HomeMy WebLinkAbout107 Woodfield CtgC]IVED
CITY OF SANFORDAPRO52011BUILDING & FIRE PREVENTION
PERMIT APPLICATION
13y;
Application No: ff Z Documented Construction Value: $ % 2.(0' 00
Job Address: Ej,4 Z 3 Historic District: Yes 0, No
Parcel ID• Zoning:
Description of Work: A..t M I IVU M CAR QDIZT "
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name FICA2ub • F • V FR6AIQA Phone: • -3 21- 3 &3 - (A q-3
Street: I Q WOOdFI E(CI COUI21 Resident of property?
City, State Zip: F(oa t DA Z
Contractor Information
Name Phone:
Street: Fax:
City, State Zip:, . State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
0
Mortgage Lender:
Address:
l:lr..r•-`:+J'w .s1 r r3n0U3lrV
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
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, 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;pleasefi. /
IWM Y ex(Gg-O.S-i/
Signaute of Owner/Agent Date
91 C414>0 • E- VbP4CA-24 0 if -0_J/
Print Owner/Agent's Name
Sature of Notary -State of orida
y
Date
W ANN M. YyrN\OVI\
MY COMMISSION # DD 761978
EXPIRES: March 23 2012N'"'
tiovV , Banded Thru Budget Notary Services
Owner/Agent is Personally Known to Me or
Produced ID T Type of ID P_C, p L
APPROVALS: ZONING: 0 ' (o 'I I UTILITIES:
ENGINEERING:
COMMENTS:
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:
Rev 11.08
OWNER BUILDER STATEMENTIAFFID"IT
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)
I understand that state law requires construction to be done by a licensed contractor and have applied for
j an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
havethepropertylisted, may act as my own contractor with certain restrictions even though I do not a
1 license.
i
understand that building permits are not required to be signed by a property owner unless he or she isk4Iresponsiblefortheconstructionandisnothiringalicensedcontractortoassumeresponsibility.
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 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
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
p 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 s
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 7.nninu remAntinns
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: O %,Vo0V lE1d co T k y I'lD2/ %i 1 j 3
I, 91(A1Z:1)6)-F- Ve-R_6A-1z , 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 so&ified above.
Signaturelof Owner -Build
Form of Identification lip Z--
Must be Photo ID)
Date
o aS-i 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 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 1
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l are r ie VALUE
SUMMARY VALUES
2011
2010 Working
Certified GENERAL
Value
Method Cost/Market Cost/Market Parcel
Id: 10-20-30-505-0000-0650 Number
of Buildings 1 1 Owner. VERGARA RICARDO E & Depreciated
Bldg Value 79,967 87,901 Own/Addr. SALAZAR ANA M Depreciated
EXFT Value 7,044 7,245 MailingAddress: 107 WOODFIELD CT Land
Value (Market) 15,000 18,000 City,State,ZipCode: SANFORD FL 32773 Land
Value Ag 0 0 PropertyAddress: 107 WOODFIELD CT SANFORD 32771 Just/
Market Value 102,011 113,146 SubdivisionName: GROVEVIEW VILLAGE 1ST ADD REPLAT Tax
District: SiSANFORD Portablity Adj 0 0 Exemptions:
00-HOMESTEAD (1998) Save Our Homes Adj 1 $0 11,785 Dor.
01SINGLE FAMILY Amendment 1 Adj 0 0 Assessed
Value (SOH) 102,0111 101,361 Tax
Estimator 2011
TAXABLE VALUE WORKING ESTIMATE Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 102,011 50,000 52,011 Amendment
1 adjustment is not applicable to school assessment) Schools 102,011 25,000 77,011 City
Sanford 102,011 50,000 52,011 SJWM(
SalntJohns Water Management) 102,011 50,000 52,011 County
Bonds 102,0111 50,000 1 52,011 The
taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES
2010
VALUE SUMMARY Deed
Date Book Page Amount Vac/Imp Qualified Tax Amount (without SOH): 1,463 QUITCLAIM
DEED 08/2005 05877 0115 $100 Improved No Tax
201BillAmount: 227 WARRANTY DEED
03/1997 03221 033330 $79,000 Improved Yes Save Our
Homes (Value Savings: 236 236 WARRANTY DEED
02/1990 02157 1$ $68,000 Improved Yes WARRANTY DEED
02/1984 01527 2014 $58,900 Improved Yes 2010 Certified
Taxable Value and Taxes DOES NOT
INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable
Sales within this Subdivision LEGAL DESCRIPTION
LAND Land
Assess
Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick...
LOT 0
0 1.000 15,000.00 $15,000 LEG LOT 65 GROVEVIEW VILLAGE 1ST ADD REPLAT PB 26 PGS 4
TO 6 BUILDING INFORMATION
Bid Num
Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost
New Building
n
Sk1SINGLE
FAMILY 1984 6 1,504 2,302 1,504 CONIC BLOCK $79,967 Ske 89,850
Appendage
I Sqft
ENCLOSED PORCH UNFINISHED / 238 Appendage I Sqft
SCREEN PORCH FINISHED / 56 Appendage / Sqft GARAGE
FINISHED / 504 NOTE: Appendage Codes
included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment Enclosed Porch Finished,Base Semi Finshed Permits
EXTRA FEATURE
Description
Year Bit
Units EXFT Value Est. Cost New POOL GUNITE 2006
336 $5,880 $6,720 COOL DECK PATIO
2006 380 $1,164 $1,330 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 JustlMarket value.
0m
PLAT OF SURVEY V,.1
for
RICARDO E. VERGARA and ANA MARIE SALAZAR
Legal Description
Lot 65, REPLAT OF GROVEVIEW VILLAGE FIRST ADDITION, according to the plat thereof
as recorded in Plat Book 26, Pages 4, 5, and 6, of the Public Records of Seminole
County, Florida.
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SURVEY NOTES:
1) The street ,address of the above described property is 107 Woodfield Court.
2) The above described property lies in a Floyd Zone X.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes:
REVISIONS: . CERTIFIED CORRECT TO:
RICARDO E. VERGARA
KITNER SURVEYING, -INC. ANA MARIE SALAZAR
R. BLAIR KITNER - P.L.S. ,NO. 3382 CONSOLIDATED•FUNDI%
Post Office Box 823, Sanford, F1. 32772.
AND.A30T.GAGE CORPORAis
407) 322-2000 COMMONWEALTH LAND TITLE IN RA - T
POJECT NO: 0)7- I Z 8 SURVEY DATE: 27 MARCK 097