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HomeMy WebLinkAbout709 Sarita St (2)a. &kNFORD { FIRE CITY OF `�" 1, �r Building & Fire Prevention Division 1� PERMIT APPLICATION Application No: 8r a-13_73 Documented Construction Value: $ -) S G Job Address: ✓ V � S;Xk;VLfY Sy" Historic District: Yes❑Noy Parcel ID: Residential❑ Commercial❑ Type of Work: New[] Addition[] Alteration Repair Demo❑ Change of Use❑ Move El Description of Work: %£c �-�+ cam( M EA---- . �1 �'-S t C_ l Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name vc� w� Street: City, State Zip: s`'^'ti fo2a J Name Street: City, State Zip: _ Name: Street: City, St, Zip: Bonding Company: Address: Phone: 4 or-) - G Uc) ` -) 3 Resident of property? : Contractor Information Phone: V 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: 61h Edition (2017) Florida Building Code Revised: January 1, 2018 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. Signatur of0 1 er/Agent V Date b M C5--_ Pri caner/Age is Na�. A/ 5-23-19 Signature of Aotarym§tate of Florida Date i ,Pav ANNE77E BLAND Notary public - State of Florida o�. CommiasIon # GG 060623 O 'lint isFF my rMftfAP »roars o Me or Produced I 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 ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: January 1, 2018 Permit Application A C r_ 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 ,1 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 $754000. The building or residence must be for my own use or occupancy. It may not be built orsubstantially 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 S for sale or lease, which violates this exemption. n 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 n 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 w 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 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 1 am the party legally and financially responsible for the proposed construction activity at the address ,M r / listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the n ,n^ 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 �Aa 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: 70 ( __C�Icq/4 I, v, do hereby state that I am qualified and capable of p rforming the requested construction involved with the permit application filed and agree to the conditions specified above. ci 5 lqll' Signature of/Owner-Builder 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: 01-20-30-504-1100-0210 Page 1 of 2 oavtoJotua,.crA MMParcel: ae�.v�o�crM.arxaacnor Property Record Card 01-20-30-504-1100-0210 Property Address: 709 SARITA ST SANFORD, FL 32771 Parcel Information Value Summary Parcel 01-20-30-504-1100-0210 Owner(s) MCINTYRE, GREGORY A - Tenants in Common MCINTYRE, ERICA T - Tenants in Common Property Address Mailing 709 SARITA ST SANFORD, FL 32771 709 SARITA ST SANFORD, FL 32773-5038 Subdivision Name DREAMWOLD Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2008) 0 30 40 20 60 60 60 a _ `2 N�9 �, 1 NO t'M — W O l O 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 -- 1 Depreciated Bldg Value _ $85,886 $75,002 Depreciated EXFT Value $1,580 $20,000 $1,600 $13,000 Land Value (Market) Land Value Ag Just/Market Value "" ; $107,466 $89,602 Portability Adj Save Our Homes Adj $28,981 { $12,731 Amendment 1 Adj ! $0 P&G Adj $0 $0 $76,871 Assessed Value $78,485 Tax Amount without SOH: $918.00 2017 Tax Bill Amount $675.00 Tax Estimator Save Our Homes Savings: $243.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 21 & E 20 FT OF LOT 20 BLK 11 DREAMWOLD �PB3PG90 Taxes _m Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $78,485 $50,000 $28,485 Schools $78,485 $25,000 $53,485 City Sanford SJWM(Saint Johns Water Management) — $78,485 i $78,485 $50,000 $50,000 $28,485 $28,485 County Bonds $78,485 $50,000 $28,485 Building Information http://parceldetaii. scpafl.org/ParcelDetailInfo.aspx?PID=01203050411000210 5/23/2018 1 CITY OF SANFORD BUSINESS TAX APPLICATION Physical address: 300 N. Park Avenue Sanford, FL 32771 Fax: 407.688.5152 Transfer of ❑ Name ❑ Location Transferred from: Tel: 407.688.5057 ❑ Ownership Control # Mailing Address: P. O. Box 1788 Sanford, FL 32772-1788 Email: licensing@sanfordfl.gov 2D-1 5R 1. Business Name: Jke'( Lk k/E-"p -)Co 2. Business Address: �QAAI City: ��� State: 0�_ Zip:s E-q.-71 3. Business Mailing Address: S� t�/a�/ City: State: 'Ck- Zip: 4. Business Phone: qC-7 6t O ( ��.�✓� Other Phone: Type Fax ❑ Corporate ❑ Cell ❑ 5. Federal Employer ID: 6S— ©(e-> k S Z-6g 6. Date Business Opened at this location: 7. Additional Requirements: (Attach Copy) State License # L ti ckG 8. Describe Type of Business or Profession at this location: PoC WC-k 9. Will this business be engaged in any Adult Entertainment Activity as defined in the Sanford City Code? ❑ YES 16 NO If Yes, Please Explain: 10. Will this business sell or serve Alcoholic Beverages? ❑ Yes [j'No If yes, attach a copy of the State License. 11. Please complete applicable information: 12. (a) How many employees: (b) Number of commercial/service vehicles: l Convenience Stores: Number of gas pumps Number of operated machines ATM machine ❑ Yes ❑ No Number of vending machines Number of Air/Vacuum Machines Hot foods sold? Apartments - Rooming Houses - Motels: Number Apartments/Rooms _ Laundry facilities on site? ❑ Yes ❑ No Number of washers & dryers: Number of vending machines: Carwash on site? ❑ Yes ❑ No Restaurants: Number of Seats: _ Number of Coin Operated Machines: Do you have WIFI? ❑ Yes ❑ No Will you have entertainment/DJ's/bands? ❑ Yes ❑ No Do you sell merchandise? ❑ Yes ❑ No If yes see item #12 Salons/Barber shops -Number of Stations/Procedure Rooms: Number of Tanning Beds: Laundromats -Number of washers: Number of dryers Number of vending machines 13. Cash Value of the Inventory Stock for Retail/Wholesale Commercial Business $ 14. Square Footage of Building for Commercial Use: Ownership Information — Complete ownership information on back of application. *****************************OFFICIAL USE ONLY********************************* Tax Receipt ly- Classification Type Fee rd. O Control # `? p 1 5 2 Intake Technician tIrl�,, OWNERSHIP INFORMATION Legal Authority: Florida Statute 205.0535(5) — No Business Tax Receipt shall be issued unless the Federal Employer Identification number or the Social Security number is obtained from the person(s) to be taxed. Sole Owner Only Owner Name i h a Home Address 10 It City �_6 Date of Birth 014' — IC9 _ Driver's License Number ti22 - Corporation/LLC/LP/P.A. Corporate Name N,_ U Ce_0cX. Address t 0 �` % Se CA City Federal ID Number S Y O G( g Home Phone State "EL Zip `-� Q—q-71 Social Security Number -- ?:I — {l-C,(o —O State C1e�� s 12AIdICe- Zip Phone ct" Partners/Co-Owners/Corporate Officers (Please attach additional sheets if necessary) Name Title Home Address City State Zip Date of Birth Social Security Number Name Home Address City Date of Birth _ Name Home Address City Date of Birth State Social Security Number State Social Security Number Title Zip Title Zip CERTIFICATION: I certify that the foregoing information is true and correct, and understand that providing false or misleading information on this application may result in the denial, or the revocation of any tax receipts issued by the City of Sanford which were based upon information provided in this application. Violation(s) of the Code of Ordinances of the City of Sanford may result in suspension and operate as ounds for denial of renewal of any tax receipt issued by the City until the violation(s) is resolved to the satisfaction of the City. I derstand that if there are any subsequent changes in the operation of my business as stated in this application, I agree to file the nec sary n seek prior approval from the City of Sanford for such changes. Businesses located in the of ar Is quired to be compliant with the mandates of the Seminole County Tax Collector. / 1 cJ,cnC�t� nat Owner/Officer Date Print Name of Owner/Officer Zoning Approval Required Zoning of Property Comments Signature Revised oasis OYES ❑ NO Approved for Requested Use Date Detail by Entity Name r y OK a: Florida Department of State Page 1 of 1 DIVISION OF CORPORATIONS Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company REJUVENATE POOL AND DECK CLEANING SERVICE "LLC" Filing Information Document Number L18000111426 FEI/EIN Number NONE Date Filed 05/03/2018 Effective Date 05/02/2018 State FL Status ACTIVE Principal Address 104 LINDSEY WAY SANFORD, FL 32771 UN Mailing Address 104 LINDSEY WAY SANFORD, FL 32771 UN Registered Agent Name & Address MUJAGIC, DINO, MR 104 LINDSEY WAY SANFORD, FL 32771 Authorized Person(s) Detail NONE Annual Reports No Annual Reports Filed Document Images 05/03/2018 -- Florida Limited Liability View image in PDF format Florida Department of State, Division of Corporations http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 5/22/2018