HomeMy WebLinkAbout131 Crown Colony Way (2)W
REC.EIVED 00, APB 2011 i
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No: vi Documented Construction Value: $ /
Job Address:, 131 CAowtj w tA- `j Historic District: Yes No
Parcel ID:
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Zoning:
5
Title:
E-mail:
Property Owner Information
NameWoCt f% c7/ Phone: qc7 -7
Street:Cgo W C'y /0 A' Resident of property?
City, State Zip: S {} v r L 3 Z7 l
Contractor Infor on
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Phone:
Fax:
State License No.:
Architect/Engineer Infg d'ation
Phone:
Fax:
E-mail: '
Mortgage Lender:
Address:
PERMIT INFORMATION "
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Construction Type: No. of Stories:
Flood Zone:
1
Plumbing
Mechanical (Duct layout required for new systems)
Q
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
J
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 released.
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Sim ature of Ownef/Agent ----Bite /
Print Own /Agent's Name
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
SigYiiature p otapc,Stgje of Florida DEBBIE
BLAJ25.2015
Signature of Notary -State of Florida Date
z` ;` Notary Public St
My Comm. ExpiresCommission #
Bonded Through Natio
Owner/Agent is Personally Pown to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID L CV-0•) U i Produced ID Type of ID
APPROVALS: ZONING: • 4I1 UTILITIES:
ENGINEE Fl- FIRE:
COMMENTS:
WASTE WATER:
BUILDING: /
Rev 11.08
P
OWNER BUILDER VATEMENT/AFFIDA
Altamonte Springs, Cassel berry,' 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
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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 ;
ofanowner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner
the property listed, may act as my own contractor with certain restrictions even though I do not have a
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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 nameA also understand that a contractor is required by law to be
j 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 complefe; the lavi; will.'presume that -I built or substantially improved it
for sale or lease, which violates this exemption. {.y
I understand that, as the owner -builder, I must provide direct, onsite supeWis on.of the`construction...
I understand that I may not hire an unlicensed individual person to act as my contractor or toy "supervise-•
persons working on my building or residence. It i's,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
d 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 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: 711vfv a lI rurocN Fc'' io)
I, O C, A : ( f do hereby state that I am qualified
and capable 6f performing the requested construction involved with the permit application filed and agree to the
c itions spe ified above.
re of Owr*-Builder
Form of Identification
Must be Photo ID)
Z71
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
Dcrr I i i uam
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CONTRACTORS INVOICE
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YOUR •' ORDER NO. C •
SCRIP„TION OF;V;IORK PERFOR DI!
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Material is guaranteed to be as specified, and the above w rk was performed in accordance with the drawings and specifications
vided for th abovgyuDA—, nd was cprri6leted in Aubstantii wArnahlike manner for the -agreed sum of
Dollars ($.
This is a PgrtiaL- Full invoice due and payable by:
Month Day Year -
In accordance with our Agreement Proposal No. Dated
Month Day Year
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DALVID JON msoN.CFA.ASA
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PROPERTY TRACTC
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APPRAISER
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SENINCLE COUNTY FL.
22 = TRACT TRACT H
1101 E,FIRSTST
sANFono, FL 32771-146B
407-6775015
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TRACT 0 42
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VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: 33-19-30-5QS-0000-0500 Number of Buildings 1 1
Owner: REID ROY & THERESA Depreciated Bldg Value 113,128 123,896
Mailing Address: 131 CROWN COLONY WAY Depreciated EXFT Value 1,578 1,646
CIty,State,ZIpCode: SANFORD FL 32771 Land Value (Market) 23,000 25,000
Property Address: 131 CROWN COLONY WAY SANFORD 32771 Land Value Ag 0 0
Subdivision Name: CROWN COLONY SUBDIVISION
lust/Market Value 137,706 150,542
Tax District: Sl-SANFORD
Portablity Adj 0 0
Exemptions: 00-HOMESTEAD (2008)
Save Our Homes Adj 0 0
Dor: 01-SINGLE FAMILY
Amendment 1 Adj 0 0
Assessed Value (SOH) 137,706 150,542
FTax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 137,706 50,000 - 87,706
Amendment I adjustment is not applicable to school assessment) Schools 137,706 25,000 112,706
City Sanford 137,706 50,000 87,706
SJWM(Saint Johns Water Management) 137,706 50,0001 87,706.
County Bonds l $137,7061 50,0001 87,706
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 2010 VALUE SUMMARY
SPECIAL WARRANTY DEED 04/2007 06669 1632 $285,000 Improved Yes
2010 Tax Bill Amount: $2,215
CERTIFICATE OF TITLE 09/2006 06421 0793 $100 Improved No
2010 Certified Taxable Value and Taxes
SPECIAL WARRANTY DEED 03/2004 05251 1330 $161,700 Improved Yes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
WARRANTY DEED 08/2003 04985 0279 $640,000 Vacant No
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:- Pick-...
LOT 0 0 1.000 23,000.00 $23,000 LOT 50 CROWN COLONY SUBDIVISION PB 61 PGS 76 - 78
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 2004 9 1,120 2.614 2,170 CB/STUCCO FINISH $113,128 $116,928
Sketch
Appendage / Scift OPEN PORCH FINISHED / 24
Appendage i Scift GARAGE FINISHED / 420
Appendage / Sqft UPPER STORY FINISHED / 1050
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch FinishedBase
Semi Finshed
Permits
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
ALUM SCREEN PORCH W/CONC FL 2004 242 $1,578 $2,057
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 our next year's property tax will be based on Just/Market value.