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Home My WebLink About1165 W 16 St; 16-3431; RE-ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ae —3(13-/ Documented Construction Value: $ Z/ 2, OD, ob Job Address: Historic District: Yes No Z Parcel ID: -36-19-3p--3O0 —_?q(% tp000> Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: C' l u'4 _ D j/ Title: b(_Jj )-A G/` Phone: (-A0-7---T 7SFax: . Email:CS r .1. r, SW-7//5,, CoJti Property Owner Information Name (/ S Phone: H U7 - 3V - 2 17 _5 I/ //. 1/ b a* 1r r xa Resident Street: l v f l Clil r, pryry s51°flry-ty :i:t' iy 56't r5 y3 9%fi`. City, State Zip: 14'0 4 1 1 v1f'„tr -151 r ,p •i' ;ty e5 4:E,. 5q , Contractor Information ,y;ZJ w51'3:161P.ai1 dtn%: .li Name Phone: Street: Fax: City, State Zip: State License No.: Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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: 51" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 6 w 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. of s Date INARYW IfiYi NY1PFNotaryPOW • S1* Coffoisslon N FF Comm. E e Jrt-Y. caner/A ent 1s ersona 1 nown to Me or Produced ype of ID 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[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application t THIS INS M NT P * EPARtEBYtName• Address• NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: I'IAR'tt°ih'NE 11ORSEr SEI1INOLE COUNTY If-.ERK OF CIRCUITT C:OUR'T & C Oi FTROLLER BK JLJ J Ps 141.09 (IPs-)) CLERK' S x 2016134•64E RECORDED 12/2: /21-116 11:23:32 All RECORDTNG BEES $10.00 RECORDED BY hd,--2vor , The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address trillabl) tiiiAf Iki, nr GENERAL DESCRIPTION OF IMPROVEMENT: no DF OWNER 777 Address: Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTORy Name* Address: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: of In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from 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 COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13' FLORIDASTATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE *COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true t t b st of my knowledge and belief. cin Lei'.< s.Rp J4: S . YtlJtlta = dQ:` cam V x ZL Owners Signature owners Printed Name Florida Statute 713.13(1)(9): The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead' State of !N County of p 20 /.!. r—*... monrwas acknowledged before me this ay of Notary. Public • State of Florida Cori olseion 0 FF 192877 Idv Comm. Enoires Jan 26. 2011 4 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 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. 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 tag 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 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 1-850487-1395 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 (6J Lsi jb il-, S-- S ngQr& ELi at-77 I, (A LCLAV, 14.' C L". -5 , 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. of O4her-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 $1,000.00 fine in addition. to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 CSEAPPRAISER MINOLE COUNTY, FLORIDA Parcel: 3 6-19-30-300-033 D-0000 Owner: GUESS EDWARD REV LIV TRUSTFBO Address: PO BOX 404 SANFORD,FL 32772-0404 Situs: 1165 16TH ST SANFORD, FL 32771 Facility Code: Facility Name: 2017 Parcel Detail Sheet Notes: 1418-1095 2125-549-QD TD: S1-SANFORD Legal: SEC 36 TWP 19S RGE 30E DOR: 0802-MULTI FAMILY 2 UNITS FROM NW COR OF E 1/2 OF NW 1/4 OF CPI: 0.70 CAP:0.70 THE SW 1/4 OF THE NW 1/4 RUN 157 FT Market Area: 01 E S 93.27 FT TO POB RUN 5 101.19 FT NBHD Comm: E 107 FT N 101.19 FT W 107 FT TO El #: Pet #: POB Demo: z Exemp ionF Income Ind: Inc Ltr: Code Description „$ Gr`anted_rr Own Code: TR Own %: Assessment' Iriforma`tion Prior,Year: RE;Appralsed Addition Total 90• Land Ualue -. -44 15,267 15,2671 15,267 Extra Features ' 0 BuildingiYalue ;.,' 59,707 64,839 64,839 Cost/MarketJust Value 74,974 80,106 6.8 80,106 6.8 Income Just Value Correct`Assd%Admm`Value . ` Classified Value SOH Adjustment 0 0 0 Non-HX_Adjustment 0 0 0 ON d Adjustment; 0 0 0 Total Assessed value ' 74,974 80,1061 6.81 01 80,106 6.8 36-19-30-300-033D-0000 12/29/2016 9!34 AM Activity Code: P NAME DATE INSP joe 01/08/2013 BLDG eddieh 06/10/2009 LAND eddieh 04/10/2013 I EDD 1 04/10/2013 T,axableanfdrmat ion 4; ing ority Description Q-Millage Values Assessed'; , Exempt Taxable,° 00 11000COUNTY GENERAL FUND 48751 80,106 0 80,106 00 SCHL SCHOOL 75570 80,106 0 80,106 CITY SANFORD 73250 80,106 0 80,106 1200 SJWM 1 28851 80,106 0 80,106 9800 COUNTY BONDS 0 80,106 01 80,106 Land Information' _„ Code Land Rate Ag Rate` Area.. Frr f D/T Depth Class ValueE Adj Reasoriy Just -Value" AF 1 1741 1 1 1071 2 1 101 15,2671 11 1 15,267 Tota1" 15,26T 15,267 n; Sales Information Code; V Deed Description Date •• Book Page rAmount r; < V/I QC PCC-- SU CR CORRECTIVE DEED 06/01/2016 08705 1416 100 1 11 SU QD QUIT CLAIM DEED 02/01/2016 08637 0364 100 1 11 SU WD WARRANTY DEED 10/01/2003 05080 0789 100 1 00 SU QD QUITCLAIM DEED 05/01/1989 02111 0326 100 1 00 SU WD WARRANTY DEED 03/01/1984 01531 0956 12,0001 V 00 Page 1 of 2 mid Johnson. (--FA +, R®PEMY 2017 Parcel Detail Sheet 36-19-30-300-033D-0600 App"S 12/29/2016 9'34 AM MINOLE COUNTY, FLORIDA Parcel: 36-19-30-300-033 D-0000 Bldg No: 1 Bldg Type: 02-MULTI FAMILY < 10 UNITS Act Yr Bit: 1991 Eff Yr Bit: 1991 Cap Yr: 1991 Arch Mod: 1.1 NBHD Factor: .6 A eridagiei Seq`, Code Actual Adj,„ Year.; FLS 1 OFF 1 1861 561 19911 1 Base Area: 1,794 Adj SgFt: 1,850 Living Area: 1,794 Adj Rate: 39.16 Total Points: 1.00 Adj Points: 1.10 Base Rate: 55.00 RCN: 72,446 DEPR-RCN: 64,839 Ovd Code: Dep %: 89.50 Floors: 1 Fixtures: 6 Height: Rooms: Bedrooms: 3 Bathrooms: 2 Structural Elemerits Code h Descriptions x Points Ovd 0002 AVG FTG 6 0101 SLB AVG 6 0209 CB/STUCCO 31 0300 NONE 0 0402 GABLE/HIP 10 0503 COMP SHNGL 5 0631 FLOORING G 4 0707 DRY WALL 28 0808 CENTRALA/ 5 0903 AVERAGE 5 Bldg No: 1 Page No: 1 Sketcte by Apex. Wd rra I Page 2 of 2 f J ' CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /L — 3 4 7 I I, S hereby acknowledge that I personally inspected K Roof deck nailing and/or LCSecondary water barrier work at and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) t. I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. Signature of C ntractor Date C 'r &'_ 0 ,5,5 4 Ca,G_, 7 7 Printed Name of Contractor License # ' . License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF'm , Sworn to (or affirmed) and subscribed before me this 29 day of — , 20 J 7 by UP j g(/r l , who is Personally Known to me or has Produced (type of SEAL) ture of No&a Pu of Florida `. Print/Type/Stamp Name of Notary Public as identification. Jerome A. Sdwwr NOTARYPUSUC STATE OF FLOPJDA C=M# FF911W5 Exlres 8J11/t018