HomeMy WebLinkAbout213 W 18 St; 14-234; ELECTRICD CITY OF SANFORD
OCT 31 2013 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 14—Q3 4 Documented Construction Value:
Cj —
Job Address: (Z 3 ! T Historic District: Yes No
Parcel ID: Zoning:
a
Description of Work: I'd or -- (2Atj ie (have_ -NCB C204- 51 12e-
Plan Review Contact Persona: _ Title:
Phone: Fax: E-mail:
Property Owner Information
Name jQen n i ' Phone:
Street: Resident of property?
City, State zip: Savn Ford
Contractor Information
Name
Street:
City, State Zip:
Name:
Street: _ --
City, St, Zip:
Bonding Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units:
Electrical 11
New Service — No. of AMPS:
Phone:
Fax:
State License No.:
Arch itectlEngi neer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMS T INIFORMAT ION
Constructions Type:
load Zone:
1Vtechanical 0 (Duct layout required_ for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures: ---
Fire SprinklerlAlaran 0 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. 1 understand that a separate permit
crest be secured for electrical worlk, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanl's, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be clove in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RE, CORD 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 INTENT) 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
pen -nit is released.
Signature of Owner/Agent Date
ou /61 3 Z100k, b cam_
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
C01VlMENTS:
UTILITIES:
F60119
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 M
WASTE WATER:
BUILDING:
Rev 11.08
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.
03 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 Florida3ConstructionIndustryLicensingBoardat1-850-487-1395 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 address03listedbelow.
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 loss03thatyousustainasaresultofacomplaint. 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: 2-, ( S t
1, Q c. I " <-) c - k bur 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.
re of Owner -guilder Date
Form of Identification
Must be Photo ID)
y 049 /
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 STATEMENTIAFFIDAVIT
C
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. 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
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. 1, 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: 36-19-30-506-0000-0700
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Parcel: 36-19-30-506-0000-0700
Property Address: 213 W 18TH ST
Owner: BLACKBURN DENNIS J
Mailing: 213 18TH ST W
SANFORD, FL 32771
Subdivision Name: SANFORD HEIGHTS
Tax District: S1-SANFORD
Exemptions: 00-HOMESTEAD (2012)
DOR Use Code: 01-SINGLE FAMILY
Property Record Card
Parcel: 36-19-30-506-0000-0700
Owner: BLACKBURN DENNIS 3
Property Address: 213 W 18TH ST SANFORD, FL 32771
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W 19TH .ST -- - _
Map Aerial Both Footprint + - Extents LE -interCeer
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Value Summary
2014 Working 2013 Certified
Values Values
Valuation
Cost/Market Cost/Market
Method
Number of
1
Buildings
1
Depreciated
520,682 521,152
Bldg Value
Depreciated
EXFT Value
Land Value
S 12 972 S12,972
Market)
Land Value Ag
lust/Market
33,654 34,124
Value
Portability Adj
Save Our Homes
SO s0
Adj
Amendment 1
Adj
Assessed Valuel 533,654 534,124
Tax Amount without SOH: S 186
2013 Tax Bill Amount 5186
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT 70 SANFORD HEIGHTS PB 2 PG 63
Tax Details
i
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
33,654
33,654
33,654
33,654
33,654
Exempt Values
25,000
25,000
25,000
25,000
25,000
Taxable Value
58,654
58,654
58,654
58,654
58,654
I
I
I
i
Sales
j
Deed Date
SPECIAL WARRANTY DEED 1112011
CERTIFICATE OF TITLE 03/2011
SPECIAL WARRANTY DEED 09/2010
WARRANTY DEED 12/1993
WARRANTY DEED 07/1987
Book
07659
07539
07598
02697
01881
Page
0477
0770
0670
1715
0477
Amount
25,000
5100
100
547,500
100
Vac/Imp
Improved
Improved
Improved
Improved
Improved
Qualified
No
No
No
Yes
No
Find Comparable Sales within this Subdivision
Land
Method Frontage
FRONT FOOT & DEPTH 60
Depth
127
Units
000
Unit Price
230.00
Land Value
S 12,972
Building Information
Year Built Base Living Adj Repl I
Description Total SFActual/Effective Fixtures Area SF Ext Wall Value Value
Appendages
http://scpafl.org/Parce]Details.aspx?PID=36-19-30-506-0000-0700 10/31/2013