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Home My WebLink About217 Yale Drg,V CITY OF SANFORD BUILDING & FIRE PREVENTION JUL 16 2015 PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: 22.4 1 Yaffe Do c Historic District: Yes No Parcel ID: 30-23-dLwd " . Residential% Commercial Type of Work: New Addition Alteration Repair,9 Demo Change of Use Move Description of Work: 0-t SIB;ytolu f0D Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Title: Name :1 b an IZ "fh>Srrt415- M6mt, Phone: YUW-90&5 Street: 211 YAk Dd rt Resident of property? City, State Zip: S A162r It ' L 37%n i Name Street: City, State Zip: _ Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be Z4 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. 3a of Owner/Agent Date Signature of Contractor/Agent Date Name b--/si Signature of Notary DEBBIEBLANTON MY COMMISSION it FF 178648 EXPIRES: February 25, 2019 qt Bonded Thru Notary Public Under rkers Owner/Agent is Personally Known to Me or Produced ID Type of ID— 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application l 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 applied for 2 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 n h 1 in his or her name instead of my own name. I also understand that a contractor is required by law to be 1 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 f/J 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. n j j 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 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 vV 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 r , 1 I agree that, as the party legally and financially responsible for this proposed construction activity, I will C 5 y) V 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're ulations. Fp—) 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 FloridaROConstructionIndustryLicensingBoardat1-850-487-1395 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 le, Dr ve 1,\r% V'\ 11 `=\Uvl h o yv and capable of performing the requested conditions specified above. 5a771 J19 - N IZ U) S 0 VY do hereby state that I am qualified uction involved with the permit application filed and agree to the e Form of Identification Must be Photo ID) 7- 16 -,o /5'— 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 SCPA Parcel View: 35-19-30-523-0000-0430 Drm4d Johnson. CFA Property Record Card PROPERTY Parcel: 35-19-30-523-0000-0430 APPRMSER Owner: THOMPKINS-NEWSOME JOHNNIE R SEMR40LE000NN..FLORIDA Property Address: 217 YALE DR SANFORD, FL 32771-7201 Parcel: 35-19-30-523-0000-0430 Property Address: 217 YALE DR Owner: THOMPKINS-NEWSOME JOHNNIE R Mailing: 217 YALE DR SANFORD, FL 32771-7201 Subdivision Name: ACADEMY MANOR UNIT 02 Tax District: Sl-SANFORD Exemptions: 00-HOMESTEAD (2010) DOR Use Code: 01-SINGLE FAMILY 11 9 43 Page 1 of 2 Value Summary 2015 Working Values 2014 Certil Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 46,382 50,438 Depreciated EXFT Value Land Value (Market) 9,500 9,500 Land Value Ag Just/Market Value 55,882 59,938 Portability Adj Save Our Homes Adj 0 1,618 Amendment 1 Adj Assessed Value 55,882 58,320 Tax Amount without SOH: $ 2014 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 43 ACADEMY MANOR UNIT 2 PB16PG24 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 55,882 30,882 Schools 55,882 25;000 City Sanford 55,882 30,882 SJWM(Saint Johns Water Management) 55,882 30,882 County Bonds 55,882 30,882 Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 11/1/2009 07283 1309 100 No Improved WARRANTY DEED 1/1/1977 1/1/1976 01111 1 01082 1030 0847 18,900 Yes Yes Improved ImprovedWARRANTYDEED17,000 Find Comparable Sales within this Subdivision hq://www.scpafl.org/ParcelDetailInfo.aspx?PID=35193052300000430 7/16/2015 City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. 2 I.' CITY OF SANFORD BUILDING SERVICES Residential Re -Roof i;, Hurricane Mitigation Inspection Affidavit Permit #: I, Olnhh u% 1 no v 1 k 05 NeL,05o rm hereby acknowledge that I personally inspected Roof deck nailing and/or 0 Secondary water barrier work at r_)_ / vl and have determined that the work Job Site Address) was done according to the rricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to ction 837.06 F.S. n1 nature of Contractor I Date c QI vkAW"^ Printed Name of Contractor License # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn (or affirmed) and subscribed before me this 1(4 day of , 20 4S , by Personally Known tom has Produced (type of identificatiopa as identification. f -1 (SEAL) Signature of Notary Public e f on a , tY e MY COEBBIE BWJTON MMISSION S FF 178M rint ype Stamp Name • {= EXPIRES: Februa 2& of Notary Public Bonded rPu= 3