Proof of Ownership /& Legal Desch on)
Owners Name & Address: t! P ✓C Z �� /( psi// eLil , f��
7` + Phone: �0% r C�;� j — 9,-a ,� !
Contractor Name &'Address:
State License Number: i
Phone & Fax: Contact Person: Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: 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 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 AFFIDAV ff: 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.
Acc:i4
Re-
Pnnl
at I wil of the owner of the property of the requirements of Florida Lien law, FS 713.
Date Signature of Contractor/Agent Date
Owner/A ent's Name Print Contractor agent's Name
• �j 3d q3
Signature, R S otti S a�a#DD 163723 Date Signature of No=y-State of Florida Date
;• .
Expires: Dec 20, 2005
Bonded Thru
Bondintt Co..Inc
5r1h �no%k to Me or Contractor/A4t-: is llersonalt\ Known to Me or
bat-roduced IU IoU 7 Z 1 -14 card P ` :
roduceD _
APPLICATION APPROVED BY: BldrDMEV� Zoning:
:Initial
S,w6a! Conditions:
(Initial & Date)
(Initial & Date) (Initial & Dat:
r
CITY OF SANFORD BUILDING DIVISION
OWNERBUILDER 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 presurn.e th.a.t:
you built or substantially improved it for sale or lease, which is a violation of this exemption. You rr;ay
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, , 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.
,:,;r &,�� - 00 -a3
er/Builder Signature Date
Print Owner/Builder Name
9 O
3 CD
ignature oT Notary—State of Florida Date
H y. ri
®s CD�.y
N � d
Owner is Personally Known to ale or has
Produced IU
FINAL SU FRVEY
TRACT "A'
RETENTION POND
(DRAINAGE EASEMENT)
LOT 167
�� S8915P0"W
LOT 168 �a�
� 3
------ -----
CD
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15' drainage o 12
easement.
7.s'
nx
LOT 14 LOT 16
3 0108 $
O ONE STORY p
CONC. BLOCK r'7
p RESIDENCE
O F.F. 49.26
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16'
May
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S89'58'30"W 50.00'
y, 10' UTILITY EASEMENT
N ,.7
_ _ _ _ROSE HILL _ _TRAIL
PI 'S8'30'W 193.00'
S89
NOTE:
FINISH FLOOR ELEVATION ON THIS ENGINEERED SUBDIVISION
PLAN MEETS SECTION 6-7 CITY OF SANFORD CODE.
LEGAL DESCRIPTION:
LEGEND:
LOT 5, ROSE HILL, ACCORDING TO THE PLAT THEREOF AS CENTER LINE ROAD CONC. WHEEL STOP
RECORDED IN PLAT BOOK 54 , PAGES 41 AND 42, OF THE LOT LINE ASPHALT PARKING LL
PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. ADJACENT LOT LINE ---- LIGHT POLE LP
---- TELEPHONE PEDESTAL m
GENERAL NOTES: EASEMENT LINESET
s/e' IRON R00
1. BEARINGS ARE BASED ON RECORD PLAT. CABLE TV. Box TV. BOX
2. THIS SURVEY IS NOT. INTENDED TO LOCATE ANY FNO 5/8' IRON ROD TRANSFORMER TRANS.
FNO 4'x4' GONG. MONUMENT •
UNDERGROUND UTILITIES. FIRE HYDRANT vFH
3. BASED ON THE NATIONAL FLOOD INSURANCE PROGRAM FIRM POINT OF CURVATURE • PC VALVE
POINT OF TANGENCY • PT SPOT ELEVATION'z
MAP COMMUNITY N0.12117C, PANEL N0.0045E DATED APRIL Paer OF INTERSECTION •%
17, 1995, THE ABOVE DESCRIBED PROPERTY IS NOT LOCATED RADIUS POINT •RP EXISTING Ex
DRAINAGE FLOW
WITHIN A SPECIAL FLOOD HAZARD AREA FLOOD ZONE 'X". 2' MIAMI CURB �—
CLIENT: RAFAEL PEREZ
PRJ. No. 9802-05 1 SCALE 1" = 30' 1 DATE: 3-26-99 1 REV: 7-26-99 REV:
CERTIFICATION TO: RAFAEL PEREZ. CAPRI HOMES CORPp_ASSDCIA Q LAND______
TITLE_SUNTRUST BANK FL.LN_A.�fdOLTON�ALLEN AND WILLIAEIS�CO�II�ONWEALTH
THIS SURVEY HAS BEEN PREPARED FOR THE
_CENTRAL
LAND TITLE INS_ CO.,DEAN, MEAD EGERTON BLOODWORTKCAPOLIANO do BOZARTH
EXCLUSIVE USE OF THE PERSON, PERSONS,
OR ORGANIZATION IDENTIFIED ABOVE AND IT'S
I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
CERTIFICATION IS NON -TRANSFERABLE. ANY
AND MEETS THE MINIMUM TECHNICAL S'rANDARDS AS SET FORTH BY THE FLORIDA
COPY HEREOF, TO BE CONSIDERED VALID,
BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6, FLORIDA
MUST BE EMBOSSED WITH THE SEAL OF A
ADMINISTRATIVE CODE, PURSUANT 10 SECTION 472.027, FLORIDA STATUES,
REGISTERED SURVEYOR.
PREPARED BY:
MERWAN NAIME
TOMMIEL 1 .L.S. #2498
10823 HARKWOOD BLVD.
PROFESSION D S V YOR FLORIDA
ORLANDO, FLORIDA 32817
629-B E. CHURCH STREET ORL*Pd, FL. 32801 (407) 649-3113
(407) 671-9669
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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2003 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 18-20-31-503-0000-0050 Tax District: S1-SANFORD
Number of Buildings: 1
Owner: PEREZ RAFAEL A & Exemptions: 00 -HOMESTEAD
Depreciated Bldg Value: $74,023
Own/Addr: PENA MARIEN A
Depreciated EXFT Value: $0
Address: 108 ROSE HILL TRL
Land Value (Market): $19,500
City,State,ZipCode: SANFORD FL 32773
Land Value Ag: $0
Property Address: 108 ROSE HILL TRL SANFORD 32773
Just/Market Value: $93,523
Subdivision Name: ROSE HILL
Assessed Value (SOH): $78,233
Dor: 01 -SINGLE FAMILY
Exempt Value: $25,000
Taxable Value: $53,233
SALES
Deed Date Book Page Amount Vac/Imp
2002 VALUE SUMMARY
WARRANTY DEED 08/1999 03718 0222 $89,100 Improved
2002 Tax Bill Amount: $1,088
SPECIAL WARRANTY DEED 09/1998 03496 1719 $1,456,500 Vacant
2002 Taxable Value: $51,399
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 5 ROSE HILL PB 54 PGS 41 & 42
LOT 0 0 1.000 19,500.00 $19,500
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1999 6 1,589 1,173 CB/STUCCO FINISH $74,023 $75,534
Appendage / Sgft OPEN PORCH FINISHED / 20
Appendage / Sgft GARAGE FINISHED / 396
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 Just/Market value.
http://www.scpafl.org/pls/web/re_web.seminole_county_title?PARCEL=1820315030000005 4/30/2003