HomeMy WebLinkAbout1600 W 17 St 04-212 ElectricalCITY OF SANFORD PERMIT APPLICATION
Permit # : d A ' Z I Z Date:
Job Address:
1
Description of Work:
Historic District: Zoning: Value of Work: $
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: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
mlr,-r It" o0
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Contact Person:
Attach Proof of Ownership & Legal Description)
Phone: fy / State
License Number: Phone:
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 pe it is verification t I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 711)
Signature
of O ner t ate Signature ofContractor/Agent Date o9
Print
Owner/ gent's` Name \ 3
Print
Contractor/Agent's Name S'
att2r —of'N qState-.f-_Flo _ _ Date Signature of Notary -State of Florida Date 1
V`
40
AV4lvr. 10r,,N;CN-- MY
C,()[V` ;SS;CN # CC 921808 Owner/
Agent is Pe orally own to Nfe orF P
oduced ID _LT-52-5. X APPLICATION
APPROVED BY: Bldg: Y Zoning: Initial
8 ate) (Initial & Date) Special
Conditions: Contractor/
Agent is _ Personally Known to Me or Produced
ID Utilities:
FD: Initial &
Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may. install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within 1 year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. 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.
do hereby state that I am qualified and capable of performing the
requested co structton involved with the permit application filed.
I will assume full responsibility as an ONvner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
OwnerBuild r Sign tore Date
he v_ jD `lyf
Print Owne Builder Name
Unatttre of Notary=Sty of Florida,` Dat1808es
Owner is 4 Person tysz5Known_toMe or,lias-
Produced ID — 0e— - • C49'C,00% 0
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
11
PARCELtDETAIL 111111 W W.11 a 10 OLI I 4 Back D i
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2004 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 35-19-30-513-0100-0170 Tax District: S1-SANFORD Number of Buildings: 1
Owner: JOHNSON BETTY & Exemptions: Depreciated Bldg Value: $14,114
Own/Addr: HAMPTON ZED Depreciated EXFT Value: $0
Address: 126 E MILL RUN Land Value (Market): $4,234
City,State,ZipCode: BRADENTON FL 34202 Land Value Ag: $0
Property Address: 1600 17TH ST W SANFORD 32771 Just/Market Value: $18,348
Subdivision Name: PINE LEVEL Assessed Value (SOH): $18,348
Dor: 01-SINGLE FAMILY Exempt Value: $0
Taxable Value: S18,348
SALES
Deed Date Book Page Amount Vac/Imp
SPECIAL WARRANTY DEED 01/2002 04318 0981 $11,500 Improved
CERTIFICATE OF TITLE 06/2001 04101 0350 $100 Improved
QUIT CLAIM DEED 06/2000 03863 1099 $100 Improved
CORRECTIVE DEED 06/2000 03863 1098 $100 Improved
CORRECTIVE DEED 06/2000 03863 1097 $100 Improved
CORRECTIVE DEED 06/2000 03863 1096 $100 Improved 2003 VALUE SUMMARY
CORRECTIVE DEED 06/2000 03863 1095 $100 Improved 2003 Tax Bill Amount: $390
WARRANTY DEED 11/1997 03328 0243 $100 Improved 2003 Taxable Value: $18,684
WARRANTY DEED 11/1997 03328 0241 $100 Improved
WARRANTY DEED 11/1997 03328 0239 $100 Improved
WARRANTY DEED 11/1997 03328 0237 $100 Improved
WARRANTY DEED 11/1997 03328 0235 $100 Improved
QUIT CLAIM DEED 01/1990 02146 1685 $100 Improved
QUIT CLAIM DEED 01/1977 01144 1603 $100 Improved
Find Comparable Sales within this Subdivision
LAND
Land Assess Method Frontage Depth
Land Unit Land
Units Price Value
LEGAL DESCRIPTION PLAT
LEG LOT 17 BLK 1 PINE LEVEL PB 6 PG 36
FRONT FOOT &
49 133 .000 90.00 $4,234
DEPTH
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1940 3 1,080 933 SIDING AVG $14,114 $26,884
Appendage / Sgft ENCLOSED PORCH FINISHED / 84
Appendage / Sgft ENCLOSED PORCH UNFINISHED / 63
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 properly your next ear's property tax will be based on Just/Market value.
http://www. scpafl.org/pls/web/re_web. seminole_county_tltle?parcel=35193051301000171... 10/27/2003