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Home My WebLink About1117 Cypress Avef V, 0 v, Job Address: Parcel ID: Type of Work: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / � — X a_ Documented Construction Value: $ 5700��— Historic District: Yes ❑ No L'J Residential Commercial ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: ,.,,, 4!!FLCe_7VIC Plan Review Contact Person: l Title: Phone: Fax: S5 Email: 01 a_4a1!%1 I . Dye w-40- - G_NAd,� �. Property Owner Information Name 1 1C CAL /J Phone: W-? La xlk Y Street: Resident of,property? City, State Zip 1 R Contractor Information: Name Phone: Street: City, State Zip: Fax: State License No.: Arc h itect/Engineer Information Name: I�Qe,��,Phone; Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: A) 1..4 Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application / j i (9 ! 0 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at=the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be donee i�npliance with all applicable laws regulating construction. and zoning. 4), Print Owner/Agent's are ' S ature of otary- tat bfida Date •°��Y �Y `- CyNTHIA HAMILTONSMITH # FF 153231 `•;,,,; MY COMMISSION RES: August 21. 2018 EXPI Undeiwrlets oFa= Bonded Thru NotaryPublic Owner/Agen rsona ly Known to Me or Produced ID Type of ID 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building ® Electrical W Mechanical Z Plumbingk Construction Type: Occupancy Use: Gas ❑ Roof ❑ Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: Qc- COMMENTS: Revised: June 30, 2015 Permit Application V THIS IN E T P�REPARE�!* Name Address:11 GRANT MALOYr SEMINOLE COUNTY CLERK OF f:TRC.UTT CO 1R7 I. CnMpTRnI ! FR _ Ps IL61 NOTICE OF COMMENCEMENT CLERKi'S 4 2018616219s' RECORDED 02/12/2018 10.3 -27 Ali State of Florida RECORDING FEES�.�!.Ci++ County of Seminole / RECORDED BY tsm ith z Permit Number: I T ^ ) V Parcel ID Number:,),_^ /! .,✓a�� V / ✓i 7,7,6" 00 gO 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. DESCRIPTION OF PROPERTY: (Legal descriptioaof the property and slreet address if available) Fee Simple Title Holder (if Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from 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 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Un tes of erjury, I declare that I have read the foregoing and that the facts stated in it are true to owl and belief. ` / 01,24yin," V (1)(g): 'The owner must sign the notice of commencement and no one else may oe p State of County of h 3 The foregoing Instrument was acknowledged before me this day of �^ ✓ Q-/j Loa by Who is personally known to me Name of person making stat t CYNTH A ype of identification produced: Y*." = MY COMMISSION B FF 150, �= EXPIRES: August 21, 2018 4 h6Fa' Bonded Ttuu Notary Pubfic Urdeiwrders P, 110••, R]EQU][][SIEllD I[l\i P ECTI ON SEQUENCE Bp f• va - %2 (— .4\ rtl d arse • j / i -7 /+ J0.&e O c, Mnn Max -Ind eefllon D18scri 6n. Footer / Setback Stemwa-H Foundation / Form B'oard.'Survey Slab /Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing— Walls- 2-0 Sheathing— Roof Roof Dry In ,D Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final Solar Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window - Final Screen.Room Final, Pool Screen Enclosure Mobile Home Building Final Pre -Demo Final Demo Final Single Family Residence /A700 Final. Building. Other REVISED: June 2014 1 'ECTRIC, Mn Max. llmuc Lion IIDescr Lion Electric. Underground Footer / Slab Steel Bond O Electric Rough T.U.G. Pre -Power Final Electric Final .3Cf 7rti��f,{'}'i49�.'i� ij il.K�St..Rt{Ytl }>qy��M( .MY. l(M'^�lYp4�T,t�l,u'4WrfyT%,�„nAy�ff.+ {'i�SY'� min max 1(ms2ection ][Desch 2flon Plumbing Underground Plumbing Sewer U Plumbing Tub Set Plumbing Final ��IIII I\ �Iil �O��IIIIII 1117"MIlilIII�UIII Mechanical-. �• �� °' �o � ' ,i S _.. �f ��,` r$4t�Q,ya i��ia;�? k�i •��r�kcba�,t�i �h :Sis1 9t Er Gas Underground �- �.o - 00b ..... _..._ 1......._... .- Revision ❑ Response to Comments S�!'; leC Permit # l� aq,: Submittal Date Project Address: H Contact: VQ Ph: 07 IQ Fax: Email: 014ZJGLjv", QA"-JeV-,�,c,� C� Trades encompassed in revision: ❑ Building ❑ Plumbing ❑ Electrical ❑ Mechanical ❑ Life Safety ❑ Waste Water Department ❑ Utilities ❑ Waste Water ❑ Planning ❑ Engineering ❑ Fire Prevention 11 Building City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov General description of revision: 4) ROUTING INFORMATION Approvals VSXKFORDFIRE PEPARTMENT PLAN REVIEW COMMENTS Building & Fire Prevention Division Application Number: 18-226 Date: 01-16-2018 Project Description: Residential Alteration Contact Name: Olatunji Oyewale Job Address: 1117 Cypress Ave Contact Email: olatunii.oyewaleAgmail.com This is a general overview for code compliance in accordance with the minimum plan review required by the Florida Building Code.. It is not a complete detailed review. The comments noted in this review must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal — changes in letter form are not permitted. All references to FBC Chapter 1 are as amended by City of Sanford ordinance viewable on our website at www.sanfordfl.gov. Provide two copies of affected plan sheets and/or supplemental information as requested Permit submittals will not be accepted without two copies. COMMENTS: 1. The "Description of Work" on the permit application states "re -roofing" only, yet there are plans provided for residential alteration work. Please provide a detailed scope of work for clarification. FBC 107 2. The plans submitted are designed to meet the 2014 Florida Building Code and 2011 National Electric Code. The current code in effect is the 2017 Florida Building Code and the 2014 National Electric Code. All plan pages need to be revised to meet the current code editions. FBC 107 **No Review has been conducted** Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Office meetings with the plans examiner to discuss comments will require an appointment arranged by phone or email prior to arrival. Respectfully, Steve Fiorey, CBO Deputy Building Official -1- 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 SIGN THIS 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 1, 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 .1 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 iP 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' c'onstructiori. 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 whomxl employ have the licenses"required by law and by city ordinance." k 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. 1, 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 I 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. 1 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 hat 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. Form of Identificatio (Must be Photo ID) alified to -the, A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a 51,000.00 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 SCPA Parcel View: 25-19-30-5AG-130B-0080 Page 1 of 2 PAPI� s�Loouvrv, ftoripA Parcel Information Property Record Card Parcel: 25-19-30-5AG-130E-0080 Owner. OYEWALE, OLATUNJI Y Property Address: 1117 CYPRESS AVE SANFORD, FL 32771 Parcel 25-19-30.5AG-130E-0080 Owner OYEWALE, OLATUNJI Y Property Address 1117 CYPRESS AVE SANFORD, FL 32771 Mailing 1117 CYPRESS AVE SANFORD, FL 32771 Subdivision Name SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions WHOMESTEAD(2018) �Goagle Legal Description LOT 8 BLK 13 TR B TOWN OF SANFORD PB 1 PG 56 Taxes Taxing Authority County General Fund Schools City Sanford SJWM(Saint Johns Water Management) County Bonds Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $27,339 $25,793 Depreciated EXFT Value Land Value (Market) $10,742 $10,742 Land Value Ag JusVMarket Value " $38,081 $36,535 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 P&G Adj _ _ISO $0 $0 Assessed Value $38,081 $36.535 Tax Amount without SOH: $695.68 2017 Tax Bill Amount $695.68 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values $38,081 $38,081 $38,081 $38,081 $38.081 $25,000 $13.081 $25,000 $13,081 $25,000 $13,081 $25,000 $13,081 $25.000 $13,081 Sales — — Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 7/1/2017 08946 1752 $100 No Improved WARRANTY DEED 6l1/2017 08933 1368 $34,500 Yes Improved QUIT CLAIM DEED 4/1/2000 03882 0063 $100 No Improved Find Comparable Sales Land Method I Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 1 66.001 124.00 0 $175.001 $10,742 Building Information # I Description Year Built I Fixtures Bed I Bath I I Base Area Total SF I Living SF Ext Wall I Adj Value I Repl Value Appendages Actual/Effective 1 SINGLE 1955 3 1 1_0 725 1,2491 725 CONC $27,339 $49,708 Description Area FAMILY BLOCK 60.00 http://parceldetaii.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AG 130130080 1 /2/2018 t D11, avid Johnson CNt - WWW.SCpafl:or` P�tms�R APPLICATION° FOR., HOMESTEAD EXEMPTION �r SEMINOLE COUNTY, FLORIrJA NEW Ov CHANGE[:] ADDITIONAL 4 C] YEAR 2018 PROPERTY ID NUMBER: 25-19-34-5AG-130E-0080 PHYSICAL ADDRESS 1117 CYPRESSAVE SANFORD, FL 32771 OWIlill NAME AND:MAILING ADDRESS' LEGAL CODES:' OYEWALE, OLATUNJI Y LOT s BLK 13 TR B 1117 CYPRESS AVE TOWN OF SANFORD SANFORD, FL 32771 PB 1 PG 56 DEED TYPE: BOOK/PAGE: SALE DATE PLEASE ANSWER THE FOLLOWING QUESTIONS: 1. Yes No YOU ARE A CITIZEN OF THE UNITED STATES? IF NOT, HOMESTEAD IS GRANTED ONLY TO THOSE PERSONS WHO CAN PROVIDE A COPY OF AN ALIEN RESIDENT CARD (GREEN CARD) OR LETTER GRANTING PERMANENT STATUS. YOU MUST ATTACH A COPY OF YOUR GREEN CARD OR LETTER TO THIS APPLICATION, IMMIGRATION #: 2• WHAT DATE DID YOU MOVE INTO THIS PROPERTY? :!'vtep 7 3. Yes E], NoFJ IS THIS YOUR FIRST TIME APPLYING FOR HOMESTEAD EXEMPTION AT THIS ADDRESS? 9 = 4. Yes : No DID YOU HAVE HOMESTEA IN"AT LEAST ONE F THE LAST TWO YEARS_? IF YES, MOST 'RECENT YEAR,; ' ( i �- IF YES, ADDRES � �� t ( FytS�COUNTY. STATE 5. Yes ] Nd1;I DpES ANYONE ON THE TITLE NOT LIVE AT HIS PROPETY?' IF YES, WHO e WHERE 6. WHAT IS YOUR MARITAL STATUS? I_ _)SINGLE' IVORCED Ci MARRIED- []SEPARATED (not divorced) []WIDOWNVIDOWR IF ANY APPLICANT IS MARRIED, YOU MUST PROVIDE SPOUSE'S IDENTIFICATION EVEN IF THEY ARE NOT ON TITLE. REQUIRED IDENTIFICATION INFORMATION - COPIES REQUIFED' ._ Owner Name - Honda Driver License Social Security # OR Date of Birth Phone Number Florida ID ft Non Driver 1 >C /- T (,{ rt OTE: Disclosureof your social security, is mandatory. It is required by section 196.011 (1) Florida Statutes. The social!;i i i I!, verify number"will be;used to verify taxpayer identity information; homestead exemption information submitted to property appraisers and intangible tax information submitted to the Department of Revenue. NOTE: If all information is not received by March 1st, your application will be processed for whatever exemptions you qualify for on that date. NOTICE: A tax lien can be imposed on your property pursuant to-196,161,.Florida Statutes. DECLARATION: I hereby authorize this agency to obtain information necessary to determine my eligibility for the exemption(s) applied for: I hereby make application for the exemptions indicated and affirm that i'do qualify for same under Florida Statutes. I ani permanent rest t of t "e (/ , State of Florida and I own and occupy the property descritsad above, I understand that section 196:131 2 Florida Statutes rovides' hat an ` e v 1 im riso I and willful) Ives false information for the Purpose of claimin homestead is guilt of a misdemeanor of the first t re under' e b a'term im risonment x ee i 1 ear or a fine not exceeding5 404 or both. Further under anal of er'u I declare o b and th n'it 11 a true.,'ttt re oin a CUSIUML First u r u�T Da , Second Owner Si i Dat Homesteam Exemption Hotline (407) 665-7605 Page I oft 1"1 1 Fitt . rd,IFL 7 ADDITIONAL EXEMPTION APPLICATION 25-19-30-5AG"1308-0080 The following are the extra exemptions available. Please read carefully to see if you'quatify. • CLEARLY PLACE AN X BY THE EXEMPTION THAT YOU QUALIFY FOR AND ATTACH REQUIRED DOCUMEN11 TATION SIGNAThe soci0 SQAL SECURITY NUMBER FLORIDAtyDRIVERS LICENSE AND PHON UfVISER REG2UIRED AT BOTTOM OF PAGE NOTE: Disclosure Deer t anumber will beaused toverifyr� identit is requi d by Section 198.011(1) Florida Statutes. i y fyty with the tate of Florida Department of Revenue. O 1. SENIOR (LIMITED INCOME TH1S EXEMPTION CANNOT HE PRE -FILED - 65 ARS OF AGE AS OF JANUARY 1ST AND THE - TOTAL HOUSEHOLD INCOME FOR THEPRIOR YEAR IS NO MORE THAN t THIS INCLUDES THE INCOME.OF ANYONE . WHO'LIVES WITH YOU. IT DOES NOT INCLUDE'YOUR,NON-TAXABLES CIAL.SECURITY INCOME. Total Household income $ - Please submit a copy of y r Federal Income Tax Return or Low Income Senior Affidavit (available by calling 407=665-7512 or on our website www.scpafl.org). How many persons other than the applicant live at the residence? 02. WIDOWIWIDOWER (NOT DIVORCED PRIOR TO DEATH) - Reduc s property taxable value by $500. You must send a copy of the Death Certificate at the time you mail this application. ❑ 3. LEGALLY BLIND Reduces property taxable value by $500. Pr idea certificate from Blind Services, Veteran'srAdministratiori, or physician's certification Form #416B from one Florida doctor (F rm available by calling 407-665-7512 or on our website www=scaafl'oro. Forms must be mailed in with this application. if you are legail blind and have a low Income you may qualify for a'total exemption. (See Number4) 04, �E pRE-FILED. THIS EXEMPTION ARSO APPLIES IFBLIND OR CONFINED P�EMANENTLY OY- HEELCHAIR AND HAVE A LOW INCOME:- TH/S.EXEM 1V CANNOT ARE A PARAPLEGIA or HEM IPLEGIA: Pay no taxes except special assessment. MUST provide physician's certification orm #416 or 9416B from two Florida doctors not in same practice and ' Income statements for EVERYONE LIVING IN YOUR F OME. Forms must be mailed in with this application. (Forms available`by calling (407) 665-7512 or on our website www.scoafl.org ) 05. QUADRIPLEGIC - Pay no taxes except special ass ssment. Provide a physician's certification Form #416'from one Florida doctor (Form available by calling 407-665-7512 or on our websi www scpafl.org) Forms must be mailed in with this, application. i 06. DECLARED TOTALLY AND PERMANENTLY ISABLED AND NOT CONFINED TO A WHEELCHAIR -Exemption reduce 'prop'erty taxable value by $500. Provide physician's certication Form #416 from one Florida doctor. (Forms available by calling 407-665-7512 or o our website vwaw.scpaflorg) Forms must be mailed in with this application. t 07. A VETERAN OR SURVIVING (not re-marn ) SPOUSE.OF A VETERAN THAT THE VETERAN'S ADMINISTRATION DECLARED TOTALLY/PERMANENTLY DISABLED D E TO A'- SERVICE -CONNECTED INJURY EXEMPTION'- Total and Pem�anenfly service connected disabled pay no taxes except "s ecial assessment. Partial service connected disability reduces property taxable value by $5000. obtain a copy of this please contact the Submit the VA Disability award letter refl ina seance con eterans Administratinected disability of (designated percent)" effective prior to January 1 g'. To r on at 1-800-827-1000 or by visiting their website www va.gov. e CI 1 am the Veteran E I a the Surviving Spouse (REQUESTING APPLICATION) l 0 8. A 65+ YEAR OLD VETERAN, COM AT RELATED DISABLED, HONORABLY DISCHARGED (must meet all of these requirements) - Must provide copy of honorable dis argepapers (DD Form 214), Submit the VA Disability award letter reflecting "a service connected disability of (designated percent)" ective prior to January 1 a1; To obtain a copy of this please contactahe Veterans Administration at 1- 800-827-1000 or by visiting their ebsite www.va.aov. ❑ g, PERSONSWHO HAVE CONS RUCTED OR RECONSTRUCTED SEPARATE LIVING QUARTERS IN THEIR HOME FOR THEIR PARENTS/GRANDPARENTS AFTER JANUARY 2003 -This assessment reduction has many requirements, please call (407) 665-7506 fo further details or to request an a licf I am qualified for the e exemptions for which penalty of 60% of all t: Names(s),(Please pri Complete Address FL Driver's License # FL Driver's License# pp a ion. ption(s) marked above. I understand that Florida law provides severe penalties for those ,wt are not entitled. The property shall be subject to taxes exempted plus 15% interest per ann exempted up to 10 years. Phone SS# DOB SS# DOB Signature 1 Signature 2 receive nand a - Revisio' Response <toComments ❑ Permit # Project Address: OCT 0 9 20% r.c. Y Submittal Date Contact: Ph: �1 �/ - J�� g g Fax: _ Email: Trades encompassed in revision: ❑ Building ❑ Plumbing ❑ Electrical ❑ Mechanical ❑ Life Safety ❑ Waste Water Department ❑ Utilities ❑ Waste Water ❑ Planning ❑ Engineering ❑ Fire Prevention ❑ Building City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov General description of revision: ROUTING INFORMATION Approvals