HomeMy WebLinkAbout1500 W 15 StI C)
1; 3
JUN 21 2012
CITY OF SANFORD
BY:=_-13.U-ILD-INJG & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ a( d
Job Address: Q d bO, /.�7h, s s�Ait/ �!�/ ���? l Historic District: Yes ❑ No @
Parcel ID:`�-OD64.p-
Plan
/a�-Ool- Zoning: '
Description of Work: Te 17 i v 64 .f'"�1
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name k (fAJ e ,) Rhl A 02- Phone: All) 3 iA
Street:, -4a 1(0,1 V k9 -i - P T-" Resident Tof property?
City, State Zip: S-1ly Pe r,1 . � ,� °�. °7Y/
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:."
PERMIT INFORMATION
Building Permit ❑ r
Square Footage: Construction Type: 'No. of Stories: '
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New, Construction - No. of Fixtures:
Fire'S'prinkler/Alarm ❑ No. of heads:
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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.
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 released.
f G,"', ,2
Signa%Jlure
MO.= Date
PMgent's Name
G. 2j c�
Signature of Notary -State orida y*iiittliDate
G >
Owner/Agent is P ,jl}�t.�..0-1-
Vyllz
eor
Produced ID Tvt%_
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
SCPA Parcel View: 35-19-30-506-0000-0220
r- '-� :$.i
CsPHA0-40.Johnson. CFA Parcel: 35-19-30-506-0000-0220
PP
OPEROwner: LAMARR IRENE
EMxvoLEProperty Address: 1500 W 15TH ST SANFORD, FL 32771
COtxrrv, FLOmDa
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Parcel: 35-19.30-.506-0000.0220 1 Value Summary
Property Address: 1500 W 15TH ST
Owner: LAMARR IRENE
Mailing: 1500 W 15TH ST
SANFORD, FL 32771 - 3218
Subdivision Name: BOYKIN PLACE
Tax District: Sl-SANFORD
Exemptions: 00 -HOMESTEAD (2008)
DOR Use Code: O1 -SINGLE FAMILY
9 8 '�-'! l3 ' N3J Fi l 2 dT
lfrr� � i
0 [tn] UJI �j14 15 7t 21 :.0• a 75 45 48
W
W 15TH ST _ p
® 14 13 12 11 1D 75 78 48 7
Map Aerial Both Footprint + - 6dents Center
Larger Map Dual Map View - External
Tax Amount without SOH: SO
2011 Tax Bill Amount SO
Tax Estimator
Save Our Homes Savings: SO
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Tax Details
Number of
1
1
Buildings
Depreciated
$13,094
514,010
Bldg Value
Assessment Value
$22,457
522,457
522,457
522,457
$22,457
Exempt Values
S22,457
$22,457
522,457
$22,457
S22,457
Depreciated
EXFT Value
Land Value
59,363
510,349
(Market)
Land Value Ag
Just/Market
522,457
524,359
Value '•
Book Page Amount
06610 1037 5100
02562 0211 5100
01666 0786 5100
Vac/Imp
Improved
Improved
Improved
Portability Adj
.
Find Comparable Sales within this Subdivision
Save Our Homes
SO
SO
Adj
Land
Amendment 1
Adj
Assessed Value
522,457
524,359
Tax Amount without SOH: SO
2011 Tax Bill Amount SO
Tax Estimator
Save Our Homes Savings: SO
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT 22 BOYKIN PLACE PB 7 PG 20
Tax Details
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
$22,457
522,457
522,457
522,457
$22,457
Exempt Values
S22,457
$22,457
522,457
$22,457
S22,457
Taxable Value
SO
SO
SO
SO
s0
Sales
Deed Date
QUIT CLAIM DEED 03/2007
QUIT CLAIM DEED 02/1993
ADMINISTRATIVE DEED 08/1985
Book Page Amount
06610 1037 5100
02562 0211 5100
01666 0786 5100
Vac/Imp
Improved
Improved
Improved
Qualified
No
No
No
.
Find Comparable Sales within this Subdivision
Land
Method Frontage
FRONT FOOT & DEPTH 56
Depth Units
113 .000
Unit Price
190.00
Land Value
59,363
Building Information
# Description Year Fixtures Base Total Heated Ext Wall Adj Repl
Built Area SF SF Value Value
1 SINGLE 1952 3 800.00 882.00 800.00 CONC 513,094 522,773
Appendages
Page 1 of 2
http://www.scpafl.org/ParcelDetails.aspx?PID=35-19-30-506-0000-0220 6/18/2012
SCPA Parcel View: 35-19-30-506-0000-0220
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Page 2 of 2
http://www.scpafl.org/ParcelDetails.aspx?PID=35-19-30-506-0000-0220 6/18/2012
W = FAMILY
BLOCK
Description Area
ENCLOSED PORCH UNFINISHED 66
OPEN PORCH FINISHED 16
Permits
Permit #
02977
Type Agency
Addition - Residential Sanford
Amount CO Date Permit Date
5700 08/27/2004
Extra Features
Description Year Bit
Units Value 77Cost New
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Page 2 of 2
http://www.scpafl.org/ParcelDetails.aspx?PID=35-19-30-506-0000-0220 6/18/2012
Property Address: l %i f/i�, ��4�7Y eel` � 1 V'cl F y
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 specified above.
g r �=
Signature of Owne alder Date —�
Form of Identification
(Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not -exceeding -L year__ and a _ $1,000.00. fine in addition . to any- civil penalties. ln_ 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. 9.14.2009
1 a 4c;L WaL, aJ L11G party mgally aLlu imiduuuldily IcbIjulinviG Lill L111A inviiVo— liV,1J,,1{.lvL1vL. uv.a.a..J, _ •• ___
,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
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zoning regulations.
'
�4I am of aware of construction practices and I have -access- to the Florida Building Codes.
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.mvflorida.com/dbpr/l)ro/cilb/ for-
more information about licensed contractors.
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I-ain 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 result 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.
Property Address: l %i f/i�, ��4�7Y eel` � 1 V'cl F y
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 specified above.
g r �=
Signature of Owne alder Date —�
Form of Identification
(Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not -exceeding -L year__ and a _ $1,000.00. fine in addition . to any- civil penalties. ln_ 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. 9.14.2009
OWNER BUILDER 5-1 A I LMLN i Mrriumv i i
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
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have appiiea tor
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
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the property listed, may act as my own contractor with certain restrictions even though I do not have a
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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 not hiring 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
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in his or her name instead of my own name. I also understand that a contractor is required by law to be
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licensed in Florida and to list his or her license numbers on all permit and contracts.
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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
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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.
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I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
i
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 1
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
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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 a licensed contractor who is
licensed being done. Any working on my building who Is not licensed
not to perform the work person
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
for the employee. I understand that my failure to follow these laws may subject me to serious financial
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risk.
Rev. 9.14.2009