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Home My WebLink About1205 W 15 St; 14-254; DRY WALL & PLUMBINGCITY OF SANFORD E10Z 0 AON BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: N_C9 5 Documented Construction Value: $_7AP-- _66 Job Address: ) j05 C_,_) I Historic District: yes 0 No:R Parcel ID: Description of Work:, b Put (0cul oi-Y) Plan Review Contact Person: Title: Phone.• Fax: E-mail: Property Owner Information Street: I j So LU+V) rFl a' Resident of property?: City, State Zip: S4:) POP0 2,177 'LL Contractor Information Name Phone: Street: Fax: - City, State Zip: State License No.: Arch itect/Eng! neer Information Name: Phone: Street: City, St, Zip: Bonding Company: Add ress: Building Permit 0 Square Footage: No. of Dwelling Units: Electrical EJ Fax: E-mail: Mortgage Lender: Address: PERWT INIFORMAT ION Construction Type: No. of Stories: Flood Zome: New Service — No. of AMPS: Mi echnnical 0 (Duct layout required for new systems) Plumbing 13 New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads' 1 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. 9 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 AFFIDAVTI': 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 POSTER ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING FOUR 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 goven-tmental 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 pen -nit is released. Signature of Owner/Agent Date Signature of Contractor/Agent Date 76AjE5A P Owner/Agent's Na e Print Contractor/Agent's Name C Signature of No ay of Florida Date Signature of Notary -Stale of Florida Date 1rCe•` Q RE$ a tip14 Owner/AgentUjis '.s l a. ¢ ' ZMe , 1,rt Yr or Contractor/Agent is _Personally Known to Me or Produced ID e. ID d Produced M Type of M _ Q`,,R,. i N0 PPSAPPOVALS: ZONII UTILITIES: WASTE WATER: ENGINEERING: CON111 ENT; BUILDING, Rev 11.08 r` 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 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 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 105 0 1 1 1 k % I, , 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. J 41sils Signature of Owner -Builder Date Form of Identification 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 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 4I 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 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 working on my building or residence. It is my responsibility to ensure that the persons whom I cz* persons 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 SCPA Parcel View: 35-19-30-503-0000-0250 Page 1 of 2 17[YV'k®,1 Ji7rvtLeCaYS, p 1 IIII1ryyPRt'tqq E7 :17VOI.F Cf)l1NlY, hl,OftiQh Back I I < Previous Parcel Parcel: 3 5-19-30- 503-0000-02 50 Property Record Card Parcel: 35-19-30-503-0000-0250 Owner: CULVER CORA L C/O TERESA HENDERSON Property Address: 1205 W 15TH ST SANFORD, FL 32771 Next Parcel > I L Save Layout I I Reset Layout I New Search Value Summary Property 1205 W 1 STH ST Address: Owner: CULVER CORA L C/O TERESA HENDERSON Mailing: 11 13 S PARK AVE SANFORD, FL 32771 Subdivision FLA LAND AND COLONIZATION COS ADD TO SOUTH Name: SANFORD Tax District: S1-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY W.14T H ,5T-- __ G fth j W,15T H ST 6 a t. _ t Wes' I m i 5 W.16TH ST- - --; - 1. F ,B'C'l Map Aerial Both Footprint I I + nterExtentsCe Larger Map Advanced Map I Dual Map View - External 2014 Working 2013 Certified Values Values Valuation Cost/Market Cost/Market Method Number of 1 1 Buildings Depreciated 10,388 S9,328 Bldg Value Depreciated EXFT Value Land Value 58,961 8,961 Market) Land Value Ag lust/Market SI9,349 18,289 Value " Portability Adj Save Our Homes s0 0 Adj Amendment 1 0 so Adj Assessed valuel 19,3491 s18,289 I i Tax Amount without SOH: S373 2013 Tax Bill Amount $373 Tax Estimator Save Our Homes Savings: s0 Does NOT INCLUDE Non Ad Valorem I Assessments Legal Description — — --- — — --- --_-- - _- ----__-- ADVERSE POSSESSION LOT 25 FLA LAND + COL COS ADD TO S SANFORD PB 1 PG 73 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value I County General Fund $19,349 s0 $19,349 Schools $19,349 s0 $19,349 City Sanford $19,349 s0 $19,349 i SJWM(Saint Johns Water Management) $19,349 s0 S19,349 i i County Bonds $19,349 s0 S19,349 Sales r Deed Date Book Page Amount Vac/Imp Qualified QUIT CLAIM DEED 01/1975 01050 1296 s100 Improved No Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Unit Price Land Value FRONT FOOT & DEPTH 50 150 000 174.00 $8,961 Building Information I Description Year Built Fixtures Base Total Living AdjExtWall Repl Appendages Actual/Effective Area SF SIF Value Value 1 SINGLE 1930 3 550.00 930.00 930.00 SIDING $10,388 25,970 i FAMILY AVG http://scpafl.org/ParcelDetails.aspx?PID=35-19-30-503-0000-0250 11/5/2013 SCPA Parcel View: 35-19-30-503-0000-0250 y O-.aU , K) pFrr 5pr,,Ci= Property Record Card P}R®PParcel: 35-19-30-503-0000-0250 Owner: CULVER CORA L C/O TERESA HENDERSON SG. ur..t C4uuT'v FLOaif Property Address: 1205 W 15TH ST SANFORD, FL 32771 Back < Previous Parcel Next Parcel El Save Layout Reset Layout New Search - Parcel: 35-19-30-503-0000-0250 I Value Summary Property Address: 1205 W 1 5TH ST i Owner: CULVER CORA L C/O TERESA HENDERSON Mailing: 1 1 1 3 SPARK AVE SANFORD, FL 32771 Subdivision FLA LAND AND COLONIZATION COS ADD TO SOUTH Name: SANFORD Tax District: S1-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY CP/ W, 14T H 'ST q W. 15TH ST 08 LU r. W 16TH ST 27 I Map Aerial Both Footprint + - Extents Center Larger Map Advanced Map Dual Map View - External 2014 Working 2013 Certified Values Values Valuation Cost/ Market Cost/Market Method Number of 1 1 Buildings Depreciated 10, 388 9,328 Bldg Value Depreciated EXFT Value Land Value g 961 8,961 Market) Land Value Ag lust/ Market 19,349 18,289 Value "• Portability Adj Save Our Homes 0 SO Adj Amendment 1 0 0 Adj Assessed Value 19,349 518,289 Tax Amount without SOH: $373 2013 Tax Bill Amount $373 Tax Estimator Save Our Homes Savings: $0 Does NOT INCLUDE Non Ad Valorem Assessments i Legal Description -- --- ___ _ --_ -- ---- -- -- ADVERSE POSSESSION LOT 25 FLA LAND + COL COS ADD TO 5 SANFORD PB 1 PG 73 Tax Details I II I Taxing Authority County General Fund Schools City Sanford SJWM( Saint Johns Water Management) County Bonds Assessment Value 19, 349 19, 349 19, 349 19, 349 19, 349 Exempt Values SO SO 0 0 0 Taxable Value 19, 349 519, 349 19, 349 19, 349 519, 349 Sales Deed Date Book Page Amount Vac/Imp Qualified QUIT CLAIM DEED 01/197S 01050 1296 $100 Improved No Land Method Frontage Depth Units Unit Price Land Value FRONT FOOT & DEPTH 50 1 50 .000 174.00 8,961 Building Information Description Year Built Fixtures Base Total Living Adj ExtWallRepl Appendages Actual/ Effective Area SF SIF Value Value 1 SINGLE 1930 3 550.00 930.00 930.00 SIDING $10,388 $25,970 i FAMILY AVG i Page 1 of 2 http:// sepafl.org/ParcelDetails.aspx?PID=35-19-30-503-0000-0250 11/5/2013