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HomeMy WebLinkAbout929 W 11th St 12-2529 replace broken meter box permit applicationSEP 26'',2012 F • .0 �,CITY OF SANFORD BUILDING & FIRE PREVENTION ` PERMIT APPLICATION Application No:. ' a6aq Documented Construction Value: $ �� F v Job Address: �� S/_ Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name Afild' N� Phone: 32-/— 9 y —71W— Street:'' 71 —Street: 9-a% w l% ! Resident of property? : e City, State Zip: Contractor Information Nameb Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Phone: Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: x �s�„a.x+�nnsaa•�cea+c-rev^es:--r�-z�Yrc.a �T+`]�^` PERMIT INFORMATION :+.i.'• -r i+7.� 41*Vl/!'etf.Nvi1�"-:ti41'WNAfJt'.S.?'%.tS' Construction Type: No. of Stories: Flood Zone: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do thework 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. 2 ignatuurre�off/O n'e eentt Print Owner/Agent's Name Si a ure of Notary -State of Florida Date 1tr vy'`,'% JO ANN M. JOHNSON *: 7'.- MY COMMISSION # EE 159467 EXPIRES; March 23, 2016 „ Bonded TW Notary Public Ur&wders Owner/Agent is Personally Kno to or Produced ID �ype of ID E> -M L, APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contractor/Agent Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: SCPA Parcel View: 25-19-30-511-0000-0230 JoFinscrn, CF1 Parcel: 25-19-30-511-0000-0230 CPW*'.4O'Pe Owner: WYNN KgVIN L Property Address: 929 W 11TH ST SANFORD, FL 32771 cotxJn Ft,pRIW < Back I < Previous Parcel I Next Parcel > I Save Layout I Reset Layout I New Search Parcel: 25-19-30-511-0000-0230 1 Value Summary Property Address: 929 W 11TH ST Owner: WYNN KEVIN L Mailing: 929 W 11TH ST SANFORD, FL 32771 - 2491 Subdivision Name: STENDIFORDS ADD Tax District: Sl-SANFORD Exemptions: 00 -HOMESTEAD (2007) DOR Use Code: 01 -SINGLE FAMILY i® W 11TH ST ffn s Z O �lhi 138 a a �• M W-1 ZrH ST ® nrel0IfE0i1I 1 f rp In 1 13 013 Map I Aerial I Both I Footprint I + Extents Center Larger Map I Dual Map View - Extemal Legal Description LOT 23 STENDIFORDS ADD PB 1 PG 110 Tax Details Tax Amount without SOH: 2012 Working 2011 Certified $558 Values Values Valuation Cost/Market Cost/Market Method 525,000 $29,542 Number of 1 1 Buildings SJWM(Saintjohns Water Management) $54,542 Depreciated $46,087 $48,381 Bldg Value 529,542 $25,000 Depreciated $7,000 Improved EXFT Value WARRANTY DEED 10/1997 Land Value 581455 $9,345 (Market) Yes Find Comparable Sales within this Subdivision Land Value Ag Just/Market $54,542 $57,726 Value ** Portability Adj Save Our Homes $0 $0 Adj Amendment 1 Adj Assessed Value 554,542 $57,726 Tax Amount without SOH: $558 2011 Tax Bill Amount $558 Tax Estimator TRIM Notice Save Our Homes Savings: $0 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 554,542 529,542 $25,000 Schools 554,542 525,000 $29,542 City Sanford $54,542 529,542 525,000 SJWM(Saintjohns Water Management) $54,542 529,542 525,000 County Bonds $54,542 529,542 $25,000 Sales Deed Date Book Page Amount Vac/Imp Qualified QUIT CLAIM DEED 11/2008 07097 1383 S100 Improved No WARRANTY DEED 12/2007 06892 1371 S29,400 Improved No QUIT CLAIM DEED 03/2006 06228 0939 $7,000 Improved No WARRANTY DEED 10/1997 0 317 0270 $4,500 Vacant Yes Find Comparable Sales within this Subdivision Land Method I Frontage I Depth I Units I Unit Price I Land Value FRONT FOOT & DEPITHI Sol 1171 1 190.001 58,455 Building Information # Description Year Fixtures Base Total SF Living Ext Wall Adj Repl Appendages Built Area SF Value Value n - � Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-511-0000-0230 9/26/2012 SCPA Parcel View: 25-19-30-511-0000-0230 1 SINGLE FAMILY 1998 6 1,262.00 1,280.00 1,262.001 SIDING AVG t $46,087 $48,513 Description Area _ OPEN PORCH Y 18 18 FINISHED Permits Permit # I Type Agency Amount CO Date Permit Date 01997 New - Residential Sanfordl $47,600 09/28/1998 05/01/1998 00855 New - Residential Sanfordl $41,500 01/01/1998 Extra Features Description Year Bit Units I Value Cost New < Back I < Previous Parcel I Next Parcel > I Save Layout I Reset Layout I New Search Page 2 of 2 http://www.sepafl.org/ParcelDetails.aspx?PID=25-19-30-511-0000-0230 9/26/2012 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry; Laky 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. Y I understand that building permits are not required to be signed by a property owner unless he or she is W 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 improved it in 1 year after the construction is complete, the law will presume that I built or substantially 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 �1J for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 Property Addres 'l2 - I, Mx_ /i tQ , do hereby state that I am qualified and capable of performing the r quested construction involved with the permit application filed and agree to the conditions specified above. nature of Owner -Builder Form of Identification F—f—, �`--- (Must be Photo ID) Date 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. 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 "v understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 1. I 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 (�J 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 K 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 J cu\ whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Addres 'l2 - I, Mx_ /i tQ , do hereby state that I am qualified and capable of performing the r quested construction involved with the permit application filed and agree to the conditions specified above. nature of Owner -Builder Form of Identification F—f—, �`--- (Must be Photo ID) Date 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. 9.14.2009