HomeMy WebLinkAbout1534 Douglas Ave 17-75; FENCEECEIVE CITY OF SANFORD
JAN 0 1 2017 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I,
Documented Construction Value: $ ,
odd Address: QC)10L J Historic District: Yes F-1 No El
Parcel ID: (
1/ Residential El Commercial El
Type of Work: New El Addition El Alteration R Repair El Demo El Change of Use 1:1 Move El
oJWscription of Work: - Wood
P X 9 ;7-e 4,4 4 4
Plan Review Contact Person:
Phone: ax:
Name e-ouque
Street: [)o0ov-1 'ni
City, State Zip: 2)(1 nCC1d , Ficridu 132-333
1
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Title -
Email: Ll
Property Owner Information
Phone:Dl 6:1-1 16-AR
Resident of property? :
Contractor Information
Phone:
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: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there"ma be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additilal 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 issue,Jn
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.
4
ign a,ure orowter/A gq't - ( Date0
PriqOwncr/Agent's Name
SignatL;re o(Notary-State of Flo'rTda Date
T, "ITT
t4 of FloridaDa
16.2018
0 U) W'S S 1, Aj17$0 Owne
boo - e
or Produced
ID Type of ID Signature
ofContractor/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[] Mechanicaln PlumbingF] Gas[] Roof [] Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: YesEl NoR # of Heads APPROVALS: ZONING: -
a UTILITIES:
ENGINEERING: COYNXII-
1c,
FIRE: Flood
Zone:
of Stories:
Plumbing - # of
Fixtures Fire Alarm
Permit: YesFJ NoF] WASTE WATER:
BUILDING: 1__
1_
1_-___11 .... .......... .. As shown
on plan, 0k, to install Priva y ft,,?nc,(,, f"enci-, bte construc:ted with finished side facing outward, Revised: June
30, 2015 Permit Application
t agrea 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.inyflorida.com/dbpr/pr-o/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.
pteperty Address: 15311
Inj
and capable of performin
conditions specified above.
ature of Owner -Builder
I
f) Ole 4 , do hereby state that I am qualified
the requested construction involved with the permit application filed and agree to the
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 I 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)
0^
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 1, 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
Lresponsible 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 I 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.
V 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
PROPERTY DE55CRIPTION: LOTS 11 and 12 BLOCK G, MAP OF BUENA VISTA ESTATES, ACCORDING TO THE PLAT THEREOF
AS RECORDED IN PLAT BOOK 3, PAGES 1 and 2, OF THE PUBLIC RECORDS OF
SEMINOLE COUNTY, FLORIDA,
AND A PARCEL OF VACATQ 50,0 FOOT WIDE RIGHT—OF—WAY LOCATED IN SANFORD, FLORIDA, MORE PARTICULARLY
DECRIBED AS FOLLOWS:
BEGIN AT THE POINT OF INTERSECTION OF THE EAST LINE OF LOT 11, BLOCK G, BUENA VISTA ESTATES, ACCORDING TO
THE PLAT THEREOF AS RECORDED IN PLAT BOOK 3, PAGES 1 and 2, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY,
FLORIDA, EXTENDED, ANDSAID VACATED RIGHT—OF—WAY; THENCE EXTEND WESTERLY 150 FEET TO THE INTERSECTION OF
THE WEST LINE OF SAID LOT 11 EXTENDED, TOGETHER WITH THE WESTERLY 1/2 OF DOUGLAS STREET ADJOINING SAID
PARCEL OF LAND.
LOT 8 I
BLOCK "G°
I
1NO
J
I R. t 411rNO 110
y^tti
LOT 12
LT 9 I BLOCK "G"
BLOCK "G" I,
YI
Q
ITI
LOT 10
BLOCK "G" W
0
I -
VACATED
50' R/W
0 2'--I-
FOUND2' I.R.
NO I.O.
As shown on plarl, 0k, to install PrivacY
Inc • Fence shah be constructed with
finished side facifig outward.
LOT 13
BLOCK "G"
N89'44'02"W 150.0'(P) 150.23'(M)
1 24.4' IN t
PiZYA
GONG
28.3 -
8.8'
zo
coy
CONI16t
r
SINGLE FAMILY
RESIDENCE
coPATIO(1534
O
1ti--._—_,__--__----_/._.--._ 1 _ —II II
LOT 11
I BLOCK "G"
R
tit
k?
VACATED 50' R/W
aal
ti
l
1y
A/C - AIR CONDITIONER
J r/'' j, j j'} @@ -
CALCULATED
BEARING .L.zl. L7'Li 1 .D.
CBW CONCRETE BLOCK WALL
C.M. = CONCRETE MONUMENT
CONC. = CONCRETE
COV, = COVERED
j = ASPHALTmm - BRICK
CONCRETE PAVERSH=
Il--•---. n LINE BREAK
CENTERLINE
RIGHT--OF-WAY LINE
BUILDING SETBACK LINE
a. PVC -VINYL FENCE/VF
WOOD FENCE/WF
O—o—O—O—o--o-4— CHAIN LINK FENCE/CLF
OHU -"-- OHU —•-- OVERHEAD UTILITY LINES
FL00D ZQNE INEORMC I&L
MAP NUMBER: 1 117 Q7QE„_
DATE: Qa/zuQ.Z
ZONE.: y,
GER TIEIED_ TQ,
NELSON E. GONZALEZ
N89.50'53"W 175.0'(D) 174.50' (M)
7U) A AVE.
0' R/W
2" LP
NO I.O.
0ca a 1
o CJ6
Qo
2 O
I
I
I"o"o I
AXLE
DHu 1—
i
COD \\
N8\\9`
25.(
FOUND
15/8" LR-
I NO I.D.
I
I
VACATED
50' R/W
I
I
i
I
I
I 0.3
f C1 p.—p.
D DESCRIBED
d/b/o - DOING BUSINESS AS PRM = PERMANENT REFERENCE MONUMENT
O.E. - DRAINAGE EASEMENT PSM PROFESSIONAL SURVEYOR & MAPPER
FOR EDGE OF PAVEMENT R/W RIGHT OF WAY
F = FIELD S/W = SIDEWALK
I.P. = IDENTIFICATION TBD TO BE DETERMINED
LR. = IRON ROD TYR) TYPICAL
I,P. - IRON PIPE
U.E. = UTILITY EASEMENTLSLANDSURVEYOR
WM = WATER METER
LB - LAND SURVEYING BUSINESS WPM = WOOD POWER POLE
M = MEASURED
OR
P + - PLAT
OFFICIAL RECORDS BOUNDARY SURVEY
c = UTILITY POLE
SET 1/2" I.R, & CAP LB #7020
FOUNO PROPERTY CORNER
0 FOUND CONCRETE MONUMENT
0 WELL (A 0 - UTILITY RISER
GAS METER LIGHT POLE
GUYWIRE
FIRE HYDRANT (= WATER METER
ADDRESS:
1534 DOUGLAS ST.
SANFORD, FLORIDA 32771
Bradley Cox & Associates
Land Surveying
NV.) W. 40LI[I31,17CCL
Sanford, Florida 32771 1_QPhone (407) 323-9202
Fax (407) 324-9661
W W W.BRADLEYCOXSURVEYING.COM
JOB # BCA19659
DRAWN -BY: BC
CHECKED BY: BC
FIELD BY: JB --
FIELD DATE:) 12 /2 7
REVISIONS: -
I.R.
FOVNU -
rt
2' toR-
NO I.D.
N
W E
1' 30'
GRAPHIC SCALE
NQTE5,
1: THIS SURVEY IS BASED ON THE LEGAL DESCRIPTION AS
PROVIDED BY THE CLIENT.
2: THIS SURVEYOR HAS NOT ABSTRACTED THE LAND
SHOWN HEREON FOR EASEMENTS, RIGHTS OF WAY OR
RESTRICTIONS OF RECORD WHICH MAY AFFECT THE TITLE
OR USE OF THE LAND.
3: DO NOT RECONSTRUCT PROPERTY LINES FROM INTERIOR
IMPROVEMENTS, (BUILDINGS, FENCES ETC...)
4: NO FOOTINGS OR OVERHANGS HAVE BEEN LOCATED
EXCEPT AS SHOWN,
5: NO UNDERGROUND IMPROVEMENTS OR UTILITIES HAVE
BEEN LOCATED EXCEPT AS SHOWN,
6. NO WETLANDS AND/OR OTHER NATURAL FEATURES
HAVE BEEN LOCATED EXCEPT AS SHOWN,
7. THIS SURVEY SHALL NOT BE USED FOR DESIGN OR
CONSTRUCTION WITH OUT PRIOR WRITTEN AUTHORIZATION
FROM THE SIGNING SURVEYOR.
8: THIS SURVEY IS NOT VALID WITHOUT THE SIGNATURE
AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
I HEREBY CERTIFY THAT THE SURVEY OF THE HEREON DESCRIBED
6 '= PROPERTY WAS PREPARED UNDER MY DIRECT SUPERVISION AND
MEETS THE STANDARDS OF PRACTICE SET FORTH BY THE FLORIDA
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER
5J-17, FLORIDA ADMINISTRATIVE CODE. PURSUANT TO CHAPTER 472.
FLORIDA STATUTES,
AD&Y G. WX, PSM #556
CE OF AUTHORIZATION LB
12/29/16
U
SCPA Parcel View: 31-19-31-501-OGOO-01 10 Page I of 2
P-r-oppay
A
Property Address k4
Parcel Information Value Summary
Parcel 31-19-31-501-OGOO-01 10 2017 Working 2016 Certified
Values Values
Owner GONZALEZ NELSON E
Valuation Method Cost/Market Cost/Market
Property Address 1534 DOUGLAS ST SANFORD, FL 32771
Number of Buildings 1 1
Mailing 12222 GROVEVIEW WAY SANFORD, FL 32773-
Depreciated Bldg Value 38,387 40,916
Subdivision Name
Depreciated EXFT Value
Tax District SI-SANFORD
Land Value (Market) 23,613 23,613
DOR Use Code 01-SINGLE FAMILY
Land Value Ag
Exemptions
v 62,000 64,529
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 62,000 64,529
Tax Amount without SOH: 1,294.00
1,294.00
Save Our Homes Savings: 0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOTS 11 & 12 BLK G & VACO RR
ADJ ON S
BUENA VISTA ESTATES
P83PG2
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 62,000 0 62,000
Schools 62,000 0 62,000
City Sanford 62,000 0 62,000
SJWM(Saint Johns Water Management) 62,000 0 62,000
County Bonds 62,000 0 62,000
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 11/1/2016 0o(' 50"' $68,000 Yes Improved WARRANTY
DEED 3/112012 01; '46 1 $10,000 No Improved SPECIAL
WARRANTY DEED 8/1112009 D 9,000 No Improved QUIT
CLAIM DEED 5/1/2009 100 No Improved QUIT
CLAIM DEED 5/11/2004 100 No Improved QUIT
CLAIM DEED 1/11/2004 66 100 No Improved SPECIAL
WARRANTY DEED 8/1/2003 1-) 9 1 Iv, $100 No Improved CORRECTIVE
DEED 7/1/2003 04 CQ,5 j"I $100 No Improved CERTIFICATE
OF TITLE 7/1/2003 3 100 No Improved WARRANTY
DEED 9/11/2002 Jll"„3 88.000 Yes Improved Page
I of 2 (20 items) Ell 2 Find
Comlaarata#e Sates http://
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=3119315010GO001 10 1/3/2017