HomeMy WebLinkAbout2613 Selm Aveo
RECEIVEDEvD P z
JUN 21 2011 i
BY:
I
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
on
Application No: Documented Construction Value: $ i 1 q s
47 'Address: A6 /._'9 , C I M AOL Historic District: Yes No,!k
Parcel ID• Zoning:
Description of Work: _14' X +D r 2u+ure_ CA6IPgJa
Plan Review Contact Person: Title:
Phone: Fax: E-mail: . "
Property-Owner-Information
Name ,1 1( _hC1 1 Phone: 4 0%- -Nl :'7 t 0q
Street: _ Resident of property?
City, State Zip: %
Contractor Information
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.:
Architect/Engineer Information
Building PermitA
Square Footage:
No. of Dwelling Units:
Electrical
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: ' X
M01 0A A 318b;u
VOS ,dS del 2911gx3 01=0 VM ;•
PERMIT INFORMATION S8t08 33 noizz rmo
a22A "jislaii Isno;I&A dgtas'T tstR0
1
Construction Type:
Flood Zone:
New Service eNo. of AMPS:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing E3..' -
NewNew Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
t
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.
WIN
1 Date
Print Owner/Agent's Name
Signature NQ{te of FloridQEBBIE BLANTON Date
A. c'; Notary Public - State of Florida
E My Comm. Expires Feb 25, 2015
11j15
Commission Ar EE 60182
Bonded Through National Notary Assn.
Owner/Agent is Personally Known to Me o
Produced ID Type of ID Fl) L_ ey, ' .%Ic) /J,1_
APPROVALS: ZONINGAA G- A'II UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
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:
41
Al
Zroperty Address:
de ! au r 1n E hpc-)e,5 '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.
00.1001
Sigh-cltufe of Owner -Builder Date l
r
Form of Identification
Must be Photo ID)
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.
e
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abidb 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-
t
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 anemployer 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
a
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 Consiruction 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
Q 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.
Zroperty Address:
de ! au r 1 n E hpc-)e,5 '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.
00.1001
Sigh-cltufe of Owner -Builder Date l
r
Form of Identification
Must be Photo ID)
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.
e
Rev. 9.14.2009
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)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have applied for
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
y in his or her name instead of my own name. I also understand that a contractor is required by law to be
I 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
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
t 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
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
hq://www.sepafl.orglweblre-web.seminole-countytitle?parcel=01203050600004250&c... 6/21/2011
Davin Jomssoom. CFA. ASA
1 k
PROPERTY
APP RA5ER
SEMIN.tK!NTY.FL
1101 E. FYRSi.ST
9ANF03i0, FL 3=1-1468
407 -BW 7506
VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL Value Method Cost/Market CostlMarket
Parcel Id: 01-20-30-506-0000-4250 Number of Buildings 1 1
Owner: BACKES (AURIN E
Depreciated Bldg Value $67,024 81,689
Mailing Address: 1447 SPALDING RD Depreciated EXFT Value $0 0
City,State,ZipCode: WINTER SPRINGS FL 32708 Land Value (Market) $7,990 7,990
Property Address: 2613 ELM AVE SANFORD 32771
Land Value Ag $0 0
Subdivision Name: WOODRUFFS SUBD FRANK L
Just/Market Value $75,014 89,679
Tax District: S1-SANFORD
Portablity Adj $0 0
Exemptions: 00 -HOMESTEAD (2010)
Save Our Homes Adj $0 0
Dor: 01 -SINGLE FAMILY
Amendment 1 Adj $0 0
Assessed Value (SOH) $75,014 89,679
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 75,014 $50,000 25,014
Amendment 1 adjustment is not applicable to school assessment) Schools 75,014 $25,000 50,014
City Sanford 75,014 $50,000 25,014
SJWM(Saint Johns Water Management) 75,014 $50,000 25,014
County Bonds 75,0141 $50,0001 25,014
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 08/2009 07249 , 775 $120,000 Improved No
WARRANTY DEED 01/2008 06903 1238 $114,500 Vacant No 2010 VALUE SUMMARY
QUITCLAIM DEED 02/2007 06631 1061 $21,600 Vacant No 2010 Tax Bill Amount: 992
WARRANTY DEED 02/2006 06134 0333 $13,400 Vacant Yes 2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSWARRANTYDEED11/2005 06017 0597 $10,000 Vacant No
WARRANTY DEED 07/2004 05418 0352 $33,000 Vacant No
WARRANTY DEED 05/2003 04845 1532 $100 Vacant No
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... 0
FRONT FOOT & DEPTH 50 128 .000 200.00 $7,990 LOTS 425 FRANK L WOODRUFFS SUBD PB 3 PG 44
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 2008 6 1,305 1,750Sketch 1,305 WD/STUCCO FINISH $67,024 68,045
Appendage I Sgft OPEN PORCH FINISHED/ 25
Appendage I Sqft GARAGE FINISHED / 420
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base
Semi Finshed
Permits
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 Just/Market value.
hq://www.sepafl.orglweblre-web.seminole-countytitle?parcel=01203050600004250&c... 6/21/2011
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t PERMIT # If(7/2 ;
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1/1) waynlonr • LAW a•lary, 1-1, .13140 • v01ce 4t/ /.bais. /o i 1 • Pax 4U /.68Z5. /0Y 1
Lot 425, FRANK L. WOODRUFF'S SUBDIVISION OF LAND'S
SOUTH SANFORD, according to the plat thereof, as recorded in Plat
Book 3, Page(s) 44, of the Public Records of Seminole County, FL.
Community number: 120294 Panel: 0070
SufJPx: F F.LR.M. Date: 9/28/2007 Flood Zone: X
Date offield work: 7/30/2009 Completion Date: 7/31/2009
Certified to:
Laurin E. Backe; Garrett Law Firm, P.A.; Fidelity National Title
Insurance Company; The Mortgage Firm, Inc., its' successors and/or
assigns.
50.00'(P)
50.02'(M)
FIR 1/2'
CO 9
d
vLOT 425
N0 cavc
25. D'
LOT 423 0 0
F7R 1/2•
LB 5382
P.P
CONC/STEEL WATER GRATE M
PLATTED ALLEY
f7R 5/8'
ONE STONY
RESIDENCE 144
ofr
6'
0
rd
19.4• 1
7.1'
49-98(A4) 50.00'(P,
SOUTH ELM A VE
60' R/IW (IMPROVED)
22ASPHALT
I Fr_FT%Tn
1 f1R t/2•
LB 3985
Q.P.
W.M.
LOCA T/ON SKETCH
Not to Scale
SCALE. • 1 "=30'
PER PLA r
LOT 427
CITY OF SANFORD • BUILDING PLAW iii ii, .-;-r'
PLANNING AN99 DEVELOPMENT SERVICES
APPROVED
DATE •"."/'
PropertyAddress:
lid /E 2613 South Elm Avenue
N Sanford, FL 32773
1..-
t
1 9 Survey number: SL 104795
1 m
1
1
I 276.70'(C)
RR 5,&
BLOCK CORNER
0—
l
d'9,
k?. 10 CONC
amu. DRIVE
O— Wire Fence
OHL—
d
A —T
W.M.
Official Records
C L.F.
4*
49-98(A4) 50.00'(P,
SOUTH ELM A VE
60' R/IW (IMPROVED)
22ASPHALT
I Fr_FT%Tn
1 f1R t/2•
LB 3985
Q.P.
W.M.
LOCA T/ON SKETCH
Not to Scale
SCALE. • 1 "=30'
PER PLA r
LOT 427
CITY OF SANFORD • BUILDING PLAW iii ii, .-;-r'
PLANNING AN99 DEVELOPMENT SERVICES
APPROVED
DATE •"."/'
PropertyAddress:
lid /E 2613 South Elm Avenue
N Sanford, FL 32773
1..-
t
1 9 Survey number: SL 104795
1 m
1
1
I 276.70'(C)
RR 5,&
BLOCK CORNER
0— Wood Fence W.M Water Meter N.TS. Not to Scale
O— Wire Fence TEL. Telephone Facilities O.R. Official Records
C L.F. Chain Link Fence C Covered Area O.R.B. Official Records Book
F.N. Found Nail B R. Bearing Reference PC P. Permanent Control Point
CONC Concrete CH Chord P.R.M. Permanent Reference Monument
M Field Measured RAD Radial PG, Page
CL Clear A/C Air Conditioning PVMT Pavement
ENCR Encroachment B.M. Bench Mark E.O.P Edge of Pavement
Centerline C. Calculated P. S. Plat Book
O Concrete ZZZZ Block Wall P.O.B. Point of Beginning
FL Property Line ni Central Angle;Delta P.O C. Point of Commencement
C M. Concrete Monument D.B. Deed Book P.O L Point on Line
F.I.R. Found Iron Rod D Description or Deed PC Point of Curvature
F.I.P. Found Iron Pipe D.H. Drill Hole RR C Point of Reverse Curvature
R/W Right of Way D/W Driveway P.T. Point of Tangency
N&D Nail & Disk ESMT Easement R. Radius (Radial)
D E. Drainage Easement EL Elevation R.O.E. Roof Overhang Easement
U.E. Utility Easement FF. Finished Floor S.I.R. Set Iron Rod & Cap
FD. Found RC M. Found Concrete Monument SW Sidewalk
P Plat F.PK. Found Parker -Katon Nail TO.B Top of Bank
O.H.U. Overhead Utilities L Length TYR Typical
P.P. Power Pole L.B Licensed Business W.C. Witness Corner
TX Transformer L A.E. Limited Access Easement 10.05 Existing Elevation
CAN Cable Riser 1.-- Line Break Not to Scale E.O.W. Edge of Water
CS Chord Bearing M H. Manhole P.C.C. Point of Compound Curve
FC C. Found Cross Cut O Found PI Point of Intersection
F. Field OHL Overhead Lines TB M Temporary Bench Mark
T— 1 T alT/1-
V—I T1J —\ 1\V AAU1J
1. Legal description provided by others. 12. FLOOD ZONE DETERMINATIONS
2. The lands shown hereon were not ARE PROVIDED AS A COURTESY
abstracted foreasements orotherrecorded ONLY, AND ARE DERIVED FROM
encumbrances not shown on the plat. THE BEST SOURCES AVAILABLE TO
3. Underground portions of footings. THE SURVEYOR. THIS INFORMATION
foundations or other improvements were SHOULD NOT BE RELIED UPON FOR
not located. FLOOD INSURANCE PURPOSES, AND
4. Wall ties are to the face of the wall. MAY DIFFER FROM INFORMATION
5 Only visible encroachments located. PROVIDED BY OTHERS.
6. No identification found on property corners 13. Septic tank and/or drainfield locations are
unless noted approximate and MUST be verified by
7. Dimensions shown are plat and measured appropriate utility location companies
unless otherwise noted. to Bearing basis sho per plat unless
8. Elevations if shown are based upon otherwise sh w
N.G.V.D.1929 unless otherwise noted. 15. Survey' fo ref r nc my nless signed
9. Adjoining lots are within the same block. and se d y . F n a Re stered Land
unless otherwise noted. rvey ;t
10. This is a BOUNDARY SURVEY unless 16 At: line n n ra i• I Me otherwise
otherwise noted. no 3d.
11 Not valid unless sealed with the signing 1 . R ,erti c tic n oe t in ;ca'e an
surveyors embossed seal. up late.
I hereby cerhly that this survey is a true and roma repm! .ni, ion of 'ur y v ire under my d-rachan
L 6.7132
L
Ralph Swerdlofi Registered Land Survcyror No 3411
m:T&M Concrete LLC To:City of Sanford (14075885152)
FaX
To: City of Sanford
17:53 05/21111 G MT -05 Pg 01-02
From: T&M Concrete LLC
Fax: 14076885152 Pages: 2
Re: 2613 South Elm Ave/ Lauren Dackes hate: Jun 21, 2011
X Urgent X For Review Please Please Reply For
Comment Information
Comments:
Dear Sirs; This is the footing detail for future use in the slab permit application for 2613 South Elm Ave,
Sanford, Florida. Lauren Dackes
zc owu-