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Home My WebLink About126 Country Club Dr1' C7J Jr oi1 CITY OF SANFORD UILDING & FIRE PREVENTION PERMIT APPLICATION Application No: \ . t Q'2-S Documented Construction Value: $ Job Address: 19 o C-Ex xtNA-fla ( k a Historic District: Yes NoA Parcel ID: cJ - 'J a — r CEO J .n Zoning: Description of Work: (_d O P -P (a IPlan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name Li aC beAmb _hen(\,L' Phone: qcQ-3aI _10'?K Street: IA6 cat- n- k 1 C kt h O2- Resident of property? City, State Zip: 0 C&,r 3 1<4 Contractor Information Name auo E' wDo (' n j1Q(Phone: 40-7 —_a t Street: \aLp C-9-4-e- ,n-%cZa caut) O Fax: City, State Zip: d rJ 4A 33:'Q) State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: n tii PERMIT INFORMATION QX.a z Square Footage: 50D Construction Type: No. of Dwelling Units: Electrical New Service — No. of AMPS: Flood Zone: Plumbing No. of Stories: New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 No. of heads: Application is hereby made to obtain aupermit, 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, 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. Signatur f Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name A--,,—ti r-V--N- 3, 10. l ature of Notary -State of Florida Date JO ANN M. JOHNSON MY COMMISSION # DD 761978 sr EXPIRES: March 23, 2012 Bonded ThN Budget Notary SeMm Owner/Agent is Personally Known to Me or Produced ID Type of ID 42r= APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: I'7 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: Rev 11.08 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, I ATTEST THAT: (Initial to the left of each statement) n 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 property listed, may act as my own contractor with certain restrictions even though I do not have a 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 fmancial 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. II 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 I bsemploy have the licenses required by law and by city ordinance. 6 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. I, 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 &caner -builders as well as employers. I also r understand that the construction must comply with all applicable laws, ordinances, building codes, and d zoning -regulations. 3 1 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.conVdbpr/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 16 1 information that I have provided on this disclosure or in the permit application package. 6 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. PMy Address: 4? I, A-,ki Z 19 &-_ i ,,/ i )L/&)C l-- , 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. A.1,YZA- l s",4,4 u Owner -Builder Form of Identification DL__ Must be Photo ID) Date 0 /a - JJ 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 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 r ^b!!.Q s,Lj 1 c 2'1 5 , - 6 ) ` DAvm JoNNSooH,CFA,ASA 2 2 12 43 3 1 xI PROPERTY a 1 APPRAISER 1 a 2 2 2 SEMINOLE COUNTY FI- 14 e a 0/ d • to 1 a 23 1101 E. FIRST ST 6ANFORD. FL32771-146a 8 w S 16 2 A. Be 14 C 2 407.65 7508 J 21 7 13 d 3 y VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method Cost/Market Cost/Market Number of Buildings 1 1ParcelId: 35-19-30-521-01300-0030 Depreciated Bldg Value 35,291 39,218Owner: BENNETT ELIZABETH L Depreciated EXFT Value 0 0MailingAddress: 126 COUNTRY CLUB DR Land Value (Market) 12,000 12,000City,State,ZipCode: SANFORD FL 32771 Land Value Ag 0 0PropertyAddress: 126 COUNTRY CLUB DR SANFORD 32771 Just/Market Value 47,291 51,218SubdivisionName: COUNTRY CLUB MANOR UNIT 2 Portablity Adj 0 0TaxDistrict: S1-SANFORD Save Our Homes Adj 2,9931 7,575Exemptions: 00-HOMESTEAD (1994) Dor: 01-SINGLE FAMILY Amendment 1 Adj 0 0 Assessed Value (SOH) 44,2981 43,643 Tax Estimator Portability Calculator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 44,298 25,000 19,298 Amendment 1 adjustment is not applicable to school assessment) Schools 44,298 25,000 19,298 City Sanford 44,298 25,000 19,298 SJWM(Saint Johns Water Management) 44,298 25,000 19,298 County Bonds 44,2981 25,0001 19,298 Potential Portability Amount is 2,993 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 Vaclimp Qualified WARRANTY DEED 10/1993 02666 0789 $46,900 Improved Yes 2010 VALUE SUMMARY SPECIAL WARRANTY DEED 10/1993 02666 0787 $28,800 Improved No SPECIAL WARRANTY DEED 05/1993 02587 1059 $100 Improved No Tax Amount (without SOH): 512 2010 Tax Bill Amount: 74374 CERTIFICATE OF TITLE 05/1993 02580 0231 $100 Improved No WARRANTY DEED 10/1991 02347 1815 $36,100 Improved Yes Save Our Homes 138 WARRANTY DEED 03/1987 01836 1338 $37,600 Improved Yes aloe and Taxes201NCertifiedTaxableValueandTaxes WARRANTY DEED 01/1984 01517 09090 $34,800 Improved Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 11/1982 01420 1801 $100 Improved No Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... 0 LOT 0 0 1.000 12,000.00 $12,000 LEG LOT 3 BLK B COUNTRY CLUB MANOR UNIT 2 PB 11 PG 100 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 1958 3 720 1,205Sket 720 EW CONCRETE BLOCK $35,291 53,270 Appendage / Sgft UTILITY UNFINISHED / 55 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 110 Appendage I Sqft OPEN PORCH UNFINISHED / 100 Appendage / Sgft CARPORT UNFINISHED / 220 http://www.scpafl.orglweb/re web.seminole county_title?parcel=3519305210B000030&c... 3/10/2011