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a .Y _ :i;t.�►� % ' CITY OF SAN�FORD PERMIT APPLICATION
Permit #: �J� 1� ' Date: S — ^QN�
AescrtptlQJt oVW-0— ✓ j
Historic District: Zoning:*/ �/� c2
Permit Type:
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
J,Occup cvesidenti rrtmercial
Mechanical Plumbing Fire Sprinkler/Alarm Pogi .
_ Addition/Alteration Change of ServiceTempot*y Pole
I
_ Replacement New (Duct Layout & Fnergy Cq5, Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair— Residential or Commercial
Industrial Total Square Footage:
Construction Tyne: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
few.: ;Qdress:
Contractor Name &'Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
At
Proof of Ownership & Legal Description)
6C k'- Dr .
State License.Number:
Contact Person: Phone:
Address:
Architect/Engineer: Phone:
Address: 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 AFFIDAVEC: 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 a it is verification that 1 will notify the owner of the property of the requirements of Florida Lien law, FS 713.
S -q-v3
@wner/Agen t Signature ofConaactor/Agent
r., C, in
Print Contractor Agent's Name
C�) JaD//
rGRAi E Date Signature of No-zry-State of Florida
' T * MY COMMISSION t DD 164280
' EXPIRES: November 12,200e
r'�&O V�in�O' 9onded TNu BtrdtlN NotYy Sennas
O,,;4I is PeLsonally Known to Me or
Produced ID�
APPLICATION APPROVED BY: Bldg: Zoning:
I Initial & Date)
Specia! CoWilions:
Date
Date
Contractor/Avon: is _ Personaliv Known to Me or
_ Produces :D
(Initial & Date)
(Initial K Date)
FD: 7--M
Or -u-1 &: Dat;
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 ffia.i.
you built or substantially improved it for sale or lease, which is a violation of this exemption. You ri,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, ,2�o,.., c; , do hereby state that I am qualified and capable of performing the
requested construction invo ed 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.
Ur.ai� ro9u� 5-01.63
4=:eil5—u-iMer Signature =MLb.
o,
�P
�8
` _SA
attire of Notary—State of Florida Date
Owner is Pets 11 Known to.Me or has
Produced ID(_ V.��
'Lor PLA f MARDr1DA HOMn, itX.
)ESCR1P77 LOT 131, PLACID WOOD5, PHASE 7WO u
zccoRoco i+ PLAr 5g — PAGE(S) "{•S and 6 FvtnJc Rccogr)S of 5FMiNOLE COUNTY, !LOI'AOA
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- DENorEs PROPOSED CLCVATIC)N X OF STRUCIURE 7.0 LOT Ah EA 30.2 q'o t
PM ENGWffMiNC PLANS X Of CONCRc 7E TO LOT AREA y 11.1 90 :t
- Of1VDTI'S EATS1Wa flEvxnud
PGI CNRNEE)MAIG PLANSTOTAL X OF WERHOU5 AREA IS LOT +IJ 9/i#
�%-s' FL, U► CER77T)CATipN BUILDING SEIBAt:KS
OEARIMC'. 'RE BASED ON ME CENTfr3Lw[ Or 6AS£0 ON nJE I'CDERAL L:pLRaCNCr FRONT. 20'
F AZA LAAO aRiVE acetf, sou'rd'ue'w. u.JvAt�likT aGiNCr ILOLC MiLkA.Na r2'
ELEVATIG O ANO Lor ORAMACC Tree 9f0bN RATE YAP. W Sr^XY URE RCAft
HEREON ARE &4"CW Si fNCWrfgLKV srORH HEAfoH DUES Nor Lrr Wmw SiX
3•
PLANS rOR W PROrCT, rN£ ,DO rt AN fLOCO HAZARD Ah£A. SOC SMEEr. is,
AMONG SES ARE TO FQUNDANCN, NIS STRVCnXE LIES AV ZOW ' x - BULDwG LJME:
AN
PLOT PLavtr. LOT MAS NOr sCCtj Srwra CatwUlWry Pu.EI Na 120294 W-0 E
W ?w FELE. EFfEC71 DAM! APR& 11. 392S LOr IJI CONrAWS
ANIS IS NOT A SURVEY. UJL' R"SrcN DAT'£: ,><eoo sOUARE r[fr/ooeY Ao►is
(svv.rcr ro cwAxGr) /
UNO(RSiCNED AND CAVONC. INC LAND SUR► MORS onQ LIAPP£RS LAKE NO RESZRVATIOUS oR GUARANTEES AS ro THE Wfoftu?xV REnicrm mmroN
rANM TO EASEMENTS RrdIrS Or WAY. SCMAD( LINES, AGRCEid(7+rS APO 01NEN uATIrn, AND flWTHCA RBS mvSfwwfNr IS NOT NwWmp£O To
.ECT OA SEr FORTH ALL SUCH LiArrERs. SUC]I 24rORHAn9N SNOU-0 6E GUrAh[U AND COMFIRNEo Yr orNmS TWtOUGH APPROPRIATE nIu WRR1CAftOW.
ABBREM 17ONSIIEGEND
O. -MINDER P T,-POMT W rA.4C£NCr Co"C-C7 ic9frr
.-RAOKA P.L-POWr OF pYrt'Id_xcy)004 LS; -LANG SURKrOR P.R.C.-PCmr or REWRSE CUaVAxw D.E,-OFuwAcr rAscmwr
it. CHORD P.C.-Pauly OF' cuf., 'Ann O.R-OrCtOAL RfCOROS P.GC--ecmr Or C eouowu CURVATM LCE.-UTT(JTy E NT
:4C -ARC LENGTH Lo-LIC£NSEo auSvzz _rS CN_5AG._OPO AIRWC S&U.F.�IIEIrALX t UT1UTrC4S( fNT GnSSE.-� air or SAWOW
s CENTEWME AIC-A-4ICA4 MAXnONErr PAo &DELTA CC1trTRd£
A;. ANGLE) a&U.E.-ae.;wAa & uTwrr EASfAiENr sritma EASErENr
THIS SURWY NOT VALID UM•ESS EMBOSSED RENSIpy DA IF
A VO ' INC � � C L:CC..t rte, - AAS "�o SEAL Or
A A Ltt:..StO�IR�t t CAPPER
LAND SURVEYORS AND rJAPPERS .1i.',-,/
300 COUNTYO
RAD 427 SOl1 TH << +�w i
Co*rcrrooc�. r�O.r.pa �l��o-3•/P ` _.��-,r sx _ wv
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: 02-20-30-523-0000-1310 Tax District: S1-SANFORD
Number of Buildings: 1
PANIAGUA HERNAN D J 00-
Depreciated Bldg Value: $98,896
Owner: & LUZ M Exemptions: HOMESTEAD
Depreciated EXFT Value: $0
Address: 375 PLACID LAKE DR
Land Value (Market): $16,000
City,State,ZipCode: SANFORD FL 32773
Land Value Ag: $0
Property Address: 375 PLACID LAKE DR SANFORD 32773
Just/Market Value: $114,896
Subdivision Name: PLACID WOODS PH 2
Assessed Value (SOH): $106,828
Dor: 01 -SINGLE FAMILY
Exempt Value: $25,000
Taxable Value: $81,828
SALES
2002 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
2002 Tax Bill Amount: $1,679
SPECIAL WARRANTY DEED 11/2001 04265 0128 $106,800 Improved
2002 Taxable Value: $79,324
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 131 PLACID WOODS PH 2 PB 58 PGS 4-6
LOT 0 0 1.000 16,000.00 $16,000
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 2001 8 2,296 1,886 CB/STUCCO FINISH $98,896 $99,895
Appendage / Sgft GARAGE FINISHED / 380
Appendage / Sgft OPEN PORCH FINISHED / 30
Appendage / Sgft UPPER STORY FINISHED / 1136
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=0220305230000131... 5/9/2003