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101 Anderson Cir 11-320 (re-roof)j RECEIVED NOV 6 2010 }_ CITY OF SANFORD 5 r 4 BUILDING.& FIRE PREVENTION PERMIT APPLICATION �0 Application No: Documented Construction Value: $ aan' ` c-Job-Address: JAA.[j:jvcd Historic District: Yes ❑ No Parcel ID• Zoning: ,P Descri tion of Work: /NS7i9L4_/A19 Ale-LJ 16 1& ,!�-T,41- /tfod Plan Review Contact Person: Title: Phone: Fax: E-mail: Property-Ownerl'nformation Name Phone: Street: lOZ qnl Resident of property? City, State Zip: Si9N Fo/L ��7, Contractor Information Name Phone: Street: Fax: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: i 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 perfgrmed 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. if the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is rele ed. Si a- tu rtMoT bWer7A—gent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name l/''o [ (•- `�. fb Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date �,�.�tpltlNllll//y/�� aO' aANETTF a Owner/Agent Produced ID APPROVALS: COMMENTS: or Contractor/Agent is Personally Known to Me or Produced ID Type of ID '°`° UTILITIES: WASTE WATER: ENGINEERING: BUILDING: Rev 11.08 ' R e P G OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGNTHIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT-, (Initial to the left, of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property. listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and' is nahiring a licensed contractor to assume responsibility. I understand that, as an'owner-builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a, contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve, a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own, use or occupancy. It may not be' built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within ` in 1-year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers: on my property. I understand that I may not delegate the responsibility for supervising work to 6- licensed contractor who is not licensed to perform the work being done. Any person working on qy building.: who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation J for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 iC I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern `owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and / zoning regulations. I am of aware of construction practices, and I have access to the Florida Building Codes. i I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally `and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you. with any financial loss that you sustain as a resulf' of a complaint. Your only remedy against an unlicensed contractor may be, in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. operty Address: /O/ / Af 15'1650n1 _ do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions sDgcified above. of Owner -Builder Form of Identification (Must be Photo ID) _ //- / O/� Date A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I year and a $1,000.00 fine ;in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner andP,any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 Ifni ago n101®1111.00Non 01MINNnon10101i Permit No. Tax Folio No. NOTICE OF COMMENCEMENT State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. MARYAWE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07480 pg 0658; (Ipg) CLERKI S tl 2010132L39 RECORDED 11/16/2010 10071;35 AN RECORDING FEES 10.00 RECORDED BY T Smith '�1�. Description of property: (legal description of the property, and street address if available) iU/ C',/L t— 2. General description of improvement: ./6� c . Owner information: Name: Ls" ` Address: ,�►� .a.v —.�, _ J rl. +b. Interest in property: 0 r,el/sl 6:1Je c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: Phone number c. Address: tlklf 1;liLU C.U!'1 5. Surety Name MARYANNE M Address: CLERKOFCIRCUIT OU b. Amount of bond: $ E L COUft FLORIDA 6. Lender: Name: i Address: aury ct FRx b. Lender's phone number: p� Ta. Persons within the State of Florida designated by Owner upon whom notices or other dbf s6 provided by Section 713.13(1.)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TH 41RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER:OR"A ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF Si"g 4 Kre o�cr or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of authority, ....e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . _ JtAP L�•• Ift t-0A,, i f YI. ---- --- — —EAL) Signature of Notary Public Ja,VW Personally Known OR Produced Identification Type ofIdentification Produced Verificatt� urs ant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the fapt� st e n it are true t9.4he best of my k;ioWedge and belief. igning Above date 3/2008 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of . k. P AJ DAYIDti�HH50N.CFA, ASA SEMIMOLE COUMTY:FL 1101, E..FltxsT,sr 6ANFOr20 FL32771.1468 407-665-7506 VALUE SUMMARY 2011 2010 VALUES Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 35-18-30-520-OG00-0020 Number of Buildings Owner: EASON HERCULES Depreciated Bldg'Value „ $46,116 $49510 Own/Addy. Depreciated EXFT Value $1,170 $1,170, Mailing Address: 132 COUNTRY CLUB CIR Land Value.(Market) $12,000 $12,000 City,State,ZipCode: SANFORD FL 32771 Land Value Ag :, $0 $0 Property Address: 101 ANDERSON CIR SANFORD 32771 Just/Market Value $50,266 $62;680 Subdivision Name: COUNTRY CLUB MANOR UNIT 1 Tax District: S1-SANFORD Poitabl ty Ad, $0 $0 Exemptions: Save Our Homes Adj $0 $0 Don 01-SINGLE FAMILY Amendment 1 Adj -, $0 $0 Assessed Value (SOH) $59,286 $62,680 Tax Estimator 2011 TAXABLE VALUE WORKING, ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $59,286 $0 $59-286 (Amendment 1 adjustment is not applicable to school assessment) Schools $59,286 $0 $59,286, City Sanford, . $59;286 $0 . $59,286 SJWM(Saint Johns Water Management) $59,286 $0 $59,286 County Bonds $59,286 s0 $59,286' The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified SPECIAL WARRANTY DEED 06/2010 07411 1643 $27,000 Improved No CERTIFICATE OF TITLE 04/2010 07372 1160 $100 Improved No WARRANTY DEED 07/2005 05845 .1584 $131,000 Improved Yes WARRANTY DEED 09/2004 05490 0286 $90,000 Improved Yes .,CORRECTIVE, DEED 04/2002 04389 0577 $100 Improved No QUIT CLAIM DEED 07/2000 03902 1252 $100 Improved No SPECIAL WARRANTY DEED 12/1997 03355 0089 $25,100 Improved No 2010 VALUE SUMMARY SPECIAL WARRANTY DEED 12/1997 03355 0087 $25,100 Improved No 2010 Tax Bill Amount. $1,259 SPECIAL WARRANTY DEED 09/1997 03296 1010 $100 Improved No 2016 Certified Taxable Value and Taxes CERTIFICATE OF TITLE 07/1997 03269 0873 $1,00 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS FINAL JUDGEMENT 11/1996.03161 0763 $100 Improved No WARRANTY DEED 03/1994 02746 0443. $50,000 Improved Yes SPECIAL WARRANTY DEED 03/1994 02746 0"1 $31,900 :Improved . No SPECIAL WARRANTY DEED.10/1,993 02668 1099 $100 Improved No CERTIFICATE OF TITLE 09/1993 02648 1757 $60,200 Improved No WARRANTY DEED 06/1991 02308 0095 $47,800 Improved Yes QUITCLAIM DEED 10/1990 02244 0229 $5,000 Improved No WARRANTY DEED 01/1976 01085 0885 $1,000 Improved No Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:,Pick` LOT 0 0 1.000 12,000.00 $12,000 LEG LOT 2 BLK G COUNTRY CLUB MANOR UNIT 1 PB 1,1` PG 35 http://www.scpafl.orglweb/re web.seminole county_title?parcel=3519305200G00002O&... 11/16/2010 .