HomeMy WebLinkAbout2102 W 6 St - P17-003272 - REPIPE WHOLE HOUSECITY OF SANFORD
BUILDING & FIRE PREVENTIONi
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 66,
Job Address: Historic District: Yes] No.
Parcel ID: (j — J -- Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use. MoveEl Description
of Work: _ i i ` 1'0 h ( ( 'o -e Plan
Review Contact Person: Phone:
Lb-0-77,5_6 Fax: Title:
Property
Owner Information cy /
y NabarLofdoPhone: 'J b / / / 6 Street:
CD t 0 Resident of property? City,
State Zip: a Ur T7 i, Name
a Street:
do 1 c City,
State Zip: EJ Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Contractor
Information L
Phone: CA-
Fax: 1)
State License No.: Architect/
Erigineer 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: 51h Edition (2014) Florida Building Code Revised:
June 30, 2015 - Permit Application
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 ofpermit is verification that -I will notify the owner ofthe property of the requirements ofFlorida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy ofthe executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal.
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.
km I I-(7-17
Signature of Owner/Agent Date Signature of Contractor/Agent Date
I-e—, (_0 C) AC) "7_1
caner/Agent's Name . Print Contractor/Agent's Name
ignature ofNotary -State ofFlorida _ Date Signature ofNotary -State ofFlorida Date
o;r Pam'•., ANNETTE BLAND
ri =_ Notary Public State of Florida
Commission # GG 060623
My Comm. Expires Jan 16, 2018
Owner grrtt s`'' Per or Contractor/Agent is Personally Known to Me or
Produe ype of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas RoofEl
Construction Type:
Total Sq Ft of -Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes Q No
WASTE WATER:
BUILDING:.
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 35-19-30-509-0000-0250 Page 1 of 2
Property Record Card
David Johnson, CFA Parcel: 35-19-30-509-0000-0250
PAWMR Owner: GORDON, BARBARA A
SEMPJOLI CalJIY, {x Ft%lA Property Address: 2102 W 16TH ST SANFORD, FL 32771-3115
Parcel Information Value Summary
Parcel
Owner
35-19-30-509-0000-0250
GORDON, BARBARA A
Property Address 2102 W 16TH ST SANFORD, FL 32771-3115
Mailing PO BOX 2546 SANFORD, FL 32772-2546
Subdivision Name CATES ADD
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
Legal Description
LOTS 25 & 26
CATES ADD
PB3PG64
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1 -
Depreciated Bldg Value 24,376 --1 22,988
Depreciated EXFT Value
Land Value (Market) 20,010 20 010
Land Value Ag
Just/Market Value "' 44,386 1$42,998
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 565
Ad-_-___jP&G
Assessed Value 44,386 42,433
Tax Amount without SOH: $811.70
2017 Tax Bill Amount $811.70
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority I Assessment Value I Exempt Values I Taxable Value
County General Fund $44,386 . $0 $44,386
Schools I $44,386 $0 $44,386
City Sanford $44,386 $0 $44,386
SJWM(Saint Johns Water Management) $44,386 $0 $44,386i.. _...., _ _ ____... _ _-____ -
County Bonds , $44,386 $0 $44,386
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 7/1/2017 08957 1994 100 t No Improved
QUIT CLAIM DEED 1/1/2014 08201 0202 10 000 No Improved
QUIT CLAIM DEED 12I1I2009 07309 0512
i
12 400 No Improved
WARRANTY DEED T2/1/2009 j 07127 11793 100 i No Improved
QUIT CLAIM DEED 19/1/2005 106060 1050 12,300 No Improved
WARRANTY DEED 1-/1/1985 01633
241
1113 28 000 [Yes Improved
WARRANTY DEED 8/1/1979- 1011446500YesImproved
Find Comparable Sales
Land —--_--
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 115.00 142.00 0 , $174.00 $20,010
Building Information
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=35193050900000250 11/7/2017
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, 1 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 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
p
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 1
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
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 1-850-487-1395 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 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
1, aG ` Q rq a lC) (_G l4 , 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.
ate
Form of Identification
Must be Photo ID)
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
I
Parcel View: 35-19-30-509-0000-0250 Page 1 of 2
I11 1
03014 p . Cf#
Parcel Information
Property Record Card
Parcel: 35-19-30-509-0000-0250
Owner: GORDON, BARBARA A
Property Address: 2102 W 16TH ST SANFORD, FL 32771-3115
Parcel?35-19-30-509-0000-0250
Owner GORDON, BARBARA A
Property Address 12102 W 16TH ST SANFORD, FL 32771-3115
Mailing PO BOX 2546 SANFORD, FL 32772-2546
Subdivision Name CATES ADD
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions I
Value Summary
72018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Numberof Buildings 1
m_ 1
Depreciated Bldg Value $24 376 22 922,988
Depreciated EXFT Value
Land Value (Market) $20,010 20,010
Land Value Ag
Just/Market Value *' _ $44,386 42,998
Portability Adj
Save Our Homes Ad/ $0 1 $0
Amendment 1 Ad/
e
i $0 565
P&G Adj $0
Assessed Value $44,386 L,j$42,433
Tax Amount without SOH: 811.70
2017 Tax Bill Amount 811.70
Tax Estimator
Save Our Homes Savings: 0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOTS 25 & 26
CATES ADD
LPB 3 PG 64
Taxes
Taxing Authority _ Assessment Value Exempt Values Taxable Value
County General Fund $44,386 = $0 ; $44,386 }}
Schools $44,386 $0 $44,386
I City Sanfordi $44,386 ? $0 t $44,386 SJWM(
Saint Johns Water Management) $44,386 $0 $44,386 County
Bonds $44,386 $0 , $44,386 Sales
Description
Date ® V ^
Book
P ageAmount Qualified Vac/Imp QUIT
CLAIM DEED 7/1/2017 08957 1994 $100 , No i Improved QUIT
CLAIM DEED 1/1/2014 08201 02._02. $10 000 C No_ W.._ Improved
QUIT
CLAIM DEED 12/1/2009 07309 0512 $12 400 No Improved] WARRANTY
DEED 07 2/1/2009 127 1793 $100 No Improved QUIT
CLAIM DEED 1 9/1/2005 [06060 1050 $12 300 No Improved WARRANTY
DEED 1/1/1985 01633 1113 $28 000 Yes Improved RAN1WARRANTY
DEED 8/1/1979101241 € 1144 i $6 500 I Yes 1 Improved_ 1nd Comparable
Sales i Land
i
Method Frontage
v Depth
Unds
Unds Price Land Value_U__FRONTFOOT &
DEPTH 115.00 [ 142.00 I 0 ; $174.00 1 Building
Information
I http://parceldetail.
sepafl.org/ParcelDetailInfo.aspx?PID=35193050906000250 11/7/2017