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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 r 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