192 Lakeside Cir 05-468 RoofPermit # c
CITY OF SANFORD PERMIT APPLICATION
Date:
Job Address: 17c7 lLQK 2 St A t Vt r
Description of Work: KC-Q 00 1 -.ci ++
Historic District: Zoning: Value of Work: $ 1 ( _(
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 Calc. 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 Commercial Industrial Total Square Footage:
Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address' a rba n 4&!2
7Phone: Contractor
Name & Address: Phone &
Fax: Bonding
Company: Address:
Mortgage
Lender: . Address:
Architect/
Engineer: Address:
State
License Number: Contact
Person: Phone: Phone:
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 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 it is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature
of Owner/Agent fDat Signature of Contractor/Agent Date KC< -
C( 4Pri
weer/Agent's Na — Print Contractor/Agent's Name Si
ture of Notary;Mate DE GRAVE Date MY
COMMISSION f DD 164280 EXPIRES:
November 12, 2006 OF
Fto`O Banded Thru Budget Notary Services QWer/
Agent is —{- Personally Known to Me o t-
41roduced ID 1`1t y d Q -S -0 APPLICATION
APPROVED BY: Bldg: `' ning: , Initial &
Dat Special
Conditions: Signature
of Notary -State of Florida Date Contractor/
Agent is _ Personally Known to Me or Produced
ID Utilities:
Initial &
Date) (Initial & Date) FD:
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CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT T
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, Aoifreby state that I am qualified and capable of performing the
requested construction in olved •th 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.
Owner/Builder Si na e Date
Print OwnerBuilder NaAie m
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Si 9 e of Notary —State of Florida Date
Owner is Personally Known to Me or h '
o
Produced ID a
Seminole County Property Appraiser Get Information by Parcel Number Page I of I
PARCEL DETAIL Back
v".
2005 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 11-20-30-5KB-0000-0760 Tax District: S1-SANFORD Number of Buildings: 1
MONTGOMERY Exemptions: 00- Depreciated Bldg Value: $86,566
Owner: pBARBARAA HOMESTEAD Depreciated EXFT Value: $0
Address: 192 LAKESIDE CIR Land Value (Market): $17,800
City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0
Property Address: 192 LAKESIDE CIR SANFORD 32773 Just/Market Value: $104,366
Subdivision Name: HIDDEN LAKE PH 3 UNIT 7 Assessed Value (SOH): $75,766
Dor: 01-SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $50,766
SALES 2004 VALUE SUMMARY
Deed Date Book Page Amount Vaclimp
Tax Value(without SOH): $1,631
WARRANTY DEED02/1996 03038 1551 $75,900 Improved 2004 Tax Bill Amount: $1,011
WARRANTY DEED10/198902123 1253 $73,600 Improved Save Our Homes (SOH) Savings: $620
WARRANTY DEED10/1988 02011 1537 $252,800 Vacant
2004 Taxable Value: $49,353
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision ASSESSMENTr
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 76 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS
LOT 0 0 1.000 17,800.00 $17,800 79 & 80
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1989 6 1,277 1,783 1,277 SIDING AVG $86,566 $91,604
Appendage / Sqft OPEN PORCH FINISHED / 66
Appendage / Sqft GARAGE FINISHED/ 428
Appendage / Sqft OPEN PORCH FINISHED / 12
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 year's property tax will be based on Just/Market value.
re—web.seminole—County_title?parcel=I 120305KB00000760&cpad=lakeside&cpad—num= 11/19/2005