HomeMy WebLinkAbout614 Sarita StCITY OF SANFORD
. Jet 8 2018 ' l BUILDING & FIRE PREVENTION
s
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: �j(�n ;,,� S S&_t'�Historic District: Yes ❑ No L=1
Parcel ID: Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration `Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
Phone: 39dZ ( ?,-Fro 3 D Fax:
Name
Street:
City, State Zip: S
�f. Title: GJcce. v'—
Email• &zc e—
rty Owner Information
Phone:
Resident of property? :, a° E`S,•,
Contractor Information
Name �� C��l/1 c. Y �cTS Phone: A6
Street: 6 I Fax:
City, State Zip: f �� State License No.:
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Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 1 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
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.
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print wner/Agent's Name
Sig ture otary-State
of Plorila
ate
P�a%
ANNETTE BLAND
c
Notary Public - State of Florida
Commission # GG 060623
OFF,o?
My Comm. Expires Jan 16, 2018
Owner/Agent is
Personally Known •' Me or
Known —
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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
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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
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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
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that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
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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.
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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:��
I, UkLtC_ ,d , 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 of Owner -Builder Date
Form of Identification
LC'L���
(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.
Rev. 9.14.2009
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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
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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
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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
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residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
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lease. If a building or residence that I have built or substantially improved myself is sold or leased within
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in I 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
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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
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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 -
CITY OF
Building & Fire Prevention Division
< Skl4FORDRESIDENTML RE -ROOF POLICY& PROCEDURES
FIRE DEPARTMENT ) q-1--`�l
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: DATE: jo
PERMIT # l 3- 3
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q KPLACEMENT (TEAR,OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
(ffRE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
""PLEASE NOTE: ONLYI00 SQUARE FEET O;;RJIDGIEOSOFFIT
EE ISTINC DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: Q OFF -RIDGE QPOWERED VENT QTURBINES
SKYLIGHTS: O YES KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 V 2.12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
$HINGLE
FL# 200
Q METAL
FL#
O MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
O TILE .
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 Q2/12 — 4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
Q METAL
FL#
Q MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
0 TILE
FL#
Q OTHER:
FL#
SCPA Parcel View: 01-20-30-504-0900-0150
Page 1 of 2
Property Record Card
Oavla Jolson, Cfa Parcel: 01-20-30-504-0900-0150
PP R Owner: WHITE DAVID W
tLt�wpu GOUv,v,nox� Property Address: 614 SARITA ST SANFORD, FL 32773-5037
v Parcel Information I Value Summary
Parcel
Owner
01-20-30-504-0900-0150
WHITE DAVID W
Property Address
614 SARITA ST SANFORD, FL 32773-5037
Mailing
614 SARITA ST SANFORD, FL 32773
Subdivision Name
DREAMWOLD
Tax District
DOR Use Code
S1-SANFORD m�
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2012)
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i
17
p� 14
W. `�".
emino e County GIS
Legal Description
LOT 15 + W 1/2 OF LOT 14
BLK 9
DREAMWOLD
PB3PG90
£ Taxes
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$54,002
$50,861
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
$15,000
$15,000
Just/Market Value ""
Portability Adj
$69,002
J
$65,861
Save Our Homes Adj
$9,076
$7,168
Amendment 1 Adj
$0
P&G Adj
$0
$0
Assessed Value
$59,926
$58,693
Tax Amount without SOH: $580.24
2017 Tax Bill Amount $533.15
Tax Estimator
Save Our Homes Savings: $47.09
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value
Exempt Values
Taxable Value
County General Fund $59,926
$34,926
$25,000
. __...... . _ .. ._.e ._m_ _ -. w..
Schools $59,926
$25,000
$34,926
City Sanford $59,926
$34,926
u$34,926
$25,000
SJWM(Saint Johns Water Management) $59,926
$25,000
$59,926
$34,9226
$25,000
Sales
Description
Date
Book Page Amount Qualified Vac/Imp
WARRANTY DEED
SPECIAL WARRANTY DEED
12/1/2011
12/1/2009
07680 11055 $45,500 Yes Improved
07307 0254 $51,000 No Improved
CERTIFICATE OF TITLE
11/1/2009
07282 1550 $26,800 No Improved
WARRANTY DEED
WARRANTY DEED _
8/1/2006
5/1/2005
06403 1595 $178,000 Yes Improved
_
05740 — 0662 $142,900 Yes Improved
QUIT CLAIM DEED _
12/1/2004
05551 1 1545 $100 No Improved
find Comparable Sales
—Land
lethod Frontage Depth Units Units Price Land Value
OT 0.00 0.00 1 $15,000.00 $15,OC
Building Information
Is Bed/Bath count incorrect? Click Here.
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=0120305... 1/8/2018
THIS INST ENT ,R PARED Y:.
Name a 0A t
Address: _
NOTICE OF COMMENCEMENT
State of Florida
County of SeminoleQ_ J 2
Permit Number: I () 18) Parcel ID Number:
GRANT l`1AI_OY v SEIIINOLE COUNTY
C:LERK OF CIRCUIT COURT & COMPTROLL-ER
L'K "053 1=`a 154E (1P9S)
CLERK'S T 2018002215
RECORDED I]1/03/20181 08'50'481 AN
RECORDING FEES $10.00
RECORDED BY
O 1. ao, W. 504 - -o[ -Z�
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 des * ion of the property and street address if available)
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GENERAL DESCRIPTION O"PROVEMENT:
t'�� roa-� l %'1► I�l -P
Name: I /�\l 1 l A-) 01 e
Address: I Li
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name:
Address:
Persons within the State of Florida Designate Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statut
Name:
In addition to himself, Owner Designates
To receive a copy of t6t-6knor'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.
Under penalties of perjury, I declare that I, have read the foregoing and that the facts stated in it are true
to tl}e be t of my knowled e d beli
Owner's Signature Owner's PriffietrName
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."
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State of f-i Q County of SexI
Th%oCregolng instrument was acknowledged blefore me this �1aday of 5Q NUChI� ,20 ( ;K< oby\1 t C W \l 11 �� J ✓lri& Who is personally known to me ❑ ►— p o
Name of person making statement OJ
OR who has produced identification ❑'t a of identification produced: F
0LUp.��
atet��"�'•, ANNETTE BLAND
a4 �� x i_. V
.° = Notary Public " State of Florida o ~ 2
" ' Commission # GG 060623 W o 0 _0
oMy Comm. Expires Jan 16. 2018 Notary Signature cUic j
, OF Fl , W � Z G
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