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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 L Page 1 of 2 jPR tt'" PPi BSER 51h'C)1.! collt n"/, Ft.oftiD.ti Back I I < Previous Parcel I I Next Parcel > 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 Save Layout I I Reset Layout I I New Search i I I 13 Uj 81 H ST61. i Lu to i G a i I r 4J t I ar I tit W 19TH .ST -- - _ Map Aerial Both Footprint + - Extents LE -interCeer Larger Map Advanced Map Dual Map View - External 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