HomeMy WebLinkAbout109 Hays Dr 04-318 Roof1 CITY OF SANFORD PERMIT APPLICATION
Permit # :
u`
Date:
Job Address: t G
Description of Work:
Historic District: Zoning: Value of Work: LiLfL_
Permit Type: Building Electrical Mechanical —)/— Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential _/_ Non -Residential Replacement %/ New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # o/ f Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential V Commercial Industrial ` Total Square Footage: 0l
Construction Type # of Stories: —f— # of Dwelling Units: J— Flood Zone:,/_ (FEMA form required for other than X)
Parcel #: >7i — 3 ;Q Q 1 \ 'v (Attach Proof of Ownership & Legal Description)
Owners Name &Address:
1 "
1 1
Phone: 3
Contractor Name & Address:
State License Number:
Phone & Fax: Contact Person: Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
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.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 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's ve •fication that I will ne ' the owner of the property of the requirements of Florida Lien Law, FS 713.
N C o ., t M
Signature of wner gent ` Date Signature of Contractor/Agent Date
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o C) o o P Own gent' ame Print Contractor/Agent's Name
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UW @ ary-State of Florida at Signature of Notary -State of Florida Date
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o= Owner/Agent is ersonally Kn wn to Me or Contractor/Agent is _ Personally Known to Me or
oN • *.SSP Produced ID Q — _ Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
nitial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
J 74I'S/1fs*^rr•rl l
CITY OF SANFORD BUILDING DIVISIO
OWNER/BUILDER AFFIDAVIT
yl.f lHl nS CONSTRUCTION
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You 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 your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, A. ,q , do hereby state that I am qualified and capable of performing the
requested construction involved wit e permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
QsS_63
Owner/Builder Signature Date M o
GN AgNs
Print
Owner/Builder Name o q rA •—
c o cn
y n O Signature
of Notary -State of Florida Date Owner
is Personally Known to Me or h Produced
1D "W -]E-,5 S-3
Seminole County Property Appraiser Get Inforrwitionty Parcel Number Page 1 of I
PARCEL DETAIL t < Back C boo
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NcmintJr County
Aro rrlyal ptro+ur r'
cJ en•rel 1
11111 V. Ikn'tii \I.
an1. rtl 1- 1. 3277 1
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2004 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 35-19-30-520-0100-0040 Tax District: S1-SANFORD
Depreciated Bldg Value: $36,594
Owner: ROY RICHARD W Exemptions: 00-HOMESTEAD
Value: $0
Address: 109 HAYS DR
Depreciated EXFT
Land Value (Market): $10,0
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $00
Property Address: 109 HAYS DR SANFORD 32771 Just/Market Value: $46,594
Subdivision Name: COUNTRY CLUB MANOR UNIT 1
Assessed Value (SOH): $39,613
Dor: 01-SINGLE FAMILY
Exempt Value: $25,000
Taxable Value: $14,613
SALES
2003 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
WARRANTY DEED 12/1986 01805 1347 $41,500 Improved
2003 Tax Bill Amount: $286
WARRANTY DEED 02/1982 01378 1197 $19,000 Improved
2003 Taxable Value: $13,685
WARRANTY DEED 08/1978 01185 0554 $20,000 Improved
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 4 BLK I COUNTRY CLUB MANOR UNIT 1
LOT 0 0 1.000 10,000.00 $10,000 PB 11 PG 35
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1958 3 1,200 720 CONC BLOCK $36.594 $49,452
Appendage / Sgft OPEN PORCH UNFINISHED / 95
Appendage / Sgft ENCLOSED PORCH UNFINISHED / 330
Appendage / Sgft UTILITY UNFINISHED / 55
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
If you recently purchased a homesteaded property our next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/pls/web/re_web.seminole_county_title?parcel=3519305200I00O04(... 11 /10/2003