HomeMy WebLinkAbout163 Crown Colony Way (2)j1'
I f- JAN 17 2018
L
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
19-'/37
Documented C.o,nstr_uction Value $ g+ OaD
d'__Job Ad.dress,:., I 3 644 Co rCn� (,/c•y Sarlh-Lf 7%Historic District: Yes ❑
No
Parcel ID: 33 -- I g - - To 5 - onw - 0142,0 Residential Q Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of,,W<.ork a rrrj 5,_ �I� p
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information
Name Phone: 357~ ZL Z'101
Street: J L3 Croi J, Cn1a,,., L,jA-r Resident of property? : QL ner—
City, State Zip: !tm o cd is 32-i I
Name
Street:
City, State Zip: _
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
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" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application 6
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 done in compliance with all applicable laws regulating construction and zoning.
n --I g
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
kt���
(��
O/ . / i0 , / d
Signature ofNotarSfat_
DEBBIE BLAN70N
NY C0iv1M1S510N Fr 176648
,.;
EXPIRES: Fabruary 25, 2019
si—
Qonded'fhru Notar+Public Unde writer
Owner/Agent is
Personally Sn to Me or
Produced ID
Type of ID'
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 ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015
L..
Permit Application
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 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'T. bihd6i stand 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.
1 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
FIemploy
R
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
y
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 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.
1 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
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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
®n
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.
GPr"operty Address: 3 C1' W11 CO )/_M,r So 6f z� 4 -- 34_7�
GIB _ _ _ 01; D+ S14 U� !,^ , 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.
Signatufe of Owner-Bu
Form of Identification
(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
SCPA Parcel View: 33-19-30-5QS-0000-0420
Page 1 of 2
o�srinnsa,,cra Property Record Card
Parcel: 33 19-30-5QS-0000-0420
ser rxx�accxavrr.arsxv Property Address: 163 CROWN COLONY WAY SANFORD, FL 32771
Value Summary
2018 Working
2017 Certified
Values
Values
Valuation Method Cost/Market
Cost/Market
Number of Buildings 1
1
Depreciated Bldg Value1 $178,325
; $168,053
A�$17,343
Depreciated EXFT Value $16,643
Land Value (Market) $40,000
$40,000
Land Value Ag
$
JusUMarket Value "� $234,968
25,396
Portability Adj
Save Our Homes Adj $0
$80,806
Amendment 1 Adj $0�
P&G Adj $0
$0
Assessed Value $234,968
$144,590
Tax Amount without SOH: $3,504.00
2017 Tax Bill Amount $1,965:00
Tax Estimator
Save Our Homes Savings: $1,539.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 42
CROWN COLONY SUBDIVISION
PB 61 PGS 76 - 78
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$234,968
$0
$234,968
Schools
$234,968
$0
$234,968
City Sanford
$234,968
$0
$234,968
SJWM(Saint Johns Water Management)
_
— _
$234,968
_._.
$0
$234,968
County Bonds
$234,968
$0
$234,968
Sales
Description
Date
Book
Page Amount
Qualified
Vac/Imp
WARRANTY DEED
6/1/2017
08941
0945
$250,000
Yes
Improved
WARRANTY DEED
7/1/2006
06350
0768
$375,000
Yes
Improved
QUIT CLAIM DEED
8/1/2005
05969
1972
$100
No
Improved
s
� �
SPECIAL WARRANTY DEED
12/1/2003
1 05156
1 14228
$182,900
Yes
Improved
WARRANTY DEED
8/1/2003
04985
0279 i
$640,000
No
Vacant
l=j11d Comjyarabla Sales
Land
Method
Frontage
Depth Units
Units Price Land Value
LOT
I 1
1 $40,000 00 $40,0001
Building Information
(# Description ( Year Built ( Fixtures ` Bed ( Bath ( Base Area ( Total SF ( Living SF' Ext Wall I Adj Value I Repl Value I Appendages
Actual/Effective
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=3319305 QS00000420 1 / 16/2018
CITY OF
&k�4FORD
Building &Fire Prevention Division
RESIDENTLU RE-ROOFPOLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
• PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
• SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE':" DATEIR
i
ITY OF
' � 3 Sk�4FORDPERMIT #
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
eOB ADDRESS: J 3 �fCCJ� c O cl'� ,.le--, -c>-,,I 6 r•Jf R- 3 Z 7
'STRUCTURE TYPE: �INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 4PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
' O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
e DECK TYPE (PLEASE SPECIFY):_ Ntioa •f
* `PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: O OFF -RIDGE RIDGE O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES
MAIN ROOF AREA
(01NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
ROOF SLOPE: O LESS THAN 2:12
O 2:12 — 4:12 J4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
Awr
FL# I o6-74 - 1
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
0MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
THIS INSTRU �NTO' REPA ED BY:
Name: i
Address:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
GRANT NALOY? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & C:OMITROLLER
BK 9059 Ps 212 (1P3 s )
CLERK'S Y 201800575L
RECORDED 01..r1712013 02'-31:5'., P11
RECORDING FEES '1.1.1 .00
RECORDED BY hdevore
Parcel ID Number:
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 description of the.� �jP�roperty and street address if available)
Lmr Nz G?V_JN COLJN I `��VMVI'S)UN PE GI PPS 7L 78
GENERAL DESCRIPTIONOFIMPROVEMENT:
OWNER INFORMATION:
Name: Fll il�� Sl�y�»C✓1
Address: IL 3 LfOI4,Jn CQ1'- n
Fee Simple Title Holder (if other than owner)
Address:
CONTRACTOR:
Name:
Address:
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
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
EF
Owners igna a Owners Printed Narrttf
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead
State of .X Countyof c
The foregoing instrument was acknowledged before me this J l P day of !0 `
I 1 \
by C 5 1 L)t r1 vv �t Ci�v� Who is personally known to me ❑
Name of person making star ment
OR who has produced identification � type of identification produced: ' —t lr e— to3
El
DEBBIE BLAN-i fjIN 13
qEXPIRES: February 2.5, 2,118 Notary Signature
Bonded Thu Notan, Public Unden-aiters
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