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HomeMy WebLinkAbout1500 W 15 StRECEIVED L 7 2010 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: — Documented Construction Value: S d7 o) J mob Address: 6 U ;,-v = - J7 r e, f Historic District: Yes No Parcel ID: n description of Work: Li f d-e Plan Review Contact Person: Zoning: Fi-r c-4r ; Title: Phone: Fax: E-mail: P?ro—periy Owner-Iftfo #tea f ju )g t» Name I'Z /Ll •t k, iZ-lz Phone: Street: .1,-r-. G b " l"' < e Resident of property? City, State Zip: El dXU r 1 / /% -TZ IV Contractor Information Name Phone: Street: City, State Zip: _ Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.:. Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical` New Service — No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing A10 New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no t 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. 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. 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 ofthe requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature ofOwner/Agent Date Print Owner/Agent's Name lk& _ /6 . 6) 1 /0 ignature of Notary -State of Florida Date 0v cu .I)EBI3IE DD629096 2° O,AMISsIONiAYC 15 2011E :IRFS. FebruatY - ' oc. C. Owner/A`ge FL NotvY 'scount_ eoy/ ally Known to Me or Produced ID Type of ID 1::L Ptr APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: R 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 WASTE WATER: BUILDING: LRev 11.08 1 OWNER, BUILDERSTATEMENT/AFFIDAVIT A tarnonte Springs, Casselberry, Lake Mary, Longwood, Oviedo,,Sanfoed, Ser ,inole.Coun y, 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 BUILDINGDIVISION TO SIGN THIS DOCUMENT. BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the /eft of eachstatement) 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 specifes.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. is Iunderstand, that building permits ,are not required to be signed by;a property; owner unheless she responsiblefor the construction and- is not hiring a licensed contractor to assume responsibility: I understand . that, as an owner -builder, l am the responsible party of record on a permit. I understand that I ma .m from potent risk by hiring a licensed contractor and having the permit filed stead of malown nil hisoherriamefyme. I also understand that a contractor is required by law to be l : 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 forsale, or lease. If a buildingor residence that I.have built or substantially improved myself is sold or,leased within in l 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._ r 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 bylaw and by city ordinance. 1 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 -an y injuriessustained by an unlicensed person or hi`s'orher employees'whil'e workingon my property. My homeowner's ' insurance'may not provide coverage for those,injuries. 1. am willfully.acting as an owner - builder and am aware of the limits of my insurance coverage forinjuries.to. workers on my property. Iunderstand _that I may not delegate the responsibility for supervising work to a licensed contractor who is riot licensed'to perform the work being done. Any person working on my building who Is not icensed must work under ` my direct supervision and must be employed 6y me, which means that, 'I. must comply with laws requiring the withholding of federal income tax and social security contributions the Federal Insurance Contributions Act (FICA) 'and. must provide workers' compensation under for theemployee. 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 ConstructionIndustryLicensing 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. P. _ roerty Address. %/' /i f J l t 7 / CST gan t / ' r. . . , ! `t % 1 Z do hereb state that I am qualified yqcapable of performing the requested construction involved with the permit application filed and agree to the F conditions s ecified above. ature of Owner -Builder Date Form of Identification Must be Photo,ID) i 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 r 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 requireslicensure under the permit issued. Rev.9. 14.2009 e Seminole County Property Appraiser Get lnformation=by Parcel Number Page 1 of.1 DAVIDJQH'PspRp CFA,ASAa -+, pp ggipp 9 8 ,7 B 5 4 3 2 •1 d2, d12 ?i rJ Efi 43 7' 14 A, d4RY APO' SElwIINOLECAUlYTY w SAki'.O FL 327?i-74G6 4q7 6E5W d IOERTYW21 i? iS 1d 13 12. 11 10 4f, dE 48 d7 u L16 79 78 T. 19 VALUE SUMMARY VALUES 2010 Working 2009 Certified Value Method, Cost/Market Cost/MarketGENERAL Number of Buildings 1 1ParcelId: 35-19-30-506-0000-0220 Depreciated Bldg Value 16,898 18,679Owner: LAMARR IRENE Depreciated EXFT Value 0 s0Mailing. Address: 1500 W 15TH ST Land Value_(Market) 11,334 14,784City;State,ZipCode: SANFORD FL 32771 Land .Value Ag 0 0PropertyAddress: 1500 15TH ST W SANFORD 32771 Just/MarketValue 28,232 33;463SubdivisionName:, BOYKIN PLACE . Portablity`Adj 0 0TaxDistrict: S1-SANFORD Save.Our Homes Adj 0 0Exemptions: 00-HOMESTEAD (2008) Don. 01-SINGLE FAMILY Amendment 1 Adj 0 0 Assessed Value;(SOH) 28,232 33,463 Tax Estimator 2010 Notice of Proposed Property Tax 2010-TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment; Value Exempt Values Taxable Value County GenerafFund, 28,232 28,232 0 Amendment 1 adjustment is not applicable to school assessment), Schools 28,232 26 000 3,232 City Sanford 28,232 25,000 3,232 SJWM(Saint Johns Water Management) 28,232 25,000 3 232 County Bonds 28,Ml 25,000 3,232 The taxable -values and taxes are calculated using the current years,working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified 2009 VALUE SUMMARY QUIT CLAIM DEED 03/2007 06610 1037 $100 Improved No 2009 Tax Bill Amount: 124 QUIT CLAIM DEED 02/1993 02562 0211 $100 Improved. No 2009 Certified Taxable Value and Taxes ADMINISTRATIVE DEED 08/1985 01666 0786 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision , LAND LEGAL' DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:1Pick FRONT° FOOT-&DEPTH 56 113 000 230.00 $11„334, LEG LOT.,22 BOYKIN PLACE PB 7 PG 20 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext•Wall Bid Value Est. Cost New - Building Sketch 1 SINGLE FAMILY 1952 3 800 882 tc800 EW CONCRETE BLOCK' $16,898 28,164 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 66 Appendage I Sgft OPEN PORCH FINISHED / 16 NOTE:. Appendage Codes included in LivingArea: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished Base Semi Finshed Permits. NOTE; Assessed values shown are NOT certified values and therefore are subject to change before being finalized for advalorem tax purposes. if you recently purchased a homesteaded, property our next ear's property tax will be based on JusWarket value. http; 7/wwWacpafl.org/web/re web.serninole_county_title?parcel=35193'050600000220&c... 10/7/2010 BID MEM10 T$a' EXCL.USIONSANDIQUALIFICATIONS F1'y K' yRt az.e k D8120 BID MEMO damn MADE IN USA