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HomeMy WebLinkAbout301 E 5 St 12-1770 siding replacement1 v Z�BUIL[ 13 .✓ ,. CITY OF SANFORD NG & FIRE PREVENTION PERMIT APPLICATION Application No:`�^ J � ( Documented Construction Value: $tea.tb mob Address: ,30 I C Historic District: Yes ® No ❑ Parcel ID: Zoning: Description of Work: G�,g Plan Review Contact Person: Title: Phone: Fax: - E-mail: Property Owner Information Name , �� ,f/ v &lAx-160o, Phone: #0c7- Street: 3ai1 %�Q�j'�_ �/� Resident of property? : Ab City, State Zip: A&226i , 5=6 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: , I PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone:' Electrical ❑ New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ ` New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: N 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. 44� %. C� Signature o caner/Agent Date Print /Agent's Name �.CGz Signature of Notary -SME of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 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: BUILDING: Property Address: t I,, 2j�la%✓� �i i�i0i�'�(% , 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. Signature bf Owner -Builder 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 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. ; ' •i Rev. 9.14.2009 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 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 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: t I,, 2j�la%✓� �i i�i0i�'�(% , 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. Signature bf Owner -Builder 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 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. ; ' •i Rev. 9.14.2009 OWNER BUILDER STATEMENT/AFFIDAVIT .11 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 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 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 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 a licensed contractor who is not licensed to perform the work being done. Any person working on my 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 for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 SCPA Parcel View: 25-19-30-5AG-0701-0090 0crAd Johnoon, CFA Parcel: 25-19-30-5AG-0701-0090 PRAO^PERATY Owner: BETANCOURT DIANA APPRAISER: Property Address: 301 E STH ST SANFORD, FL 32771 SI MINOLE COUNTY. FLORIDA, < BackI < Previous Parcel Next Parcel > Saye Reset Layout New Search Parcel: 25-19.30.5AG-0701.0090 I Value Summary I Property Address: 301 E 5TH ST Owner: BETANCOURT DIANA Mailing: 3211 HOLLIDAY AVE APOPKA, FL 32703 - 6635 Facility Name: MONROE HOTEL Tax District: Sl-SANFORD Exemptions: DOR Use Code: 3905 -HOTELS -EXTENDED STAY 3 4 Map Aerial Both Footprint + - 6ctents Center Larger Map I I Dual Map View - External 2012 Working 2011 Certified Values 0 Valuation Method Income 0 Number of I 1 Buildings Depreciated Bldg W Value Depreciated EXFT Value Assessment Value 5183,302 5183,302 $183,302 5183,302 5183,302 Exempt Values $0 SO 50 SO SO Land Value (Market) Land Value Ag Sales [`9 3 4 Map Aerial Both Footprint + - 6ctents Center Larger Map I I Dual Map View - External Tax Amount without SOH: 53,620 2011 Tax Bill Amount Tax Estimator Save Our Homes Savings: • Does NOT INCLUDE Non Ad Valorem Assessments S3,620 SO Legal Description 2012 Working 2011 Certified Values Values Valuation Method Income Income Number of I 1 Buildings Depreciated Bldg Value Depreciated EXFT Value Assessment Value 5183,302 5183,302 $183,302 5183,302 5183,302 Exempt Values $0 SO 50 SO SO Land Value (Market) Land Value Ag Sales lust/Market 5183,302 $181,692 Value " Portability Adj Save Our Homes SO SO Adj Book 06214 02672 02105 01958 01378 Page 1995 1707 0858 1754 0991 0569 Amendment I $0 SO Adj Find Comparable Sales within this Subdivision Assessed Value S183,3021 5181,692 Tax Amount without SOH: 53,620 2011 Tax Bill Amount Tax Estimator Save Our Homes Savings: • Does NOT INCLUDE Non Ad Valorem Assessments S3,620 SO Legal Description LEG LOTS 9 10 + 11 BLK 7 TR 1 TOWN OF SANFORD PB 1 PG 59 Tax Details Taxing Authority County General Fund Schools City Sanford SJWM(Saint Johns Water Management) County Bonds Assessment Value 5183,302 5183,302 $183,302 5183,302 5183,302 Exempt Values $0 SO 50 SO SO Taxable Value $183,302 $183,302 $183,302 5183,302 5183,302 Sales Deed Date WARRANTY DEED 04/2006 WARRANTY DEED 10/1993 CERTIFICATE OF TITLE 04/199302578 CERTIFICATE OF TITLE 09/1989 WARRANTY DEED 05/1988 QUIT CLAIM DEED 02/1982 Book 06214 02672 02105 01958 01378 Page 1995 1707 0858 1754 0991 0569 Amount $410,000 530,000 51,000 $100 $195,000 5100 Vac/Imp Improved Improved Improved Improved Improved Improved Qualified Yes No No No Yes No Find Comparable Sales within this Subdivision Land Method Frontage Depth LOT 0 0 Units 12.000 Unit Price 10,000.00 Land Value $120,000 Building Information Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AG-0701-0090 6/11/2012 W . IuApplication For 'r a'Certificate of Appropriateness' City of Sanford Historic Preservation Board —187 P.0.13='17W Sanford, Fbft32772-1788 Pt"ft:7.6W,5145 Fax:407AM5141 Email: www- sarionffi.gav Answer all the questions on this form and submit all required attachments. Incomplete -applications will not be reviewed. lf:,ypu have questions s about application". requirementi contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complet4i. A building permit may be required for the activity detailed below. Please contact the Building- --Department at 407.688.5150 for more information. Failure to obtain a building permit may result Infinesand/or double permit' fees. 1. General Information Downtown Commercial Historic District L. Residential Historic District% Is this a•retroactive request? _L Yes L,No Is this application filed in response to a Notice of Violation from the Code Enforcement Department?L Yes L No Property Ad -dress: Property Owner Information Print Name: OUV44' Mailing Address: 1/ '&&J1j'0W_fiA/K— Phone: 404Kv- � Fax: Email:,1.4_1� Signature:, ApplicantlAgent Information Print Name: Mailing Addressto - 'Phone: Fax: 'Email: Signature: -I certify that all information contained in this application is true and accurate to the best of my knowledge. Appliciand(hvnei Signature:' L Would yon 'like to receive- e-mails regarding Hi . storic Preservation and Community Planning within your community? 2. Application Category (check all that apply) Proposed improvements will affect the following elevations: L North -,19 South - L East 2KVest_ L Site Improvements/Driv'ew"ayfWalkway = L Storage She&_ X Replacement Siding/Floor/Porch L Replacement Windows or Doors L UAderskirlin'g­ L Signs/Awnings L New Construction/Additions. = L Paint L Fences/Gates/Pergolas, L Roofs/Gutters/Downspouts L AC/Mechanical L, Other 3. Desc'niption of proposed work — Completely describe the entire scope of work, including changes in material and &Ior,'and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. W11/ A-- lal�1_42az —4. '141: Use TV A— im6ft,pr 6-%a�d:�Aee4a •bn � F2_ D" '6d•,-xc 0 Pfl C?n!.P tdd 6W �J. ehl. e X: t A 00 1W P CAN DEVE OF.M K ))Ot, A0P This,certificate must be prominently displayed an the site wnenMOW IS in progress.