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`CITY OF SANFORD PERMIT APPLICATION 2
` 5 Date:
Permit #: 0-1)�J
So-AM&ess: 13S Coy 1%Af-%f C IV IN p � ��
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scriptiolt of Work: TiAa bcy cx iV,n Ore 4gIAcr W f/d r I-Ae AWs 21 � S�/*%�
Historic District: �,— Si. Zoning: V etrdfwor�S /gob —'R100
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
Construction Type: # of Stories:
Parcel #:
awname_B�Addtr ss:
04 -Ir Co J t14 -o /
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ Addition/Alteration Change of Service Tempot'ary Pole r
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage:
_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Contact Person:
(Attach Proof of Ownership & Legal Description)
77/ Phone: `107 - 3•2)-.2oZT
State License number:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 pe rifi ' n that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
yl/0%3
S'gnature caner/Agent Signature of Contractor/Agent
I�N J 1 N 70 L /
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9
tU
Date
# * MY COMMISSION I DD 164280
EXPIRES: November 12, 2006
r ndr�O Bond Thru Bud�t N
O vner/ gentis �'erson� ' i�ir% l Me
Produced IU SZX�loc�y�o
APPLICATION APPROVED BY: Bldg: 4 Toning:
( In tial & Date)
Specia! Conditions:
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
_ Produced ID
u"Jives: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
U
I
CITY OF SANFORD BUILDING DIVISION
OWNER/BUELDER 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.
','5Vt IA JL) , 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.
y 02--,
CWPOlder Signature Date Q
114111
# �b
alder Name
m
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y �
Si reof Notary—State of Florida Date
S
gN
Owner is Personally Known to ,Me or has
Produced ID
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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2003 WORKING VALUE SUMMARY
-
Value Method: Market
GENERAL
1
Number of Buildings:
Parcel Id: 35-19-30-521-0600-0260 Tax Districk. S1-SANFORD
Depreciated Bldg Value: $37,093
Owner: JULIAN KEVIN Exemptions: 00-HOIALSTEAD
$0
Depreciated EXFT Value:
Address: 135 COUNTRY CLUB CIR
Land Value (Market): $10,000
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $0
Property Address: 135 COUNTRY CLUB CIR SANFORD 32771
Just/Market Value: $47,093
Subdivision Name: COUNTRY CLUB MANOR UNIT 2
Assessed Value (SOH): $40,912
Dor: 01 -SINGLE FAMILY
Exempt Value: $25,000
Taxable Value: $15,912
SALES
Deed Date Book Page Amount Vac/Imp
QUITCLAIM DEED 11/1996 03416 0406 $12,500 Improved
2002 VALUE SUMMARY
WARRANTY DEED 11/1989 02124 0182 $45,000 Improved
2002 Tax Bill Amount: $317
WARRANTY DEED 01/1976 01091 0843 $13,700 Improved
2002 Taxable Value: $14,953
WARRANTY DEED 01/1973 00999 0503 $15,500 Improved
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG LOT 26 BILK B COUNTRY CLUB MANOR
LOT 0 0 1.000 10,000.00 $10,000
UNIT 2 PB 11 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 1958 3 1,159 720 CONC BLOCK $37,093 $49,457
Appendage / Sgft OPEN PORCH FINISHED/ 65
Appendage I Sqft ENCLOSED PORCH FINISHED/ 220
Appendage / Sgft ENCLOSED PORCH UNFINISHED / 99
Appendage / Sgft UTILITY FINISHED / 55
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.seminole_county_title?PARCEL=3 519305210B000'... 4/10/2003