HomeMy WebLinkAbout614 Grovewood AveRECEIVED
MAY 2 2011 CITY OF SANFORD
BUILDING & FIRE PREVENTION
BY: PERMIT APPLICATION
Application No: / / Documented Construction Value: $ Cp - y
Job Address: 6l `-t (3`r0Ve w o ®c j U e- ; Historic District: Yes No
Parcel ID• Zoning:
Description of Work: /?o d r
Plan Review Contact Person: ' /2`'h'ide-1 Title:
Phone: Fax: E-mail:
Property Owner Information
Name 1 i9-no 1 'w D 1 S' Phone:
Street: 6roVe wood 19ye_ Resident of property?
City, State Zip: San rc -2 3
Contractor Information
Name ^iy S Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information }
Name: Phone:
Street: Fax:
4•
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
01101 to s)s12 • ot!hu i rslo:t
arcs a'g3zsIi,xI 111f;11'03int
PERMIT INFORMATION :
J a
SBt08 3
Building Permit nzzA Y1000 tnoitslr rip!mxlf MAO
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)
3 o°
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
Application 'is hereby made to obtain a permit to do `the Work'an,
ti.
d installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit.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, beaters, 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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Oc% . //
DEBBIE BLANTON
Notary Public - State of Florida
My Comm. Expires Feb 25. 2015
Commission # EE 60182
Bonded Through National Notary Assn. 81411111041PMINN....- .... ,,..., ......_.
Owner/Agent is Personally Known to Me/
Produced ID Type of ID P_1, t -C A
qr
D/
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
II ran
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature ofNotary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
R
12
OWNER BUILDER STATEMENT/AFFID"IT
r
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)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have appitea ror,
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 financial risk by hiring a licensed contractor and having the permit filed .
that is required by law to beinhisorhernameinsteadofmyownname. I also understand a contractor
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 withinin1yearaftertheconstructioniscomplete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
L
J
I understand that, as the owner -builder, I must provide direct, onsite supervision ofthe 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
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware ofthe 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
Property Address: 6 /'d r/c a 00 G' .ct n`d I'd 3077,3
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.
Signature of Owner -Builder
Form of Identification D/- i r°,-2. Se,-o,7,f
Must be Photo ID)
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
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 ofconstruction 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
VVV 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: 6 /'d r/c a 00 G' .ct n`d I'd 3077,3
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.
Signature of Owner -Builder
Form of Identification D/- i r°,-2. Se,-o,7,f
Must be Photo ID)
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
S
z Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
1EY s"-IE-a'IaI AIl, sr. a ',a
DAvw JOHNSON.CFA.ASA b3 0 15A
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24A
di'mPROPERTY 12
SQJIINOLE COUN•IYFLL. 1618 8 20A
22 1
ry4
1101 E. FIRSTift 21
SANFORD, FL32771-1468
407-665-7506
18 18
26 2S 24 23
AM
VALUE SUMMARY
VALUES 2011 2010
Working Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: l0-20-30-505-0000-0160 Number of Buildings 1 1
Owner: HUMPHREYS RANDEL L & AMY L
Depreciated Bldg Value $69,
251
76,051MailingAddress: 614 GROVEWOOD AVE
Depreciated EXFT Value $0 0City,State,ZipCode: SANFORD FL 32773
Land Value (Market) $15,000 18,000PropertyAddress: 614 GROVEWOOD AVE SANFORD 32773
Land Value Ag $0 0SubdivisionName: GROVEVIEW VILLAGE 1ST ADD REPLAT
Just/Market Value $84,250 94,051TaxDistrict: S1-SANFORD
Portablity Adj $0 0Exemptions: 00 -HOMESTEAD (2001)
Save Our Homes Adj $0 1,997Dor: 01 -SINGLE FAMILY
Amendment 1 Adj $0 0
Assessed Value (SOH) $84,250 92,054
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 84,250 $50,000 34,250
Amendment 1 adjustment Is notapplicable to school assessment) Schools 84,250 $25,000 59,250
City Sanford 84,250 $50,000 34,250
SJWM(Satnt Johns Water Management) 84,250 $50,000 34,250
County Bonds 1 84,2501 $50,0001 34,250
The taxable values and taxes are calculated using the current years working values and the prior years approved mlllage rates.
SALES
Deed Date Book Page Amount Vac/imp Qualified 2010 VALUE SUMMARY
WARRANTY DEED 11/1999 03754 1370 $86,000 Improved Yes Tax Amount (without SOH): 1,080
WARRANTY DEED 11/1988 02013 1332 $71,500 Improved Yes 2010 Tax Bill Amount: 1,040
WARRANTY DEED 08/1984 01576 0156 $100 Improved No Save Our Homes (SOH) Savings: 40
WARRANTY DEED 08/1983 01480 0106 $57,900 Improved Yes 2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSFindComparableSaleswithinthisSubdivision
LAND LEGAL DESCRIPTION
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 16 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
BuildSketch 6 1,390 1,930Sketchh1SINGLEFAMILY1983 1,390 CONC BLOCK $69,250 78,249
Appendage / Sgft OPEN PORCH FINISHED/ 40
Appendage / Sgft GARAGE FINISHED / 500
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,BaseSemiFinshed
Permits
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. ff you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
V&
Per'lnit No. I i
Tax Folio No. 0/ . G
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made•to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
information is provided in this Notice ofCommencement.
I INNININN N NNINM1N NfNN NIi1111N
NARYNK NORSE, CLERK OF CIRCUIT COURT
SENINOLE COUNTY
BK 07584 Pg 0859; Upg)
CLERK'S 0 `01 1045908
RECORDED 05103/2011 08153108 AN
RECORDING FEB 10.00
RECORDED BY T Smith
1. DescripA*c,n roperty: (legal description of the property, and street address if available) / 6;rC cr&— e, ) 2 O
yIT
obrof
E—C. 32-773
GQ! General description of improvement: ew <oo
i:Owner information: Name: v" c f,/ v A c- s
Address: f- e c, o cue a, ., '-Per r d // z- 3 ? 3
000b*Interest in property: e
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
QContractor Name: —SIS 7-1& as oG.,14e.,-' Phone number:
c. Address:
5. Surety Name CERTII lE --SE
Address: i YANNE --
URT
b. Amount of bond: $ , CLERK ()F, CIRC T( FLORIDA6. Lender: Name: I
Address: `
b. Lender's phone number: Ftp
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served a '+
provided by Section 713.13(1)(a)7., Florida Statutes: Name: A
Pil
Q 1
Address: Ion
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
of Owner or Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
6–---- ------------ – (SEAL)
Signature of Notary Public
Personally Known OR Produced Identification Type of Identification Produced -R L—'
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the r o. g and that
the fa s a ed in it ar truel the best ofd knowled a and belief. 881E BLANTON
Signature of Natural Person
Rev. date 3/2008
is Ih MENi P EP ED B i ,`4 VP"", ofpYNotaryPublic - State of Florida
WA E q rc / = My Comm. Expires Feb 25. 2015M =
4_
1Commission #
EE 80182
ADDR.' %;N„ti `Bonded 1Mouo National Notary Aeon.
3-773