104 Anderson Cir - BR08-001051 (REROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application # : C% s , : A Submittal Date:
Jo6Address: 1D`) rte.,^Cv. 1r. S0-+47csY lle, Val ueofWork: S 07 L"Gcrl,op
Parcel ID: Zoning: Historic District:
Description of Work: RcrA.I.- i?A tG lCi'Do qr- %
ac.^ -A I ri i, 4 Square Footage:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
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
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial Industrial
of Gas Lines
Plumbing Repair -Residential Commercial
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
FroRerty Owner: Contractor:
Ad'd e-ssc` jj,):/ AnAddress:
r 1 /r-
Cr• 377 I
Ph N6i 56.2 E-mail: Phone: State License Number:
Bonding Company: Mortgage Lender:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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. 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.
Accept c f permit is venfi that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print O ner/Ag 's Name
Signature of Notary -StateofNotary -State of FofFF
q1'V! °DEBBIEB; TON'S
MY COMMISSION ;3 DIXi29096
EXPIRES: February 25, 2011
oc F/ Fl. Nowt Dlscatmt Assoc. CO
Owner/Agent isPersonally Known to Mepr j
Produced ID \ L e 1 j°
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDG:
i
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
k
1 HAVE ACCESS TO THE ADOPTED CODES.
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 SIGN THIS DOCUMENT
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Pro.perty-Addres /&,/ 1),,,a1e. ;e,^ CL, Sct «' Y^ F%a 3a i'l'l
S-, / U M " / 1 c r , do hereby state that I am qualified and capable of
performing the r u sted construction i volved with the permit application filed.
CD3- A/_
Signature Date
yn]
y
Form of
IdentificationL
MY COMMISSION # DD629096
Must be Photo ID) P EXPIRES: Febmary 25, 2011
W73-N FI. No Discomt Assoc. Co. 1 -RW -3 -NOTARY Y
A violation of this exemption is a misdemeanor of the first degree punishable by a `term of imprisonment not
exceeding 1 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 and any person performing work that requires licensure under the permit issued.
Rev. 4/20/07)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
1 HAVE ACCESS TO THE ADOPTED CODES.
I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER -BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
Ii UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Pro.perty-Addres /&,/ 1),,,a1e. ;e,^ CL, Sct «' Y^ F%a 3a i'l'l
S-, / U M " / 1 c r , do hereby state that I am qualified and capable of
performing the r u sted construction i volved with the permit application filed.
CD3- A/_
Signature Date
yn]
y
Form of
IdentificationL
MY COMMISSION # DD629096
Must be Photo ID) P EXPIRES: Febmary 25, 2011
W73-N FI. No Discomt Assoc. Co. 1 -RW -3 -NOTARY Y
A violation of this exemption is a misdemeanor of the first degree punishable by a `term of imprisonment not
exceeding 1 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 and any person performing work that requires licensure under the permit issued.
Rev. 4/20/07)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAVID JOHNSON, ern, ASA
15
1
PROPERTY
APPRAISER 1 =1•** r
SEMINOLE COUNTY FL. G ' 'p
N
1101 E. FIRST sT 1
D -
SANFOxD, FL32771-1466 1
I
407-665-7506
H t2 wr
2008 WORKING VALUE SUMMARY
Amendment 1 impact not reflected.
GENERAL Value Method: Market
Parcel Id: 35-19-30-520-OE00-0010 Number of Buildings: 1
Owner: MILLER STEVEN M Depreciated Bldg Value: $62,061
Mailing Address: 104 ANDERSON CIR Depreciated EXFT Value: $0
City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $32,000
Property Address: 104 ANDERSON CIR SANFORD 32771 Land Value Ag: $0
Subdivision Name: COUNTRY CLUB MANOR UNIT 1 Just/Market Value'. $94,061
Tax District: S1-SANFORD Assessed Value (SOH): $41,953
Exemptions: 00 -HOMESTEAD (1998) Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY Taxable Value: $16,953
Tax Estimator
Portability Calculator
2007 VALUE SUMMARY
SALES Tax Amount(without SOH): $1,362
Deed Date Book Page Amount Vac/Imp Qualified 2007 Tax Bill Amount: $293
PROBATE RECORDS 02/1998 03370 1899 $100 Improved No Save Our Homes (SOH) Savings: $1,069
2007 Taxable Value: $15,731
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LEGAL DESCRIPTION
LAND
PLATS: Pick... Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 0 0 1.000 32,000.00 $32,000 LEG LOT 1 BLK E COUNTRY CLUB MANOR
UNIT 1 PB 11 PG 35
BUILDING INFORMATION
Bid
Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost
Num New
Building 1
SINGLE
1958 3 720 1,189 720 CONC $62,061 $88,658
Sketch FAMILY BLOCK
Appendage / Sgft UTILITY UNFINISHED / 55
Appendage / Sgft ENCLOSED PORCH UNFINISHED / 154
Appendage / Sgft OPEN PORCH UNFINISHED / 95
Appendage / Sgft CARPORT UNFINISHED / 165
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment,
Enclosed Porch Finished,Base Semi Finshed
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.
re_web.seminole_county_title?parcel=3519305200E000010&cpad=anderson.3/4/2008