HomeMy WebLinkAbout1317 S Elm AveCITY OF SANFORD
OILDI G & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1. " I 10 LA Documented Construction Value: $ 5b0 ' d-O
Job Address: E k M Historic District: Yes No&
Parcel ID • Zoning:
Description of Work: Re (aCt n i v vv i l
Plan Review Contact Person: Title:
y_ _.....:- - ;,i-.r ... -ir'..a- ..x ^e •st" r .....: - r;: x .,- as r _ r _ s^uar ="ax . •.r c ., .v- •r r; : _ -.^r• r_ a?ram - _ z^y +
Phone: Fax: E-mail:
Property Owner Information
TOI 3 L Phone: 4d 7— 3% 3 —26 51Namer
Street: 1 31-7 Resident of property?
City, State Zip: SCz LA)t d
Contractor Information
Name S'I Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type
No. of Dwelling Units: Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
No. of Stories:'
Plumbing "
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
i
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that nb
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.
Signature of Owner/Agent Yate
DCL I i, "B V,
Print Owner/Agent's Name
Qliinql catt 311AN
Signature ofNotary -State of Florida Date
Owner/Agent is
Produced ID
APPROVALS: ZC
ENGINEERING:
COMMENTS:
UTILITIES:
afl-lia
Signature ofContractor/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:
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)
I understand that state law requires construction to be done by a licensed contractor and have applied7for
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 inougn 1 uu nuL uavv a
V 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 filedinhisorhernameinsteadofmyownname. 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 supervisepersonsworkingonmybuildingorresidence. It is my responsibility to ensure that the persons whom I
IGII 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 laborandmaterials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
lU 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 air 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
direct and must be employed by me, which means that I, mustmustworkundermysupervision
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
V
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
j
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/Uro/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: 13 1-7 S C-71 r,,,\ )k ,/ e,
I, -Dal 1 8 t/i 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
Form of Identification
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
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of2
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APPRAISER
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SEMINOLE COUNTY FL
1101'E. Flt¢sr sT 3 1 1.0 5
ANFoRo. FL32771-1465
407-66 7506 2 11
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VALUE SUMMARY
VALUES 2011 2010
GENERAL Working Certified
Value Method CosUMarket Cost/MarketParcelId: 36-19-30-300-0020-0000
Number of Buildings 1 1Owner: BUFORD DALI &
Depreciated Bldg Value 48,458 54,051Own/Addy: STIRES DEBORAH S
Depreciated EXFT Value 480 480MailingAddress: 1317 ELM AVE
Land Value (Market) 18,137 18,137City,State,ZipCode: SANFORD FL 32771
Land Value Ag 0 0PropertyAddress: 1317 ELM AVE SANFORD 32771
JusUMarket Value 67,075 72,668SubdivisionName:
Portablity Adj 0 0TaxDistrict: S1-SANFORD
Save Our Homes Adj 0 0Exemptions: 00-HOMESTEAD (2006)
Dor: 01-SINGLE FAMILY Amendment 1 Adj 0 0
Assessed Value (SOH) 67,0751 72,668
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 67,075 42,075 25,000
Amendment 1 adjustment is not applicable to school assessment) Schools 67,075 25,000 42,075
City Sanford 67,075 42,075 25,000
SJWM(Saint Johns Water Management) 67,075 42,075 25,000
County Bonds 67,0751 42,0751 25,000
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
WARRANTY DEED 10/2005 05938 1920 $110,000 Improved Yes
SPECIALWARRANTY DEED 12/2003 05136 1394 $52,000 Improved No
CERTIFICATE OF TITLE 09/2003 04992 0716 $100 Improved No 2010 VALUE SUMMARY
QUIT CLAIM DEED 11/1996 03169 1731 $100 Improved No
2010 Tax Bill Amount: 679
WARRANTY DEED 0111993 02537 00077 $52,000 Improved Yes
2010 Certified Taxable Value and Taxes
CERTIFICATE OF TITLE 1211991 02366 0470 $23,400 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
QUIT CLAIM DEED 01/1991 02260 0921 $15,000 Improved No
WARRANTY DEED 10/1985 01681 1723 $35,000 Improved Yes
WARRANTY DEED 04/1980 01273 0937 $20,000 Improved Yes
WARRANTY DEED 01/1980 01263 1485 $18,000 Improved Yes
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value SEC 36 TWP 19S RGE 30E S 73.51 FT OF BEG 10 CH S +
670 FT E OF NW COR OF NE 1/4 RUN E 109 FT N TO RY
FRONT FOOT &DEPTH 74 109 .000 285.00 $18,137 NWLY TO PT N OF BEG S TO BEG (LESS RD)
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 1955 3 999 1,500 1,146 SIDING AVG $48,458 77,533Sketch
Appendage / Sqft GARAGE UNFINISHED / 288
Appendage / Sgft BASE / 117
Appendage / Sgft UTILITY UNFINISHED / 66
Appendage /Sgft BASE /30
h4://www.scpafl.orglweblre-web.seminole-countytitle?parcel=36193030000200000&c... 3/24/2011
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ProductApproval Menu > Producr or Application Search > Application Lis > Application Detail FLN
FL11206-R3 Application
Type Revision Code
Version 2007 Application
Status Approved Comments
Archived
Product
Manufacturer Pella Corporation Address/
Phone/Email 102 Main St. Pella,
IA 50219 641)
621-6096 pellaproductapproval@)
pella.com Authorized
Signature Hughes Alan hughesaj@pella.
com Technical
Representative Alan Hughes Address/
Phone/Email 2000 Proline Place Gettysburg,
PA 17325 717)
338-1165 hughesaj@pella.
coin Quality
Assurance Representative Ali Zargharni Address/
Phone/Email 102 Main St Pella,
IA 50219 641)
621-1000 zarghamiaftpella.
corn Category
Windows Subcategory
Single Hung Compliance
Method Certification Mark or Listing Certification
Agency Window and Door Manufacturers Association Validated
By James L. Buckner, P.E. at CBUCK, Inc. W
Validation Checklist - Hardcopy Received
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