HomeMy WebLinkAbout618 S ParkRECEIVED
CITY OF SANFORPOCT262010BUILDING &' FIRE PREVENTION '
PERMIT APPLICATION
Application No:
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Documented Construction Value: $ 2
Job Address: Historic District: Yes No
Parcel ID: (9' 1q— ®' SA —Q Uq_uCp
DescriptionofWork: 3 SbM
Plan Review Contact Person: eX
Phone: Lfo..-1. ` Fax:
Propert wner Inform
Name CJS ava, LTGt v
Street: IQ tbl C
City, State Zip.:N
Name
Street:
City, State Zip:
Zoning:
Titley
E-mail': N .
ation
Phone:. X '',,
AA07 g0s) `9 ^^ (
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Resident. of property? : q_
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information,
Name: Phone:
Street: Fax:
City, St, Zip: E-mail•
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New Service`— No. of AMPS:
Mechanical 13, (Duct layout required for new systems)
No of Stories:
Plumbing `
New Construction - No.° of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, r 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 of the 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.
2WYV>-TAA, )'o a 0
Sigi at e of Owner/Agent —
3Date
ey &IM 1 A %m DN To N
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is
Produced ID
APPROVALS:
COMMENTS:
Rev 11.08
r
10 UTILITIES:
W0Illld1,11 W5 %
ENGINEERING:
Signature of Contracto t 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:
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OWNER BUILDER STATEME T/AF IDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood,;Oviedo, Sanford,
Seminole -county, Winter Springs
Florida Statutes 'ate 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)
Rev. 9.14.2009
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 I, as the owner of
the I'do not have: apropertylisted, may .act as my own contractor with certain restrictions even though
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.
1•)
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"Pqrmit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
D 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 sal- or
Tease. 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 unlicensedindividual 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
financial for anyandmaterials. I, as an owner -builder, may be held liable and subjected to serious risk
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 toa 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 Addre
I, KITU-, )/- , do hereby state that I am qualified
and ca le of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
SigEalure of Owner -Builder Date
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 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
i 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 Addre
I, KITU-, )/- , do hereby state that I am qualified
and ca le of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
SigEalure of Owner -Builder Date
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
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APPLICATION FORA kCERTIFICATE OF APPROPRIAMTENE11 SSN" j 1 a E : n h x 5„Hk.' ` „Cf,'a r"`f i a ' £ ,
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Seminole County Property Appraiser Get Information by Parcel Number
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Page 1 of 1
http://www.scpafl.org/web/re web.seminole_county_title?parcel'2519305AGO8040O4O... 10/26/2010
t
DAVID Jomns m, A. ASA
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5LE' U FL. 10-
9..'W 7TH ST m E.7TH ST
r°'+ 11 E FIRST ST01
SANFORO, FL3277t-146.8
407-6=7506 1
014 s
809031r
VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL
Value Method Cost/Market Cost/Market
Parcel Id: 25-19-30-5AG-0804-0040
Number of Buildings 1 1
Owner: EMENS TACY &
Depreciated Bldg Value $42,043 42,807Own/Addr: SIMONTON CYNTHIA
Depreciated EXFT Value $0 0MailingAddress: PO BOX 263
Land Value (Market) $28,700 28,700City,State,ZipCode: GENEVA FL 32732
Land Value'Ag $0 6PropertyAddress: 618 PARK AVE SANFORD 32771
Just/Market Value $70,743 71,507SubdivisionName: SANFORD TOWN OF
Tax District: S1-SANFORD Portablity Adj $0 0
Save Our Homes Adj $0 0Exemptions:
Dor: 0102 -SINGLE FAMILY - SANF Amendment 1 Adj 1 $01$0
Assessed Value(SOH) $70,7431 71,507
Tax Estimator,
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 70,743. $0 70,743
Amendment 1,adjustment'is not applicable to school assessment) Schools ' 70,743 $0 70,743
City Sanford 70,743 ,. , $0 70,743
SJWM(Saint Johns Water Management) 70,743 $0 70,743
County Bonds 70,743 $0 70,743
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
SPECIAL WARRANTY DEED 04/2010 07375 0252 $71,000 Improved No
2010 VALUE SUMMARY
CERTIFICATE OF TITLE 02/2010 07334 0175 $100 Improved No
2010 Tax Bill Amount: 1,436
WARRANTY DEED 09/1989 02102 2027 $48,000 Improved No
2010 Certified Taxable Value and Taxes
WARRANTY DEED 10/1988 02013 0672 $100 Improved. No
DOES NOT INCLUDE NOM=AD VALOREM ASSESSMENTS
WARRANTY DEED 0111977 01151 0483 $43,000 Improved Yes
WARRANTY DEED 01/1974 01010 0949 $24,900 Improved Yes
Find Comparable Sales within this Subdivision
LEGAL DESCRIPTION
LAND
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS Pick...
FRONT FOOT & DEPTH 82 117 .000 350.00` $28,700 LEG S 1/2 OF LOT 4 +ALL LOT 5 BLK 8 TR4 TOWN OF
SANFORD PB 1 PG 59
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value
Est. Cost
New
Building
1 SINGLE FAMILY 1906 12 1,369Sketch
4,734 3,064 SIDING AVG $42,043 61,153
Appendage I Sqft BASE SEMI FINISHED / 252
Appendage I Sqft OPEN PORCH FINISHED / 500
Appendage F Sqft UPPER STORY FINISHED / 1263
Appendage I Sqft ENCLOSED PORCH FINISHED / 180
Appendage I Sqft OPEN PORCH FINISHED / 36
Appendage I Sqft CARPORT UNFINISHED / 1134
NOTE: Appendage Codes included in Living Area. 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 ad valorem tax purposes.
If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/web/re web.seminole_county_title?parcel'2519305AGO8040O4O... 10/26/2010