HomeMy WebLinkAbout908 Elm Ave 11-354; INTERIOR REMODELPPFJJPMM
PERMIT ADDRESS-Oinz J • ginn Aqe,,.
CONTRACTO
ADDRESS
PHONE NUMBER
PROPERTY OWNER IE C
PHONE NUMBER clI l - 6 / .5" 0' 64 ELECTRICAL
CONTRACTOR MECHANICAL
CONTRACTO PLUMBING
CONTRACTOR MISCELLANEOUS
CONTRACTOR PERMIT
NUMBER MISCELLANEOUS
CONTRACTOR PERMIT
NUMBER FEE ems,
SUBDIVISION
PERMIT #
l 1 w* (-76 DATE PERMIT
DESCRIPTION O1at cc; S 1 PERMIT
VALUATION 5DV SQUARE
FOOTAGE
F_
RECEI TEE
APR 2 8 2011
S
BY: eg __0F rN ORD
G --- ..
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
I ( D
Application No: I — ` Documented Construction Value: `t S
PP _
Job Address: 10 F S ECG VLI-4 u & Historic District: Yes 01 No
Parcel ID: 25 l !1 " 3 a' SA Ca ' 1/0 1- 0 0 2 R Zoning:
y r i2 cf}s-x R CM0 AL_ OP WALL -
Description of Work: QU < <-D I1 Gr //III tF-10ts i kQ'9Z-
Plan Review Contact Person: J tI-C K G N l 1-jtRti1R-jl Title: 1=1N6E9-
Phone. 4/° 7 7o l 0 $' jS Fax: E-mail: J 6VA R",4A Csi-RafT"PAI -COM
Property Owner Information
Name . /j I C U LE 61+SC G M 86 Phone: 917 S 1.r 0 l- q
Street: q 0 $ s C-LM fb EIJ ue Resident of property? : Ye S
City, State Zip: s/t(Vr-6140 FL 32- 11 1
Contractor Information
Name q Phone:
Street:
Fax: -
City, State Zip:
State License No.:
Architect/Engineer Information
Name: j /1C-K & µTHFRM'lnl Phone: v 7 701 U 9 7s
Street:
City, St, Zip: A-LTYgMONrF -FL-
Bonding Company:
Address:
Building Permit 1251
Square Footage: 11116
Fax:
E-mail: J6uT ILMR/J C? STp_ue-1701A&-C4
Mortgage Lender:
Address: _
PERMIT INFORMATION j - ? a
Construction Type: No. of Stories: 2-
No. of Dwelling Units: 1 Flood Zone:
Electrical j ie c1J
New Service - No. of AMPS:
Plumbing
New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
0
D
4t)e r ie ?t I,qq
4"1/w
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.
of
C o u EASC
OWnerLAuent's Name
uwner/agent is r
Produced IN T
APPROVALS: ZOT
COMMENTS:
5 // 7 //
Date
a e`NiUUliHlf/
yaa 10
wary 6 ti a r
illy Kn n to:or
irl #On
ENGINEERING:
UTILITIES:
FIRE:
Signature of Contractor/Agent Date
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: 42141
Rev 11.08
r
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
n 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
j
v
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
j 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
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
p 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.Mflorida.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
fJ
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
NV) coverage.
Property
1
I, N) c 6 L E Ej SC6 ,(Jzy— , 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
Form of Identificati
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
9191if•at;is !1gill !einado] 11!11if III itIII Ifill Prepared by and
return to: William J Gardner,
PA 7280 W Palmetto
Park Rd Suite 208-N Boca Raton, FL
33433 561-750.-7778
File Number: 9143
Will Call No.:
Above This Line
For Recording Data MARYANNE MORSE, CLERK
OF CIRCUIT COURT SEMINOLE COUNTY BK07544Pgs
1097 - 1098; (2pgs) CLERK'S 4
2011030328 RECORDED 03/23/
E011 12:15:57 PM DEED DOC TAX
476.00 RECORDING FEES 18,
50 RECORDED -BY G
Harford Special Warranty Deed
This Special Warranty
Deed made this if-tbday of March, 2011, between Aurora Loan Services LLC, a Delaware Limited Liability Company
whose post office address is 327 South Inverness Drive, Englewood, CO 80112, grantor, and Nicole D Bascombe ,
a married woman, whose post office address is 908 South Elm Avenue, Sanford, FL 32771, grantee: Whenever used herein
the terms grantor and grantee include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors
and assigns of corporations, trusts and trustees) Witnesseth, that said
grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10,00) and other good and valuable considerations
to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and
sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being
in Seminole County, Florida, to -wit: The South 4
feet of Lot 2 and the North 58 feet of Lot 3 in Block 11 of Tier 7, Sanford Florida, according to Florida
Land and Colonization Company, Limited E.R. Trafford's Map to the Town of Sanford according to
the Plat thereof, as recorded in Plat Book 1, Page 56, of the Public Records of Seminole County, Florida.
Parcel Identification Number:
25-19-30-5AG-1107-002A Together with all
the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and
to Hold, the same in fee simple forever. And the grantor
hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good
right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will
defend the same against the lawful claims of all persons claiming by, through or under grantors. In Witness Whereof,
grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimeo
Signed, sealed and delivered in our presence:
Aurora Loan Services LLC, a Delaware Limited Liability
Company
By:
l
Corporate Seal)
Goodman I'-Daan, Inc.
v attorney in }"act for
III 4urom Lcun. Servicing, LLC
State of
County of
e foregoing su ment was acknowledged efore me this a day of by
T of Aurora Loan Services LLC, a Delaware Limited Liability
Company, on behalf of the corporation. e/she U is personally known to me or [X] has produced a driver's license as
identification.
Notary Seal]
Special Warranty Deed - Page 2
Notary P lic
Printed Name: 7 t-(
My Commission Expires:
QoubleTlmea
r
SANFORD BUILDING DEPT.
ESE PLANS ARE REVIEWED AND CONDITIONALLYACCEPTEDFORPERMIT. A PERMIT ISSUED SHALL BECONSTRUEDTOBEALICENSETOPROCEEDWITHTHEWORKANDNOTASAUTHORITYTOVIOLATE, CANCEL, .ALTER OR SET ASIDE ANY OF THEPRO`JiSIONOF rHE TECHNICAL CODES, NOR SHALL. ISSUANCEFAPERMITPREVENTTHEBUILDINGDEPTTHEREAT --TER RE nONOFE7tF<ORS O, OtJiRtNG A CORREC Or^,
OTHER VIOLATIONS THE PLANS, CONSTRUCTION IV _A T IONS OF THE CODES.
CE: VEII DE' C,
MAY 1:6 2011
RMSION
ii
PERIM, IT Al DATE
PROJECT ADDRESS
CONTRACTOR
PHONE# 9-
CONTACTPERU90N fi(-OZ16 Elq H
DESCRIFTM Or, REVISffONt cs
UTEUTY DEPT'
F91-ZE PREVENTION
PLANNING
BUILIDUNG
rat,
MAY1 02011
PERMIT # 'S14 DATE
PROJECT ADDRESS 9 09 ,(-A---
CONTRACTOR
PHONE # t CO FAX #
CONTACT PERSON
DESCRIPTION OF REVISION
L,r,^ /-' .
hob
UTILITY DEPT
FIRE PREVENTION
PLANNING
BUILDING
Ililt 11111lI1111liAIIll I11o11UIt111111r111iIII11If! 11111 ARYMW- i )
i :, LL..EW O LIN UIT C:UAT Permit No.
l - D 00 aEM1N131.t= C_Y Tax Folio
No. 2. S" - (_ 30 - SA (lo-1 o ZA BK 0-1572' Pq OS1 ; Qpq) NOTICE OF
COMMENCEMENT CL_sERKII S 4j 20/165/727 REDIRDED Ob/
17./21011 01:53:58 PN State of
Florida REUIRDIN6 F-1=S 10.00 County of
Seminole REWRI)ED BY 3 Eckeni uih fall ) 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. 1. Description
of property: (legal description of the property, and street address if available) 3a l ?
f 2. General
description of improvement: ktad VfYL O;c kl,+LL j 3 Gf/ &P 11VC) Sl-lifk 29SE J 3.
Owner information: Name: /V l Cd L- C-S $S Co M B-(, Address: qO
F S .t;LM /i i(6 &MFDP FL -3 a7 -7 / b. Interest
in property: c. Name
and address of fee simple titleholder (if other than Owner): Name: N Address: 4.
Contractor
Name: /a Phone number: c. Address:
CERUR to
CO pv- 5. Surety
Name Address: b.
Amount
of bond: $ ULERK OF UREU11 COI 6. Lender:
Name: A1111 SEMINOLE COUNTY, FLORIDA Address: I
b. Lender'
s phone number: MrDp l1Tr Ct raw 7.a.
Persons within the State of Florida designated by Owner upon whom notices or other documents may VAYrvb7s 201 1 provided by
Section 713.13(1)(a)7., Florida Statutes: Name: ON(6d 4-6 ghsCO Mom. Address: 2Og
S &LM 1+ile 8.a.
In addition to himself or herself, Owner designates of to receive a copy of the Lienor's
Notice as provided in Section 713.130)(b), Florida Statutes. b. Phone
number of person or entity designated by owner: 9. Expiration
date of notice of commencement (the expiration date is 1 year from the 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 11—CO
ENCEI IEN 34 60-
A A / Signature of
Own r or Owner's Authorized Offie c/Director/Partner/Manager Signatory's Title/Office The foregoing
instrument was acknowledged before me this day of , (year) , by (name of person) as (type of aattrprity, ... e.
g. offKer, trustee„gttq ney in fact) for (name of party on behalf of whom instrument was executed) . Signature of
Notary PZlico ro Personally Known
Verification pursuant
d the facts
stated in it an' i Signature of
Natt Rev. date
3/2008 SEAL) Type
of
Identification Produced Statutes: Under
penalties of perjury, I declare that I have read the foregoing and that wledge and
belief. THIS JNS41c
W,--NT PREPARED Br: NAME _A&
ZAL L-13ALUON15 £ ADDR.0,
5M
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ` 1 Documented Construction Value: $
JobAddress: q0 g S F/ M f ' ENa Parcel
ID: Historic
District: Yes No Zoning:
Description
of Work: t—L EC7)ffl 01-L I'Lafgi5ll4C7 Plan
Review Contact Person: Phone:
Fax: E-mail: Property
Owner Information Name /"
f C0zzPhone: Title: Street: (
I
l0 (T i 4V=,A4 A-ytNd u Resident of property? City, State
Zip: Contractor Information
Name Phone:
Street: City,
State
Zip: Name: Street:
City,
St,
Zip: Bonding Company:
Address: Building
Permit
Square Footage:
No. of
Dwelling Units: Electrica New
Servic —
No. of AMPS: Fax: State
License
No.: Architect/Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: t
i0
PERMIT
INFORMATION "
Construction Type:
No. of Stories: Flood Zone:
Plumbing New
Construction -
No. of Fixtures: Mechanical (Duct
layout required for new systems) Fire Sprinkler/Alarm No. of heads:
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.
Signature ofO./Ag Date
fV l Co Z_,?-
Print caner/Agent's Name
Signaturq,o;i ot-State of 5MI BLANTON ate
J4 9l i Notary Public -State of Florida
c My Comm. Expires Feb 25, 2015
Commission # EE 60162
Bonded Through National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
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:
Rev 11.08